|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$542.50
|
|
|
Service Code
|
NDC 00054023525
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$95.64 |
| Max. Negotiated Rate |
$488.25 |
| Rate for Payer: Aetna Commercial |
$461.12
|
| Rate for Payer: Aetna Medicare |
$141.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$169.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$169.53
|
| Rate for Payer: BCBS Complete |
$100.42
|
| Rate for Payer: BCBS MAPPO |
$135.62
|
| Rate for Payer: BCBS Trust/PPO |
$445.99
|
| Rate for Payer: BCN Commercial |
$445.99
|
| Rate for Payer: BCN Medicare Advantage |
$135.62
|
| Rate for Payer: Cash Price |
$434.00
|
| Rate for Payer: Cofinity Commercial |
$466.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$135.62
|
| Rate for Payer: Healthscope Commercial |
$488.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.88
|
| Rate for Payer: Mclaren Medicaid |
$95.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$142.41
|
| Rate for Payer: Meridian Medicaid |
$100.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$155.97
|
| Rate for Payer: Molina Medicare/Medicaid |
$149.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$461.12
|
| Rate for Payer: Nomi Health Commercial |
$444.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$406.88
|
| Rate for Payer: PACE Senior Care Partners |
$128.84
|
| Rate for Payer: PACE SWMI |
$135.62
|
| Rate for Payer: PHP Commercial |
$461.12
|
| Rate for Payer: PHP Medicare Advantage |
$135.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$95.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$471.98
|
| Rate for Payer: Priority Health Medicare |
$136.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$377.58
|
| Rate for Payer: Railroad Medicare Medicare |
$135.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.40
|
| Rate for Payer: UHC Core |
$452.99
|
| Rate for Payer: UHC Exchange |
$135.62
|
| Rate for Payer: UHC Medicaid |
$95.64
|
| Rate for Payer: UHC Medicare Advantage |
$135.62
|
| Rate for Payer: UHCCP Medicaid |
$95.64
|
| Rate for Payer: VA VA |
$135.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.88
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$123.38
|
|
|
Service Code
|
NDC 00054023524
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$21.75 |
| Max. Negotiated Rate |
$111.04 |
| Rate for Payer: Aetna Commercial |
$104.87
|
| Rate for Payer: Aetna Medicare |
$32.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$38.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$38.56
|
| Rate for Payer: BCBS Complete |
$22.84
|
| Rate for Payer: BCBS MAPPO |
$30.84
|
| Rate for Payer: BCBS Trust/PPO |
$101.43
|
| Rate for Payer: BCN Commercial |
$101.43
|
| Rate for Payer: BCN Medicare Advantage |
$30.84
|
| Rate for Payer: Cash Price |
$98.70
|
| Rate for Payer: Cofinity Commercial |
$106.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$30.84
|
| Rate for Payer: Healthscope Commercial |
$111.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.53
|
| Rate for Payer: Mclaren Medicaid |
$21.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$32.39
|
| Rate for Payer: Meridian Medicaid |
$22.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$35.47
|
| Rate for Payer: Molina Medicare/Medicaid |
$33.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.87
|
| Rate for Payer: Nomi Health Commercial |
$101.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.53
|
| Rate for Payer: PACE Senior Care Partners |
$29.30
|
| Rate for Payer: PACE SWMI |
$30.84
|
| Rate for Payer: PHP Commercial |
$104.87
|
| Rate for Payer: PHP Medicare Advantage |
$30.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$21.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$107.34
|
| Rate for Payer: Priority Health Medicare |
$31.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$85.87
|
| Rate for Payer: Railroad Medicare Medicare |
$30.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.57
|
| Rate for Payer: UHC Core |
$103.02
|
| Rate for Payer: UHC Exchange |
$30.84
|
| Rate for Payer: UHC Medicaid |
$21.75
|
| Rate for Payer: UHC Medicare Advantage |
$30.84
|
| Rate for Payer: UHCCP Medicaid |
$21.75
|
| Rate for Payer: VA VA |
$30.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.53
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$542.50
|
|
|
Service Code
|
NDC 00054023525
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$377.58 |
| Max. Negotiated Rate |
$488.25 |
| Rate for Payer: Aetna Commercial |
$461.12
|
| Rate for Payer: BCBS Trust/PPO |
$448.05
|
| Rate for Payer: BCN Commercial |
$448.05
|
| Rate for Payer: Cash Price |
$434.00
|
| Rate for Payer: Cofinity Commercial |
$466.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$434.00
|
| Rate for Payer: Healthscope Commercial |
$488.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$406.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$461.12
|
| Rate for Payer: Nomi Health Commercial |
$444.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$406.88
|
| Rate for Payer: PHP Commercial |
$461.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$471.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$377.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$477.40
|
| Rate for Payer: UHC Core |
$452.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$406.88
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$511.00
|
|
|
Service Code
|
NDC 60687061701
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$90.09 |
| Max. Negotiated Rate |
$459.90 |
| Rate for Payer: Aetna Commercial |
$434.35
|
