|
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$7,295.50
|
|
|
Service Code
|
APR-DRG 6943
|
| Min. Negotiated Rate |
$6,948.10 |
| Max. Negotiated Rate |
$7,295.50 |
| Rate for Payer: BCBS Complete |
$7,295.50
|
| Rate for Payer: Mclaren Medicaid |
$6,948.10
|
| Rate for Payer: Meridian Medicaid |
$7,295.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,948.10
|
| Rate for Payer: UHC Medicaid |
$6,948.10
|
| Rate for Payer: UHCCP Medicaid |
$6,948.10
|
|
|
LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR
|
Facility
|
IP
|
$5,821.57
|
|
|
Service Code
|
APR-DRG 6942
|
| Min. Negotiated Rate |
$5,544.36 |
| Max. Negotiated Rate |
$5,821.57 |
| Rate for Payer: BCBS Complete |
$5,821.57
|
| Rate for Payer: Mclaren Medicaid |
$5,544.36
|
| Rate for Payer: Meridian Medicaid |
$5,821.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,544.36
|
| Rate for Payer: UHC Medicaid |
$5,544.36
|
| Rate for Payer: UHCCP Medicaid |
$5,544.36
|
|
|
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$19,471.33
|
|
|
Service Code
|
APR-DRG 6914
|
| Min. Negotiated Rate |
$18,544.12 |
| Max. Negotiated Rate |
$19,471.33 |
| Rate for Payer: BCBS Complete |
$19,471.33
|
| Rate for Payer: Mclaren Medicaid |
$18,544.12
|
| Rate for Payer: Meridian Medicaid |
$19,471.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$18,544.12
|
| Rate for Payer: UHC Medicaid |
$18,544.12
|
| Rate for Payer: UHCCP Medicaid |
$18,544.12
|
|
|
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$14,544.73
|
|
|
Service Code
|
APR-DRG 6913
|
| Min. Negotiated Rate |
$13,852.13 |
| Max. Negotiated Rate |
$14,544.73 |
| Rate for Payer: BCBS Complete |
$14,544.73
|
| Rate for Payer: Mclaren Medicaid |
$13,852.13
|
| Rate for Payer: Meridian Medicaid |
$14,544.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,852.13
|
| Rate for Payer: UHC Medicaid |
$13,852.13
|
| Rate for Payer: UHCCP Medicaid |
$13,852.13
|
|
|
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$7,531.08
|
|
|
Service Code
|
APR-DRG 6912
|
| Min. Negotiated Rate |
$7,172.46 |
| Max. Negotiated Rate |
$7,531.08 |
| Rate for Payer: BCBS Complete |
$7,531.08
|
| Rate for Payer: Mclaren Medicaid |
$7,172.46
|
| Rate for Payer: Meridian Medicaid |
$7,531.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,172.46
|
| Rate for Payer: UHC Medicaid |
$7,172.46
|
| Rate for Payer: UHCCP Medicaid |
$7,172.46
|
|
|
LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA
|
Facility
|
IP
|
$4,452.81
|
|
|
Service Code
|
APR-DRG 6911
|
| Min. Negotiated Rate |
$4,240.77 |
| Max. Negotiated Rate |
$4,452.81 |
| Rate for Payer: BCBS Complete |
$4,452.81
|
| Rate for Payer: Mclaren Medicaid |
$4,240.77
|
| Rate for Payer: Meridian Medicaid |
$4,452.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,240.77
|
| Rate for Payer: UHC Medicaid |
$4,240.77
|
| Rate for Payer: UHCCP Medicaid |
$4,240.77
|
|
|
MAGNESIUM CITRATE ORAL SOLUTION
|
Facility
|
IP
|
$10.66
|
|
|
Service Code
|
NDC 00904741844
|
| Hospital Charge Code |
4712
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$9.59 |
| Rate for Payer: Aetna Commercial |
$9.06
|
| Rate for Payer: BCBS Trust/PPO |
$8.80
|
| Rate for Payer: BCN Commercial |
$8.80
|
| Rate for Payer: Cash Price |
$8.53
|
| Rate for Payer: Cofinity Commercial |
$9.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.53
|
| Rate for Payer: Healthscope Commercial |
$9.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.06
|
| Rate for Payer: Nomi Health Commercial |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.00
|
| Rate for Payer: PHP Commercial |
$9.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.38
|
| Rate for Payer: UHC Core |
$8.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.00
|
|
|
MAGNESIUM CITRATE ORAL SOLUTION
|
Facility
|
IP
|
$17.32
|
|
|
Service Code
|
NDC 71399005101
|
| Hospital Charge Code |
4712
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$12.05 |
| Max. Negotiated Rate |
$15.59 |
| Rate for Payer: Aetna Commercial |
$14.72
|
| Rate for Payer: BCBS Trust/PPO |
$14.30
|
| Rate for Payer: BCN Commercial |
$14.30
|
| Rate for Payer: Cash Price |
