|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$17.40
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.07 |
| Max. Negotiated Rate |
$15.66 |
| Rate for Payer: Aetna Commercial |
$14.79
|
| Rate for Payer: Aetna Commercial |
$11.19
|
| Rate for Payer: Aetna Commercial |
$9.85
|
| Rate for Payer: Aetna Commercial |
$11.63
|
| Rate for Payer: Aetna Commercial |
$10.80
|
| Rate for Payer: Aetna Commercial |
$10.67
|
| Rate for Payer: Aetna Medicare |
$3.42
|
| Rate for Payer: Aetna Medicare |
$3.26
|
| Rate for Payer: Aetna Medicare |
$3.01
|
| Rate for Payer: Aetna Medicare |
$4.52
|
| Rate for Payer: Aetna Medicare |
$3.30
|
| Rate for Payer: Aetna Medicare |
$3.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.11
|
| Rate for Payer: BCBS Complete |
$2.35
|
| Rate for Payer: BCBS Complete |
$2.53
|
| Rate for Payer: BCBS Complete |
$2.32
|
| Rate for Payer: BCBS Complete |
$2.15
|
| Rate for Payer: BCBS Complete |
$3.22
|
| Rate for Payer: BCBS Complete |
$2.44
|
| Rate for Payer: BCBS MAPPO |
$3.29
|
| Rate for Payer: BCBS MAPPO |
$4.35
|
| Rate for Payer: BCBS MAPPO |
$3.42
|
| Rate for Payer: BCBS MAPPO |
$3.14
|
| Rate for Payer: BCBS MAPPO |
$2.90
|
| Rate for Payer: BCBS MAPPO |
$3.18
|
| Rate for Payer: BCBS Trust/PPO |
$9.53
|
| Rate for Payer: BCBS Trust/PPO |
$11.25
|
| Rate for Payer: BCBS Trust/PPO |
$10.32
|
| Rate for Payer: BCBS Trust/PPO |
$10.45
|
| Rate for Payer: BCBS Trust/PPO |
$10.82
|
| Rate for Payer: BCBS Trust/PPO |
$14.30
|
| Rate for Payer: BCN Commercial |
$10.45
|
| Rate for Payer: BCN Commercial |
$10.82
|
| Rate for Payer: BCN Commercial |
$9.53
|
| Rate for Payer: BCN Commercial |
$10.32
|
| Rate for Payer: BCN Commercial |
$11.25
|
| Rate for Payer: BCN Commercial |
$14.30
|
| Rate for Payer: BCN Medicare Advantage |
$3.42
|
| Rate for Payer: BCN Medicare Advantage |
$4.35
|
| Rate for Payer: BCN Medicare Advantage |
$3.18
|
| Rate for Payer: BCN Medicare Advantage |
$2.90
|
| Rate for Payer: BCN Medicare Advantage |
$3.29
|
| Rate for Payer: BCN Medicare Advantage |
$3.14
|
| Rate for Payer: Cash Price |
$10.53
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$10.04
|
| Rate for Payer: Cash Price |
$13.92
|
| Rate for Payer: Cash Price |
$10.94
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cofinity Commercial |
$11.32
|
| Rate for Payer: Cofinity Commercial |
$10.93
|
| Rate for Payer: Cofinity Commercial |
$9.97
|
| Rate for Payer: Cofinity Commercial |
$10.79
|
| Rate for Payer: Cofinity Commercial |
$14.96
|
| Rate for Payer: Cofinity Commercial |
$11.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.17
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.14
|
| Rate for Payer: Healthscope Commercial |
$11.84
|
| Rate for Payer: Healthscope Commercial |
$15.66
|
| Rate for Payer: Healthscope Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$11.29
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$12.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.53
|
| Rate for Payer: Mclaren Medicaid |
$2.21
|
| Rate for Payer: Mclaren Medicaid |
$2.04
|
| Rate for Payer: Mclaren Medicaid |
$2.24
|
| Rate for Payer: Mclaren Medicaid |
$2.32
|
| Rate for Payer: Mclaren Medicaid |
$2.41
|
| Rate for Payer: Mclaren Medicaid |
$3.07
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.59
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.34
|
| Rate for Payer: Meridian Medicaid |
$2.53
|
| Rate for Payer: Meridian Medicaid |
$3.22
|
| Rate for Payer: Meridian Medicaid |
$2.32
|
| Rate for Payer: Meridian Medicaid |
$2.15
|
| Rate for Payer: Meridian Medicaid |
$2.35
|
| Rate for Payer: Meridian Medicaid |
$2.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.76
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.79
|
| Rate for Payer: Nomi Health Commercial |
$10.42
|
| Rate for Payer: Nomi Health Commercial |
$10.79
|
| Rate for Payer: Nomi Health Commercial |
$9.50
|
| Rate for Payer: Nomi Health Commercial |
$11.22
|
| Rate for Payer: Nomi Health Commercial |
$14.27
|
| Rate for Payer: Nomi Health Commercial |
$10.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.41
|
| Rate for Payer: PACE Senior Care Partners |
$3.02
|
| Rate for Payer: PACE Senior Care Partners |
$2.98
|
| Rate for Payer: PACE Senior Care Partners |
$3.13
|
| Rate for Payer: PACE Senior Care Partners |
$3.25
|
| Rate for Payer: PACE Senior Care Partners |
$2.75
|
| Rate for Payer: PACE Senior Care Partners |
$4.13
|
| Rate for Payer: PACE SWMI |
$3.14
|
| Rate for Payer: PACE SWMI |
$3.29
|
| Rate for Payer: PACE SWMI |
$4.35
|
| Rate for Payer: PACE SWMI |
$2.90
|
| Rate for Payer: PACE SWMI |
$3.42
|
| Rate for Payer: PACE SWMI |
$3.18
|
| Rate for Payer: PHP Commercial |
$10.80
|
| Rate for Payer: PHP Commercial |
$10.67
|
| Rate for Payer: PHP Commercial |
$11.19
|
| Rate for Payer: PHP Commercial |
$11.63
|
| Rate for Payer: PHP Commercial |
$14.79
|
| Rate for Payer: PHP Commercial |
$9.85
|
| Rate for Payer: PHP Medicare Advantage |
$4.35
|
| Rate for Payer: PHP Medicare Advantage |
$3.14
|
| Rate for Payer: PHP Medicare Advantage |
$3.42
|
| Rate for Payer: PHP Medicare Advantage |
$2.90
|
| Rate for Payer: PHP Medicare Advantage |
$3.29
|