| Rate for Payer: Aetna Medicare |
$132.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$159.69
|
| Rate for Payer: Amish Plain Church Group Commercial |
$159.69
|
| Rate for Payer: BCBS Complete |
$94.59
|
| Rate for Payer: BCBS MAPPO |
$127.75
|
| Rate for Payer: BCBS Trust/PPO |
$420.09
|
| Rate for Payer: BCN Commercial |
$420.09
|
| Rate for Payer: BCN Medicare Advantage |
$127.75
|
| Rate for Payer: Cash Price |
$408.80
|
| Rate for Payer: Cofinity Commercial |
$439.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$127.75
|
| Rate for Payer: Healthscope Commercial |
$459.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.25
|
| Rate for Payer: Mclaren Medicaid |
$90.09
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$134.14
|
| Rate for Payer: Meridian Medicaid |
$94.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$140.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.35
|
| Rate for Payer: Nomi Health Commercial |
$419.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$383.25
|
| Rate for Payer: PACE Senior Care Partners |
$121.36
|
| Rate for Payer: PACE SWMI |
$127.75
|
| Rate for Payer: PHP Commercial |
$434.35
|
| Rate for Payer: PHP Medicare Advantage |
$127.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$90.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$444.57
|
| Rate for Payer: Priority Health Medicare |
$129.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$355.66
|
| Rate for Payer: Railroad Medicare Medicare |
$127.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$449.68
|
| Rate for Payer: UHC Core |
$426.69
|
| Rate for Payer: UHC Exchange |
$127.75
|
| Rate for Payer: UHC Medicaid |
$90.09
|
| Rate for Payer: UHC Medicare Advantage |
$127.75
|
| Rate for Payer: UHCCP Medicaid |
$90.09
|
| Rate for Payer: VA VA |
$127.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.25
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$527.10
|
|
|
Service Code
|
NDC 00406511862
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$92.93 |
| Max. Negotiated Rate |
$474.39 |
| Rate for Payer: Aetna Commercial |
$448.04
|
| Rate for Payer: Aetna Medicare |
$137.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$164.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$164.72
|
| Rate for Payer: BCBS Complete |
$97.57
|
| Rate for Payer: BCBS MAPPO |
$131.78
|
| Rate for Payer: BCBS Trust/PPO |
$433.33
|
| Rate for Payer: BCN Commercial |
$433.33
|
| Rate for Payer: BCN Medicare Advantage |
$131.78
|
| Rate for Payer: Cash Price |
$421.68
|
| Rate for Payer: Cofinity Commercial |
$453.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$421.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.78
|
| Rate for Payer: Healthscope Commercial |
$474.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$395.32
|
| Rate for Payer: Mclaren Medicaid |
$92.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$138.36
|
| Rate for Payer: Meridian Medicaid |
$97.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$151.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$144.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$448.04
|
| Rate for Payer: Nomi Health Commercial |
$432.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$395.32
|
| Rate for Payer: PACE Senior Care Partners |
$125.19
|
| Rate for Payer: PACE SWMI |
$131.78
|
| Rate for Payer: PHP Commercial |
$448.04
|
| Rate for Payer: PHP Medicare Advantage |
$131.78
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$458.58
|
| Rate for Payer: Priority Health Medicare |
$133.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$366.86
|
| Rate for Payer: Railroad Medicare Medicare |
$131.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$463.85
|
| Rate for Payer: UHC Core |
$440.13
|
| Rate for Payer: UHC Exchange |
$131.78
|
| Rate for Payer: UHC Medicaid |
$92.93
|
| Rate for Payer: UHC Medicare Advantage |
$131.78
|
| Rate for Payer: UHCCP Medicaid |
$92.93
|
| Rate for Payer: VA VA |
$131.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$395.32
|
|
|
MORPHINE 1 MG/ML IV INFUSION (IV PREMIX) 100 ML
|
Facility
|
OP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
151077
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.91 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna Medicare |
$8.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.47
|
| Rate for Payer: BCBS Complete |
$6.20
|
| Rate for Payer: BCBS MAPPO |
$8.38
|
| Rate for Payer: BCBS Trust/PPO |
$27.54
|
| Rate for Payer: BCN Commercial |
$27.54
|
| Rate for Payer: BCN Medicare Advantage |
$8.38
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.38
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: Mclaren Medicaid |
$5.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.79
|
| Rate for Payer: Meridian Medicaid |
$6.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.63
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Nomi Health Commercial |
$27.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PACE Senior Care Partners |
$7.96
|
| Rate for Payer: PACE SWMI |
$8.38
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: PHP Medicare Advantage |
$8.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.14
|
| Rate for Payer: Priority Health Medicare |
$8.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.32
|
| Rate for Payer: Railroad Medicare Medicare |
$8.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.48
|
| Rate for Payer: UHC Core |
$27.97
|
| Rate for Payer: UHC Exchange |
$8.38
|
| Rate for Payer: UHC Medicaid |
$5.91
|
| Rate for Payer: UHC Medicare Advantage |
$8.38
|
