|
METHYLPHENIDATE 5 MG TABLET
|
Facility
|
IP
|
$295.78
|
|
|
Service Code
|
NDC 68084080521
|
| Hospital Charge Code |
4988
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$205.86 |
| Max. Negotiated Rate |
$266.20 |
| Rate for Payer: Aetna Commercial |
$251.41
|
| Rate for Payer: BCBS Trust/PPO |
$244.28
|
| Rate for Payer: BCN Commercial |
$244.28
|
| Rate for Payer: Cash Price |
$236.62
|
| Rate for Payer: Cofinity Commercial |
$254.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.62
|
| Rate for Payer: Healthscope Commercial |
$266.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$221.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.41
|
| Rate for Payer: Nomi Health Commercial |
$242.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$221.84
|
| Rate for Payer: PHP Commercial |
$251.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.29
|
| Rate for Payer: UHC Core |
$246.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$221.84
|
|
|
METHYLPHENIDATE 5 MG TABLET
|
Facility
|
OP
|
$295.78
|
|
|
Service Code
|
NDC 68084080521
|
| Hospital Charge Code |
4988
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.15 |
| Max. Negotiated Rate |
$266.20 |
| Rate for Payer: Aetna Commercial |
$251.41
|
| Rate for Payer: Aetna Medicare |
$76.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92.43
|
| Rate for Payer: BCBS Complete |
$54.75
|
| Rate for Payer: BCBS MAPPO |
$73.94
|
| Rate for Payer: BCBS Trust/PPO |
$243.16
|
| Rate for Payer: BCN Commercial |
$243.16
|
| Rate for Payer: BCN Medicare Advantage |
$73.94
|
| Rate for Payer: Cash Price |
$236.62
|
| Rate for Payer: Cofinity Commercial |
$254.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$236.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$73.94
|
| Rate for Payer: Healthscope Commercial |
$266.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$221.84
|
| Rate for Payer: Mclaren Medicaid |
$52.15
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.64
|
| Rate for Payer: Meridian Medicaid |
$54.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.04
|
| Rate for Payer: Molina Medicare/Medicaid |
$81.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.41
|
| Rate for Payer: Nomi Health Commercial |
$242.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$221.84
|
| Rate for Payer: PACE Senior Care Partners |
$70.25
|
| Rate for Payer: PACE SWMI |
$73.94
|
| Rate for Payer: PHP Commercial |
$251.41
|
| Rate for Payer: PHP Medicare Advantage |
$73.94
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.33
|
| Rate for Payer: Priority Health Medicare |
$74.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$205.86
|
| Rate for Payer: Railroad Medicare Medicare |
$73.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.29
|
| Rate for Payer: UHC Core |
$246.98
|
| Rate for Payer: UHC Exchange |
$73.94
|
| Rate for Payer: UHC Medicaid |
$52.15
|
| Rate for Payer: UHC Medicare Advantage |
$73.94
|
| Rate for Payer: UHCCP Medicaid |
$52.15
|
| Rate for Payer: VA VA |
$73.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$221.84
|
|
|
METHYLPHENIDATE 5 MG TABLET
|
Facility
|
OP
|
$320.25
|
|
|
Service Code
|
NDC 00406114201
|
| Hospital Charge Code |
4988
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$56.46 |
| Max. Negotiated Rate |
$288.23 |
| Rate for Payer: Aetna Commercial |
$272.21
|
| Rate for Payer: Aetna Medicare |
$83.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.08
|
| Rate for Payer: BCBS Complete |
$59.28
|
| Rate for Payer: BCBS MAPPO |
$80.06
|
| Rate for Payer: BCBS Trust/PPO |
$263.28
|
| Rate for Payer: BCN Commercial |
$263.28
|
| Rate for Payer: BCN Medicare Advantage |
$80.06
|
| Rate for Payer: Cash Price |
$256.20
|
| Rate for Payer: Cofinity Commercial |
$275.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$256.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.06
|
| Rate for Payer: Healthscope Commercial |
$288.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$240.19
|
| Rate for Payer: Mclaren Medicaid |
$56.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.07
|
| Rate for Payer: Meridian Medicaid |
$59.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.07
|
| Rate for Payer: Molina Medicare/Medicaid |
$88.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$272.21
|
| Rate for Payer: Nomi Health Commercial |
$262.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$240.19
|
| Rate for Payer: PACE Senior Care Partners |
$76.06
|
| Rate for Payer: PACE SWMI |
$80.06
|
| Rate for Payer: PHP Commercial |
$272.21
|
| Rate for Payer: PHP Medicare Advantage |
$80.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.62
|
| Rate for Payer: Priority Health Medicare |
$80.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.89
|
| Rate for Payer: Railroad Medicare Medicare |
$80.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.82
|
| Rate for Payer: UHC Core |
$267.41
|
| Rate for Payer: UHC Exchange |
$80.06
|
| Rate for Payer: UHC Medicaid |
$56.46
|
| Rate for Payer: UHC Medicare Advantage |
$80.06
|
| Rate for Payer: UHCCP Medicaid |
$56.46
|
| Rate for Payer: VA VA |
$80.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$240.19
|
|
|
METHYLPHENIDATE 5 MG TABLET
|
Facility
|
IP
|
$9.86
|
|
|
Service Code
|
NDC 68084080511
|
| Hospital Charge Code |
4988
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$6.86 |
| Max. Negotiated Rate |
$8.87 |
| Rate for Payer: Aetna Commercial |
$8.38
|
| Rate for Payer: BCBS Trust/PPO |
$8.14
|
| Rate for Payer: BCN Commercial |
$8.14
|
| Rate for Payer: Cash Price |
$7.89
|
| Rate for Payer: Cofinity Commercial |
$8.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.89
|
| Rate for Payer: Healthscope Commercial |
$8.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.38
|
| Rate for Payer: Nomi Health Commercial |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.39
|
| Rate for Payer: PHP Commercial |
$8.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.58
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.68
|
| Rate for Payer: UHC Core |
$8.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.39
|
|
|
METHYLPHENIDATE 5 MG TABLET
|
Facility
|
IP
|
$320.25
|
|
|
Service Code
|
NDC 00406114201
|
| Hospital Charge Code |
4988
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$222.89 |
| Max. Negotiated Rate |
$288.23 |
| Rate for Payer: Aetna Commercial |
$272.21
|
| Rate for Payer: BCBS Trust/PPO |
$264.49
|
| Rate for Payer: BCN Commercial |
$264.49
|
| Rate for Payer: Cash Price |
$256.20
|
| Rate for Payer: Cofinity Commercial |
$275.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$256.20
|
| Rate for Payer: Healthscope Commercial |
$288.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$240.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$272.21
|
| Rate for Payer: Nomi Health Commercial |
$262.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$240.19
|
| Rate for Payer: PHP Commercial |
$272.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$278.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$222.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$281.82
|
| Rate for Payer: UHC Core |
$267.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$240.19
|
|
|
METHYLPHENIDATE 5 MG TABLET
|
Facility
|
OP
|
$9.86
|
|
|
Service Code
|
NDC 68084080511
|
| Hospital Charge Code |
4988
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.74 |
| Max. Negotiated Rate |
$8.87 |
| Rate for Payer: Aetna Commercial |
$8.38
|
| Rate for Payer: Aetna Medicare |
$2.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.08
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.08
|
| Rate for Payer: BCBS Complete |
$1.83
|
| Rate for Payer: BCBS MAPPO |
$2.46
|
| Rate for Payer: BCBS Trust/PPO |
$8.11
|
| Rate for Payer: BCN Commercial |
$8.11
|
| Rate for Payer: BCN Medicare Advantage |
$2.46
|
| Rate for Payer: Cash Price |
$7.89
|
| Rate for Payer: Cofinity Commercial |
$8.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.89
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.46
|
| Rate for Payer: Healthscope Commercial |
$8.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.39
|
| Rate for Payer: Mclaren Medicaid |
$1.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.59
|
| Rate for Payer: Meridian Medicaid |
