|
HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN
|
Facility
|
IP
|
$75.74
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15849
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$49.23 |
| Max. Negotiated Rate |
$68.17 |
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: BCBS Trust/PPO |
$61.83
|
| Rate for Payer: BCBS Trust/PPO |
$74.94
|
| Rate for Payer: BCN Commercial |
$58.53
|
| Rate for Payer: BCN Commercial |
$70.94
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Nomi Health Commercial |
$62.11
|
| Rate for Payer: Nomi Health Commercial |
$75.28
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.23
|
| Rate for Payer: Priority Health HMO/PPO |
$79.87
|
| Rate for Payer: Priority Health HMO/PPO |
$65.89
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$50.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$61.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$66.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$80.78
|
| Rate for Payer: UHC Core |
$63.24
|
| Rate for Payer: UHC Core |
$76.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
|
|
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 |
$3.29 |
| 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 |
$5.55
|
| Rate for Payer: BCBS MAPPO |
$3.47
|
| Rate for Payer: BCBS Trust/PPO |
$11.40
|
| Rate for Payer: BCN Commercial |
$10.78
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.79
|
| Rate for Payer: Nomi Health Commercial |
$11.37
|
| 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 Cigna Priority Health |
$9.02
|
| Rate for Payer: Priority Health HMO/PPO |
$12.07
|
| Rate for Payer: Priority Health Medicare |
$3.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.29
|
| 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 Dual Complete DSNP |
$3.47
|
| Rate for Payer: UHC Exchange |
$3.47
|
| Rate for Payer: UHC Medicare Advantage |
$3.47
|
| Rate for Payer: VA VA |
$3.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.40
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$12.55
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.98 |
| Max. Negotiated Rate |
$11.29 |
| Rate for Payer: Aetna Commercial |
$10.67
|
| Rate for Payer: Aetna Commercial |
$14.43
|
| Rate for Payer: Aetna Commercial |
$11.19
|
| Rate for Payer: Aetna Commercial |
$9.85
|
| Rate for Payer: Aetna Commercial |
$9.35
|
| Rate for Payer: Aetna Commercial |
$10.80
|
| 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 |
$2.86
|
| Rate for Payer: Aetna Medicare |
$3.30
|
| Rate for Payer: Aetna Medicare |
$4.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.62
|
| 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 |
$5.31
|
| 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: Amish Plain Church Group Commercial |
$5.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.44
|
| Rate for Payer: BCBS Complete |
$5.02
|
| Rate for Payer: BCBS Complete |
$5.26
|
| Rate for Payer: BCBS Complete |
$4.64
|
| Rate for Payer: BCBS Complete |
$4.40
|
| Rate for Payer: BCBS Complete |
$5.08
|
| Rate for Payer: BCBS Complete |
$6.79
|
| Rate for Payer: BCBS MAPPO |
$3.18
|
| Rate for Payer: BCBS MAPPO |
$2.75
|
| Rate for Payer: BCBS MAPPO |
$2.90
|
| Rate for Payer: BCBS MAPPO |
$4.25
|
| Rate for Payer: BCBS MAPPO |
$3.29
|
| Rate for Payer: BCBS MAPPO |
$3.14
|
| Rate for Payer: BCBS Trust/PPO |
$10.45
|
| Rate for Payer: BCBS Trust/PPO |
$9.53
|
| Rate for Payer: BCBS Trust/PPO |
$9.04
|
| Rate for Payer: BCBS Trust/PPO |
$10.82
|
| Rate for Payer: BCBS Trust/PPO |
$13.96
|
| Rate for Payer: BCBS Trust/PPO |
$10.32
|
| Rate for Payer: BCN Commercial |
$9.88
|
| Rate for Payer: BCN Commercial |
$9.01
|
| Rate for Payer: BCN Commercial |
$8.55
|
| Rate for Payer: BCN Commercial |
$13.20
|
| Rate for Payer: BCN Commercial |
$10.23
|
| Rate for Payer: BCN Commercial |
$9.76
|
| Rate for Payer: BCN Medicare Advantage |
$3.14
|
| Rate for Payer: BCN Medicare Advantage |
$3.18
|
| Rate for Payer: BCN Medicare Advantage |
$2.90
|
| Rate for Payer: BCN Medicare Advantage |
$2.75
|
| Rate for Payer: BCN Medicare Advantage |
$4.25
|
| Rate for Payer: BCN Medicare Advantage |
$3.29
|
| Rate for Payer: Cash Price |
$10.53
|
| Rate for Payer: Cash Price |
$13.58
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$10.04
|
| Rate for Payer: Cofinity Commercial |
$14.60
|
| Rate for Payer: Cofinity Commercial |
$10.79
|
| Rate for Payer: Cofinity Commercial |
$9.97
|
| Rate for Payer: Cofinity Commercial |
$9.46
|
| Rate for Payer: Cofinity Commercial |
$11.32
|
| Rate for Payer: Cofinity Commercial |
$10.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.27
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.29
|
| Rate for Payer: Healthscope Commercial |
$9.90
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$11.29
|
| Rate for Payer: Healthscope Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$11.84
|
| Rate for Payer: Healthscope Commercial |
$15.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.34
|
| 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 |
$3.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.80
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: Nomi Health Commercial |
$10.79
