|
PILOCARPINE 5 MG TABLET
|
Facility
|
OP
|
$361.00
|
|
|
Service Code
|
NDC 00527131301
|
| Hospital Charge Code |
12803
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$63.64 |
| Max. Negotiated Rate |
$324.90 |
| Rate for Payer: Aetna Commercial |
$306.85
|
| Rate for Payer: Aetna Medicare |
$93.86
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$112.81
|
| Rate for Payer: Amish Plain Church Group Commercial |
$112.81
|
| Rate for Payer: BCBS Complete |
$66.82
|
| Rate for Payer: BCBS MAPPO |
$90.25
|
| Rate for Payer: BCBS Trust/PPO |
$296.78
|
| Rate for Payer: BCN Commercial |
$296.78
|
| Rate for Payer: BCN Medicare Advantage |
$90.25
|
| Rate for Payer: Cash Price |
$288.80
|
| Rate for Payer: Cofinity Commercial |
$310.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.25
|
| Rate for Payer: Healthscope Commercial |
$324.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$270.75
|
| Rate for Payer: Mclaren Medicaid |
$63.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.76
|
| Rate for Payer: Meridian Medicaid |
$66.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$99.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.85
|
| Rate for Payer: Nomi Health Commercial |
$296.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.75
|
| Rate for Payer: PACE Senior Care Partners |
$85.74
|
| Rate for Payer: PACE SWMI |
$90.25
|
| Rate for Payer: PHP Commercial |
$306.85
|
| Rate for Payer: PHP Medicare Advantage |
$90.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$314.07
|
| Rate for Payer: Priority Health Medicare |
$91.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$251.26
|
| Rate for Payer: Railroad Medicare Medicare |
$90.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$317.68
|
| Rate for Payer: UHC Core |
$301.44
|
| Rate for Payer: UHC Exchange |
$90.25
|
| Rate for Payer: UHC Medicaid |
$63.64
|
| Rate for Payer: UHC Medicare Advantage |
$90.25
|
| Rate for Payer: UHCCP Medicaid |
$63.64
|
| Rate for Payer: VA VA |
$90.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$270.75
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
IP
|
$450.24
|
|
|
Service Code
|
NDC 00904709061
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$313.37 |
| Max. Negotiated Rate |
$405.22 |
| Rate for Payer: Aetna Commercial |
$382.70
|
| Rate for Payer: BCBS Trust/PPO |
$371.85
|
| Rate for Payer: BCN Commercial |
$371.85
|
| Rate for Payer: Cash Price |
$360.19
|
| Rate for Payer: Cofinity Commercial |
$387.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$360.19
|
| Rate for Payer: Healthscope Commercial |
$405.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$337.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.70
|
| Rate for Payer: Nomi Health Commercial |
$369.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.68
|
| Rate for Payer: PHP Commercial |
$382.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$391.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$313.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.21
|
| Rate for Payer: UHC Core |
$375.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$337.68
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
IP
|
$1,337.11
|
|
|
Service Code
|
NDC 64764015104
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$930.63 |
| Max. Negotiated Rate |
$1,203.40 |
| Rate for Payer: Aetna Commercial |
$1,136.54
|
| Rate for Payer: BCBS Trust/PPO |
$1,104.32
|
| Rate for Payer: BCN Commercial |
$1,104.32
|
| Rate for Payer: Cash Price |
$1,069.69
|
| Rate for Payer: Cofinity Commercial |
$1,149.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,069.69
|
| Rate for Payer: Healthscope Commercial |
$1,203.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,002.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,136.54
|
| Rate for Payer: Nomi Health Commercial |
$1,096.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,002.83
|
| Rate for Payer: PHP Commercial |
$1,136.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,163.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$930.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,176.66
|
| Rate for Payer: UHC Core |
$1,116.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,002.83
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
OP
|
$450.24
|
|
|
Service Code
|
NDC 00904709061
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$79.38 |
| Max. Negotiated Rate |
$405.22 |