$1.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.38
|
| Rate for Payer: Nomi Health Commercial |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.39
|
| Rate for Payer: PACE Senior Care Partners |
$2.34
|
| Rate for Payer: PACE SWMI |
$2.46
|
| Rate for Payer: PHP Commercial |
$8.38
|
| Rate for Payer: PHP Medicare Advantage |
$2.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$8.58
|
| Rate for Payer: Priority Health Medicare |
$2.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$6.86
|
| Rate for Payer: Railroad Medicare Medicare |
$2.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$8.68
|
| Rate for Payer: UHC Core |
$8.23
|
| Rate for Payer: UHC Exchange |
$2.46
|
| Rate for Payer: UHC Medicaid |
$1.74
|
| Rate for Payer: UHC Medicare Advantage |
$2.46
|
| Rate for Payer: UHCCP Medicaid |
$1.74
|
| Rate for Payer: VA VA |
$2.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.39
|
|
|
METHYLPHENIDATE 5 MG TABLET
|
Facility
|
OP
|
$189.00
|
|
|
Service Code
|
NDC 10702010001
|
| Hospital Charge Code |
4988
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$33.32 |
| Max. Negotiated Rate |
$170.10 |
| Rate for Payer: Aetna Commercial |
$160.65
|
| Rate for Payer: Aetna Medicare |
$49.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59.06
|
| Rate for Payer: BCBS Complete |
$34.98
|
| Rate for Payer: BCBS MAPPO |
$47.25
|
| Rate for Payer: BCBS Trust/PPO |
$155.38
|
| Rate for Payer: BCN Commercial |
$155.38
|
| Rate for Payer: BCN Medicare Advantage |
$47.25
|
| Rate for Payer: Cash Price |
$151.20
|
| Rate for Payer: Cofinity Commercial |
$162.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.25
|
| Rate for Payer: Healthscope Commercial |
$170.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.75
|
| Rate for Payer: Mclaren Medicaid |
$33.32
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$49.61
|
| Rate for Payer: Meridian Medicaid |
$34.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$51.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160.65
|
| Rate for Payer: Nomi Health Commercial |
$154.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.75
|
| Rate for Payer: PACE Senior Care Partners |
$44.89
|
| Rate for Payer: PACE SWMI |
$47.25
|
| Rate for Payer: PHP Commercial |
$160.65
|
| Rate for Payer: PHP Medicare Advantage |
$47.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$164.43
|
| Rate for Payer: Priority Health Medicare |
$47.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$131.54
|
| Rate for Payer: Railroad Medicare Medicare |
$47.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$166.32
|
| Rate for Payer: UHC Core |
$157.81
|
| Rate for Payer: UHC Exchange |
$47.25
|
| Rate for Payer: UHC Medicaid |
$33.32
|
| Rate for Payer: UHC Medicare Advantage |
$47.25
|
| Rate for Payer: UHCCP Medicaid |
$33.32
|
| Rate for Payer: VA VA |
$47.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.75
|
|
|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
OP
|
$282.15
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$49.74 |
| Max. Negotiated Rate |
$253.94 |
| Rate for Payer: Aetna Commercial |
$239.83
|
| Rate for Payer: Aetna Commercial |
$543.86
|
| Rate for Payer: Aetna Commercial |
$240.63
|
| Rate for Payer: Aetna Medicare |
$166.36
|
| Rate for Payer: Aetna Medicare |
$73.36
|
| Rate for Payer: Aetna Medicare |
$73.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$199.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$88.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$88.17
|
| Rate for Payer: Amish Plain Church Group Commercial |
$199.95
|
| Rate for Payer: BCBS Complete |
$52.40
|
| Rate for Payer: BCBS Complete |
$52.23
|
| Rate for Payer: BCBS Complete |
$118.43
|
| Rate for Payer: BCBS MAPPO |
$159.96
|
| Rate for Payer: BCBS MAPPO |
$70.54
|
| Rate for Payer: BCBS MAPPO |
$70.78
|
| Rate for Payer: BCBS Trust/PPO |
$231.96
|
| Rate for Payer: BCBS Trust/PPO |
$232.74
|
| Rate for Payer: BCBS Trust/PPO |
$526.01
|
| Rate for Payer: BCN Commercial |
$232.74
|
| Rate for Payer: BCN Commercial |
$526.01
|
| Rate for Payer: BCN Commercial |
$231.96
|
| Rate for Payer: BCN Medicare Advantage |
$159.96
|
| Rate for Payer: BCN Medicare Advantage |
$70.78
|
| Rate for Payer: BCN Medicare Advantage |
$70.54
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$225.72
|
| Rate for Payer: Cofinity Commercial |
$242.65
|
| Rate for Payer: Cofinity Commercial |
$243.47
|
| Rate for Payer: Cofinity Commercial |
$550.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.54
|
| Rate for Payer: Healthscope Commercial |
$254.79
|
| Rate for Payer: Healthscope Commercial |
$253.94
|
| Rate for Payer: Healthscope Commercial |
$575.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.32
|
| Rate for Payer: Mclaren Medicaid |
$49.74
|
| Rate for Payer: Mclaren Medicaid |
$112.80
|
| Rate for Payer: Mclaren Medicaid |
$49.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$74.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.96
|
| Rate for Payer: Meridian Medicaid |
$118.43
|
| Rate for Payer: Meridian Medicaid |
$52.23
|
| Rate for Payer: Meridian Medicaid |
$52.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$81.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$183.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$175.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.85
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.63
|
| Rate for Payer: Nomi Health Commercial |
$524.67
|
| Rate for Payer: Nomi Health Commercial |
$232.14
|
| Rate for Payer: Nomi Health Commercial |
$231.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$211.61
|
| Rate for Payer: PACE Senior Care Partners |
$67.24
|
| Rate for Payer: PACE Senior Care Partners |
$67.01
|
| Rate for Payer: PACE Senior Care Partners |
$151.96
|
| Rate for Payer: PACE SWMI |
$159.96
|
| Rate for Payer: PACE SWMI |
$70.78
|
| Rate for Payer: PACE SWMI |
$70.54
|
| Rate for Payer: PHP Commercial |
$239.83
|
| Rate for Payer: PHP Commercial |
$543.86
|
| Rate for Payer: PHP Commercial |
$240.63
|
| Rate for Payer: PHP Medicare Advantage |
$70.78
|
| Rate for Payer: PHP Medicare Advantage |
$70.54
|
| Rate for Payer: PHP Medicare Advantage |
$159.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.80
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$246.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$245.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$556.66
|
| Rate for Payer: Priority Health Medicare |
$161.56
|
| Rate for Payer: Priority Health Medicare |
$71.48
|
| Rate for Payer: Priority Health Medicare |
$71.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$445.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.38
|
| Rate for Payer: Railroad Medicare Medicare |
$70.78
|
| Rate for Payer: Railroad Medicare Medicare |
$159.96
|
| Rate for Payer: Railroad Medicare Medicare |
$70.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$563.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$248.29
|
| Rate for Payer: UHC Core |
$235.60
|
| Rate for Payer: UHC Core |
$534.27
|
| Rate for Payer: UHC Core |
$236.39
|
| Rate for Payer: UHC Exchange |
$159.96
|
| Rate for Payer: UHC Exchange |
$70.78
|
| Rate for Payer: UHC Exchange |
$70.54
|
| Rate for Payer: UHC Medicaid |
$49.74
|
| Rate for Payer: UHC Medicaid |
$112.80
|
| Rate for Payer: UHC Medicaid |
$49.91
|
| Rate for Payer: UHC Medicare Advantage |
$70.78
|
| Rate for Payer: UHC Medicare Advantage |
$70.54
|
| Rate for Payer: UHC Medicare Advantage |
$159.96
|
| Rate for Payer: UHCCP Medicaid |
$49.91
|
| Rate for Payer: UHCCP Medicaid |
$49.74
|
| Rate for Payer: UHCCP Medicaid |
$112.80
|
| Rate for Payer: VA VA |
$70.54
|
| Rate for Payer: VA VA |
$159.96
|
| Rate for Payer: VA VA |
$70.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.88
|
|
|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
IP
|
$282.15
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$196.38 |
| Max. Negotiated Rate |
$253.94 |
| Rate for Payer: Aetna Commercial |
$239.83
|
| Rate for Payer: Aetna Commercial |
$240.63
|
| Rate for Payer: Aetna Commercial |
$543.86
|
| Rate for Payer: BCBS Trust/PPO |
$233.81
|
| Rate for Payer: BCBS Trust/PPO |
$233.03
|
| Rate for Payer: BCBS Trust/PPO |
$528.44
|
| Rate for Payer: BCN Commercial |
$233.81