| Rate for Payer: UHCCP Medicaid |
$5.91
|
| Rate for Payer: VA VA |
$8.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 1 MG/ML IV INFUSION (IV PREMIX) 100 ML
|
Facility
|
IP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
151077
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$23.32 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: BCBS Trust/PPO |
$27.67
|
| Rate for Payer: BCN Commercial |
$27.67
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Nomi Health Commercial |
$27.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$29.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.48
|
| Rate for Payer: UHC Core |
$27.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$23.12
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.09 |
| Max. Negotiated Rate |
$20.81 |
| Rate for Payer: Aetna Commercial |
$19.65
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: BCBS Trust/PPO |
$19.09
|
| Rate for Payer: BCBS Trust/PPO |
$22.10
|
| Rate for Payer: BCN Commercial |
$19.09
|
| Rate for Payer: BCN Commercial |
$22.10
|
| Rate for Payer: Cash Price |
$18.50
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$19.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Nomi Health Commercial |
$18.96
|
| Rate for Payer: Nomi Health Commercial |
$21.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$19.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.55
|
| Rate for Payer: UHC Core |
$19.31
|
| Rate for Payer: UHC Core |
$22.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$16.41
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.42 |
| Max. Negotiated Rate |
$14.77 |
| Rate for Payer: Aetna Commercial |
$13.95
|
| Rate for Payer: Aetna Commercial |
$25.30
|
| Rate for Payer: BCBS Trust/PPO |
$13.55
|
| Rate for Payer: BCBS Trust/PPO |
$24.59
|
| Rate for Payer: BCN Commercial |
$13.55
|
| Rate for Payer: BCN Commercial |
$24.59
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cofinity Commercial |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$14.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.13
|
| Rate for Payer: Healthscope Commercial |
$14.77
|
| Rate for Payer: Healthscope Commercial |
$26.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.30
|
| Rate for Payer: Nomi Health Commercial |
$13.46
|
| Rate for Payer: Nomi Health Commercial |
$24.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.33
|
| Rate for Payer: PHP Commercial |
$25.30
|
| Rate for Payer: PHP Commercial |
$13.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.28
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.20
|
| Rate for Payer: UHC Core |
$13.70
|
| Rate for Payer: UHC Core |
$24.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.33
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$23.12
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.08 |
| Max. Negotiated Rate |
$20.81 |
| Rate for Payer: Aetna Commercial |
$19.65
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Medicare |
$6.96
|
| Rate for Payer: Aetna Medicare |
$6.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.36
|
| Rate for Payer: BCBS Complete |
$4.28
|
| Rate for Payer: BCBS Complete |
$4.95
|
| Rate for Payer: BCBS MAPPO |
$5.78
|
| Rate for Payer: BCBS MAPPO |
$6.69
|
| Rate for Payer: BCBS Trust/PPO |
$19.01
|
| Rate for Payer: BCBS Trust/PPO |
$22.00
|
| Rate for Payer: BCN Commercial |
$22.00
|
| Rate for Payer: BCN Commercial |
$19.01
|
| Rate for Payer: BCN Medicare Advantage |
$6.69
|
| Rate for Payer: BCN Medicare Advantage |
$5.78
|
| Rate for Payer: Cash Price |
$18.50
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cofinity Commercial |
$19.88
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.78
|
| Rate for Payer: Healthscope Commercial |
$20.81
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Mclaren Medicaid |
$4.72
|
| Rate for Payer: Mclaren Medicaid |
$4.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.07
|
| Rate for Payer: Meridian Medicaid |
$4.28
|
| Rate for Payer: Meridian Medicaid |
$4.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.65
|
| Rate for Payer: Nomi Health Commercial |
$21.94
|
| Rate for Payer: Nomi Health Commercial |
$18.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: PACE Senior Care Partners |
$6.36
|
| Rate for Payer: PACE Senior Care Partners |
$5.49
|
| Rate for Payer: PACE SWMI |
$6.69
|
| Rate for Payer: PACE SWMI |
$5.78
|
| Rate for Payer: PHP Commercial |
$19.65
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Medicare Advantage |
$5.78
|
| Rate for Payer: PHP Medicare Advantage |
$6.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.11
|
| Rate for Payer: Priority Health Medicare |
$6.76
|
| Rate for Payer: Priority Health Medicare |
$5.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.62
|
| Rate for Payer: Railroad Medicare Medicare |
$5.78
|
| Rate for Payer: Railroad Medicare Medicare |
$6.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.55
|
| Rate for Payer: UHC Core |
$22.34
|
| Rate for Payer: UHC Core |
$19.31
|
| Rate for Payer: UHC Exchange |
$6.69
|
| Rate for Payer: UHC Exchange |
$5.78
|
| Rate for Payer: UHC Medicaid |
$4.72
|
| Rate for Payer: UHC Medicaid |
$4.08
|
| Rate for Payer: UHC Medicare Advantage |
$5.78
|
| Rate for Payer: UHC Medicare Advantage |
$6.69
|
| Rate for Payer: UHCCP Medicaid |
$4.08
|
| Rate for Payer: UHCCP Medicaid |
$4.72
|
| Rate for Payer: VA VA |
$5.78
|
| Rate for Payer: VA VA |
$6.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.34
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$16.41
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.89 |