|
| Rate for Payer: Nomi Health Commercial |
$9.50
|
| Rate for Payer: Nomi Health Commercial |
$10.29
|
| Rate for Payer: Nomi Health Commercial |
$13.92
|
| Rate for Payer: Nomi Health Commercial |
$10.42
|
| Rate for Payer: PACE Senior Care Partners |
$4.03
|
| Rate for Payer: PACE Senior Care Partners |
$3.02
|
| Rate for Payer: PACE Senior Care Partners |
$2.75
|
| Rate for Payer: PACE Senior Care Partners |
$2.61
|
| Rate for Payer: PACE Senior Care Partners |
$2.98
|
| Rate for Payer: PACE Senior Care Partners |
$3.13
|
| Rate for Payer: PACE SWMI |
$3.18
|
| Rate for Payer: PACE SWMI |
$3.14
|
| Rate for Payer: PACE SWMI |
$4.25
|
| Rate for Payer: PACE SWMI |
$2.90
|
| Rate for Payer: PACE SWMI |
$3.29
|
| Rate for Payer: PACE SWMI |
$2.75
|
| Rate for Payer: PHP Commercial |
$14.43
|
| Rate for Payer: PHP Commercial |
$10.67
|
| Rate for Payer: PHP Commercial |
$11.19
|
| Rate for Payer: PHP Commercial |
$9.35
|
| Rate for Payer: PHP Commercial |
$9.85
|
| Rate for Payer: PHP Commercial |
$10.80
|
| Rate for Payer: PHP Medicare Advantage |
$2.75
|
| Rate for Payer: PHP Medicare Advantage |
$3.18
|
| Rate for Payer: PHP Medicare Advantage |
$3.29
|
| Rate for Payer: PHP Medicare Advantage |
$4.25
|
| Rate for Payer: PHP Medicare Advantage |
$3.14
|
| Rate for Payer: PHP Medicare Advantage |
$2.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.04
|
| Rate for Payer: Priority Health HMO/PPO |
$10.92
|
| Rate for Payer: Priority Health HMO/PPO |
$10.08
|
| Rate for Payer: Priority Health HMO/PPO |
$14.77
|
| Rate for Payer: Priority Health HMO/PPO |
$11.06
|
| Rate for Payer: Priority Health HMO/PPO |
$9.57
|
| Rate for Payer: Priority Health HMO/PPO |
$11.45
|
| Rate for Payer: Priority Health Medicare |
$4.29
|
| Rate for Payer: Priority Health Medicare |
$3.32
|
| Rate for Payer: Priority Health Medicare |
$2.78
|
| Rate for Payer: Priority Health Medicare |
$2.93
|
| Rate for Payer: Priority Health Medicare |
$3.17
|
| Rate for Payer: Priority Health Medicare |
$3.21
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.77
|
| Rate for Payer: Railroad Medicare Medicare |
$3.29
|
| Rate for Payer: Railroad Medicare Medicare |
$3.14
|
| Rate for Payer: Railroad Medicare Medicare |
$4.25
|
| Rate for Payer: Railroad Medicare Medicare |
$3.18
|
| Rate for Payer: Railroad Medicare Medicare |
$2.90
|
| Rate for Payer: Railroad Medicare Medicare |
$2.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.20
|
| Rate for Payer: UHC Core |
$10.99
|
| Rate for Payer: UHC Core |
$10.61
|
| Rate for Payer: UHC Core |
$9.68
|
| Rate for Payer: UHC Core |
$9.19
|
| Rate for Payer: UHC Core |
$10.48
|
| Rate for Payer: UHC Core |
$14.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.29
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.14
|
| Rate for Payer: UHC Dual Complete DSNP |
$4.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.18
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.75
|
| Rate for Payer: UHC Exchange |
$3.29
|
| Rate for Payer: UHC Exchange |
$2.90
|
| Rate for Payer: UHC Exchange |
$3.14
|
| Rate for Payer: UHC Exchange |
$2.75
|
| Rate for Payer: UHC Exchange |
$4.25
|
| Rate for Payer: UHC Exchange |
$3.18
|
| Rate for Payer: UHC Medicare Advantage |
$3.14
|
| Rate for Payer: UHC Medicare Advantage |
$4.25
|
| Rate for Payer: UHC Medicare Advantage |
$2.90
|
| Rate for Payer: UHC Medicare Advantage |
$3.29
|
| Rate for Payer: UHC Medicare Advantage |
$2.75
|
| Rate for Payer: UHC Medicare Advantage |
$3.18
|
| Rate for Payer: VA VA |
$3.18
|
| Rate for Payer: VA VA |
$2.75
|
| Rate for Payer: VA VA |
$3.14
|
| Rate for Payer: VA VA |
$2.90
|
| Rate for Payer: VA VA |
$4.25
|
| Rate for Payer: VA VA |
$3.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.25
|
| 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 |
$9.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.87
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$16.98
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.04 |
| Max. Negotiated Rate |
$15.28 |
| Rate for Payer: Aetna Commercial |
$14.43
|
| Rate for Payer: Aetna Commercial |
$9.35
|
| Rate for Payer: Aetna Commercial |
$10.67
|
| Rate for Payer: Aetna Commercial |
$9.85
|
| Rate for Payer: Aetna Commercial |
$10.80
|
| Rate for Payer: Aetna Commercial |
$11.19
|
| Rate for Payer: BCBS Trust/PPO |
$13.86
|
| Rate for Payer: BCBS Trust/PPO |
$10.38
|
| Rate for Payer: BCBS Trust/PPO |
$10.74
|
| Rate for Payer: BCBS Trust/PPO |
$9.46
|
| Rate for Payer: BCBS Trust/PPO |
$8.98
|
| Rate for Payer: BCBS Trust/PPO |
$10.24
|
| Rate for Payer: BCN Commercial |
$10.17
|
| Rate for Payer: BCN Commercial |
$9.82
|
| Rate for Payer: BCN Commercial |
$8.50
|
| Rate for Payer: BCN Commercial |
$9.70
|
| Rate for Payer: BCN Commercial |
$13.12
|
| Rate for Payer: BCN Commercial |
$8.96
|
| Rate for Payer: Cash Price |
$13.58
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$10.04
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cash Price |
$8.80
|
| Rate for Payer: Cash Price |
$10.53
|
| Rate for Payer: Cofinity Commercial |
$11.32
|
| Rate for Payer: Cofinity Commercial |
$9.97
|
| Rate for Payer: Cofinity Commercial |
$10.79
|