| Rate for Payer: Aetna Commercial |
$382.70
|
| Rate for Payer: Aetna Medicare |
$117.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$140.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$140.70
|
| Rate for Payer: BCBS Complete |
$83.34
|
| Rate for Payer: BCBS MAPPO |
$112.56
|
| Rate for Payer: BCBS Trust/PPO |
$370.14
|
| Rate for Payer: BCN Commercial |
$370.14
|
| Rate for Payer: BCN Medicare Advantage |
$112.56
|
| Rate for Payer: Cash Price |
$360.19
|
| Rate for Payer: Cofinity Commercial |
$387.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$360.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$112.56
|
| Rate for Payer: Healthscope Commercial |
$405.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$337.68
|
| Rate for Payer: Mclaren Medicaid |
$79.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$118.19
|
| Rate for Payer: Meridian Medicaid |
$83.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$129.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$123.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$382.70
|
| Rate for Payer: Nomi Health Commercial |
$369.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$337.68
|
| Rate for Payer: PACE Senior Care Partners |
$106.93
|
| Rate for Payer: PACE SWMI |
$112.56
|
| Rate for Payer: PHP Commercial |
$382.70
|
| Rate for Payer: PHP Medicare Advantage |
$112.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$79.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$391.71
|
| Rate for Payer: Priority Health Medicare |
$113.69
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$313.37
|
| Rate for Payer: Railroad Medicare Medicare |
$112.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$396.21
|
| Rate for Payer: UHC Core |
$375.95
|
| Rate for Payer: UHC Exchange |
$112.56
|
| Rate for Payer: UHC Medicaid |
$79.38
|
| Rate for Payer: UHC Medicare Advantage |
$112.56
|
| Rate for Payer: UHCCP Medicaid |
$79.38
|
| Rate for Payer: VA VA |
$112.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$337.68
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
OP
|
$1,337.11
|
|
|
Service Code
|
NDC 64764015104
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$235.73 |
| Max. Negotiated Rate |
$1,203.40 |
| Rate for Payer: Aetna Commercial |
$1,136.54
|
| Rate for Payer: Aetna Medicare |
$347.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$417.85
|
| Rate for Payer: Amish Plain Church Group Commercial |
$417.85
|
| Rate for Payer: BCBS Complete |
$247.50
|
| Rate for Payer: BCBS MAPPO |
$334.28
|
| Rate for Payer: BCBS Trust/PPO |
$1,099.24
|
| Rate for Payer: BCN Commercial |
$1,099.24
|
| Rate for Payer: BCN Medicare Advantage |
$334.28
|
| Rate for Payer: Cash Price |
$1,069.69
|
| Rate for Payer: Cofinity Commercial |
$1,149.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,069.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$334.28
|
| Rate for Payer: Healthscope Commercial |
$1,203.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,002.83
|
| Rate for Payer: Mclaren Medicaid |
$235.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$350.99
|
| Rate for Payer: Meridian Medicaid |
$247.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$384.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$367.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,136.54
|
| Rate for Payer: Nomi Health Commercial |
$1,096.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,002.83
|
| Rate for Payer: PACE Senior Care Partners |
$317.56
|
| Rate for Payer: PACE SWMI |
$334.28
|
| Rate for Payer: PHP Commercial |
$1,136.54
|
| Rate for Payer: PHP Medicare Advantage |
$334.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$235.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,163.29
|
| Rate for Payer: Priority Health Medicare |
$337.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$930.63
|
| Rate for Payer: Railroad Medicare Medicare |
$334.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,176.66
|
| Rate for Payer: UHC Core |
$1,116.49
|
| Rate for Payer: UHC Exchange |
$334.28
|
| Rate for Payer: UHC Medicaid |
$235.73
|
| Rate for Payer: UHC Medicare Advantage |
$334.28
|
| Rate for Payer: UHCCP Medicaid |
$235.73
|
| Rate for Payer: VA VA |
$334.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,002.83
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
OP
|
$76.14
|
|
|
Service Code
|
NDC 57237021930
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$68.53 |