| Rate for Payer: PHP Medicare Advantage |
$3.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.21
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.32
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.41
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.14
|
| Rate for Payer: Priority Health Medicare |
$2.93
|
| Rate for Payer: Priority Health Medicare |
$4.39
|
| Rate for Payer: Priority Health Medicare |
$3.17
|
| Rate for Payer: Priority Health Medicare |
$3.32
|
| Rate for Payer: Priority Health Medicare |
$3.21
|
| Rate for Payer: Priority Health Medicare |
$3.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.16
|
| Rate for Payer: Railroad Medicare Medicare |
$2.90
|
| Rate for Payer: Railroad Medicare Medicare |
$3.42
|
| Rate for Payer: Railroad Medicare Medicare |
$3.29
|
| Rate for Payer: Railroad Medicare Medicare |
$3.14
|
| Rate for Payer: Railroad Medicare Medicare |
$3.18
|
| Rate for Payer: Railroad Medicare Medicare |
$4.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.20
|
| Rate for Payer: UHC Core |
$10.61
|
| Rate for Payer: UHC Core |
$11.42
|
| Rate for Payer: UHC Core |
$10.99
|
| Rate for Payer: UHC Core |
$14.53
|
| Rate for Payer: UHC Core |
$9.68
|
| Rate for Payer: UHC Core |
$10.48
|
| Rate for Payer: UHC Exchange |
$3.14
|
| Rate for Payer: UHC Exchange |
$2.90
|
| Rate for Payer: UHC Exchange |
$3.29
|
| Rate for Payer: UHC Exchange |
$3.18
|
| Rate for Payer: UHC Exchange |
$3.42
|
| Rate for Payer: UHC Exchange |
$4.35
|
| Rate for Payer: UHC Medicaid |
$2.41
|
| Rate for Payer: UHC Medicaid |
$2.32
|
| Rate for Payer: UHC Medicaid |
$2.21
|
| Rate for Payer: UHC Medicaid |
$2.24
|
| Rate for Payer: UHC Medicaid |
$2.04
|
| Rate for Payer: UHC Medicaid |
$3.07
|
| Rate for Payer: UHC Medicare Advantage |
$3.14
|
| Rate for Payer: UHC Medicare Advantage |
$3.42
|
| Rate for Payer: UHC Medicare Advantage |
$3.29
|
| Rate for Payer: UHC Medicare Advantage |
$3.18
|
| Rate for Payer: UHC Medicare Advantage |
$2.90
|
| Rate for Payer: UHC Medicare Advantage |
$4.35
|
| Rate for Payer: UHCCP Medicaid |
$2.41
|
| Rate for Payer: UHCCP Medicaid |
$2.32
|
| Rate for Payer: UHCCP Medicaid |
$2.24
|
| Rate for Payer: UHCCP Medicaid |
$2.21
|
| Rate for Payer: UHCCP Medicaid |
$2.04
|
| Rate for Payer: UHCCP Medicaid |
$3.07
|
| Rate for Payer: VA VA |
$3.18
|
| Rate for Payer: VA VA |
$3.14
|
| Rate for Payer: VA VA |
$3.42
|
| Rate for Payer: VA VA |
$3.29
|
| Rate for Payer: VA VA |
$2.90
|
| Rate for Payer: VA VA |
$4.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.53
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$17.40
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.11 |
| Max. Negotiated Rate |
$15.66 |
| Rate for Payer: Aetna Commercial |
$14.79
|
| Rate for Payer: Aetna Commercial |
$9.85
|
| Rate for Payer: Aetna Commercial |
$10.80
|
| Rate for Payer: Aetna Commercial |
$10.67
|
| Rate for Payer: Aetna Commercial |
$11.19
|
| Rate for Payer: Aetna Commercial |
$11.63
|
| Rate for Payer: BCBS Trust/PPO |
$14.37
|
| Rate for Payer: BCBS Trust/PPO |
$10.87
|
| Rate for Payer: BCBS Trust/PPO |
$11.30
|
| Rate for Payer: BCBS Trust/PPO |
$10.37
|
| Rate for Payer: BCBS Trust/PPO |
$9.57
|
| Rate for Payer: BCBS Trust/PPO |
$10.50
|
| Rate for Payer: BCN Commercial |
$11.30
|
| Rate for Payer: BCN Commercial |
$10.87
|
| Rate for Payer: BCN Commercial |
$9.57
|
| Rate for Payer: BCN Commercial |
$10.50
|
| Rate for Payer: BCN Commercial |
$14.37
|
| Rate for Payer: BCN Commercial |
$10.37
|
| Rate for Payer: Cash Price |
$13.92
|
| Rate for Payer: Cash Price |
$10.04
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cash Price |
$10.53
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$10.94
|
| Rate for Payer: Cofinity Commercial |
$11.76
|
| Rate for Payer: Cofinity Commercial |
$10.79
|
| Rate for Payer: Cofinity Commercial |
$10.93
|
| Rate for Payer: Cofinity Commercial |
$11.32
|
| Rate for Payer: Cofinity Commercial |
$9.97
|
| Rate for Payer: Cofinity Commercial |
$14.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.92
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$11.29
|
| Rate for Payer: Healthscope Commercial |
$12.31
|
| Rate for Payer: Healthscope Commercial |
$15.66
|
| Rate for Payer: Healthscope Commercial |
$11.84
|
| Rate for Payer: Healthscope Commercial |
$11.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.80
|
| Rate for Payer: Nomi Health Commercial |
$11.22
|
| Rate for Payer: Nomi Health Commercial |
$9.50
|
| Rate for Payer: Nomi Health Commercial |
$10.29
|
| Rate for Payer: Nomi Health Commercial |
$10.79
|
| Rate for Payer: Nomi Health Commercial |
$10.42
|
| Rate for Payer: Nomi Health Commercial |
$14.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.87
|
| Rate for Payer: PHP Commercial |
$11.63
|
| Rate for Payer: PHP Commercial |
$14.79
|
| Rate for Payer: PHP Commercial |
$11.19
|
| Rate for Payer: PHP Commercial |
$9.85
|
| Rate for Payer: PHP Commercial |
$10.67
|
| Rate for Payer: PHP Commercial |
$10.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.31
|
| Rate for Payer: UHC Core |
$14.53
|
| Rate for Payer: UHC Core |
$10.48
|
| Rate for Payer: UHC Core |
$10.61
|