| Max. Negotiated Rate |
$14.77 |
| Rate for Payer: Aetna Commercial |
$13.95
|
| Rate for Payer: Aetna Commercial |
$25.30
|
| Rate for Payer: Aetna Medicare |
$7.74
|
| Rate for Payer: Aetna Medicare |
$4.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.30
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.13
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.30
|
| Rate for Payer: BCBS Complete |
$3.04
|
| Rate for Payer: BCBS Complete |
$5.51
|
| Rate for Payer: BCBS MAPPO |
$4.10
|
| Rate for Payer: BCBS MAPPO |
$7.44
|
| Rate for Payer: BCBS Trust/PPO |
$13.49
|
| Rate for Payer: BCBS Trust/PPO |
$24.47
|
| Rate for Payer: BCN Commercial |
$24.47
|
| Rate for Payer: BCN Commercial |
$13.49
|
| Rate for Payer: BCN Medicare Advantage |
$7.44
|
| Rate for Payer: BCN Medicare Advantage |
$4.10
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cofinity Commercial |
$14.11
|
| Rate for Payer: Cofinity Commercial |
$25.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.44
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.10
|
| Rate for Payer: Healthscope Commercial |
$14.77
|
| Rate for Payer: Healthscope Commercial |
$26.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.33
|
| Rate for Payer: Mclaren Medicaid |
$5.25
|
| Rate for Payer: Mclaren Medicaid |
$2.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.31
|
| Rate for Payer: Meridian Medicaid |
$3.04
|
| Rate for Payer: Meridian Medicaid |
$5.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.95
|
| Rate for Payer: Nomi Health Commercial |
$24.41
|
| Rate for Payer: Nomi Health Commercial |
$13.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.33
|
| Rate for Payer: PACE Senior Care Partners |
$7.07
|
| Rate for Payer: PACE Senior Care Partners |
$3.90
|
| Rate for Payer: PACE SWMI |
$7.44
|
| Rate for Payer: PACE SWMI |
$4.10
|
| Rate for Payer: PHP Commercial |
$13.95
|
| Rate for Payer: PHP Commercial |
$25.30
|
| Rate for Payer: PHP Medicare Advantage |
$4.10
|
| Rate for Payer: PHP Medicare Advantage |
$7.44
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.90
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.28
|
| Rate for Payer: Priority Health Medicare |
$7.52
|
| Rate for Payer: Priority Health Medicare |
$4.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.42
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.72
|
| Rate for Payer: Railroad Medicare Medicare |
$4.10
|
| Rate for Payer: Railroad Medicare Medicare |
$7.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.20
|
| Rate for Payer: UHC Core |
$24.86
|
| Rate for Payer: UHC Core |
$13.70
|
| Rate for Payer: UHC Exchange |
$7.44
|
| Rate for Payer: UHC Exchange |
$4.10
|
| Rate for Payer: UHC Medicaid |
$5.25
|
| Rate for Payer: UHC Medicaid |
$2.89
|
| Rate for Payer: UHC Medicare Advantage |
$4.10
|
| Rate for Payer: UHC Medicare Advantage |
$7.44
|
| Rate for Payer: UHCCP Medicaid |
$2.89
|
| Rate for Payer: UHCCP Medicaid |
$5.25
|
| Rate for Payer: VA VA |
$4.10
|
| Rate for Payer: VA VA |
$7.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.31
|
|
|
MORPHINE 4 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$30.64
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
186563
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.40 |
| Max. Negotiated Rate |
$27.58 |
| Rate for Payer: Aetna Commercial |
$26.04
|
| Rate for Payer: Aetna Medicare |
$7.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.57
|
| Rate for Payer: BCBS Complete |
$5.67
|
| Rate for Payer: BCBS MAPPO |
$7.66
|
| Rate for Payer: BCBS Trust/PPO |
$25.19
|
| Rate for Payer: BCN Commercial |
$25.19
|
| Rate for Payer: BCN Medicare Advantage |
$7.66
|
| Rate for Payer: Cash Price |
$24.51
|
| Rate for Payer: Cofinity Commercial |
$26.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.51
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.66
|
| Rate for Payer: Healthscope Commercial |
$27.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.98
|
| Rate for Payer: Mclaren Medicaid |
$5.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.04
|
| Rate for Payer: Meridian Medicaid |
$5.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.04
|
| Rate for Payer: Nomi Health Commercial |
$25.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.98
|
| Rate for Payer: PACE Senior Care Partners |
$7.28
|
| Rate for Payer: PACE SWMI |
$7.66
|
| Rate for Payer: PHP Commercial |
$26.04
|
| Rate for Payer: PHP Medicare Advantage |
$7.66
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26.66
|
| Rate for Payer: Priority Health Medicare |
$7.74
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.33
|
| Rate for Payer: Railroad Medicare Medicare |
$7.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.96
|
| Rate for Payer: UHC Core |
$25.58
|
| Rate for Payer: UHC Exchange |
$7.66
|
| Rate for Payer: UHC Medicaid |
$5.40
|
| Rate for Payer: UHC Medicare Advantage |
$7.66
|
| Rate for Payer: UHCCP Medicaid |
$5.40
|
| Rate for Payer: VA VA |
$7.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.98
|
|
|
MORPHINE 4 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$30.64
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
186563
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$21.33 |
| Max. Negotiated Rate |
$27.58 |
| Rate for Payer: Aetna Commercial |
$26.04
|
| Rate for Payer: BCBS Trust/PPO |
$25.31
|
| Rate for Payer: BCN Commercial |
$25.31
|
| Rate for Payer: Cash Price |
$24.51
|
| Rate for Payer: Cofinity Commercial |
$26.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.51
|
| Rate for Payer: Healthscope Commercial |