|
| Rate for Payer: BCN Commercial |
$233.03
|
| Rate for Payer: BCN Commercial |
$528.44
|
| Rate for Payer: Cash Price |
$225.72
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cofinity Commercial |
$550.26
|
| Rate for Payer: Cofinity Commercial |
$243.47
|
| Rate for Payer: Cofinity Commercial |
$242.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$225.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.87
|
| Rate for Payer: Healthscope Commercial |
$254.79
|
| Rate for Payer: Healthscope Commercial |
$253.94
|
| Rate for Payer: Healthscope Commercial |
$575.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$211.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.86
|
| Rate for Payer: Nomi Health Commercial |
$231.36
|
| Rate for Payer: Nomi Health Commercial |
$232.14
|
| Rate for Payer: Nomi Health Commercial |
$524.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$211.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.88
|
| Rate for Payer: PHP Commercial |
$239.83
|
| Rate for Payer: PHP Commercial |
$543.86
|
| Rate for Payer: PHP Commercial |
$240.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$556.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$246.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$245.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$197.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$445.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$196.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$563.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$249.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$248.29
|
| Rate for Payer: UHC Core |
$235.60
|
| Rate for Payer: UHC Core |
$534.27
|
| Rate for Payer: UHC Core |
$236.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$211.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.32
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
IP
|
$33.57
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4995
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$23.36 |
| Max. Negotiated Rate |
$30.21 |
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Commercial |
$22.96
|
| Rate for Payer: Aetna Commercial |
$30.61
|
| Rate for Payer: BCBS Trust/PPO |
$27.73
|
| Rate for Payer: BCBS Trust/PPO |
$29.74
|
| Rate for Payer: BCBS Trust/PPO |
$27.72
|
| Rate for Payer: BCBS Trust/PPO |
$22.31
|
| Rate for Payer: BCN Commercial |
$27.73
|
| Rate for Payer: BCN Commercial |
$22.31
|
| Rate for Payer: BCN Commercial |
$29.74
|
| Rate for Payer: BCN Commercial |
$27.72
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cash Price |
$26.86
|
| Rate for Payer: Cash Price |
$28.81
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cofinity Commercial |
$23.23
|
| Rate for Payer: Cofinity Commercial |
$30.97
|
| Rate for Payer: Cofinity Commercial |
$28.87
|
| Rate for Payer: Cofinity Commercial |
$28.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.81
|
| Rate for Payer: Healthscope Commercial |
$32.41
|
| Rate for Payer: Healthscope Commercial |
$30.20
|
| Rate for Payer: Healthscope Commercial |
$30.21
|
| Rate for Payer: Healthscope Commercial |
$24.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.61
|
| Rate for Payer: Nomi Health Commercial |
$22.15
|
| Rate for Payer: Nomi Health Commercial |
$27.52
|
| Rate for Payer: Nomi Health Commercial |
$29.53
|
| Rate for Payer: Nomi Health Commercial |
$27.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.01
|
| Rate for Payer: PHP Commercial |
$30.61
|
| Rate for Payer: PHP Commercial |
$22.96
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.54
|
| Rate for Payer: UHC Core |
$28.03
|
| Rate for Payer: UHC Core |
$30.07
|
| Rate for Payer: UHC Core |
$28.02
|
| Rate for Payer: UHC Core |
$22.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.18
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
OP
|
$27.01
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4995
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.76 |
| Max. Negotiated Rate |
$24.31 |
| Rate for Payer: Aetna Commercial |
$22.96
|
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Commercial |
$30.61
|
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Medicare |
$8.73
|
| Rate for Payer: Aetna Medicare |
$7.02
|
| Rate for Payer: Aetna Medicare |
$8.73
|
| Rate for Payer: Aetna Medicare |
$9.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.49
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$11.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$11.25
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.49
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.44
|
| Rate for Payer: BCBS Complete |
$6.67
|
| Rate for Payer: BCBS Complete |
$6.21
|
| Rate for Payer: BCBS Complete |
$5.00
|
| Rate for Payer: BCBS Complete |
$6.21
|
| Rate for Payer: BCBS MAPPO |
$6.75
|
| Rate for Payer: BCBS MAPPO |
$8.39
|
| Rate for Payer: BCBS MAPPO |
$9.00
|
| Rate for Payer: BCBS MAPPO |
$8.39
|
| Rate for Payer: BCBS Trust/PPO |
$27.60
|
| Rate for Payer: BCBS Trust/PPO |
$22.20
|
| Rate for Payer: BCBS Trust/PPO |
$29.60
|
| Rate for Payer: BCBS Trust/PPO |
$27.59
|
| Rate for Payer: BCN Commercial |
$27.60
|
| Rate for Payer: BCN Commercial |
$29.60
|
| Rate for Payer: BCN Commercial |
$27.59
|
| Rate for Payer: BCN Commercial |
$22.20
|
| Rate for Payer: BCN Medicare Advantage |
$8.39
|
| Rate for Payer: BCN Medicare Advantage |
$8.39
|
| Rate for Payer: BCN Medicare Advantage |
$9.00
|
| Rate for Payer: BCN Medicare Advantage |
$6.75
|
| Rate for Payer: Cash Price |
$28.81
|
| Rate for Payer: Cash Price |
$26.86
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cofinity Commercial |
$28.86
|
| Rate for Payer: Cofinity Commercial |
$23.23
|
| Rate for Payer: Cofinity Commercial |
$28.87
|
| Rate for Payer: Cofinity Commercial |
$30.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.85
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$9.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.39
|
| Rate for Payer: Healthscope Commercial |
$24.31
|
| Rate for Payer: Healthscope Commercial |
$32.41
|
| Rate for Payer: Healthscope Commercial |
$30.21
|
| Rate for Payer: Healthscope Commercial |
$30.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.26
|
| Rate for Payer: Mclaren Medicaid |
$5.92
|
| Rate for Payer: Mclaren Medicaid |
$5.92
|
| Rate for Payer: Mclaren Medicaid |
$4.76
|
| Rate for Payer: Mclaren Medicaid |
$6.35
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.09
|
| Rate for Payer: Meridian Medicaid |
$5.00
|
| Rate for Payer: Meridian Medicaid |
$6.21
|
| Rate for Payer: Meridian Medicaid |
$6.67
|
| Rate for Payer: Meridian Medicaid |
$6.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.43
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.61
|
| Rate for Payer: Nomi Health Commercial |
$27.53
|
| Rate for Payer: Nomi Health Commercial |
$22.15
|
| Rate for Payer: Nomi Health Commercial |
$27.52
|
| Rate for Payer: Nomi Health Commercial |
$29.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.26
|
| Rate for Payer: PACE Senior Care Partners |
$7.97
|
| Rate for Payer: PACE Senior Care Partners |
$8.55
|
| Rate for Payer: PACE Senior Care Partners |
$6.41
|
| Rate for Payer: PACE Senior Care Partners |
$7.97
|
| Rate for Payer: PACE SWMI |
$6.75
|
| Rate for Payer: PACE SWMI |
$9.00
|
| Rate for Payer: PACE SWMI |
$8.39
|
| Rate for Payer: PACE SWMI |
$8.39
|
| Rate for Payer: PHP Commercial |
$22.96
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: PHP Commercial |
$30.61
|
| Rate for Payer: PHP Medicare Advantage |
$6.75
|
| Rate for Payer: PHP Medicare Advantage |
$9.00
|
| Rate for Payer: PHP Medicare Advantage |
$8.39
|
| Rate for Payer: PHP Medicare Advantage |
$8.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$31.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.50
|
| Rate for Payer: Priority Health Medicare |
$8.47
|
| Rate for Payer: Priority Health Medicare |
$6.82
|
| Rate for Payer: Priority Health Medicare |
$8.48
|
| Rate for Payer: Priority Health Medicare |
$9.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$25.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.80
|
| Rate for Payer: Railroad Medicare Medicare |
$8.39
|
| Rate for Payer: Railroad Medicare Medicare |
$6.75
|
| Rate for Payer: Railroad Medicare Medicare |