$13.86
|
| Rate for Payer: Cofinity Commercial |
$14.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.86
|
| Rate for Payer: Healthscope Commercial |
$15.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.72
|
| Rate for Payer: Nomi Health Commercial |
$14.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.99
|
| Rate for Payer: PHP Commercial |
$14.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.07
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.24
|
| Rate for Payer: UHC Core |
$14.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.99
|
|
|
MAGNESIUM CITRATE ORAL SOLUTION
|
Facility
|
OP
|
$10.66
|
|
|
Service Code
|
NDC 00904741844
|
| Hospital Charge Code |
4712
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.88 |
| Max. Negotiated Rate |
$9.59 |
| Rate for Payer: Aetna Commercial |
$9.06
|
| Rate for Payer: Aetna Medicare |
$2.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.33
|
| Rate for Payer: BCBS Complete |
$1.97
|
| Rate for Payer: BCBS MAPPO |
$2.67
|
| Rate for Payer: BCBS Trust/PPO |
$8.76
|
| Rate for Payer: BCN Commercial |
$8.76
|
| Rate for Payer: BCN Medicare Advantage |
$2.67
|
| Rate for Payer: Cash Price |
$8.53
|
| Rate for Payer: Cofinity Commercial |
$9.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.53
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.67
|
| Rate for Payer: Healthscope Commercial |
$9.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.00
|
| Rate for Payer: Mclaren Medicaid |
$1.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.80
|
| Rate for Payer: Meridian Medicaid |
$1.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.06
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.06
|
| Rate for Payer: Nomi Health Commercial |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.00
|
| Rate for Payer: PACE Senior Care Partners |
$2.53
|
| Rate for Payer: PACE SWMI |
$2.67
|
| Rate for Payer: PHP Commercial |
$9.06
|
| Rate for Payer: PHP Medicare Advantage |
$2.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.27
|
| Rate for Payer: Priority Health Medicare |
$2.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.42
|
| Rate for Payer: Railroad Medicare Medicare |
$2.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.38
|
| Rate for Payer: UHC Core |
$8.90
|
| Rate for Payer: UHC Exchange |
$2.67
|
| Rate for Payer: UHC Medicaid |
$1.88
|
| Rate for Payer: UHC Medicare Advantage |
$2.67
|
| Rate for Payer: UHCCP Medicaid |
$1.88
|
| Rate for Payer: VA VA |
$2.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.00
|
|
|
MAGNESIUM CITRATE ORAL SOLUTION
|
Facility
|
OP
|
$17.32
|
|
|
Service Code
|
NDC 71399005101
|
| Hospital Charge Code |
4712
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.05 |
| Max. Negotiated Rate |
$15.59 |
| Rate for Payer: Aetna Commercial |
$14.72
|
| Rate for Payer: Aetna Medicare |
$4.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.41
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.41
|
| Rate for Payer: BCBS Complete |
$3.21
|
| Rate for Payer: BCBS MAPPO |
$4.33
|
| Rate for Payer: BCBS Trust/PPO |
$14.24
|
| Rate for Payer: BCN Commercial |
$14.24
|
| Rate for Payer: BCN Medicare Advantage |
$4.33
|
| Rate for Payer: Cash Price |
$13.86
|
| Rate for Payer: Cofinity Commercial |
$14.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.86
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.33
|
| Rate for Payer: Healthscope Commercial |
$15.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.99
|
| Rate for Payer: Mclaren Medicaid |
$3.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.55
|
| Rate for Payer: Meridian Medicaid |
$3.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.98
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.72
|
| Rate for Payer: Nomi Health Commercial |
$14.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.99
|
| Rate for Payer: PACE Senior Care Partners |
$4.11
|
| Rate for Payer: PACE SWMI |
$4.33
|
| Rate for Payer: PHP Commercial |
$14.72
|
| Rate for Payer: PHP Medicare Advantage |
$4.33
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.07
|