| Rate for Payer: Cofinity Commercial |
$10.93
|
| Rate for Payer: Cofinity Commercial |
$9.46
|
| Rate for Payer: Cofinity Commercial |
$14.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.04
|
| 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 |
$13.58
|
| Rate for Payer: Healthscope Commercial |
$9.90
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$11.84
|
| Rate for Payer: Healthscope Commercial |
$15.28
|
| Rate for Payer: Healthscope Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$11.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.73
|
| 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 |
$9.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.67
|
| Rate for Payer: Nomi Health Commercial |
$10.79
|
| Rate for Payer: Nomi Health Commercial |
$9.02
|
| Rate for Payer: Nomi Health Commercial |
$9.50
|
| Rate for Payer: Nomi Health Commercial |
$10.42
|
| Rate for Payer: Nomi Health Commercial |
$10.29
|
| Rate for Payer: Nomi Health Commercial |
$13.92
|
| Rate for Payer: PHP Commercial |
$11.19
|
| Rate for Payer: PHP Commercial |
$14.43
|
| Rate for Payer: PHP Commercial |
$9.85
|
| Rate for Payer: PHP Commercial |
$9.35
|
| Rate for Payer: PHP Commercial |
$10.67
|
| Rate for Payer: PHP Commercial |
$10.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.16
|
| Rate for Payer: Priority Health HMO/PPO |
$9.57
|
| Rate for Payer: Priority Health HMO/PPO |
$10.08
|
| Rate for Payer: Priority Health HMO/PPO |
$11.06
|
| Rate for Payer: Priority Health HMO/PPO |
$11.45
|
| Rate for Payer: Priority Health HMO/PPO |
$10.92
|
| Rate for Payer: Priority Health HMO/PPO |
$14.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.68
|
| 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) |
$14.94
|
| Rate for Payer: UHC Core |
$14.18
|
| Rate for Payer: UHC Core |
$9.68
|
| Rate for Payer: UHC Core |
$10.48
|
| Rate for Payer: UHC Core |
$10.99
|
| Rate for Payer: UHC Core |
$10.61
|
| Rate for Payer: UHC Core |
$9.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.53
|
| 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 |
$12.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.25
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$13.87
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.02 |
| Max. Negotiated Rate |
$12.48 |
| Rate for Payer: Aetna Commercial |
$11.79
|
| Rate for Payer: BCBS Trust/PPO |
$11.32
|
| Rate for Payer: BCN Commercial |
$10.72
|
| 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: Healthscope Commercial |
$12.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.79
|
| Rate for Payer: Nomi Health Commercial |
$11.37
|
| Rate for Payer: PHP Commercial |
$11.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.02
|
| Rate for Payer: Priority Health HMO/PPO |
$12.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.21
|
| Rate for Payer: UHC Core |
$11.58
|
| 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 |
$4.59 |
| 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 |
$7.74
|
| Rate for Payer: BCBS MAPPO |
$4.83
|
| Rate for Payer: BCBS Trust/PPO |
$15.90
|
| Rate for Payer: BCN Commercial |
$15.04
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.44
|
| Rate for Payer: Nomi Health Commercial |
$15.86
|
| 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 Cigna Priority Health |
$12.57
|
| Rate for Payer: Priority Health HMO/PPO |
$16.83
|
| Rate for Payer: Priority Health Medicare |
$4.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.96
|
| 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 Dual Complete DSNP |
$4.83
|
| Rate for Payer: UHC Exchange |
$4.83
|
| Rate for Payer: UHC Medicare Advantage |
$4.83
|
| 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 |
$12.57 |
| Max. Negotiated Rate |
$17.41 |
| Rate for Payer: Aetna Commercial |
$16.44
|
| Rate for Payer: BCBS Trust/PPO |
$15.79
|
| Rate for Payer: BCN Commercial |
$14.95
|
| 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: PHP Commercial |
$16.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.57
|
| Rate for Payer: Priority Health HMO/PPO |
$16.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.96
|
| 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
|
$10.73
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116327
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.55 |
| Max. Negotiated Rate |
$9.66 |
| Rate for Payer: Aetna Commercial |
$9.12
|
| Rate for Payer: Aetna Commercial |
$9.46
|
| Rate for Payer: Aetna Commercial |
$11.05
|
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: Aetna Commercial |
$2.42
|
| Rate for Payer: Aetna Medicare |
$2.89
|
| Rate for Payer: Aetna Medicare |
$2.73
|
| Rate for Payer: Aetna Medicare |
$2.79
|
| Rate for Payer: Aetna Medicare |
$3.38
|
| Rate for Payer: Aetna Medicare |
$0.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.48
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.89
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.48
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.28
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.06
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS Complete |
$4.20
|
| Rate for Payer: BCBS Complete |
$4.29
|
| Rate for Payer: BCBS Complete |