| Rate for Payer: UHC Core |
$11.42
|
| Rate for Payer: UHC Core |
$10.99
|
| Rate for Payer: UHC Core |
$9.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.69
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$13.87
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.45 |
| Max. Negotiated Rate |
$12.48 |
| Rate for Payer: Aetna Commercial |
$11.79
|
| Rate for Payer: Aetna Medicare |
$3.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.33
|
| Rate for Payer: BCBS Complete |
$2.57
|
| Rate for Payer: BCBS MAPPO |
$3.47
|
| Rate for Payer: BCBS Trust/PPO |
$11.40
|
| Rate for Payer: BCN Commercial |
$11.40
|
| Rate for Payer: BCN Medicare Advantage |
$3.47
|
| Rate for Payer: Cash Price |
$11.10
|
| Rate for Payer: Cofinity Commercial |
$11.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.47
|
| Rate for Payer: Healthscope Commercial |
$12.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.40
|
| Rate for Payer: Mclaren Medicaid |
$2.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.64
|
| Rate for Payer: Meridian Medicaid |
$2.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.79
|
| Rate for Payer: Nomi Health Commercial |
$11.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.40
|
| Rate for Payer: PACE Senior Care Partners |
$3.29
|
| Rate for Payer: PACE SWMI |
$3.47
|
| Rate for Payer: PHP Commercial |
$11.79
|
| Rate for Payer: PHP Medicare Advantage |
$3.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.07
|
| Rate for Payer: Priority Health Medicare |
$3.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.65
|
| Rate for Payer: Railroad Medicare Medicare |
$3.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.21
|
| Rate for Payer: UHC Core |
$11.58
|
| Rate for Payer: UHC Exchange |
$3.47
|
| Rate for Payer: UHC Medicaid |
$2.45
|
| Rate for Payer: UHC Medicare Advantage |
$3.47
|
| Rate for Payer: UHCCP Medicaid |
$2.45
|
| Rate for Payer: VA VA |
$3.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.40
|
|
|
HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$19.34
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116331
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.41 |
| Max. Negotiated Rate |
$17.41 |
| Rate for Payer: Aetna Commercial |
$16.44
|
| Rate for Payer: Aetna Medicare |
$5.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.04
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.04
|
| Rate for Payer: BCBS Complete |
$3.58
|
| Rate for Payer: BCBS MAPPO |
$4.83
|
| Rate for Payer: BCBS Trust/PPO |
$15.90
|
| Rate for Payer: BCN Commercial |
$15.90
|
| Rate for Payer: BCN Medicare Advantage |
$4.83
|
| Rate for Payer: Cash Price |
$15.47
|
| Rate for Payer: Cofinity Commercial |
$16.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.83
|
| Rate for Payer: Healthscope Commercial |
$17.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.51
|
| Rate for Payer: Mclaren Medicaid |
$3.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.08
|
| Rate for Payer: Meridian Medicaid |
$3.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.44
|
| Rate for Payer: Nomi Health Commercial |
$15.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.51
|
| Rate for Payer: PACE Senior Care Partners |
$4.59
|
| Rate for Payer: PACE SWMI |
$4.83
|
| Rate for Payer: PHP Commercial |
$16.44
|
| Rate for Payer: PHP Medicare Advantage |
$4.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16.83
|
| Rate for Payer: Priority Health Medicare |
$4.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.46
|
| Rate for Payer: Railroad Medicare Medicare |
$4.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.02
|
| Rate for Payer: UHC Core |
$16.15
|
| Rate for Payer: UHC Exchange |
$4.83
|
| Rate for Payer: UHC Medicaid |
$3.41
|
| Rate for Payer: UHC Medicare Advantage |
$4.83
|
| Rate for Payer: UHCCP Medicaid |
$3.41
|
| Rate for Payer: VA VA |
$4.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.51
|
|
|
HEPARIN, PORCINE (PF) 100 UNIT/ML (1 ML) INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$19.34
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116331
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.46 |
| Max. Negotiated Rate |
$17.41 |
| Rate for Payer: Aetna Commercial |
$16.44
|
| Rate for Payer: BCBS Trust/PPO |
$15.97
|
| Rate for Payer: BCN Commercial |
$15.97
|
| Rate for Payer: Cash Price |
$15.47
|
| Rate for Payer: Cofinity Commercial |
$16.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.47
|
| Rate for Payer: Healthscope Commercial |
$17.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.44
|
| Rate for Payer: Nomi Health Commercial |
$15.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.51
|
| Rate for Payer: PHP Commercial |
$16.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$16.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.02
|
| Rate for Payer: UHC Core |
$16.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.51
|
|
|
HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE
|
Facility
|
OP
|
$11.00
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116327
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.94 |
| Max. Negotiated Rate |
$9.90 |
| Rate for Payer: Aetna Commercial |