$9.00
|
| Rate for Payer: Railroad Medicare Medicare |
$8.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$31.69
|
| Rate for Payer: UHC Core |
$22.55
|
| Rate for Payer: UHC Core |
$28.03
|
| Rate for Payer: UHC Core |
$28.02
|
| Rate for Payer: UHC Core |
$30.07
|
| Rate for Payer: UHC Exchange |
$8.39
|
| Rate for Payer: UHC Exchange |
$8.39
|
| Rate for Payer: UHC Exchange |
$9.00
|
| Rate for Payer: UHC Exchange |
$6.75
|
| Rate for Payer: UHC Medicaid |
$4.76
|
| Rate for Payer: UHC Medicaid |
$5.92
|
| Rate for Payer: UHC Medicaid |
$5.92
|
| Rate for Payer: UHC Medicaid |
$6.35
|
| Rate for Payer: UHC Medicare Advantage |
$8.39
|
| Rate for Payer: UHC Medicare Advantage |
$6.75
|
| Rate for Payer: UHC Medicare Advantage |
$9.00
|
| Rate for Payer: UHC Medicare Advantage |
$8.39
|
| Rate for Payer: UHCCP Medicaid |
$5.92
|
| Rate for Payer: UHCCP Medicaid |
$6.35
|
| Rate for Payer: UHCCP Medicaid |
$5.92
|
| Rate for Payer: UHCCP Medicaid |
$4.76
|
| Rate for Payer: VA VA |
$6.75
|
| Rate for Payer: VA VA |
$9.00
|
| Rate for Payer: VA VA |
$8.39
|
| Rate for Payer: VA VA |
$8.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.01
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
OP
|
$85.57
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15.09 |
| Max. Negotiated Rate |
$77.01 |
| Rate for Payer: Aetna Commercial |
$72.73
|
| Rate for Payer: Aetna Commercial |
$49.86
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Commercial |
$50.31
|
| Rate for Payer: Aetna Commercial |
$294.09
|
| Rate for Payer: Aetna Commercial |
$22.97
|
| Rate for Payer: Aetna Medicare |
$15.25
|
| Rate for Payer: Aetna Medicare |
$7.03
|
| Rate for Payer: Aetna Medicare |
$6.73
|
| Rate for Payer: Aetna Medicare |
$22.25
|
| Rate for Payer: Aetna Medicare |
$89.96
|
| Rate for Payer: Aetna Medicare |
$15.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$108.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$26.74
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$18.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$26.74
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$108.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$18.33
|
| Rate for Payer: BCBS Complete |
$64.04
|
| Rate for Payer: BCBS Complete |
$10.96
|
| Rate for Payer: BCBS Complete |
$5.00
|
| Rate for Payer: BCBS Complete |
$4.79
|
| Rate for Payer: BCBS Complete |
$15.84
|
| Rate for Payer: BCBS Complete |
$10.86
|
| Rate for Payer: BCBS MAPPO |
$14.66
|
| Rate for Payer: BCBS MAPPO |
$21.39
|
| Rate for Payer: BCBS MAPPO |
$14.80
|
| Rate for Payer: BCBS MAPPO |
$6.75
|
| Rate for Payer: BCBS MAPPO |
$6.47
|
| Rate for Payer: BCBS MAPPO |
$86.50
|
| Rate for Payer: BCBS Trust/PPO |
$21.29
|
| Rate for Payer: BCBS Trust/PPO |
$48.66
|
| Rate for Payer: BCBS Trust/PPO |
$22.21
|
| Rate for Payer: BCBS Trust/PPO |
$284.44
|
| Rate for Payer: BCBS Trust/PPO |
$48.22
|
| Rate for Payer: BCBS Trust/PPO |
$70.35
|
| Rate for Payer: BCN Commercial |
$284.44
|
| Rate for Payer: BCN Commercial |
$48.22
|
| Rate for Payer: BCN Commercial |
$21.29
|
| Rate for Payer: BCN Commercial |
$22.21
|
| Rate for Payer: BCN Commercial |
$48.66
|
| Rate for Payer: BCN Commercial |
$70.35
|
| Rate for Payer: BCN Medicare Advantage |
$14.80
|
| Rate for Payer: BCN Medicare Advantage |
$21.39
|
| Rate for Payer: BCN Medicare Advantage |
$86.50
|
| Rate for Payer: BCN Medicare Advantage |
$6.47
|
| Rate for Payer: BCN Medicare Advantage |
$14.66
|
| Rate for Payer: BCN Medicare Advantage |
$6.75
|
| Rate for Payer: Cash Price |
$46.93
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$21.62
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cash Price |
$47.35
|
| Rate for Payer: Cash Price |
$276.79
|
| Rate for Payer: Cofinity Commercial |
$50.45
|
| Rate for Payer: Cofinity Commercial |
$297.55
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Cofinity Commercial |
$23.24
|
| Rate for Payer: Cofinity Commercial |
$73.59
|
| Rate for Payer: Cofinity Commercial |
$50.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$276.79
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$86.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.66
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$14.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.47
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.75
|
| Rate for Payer: Healthscope Commercial |
$52.79
|
| Rate for Payer: Healthscope Commercial |
$77.01
|
| Rate for Payer: Healthscope Commercial |
$311.39
|
| Rate for Payer: Healthscope Commercial |
$24.32
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$53.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$259.49
|
| Rate for Payer: Mclaren Medicaid |
$4.76
|
| Rate for Payer: Mclaren Medicaid |
$4.57
|
| Rate for Payer: Mclaren Medicaid |
$61.00
|
| Rate for Payer: Mclaren Medicaid |
$10.34
|
| Rate for Payer: Mclaren Medicaid |
$10.44
|
| Rate for Payer: Mclaren Medicaid |
$15.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$15.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.80
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$90.82
|
| Rate for Payer: Meridian Medicaid |
$10.96
|
| Rate for Payer: Meridian Medicaid |
$15.84
|
| Rate for Payer: Meridian Medicaid |
$5.00
|
| Rate for Payer: Meridian Medicaid |
$4.79
|
| Rate for Payer: Meridian Medicaid |
$64.04
|
| Rate for Payer: Meridian Medicaid |
$10.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$99.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.12
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$95.15
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.13
|
| Rate for Payer: Molina Medicare/Medicaid |
$23.53
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$294.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.73
|
| Rate for Payer: Nomi Health Commercial |
$283.71
|
| Rate for Payer: Nomi Health Commercial |
$48.10
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Nomi Health Commercial |
$48.54
|
| Rate for Payer: Nomi Health Commercial |
$70.17
|
| Rate for Payer: Nomi Health Commercial |
$22.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$259.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.27
|
| Rate for Payer: PACE Senior Care Partners |
$82.17
|
| Rate for Payer: PACE Senior Care Partners |
$6.42
|
| Rate for Payer: PACE Senior Care Partners |
$13.93
|
| Rate for Payer: PACE Senior Care Partners |
$14.06
|
| Rate for Payer: PACE Senior Care Partners |
$6.15
|
| Rate for Payer: PACE Senior Care Partners |
$20.32
|
| Rate for Payer: PACE SWMI |
$6.75
|
| Rate for Payer: PACE SWMI |
$14.66
|
| Rate for Payer: PACE SWMI |
$21.39
|
| Rate for Payer: PACE SWMI |
$6.47
|
| Rate for Payer: PACE SWMI |
$14.80
|
| Rate for Payer: PACE SWMI |
$86.50
|
| Rate for Payer: PHP Commercial |
$294.09
|
| Rate for Payer: PHP Commercial |
$22.97
|
| Rate for Payer: PHP Commercial |
$49.86
|
| Rate for Payer: PHP Commercial |
$50.31
|
| Rate for Payer: PHP Commercial |
$72.73
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Medicare Advantage |
$21.39
|
| Rate for Payer: PHP Medicare Advantage |
$6.75
|
| Rate for Payer: PHP Medicare Advantage |
$14.80
|
| Rate for Payer: PHP Medicare Advantage |
$6.47
|
| Rate for Payer: PHP Medicare Advantage |
$14.66
|
| Rate for Payer: PHP Medicare Advantage |
$86.50
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$15.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$61.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$301.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$74.45
|
| Rate for Payer: Priority Health Medicare |
$6.54
|
| Rate for Payer: Priority Health Medicare |
$21.61
|
| Rate for Payer: Priority Health Medicare |
$6.82
|
| Rate for Payer: Priority Health Medicare |
$14.81
|
| Rate for Payer: Priority Health Medicare |
$87.36
|
| Rate for Payer: Priority Health Medicare |
$14.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$240.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.83
|
| Rate for Payer: Railroad Medicare Medicare |
$6.47
|
| Rate for Payer: Railroad Medicare Medicare |
$14.80
|
| Rate for Payer: Railroad Medicare Medicare |
$14.66
|
| Rate for Payer: Railroad Medicare Medicare |
$6.75
|
| Rate for Payer: Railroad Medicare Medicare |
$86.50
|
| Rate for Payer: Railroad Medicare Medicare |