| Rate for Payer: Aetna Commercial |
$64.72
|
| Rate for Payer: Aetna Medicare |
$19.80
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.79
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.79
|
| Rate for Payer: BCBS Complete |
$14.09
|
| Rate for Payer: BCBS MAPPO |
$19.04
|
| Rate for Payer: BCBS Trust/PPO |
$62.59
|
| Rate for Payer: BCN Commercial |
$62.59
|
| Rate for Payer: BCN Medicare Advantage |
$19.04
|
| Rate for Payer: Cash Price |
$60.91
|
| Rate for Payer: Cofinity Commercial |
$65.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$19.04
|
| Rate for Payer: Healthscope Commercial |
$68.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.10
|
| Rate for Payer: Mclaren Medicaid |
$13.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.99
|
| Rate for Payer: Meridian Medicaid |
$14.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.72
|
| Rate for Payer: Nomi Health Commercial |
$62.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.10
|
| Rate for Payer: PACE Senior Care Partners |
$18.08
|
| Rate for Payer: PACE SWMI |
$19.04
|
| Rate for Payer: PHP Commercial |
$64.72
|
| Rate for Payer: PHP Medicare Advantage |
$19.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.24
|
| Rate for Payer: Priority Health Medicare |
$19.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.99
|
| Rate for Payer: Railroad Medicare Medicare |
$19.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.00
|
| Rate for Payer: UHC Core |
$63.58
|
| Rate for Payer: UHC Exchange |
$19.04
|
| Rate for Payer: UHC Medicaid |
$13.42
|
| Rate for Payer: UHC Medicare Advantage |
$19.04
|
| Rate for Payer: UHCCP Medicaid |
$13.42
|
| Rate for Payer: VA VA |
$19.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.10
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
IP
|
$76.14
|
|
|
Service Code
|
NDC 57237021930
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.99 |
| Max. Negotiated Rate |
$68.53 |
| Rate for Payer: Aetna Commercial |
$64.72
|
| Rate for Payer: BCBS Trust/PPO |
$62.88
|
| Rate for Payer: BCN Commercial |
$62.88
|
| Rate for Payer: Cash Price |
$60.91
|
| Rate for Payer: Cofinity Commercial |
$65.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.91
|
| Rate for Payer: Healthscope Commercial |
$68.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$57.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.72
|
| Rate for Payer: Nomi Health Commercial |
$62.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.10
|
| Rate for Payer: PHP Commercial |
$64.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$66.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$52.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$67.00
|
| Rate for Payer: UHC Core |
$63.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$57.10
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$20.23
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.08 |
| Max. Negotiated Rate |
$18.21 |
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: BCBS Trust/PPO |
$16.71
|
| Rate for Payer: BCN Commercial |
$16.71
|
| Rate for Payer: Cash Price |
$16.18
|
| Rate for Payer: Cofinity Commercial |
$17.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.18
|
| Rate for Payer: Healthscope Commercial |
$18.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.20
|
| Rate for Payer: Nomi Health Commercial |
$16.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.17
|
| Rate for Payer: PHP Commercial |
$17.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.80
|
| Rate for Payer: UHC Core |
$16.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.17
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$20.23
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.57 |
| Max. Negotiated Rate |
$18.21 |
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: Aetna Medicare |
$5.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.32
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.32
|
| Rate for Payer: BCBS Complete |
$3.74
|
| Rate for Payer: BCBS MAPPO |
$5.06
|
| Rate for Payer: BCBS Trust/PPO |
$16.63
|
| Rate for Payer: BCN Commercial |
$16.63
|
| Rate for Payer: BCN Medicare Advantage |
$5.06
|
| Rate for Payer: Cash Price |
$16.18
|
| Rate for Payer: Cofinity Commercial |
$17.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.06
|
| Rate for Payer: Healthscope Commercial |
$18.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.17