$27.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.04
|
| Rate for Payer: Nomi Health Commercial |
$25.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.98
|
| Rate for Payer: PHP Commercial |
$26.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26.66
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.96
|
| Rate for Payer: UHC Core |
$25.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.98
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$16.93
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.98 |
| Max. Negotiated Rate |
$15.24 |
| Rate for Payer: Aetna Commercial |
$14.39
|
| Rate for Payer: Aetna Commercial |
$21.94
|
| Rate for Payer: Aetna Medicare |
$6.71
|
| Rate for Payer: Aetna Medicare |
$4.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.07
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.07
|
| Rate for Payer: BCBS Complete |
$3.13
|
| Rate for Payer: BCBS Complete |
$4.78
|
| Rate for Payer: BCBS MAPPO |
$4.23
|
| Rate for Payer: BCBS MAPPO |
$6.45
|
| Rate for Payer: BCBS Trust/PPO |
$13.92
|
| Rate for Payer: BCBS Trust/PPO |
$21.22
|
| Rate for Payer: BCN Commercial |
$21.22
|
| Rate for Payer: BCN Commercial |
$13.92
|
| Rate for Payer: BCN Medicare Advantage |
$6.45
|
| Rate for Payer: BCN Medicare Advantage |
$4.23
|
| Rate for Payer: Cash Price |
$13.54
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cofinity Commercial |
$14.56
|
| Rate for Payer: Cofinity Commercial |
$22.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.23
|
| Rate for Payer: Healthscope Commercial |
$15.24
|
| Rate for Payer: Healthscope Commercial |
$23.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.36
|
| Rate for Payer: Mclaren Medicaid |
$4.55
|
| Rate for Payer: Mclaren Medicaid |
$2.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.78
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.44
|
| Rate for Payer: Meridian Medicaid |
$3.13
|
| Rate for Payer: Meridian Medicaid |
$4.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.39
|
| Rate for Payer: Nomi Health Commercial |
$21.16
|
| Rate for Payer: Nomi Health Commercial |
$13.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.36
|
| Rate for Payer: PACE Senior Care Partners |
$6.13
|
| Rate for Payer: PACE Senior Care Partners |
$4.02
|
| Rate for Payer: PACE SWMI |
$6.45
|
| Rate for Payer: PACE SWMI |
$4.23
|
| Rate for Payer: PHP Commercial |
$14.39
|
| Rate for Payer: PHP Commercial |
$21.94
|
| Rate for Payer: PHP Medicare Advantage |
$4.23
|
| Rate for Payer: PHP Medicare Advantage |
$6.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.73
|
| Rate for Payer: Priority Health Medicare |
$6.52
|
| Rate for Payer: Priority Health Medicare |
$4.27
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.96
|
| Rate for Payer: Railroad Medicare Medicare |
$4.23
|
| Rate for Payer: Railroad Medicare Medicare |
$6.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.71
|
| Rate for Payer: UHC Core |
$21.55
|
| Rate for Payer: UHC Core |
$14.14
|
| Rate for Payer: UHC Exchange |
$6.45
|
| Rate for Payer: UHC Exchange |
$4.23
|
| Rate for Payer: UHC Medicaid |
$4.55
|
| Rate for Payer: UHC Medicaid |
$2.98
|
| Rate for Payer: UHC Medicare Advantage |
$4.23
|
| Rate for Payer: UHC Medicare Advantage |
$6.45
|
| Rate for Payer: UHCCP Medicaid |
$2.98
|
| Rate for Payer: UHCCP Medicaid |
$4.55
|
| Rate for Payer: VA VA |
$4.23
|
| Rate for Payer: VA VA |
$6.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.70
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$16.20
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.86 |
| Max. Negotiated Rate |
$14.58 |
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Medicare |
$6.96
|
| Rate for Payer: Aetna Medicare |
$4.21
|
| Rate for Payer: Aetna Medicare |
$5.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.36
|
| Rate for Payer: BCBS Complete |
$4.23
|
| Rate for Payer: BCBS Complete |
$3.00
|
| Rate for Payer: BCBS Complete |
$4.95
|
| Rate for Payer: BCBS MAPPO |
$6.69
|
| Rate for Payer: BCBS MAPPO |
$4.05
|
| Rate for Payer: BCBS MAPPO |
$5.71
|
| Rate for Payer: BCBS Trust/PPO |
$13.32
|
| Rate for Payer: BCBS Trust/PPO |
$18.78
|
| Rate for Payer: BCBS Trust/PPO |
$22.00
|
| Rate for Payer: BCN Commercial |
$18.78
|
| Rate for Payer: BCN Commercial |
$22.00
|
| Rate for Payer: BCN Commercial |
$13.32
|
| Rate for Payer: BCN Medicare Advantage |
$6.69
|
| Rate for Payer: BCN Medicare Advantage |
$5.71
|
| Rate for Payer: BCN Medicare Advantage |
$4.05
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: Cofinity Commercial |
$13.93
|
| Rate for Payer: Cofinity Commercial |
$19.65
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.05
|
| Rate for Payer: Healthscope Commercial |
$20.57
|
| Rate for Payer: Healthscope Commercial |
$14.58
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.14
|
| Rate for Payer: Mclaren Medicaid |
$2.86
|
| Rate for Payer: Mclaren Medicaid |
$4.72
|
| Rate for Payer: Mclaren Medicaid |
$4.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.25
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.00
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.02
|
| Rate for Payer: Meridian Medicaid |
$4.95
|
| Rate for Payer: Meridian Medicaid |
$3.00
|
| Rate for Payer: Meridian Medicaid |
$4.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.69
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| Rate for Payer: Nomi Health Commercial |
$21.94
|
| Rate for Payer: Nomi Health Commercial |
$18.74
|
| Rate for Payer: Nomi Health Commercial |
$13.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.15
|