$9.35
|
| Rate for Payer: Aetna Commercial |
$11.05
|
| Rate for Payer: Aetna Commercial |
$2.42
|
| Rate for Payer: Aetna Commercial |
$9.56
|
| Rate for Payer: Aetna Medicare |
$2.92
|
| Rate for Payer: Aetna Medicare |
$2.86
|
| Rate for Payer: Aetna Medicare |
$3.38
|
| Rate for Payer: Aetna Medicare |
$0.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.44
|
| Rate for Payer: BCBS Complete |
$0.53
|
| Rate for Payer: BCBS Complete |
$2.08
|
| Rate for Payer: BCBS Complete |
$2.04
|
| Rate for Payer: BCBS Complete |
$2.41
|
| Rate for Payer: BCBS MAPPO |
$2.75
|
| Rate for Payer: BCBS MAPPO |
$2.81
|
| Rate for Payer: BCBS MAPPO |
$0.71
|
| Rate for Payer: BCBS MAPPO |
$3.25
|
| Rate for Payer: BCBS Trust/PPO |
$10.69
|
| Rate for Payer: BCBS Trust/PPO |
$9.04
|
| Rate for Payer: BCBS Trust/PPO |
$2.34
|
| Rate for Payer: BCBS Trust/PPO |
$9.25
|
| Rate for Payer: BCN Commercial |
$10.69
|
| Rate for Payer: BCN Commercial |
$2.34
|
| Rate for Payer: BCN Commercial |
$9.25
|
| Rate for Payer: BCN Commercial |
$9.04
|
| Rate for Payer: BCN Medicare Advantage |
$3.25
|
| Rate for Payer: BCN Medicare Advantage |
$2.81
|
| Rate for Payer: BCN Medicare Advantage |
$0.71
|
| Rate for Payer: BCN Medicare Advantage |
$2.75
|
| Rate for Payer: Cash Price |
$2.28
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cofinity Commercial |
$9.68
|
| Rate for Payer: Cofinity Commercial |
$9.46
|
| Rate for Payer: Cofinity Commercial |
$11.18
|
| Rate for Payer: Cofinity Commercial |
$2.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.25
|
| Rate for Payer: Healthscope Commercial |
$9.90
|
| Rate for Payer: Healthscope Commercial |
$2.56
|
| Rate for Payer: Healthscope Commercial |
$11.70
|
| Rate for Payer: Healthscope Commercial |
$10.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.25
|
| Rate for Payer: Mclaren Medicaid |
$2.29
|
| Rate for Payer: Mclaren Medicaid |
$1.98
|
| Rate for Payer: Mclaren Medicaid |
$1.94
|
| Rate for Payer: Mclaren Medicaid |
$0.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.89
|
| Rate for Payer: Meridian Medicaid |
$2.04
|
| Rate for Payer: Meridian Medicaid |
$2.41
|
| Rate for Payer: Meridian Medicaid |
$0.53
|
| Rate for Payer: Meridian Medicaid |
$2.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.42
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: Nomi Health Commercial |
$9.22
|
| Rate for Payer: Nomi Health Commercial |
$2.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: PACE Senior Care Partners |
$3.09
|
| Rate for Payer: PACE Senior Care Partners |
$0.68
|
| Rate for Payer: PACE Senior Care Partners |
$2.61
|
| Rate for Payer: PACE Senior Care Partners |
$2.67
|
| Rate for Payer: PACE SWMI |
$2.75
|
| Rate for Payer: PACE SWMI |
$0.71
|
| Rate for Payer: PACE SWMI |
$2.81
|
| Rate for Payer: PACE SWMI |
$3.25
|
| Rate for Payer: PHP Commercial |
$9.35
|
| Rate for Payer: PHP Commercial |
$9.56
|
| Rate for Payer: PHP Commercial |
$11.05
|
| Rate for Payer: PHP Commercial |
$2.42
|
| Rate for Payer: PHP Medicare Advantage |
$2.75
|
| Rate for Payer: PHP Medicare Advantage |
$0.71
|
| Rate for Payer: PHP Medicare Advantage |
$2.81
|
| Rate for Payer: PHP Medicare Advantage |
$3.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.98
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.57
|
| Rate for Payer: Priority Health Medicare |
$2.84
|
| Rate for Payer: Priority Health Medicare |
$2.78
|
| Rate for Payer: Priority Health Medicare |
$3.28
|
| Rate for Payer: Priority Health Medicare |
$0.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.66
|
| Rate for Payer: Railroad Medicare Medicare |
$3.25
|
| Rate for Payer: Railroad Medicare Medicare |
$2.75
|
| Rate for Payer: Railroad Medicare Medicare |
$0.71
|
| Rate for Payer: Railroad Medicare Medicare |
$2.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.51
|
| Rate for Payer: UHC Core |
$9.19
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: UHC Core |
$9.39
|
| Rate for Payer: UHC Core |
$2.38
|
| Rate for Payer: UHC Exchange |
$3.25
|
| Rate for Payer: UHC Exchange |
$2.81
|
| Rate for Payer: UHC Exchange |
$0.71
|
| Rate for Payer: UHC Exchange |
$2.75
|
| Rate for Payer: UHC Medicaid |
$1.94
|
| Rate for Payer: UHC Medicaid |
$1.98
|
| Rate for Payer: UHC Medicaid |
$2.29
|
| Rate for Payer: UHC Medicaid |
$0.50
|
| Rate for Payer: UHC Medicare Advantage |
$2.81
|
| Rate for Payer: UHC Medicare Advantage |
$2.75
|
| Rate for Payer: UHC Medicare Advantage |
$0.71
|
| Rate for Payer: UHC Medicare Advantage |
$3.25
|
| Rate for Payer: UHCCP Medicaid |
$2.29
|
| Rate for Payer: UHCCP Medicaid |
$0.50
|
| Rate for Payer: UHCCP Medicaid |
$1.98
|
| Rate for Payer: UHCCP Medicaid |
$1.94
|
| Rate for Payer: VA VA |
$2.75
|
| Rate for Payer: VA VA |
$0.71
|
| Rate for Payer: VA VA |
$3.25
|
| Rate for Payer: VA VA |
$2.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.14
|
|
|
HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$13.00
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116327
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.05 |
| Max. Negotiated Rate |
$11.70 |
| Rate for Payer: Aetna Commercial |
$11.05
|
| Rate for Payer: Aetna Commercial |