| Rate for Payer: Priority Health Medicare |
$4.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.05
|
| Rate for Payer: Railroad Medicare Medicare |
$4.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.24
|
| Rate for Payer: UHC Core |
$14.46
|
| Rate for Payer: UHC Exchange |
$4.33
|
| Rate for Payer: UHC Medicaid |
$3.05
|
| Rate for Payer: UHC Medicare Advantage |
$4.33
|
| Rate for Payer: UHCCP Medicaid |
$3.05
|
| Rate for Payer: VA VA |
$4.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.99
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$14.01
|
|
|
Service Code
|
NDC 00904078816
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.47 |
| Max. Negotiated Rate |
$12.61 |
| Rate for Payer: Aetna Commercial |
$11.91
|
| Rate for Payer: Aetna Medicare |
$3.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.38
|
| Rate for Payer: BCBS Complete |
$2.59
|
| Rate for Payer: BCBS MAPPO |
$3.50
|
| Rate for Payer: BCBS Trust/PPO |
$11.52
|
| Rate for Payer: BCN Commercial |
$11.52
|
| Rate for Payer: BCN Medicare Advantage |
$3.50
|
| Rate for Payer: Cash Price |
$11.21
|
| Rate for Payer: Cofinity Commercial |
$12.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.50
|
| Rate for Payer: Healthscope Commercial |
$12.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.51
|
| Rate for Payer: Mclaren Medicaid |
$2.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.68
|
| Rate for Payer: Meridian Medicaid |
$2.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.03
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.91
|
| Rate for Payer: Nomi Health Commercial |
$11.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.51
|
| Rate for Payer: PACE Senior Care Partners |
$3.33
|
| Rate for Payer: PACE SWMI |
$3.50
|
| Rate for Payer: PHP Commercial |
$11.91
|
| Rate for Payer: PHP Medicare Advantage |
$3.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.19
|
| Rate for Payer: Priority Health Medicare |
$3.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.75
|
| Rate for Payer: Railroad Medicare Medicare |
$3.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.33
|
| Rate for Payer: UHC Core |
$11.70
|
| Rate for Payer: UHC Exchange |
$3.50
|
| Rate for Payer: UHC Medicaid |
$2.47
|
| Rate for Payer: UHC Medicare Advantage |
$3.50
|
| Rate for Payer: UHCCP Medicaid |
$2.47
|
| Rate for Payer: VA VA |
$3.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.51
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$5.76
|
|
|
Service Code
|
NDC 60687042976
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.01 |
| Max. Negotiated Rate |
$5.18 |
| Rate for Payer: Aetna Commercial |
$4.90
|
| Rate for Payer: BCBS Trust/PPO |
$4.76
|
| Rate for Payer: BCN Commercial |
$4.76
|
| Rate for Payer: Cash Price |
$4.61
|
| Rate for Payer: Cofinity Commercial |
$4.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.61
|
| Rate for Payer: Healthscope Commercial |
$5.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.90
|
| Rate for Payer: Nomi Health Commercial |
$4.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.32
|
| Rate for Payer: PHP Commercial |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.07
|
| Rate for Payer: UHC Core |
$4.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.32
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$5.76
|
|
|
Service Code
|
NDC 60687042976
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.02 |
| Max. Negotiated Rate |
$5.18 |
| Rate for Payer: Aetna Commercial |
$4.90
|
| Rate for Payer: Aetna Medicare |
$1.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.80
|
| Rate for Payer: BCBS Complete |
$1.07
|
| Rate for Payer: BCBS MAPPO |
$1.44
|
| Rate for Payer: BCBS Trust/PPO |
$4.74
|
| Rate for Payer: BCN Commercial |
$4.74
|
| Rate for Payer: BCN Medicare Advantage |
$1.44
|
| Rate for Payer: Cash Price |
$4.61
|
| Rate for Payer: Cofinity Commercial |
$4.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.44
|
| Rate for Payer: Healthscope Commercial |
$5.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.32
|
| Rate for Payer: Mclaren Medicaid |