$21.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$304.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC Core |
$288.90
|
| Rate for Payer: UHC Core |
$49.42
|
| Rate for Payer: UHC Core |
$48.98
|
| Rate for Payer: UHC Core |
$71.45
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: UHC Core |
$22.56
|
| Rate for Payer: UHC Exchange |
$6.75
|
| Rate for Payer: UHC Exchange |
$6.47
|
| Rate for Payer: UHC Exchange |
$14.66
|
| Rate for Payer: UHC Exchange |
$86.50
|
| Rate for Payer: UHC Exchange |
$14.80
|
| Rate for Payer: UHC Exchange |
$21.39
|
| Rate for Payer: UHC Medicaid |
$10.44
|
| Rate for Payer: UHC Medicaid |
$10.34
|
| Rate for Payer: UHC Medicaid |
$4.76
|
| Rate for Payer: UHC Medicaid |
$61.00
|
| Rate for Payer: UHC Medicaid |
$4.57
|
| Rate for Payer: UHC Medicaid |
$15.09
|
| Rate for Payer: UHC Medicare Advantage |
$6.75
|
| Rate for Payer: UHC Medicare Advantage |
$14.80
|
| Rate for Payer: UHC Medicare Advantage |
$14.66
|
| Rate for Payer: UHC Medicare Advantage |
$86.50
|
| Rate for Payer: UHC Medicare Advantage |
$6.47
|
| Rate for Payer: UHC Medicare Advantage |
$21.39
|
| Rate for Payer: UHCCP Medicaid |
$10.44
|
| Rate for Payer: UHCCP Medicaid |
$10.34
|
| Rate for Payer: UHCCP Medicaid |
$61.00
|
| Rate for Payer: UHCCP Medicaid |
$4.76
|
| Rate for Payer: UHCCP Medicaid |
$4.57
|
| Rate for Payer: UHCCP Medicaid |
$15.09
|
| Rate for Payer: VA VA |
$86.50
|
| Rate for Payer: VA VA |
$6.75
|
| Rate for Payer: VA VA |
$14.80
|
| Rate for Payer: VA VA |
$14.66
|
| Rate for Payer: VA VA |
$6.47
|
| Rate for Payer: VA VA |
$21.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$259.49
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
IP
|
$85.57
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$59.56 |
| Max. Negotiated Rate |
$77.01 |
| Rate for Payer: Aetna Commercial |
$72.73
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Commercial |
$294.09
|
| Rate for Payer: Aetna Commercial |
$22.97
|
| Rate for Payer: Aetna Commercial |
$49.86
|
| Rate for Payer: Aetna Commercial |
$50.31
|
| Rate for Payer: BCBS Trust/PPO |
$70.67
|
| Rate for Payer: BCBS Trust/PPO |
$48.45
|
| Rate for Payer: BCBS Trust/PPO |
$48.89
|
| Rate for Payer: BCBS Trust/PPO |
$22.32
|
| Rate for Payer: BCBS Trust/PPO |
$21.39
|
| Rate for Payer: BCBS Trust/PPO |
$285.75
|
| Rate for Payer: BCN Commercial |
$48.89
|
| Rate for Payer: BCN Commercial |
$48.45
|
| Rate for Payer: BCN Commercial |
$21.39
|
| Rate for Payer: BCN Commercial |
$285.75
|
| Rate for Payer: BCN Commercial |
$70.67
|
| Rate for Payer: BCN Commercial |
$22.32
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cash Price |
$21.62
|
| Rate for Payer: Cash Price |
$276.79
|
| Rate for Payer: Cash Price |
$46.93
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$47.35
|
| Rate for Payer: Cofinity Commercial |
$50.90
|
| Rate for Payer: Cofinity Commercial |
$23.24
|
| Rate for Payer: Cofinity Commercial |
$297.55
|
| Rate for Payer: Cofinity Commercial |
$50.45
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Cofinity Commercial |
$73.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$276.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.46
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$24.32
|
| Rate for Payer: Healthscope Commercial |
$53.27
|
| Rate for Payer: Healthscope Commercial |
$77.01
|
| Rate for Payer: Healthscope Commercial |
$52.79
|
| Rate for Payer: Healthscope Commercial |
$311.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$44.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$259.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$294.09
|
| Rate for Payer: Nomi Health Commercial |
$48.54
|
| Rate for Payer: Nomi Health Commercial |
$21.24
|
| Rate for Payer: Nomi Health Commercial |
$22.16
|
| Rate for Payer: Nomi Health Commercial |
$48.10
|
| Rate for Payer: Nomi Health Commercial |
$283.71
|
| Rate for Payer: Nomi Health Commercial |
$70.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$259.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.99
|
| Rate for Payer: PHP Commercial |
$50.31
|
| Rate for Payer: PHP Commercial |
$72.73
|
| Rate for Payer: PHP Commercial |
$49.86
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Commercial |
$22.97
|
| Rate for Payer: PHP Commercial |
$294.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$51.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$301.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$74.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$40.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$240.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$59.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$52.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.79
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$304.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$75.30
|
| Rate for Payer: UHC Core |
$71.45
|
| Rate for Payer: UHC Core |
$22.56
|
| Rate for Payer: UHC Core |
$288.90
|
| Rate for Payer: UHC Core |
$49.42
|
| Rate for Payer: UHC Core |
$48.98
|
| Rate for Payer: UHC Core |
$21.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$259.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$44.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$141.60
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$24.96 |
| Max. Negotiated Rate |
$127.44 |
| Rate for Payer: Aetna Commercial |
$120.36
|
| Rate for Payer: Aetna Commercial |
$29.32
|
| Rate for Payer: Aetna Commercial |
$46.08
|
| Rate for Payer: Aetna Commercial |
$162.01
|
| Rate for Payer: Aetna Medicare |
$49.56
|
| Rate for Payer: Aetna Medicare |
$36.82
|
| Rate for Payer: Aetna Medicare |
$8.97
|
| Rate for Payer: Aetna Medicare |
$14.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.25
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$59.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$59.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16.94
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.78
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.25
|
| Rate for Payer: BCBS Complete |
$10.03
|
| Rate for Payer: BCBS Complete |
$35.28
|
| Rate for Payer: BCBS Complete |
$26.21
|
| Rate for Payer: BCBS Complete |
$6.38
|
| Rate for Payer: BCBS MAPPO |
$35.40
|
| Rate for Payer: BCBS MAPPO |
$47.65
|
| Rate for Payer: BCBS MAPPO |
$13.55
|
| Rate for Payer: BCBS MAPPO |
$8.62
|
| Rate for Payer: BCBS Trust/PPO |
$28.35
|
| Rate for Payer: BCBS Trust/PPO |
$116.41
|
| Rate for Payer: BCBS Trust/PPO |
$44.57
|
| Rate for Payer: BCBS Trust/PPO |
$156.69
|
| Rate for Payer: BCN Commercial |
$28.35
|
| Rate for Payer: BCN Commercial |
$44.57
|
| Rate for Payer: BCN Commercial |
$156.69
|
| Rate for Payer: BCN Commercial |
$116.41
|
| Rate for Payer: BCN Medicare Advantage |
$8.62
|
| Rate for Payer: BCN Medicare Advantage |
$47.65
|
| Rate for Payer: BCN Medicare Advantage |
$13.55
|
| Rate for Payer: BCN Medicare Advantage |
$35.40
|
| Rate for Payer: Cash Price |
$43.37
|
| Rate for Payer: Cash Price |
$27.59
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cofinity Commercial |
$163.92
|
| Rate for Payer: Cofinity Commercial |
$121.78
|
| Rate for Payer: Cofinity Commercial |
$29.66
|
| Rate for Payer: Cofinity Commercial |
$46.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.48
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$47.65
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.62
|
| Rate for Payer: Healthscope Commercial |
$127.44
|
| Rate for Payer: Healthscope Commercial |
$48.79
|
| Rate for Payer: Healthscope Commercial |
$31.04
|
| Rate for Payer: Healthscope Commercial |
$171.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.20
|
| Rate for Payer: Mclaren Medicaid |
$6.08
|
| Rate for Payer: Mclaren Medicaid |
$33.60
|
| Rate for Payer: Mclaren Medicaid |
$24.96
|
| Rate for Payer: Mclaren Medicaid |
$9.56
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$50.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.17
|
| Rate for Payer: Meridian Medicaid |
$26.21
|
| Rate for Payer: Meridian Medicaid |
$6.38
|
| Rate for Payer: Meridian Medicaid |
$10.03
|
| Rate for Payer: Meridian Medicaid |
$35.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$52.41
|
| Rate for Payer: Molina Medicare/Medicaid |