$4.45
|
| Rate for Payer: BCBS Complete |
$1.14
|
| Rate for Payer: BCBS MAPPO |
$2.78
|
| Rate for Payer: BCBS MAPPO |
$2.62
|
| Rate for Payer: BCBS MAPPO |
$2.68
|
| Rate for Payer: BCBS MAPPO |
$3.25
|
| Rate for Payer: BCBS MAPPO |
$0.71
|
| Rate for Payer: BCBS Trust/PPO |
$8.63
|
| Rate for Payer: BCBS Trust/PPO |
$8.82
|
| Rate for Payer: BCBS Trust/PPO |
$9.15
|
| Rate for Payer: BCBS Trust/PPO |
$2.34
|
| Rate for Payer: BCBS Trust/PPO |
$10.69
|
| Rate for Payer: BCN Commercial |
$2.22
|
| Rate for Payer: BCN Commercial |
$8.16
|
| Rate for Payer: BCN Commercial |
$8.34
|
| Rate for Payer: BCN Commercial |
$8.65
|
| Rate for Payer: BCN Commercial |
$10.11
|
| Rate for Payer: BCN Medicare Advantage |
$0.71
|
| Rate for Payer: BCN Medicare Advantage |
$3.25
|
| Rate for Payer: BCN Medicare Advantage |
$2.62
|
| Rate for Payer: BCN Medicare Advantage |
$2.68
|
| Rate for Payer: BCN Medicare Advantage |
$2.78
|
| Rate for Payer: Cash Price |
$8.40
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$2.28
|
| Rate for Payer: Cash Price |
$8.90
|
| Rate for Payer: Cash Price |
$8.58
|
| Rate for Payer: Cofinity Commercial |
$2.45
|
| Rate for Payer: Cofinity Commercial |
$9.03
|
| Rate for Payer: Cofinity Commercial |
$9.23
|
| Rate for Payer: Cofinity Commercial |
$11.18
|
| Rate for Payer: Cofinity Commercial |
$9.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.78
|
| Rate for Payer: Healthscope Commercial |
$9.66
|
| Rate for Payer: Healthscope Commercial |
$9.45
|
| Rate for Payer: Healthscope Commercial |
$11.70
|
| Rate for Payer: Healthscope Commercial |
$10.02
|
| Rate for Payer: Healthscope Commercial |
$2.56
|
| 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 |
$7.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.35
|
| 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 |
$2.92
|
| 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 |
$2.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.42
|
| Rate for Payer: Nomi Health Commercial |
$8.80
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Nomi Health Commercial |
$9.13
|
| Rate for Payer: Nomi Health Commercial |
$2.34
|
| Rate for Payer: Nomi Health Commercial |
$8.61
|
| Rate for Payer: PACE Senior Care Partners |
$2.49
|
| Rate for Payer: PACE Senior Care Partners |
$3.09
|
| Rate for Payer: PACE Senior Care Partners |
$2.55
|
| Rate for Payer: PACE Senior Care Partners |
$2.64
|
| Rate for Payer: PACE Senior Care Partners |
$0.68
|
| Rate for Payer: PACE SWMI |
$2.62
|
| Rate for Payer: PACE SWMI |
$3.25
|
| Rate for Payer: PACE SWMI |
$2.78
|
| Rate for Payer: PACE SWMI |
$2.68
|
| Rate for Payer: PACE SWMI |
$0.71
|
| Rate for Payer: PHP Commercial |
$2.42
|
| Rate for Payer: PHP Commercial |
$9.46
|
| Rate for Payer: PHP Commercial |
$11.05
|
| Rate for Payer: PHP Commercial |
$9.12
|
| Rate for Payer: PHP Commercial |
$8.93
|
| Rate for Payer: PHP Medicare Advantage |
$2.78
|
| Rate for Payer: PHP Medicare Advantage |
$3.25
|
| Rate for Payer: PHP Medicare Advantage |
$0.71
|
| Rate for Payer: PHP Medicare Advantage |
$2.62
|
| Rate for Payer: PHP Medicare Advantage |
$2.68
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.83
|
| Rate for Payer: Priority Health HMO/PPO |
$9.13
|
| Rate for Payer: Priority Health HMO/PPO |
$9.68
|
| Rate for Payer: Priority Health HMO/PPO |
$2.48
|
| Rate for Payer: Priority Health HMO/PPO |
$11.31
|
| Rate for Payer: Priority Health HMO/PPO |
$9.34
|
| Rate for Payer: Priority Health Medicare |
$0.72
|
| Rate for Payer: Priority Health Medicare |
$2.81
|
| Rate for Payer: Priority Health Medicare |
$2.71
|
| Rate for Payer: Priority Health Medicare |
$3.28
|
| Rate for Payer: Priority Health Medicare |
$2.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.91
|
| Rate for Payer: Railroad Medicare Medicare |
$3.25
|
| Rate for Payer: Railroad Medicare Medicare |
$2.78
|
| Rate for Payer: Railroad Medicare Medicare |
$2.62
|
| Rate for Payer: Railroad Medicare Medicare |
$2.68
|
| Rate for Payer: Railroad Medicare Medicare |
$0.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.79
|
| Rate for Payer: UHC Core |
$8.96
|
| Rate for Payer: UHC Core |
$2.38
|
| Rate for Payer: UHC Core |
$9.29
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: UHC Core |
$8.77
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.25
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.78
|
| Rate for Payer: UHC Exchange |
$2.78
|
| Rate for Payer: UHC Exchange |
$0.71
|
| Rate for Payer: UHC Exchange |
$2.62
|
| Rate for Payer: UHC Exchange |
$3.25
|
| Rate for Payer: UHC Exchange |
$2.68
|
| Rate for Payer: UHC Medicare Advantage |
$2.68
|
| Rate for Payer: UHC Medicare Advantage |
$0.71
|
| Rate for Payer: UHC Medicare Advantage |
$2.78
|
| Rate for Payer: UHC Medicare Advantage |
$2.62
|
| Rate for Payer: UHC Medicare Advantage |
$3.25
|
| Rate for Payer: VA VA |
$2.62
|
| Rate for Payer: VA VA |
$3.25
|
| Rate for Payer: VA VA |
$2.68
|
| Rate for Payer: VA VA |
$0.71
|
| Rate for Payer: VA VA |
$2.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.35
|
|
|
HEPARIN, PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$2.85
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