$1.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.51
|
| Rate for Payer: Meridian Medicaid |
$1.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.90
|
| Rate for Payer: Nomi Health Commercial |
$4.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.32
|
| Rate for Payer: PACE Senior Care Partners |
$1.37
|
| Rate for Payer: PACE SWMI |
$1.44
|
| Rate for Payer: PHP Commercial |
$4.90
|
| Rate for Payer: PHP Medicare Advantage |
$1.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.01
|
| Rate for Payer: Priority Health Medicare |
$1.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.07
|
| Rate for Payer: UHC Core |
$4.81
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Medicaid |
$1.02
|
| Rate for Payer: UHC Medicare Advantage |
$1.44
|
| Rate for Payer: UHCCP Medicaid |
$1.02
|
| Rate for Payer: VA VA |
$1.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.32
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$14.01
|
|
|
Service Code
|
NDC 00904078816
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$9.75 |
| Max. Negotiated Rate |
$12.61 |
| Rate for Payer: Aetna Commercial |
$11.91
|
| Rate for Payer: BCBS Trust/PPO |
$11.57
|
| Rate for Payer: BCN Commercial |
$11.57
|
| Rate for Payer: Cash Price |
$11.21
|
| Rate for Payer: Cofinity Commercial |
$12.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.21
|
| Rate for Payer: Healthscope Commercial |
$12.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.91
|
| Rate for Payer: Nomi Health Commercial |
$11.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.51
|
| Rate for Payer: PHP Commercial |
$11.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$12.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$9.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$12.33
|
| Rate for Payer: UHC Core |
$11.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.51
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$10.51
|
|
|
Service Code
|
NDC 57896064916
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.85 |
| Max. Negotiated Rate |
$9.46 |
| 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 |
$1.95
|
| Rate for Payer: BCBS MAPPO |
$2.63
|
| Rate for Payer: BCBS Trust/PPO |
$8.64
|
| Rate for Payer: BCN Commercial |
$8.64
|
| Rate for Payer: BCN Medicare Advantage |
$2.63
|
| Rate for Payer: Cash Price |
$8.41
|
| Rate for Payer: Cofinity Commercial |
$9.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.63
|
| Rate for Payer: Healthscope Commercial |
$9.46
|
| 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 |
$1.95
|
| 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 |
$8.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.88
|
| Rate for Payer: PACE Senior Care Partners |
$2.50
|
| Rate for Payer: PACE SWMI |
$2.63
|
| Rate for Payer: PHP Commercial |
$8.93
|
| Rate for Payer: PHP Medicare Advantage |
$2.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.14
|
| Rate for Payer: Priority Health Medicare |
$2.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.31
|
| Rate for Payer: Railroad Medicare Medicare |
$2.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.25
|
| Rate for Payer: UHC Core |
$8.78
|
| Rate for Payer: UHC Exchange |
$2.63
|
| Rate for Payer: UHC Medicaid |
$1.85
|
| Rate for Payer: UHC Medicare Advantage |
$2.63
|
| Rate for Payer: UHCCP Medicaid |
$1.85
|
| Rate for Payer: VA VA |
$2.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$5.91
|
|
|
Service Code
|
NDC 09900000148
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.11 |
| Max. Negotiated Rate |
$5.32 |
| Rate for Payer: Aetna Commercial |
$5.02
|
| Rate for Payer: BCBS Trust/PPO |
$4.88
|
| Rate for Payer: BCN Commercial |
$4.88
|
| Rate for Payer: Cash Price |
$4.73
|
| Rate for Payer: Cofinity Commercial |
$5.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.73
|
| Rate for Payer: Healthscope Commercial |
$5.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.02
|
| Rate for Payer: Nomi Health Commercial |
$4.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.43
|
| Rate for Payer: PHP Commercial |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.20