$9.56
|
| Rate for Payer: Aetna Commercial |
$9.35
|
| Rate for Payer: Aetna Commercial |
$2.42
|
| Rate for Payer: BCBS Trust/PPO |
$10.74
|
| Rate for Payer: BCBS Trust/PPO |
$2.35
|
| Rate for Payer: BCBS Trust/PPO |
$9.29
|
| Rate for Payer: BCBS Trust/PPO |
$9.08
|
| Rate for Payer: BCN Commercial |
$10.74
|
| Rate for Payer: BCN Commercial |
$9.08
|
| Rate for Payer: BCN Commercial |
$2.35
|
| Rate for Payer: BCN Commercial |
$9.29
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$2.28
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cofinity Commercial |
$9.46
|
| Rate for Payer: Cofinity Commercial |
$2.45
|
| Rate for Payer: Cofinity Commercial |
$11.18
|
| Rate for Payer: Cofinity Commercial |
$9.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.28
|
| Rate for Payer: Healthscope Commercial |
$2.56
|
| Rate for Payer: Healthscope Commercial |
$10.12
|
| Rate for Payer: Healthscope Commercial |
$11.70
|
| Rate for Payer: Healthscope Commercial |
$9.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.42
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: Nomi Health Commercial |
$9.22
|
| Rate for Payer: Nomi Health Commercial |
$2.34
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.14
|
| Rate for Payer: PHP Commercial |
$2.42
|
| Rate for Payer: PHP Commercial |
$9.35
|
| Rate for Payer: PHP Commercial |
$9.56
|
| Rate for Payer: PHP Commercial |
$11.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$11.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$2.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.05
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.44
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: UHC Core |
$2.38
|
| Rate for Payer: UHC Core |
$9.39
|
| Rate for Payer: UHC Core |
$9.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.75
|
|
|
HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$16.59
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116330
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.55 |
| Max. Negotiated Rate |
$14.93 |
| Rate for Payer: Aetna Commercial |
$14.10
|
| Rate for Payer: BCBS Trust/PPO |
$13.70
|
| Rate for Payer: BCN Commercial |
$13.70
|
| Rate for Payer: Cash Price |
$13.27
|
| Rate for Payer: Cofinity Commercial |
$14.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.27
|
| Rate for Payer: Healthscope Commercial |
$14.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.10
|
| Rate for Payer: Nomi Health Commercial |
$13.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.44
|
| Rate for Payer: PHP Commercial |
$14.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.60
|
| Rate for Payer: UHC Core |
$13.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.44
|
|
|
HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$16.59
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116330
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.92 |
| Max. Negotiated Rate |
$14.93 |
| Rate for Payer: Aetna Commercial |
$14.10
|
| Rate for Payer: Aetna Medicare |
$4.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.18
|
| Rate for Payer: BCBS Complete |
$3.07
|
| Rate for Payer: BCBS MAPPO |
$4.15
|
| Rate for Payer: BCBS Trust/PPO |
$13.64
|
| Rate for Payer: BCN Commercial |
$13.64
|
| Rate for Payer: BCN Medicare Advantage |
$4.15
|
| Rate for Payer: Cash Price |
$13.27
|
| Rate for Payer: Cofinity Commercial |
$14.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.15
|
| Rate for Payer: Healthscope Commercial |
$14.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.44
|
| Rate for Payer: Mclaren Medicaid |
$2.92
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.35
|
| Rate for Payer: Meridian Medicaid |
$3.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.10
|
| Rate for Payer: Nomi Health Commercial |
$13.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.44
|
| Rate for Payer: PACE Senior Care Partners |
$3.94
|
| Rate for Payer: PACE SWMI |
$4.15
|
| Rate for Payer: PHP Commercial |
$14.10
|
| Rate for Payer: PHP Medicare Advantage |
$4.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.43
|
| Rate for Payer: Priority Health Medicare |
$4.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.55
|
| Rate for Payer: Railroad Medicare Medicare |
$4.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.60
|
| Rate for Payer: UHC Core |
$13.85
|
| Rate for Payer: UHC Exchange |
$4.15
|
| Rate for Payer: UHC Medicaid |
$2.92
|
| Rate for Payer: UHC Medicare Advantage |
$4.15
|
| Rate for Payer: UHCCP Medicaid |
$2.92
|
| Rate for Payer: VA VA |
$4.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.44
|
|
|
HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$10.50
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
105460
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.31 |
| Max. Negotiated Rate |
$9.45 |
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$8.67
|
| Rate for Payer: BCN Commercial |
$8.67
|
| Rate for Payer: Cash Price |
$8.40
|
| Rate for Payer: Cofinity Commercial |
$9.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.40
|
| Rate for Payer: Healthscope Commercial |
$9.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.93