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.31
|
| Rate for Payer: Meridian Medicaid |
$3.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.82
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.20
|
| Rate for Payer: Nomi Health Commercial |
$16.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.17
|
| Rate for Payer: PACE Senior Care Partners |
$4.80
|
| Rate for Payer: PACE SWMI |
$5.06
|
| Rate for Payer: PHP Commercial |
$17.20
|
| Rate for Payer: PHP Medicare Advantage |
$5.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.60
|
| Rate for Payer: Priority Health Medicare |
$5.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.08
|
| Rate for Payer: Railroad Medicare Medicare |
$5.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.80
|
| Rate for Payer: UHC Core |
$16.89
|
| Rate for Payer: UHC Exchange |
$5.06
|
| Rate for Payer: UHC Medicaid |
$3.57
|
| Rate for Payer: UHC Medicare Advantage |
$5.06
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: VA VA |
$5.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.17
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$25.97
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.58 |
| Max. Negotiated Rate |
$23.37 |
| Rate for Payer: Aetna Commercial |
$22.07
|
| Rate for Payer: Aetna Commercial |
$24.45
|
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: Aetna Commercial |
$18.85
|
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: Aetna Commercial |
$18.13
|
| Rate for Payer: Aetna Commercial |
$24.22
|
| Rate for Payer: Aetna Medicare |
$5.55
|
| Rate for Payer: Aetna Medicare |
$5.77
|
| Rate for Payer: Aetna Medicare |
$7.48
|
| Rate for Payer: Aetna Medicare |
$6.75
|
| Rate for Payer: Aetna Medicare |
$5.26
|
| Rate for Payer: Aetna Medicare |
$7.42
|
| Rate for Payer: Aetna Medicare |
$7.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.12
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.93
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.32
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.99
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.67
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.90
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.93
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.32
|
| Rate for Payer: BCBS Complete |
$5.33
|
| Rate for Payer: BCBS Complete |
$3.74
|
| Rate for Payer: BCBS Complete |
$3.95
|
| Rate for Payer: BCBS Complete |
$4.81
|
| Rate for Payer: BCBS Complete |
$5.27
|
| Rate for Payer: BCBS Complete |
$4.11
|
| Rate for Payer: BCBS Complete |
$5.28
|
| Rate for Payer: BCBS MAPPO |
$5.54
|
| Rate for Payer: BCBS MAPPO |
$7.12
|
| Rate for Payer: BCBS MAPPO |
$6.49
|
| Rate for Payer: BCBS MAPPO |
$5.06
|
| Rate for Payer: BCBS MAPPO |
$7.13
|
| Rate for Payer: BCBS MAPPO |
$5.33
|
| Rate for Payer: BCBS MAPPO |
$7.19
|
| Rate for Payer: BCBS Trust/PPO |
$23.65
|
| Rate for Payer: BCBS Trust/PPO |
$23.42
|
| Rate for Payer: BCBS Trust/PPO |
$23.45
|
| Rate for Payer: BCBS Trust/PPO |
$21.35
|
| Rate for Payer: BCBS Trust/PPO |
$16.63
|
| Rate for Payer: BCBS Trust/PPO |
$17.54
|
| Rate for Payer: BCBS Trust/PPO |
$18.23
|
| Rate for Payer: BCN Commercial |
$17.54
|
| Rate for Payer: BCN Commercial |
$16.63
|
| Rate for Payer: BCN Commercial |
$23.65
|
| Rate for Payer: BCN Commercial |
$23.45
|
| Rate for Payer: BCN Commercial |
$23.42
|
| Rate for Payer: BCN Commercial |
$18.23
|
| Rate for Payer: BCN Commercial |
$21.35
|
| Rate for Payer: BCN Medicare Advantage |
$6.49
|
| Rate for Payer: BCN Medicare Advantage |
$5.33
|
| Rate for Payer: BCN Medicare Advantage |
$7.19
|
| Rate for Payer: BCN Medicare Advantage |
$5.54
|
| Rate for Payer: BCN Medicare Advantage |
$5.06
|
| Rate for Payer: BCN Medicare Advantage |
$7.13
|
| Rate for Payer: BCN Medicare Advantage |
$7.12
|
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Cash Price |
$16.18
|
| Rate for Payer: Cash Price |
$22.82
|
| Rate for Payer: Cash Price |
$17.06
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$20.78
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cofinity Commercial |
$17.40
|
| Rate for Payer: Cofinity Commercial |
$24.50
|
| Rate for Payer: Cofinity Commercial |
$22.33
|
| Rate for Payer: Cofinity Commercial |
$24.53
|
| Rate for Payer: Cofinity Commercial |
$18.34
|
| Rate for Payer: Cofinity Commercial |
$19.07
|
| Rate for Payer: Cofinity Commercial |
$24.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.49