|
| Rate for Payer: UHC Core |
$4.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.43
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$0.71
|
|
|
Service Code
|
NDC 09900000340
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.13 |
| Max. Negotiated Rate |
$0.64 |
| Rate for Payer: Aetna Commercial |
$0.60
|
| Rate for Payer: Aetna Medicare |
$0.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.22
|
| Rate for Payer: BCBS Complete |
$0.13
|
| Rate for Payer: BCBS MAPPO |
$0.18
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Medicare Advantage |
$0.18
|
| Rate for Payer: Cash Price |
$0.57
|
| Rate for Payer: Cofinity Commercial |
$0.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$0.57
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.18
|
| Rate for Payer: Healthscope Commercial |
$0.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$0.53
|
| Rate for Payer: Mclaren Medicaid |
$0.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.19
|
| Rate for Payer: Meridian Medicaid |
$0.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$0.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$0.60
|
| Rate for Payer: Nomi Health Commercial |
$0.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$0.53
|
| Rate for Payer: PACE Senior Care Partners |
$0.17
|
| Rate for Payer: PACE SWMI |
$0.18
|
| Rate for Payer: PHP Commercial |
$0.60
|
| Rate for Payer: PHP Medicare Advantage |
$0.18
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$0.62
|
| Rate for Payer: Priority Health Medicare |
$0.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$0.49
|
| Rate for Payer: Railroad Medicare Medicare |
$0.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.62
|
| Rate for Payer: UHC Core |
$0.59
|
| Rate for Payer: UHC Exchange |
$0.18
|
| Rate for Payer: UHC Medicaid |
$0.13
|
| Rate for Payer: UHC Medicare Advantage |
$0.18
|
| Rate for Payer: UHCCP Medicaid |
$0.13
|
| Rate for Payer: VA VA |
$0.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$0.53
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$5.91
|
|
|
Service Code
|
NDC 09900000148
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.04 |
| Max. Negotiated Rate |
$5.32 |
| Rate for Payer: Aetna Commercial |
$5.02
|
| Rate for Payer: Aetna Medicare |
$1.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.85
|
| Rate for Payer: BCBS Complete |
$1.09
|
| Rate for Payer: BCBS MAPPO |
$1.48
|
| Rate for Payer: BCBS Trust/PPO |
$4.86
|
| Rate for Payer: BCN Commercial |
$4.86
|
| Rate for Payer: BCN Medicare Advantage |
$1.48
|
| Rate for Payer: Cash Price |
$4.73
|
| Rate for Payer: Cofinity Commercial |
$5.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.48
|
| Rate for Payer: Healthscope Commercial |
$5.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.43
|
| Rate for Payer: Mclaren Medicaid |
$1.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.55
|
| Rate for Payer: Meridian Medicaid |
$1.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.02
|
| Rate for Payer: Nomi Health Commercial |
$4.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.43
|
| Rate for Payer: PACE Senior Care Partners |
$1.40
|
| Rate for Payer: PACE SWMI |
$1.48
|
| Rate for Payer: PHP Commercial |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$1.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.14
|
| Rate for Payer: Priority Health Medicare |
$1.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.11
|
| Rate for Payer: Railroad Medicare Medicare |
$1.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.20
|
| Rate for Payer: UHC Core |
$4.93
|
| Rate for Payer: UHC Exchange |
$1.48
|
| Rate for Payer: UHC Medicaid |
$1.04
|
| Rate for Payer: UHC Medicare Advantage |
$1.48
|
| Rate for Payer: UHCCP Medicaid |
$1.04
|
| Rate for Payer: VA VA |
$1.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.43
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$0.71
|
|
|
Service Code
|
NDC 09900000340
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.49 |
| Max. Negotiated Rate |
$0.64 |
| Rate for Payer: Aetna Commercial |
$0.60
|
| Rate for Payer: BCBS Trust/PPO |