$38.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$14.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.08
|
| Rate for Payer: Nomi Health Commercial |
$28.28
|
| Rate for Payer: Nomi Health Commercial |
$116.11
|
| Rate for Payer: Nomi Health Commercial |
$156.29
|
| Rate for Payer: Nomi Health Commercial |
$44.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.20
|
| Rate for Payer: PACE Senior Care Partners |
$8.19
|
| Rate for Payer: PACE Senior Care Partners |
$12.87
|
| Rate for Payer: PACE Senior Care Partners |
$33.63
|
| Rate for Payer: PACE Senior Care Partners |
$45.27
|
| Rate for Payer: PACE SWMI |
$35.40
|
| Rate for Payer: PACE SWMI |
$13.55
|
| Rate for Payer: PACE SWMI |
$47.65
|
| Rate for Payer: PACE SWMI |
$8.62
|
| Rate for Payer: PHP Commercial |
$120.36
|
| Rate for Payer: PHP Commercial |
$162.01
|
| Rate for Payer: PHP Commercial |
$29.32
|
| Rate for Payer: PHP Commercial |
$46.08
|
| Rate for Payer: PHP Medicare Advantage |
$35.40
|
| Rate for Payer: PHP Medicare Advantage |
$13.55
|
| Rate for Payer: PHP Medicare Advantage |
$47.65
|
| Rate for Payer: PHP Medicare Advantage |
$8.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$33.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$24.96
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$165.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$123.19
|
| Rate for Payer: Priority Health Medicare |
$48.13
|
| Rate for Payer: Priority Health Medicare |
$35.75
|
| Rate for Payer: Priority Health Medicare |
$8.71
|
| Rate for Payer: Priority Health Medicare |
$13.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$132.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$98.55
|
| Rate for Payer: Railroad Medicare Medicare |
$8.62
|
| Rate for Payer: Railroad Medicare Medicare |
$35.40
|
| Rate for Payer: Railroad Medicare Medicare |
$13.55
|
| Rate for Payer: Railroad Medicare Medicare |
$47.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.70
|
| Rate for Payer: UHC Core |
$118.24
|
| Rate for Payer: UHC Core |
$28.80
|
| Rate for Payer: UHC Core |
$159.15
|
| Rate for Payer: UHC Core |
$45.27
|
| Rate for Payer: UHC Exchange |
$8.62
|
| Rate for Payer: UHC Exchange |
$47.65
|
| Rate for Payer: UHC Exchange |
$13.55
|
| Rate for Payer: UHC Exchange |
$35.40
|
| Rate for Payer: UHC Medicaid |
$24.96
|
| Rate for Payer: UHC Medicaid |
$33.60
|
| Rate for Payer: UHC Medicaid |
$6.08
|
| Rate for Payer: UHC Medicaid |
$9.56
|
| Rate for Payer: UHC Medicare Advantage |
$47.65
|
| Rate for Payer: UHC Medicare Advantage |
$35.40
|
| Rate for Payer: UHC Medicare Advantage |
$13.55
|
| Rate for Payer: UHC Medicare Advantage |
$8.62
|
| Rate for Payer: UHCCP Medicaid |
$6.08
|
| Rate for Payer: UHCCP Medicaid |
$9.56
|
| Rate for Payer: UHCCP Medicaid |
$33.60
|
| Rate for Payer: UHCCP Medicaid |
$24.96
|
| Rate for Payer: VA VA |
$35.40
|
| Rate for Payer: VA VA |
$13.55
|
| Rate for Payer: VA VA |
$8.62
|
| Rate for Payer: VA VA |
$47.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.66
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$34.49
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$24.01 |
| Max. Negotiated Rate |
$31.04 |
| Rate for Payer: Aetna Commercial |
$29.32
|
| Rate for Payer: Aetna Commercial |
$162.01
|
| Rate for Payer: Aetna Commercial |
$120.36
|
| Rate for Payer: Aetna Commercial |
$46.08
|
| Rate for Payer: BCBS Trust/PPO |
$28.49
|
| Rate for Payer: BCBS Trust/PPO |
$44.77
|
| Rate for Payer: BCBS Trust/PPO |
$157.42
|
| Rate for Payer: BCBS Trust/PPO |
$116.95
|
| Rate for Payer: BCN Commercial |
$28.49
|
| Rate for Payer: BCN Commercial |
$116.95
|
| Rate for Payer: BCN Commercial |
$44.77
|
| Rate for Payer: BCN Commercial |
$157.42
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cash Price |
$27.59
|
| Rate for Payer: Cash Price |
$43.37
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cofinity Commercial |
$121.78
|
| Rate for Payer: Cofinity Commercial |
$46.62
|
| Rate for Payer: Cofinity Commercial |
$29.66
|
| Rate for Payer: Cofinity Commercial |
$163.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$43.37
|
| Rate for Payer: Healthscope Commercial |
$48.79
|
| Rate for Payer: Healthscope Commercial |
$171.54
|
| Rate for Payer: Healthscope Commercial |
$31.04
|
| Rate for Payer: Healthscope Commercial |
$127.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$40.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.08
|
| Rate for Payer: Nomi Health Commercial |
$116.11
|
| Rate for Payer: Nomi Health Commercial |
$156.29
|
| Rate for Payer: Nomi Health Commercial |
$44.45
|
| Rate for Payer: Nomi Health Commercial |
$28.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.66
|
| Rate for Payer: PHP Commercial |
$46.08
|
| Rate for Payer: PHP Commercial |
$120.36
|
| Rate for Payer: PHP Commercial |
$162.01
|
| Rate for Payer: PHP Commercial |
$29.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$47.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$123.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$165.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$37.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$132.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$98.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$47.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$124.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$167.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.35
|
| Rate for Payer: UHC Core |
$28.80
|
| Rate for Payer: UHC Core |
$45.27
|
| Rate for Payer: UHC Core |
$159.15
|
| Rate for Payer: UHC Core |
$118.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$40.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.87
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$21.17
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$19.05 |
| Rate for Payer: Aetna Commercial |
$17.99
|
| Rate for Payer: Aetna Commercial |
$40.95
|
| Rate for Payer: Aetna Medicare |
$12.53
|
| Rate for Payer: Aetna Medicare |
$5.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15.06
|
| Rate for Payer: BCBS Complete |
$3.92
|
| Rate for Payer: BCBS Complete |
$8.92
|
| Rate for Payer: BCBS MAPPO |
$5.29
|
| Rate for Payer: BCBS MAPPO |
$12.04
|
| Rate for Payer: BCBS Trust/PPO |
$17.40
|
| Rate for Payer: BCBS Trust/PPO |
$39.61
|
| Rate for Payer: BCN Commercial |
$39.61
|
| Rate for Payer: BCN Commercial |
$17.40
|
| Rate for Payer: BCN Medicare Advantage |
$12.04
|
| Rate for Payer: BCN Medicare Advantage |
$5.29
|
| Rate for Payer: Cash Price |
$16.94
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$18.21
|
| Rate for Payer: Cofinity Commercial |
$41.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.29
|
| Rate for Payer: Healthscope Commercial |
$19.05
|
| Rate for Payer: Healthscope Commercial |
$43.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.13
|
| Rate for Payer: Mclaren Medicaid |
$8.49
|
| Rate for Payer: Mclaren Medicaid |
$3.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.56
|
| Rate for Payer: Meridian Medicaid |
$3.92
|
| Rate for Payer: Meridian Medicaid |
$8.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.09
|
| Rate for Payer: Molina Medicare/Medicaid |
$13.25
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.99
|
| Rate for Payer: Nomi Health Commercial |
$39.51
|
| Rate for Payer: Nomi Health Commercial |
$17.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.13
|
| Rate for Payer: PACE Senior Care Partners |
$11.44
|
| Rate for Payer: PACE Senior Care Partners |
$5.03
|
| Rate for Payer: PACE SWMI |
$12.04
|
| Rate for Payer: PACE SWMI |
$5.29
|
| Rate for Payer: PHP Commercial |
$17.99
|
| Rate for Payer: PHP Commercial |
$40.95
|
| Rate for Payer: PHP Medicare Advantage |
$5.29
|
| Rate for Payer: PHP Medicare Advantage |
$12.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.42
|
| Rate for Payer: Priority Health Medicare |
$12.17
|
| Rate for Payer: Priority Health Medicare |
$5.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.53
|
| Rate for Payer: Railroad Medicare Medicare |
$5.29
|
| Rate for Payer: Railroad Medicare Medicare |
$12.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.40
|
| Rate for Payer: UHC Core |
$40.23
|
| Rate for Payer: UHC Core |
$17.68
|
| Rate for Payer: UHC Exchange |