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.12
|
| Rate for Payer: Healthscope Commercial |
$25.67
|
| Rate for Payer: Healthscope Commercial |
$25.89
|
| Rate for Payer: Healthscope Commercial |
$25.64
|
| Rate for Payer: Healthscope Commercial |
$19.96
|
| Rate for Payer: Healthscope Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$18.21
|
| Rate for Payer: Healthscope Commercial |
$23.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.58
|
| Rate for Payer: Mclaren Medicaid |
$5.03
|
| Rate for Payer: Mclaren Medicaid |
$3.76
|
| Rate for Payer: Mclaren Medicaid |
$3.57
|
| Rate for Payer: Mclaren Medicaid |
$4.58
|
| Rate for Payer: Mclaren Medicaid |
$5.02
|
| Rate for Payer: Mclaren Medicaid |
$5.07
|
| Rate for Payer: Mclaren Medicaid |
$3.91
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.82
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.82
|
| Rate for Payer: Meridian Medicaid |
$3.95
|
| Rate for Payer: Meridian Medicaid |
$3.74
|
| Rate for Payer: Meridian Medicaid |
$4.11
|
| Rate for Payer: Meridian Medicaid |
$4.81
|
| Rate for Payer: Meridian Medicaid |
$5.27
|
| Rate for Payer: Meridian Medicaid |
$5.28
|
| Rate for Payer: Meridian Medicaid |
$5.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.20
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.10
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.91
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.87
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.24
|
| Rate for Payer: Nomi Health Commercial |
$18.19
|
| Rate for Payer: Nomi Health Commercial |
$23.36
|
| Rate for Payer: Nomi Health Commercial |
$21.30
|
| Rate for Payer: Nomi Health Commercial |
$17.49
|
| Rate for Payer: Nomi Health Commercial |
$16.59
|
| Rate for Payer: Nomi Health Commercial |
$23.39
|
| Rate for Payer: Nomi Health Commercial |
$23.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.39
|
| Rate for Payer: PACE Senior Care Partners |
$6.77
|
| Rate for Payer: PACE Senior Care Partners |
$5.07
|
| Rate for Payer: PACE Senior Care Partners |
$4.80
|
| Rate for Payer: PACE Senior Care Partners |
$6.77
|
| Rate for Payer: PACE Senior Care Partners |
$5.27
|
| Rate for Payer: PACE Senior Care Partners |
$6.83
|
| Rate for Payer: PACE Senior Care Partners |
$6.17
|
| Rate for Payer: PACE SWMI |
$5.54
|
| Rate for Payer: PACE SWMI |
$7.13
|
| Rate for Payer: PACE SWMI |
$7.12
|
| Rate for Payer: PACE SWMI |
$5.33
|
| Rate for Payer: PACE SWMI |
$6.49
|
| Rate for Payer: PACE SWMI |
$7.19
|
| Rate for Payer: PACE SWMI |
$5.06
|
| Rate for Payer: PHP Commercial |
$22.07
|
| Rate for Payer: PHP Commercial |
$18.85
|
| Rate for Payer: PHP Commercial |
$24.22
|
| Rate for Payer: PHP Commercial |
$18.13
|
| Rate for Payer: PHP Commercial |
$24.24
|
| Rate for Payer: PHP Commercial |
$17.20
|
| Rate for Payer: PHP Commercial |
$24.45
|
| Rate for Payer: PHP Medicare Advantage |
$5.33
|
| Rate for Payer: PHP Medicare Advantage |
$7.12
|
| Rate for Payer: PHP Medicare Advantage |
$5.06
|
| Rate for Payer: PHP Medicare Advantage |
$5.54
|
| Rate for Payer: PHP Medicare Advantage |
$6.49
|
| Rate for Payer: PHP Medicare Advantage |
$7.13
|
| Rate for Payer: PHP Medicare Advantage |
$7.19
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.07
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.03
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.58
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.59
|
| Rate for Payer: Priority Health Medicare |
$7.20
|
| Rate for Payer: Priority Health Medicare |
$7.26
|
| Rate for Payer: Priority Health Medicare |
$7.19
|
| Rate for Payer: Priority Health Medicare |
$5.60
|
| Rate for Payer: Priority Health Medicare |
$5.39
|
| Rate for Payer: Priority Health Medicare |
$6.56
|
| Rate for Payer: Priority Health Medicare |
$5.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.85
|
| Rate for Payer: Railroad Medicare Medicare |
$5.54
|
| Rate for Payer: Railroad Medicare Medicare |
$7.12
|
| Rate for Payer: Railroad Medicare Medicare |
$7.19
|
| Rate for Payer: Railroad Medicare Medicare |
$5.06
|
| Rate for Payer: Railroad Medicare Medicare |
$7.13
|
| Rate for Payer: Railroad Medicare Medicare |
$5.33
|
| Rate for Payer: Railroad Medicare Medicare |
$6.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.80
|
| Rate for Payer: UHC Core |
$21.68
|
| Rate for Payer: UHC Core |
$16.89
|
| Rate for Payer: UHC Core |
$18.52
|
| Rate for Payer: UHC Core |