116327
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.85 |
| Max. Negotiated Rate |
$2.56 |
| Rate for Payer: Aetna Commercial |
$2.42
|
| Rate for Payer: Aetna Commercial |
$9.12
|
| Rate for Payer: Aetna Commercial |
$9.46
|
| Rate for Payer: Aetna Commercial |
$11.05
|
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$10.61
|
| Rate for Payer: BCBS Trust/PPO |
$2.33
|
| Rate for Payer: BCBS Trust/PPO |
$9.09
|
| Rate for Payer: BCBS Trust/PPO |
$8.76
|
| Rate for Payer: BCBS Trust/PPO |
$8.57
|
| Rate for Payer: BCN Commercial |
$10.05
|
| Rate for Payer: BCN Commercial |
$8.60
|
| Rate for Payer: BCN Commercial |
$8.11
|
| Rate for Payer: BCN Commercial |
$8.29
|
| Rate for Payer: BCN Commercial |
$2.20
|
| Rate for Payer: Cash Price |
$8.40
|
| Rate for Payer: Cash Price |
$2.28
|
| Rate for Payer: Cash Price |
$8.90
|
| Rate for Payer: Cash Price |
$8.58
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cofinity Commercial |
$2.45
|
| Rate for Payer: Cofinity Commercial |
$9.03
|
| Rate for Payer: Cofinity Commercial |
$11.18
|
| Rate for Payer: Cofinity Commercial |
$9.57
|
| Rate for Payer: Cofinity Commercial |
$9.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.28
|
| Rate for Payer: Healthscope Commercial |
$9.66
|
| Rate for Payer: Healthscope Commercial |
$10.02
|
| Rate for Payer: Healthscope Commercial |
$9.45
|
| Rate for Payer: Healthscope Commercial |
$11.70
|
| Rate for Payer: Healthscope Commercial |
$2.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Nomi Health Commercial |
$8.61
|
| Rate for Payer: Nomi Health Commercial |
$8.80
|
| Rate for Payer: Nomi Health Commercial |
$9.13
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Nomi Health Commercial |
$2.34
|
| Rate for Payer: PHP Commercial |
$9.46
|
| Rate for Payer: PHP Commercial |
$9.12
|
| Rate for Payer: PHP Commercial |
$8.93
|
| Rate for Payer: PHP Commercial |
$11.05
|
| Rate for Payer: PHP Commercial |
$2.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.83
|
| Rate for Payer: Priority Health HMO/PPO |
$9.13
|
| Rate for Payer: Priority Health HMO/PPO |
$2.48
|
| Rate for Payer: Priority Health HMO/PPO |
$9.68
|
| Rate for Payer: Priority Health HMO/PPO |
$11.31
|
| Rate for Payer: Priority Health HMO/PPO |
$9.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.44
|
| Rate for Payer: UHC Core |
$8.77
|
| Rate for Payer: UHC Core |
$8.96
|
| Rate for Payer: UHC Core |
$10.86
|
| Rate for Payer: UHC Core |
$2.38
|
| Rate for Payer: UHC Core |
$9.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.14
|
| 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 |
$10.78 |
| Max. Negotiated Rate |
$14.93 |
| Rate for Payer: Aetna Commercial |
$14.10
|
| Rate for Payer: BCBS Trust/PPO |
$13.54
|
| Rate for Payer: BCN Commercial |
$12.82
|
| 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: PHP Commercial |
$14.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.78
|
| Rate for Payer: Priority Health HMO/PPO |
$14.43
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.12
|
| 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 |
$3.94 |
| 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 |
$6.64
|
| Rate for Payer: BCBS MAPPO |
$4.15
|
| Rate for Payer: BCBS Trust/PPO |
$13.64
|
| Rate for Payer: BCN Commercial |
$12.90
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.10
|
| Rate for Payer: Nomi Health Commercial |
$13.60
|
| 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 Cigna Priority Health |
$10.78
|
| Rate for Payer: Priority Health HMO/PPO |
$14.43
|
| Rate for Payer: Priority Health Medicare |
$4.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.12
|
| 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 Dual Complete DSNP |
$4.15
|
| Rate for Payer: UHC Exchange |
$4.15
|
| Rate for Payer: UHC Medicare Advantage |
$4.15
|
| 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
|
OP
|
$11.25
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
105460
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.67 |
| Max. Negotiated Rate |
$10.12 |
| Rate for Payer: Aetna Commercial |
$9.56
|
| Rate for Payer: Aetna Commercial |
$8.50
|
| Rate for Payer: Aetna Medicare |
$2.92
|
| Rate for Payer: Aetna Medicare |
$2.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.12
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS Complete |
$4.50
|
| Rate for Payer: BCBS MAPPO |
$2.50
|
| Rate for Payer: BCBS MAPPO |
$2.81
|
| Rate for Payer: BCBS Trust/PPO |
$9.25
|
| Rate for Payer: BCBS Trust/PPO |
$8.22
|
| Rate for Payer: BCN Commercial |
$8.75
|
| Rate for Payer: BCN Commercial |
$7.78
|
| Rate for Payer: BCN Medicare Advantage |
$2.81
|
| Rate for Payer: BCN Medicare Advantage |
$2.50
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$8.60
|
| Rate for Payer: Cofinity Commercial |
$9.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.81
|
| Rate for Payer: Healthscope Commercial |
$9.00
|
| Rate for Payer: Healthscope Commercial |
$10.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.50
|
| Rate for Payer: Nomi Health Commercial |
$9.22
|
| Rate for Payer: Nomi Health Commercial |
$8.20
|
| Rate for Payer: PACE Senior Care Partners |
$2.67
|