|
| Rate for Payer: Nomi Health Commercial |
$8.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.88
|
| Rate for Payer: PHP Commercial |
$8.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.24
|
| Rate for Payer: UHC Core |
$8.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
|
|
HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE
|
Facility
|
OP
|
$10.50
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
105460
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.85 |
| Max. Negotiated Rate |
$9.45 |
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: Aetna Medicare |
$2.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.28
|
| Rate for Payer: BCBS Complete |
$1.94
|
| Rate for Payer: BCBS MAPPO |
$2.62
|
| Rate for Payer: BCBS Trust/PPO |
$8.63
|
| Rate for Payer: BCN Commercial |
$8.63
|
| Rate for Payer: BCN Medicare Advantage |
$2.62
|
| Rate for Payer: Cash Price |
$8.40
|
| Rate for Payer: Cofinity Commercial |
$9.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.62
|
| Rate for Payer: Healthscope Commercial |
$9.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.88
|
| Rate for Payer: Mclaren Medicaid |
$1.85
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.76
|
| Rate for Payer: Meridian Medicaid |
$1.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.02
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.93
|
| Rate for Payer: Nomi Health Commercial |
$8.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.88
|
| Rate for Payer: PACE Senior Care Partners |
$2.49
|
| Rate for Payer: PACE SWMI |
$2.62
|
| Rate for Payer: PHP Commercial |
$8.93
|
| Rate for Payer: PHP Medicare Advantage |
$2.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.13
|
| Rate for Payer: Priority Health Medicare |
$2.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.31
|
| Rate for Payer: Railroad Medicare Medicare |
$2.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.24
|
| Rate for Payer: UHC Core |
$8.77
|
| Rate for Payer: UHC Exchange |
$2.62
|
| Rate for Payer: UHC Medicaid |
$1.85
|
| Rate for Payer: UHC Medicare Advantage |
$2.62
|
| Rate for Payer: UHCCP Medicaid |
$1.85
|
| Rate for Payer: VA VA |
$2.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
|
|
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$6,432.60
|
|
|
Service Code
|
APR-DRG 2793
|
| Min. Negotiated Rate |
$6,126.29 |
| Max. Negotiated Rate |
$6,432.60 |
| Rate for Payer: BCBS Complete |
$6,432.60
|
| Rate for Payer: Mclaren Medicaid |
$6,126.29
|
| Rate for Payer: Meridian Medicaid |
$6,432.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,126.29
|
| Rate for Payer: UHC Medicaid |
$6,126.29
|
| Rate for Payer: UHCCP Medicaid |
$6,126.29
|
|
|
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$14,792.93
|
|
|
Service Code
|
APR-DRG 2794
|
| Min. Negotiated Rate |
$14,088.51 |
| Max. Negotiated Rate |
$14,792.93 |
| Rate for Payer: BCBS Complete |
$14,792.93
|
| Rate for Payer: Mclaren Medicaid |
$14,088.51
|
| Rate for Payer: Meridian Medicaid |
$14,792.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$14,088.51
|
| Rate for Payer: UHC Medicaid |
$14,088.51
|
| Rate for Payer: UHCCP Medicaid |
$14,088.51
|
|
|
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$2,876.34
|
|
|
Service Code
|
APR-DRG 2791
|
| Min. Negotiated Rate |
$2,739.38 |
| Max. Negotiated Rate |
$2,876.34 |
| Rate for Payer: BCBS Complete |
$2,876.34
|
| Rate for Payer: Mclaren Medicaid |
$2,739.38
|
| Rate for Payer: Meridian Medicaid |
$2,876.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,739.38
|
| Rate for Payer: UHC Medicaid |
$2,739.38
|
| Rate for Payer: UHCCP Medicaid |
$2,739.38
|
|
|
HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS
|
Facility
|
IP
|
$4,180.43
|
|
|
Service Code
|
APR-DRG 2792
|
| Min. Negotiated Rate |
$3,981.36 |
| Max. Negotiated Rate |
$4,180.43 |
| Rate for Payer: BCBS Complete |
$4,180.43
|
| Rate for Payer: Mclaren Medicaid |
$3,981.36
|
| Rate for Payer: Meridian Medicaid |
$4,180.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,981.36
|
| Rate for Payer: UHC Medicaid |
$3,981.36
|
| Rate for Payer: UHCCP Medicaid |
$3,981.36
|
|
|
HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION
|
Facility
|
OP
|
$2,174.88
|
|
|
Service Code
|
HCPCS 90371
|
| Hospital Charge Code |
91047
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$383.43 |
| Max. Negotiated Rate |
$1,957.39 |
| Rate for Payer: Aetna Commercial |
$1,848.65
|
| Rate for Payer: Aetna Medicare |
$565.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$679.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$679.65
|
| Rate for Payer: BCBS Complete |
$402.57
|
| Rate for Payer: BCBS MAPPO |
$543.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,787.97
|
| Rate for Payer: BCN Commercial |
$1,787.97
|
| Rate for Payer: BCN Medicare Advantage |
$543.72
|
| Rate for Payer: Cash Price |
$1,739.90
|
| Rate for Payer: Cofinity Commercial |
$1,870.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,739.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$543.72
|
| Rate for Payer: Healthscope Commercial |
$1,957.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,631.16