| Rate for Payer: PACE Senior Care Partners |
$5.43
|
| Rate for Payer: PACE Senior Care Partners |
$3.85
|
| Rate for Payer: PACE Senior Care Partners |
$6.36
|
| Rate for Payer: PACE SWMI |
$6.69
|
| Rate for Payer: PACE SWMI |
$5.71
|
| Rate for Payer: PACE SWMI |
$4.05
|
| Rate for Payer: PHP Commercial |
$13.77
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$19.42
|
| Rate for Payer: PHP Medicare Advantage |
$5.71
|
| Rate for Payer: PHP Medicare Advantage |
$4.05
|
| Rate for Payer: PHP Medicare Advantage |
$6.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.28
|
| Rate for Payer: Priority Health Medicare |
$6.76
|
| Rate for Payer: Priority Health Medicare |
$5.77
|
| Rate for Payer: Priority Health Medicare |
$4.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.28
|
| Rate for Payer: Railroad Medicare Medicare |
$5.71
|
| Rate for Payer: Railroad Medicare Medicare |
$6.69
|
| Rate for Payer: Railroad Medicare Medicare |
$4.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.26
|
| Rate for Payer: UHC Core |
$13.53
|
| Rate for Payer: UHC Core |
$22.34
|
| Rate for Payer: UHC Core |
$19.08
|
| Rate for Payer: UHC Exchange |
$6.69
|
| Rate for Payer: UHC Exchange |
$5.71
|
| Rate for Payer: UHC Exchange |
$4.05
|
| Rate for Payer: UHC Medicaid |
$2.86
|
| Rate for Payer: UHC Medicaid |
$4.72
|
| Rate for Payer: UHC Medicaid |
$4.03
|
| Rate for Payer: UHC Medicare Advantage |
$5.71
|
| Rate for Payer: UHC Medicare Advantage |
$4.05
|
| Rate for Payer: UHC Medicare Advantage |
$6.69
|
| Rate for Payer: UHCCP Medicaid |
$4.03
|
| Rate for Payer: UHCCP Medicaid |
$2.86
|
| Rate for Payer: UHCCP Medicaid |
$4.72
|
| Rate for Payer: VA VA |
$4.05
|
| Rate for Payer: VA VA |
$6.69
|
| Rate for Payer: VA VA |
$5.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$16.93
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.78 |
| Max. Negotiated Rate |
$15.24 |
| Rate for Payer: Aetna Commercial |
$14.39
|
| Rate for Payer: Aetna Commercial |
$21.94
|
| Rate for Payer: BCBS Trust/PPO |
$13.98
|
| Rate for Payer: BCBS Trust/PPO |
$21.32
|
| Rate for Payer: BCN Commercial |
$13.98
|
| Rate for Payer: BCN Commercial |
$21.32
|
| Rate for Payer: Cash Price |
$13.54
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cofinity Commercial |
$22.20
|
| Rate for Payer: Cofinity Commercial |
$14.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.54
|
| Rate for Payer: Healthscope Commercial |
$15.24
|
| Rate for Payer: Healthscope Commercial |
$23.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.94
|
| Rate for Payer: Nomi Health Commercial |
$13.88
|
| Rate for Payer: Nomi Health Commercial |
$21.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.36
|
| Rate for Payer: PHP Commercial |
$21.94
|
| Rate for Payer: PHP Commercial |
$14.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.45
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.71
|
| Rate for Payer: UHC Core |
$14.14
|
| Rate for Payer: UHC Core |
$21.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.36
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$16.20
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.28 |
| Max. Negotiated Rate |
$14.58 |
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: BCBS Trust/PPO |
$18.87
|
| Rate for Payer: BCBS Trust/PPO |
$13.38
|
| Rate for Payer: BCBS Trust/PPO |
$22.10
|
| Rate for Payer: BCN Commercial |
$18.87
|
| Rate for Payer: BCN Commercial |
$13.38
|
| Rate for Payer: BCN Commercial |
$22.10
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$19.65
|
| Rate for Payer: Cofinity Commercial |
$13.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Healthscope Commercial |
$20.57
|
| Rate for Payer: Healthscope Commercial |
$14.58
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Nomi Health Commercial |
$13.28
|
| Rate for Payer: Nomi Health Commercial |
$18.74
|
| Rate for Payer: Nomi Health Commercial |
$21.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: PHP Commercial |
$13.77
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$19.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.90
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$14.26
|
| Rate for Payer: UHC Core |
$13.53
|
| Rate for Payer: UHC Core |
$22.34
|
| Rate for Payer: UHC Core |
$19.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.14
|
|
|
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$32.69
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
170088
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.75 |
| Max. Negotiated Rate |
$29.42 |
| Rate for Payer: Aetna Commercial |
$27.79
|
| Rate for Payer: BCBS Trust/PPO |
$27.00
|
| Rate for Payer: BCN Commercial |
$27.00
|
| Rate for Payer: Cash Price |
$26.15
|
| Rate for Payer: Cofinity Commercial |
$28.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.15
|
| Rate for Payer: Healthscope Commercial |
$29.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.79
|
| Rate for Payer: Nomi Health Commercial |
$26.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.52
|
| Rate for Payer: PHP Commercial |
$27.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.77
|
| Rate for Payer: UHC Core |
$27.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.52
|
|
|
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE
|
Facility
|
OP
|
$32.69
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
170088
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.76 |
| Max. Negotiated Rate |
$29.42 |
| Rate for Payer: Aetna Commercial |
$27.79
|
| Rate for Payer: Aetna Medicare |
$8.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.22