| Rate for Payer: PACE Senior Care Partners |
$2.38
|
| Rate for Payer: PACE SWMI |
$2.81
|
| Rate for Payer: PACE SWMI |
$2.50
|
| Rate for Payer: PHP Commercial |
$9.56
|
| Rate for Payer: PHP Commercial |
$8.50
|
| Rate for Payer: PHP Medicare Advantage |
$2.50
|
| Rate for Payer: PHP Medicare Advantage |
$2.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
| Rate for Payer: Priority Health HMO/PPO |
$8.70
|
| Rate for Payer: Priority Health HMO/PPO |
$9.79
|
| Rate for Payer: Priority Health Medicare |
$2.84
|
| Rate for Payer: Priority Health Medicare |
$2.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.70
|
| Rate for Payer: Railroad Medicare Medicare |
$2.50
|
| Rate for Payer: Railroad Medicare Medicare |
$2.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.90
|
| Rate for Payer: UHC Core |
$9.39
|
| Rate for Payer: UHC Core |
$8.35
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.81
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.50
|
| Rate for Payer: UHC Exchange |
$2.50
|
| Rate for Payer: UHC Exchange |
$2.81
|
| Rate for Payer: UHC Medicare Advantage |
$2.50
|
| Rate for Payer: UHC Medicare Advantage |
$2.81
|
| Rate for Payer: VA VA |
$2.50
|
| Rate for Payer: VA VA |
$2.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.50
|
|
|
HEPARIN, PORCINE (PF) 10 UNIT/ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$10.00
|
|
|
Service Code
|
HCPCS J1642
|
| Hospital Charge Code |
105460
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.50 |
| Max. Negotiated Rate |
$9.00 |
| Rate for Payer: Aetna Commercial |
$8.50
|
| Rate for Payer: Aetna Commercial |
$9.56
|
| Rate for Payer: BCBS Trust/PPO |
$8.16
|
| Rate for Payer: BCBS Trust/PPO |
$9.18
|
| Rate for Payer: BCN Commercial |
$7.73
|
| Rate for Payer: BCN Commercial |
$8.69
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Cofinity Commercial |
$9.68
|
| Rate for Payer: Cofinity Commercial |
$8.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.00
|
| Rate for Payer: Healthscope Commercial |
$9.00
|
| Rate for Payer: Healthscope Commercial |
$10.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.56
|
| Rate for Payer: Nomi Health Commercial |
$8.20
|
| Rate for Payer: Nomi Health Commercial |
$9.22
|
| Rate for Payer: PHP Commercial |
$8.50
|
| Rate for Payer: PHP Commercial |
$9.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.50
|
| Rate for Payer: Priority Health HMO/PPO |
$9.79
|
| Rate for Payer: Priority Health HMO/PPO |
$8.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.90
|
| Rate for Payer: UHC Core |
$8.35
|
| Rate for Payer: UHC Core |
$9.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.44
|
|
|
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 |
$1,413.67 |
| Max. Negotiated Rate |
$1,957.39 |
| Rate for Payer: Aetna Commercial |
$1,848.65
|
| Rate for Payer: BCBS Trust/PPO |
$1,775.35
|
| Rate for Payer: BCN Commercial |
$1,680.75
|
| 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: PHP Commercial |
$1,848.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,413.67
|
| Rate for Payer: Priority Health HMO/PPO |
$1,892.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,457.17
|
| 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 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 |
$97.02 |
| 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 |
$101.88
|
| Rate for Payer: BCBS MAPPO |
$543.72
|
| Rate for Payer: BCBS Trust/PPO |
$1,787.97
|
| Rate for Payer: BCN Commercial |
$1,690.97
|
| Rate for Payer: BCN Medicare Advantage |
$543.72
|
| Rate for Payer: Cash Price |
$1,739.90
|
| 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 |
$97.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$570.91
|
| Rate for Payer: Meridian Medicaid |
$101.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$625.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,848.65
|
| Rate for Payer: Nomi Health Commercial |
$1,783.40
|
| 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 |
$97.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,413.67
|
| Rate for Payer: Priority Health HMO/PPO |
$1,892.15
|
| Rate for Payer: Priority Health Medicare |
$549.16
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,457.17
|
| 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 Dual Complete DSNP |
$543.72
|
| Rate for Payer: UHC Exchange |
$543.72
|
| Rate for Payer: UHC Medicare Advantage |
$543.72
|
| Rate for Payer: UHCCP Medicaid |
$97.02
|
| Rate for Payer: VA VA |
$543.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,631.16
|
|
|
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 |
$37.59 |
| 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 |
$63.30
|
| Rate for Payer: BCBS MAPPO |
$39.56
|
| Rate for Payer: BCBS Trust/PPO |
$130.11
|
| Rate for Payer: BCN Commercial |
$123.05
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$41.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$45.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$134.52
|
| Rate for Payer: Nomi Health Commercial |
$129.77
|
| 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 Cigna Priority Health |
$102.87
|
| Rate for Payer: Priority Health HMO/PPO |
$137.69
|
| Rate for Payer: Priority Health Medicare |