|
| Rate for Payer: Mclaren Medicaid |
$383.43
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$570.91
|
| Rate for Payer: Meridian Medicaid |
$402.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$625.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$598.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,848.65
|
| Rate for Payer: Nomi Health Commercial |
$1,783.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,631.16
|
| Rate for Payer: PACE Senior Care Partners |
$516.53
|
| Rate for Payer: PACE SWMI |
$543.72
|
| Rate for Payer: PHP Commercial |
$1,848.65
|
| Rate for Payer: PHP Medicare Advantage |
$543.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$383.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,892.15
|
| Rate for Payer: Priority Health Medicare |
$549.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,513.72
|
| Rate for Payer: Railroad Medicare Medicare |
$543.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,913.89
|
| Rate for Payer: UHC Core |
$1,816.02
|
| Rate for Payer: UHC Exchange |
$543.72
|
| Rate for Payer: UHC Medicaid |
$383.43
|
| Rate for Payer: UHC Medicare Advantage |
$543.72
|
| Rate for Payer: UHCCP Medicaid |
$383.43
|
| Rate for Payer: VA VA |
$543.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,631.16
|
|
|
HEPATITIS B IMMUNE GLOBULIN > 1,560 UNIT/5 ML INTRAMUSCULAR SOLUTION
|
Facility
|
IP
|
$2,174.88
|
|
|
Service Code
|
HCPCS 90371
|
| Hospital Charge Code |
91047
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1,513.72 |
| Max. Negotiated Rate |
$1,957.39 |
| Rate for Payer: Aetna Commercial |
$1,848.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,796.23
|
| Rate for Payer: BCN Commercial |
$1,796.23
|
| Rate for Payer: Cash Price |
$1,739.90
|
| Rate for Payer: Cofinity Commercial |
$1,870.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,739.90
|
| Rate for Payer: Healthscope Commercial |
$1,957.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,631.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,848.65
|
| Rate for Payer: Nomi Health Commercial |
$1,783.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,631.16
|
| Rate for Payer: PHP Commercial |
$1,848.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,892.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,513.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,913.89
|
| Rate for Payer: UHC Core |
$1,816.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,631.16
|
|
|
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP
|
Facility
|
IP
|
$158.26
|
|
|
Service Code
|
HCPCS 90746
|
| Hospital Charge Code |
118174
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$110.15 |
| Max. Negotiated Rate |
$142.43 |
| Rate for Payer: Aetna Commercial |
$134.52
|
| Rate for Payer: BCBS Trust/PPO |
$130.71
|
| Rate for Payer: BCN Commercial |
$130.71
|
| Rate for Payer: Cash Price |
$126.61
|
| Rate for Payer: Cofinity Commercial |
$136.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.61
|
| Rate for Payer: Healthscope Commercial |
$142.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.52
|
| Rate for Payer: Nomi Health Commercial |
$129.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.69
|
| Rate for Payer: PHP Commercial |
$134.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$137.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.27
|
| Rate for Payer: UHC Core |
$132.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.69
|
|
|
HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP
|
Facility
|
OP
|
$158.26
|
|
|
Service Code
|
HCPCS 90746
|
| Hospital Charge Code |
118174
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.90 |
| Max. Negotiated Rate |
$142.43 |
| Rate for Payer: Aetna Commercial |
$134.52
|
| Rate for Payer: Aetna Medicare |
$41.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$49.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$49.46
|
| Rate for Payer: BCBS Complete |
$29.29
|
| Rate for Payer: BCBS MAPPO |
$39.56
|
| Rate for Payer: BCBS Trust/PPO |
$130.11
|
| Rate for Payer: BCN Commercial |
$130.11
|
| Rate for Payer: BCN Medicare Advantage |
$39.56
|
| Rate for Payer: Cash Price |
$126.61
|
| Rate for Payer: Cofinity Commercial |
$136.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$126.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$39.56
|
| Rate for Payer: Healthscope Commercial |
$142.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.69
|
| Rate for Payer: Mclaren Medicaid |
$27.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.54
|
| Rate for Payer: Meridian Medicaid |
$29.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$43.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.52
|
| Rate for Payer: Nomi Health Commercial |
$129.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.69
|
| Rate for Payer: PACE Senior Care Partners |
$37.59
|
| Rate for Payer: PACE SWMI |
$39.56
|
| Rate for Payer: PHP Commercial |
$134.52
|
| Rate for Payer: PHP Medicare Advantage |
$39.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$27.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$137.69
|
| Rate for Payer: Priority Health Medicare |