$23.81
|
| Rate for Payer: UHC Core |
$24.02
|
| Rate for Payer: UHC Core |
$17.81
|
| Rate for Payer: UHC Core |
$23.79
|
| Rate for Payer: UHC Exchange |
$5.33
|
| Rate for Payer: UHC Exchange |
$7.12
|
| Rate for Payer: UHC Exchange |
$5.06
|
| Rate for Payer: UHC Exchange |
$7.13
|
| Rate for Payer: UHC Exchange |
$6.49
|
| Rate for Payer: UHC Exchange |
$5.54
|
| Rate for Payer: UHC Exchange |
$7.19
|
| Rate for Payer: UHC Medicaid |
$5.07
|
| Rate for Payer: UHC Medicaid |
$5.03
|
| Rate for Payer: UHC Medicaid |
$3.91
|
| Rate for Payer: UHC Medicaid |
$3.57
|
| Rate for Payer: UHC Medicaid |
$3.76
|
| Rate for Payer: UHC Medicaid |
$5.02
|
| Rate for Payer: UHC Medicaid |
$4.58
|
| Rate for Payer: UHC Medicare Advantage |
$5.33
|
| Rate for Payer: UHC Medicare Advantage |
$7.19
|
| Rate for Payer: UHC Medicare Advantage |
$5.06
|
| Rate for Payer: UHC Medicare Advantage |
$6.49
|
| Rate for Payer: UHC Medicare Advantage |
$7.13
|
| Rate for Payer: UHC Medicare Advantage |
$7.12
|
| Rate for Payer: UHC Medicare Advantage |
$5.54
|
| Rate for Payer: UHCCP Medicaid |
$3.57
|
| Rate for Payer: UHCCP Medicaid |
$5.07
|
| Rate for Payer: UHCCP Medicaid |
$3.76
|
| Rate for Payer: UHCCP Medicaid |
$4.58
|
| Rate for Payer: UHCCP Medicaid |
$5.02
|
| Rate for Payer: UHCCP Medicaid |
$5.03
|
| Rate for Payer: UHCCP Medicaid |
$3.91
|
| Rate for Payer: VA VA |
$5.06
|
| Rate for Payer: VA VA |
$7.13
|
| Rate for Payer: VA VA |
$5.54
|
| Rate for Payer: VA VA |
$7.12
|
| Rate for Payer: VA VA |
$7.19
|
| Rate for Payer: VA VA |
$5.33
|
| Rate for Payer: VA VA |
$6.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.48
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$28.77
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.02 |
| Max. Negotiated Rate |
$25.89 |
| Rate for Payer: Aetna Commercial |
$24.45
|
| Rate for Payer: Aetna Commercial |
$18.13
|
| Rate for Payer: Aetna Commercial |
$18.85
|
| Rate for Payer: Aetna Commercial |
$24.22
|
| Rate for Payer: Aetna Commercial |
$22.07
|
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: Aetna Commercial |
$24.24
|
| Rate for Payer: BCBS Trust/PPO |
$23.76
|
| Rate for Payer: BCBS Trust/PPO |
$17.62
|
| Rate for Payer: BCBS Trust/PPO |
$23.55
|
| Rate for Payer: BCBS Trust/PPO |
$16.71
|
| Rate for Payer: BCBS Trust/PPO |
$23.53
|
| Rate for Payer: BCBS Trust/PPO |
$18.32
|
| Rate for Payer: BCBS Trust/PPO |
$21.45
|
| Rate for Payer: BCN Commercial |
$18.32
|
| Rate for Payer: BCN Commercial |
$23.55
|
| Rate for Payer: BCN Commercial |
$23.76
|
| Rate for Payer: BCN Commercial |
$23.53
|
| Rate for Payer: BCN Commercial |
$17.62
|
| Rate for Payer: BCN Commercial |
$21.45
|
| Rate for Payer: BCN Commercial |
$16.71
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cash Price |
$16.18
|
| Rate for Payer: Cash Price |
$22.79
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$22.82
|
| Rate for Payer: Cash Price |
$17.06
|
| Rate for Payer: Cash Price |
$20.78
|
| Rate for Payer: Cofinity Commercial |
$22.33
|
| Rate for Payer: Cofinity Commercial |
$17.40
|
| Rate for Payer: Cofinity Commercial |
$24.50
|
| Rate for Payer: Cofinity Commercial |
$19.07
|
| Rate for Payer: Cofinity Commercial |
$18.34
|
| Rate for Payer: Cofinity Commercial |
$24.74
|
| Rate for Payer: Cofinity Commercial |
$24.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.02
|
| Rate for Payer: Healthscope Commercial |
$19.20
|
| Rate for Payer: Healthscope Commercial |
$19.96
|
| Rate for Payer: Healthscope Commercial |
$25.67
|
| Rate for Payer: Healthscope Commercial |
$25.64
|
| Rate for Payer: Healthscope Commercial |
$18.21
|
| Rate for Payer: Healthscope Commercial |
$25.89
|
| Rate for Payer: Healthscope Commercial |
$23.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.85
|
| Rate for Payer: Nomi Health Commercial |
$21.30
|
| Rate for Payer: Nomi Health Commercial |
$16.59
|
| Rate for Payer: Nomi Health Commercial |
$23.59
|
| Rate for Payer: Nomi Health Commercial |
$23.39
|
| Rate for Payer: Nomi Health Commercial |
$23.36
|
| Rate for Payer: Nomi Health Commercial |
$18.19
|
| Rate for Payer: Nomi Health Commercial |
$17.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.64
|
| Rate for Payer: PHP Commercial |
$17.20
|
| Rate for Payer: PHP Commercial |
$18.13
|
| Rate for Payer: PHP Commercial |
$18.85
|
| Rate for Payer: PHP Commercial |
$24.22
|
| Rate for Payer: PHP Commercial |
$24.45
|
| Rate for Payer: PHP Commercial |