$39.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$106.03
|
| 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 Dual Complete DSNP |
$39.56
|
| Rate for Payer: UHC Exchange |
$39.56
|
| Rate for Payer: UHC Medicare Advantage |
$39.56
|
| Rate for Payer: VA VA |
$39.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.69
|
|
|
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 |
$102.87 |
| Max. Negotiated Rate |
$142.43 |
| Rate for Payer: Aetna Commercial |
$134.52
|
| Rate for Payer: BCBS Trust/PPO |
$129.19
|
| Rate for Payer: BCN Commercial |
$122.30
|
| 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: PHP Commercial |
$134.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$102.87
|
| Rate for Payer: Priority Health HMO/PPO |
$137.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$106.03
|
| 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
|
|
|
HH CATHETER LEG STRAP BARD
|
Facility
|
OP
|
$12.47
|
|
|
Service Code
|
HCPCS A4334
|
| Hospital Charge Code |
27000598
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.96 |
| 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 |
$4.99
|
| Rate for Payer: BCBS MAPPO |
$3.12
|
| Rate for Payer: BCBS Trust/PPO |
$10.25
|
| Rate for Payer: BCN Commercial |
$9.70
|
| 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: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.60
|
| Rate for Payer: Nomi Health Commercial |
$10.23
|
| 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 Cigna Priority Health |
$8.11
|
| Rate for Payer: Priority Health HMO/PPO |
$10.85
|
| Rate for Payer: Priority Health Medicare |
$3.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.35
|
| 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 Dual Complete DSNP |
$3.12
|
| Rate for Payer: UHC Exchange |
$3.12
|
| Rate for Payer: UHC Medicare Advantage |
$3.12
|
| 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 |
$8.11 |
| Max. Negotiated Rate |
$11.22 |
| Rate for Payer: Aetna Commercial |
$10.60
|
| Rate for Payer: BCBS Trust/PPO |
$10.18
|
| Rate for Payer: BCN Commercial |
$9.64
|
| 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: PHP Commercial |
$10.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.11
|
| Rate for Payer: Priority Health HMO/PPO |
$10.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.35
|
| 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
|
|
|
HH DRSG MEPILEX AG FOAM 4X4 EA
|
Facility
|
OP
|
$27.16
|
|
|
Service Code
|
HCPCS A6209
|
| Hospital Charge Code |
62300044
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$6.45 |
| Max. Negotiated Rate |
$24.44 |
| Rate for Payer: Aetna Commercial |
$23.09
|
| Rate for Payer: Aetna Medicare |
$7.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.49
|
| Rate for Payer: BCBS Complete |
$10.86
|
| Rate for Payer: BCBS MAPPO |
$6.79
|
| Rate for Payer: BCBS Trust/PPO |
$22.33
|
| Rate for Payer: BCN Commercial |
$21.12
|
| Rate for Payer: BCN Medicare Advantage |
$6.79
|
| Rate for Payer: Cash Price |
$21.73
|
| Rate for Payer: Cofinity Commercial |
$23.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.79
|
| Rate for Payer: Healthscope Commercial |
$24.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.37
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.09
|
| Rate for Payer: Nomi Health Commercial |
$22.27
|
| Rate for Payer: PACE Senior Care Partners |
$6.45
|
| Rate for Payer: PACE SWMI |
$6.79
|
| Rate for Payer: PHP Commercial |
$23.09
|
| Rate for Payer: PHP Medicare Advantage |
$6.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.65
|
| Rate for Payer: Priority Health HMO/PPO |
$23.63
|
| Rate for Payer: Priority Health Medicare |
$6.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.20
|
| Rate for Payer: Railroad Medicare Medicare |
$6.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.90
|
| Rate for Payer: UHC Core |
$22.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$6.79
|
| Rate for Payer: UHC Exchange |
$6.79
|
| Rate for Payer: UHC Medicare Advantage |
$6.79
|
| Rate for Payer: VA VA |
$6.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.37
|
|
|
HH DRSG MEPILEX AG FOAM 4X4 EA
|
Facility
|
IP
|
$27.16
|
|
|
Service Code
|
HCPCS A6209
|
| Hospital Charge Code |
62300044
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$17.65 |
| Max. Negotiated Rate |
$24.44 |
| Rate for Payer: Aetna Commercial |
$23.09
|
| Rate for Payer: BCBS Trust/PPO |
$22.17
|
| Rate for Payer: BCN Commercial |
$20.99
|
| Rate for Payer: Cash Price |
$21.73
|
| Rate for Payer: Cofinity Commercial |
$23.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.73
|
| Rate for Payer: Healthscope Commercial |
$24.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.09
|
| Rate for Payer: Nomi Health Commercial |
$22.27
|
| Rate for Payer: PHP Commercial |
$23.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.65
|
| Rate for Payer: Priority Health HMO/PPO |
$23.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.90
|
| Rate for Payer: UHC Core |
$22.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.37
|
|
|
HH DRSG MEPILEX BORDER 4X4 EA
|
Facility
|
IP
|
$9.78
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300017