$0.59
|
| Rate for Payer: BCN Commercial |
$0.59
|
| Rate for Payer: Cash Price |
$0.57
|
| Rate for Payer: Cofinity Commercial |
$0.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$0.57
|
| Rate for Payer: Healthscope Commercial |
$0.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$0.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$0.60
|
| Rate for Payer: Nomi Health Commercial |
$0.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$0.53
|
| Rate for Payer: PHP Commercial |
$0.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$0.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$0.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.62
|
| Rate for Payer: UHC Core |
$0.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$0.53
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$5.91
|
|
|
Service Code
|
NDC 00121043130
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.04 |
| Max. Negotiated Rate |
$5.32 |
| Rate for Payer: Aetna Commercial |
$5.02
|
| Rate for Payer: Aetna Medicare |
$1.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.85
|
| Rate for Payer: BCBS Complete |
$1.09
|
| Rate for Payer: BCBS MAPPO |
$1.48
|
| Rate for Payer: BCBS Trust/PPO |
$4.86
|
| Rate for Payer: BCN Commercial |
$4.86
|
| Rate for Payer: BCN Medicare Advantage |
$1.48
|
| Rate for Payer: Cash Price |
$4.73
|
| Rate for Payer: Cofinity Commercial |
$5.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.48
|
| Rate for Payer: Healthscope Commercial |
$5.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.43
|
| Rate for Payer: Mclaren Medicaid |
$1.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.55
|
| Rate for Payer: Meridian Medicaid |
$1.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.70
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.02
|
| Rate for Payer: Nomi Health Commercial |
$4.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.43
|
| Rate for Payer: PACE Senior Care Partners |
$1.40
|
| Rate for Payer: PACE SWMI |
$1.48
|
| Rate for Payer: PHP Commercial |
$5.02
|
| Rate for Payer: PHP Medicare Advantage |
$1.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.14
|
| Rate for Payer: Priority Health Medicare |
$1.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.11
|
| Rate for Payer: Railroad Medicare Medicare |
$1.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.20
|
| Rate for Payer: UHC Core |
$4.93
|
| Rate for Payer: UHC Exchange |
$1.48
|
| Rate for Payer: UHC Medicaid |
$1.04
|
| Rate for Payer: UHC Medicare Advantage |
$1.48
|
| Rate for Payer: UHCCP Medicaid |
$1.04
|
| Rate for Payer: VA VA |
$1.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.43
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$10.51
|
|
|
Service Code
|
NDC 57896064916
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$7.31 |
| Max. Negotiated Rate |
$9.46 |
| Rate for Payer: Aetna Commercial |
$8.93
|
| Rate for Payer: BCBS Trust/PPO |
$8.68
|
| Rate for Payer: BCN Commercial |
$8.68
|
| Rate for Payer: Cash Price |
$8.41
|
| Rate for Payer: Cofinity Commercial |
$9.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.41
|
| Rate for Payer: Healthscope Commercial |
$9.46
|
| 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 |
$8.62
|
| 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 |
$9.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.25
|
| Rate for Payer: UHC Core |
$8.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.88
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$5.91
|
|
|
Service Code
|
NDC 00121043130
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.11 |
| Max. Negotiated Rate |
$5.32 |
| Rate for Payer: Aetna Commercial |
$5.02
|
| Rate for Payer: BCBS Trust/PPO |
$4.88
|
| Rate for Payer: BCN Commercial |
$4.88
|
| Rate for Payer: Cash Price |
$4.73
|
| Rate for Payer: Cofinity Commercial |
$5.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.73
|
| Rate for Payer: Healthscope Commercial |
$5.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.02
|
| Rate for Payer: Nomi Health Commercial |
$4.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.43