$24.24
|
| Rate for Payer: PHP Commercial |
$22.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$18.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$19.30
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.52
|
| Rate for Payer: UHC Core |
$16.89
|
| Rate for Payer: UHC Core |
$23.81
|
| Rate for Payer: UHC Core |
$17.81
|
| Rate for Payer: UHC Core |
$18.52
|
| Rate for Payer: UHC Core |
$23.79
|
| Rate for Payer: UHC Core |
$24.02
|
| Rate for Payer: UHC Core |
$21.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.39
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375GM IVPB (IV PREMIX)
|
Facility
|
IP
|
$26.26
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
180352
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.28 |
| Max. Negotiated Rate |
$23.63 |
| Rate for Payer: Aetna Commercial |
$22.32
|
| Rate for Payer: BCBS Trust/PPO |
$21.69
|
| Rate for Payer: BCN Commercial |
$21.69
|
| Rate for Payer: Cash Price |
$21.01
|
| Rate for Payer: Cofinity Commercial |
$22.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.01
|
| Rate for Payer: Healthscope Commercial |
$23.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.32
|
| Rate for Payer: Nomi Health Commercial |
$21.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.70
|
| Rate for Payer: PHP Commercial |
$22.32
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.85
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.11
|
| Rate for Payer: UHC Core |
$21.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.70
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375GM IVPB (IV PREMIX)
|
Facility
|
OP
|
$26.26
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
180352
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.63 |
| Max. Negotiated Rate |
$23.63 |
| Rate for Payer: Aetna Commercial |
$22.32
|
| Rate for Payer: Aetna Medicare |
$6.83
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.21
|
| Rate for Payer: BCBS Complete |
$4.86
|
| Rate for Payer: BCBS MAPPO |
$6.57
|
| Rate for Payer: BCBS Trust/PPO |
$21.59
|
| Rate for Payer: BCN Commercial |
$21.59
|
| Rate for Payer: BCN Medicare Advantage |
$6.57
|
| Rate for Payer: Cash Price |
$21.01
|
| Rate for Payer: Cofinity Commercial |
$22.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.57
|
| Rate for Payer: Healthscope Commercial |
$23.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.70
|
| Rate for Payer: Mclaren Medicaid |
$4.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.89
|
| Rate for Payer: Meridian Medicaid |
$4.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.55
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.32
|
| Rate for Payer: Nomi Health Commercial |
$21.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.70
|
| Rate for Payer: PACE Senior Care Partners |
$6.24
|
| Rate for Payer: PACE SWMI |
$6.57
|
| Rate for Payer: PHP Commercial |
$22.32
|
| Rate for Payer: PHP Medicare Advantage |
$6.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.85
|
| Rate for Payer: Priority Health Medicare |
$6.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.28
|
| Rate for Payer: Railroad Medicare Medicare |
$6.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.11
|
| Rate for Payer: UHC Core |
$21.93
|
| Rate for Payer: UHC Exchange |
$6.57
|
| Rate for Payer: UHC Medicaid |
$4.63
|
| Rate for Payer: UHC Medicare Advantage |
$6.57
|
| Rate for Payer: UHCCP Medicaid |
$4.63
|
| Rate for Payer: VA VA |
$6.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.70
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$17.35
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.08 |
| Max. Negotiated Rate |
$15.62 |
| Rate for Payer: Aetna Commercial |
$14.75
|
| Rate for Payer: BCBS Trust/PPO |
$14.33
|
| Rate for Payer: BCN Commercial |
$14.33
|
| Rate for Payer: Cash Price |
$13.88
|
| Rate for Payer: Cofinity Commercial |
$14.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.88
|
| Rate for Payer: Healthscope Commercial |
$15.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.75
|
| Rate for Payer: Nomi Health Commercial |
$14.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.01
|
| Rate for Payer: PHP Commercial |
$14.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.27
|
| Rate for Payer: UHC Core |
$14.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.01
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$17.35