$12.04
|
| Rate for Payer: UHC Exchange |
$5.29
|
| Rate for Payer: UHC Medicaid |
$8.49
|
| Rate for Payer: UHC Medicaid |
$3.73
|
| Rate for Payer: UHC Medicare Advantage |
$5.29
|
| Rate for Payer: UHC Medicare Advantage |
$12.04
|
| Rate for Payer: UHCCP Medicaid |
$3.73
|
| Rate for Payer: UHCCP Medicaid |
$8.49
|
| Rate for Payer: VA VA |
$5.29
|
| Rate for Payer: VA VA |
$12.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.88
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$21.17
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.73 |
| Max. Negotiated Rate |
$19.05 |
| Rate for Payer: Aetna Commercial |
$17.99
|
| Rate for Payer: Aetna Commercial |
$40.95
|
| Rate for Payer: BCBS Trust/PPO |
$17.48
|
| Rate for Payer: BCBS Trust/PPO |
$39.79
|
| Rate for Payer: BCN Commercial |
$17.48
|
| Rate for Payer: BCN Commercial |
$39.79
|
| Rate for Payer: Cash Price |
$16.94
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cofinity Commercial |
$41.43
|
| Rate for Payer: Cofinity Commercial |
$18.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.94
|
| Rate for Payer: Healthscope Commercial |
$19.05
|
| Rate for Payer: Healthscope Commercial |
$43.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.95
|
| Rate for Payer: Nomi Health Commercial |
$17.36
|
| Rate for Payer: Nomi Health Commercial |
$39.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.13
|
| Rate for Payer: PHP Commercial |
$40.95
|
| Rate for Payer: PHP Commercial |
$17.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$41.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$33.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.40
|
| Rate for Payer: UHC Core |
$17.68
|
| Rate for Payer: UHC Core |
$40.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.13
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$16.70
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.94 |
| Max. Negotiated Rate |
$15.03 |
| Rate for Payer: Aetna Commercial |
$14.20
|
| Rate for Payer: Aetna Commercial |
$14.79
|
| Rate for Payer: Aetna Medicare |
$4.52
|
| Rate for Payer: Aetna Medicare |
$4.34
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.44
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.44
|
| Rate for Payer: BCBS Complete |
$3.09
|
| Rate for Payer: BCBS Complete |
$3.22
|
| Rate for Payer: BCBS MAPPO |
$4.17
|
| Rate for Payer: BCBS MAPPO |
$4.35
|
| Rate for Payer: BCBS Trust/PPO |
$13.73
|
| Rate for Payer: BCBS Trust/PPO |
$14.30
|
| Rate for Payer: BCN Commercial |
$14.30
|
| Rate for Payer: BCN Commercial |
$13.73
|
| Rate for Payer: BCN Medicare Advantage |
$4.35
|
| Rate for Payer: BCN Medicare Advantage |
$4.17
|
| Rate for Payer: Cash Price |
$13.36
|
| Rate for Payer: Cash Price |
$13.92
|
| Rate for Payer: Cofinity Commercial |
$14.36
|
| Rate for Payer: Cofinity Commercial |
$14.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.36
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.35
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.17
|
| Rate for Payer: Healthscope Commercial |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$15.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.05
|
| Rate for Payer: Mclaren Medicaid |
$3.07
|
| Rate for Payer: Mclaren Medicaid |
$2.94
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.38
|
| Rate for Payer: Meridian Medicaid |
$3.09
|
| Rate for Payer: Meridian Medicaid |
$3.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.80
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.20
|
| Rate for Payer: Nomi Health Commercial |
$14.27
|
| Rate for Payer: Nomi Health Commercial |
$13.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.05
|
| Rate for Payer: PACE Senior Care Partners |
$4.13
|
| Rate for Payer: PACE Senior Care Partners |
$3.97
|
| Rate for Payer: PACE SWMI |
$4.35
|
| Rate for Payer: PACE SWMI |
$4.17
|
| Rate for Payer: PHP Commercial |
$14.20
|
| Rate for Payer: PHP Commercial |
$14.79
|
| Rate for Payer: PHP Medicare Advantage |
$4.17
|
| Rate for Payer: PHP Medicare Advantage |
$4.35
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.53
|
| Rate for Payer: Priority Health Medicare |
$4.39
|
| Rate for Payer: Priority Health Medicare |
$4.22
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.11
|
| Rate for Payer: Railroad Medicare Medicare |
$4.17
|
| Rate for Payer: Railroad Medicare Medicare |
$4.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.31
|
| Rate for Payer: UHC Core |
$14.53
|
| Rate for Payer: UHC Core |
$13.94
|
| Rate for Payer: UHC Exchange |
$4.35
|
| Rate for Payer: UHC Exchange |
$4.17
|
| Rate for Payer: UHC Medicaid |
$3.07
|
| Rate for Payer: UHC Medicaid |
$2.94
|
| Rate for Payer: UHC Medicare Advantage |
$4.17
|
| Rate for Payer: UHC Medicare Advantage |
$4.35
|
| Rate for Payer: UHCCP Medicaid |
$2.94
|
| Rate for Payer: UHCCP Medicaid |
$3.07
|
| Rate for Payer: VA VA |
$4.17
|
| Rate for Payer: VA VA |
$4.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.53
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$16.70
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.62 |
| Max. Negotiated Rate |
$15.03 |
| Rate for Payer: Aetna Commercial |
$14.20
|
| Rate for Payer: Aetna Commercial |
$14.79
|
| Rate for Payer: BCBS Trust/PPO |
$13.79
|
| Rate for Payer: BCBS Trust/PPO |
$14.37
|
| Rate for Payer: BCN Commercial |
$13.79
|
| Rate for Payer: BCN Commercial |
$14.37
|
| Rate for Payer: Cash Price |
$13.36
|
| Rate for Payer: Cash Price |
$13.92
|
| Rate for Payer: Cofinity Commercial |
$14.96
|
| Rate for Payer: Cofinity Commercial |
$14.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.36
|
| Rate for Payer: Healthscope Commercial |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$15.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.79
|
| Rate for Payer: Nomi Health Commercial |
$13.69
|
| Rate for Payer: Nomi Health Commercial |
$14.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.05
|
| Rate for Payer: PHP Commercial |
$14.79
|
| Rate for Payer: PHP Commercial |
$14.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.31
|
| Rate for Payer: UHC Core |
$13.94
|
| Rate for Payer: UHC Core |
$14.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.05
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$73.16 |
| Max. Negotiated Rate |
$94.60 |
| Rate for Payer: Aetna Commercial |
$89.34
|
| Rate for Payer: BCBS Trust/PPO |
$86.81
|
| Rate for Payer: BCN Commercial |
$86.81
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cofinity Commercial |
$90.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Healthscope Commercial |
$94.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Nomi Health Commercial |
$86.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: PHP Commercial |
$89.34
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$91.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.50
|
| Rate for Payer: UHC Core |
$87.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.83
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.53 |
| Max. Negotiated Rate |
$94.60 |
| Rate for Payer: Aetna Commercial |
$89.34
|
| Rate for Payer: Aetna Medicare |
$27.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.85
|
| Rate for Payer: BCBS Complete |
$19.46
|
| Rate for Payer: BCBS MAPPO |
$26.28
|
| Rate for Payer: BCBS Trust/PPO |
$86.41
|
| Rate for Payer: BCN Commercial |
$86.41
|
| Rate for Payer: BCN Medicare Advantage |
$26.28
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cofinity Commercial |
$90.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.28
|
| Rate for Payer: Healthscope Commercial |
$94.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.83
|
| Rate for Payer: Mclaren Medicaid |
$18.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.59
|
| Rate for Payer: Meridian Medicaid |
$19.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$28.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Nomi Health Commercial |
$86.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: PACE Senior Care Partners |
$24.96
|
| Rate for Payer: PACE SWMI |
$26.28
|
| Rate for Payer: PHP Commercial |
$89.34
|
| Rate for Payer: PHP Medicare Advantage |
$26.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$91.45
|
| Rate for Payer: Priority Health Medicare |
$26.54