$39.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$110.15
|
| Rate for Payer: Railroad Medicare Medicare |
$39.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$139.27
|
| Rate for Payer: UHC Core |
$132.15
|
| Rate for Payer: UHC Exchange |
$39.56
|
| Rate for Payer: UHC Medicaid |
$27.90
|
| Rate for Payer: UHC Medicare Advantage |
$39.56
|
| Rate for Payer: UHCCP Medicaid |
$27.90
|
| Rate for Payer: VA VA |
$39.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.69
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$11,511.69
|
|
|
Service Code
|
APR-DRG 2273
|
| Min. Negotiated Rate |
$10,963.51 |
| Max. Negotiated Rate |
$11,511.69 |
| Rate for Payer: BCBS Complete |
$11,511.69
|
| Rate for Payer: Mclaren Medicaid |
$10,963.51
|
| Rate for Payer: Meridian Medicaid |
$11,511.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,963.51
|
| Rate for Payer: UHC Medicaid |
$10,963.51
|
| Rate for Payer: UHCCP Medicaid |
$10,963.51
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$10,025.67
|
|
|
Service Code
|
APR-DRG 2272
|
| Min. Negotiated Rate |
$9,548.25 |
| Max. Negotiated Rate |
$10,025.67 |
| Rate for Payer: BCBS Complete |
$10,025.67
|
| Rate for Payer: Mclaren Medicaid |
$9,548.25
|
| Rate for Payer: Meridian Medicaid |
$10,025.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,548.25
|
| Rate for Payer: UHC Medicaid |
$9,548.25
|
| Rate for Payer: UHCCP Medicaid |
$9,548.25
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$8,128.96
|
|
|
Service Code
|
APR-DRG 2271
|
| Min. Negotiated Rate |
$7,741.87 |
| Max. Negotiated Rate |
$8,128.96 |
| Rate for Payer: BCBS Complete |
$8,128.96
|
| Rate for Payer: Mclaren Medicaid |
$7,741.87
|
| Rate for Payer: Meridian Medicaid |
$8,128.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,741.87
|
| Rate for Payer: UHC Medicaid |
$7,741.87
|
| Rate for Payer: UHCCP Medicaid |
$7,741.87
|
|
|
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL
|
Facility
|
IP
|
$18,872.92
|
|
|
Service Code
|
APR-DRG 2274
|
| Min. Negotiated Rate |
$17,974.21 |
| Max. Negotiated Rate |
$18,872.92 |
| Rate for Payer: BCBS Complete |
$18,872.92
|
| Rate for Payer: Mclaren Medicaid |
$17,974.21
|
| Rate for Payer: Meridian Medicaid |
$18,872.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,974.21
|
| Rate for Payer: UHC Medicaid |
$17,974.21
|
| Rate for Payer: UHCCP Medicaid |
$17,974.21
|
|
|
HH CATHETER LEG STRAP BARD
|
Facility
|
OP
|
$12.47
|
|
|
Service Code
|
HCPCS A4334
|
| Hospital Charge Code |
27000598
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.20 |
| Max. Negotiated Rate |
$11.22 |
| Rate for Payer: Aetna Commercial |
$10.60
|
| Rate for Payer: Aetna Medicare |
$3.24
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.90
|
| Rate for Payer: BCBS Complete |
$2.31
|
| Rate for Payer: BCBS MAPPO |
$3.12
|
| Rate for Payer: BCBS Trust/PPO |
$10.25
|
| Rate for Payer: BCN Commercial |
$10.25
|
| Rate for Payer: BCN Medicare Advantage |
$3.12
|
| Rate for Payer: Cash Price |
$9.98
|
| Rate for Payer: Cofinity Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.12
|
| Rate for Payer: Healthscope Commercial |
$11.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.35
|
| Rate for Payer: Mclaren Medicaid |
$2.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.27
|
| Rate for Payer: Meridian Medicaid |
$2.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.59
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.60
|
| Rate for Payer: Nomi Health Commercial |
$10.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.35
|
| Rate for Payer: PACE Senior Care Partners |
$2.96
|
| Rate for Payer: PACE SWMI |
$3.12
|
| Rate for Payer: PHP Commercial |
$10.60
|
| Rate for Payer: PHP Medicare Advantage |
$3.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.85
|
| Rate for Payer: Priority Health Medicare |
$3.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.68
|
| Rate for Payer: Railroad Medicare Medicare |
$3.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.97
|
| Rate for Payer: UHC Core |
$10.41
|
| Rate for Payer: UHC Exchange |
$3.12
|
| Rate for Payer: UHC Medicaid |
$2.20
|
| Rate for Payer: UHC Medicare Advantage |
$3.12
|
| Rate for Payer: UHCCP Medicaid |
$2.20
|
| Rate for Payer: VA VA |
$3.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.35
|
|
|
HH CATHETER LEG STRAP BARD
|
Facility
|
IP
|
$12.47
|
|
|
Service Code
|
HCPCS A4334
|
| Hospital Charge Code |
27000598
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$8.68 |
| Max. Negotiated Rate |
$11.22 |
| Rate for Payer: Aetna Commercial |
$10.60
|
| Rate for Payer: BCBS Trust/PPO |
$10.30
|
| Rate for Payer: BCN Commercial |
$10.30
|
| Rate for Payer: Cash Price |
$9.98
|
| Rate for Payer: Cofinity Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.98
|
| Rate for Payer: Healthscope Commercial |
$11.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.60
|
| Rate for Payer: Nomi Health Commercial |
$10.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.35
|
| Rate for Payer: PHP Commercial |
$10.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.97
|
| Rate for Payer: UHC Core |
$10.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.35
|
|