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$6.36 |
| Max. Negotiated Rate |
$8.80 |
| Rate for Payer: Aetna Commercial |
$8.31
|
| Rate for Payer: BCBS Trust/PPO |
$7.98
|
| Rate for Payer: BCN Commercial |
$7.56
|
| Rate for Payer: Cash Price |
$7.82
|
| Rate for Payer: Cofinity Commercial |
$8.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.82
|
| Rate for Payer: Healthscope Commercial |
$8.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.31
|
| Rate for Payer: Nomi Health Commercial |
$8.02
|
| Rate for Payer: PHP Commercial |
$8.31
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.36
|
| Rate for Payer: Priority Health HMO/PPO |
$8.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.61
|
| Rate for Payer: UHC Core |
$8.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.33
|
|
|
HH DRSG MEPILEX BORDER 4X4 EA
|
Facility
|
OP
|
$9.78
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300017
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$2.32 |
| Max. Negotiated Rate |
$8.80 |
| Rate for Payer: Aetna Commercial |
$8.31
|
| Rate for Payer: Aetna Medicare |
$2.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.06
|
| Rate for Payer: BCBS Complete |
$3.91
|
| Rate for Payer: BCBS MAPPO |
$2.44
|
| Rate for Payer: BCBS Trust/PPO |
$8.04
|
| Rate for Payer: BCN Commercial |
$7.60
|
| Rate for Payer: BCN Medicare Advantage |
$2.44
|
| Rate for Payer: Cash Price |
$7.82
|
| Rate for Payer: Cofinity Commercial |
$8.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.44
|
| Rate for Payer: Healthscope Commercial |
$8.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.33
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.31
|
| Rate for Payer: Nomi Health Commercial |
$8.02
|
| Rate for Payer: PACE Senior Care Partners |
$2.32
|
| Rate for Payer: PACE SWMI |
$2.44
|
| Rate for Payer: PHP Commercial |
$8.31
|
| Rate for Payer: PHP Medicare Advantage |
$2.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.36
|
| Rate for Payer: Priority Health HMO/PPO |
$8.51
|
| Rate for Payer: Priority Health Medicare |
$2.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.55
|
| Rate for Payer: Railroad Medicare Medicare |
$2.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.61
|
| Rate for Payer: UHC Core |
$8.17
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.44
|
| Rate for Payer: UHC Exchange |
$2.44
|
| Rate for Payer: UHC Medicare Advantage |
$2.44
|
| Rate for Payer: VA VA |
$2.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.33
|
|
|
HH DRSG MEPILEX BORDER 6X6 EA
|
Facility
|
OP
|
$21.87
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300067
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$5.19 |
| Max. Negotiated Rate |
$19.68 |
| Rate for Payer: Aetna Commercial |
$18.59
|
| Rate for Payer: Aetna Medicare |
$5.69
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.83
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.83
|
| Rate for Payer: BCBS Complete |
$8.75
|
| Rate for Payer: BCBS MAPPO |
$5.47
|
| Rate for Payer: BCBS Trust/PPO |
$17.98
|
| Rate for Payer: BCN Commercial |
$17.00
|
| Rate for Payer: BCN Medicare Advantage |
$5.47
|
| Rate for Payer: Cash Price |
$17.50
|
| Rate for Payer: Cofinity Commercial |
$18.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.47
|
| Rate for Payer: Healthscope Commercial |
$19.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.59
|
| Rate for Payer: Nomi Health Commercial |
$17.93
|
| Rate for Payer: PACE Senior Care Partners |
$5.19
|
| Rate for Payer: PACE SWMI |
$5.47
|
| Rate for Payer: PHP Commercial |
$18.59
|
| Rate for Payer: PHP Medicare Advantage |
$5.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.22
|
| Rate for Payer: Priority Health HMO/PPO |
$19.03
|
| Rate for Payer: Priority Health Medicare |
$5.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.65
|
| Rate for Payer: Railroad Medicare Medicare |
$5.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.25
|
| Rate for Payer: UHC Core |
$18.26
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.47
|
| Rate for Payer: UHC Exchange |
$5.47
|
| Rate for Payer: UHC Medicare Advantage |
$5.47
|
| Rate for Payer: VA VA |
$5.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.40
|
|
|
HH DRSG MEPILEX BORDER 6X6 EA
|
Facility
|
IP
|
$21.87
|
|
|
Service Code
|
HCPCS A6212
|
| Hospital Charge Code |
62300067
|
|
Hospital Revenue Code
|
623
|
| Min. Negotiated Rate |
$14.22 |
| Max. Negotiated Rate |
$19.68 |
| Rate for Payer: Aetna Commercial |
$18.59
|
| Rate for Payer: BCBS Trust/PPO |
$17.85
|
| Rate for Payer: BCN Commercial |
$16.90
|
| Rate for Payer: Cash Price |
$17.50
|
| Rate for Payer: Cofinity Commercial |
$18.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.50
|
| Rate for Payer: Healthscope Commercial |
$19.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.59
|
| Rate for Payer: Nomi Health Commercial |
$17.93
|
| Rate for Payer: PHP Commercial |
$18.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.22
|
| Rate for Payer: Priority Health HMO/PPO |
$19.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.25
|
| Rate for Payer: UHC Core |
$18.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.40
|
|