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.22
|
| Rate for Payer: BCBS Complete |
$6.05
|
| Rate for Payer: BCBS MAPPO |
$8.17
|
| Rate for Payer: BCBS Trust/PPO |
$26.87
|
| Rate for Payer: BCN Commercial |
$26.87
|
| Rate for Payer: BCN Medicare Advantage |
$8.17
|
| Rate for Payer: Cash Price |
$26.15
|
| Rate for Payer: Cofinity Commercial |
$28.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.15
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.17
|
| Rate for Payer: Healthscope Commercial |
$29.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.52
|
| Rate for Payer: Mclaren Medicaid |
$5.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.58
|
| Rate for Payer: Meridian Medicaid |
$6.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.40
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.79
|
| Rate for Payer: Nomi Health Commercial |
$26.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.52
|
| Rate for Payer: PACE Senior Care Partners |
$7.76
|
| Rate for Payer: PACE SWMI |
$8.17
|
| Rate for Payer: PHP Commercial |
$27.79
|
| Rate for Payer: PHP Medicare Advantage |
$8.17
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.44
|
| Rate for Payer: Priority Health Medicare |
$8.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$22.75
|
| Rate for Payer: Railroad Medicare Medicare |
$8.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$28.77
|
| Rate for Payer: UHC Core |
$27.30
|
| Rate for Payer: UHC Exchange |
$8.17
|
| Rate for Payer: UHC Medicaid |
$5.76
|
| Rate for Payer: UHC Medicare Advantage |
$8.17
|
| Rate for Payer: UHCCP Medicaid |
$5.76
|
| Rate for Payer: VA VA |
$8.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.52
|
|
|
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$718.20
|
|
|
Service Code
|
NDC 00054051750
|
| Hospital Charge Code |
10655
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$126.62 |
| Max. Negotiated Rate |
$646.38 |
| Rate for Payer: Aetna Commercial |
$610.47
|
| Rate for Payer: Aetna Medicare |
$186.73
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$224.44
|
| Rate for Payer: Amish Plain Church Group Commercial |
$224.44
|
| Rate for Payer: BCBS Complete |
$132.94
|
| Rate for Payer: BCBS MAPPO |
$179.55
|
| Rate for Payer: BCBS Trust/PPO |
$590.43
|
| Rate for Payer: BCN Commercial |
$590.43
|
| Rate for Payer: BCN Medicare Advantage |
$179.55
|
| Rate for Payer: Cash Price |
$574.56
|
| Rate for Payer: Cofinity Commercial |
$617.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$574.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$179.55
|
| Rate for Payer: Healthscope Commercial |
$646.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$538.65
|
| Rate for Payer: Mclaren Medicaid |
$126.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$188.53
|
| Rate for Payer: Meridian Medicaid |
$132.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$206.48
|
| Rate for Payer: Molina Medicare/Medicaid |
$197.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$610.47
|
| Rate for Payer: Nomi Health Commercial |
$588.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$538.65
|
| Rate for Payer: PACE Senior Care Partners |
$170.57
|
| Rate for Payer: PACE SWMI |
$179.55
|
| Rate for Payer: PHP Commercial |
$610.47
|
| Rate for Payer: PHP Medicare Advantage |
$179.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$126.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$624.83
|
| Rate for Payer: Priority Health Medicare |
$181.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.87
|
| Rate for Payer: Railroad Medicare Medicare |
$179.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.02
|
| Rate for Payer: UHC Core |
$599.70
|
| Rate for Payer: UHC Exchange |
$179.55
|
| Rate for Payer: UHC Medicaid |
$126.62
|
| Rate for Payer: UHC Medicare Advantage |
$179.55
|
| Rate for Payer: UHCCP Medicaid |
$126.62
|
| Rate for Payer: VA VA |
$179.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$538.65
|
|
|
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$142.28
|
|
|
Service Code
|
NDC 00054051744
|
| Hospital Charge Code |
10655
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$99.03 |
| Max. Negotiated Rate |
$128.05 |
| Rate for Payer: Aetna Commercial |
$120.94
|
| Rate for Payer: BCBS Trust/PPO |
$117.51
|
| Rate for Payer: BCN Commercial |
$117.51
|
| Rate for Payer: Cash Price |
$113.82
|
| Rate for Payer: Cofinity Commercial |
$122.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.82
|
| Rate for Payer: Healthscope Commercial |
$128.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.94
|
| Rate for Payer: Nomi Health Commercial |
$116.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.71
|
| Rate for Payer: PHP Commercial |
$120.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$123.78
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.21
|
| Rate for Payer: UHC Core |
$118.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.71
|
|
|
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$142.28
|
|
|
Service Code
|
NDC 00054051744
|
| Hospital Charge Code |
10655
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$25.08 |
| Max. Negotiated Rate |
$128.05 |
| Rate for Payer: Aetna Commercial |
$120.94
|
| Rate for Payer: Aetna Medicare |
$36.99
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.46
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.46
|
| Rate for Payer: BCBS Complete |
$26.34
|
| Rate for Payer: BCBS MAPPO |
$35.57
|
| Rate for Payer: BCBS Trust/PPO |
$116.97
|
| Rate for Payer: BCN Commercial |
$116.97
|
| Rate for Payer: BCN Medicare Advantage |