|
| Rate for Payer: PHP Commercial |
$5.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.20
|
| Rate for Payer: UHC Core |
$4.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.43
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$5.76
|
|
|
Service Code
|
NDC 60687042945
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.02 |
| Max. Negotiated Rate |
$5.18 |
| Rate for Payer: Aetna Commercial |
$4.90
|
| Rate for Payer: Aetna Medicare |
$1.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.80
|
| Rate for Payer: BCBS Complete |
$1.07
|
| Rate for Payer: BCBS MAPPO |
$1.44
|
| Rate for Payer: BCBS Trust/PPO |
$4.74
|
| Rate for Payer: BCN Commercial |
$4.74
|
| Rate for Payer: BCN Medicare Advantage |
$1.44
|
| Rate for Payer: Cash Price |
$4.61
|
| Rate for Payer: Cofinity Commercial |
$4.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.44
|
| Rate for Payer: Healthscope Commercial |
$5.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.32
|
| Rate for Payer: Mclaren Medicaid |
$1.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.51
|
| Rate for Payer: Meridian Medicaid |
$1.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.66
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.90
|
| Rate for Payer: Nomi Health Commercial |
$4.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.32
|
| Rate for Payer: PACE Senior Care Partners |
$1.37
|
| Rate for Payer: PACE SWMI |
$1.44
|
| Rate for Payer: PHP Commercial |
$4.90
|
| Rate for Payer: PHP Medicare Advantage |
$1.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.01
|
| Rate for Payer: Priority Health Medicare |
$1.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.01
|
| Rate for Payer: Railroad Medicare Medicare |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.07
|
| Rate for Payer: UHC Core |
$4.81
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Medicaid |
$1.02
|
| Rate for Payer: UHC Medicare Advantage |
$1.44
|
| Rate for Payer: UHCCP Medicaid |
$1.02
|
| Rate for Payer: VA VA |
$1.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.32
|
|
|
MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$5.76
|
|
|
Service Code
|
NDC 60687042945
|
| Hospital Charge Code |
108978
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.01 |
| Max. Negotiated Rate |
$5.18 |
| Rate for Payer: Aetna Commercial |
$4.90
|
| Rate for Payer: BCBS Trust/PPO |
$4.76
|
| Rate for Payer: BCN Commercial |
$4.76
|
| Rate for Payer: Cash Price |
$4.61
|
| Rate for Payer: Cofinity Commercial |
$4.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.61
|
| Rate for Payer: Healthscope Commercial |
$5.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.90
|
| Rate for Payer: Nomi Health Commercial |
$4.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.32
|
| Rate for Payer: PHP Commercial |
$4.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.07
|
| Rate for Payer: UHC Core |
$4.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.32
|
|
|
MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET
|
Facility
|
IP
|
$256.00
|
|
|
Service Code
|
NDC 10006070028
|
| Hospital Charge Code |
10491
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$178.18 |
| Max. Negotiated Rate |
$230.40 |
| Rate for Payer: Aetna Commercial |
$217.60
|
| Rate for Payer: BCBS Trust/PPO |
$211.43
|
| Rate for Payer: BCN Commercial |
$211.43
|
| Rate for Payer: Cash Price |
$204.80
|
| Rate for Payer: Cofinity Commercial |
$220.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$204.80
|
| Rate for Payer: Healthscope Commercial |
$230.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$192.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$217.60
|
| Rate for Payer: Nomi Health Commercial |
$209.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$192.00
|
| Rate for Payer: PHP Commercial |
$217.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$222.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$178.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$225.28
|
| Rate for Payer: UHC Core |
$213.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$192.00
|
|