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.16
|
| Rate for Payer: Railroad Medicare Medicare |
$26.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.50
|
| Rate for Payer: UHC Core |
$87.77
|
| Rate for Payer: UHC Exchange |
$26.28
|
| Rate for Payer: UHC Medicaid |
$18.53
|
| Rate for Payer: UHC Medicare Advantage |
$26.28
|
| Rate for Payer: UHCCP Medicaid |
$18.53
|
| Rate for Payer: VA VA |
$26.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.83
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOL (CODE)
|
Facility
|
OP
|
$34.95
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
163731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.16 |
| Max. Negotiated Rate |
$31.45 |
| Rate for Payer: Aetna Commercial |
$29.71
|
| Rate for Payer: Aetna Medicare |
$9.09
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.92
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.92
|
| Rate for Payer: BCBS Complete |
$6.47
|
| Rate for Payer: BCBS MAPPO |
$8.74
|
| Rate for Payer: BCBS Trust/PPO |
$28.73
|
| Rate for Payer: BCN Commercial |
$28.73
|
| Rate for Payer: BCN Medicare Advantage |
$8.74
|
| Rate for Payer: Cash Price |
$27.96
|
| Rate for Payer: Cofinity Commercial |
$30.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.74
|
| Rate for Payer: Healthscope Commercial |
$31.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.21
|
| Rate for Payer: Mclaren Medicaid |
$6.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.17
|
| Rate for Payer: Meridian Medicaid |
$6.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.05
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.71
|
| Rate for Payer: Nomi Health Commercial |
$28.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.21
|
| Rate for Payer: PACE Senior Care Partners |
$8.30
|
| Rate for Payer: PACE SWMI |
$8.74
|
| Rate for Payer: PHP Commercial |
$29.71
|
| Rate for Payer: PHP Medicare Advantage |
$8.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.41
|
| Rate for Payer: Priority Health Medicare |
$8.82
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.33
|
| Rate for Payer: Railroad Medicare Medicare |
$8.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.76
|
| Rate for Payer: UHC Core |
$29.18
|
| Rate for Payer: UHC Exchange |
$8.74
|
| Rate for Payer: UHC Medicaid |
$6.16
|
| Rate for Payer: UHC Medicare Advantage |
$8.74
|
| Rate for Payer: UHCCP Medicaid |
$6.16
|
| Rate for Payer: VA VA |
$8.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.21
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOL (CODE)
|
Facility
|
IP
|
$34.95
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
163731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$24.33 |
| Max. Negotiated Rate |
$31.45 |
| Rate for Payer: Aetna Commercial |
$29.71
|
| Rate for Payer: BCBS Trust/PPO |
$28.87
|
| Rate for Payer: BCN Commercial |
$28.87
|
| Rate for Payer: Cash Price |
$27.96
|
| Rate for Payer: Cofinity Commercial |
$30.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.96
|
| Rate for Payer: Healthscope Commercial |
$31.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.71
|
| Rate for Payer: Nomi Health Commercial |
$28.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.21
|
| Rate for Payer: PHP Commercial |
$29.71
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.41
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.76
|
| Rate for Payer: UHC Core |
$29.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.21
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
OP
|
$17.37
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119451
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.06 |
| Max. Negotiated Rate |
$15.63 |
| Rate for Payer: Aetna Commercial |
$14.76
|
| Rate for Payer: Aetna Commercial |
$29.71
|
| Rate for Payer: Aetna Medicare |
$9.09
|
| Rate for Payer: Aetna Medicare |
$4.52
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.92
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.43
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.92
|
| Rate for Payer: BCBS Complete |
$3.22
|
| Rate for Payer: BCBS Complete |
$6.47
|
| Rate for Payer: BCBS MAPPO |
$4.34
|
| Rate for Payer: BCBS MAPPO |
$8.74
|
| Rate for Payer: BCBS Trust/PPO |
$14.28
|
| Rate for Payer: BCBS Trust/PPO |
$28.73
|
| Rate for Payer: BCN Commercial |
$28.73
|
| Rate for Payer: BCN Commercial |
$14.28
|
| Rate for Payer: BCN Medicare Advantage |
$8.74
|
| Rate for Payer: BCN Medicare Advantage |
$4.34
|
| Rate for Payer: Cash Price |
$13.90
|
| Rate for Payer: Cash Price |
$27.96
|
| Rate for Payer: Cofinity Commercial |
$14.94
|
| Rate for Payer: Cofinity Commercial |
$30.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.90
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.74
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.34
|
| Rate for Payer: Healthscope Commercial |
$15.63
|
| Rate for Payer: Healthscope Commercial |
$31.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.21
|
| Rate for Payer: Mclaren Medicaid |
$6.16
|
| Rate for Payer: Mclaren Medicaid |
$3.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$9.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.56
|
| Rate for Payer: Meridian Medicaid |
$3.22
|
| Rate for Payer: Meridian Medicaid |
$6.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.61
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.76
|
| Rate for Payer: Nomi Health Commercial |
$28.66
|
| Rate for Payer: Nomi Health Commercial |
$14.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.21
|
| Rate for Payer: PACE Senior Care Partners |
$8.30
|
| Rate for Payer: PACE Senior Care Partners |
$4.13
|
| Rate for Payer: PACE SWMI |
$8.74
|
| Rate for Payer: PACE SWMI |
$4.34
|
| Rate for Payer: PHP Commercial |
$14.76
|
| Rate for Payer: PHP Commercial |
$29.71
|
| Rate for Payer: PHP Medicare Advantage |
$4.34
|
| Rate for Payer: PHP Medicare Advantage |
$8.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$6.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.11
|
| Rate for Payer: Priority Health Medicare |
$8.82
|
| Rate for Payer: Priority Health Medicare |
$4.39
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.33
|
| Rate for Payer: Railroad Medicare Medicare |
$4.34
|
| Rate for Payer: Railroad Medicare Medicare |
$8.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.76
|
| Rate for Payer: UHC Core |
$29.18
|
| Rate for Payer: UHC Core |
$14.50
|
| Rate for Payer: UHC Exchange |
$8.74
|
| Rate for Payer: UHC Exchange |
$4.34
|
| Rate for Payer: UHC Medicaid |
$6.16
|
| Rate for Payer: UHC Medicaid |
$3.06
|
| Rate for Payer: UHC Medicare Advantage |
$4.34
|
| Rate for Payer: UHC Medicare Advantage |
$8.74
|
| Rate for Payer: UHCCP Medicaid |
$3.06
|
| Rate for Payer: UHCCP Medicaid |
$6.16
|
| Rate for Payer: VA VA |
$4.34
|
| Rate for Payer: VA VA |
$8.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.03
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
IP
|
$17.37
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119451
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.09 |
| Max. Negotiated Rate |
$15.63 |
| Rate for Payer: Aetna Commercial |
$14.76
|
| Rate for Payer: Aetna Commercial |
$29.71
|
| Rate for Payer: BCBS Trust/PPO |
$14.35
|
| Rate for Payer: BCBS Trust/PPO |
$28.87
|
| Rate for Payer: BCN Commercial |
$14.35
|
| Rate for Payer: BCN Commercial |
$28.87
|
| Rate for Payer: Cash Price |
$13.90
|
| Rate for Payer: Cash Price |
$27.96
|
| Rate for Payer: Cofinity Commercial |
$30.06
|
| Rate for Payer: Cofinity Commercial |
$14.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.90
|
| Rate for Payer: Healthscope Commercial |
$15.63
|
| Rate for Payer: Healthscope Commercial |
$31.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.71
|
| Rate for Payer: Nomi Health Commercial |
$14.24
|
| Rate for Payer: Nomi Health Commercial |
$28.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.21
|
| Rate for Payer: PHP Commercial |
$29.71
|
| Rate for Payer: PHP Commercial |
$14.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$30.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$24.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$30.76
|
| Rate for Payer: UHC Core |
$14.50
|
| Rate for Payer: UHC Core |
$29.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.21
|
|