$35.57
|
| Rate for Payer: Cash Price |
$113.82
|
| Rate for Payer: Cofinity Commercial |
$122.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.82
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.57
|
| Rate for Payer: Healthscope Commercial |
$128.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.71
|
| Rate for Payer: Mclaren Medicaid |
$25.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.35
|
| Rate for Payer: Meridian Medicaid |
$26.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$40.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.94
|
| Rate for Payer: Nomi Health Commercial |
$116.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.71
|
| Rate for Payer: PACE Senior Care Partners |
$33.79
|
| Rate for Payer: PACE SWMI |
$35.57
|
| Rate for Payer: PHP Commercial |
$120.94
|
| Rate for Payer: PHP Medicare Advantage |
$35.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$123.78
|
| Rate for Payer: Priority Health Medicare |
$35.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.03
|
| Rate for Payer: Railroad Medicare Medicare |
$35.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$125.21
|
| Rate for Payer: UHC Core |
$118.80
|
| Rate for Payer: UHC Exchange |
$35.57
|
| Rate for Payer: UHC Medicaid |
$25.08
|
| Rate for Payer: UHC Medicare Advantage |
$35.57
|
| Rate for Payer: UHCCP Medicaid |
$25.08
|
| Rate for Payer: VA VA |
$35.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.71
|
|
|
MORPHINE CONCENTRATE 100 MG/5 ML (20 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$718.20
|
|
|
Service Code
|
NDC 00054051750
|
| Hospital Charge Code |
10655
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$499.87 |
| Max. Negotiated Rate |
$646.38 |
| Rate for Payer: Aetna Commercial |
$610.47
|
| Rate for Payer: BCBS Trust/PPO |
$593.16
|
| Rate for Payer: BCN Commercial |
$593.16
|
| Rate for Payer: Cash Price |
$574.56
|
| Rate for Payer: Cofinity Commercial |
$617.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$574.56
|
| Rate for Payer: Healthscope Commercial |
$646.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$538.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$610.47
|
| Rate for Payer: Nomi Health Commercial |
$588.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$538.65
|
| Rate for Payer: PHP Commercial |
$610.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$624.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$499.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$632.02
|
| Rate for Payer: UHC Core |
$599.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$538.65
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
OP
|
$11.68
|
|
|
Service Code
|
NDC 68094005601
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.06 |
| Max. Negotiated Rate |
$10.51 |
| Rate for Payer: Aetna Commercial |
$9.93
|
| Rate for Payer: Aetna Medicare |
$3.04
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$3.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$3.65
|
| Rate for Payer: BCBS Complete |
$2.16
|
| Rate for Payer: BCBS MAPPO |
$2.92
|
| Rate for Payer: BCBS Trust/PPO |
$9.60
|
| Rate for Payer: BCN Commercial |
$9.60
|
| Rate for Payer: BCN Medicare Advantage |
$2.92
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Cofinity Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.92
|
| Rate for Payer: Healthscope Commercial |
$10.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.76
|
| Rate for Payer: Mclaren Medicaid |
$2.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.07
|
| Rate for Payer: Meridian Medicaid |
$2.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.36
|
| Rate for Payer: Molina Medicare/Medicaid |
$3.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.93
|
| Rate for Payer: Nomi Health Commercial |
$9.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.76
|
| Rate for Payer: PACE Senior Care Partners |
$2.77
|
| Rate for Payer: PACE SWMI |
$2.92
|
| Rate for Payer: PHP Commercial |
$9.93
|
| Rate for Payer: PHP Medicare Advantage |
$2.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$10.16
|
| Rate for Payer: Priority Health Medicare |
$2.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$8.13
|
| Rate for Payer: Railroad Medicare Medicare |
$2.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.28
|
| Rate for Payer: UHC Core |
$9.75
|
| Rate for Payer: UHC Exchange |
$2.92
|
| Rate for Payer: UHC Medicaid |
$2.06
|
| Rate for Payer: UHC Medicare Advantage |
$2.92
|
| Rate for Payer: UHCCP Medicaid |
$2.06
|
| Rate for Payer: VA VA |
$2.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.76
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
IP
|
$11.44
|
|
|
Service Code
|
NDC 68094004558
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$7.96 |
| Max. Negotiated Rate |
$10.30 |
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: BCBS Trust/PPO |
$9.45
|
| Rate for Payer: BCN Commercial |
$9.45
|
| Rate for Payer: Cash Price |
$9.15
|
| Rate for Payer: Cofinity Commercial |
$9.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.15
|
| Rate for Payer: Healthscope Commercial |
$10.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.72
|
| Rate for Payer: Nomi Health Commercial |
$9.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.58
|
| Rate for Payer: PHP Commercial |
$9.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$9.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$7.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$10.07
|
| Rate for Payer: UHC Core |
$9.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.58
|
|