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.06 |
| Max. Negotiated Rate |
$15.62 |
| Rate for Payer: Aetna Commercial |
$14.75
|
| Rate for Payer: Aetna Medicare |
$4.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.42
|
| Rate for Payer: BCBS Complete |
$3.21
|
| Rate for Payer: BCBS MAPPO |
$4.34
|
| Rate for Payer: BCBS Trust/PPO |
$14.26
|
| Rate for Payer: BCN Commercial |
$14.26
|
| Rate for Payer: BCN Medicare Advantage |
$4.34
|
| Rate for Payer: Cash Price |
$13.88
|
| Rate for Payer: Cofinity Commercial |
$14.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.88
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.34
|
| Rate for Payer: Healthscope Commercial |
$15.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.01
|
| Rate for Payer: Mclaren Medicaid |
$3.06
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.55
|
| Rate for Payer: Meridian Medicaid |
$3.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.75
|
| Rate for Payer: Nomi Health Commercial |
$14.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.01
|
| Rate for Payer: PACE Senior Care Partners |
$4.12
|
| Rate for Payer: PACE SWMI |
$4.34
|
| Rate for Payer: PHP Commercial |
$14.75
|
| Rate for Payer: PHP Medicare Advantage |
$4.34
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.09
|
| Rate for Payer: Priority Health Medicare |
$4.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.08
|
| Rate for Payer: Railroad Medicare Medicare |
$4.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.27
|
| Rate for Payer: UHC Core |
$14.49
|
| Rate for Payer: UHC Exchange |
$4.34
|
| Rate for Payer: UHC Medicaid |
$3.06
|
| Rate for Payer: UHC Medicare Advantage |
$4.34
|
| Rate for Payer: UHCCP Medicaid |
$3.06
|
| Rate for Payer: VA VA |
$4.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.01
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$27.30
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.00 |
| Max. Negotiated Rate |
$24.57 |
| Rate for Payer: Aetna Commercial |
$23.20
|
| Rate for Payer: Aetna Commercial |
$14.75
|
| Rate for Payer: Aetna Commercial |
$16.80
|
| Rate for Payer: Aetna Commercial |
$21.90
|
| Rate for Payer: Aetna Commercial |
$19.76
|
| Rate for Payer: Aetna Commercial |
$12.78
|
| Rate for Payer: Aetna Commercial |
$22.84
|
| Rate for Payer: BCBS Trust/PPO |
$22.55
|
| Rate for Payer: BCBS Trust/PPO |
$14.33
|
| Rate for Payer: BCBS Trust/PPO |
$22.19
|
| Rate for Payer: BCBS Trust/PPO |
$12.42
|
| Rate for Payer: BCBS Trust/PPO |
$21.28
|
| Rate for Payer: BCBS Trust/PPO |
$16.33
|
| Rate for Payer: BCBS Trust/PPO |
$19.20
|
| Rate for Payer: BCN Commercial |
$16.33
|
| Rate for Payer: BCN Commercial |
$22.19
|
| Rate for Payer: BCN Commercial |
$22.55
|
| Rate for Payer: BCN Commercial |
$21.28
|
| Rate for Payer: BCN Commercial |
$14.33
|
| Rate for Payer: BCN Commercial |
$19.20
|
| Rate for Payer: BCN Commercial |
$12.42
|
| Rate for Payer: Cash Price |
$15.82
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cash Price |
$20.61
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$21.50
|
| Rate for Payer: Cash Price |
$13.88
|
| Rate for Payer: Cash Price |
$18.60
|
| Rate for Payer: Cofinity Commercial |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$12.93
|
| Rate for Payer: Cofinity Commercial |
$22.15
|
| Rate for Payer: Cofinity Commercial |
$17.00
|
| Rate for Payer: Cofinity Commercial |
$14.92
|
| Rate for Payer: Cofinity Commercial |
$23.48
|
| Rate for Payer: Cofinity Commercial |
$23.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Healthscope Commercial |
$15.62
|
| Rate for Payer: Healthscope Commercial |
$17.79
|
| Rate for Payer: Healthscope Commercial |
$24.18
|
| Rate for Payer: Healthscope Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$13.54
|
| Rate for Payer: Healthscope Commercial |
$24.57
|
| Rate for Payer: Healthscope Commercial |
$20.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.80
|
| Rate for Payer: Nomi Health Commercial |
$19.07
|
| Rate for Payer: Nomi Health Commercial |
$12.33
|
| Rate for Payer: Nomi Health Commercial |
$22.39
|
| Rate for Payer: Nomi Health Commercial |
$22.03
|
| Rate for Payer: Nomi Health Commercial |
$21.12
|
| Rate for Payer: Nomi Health Commercial |
$16.21
|
| Rate for Payer: Nomi Health Commercial |
$14.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.83
|
| Rate for Payer: PHP Commercial |
$12.78
|
| Rate for Payer: PHP Commercial |
$14.75
|
| Rate for Payer: PHP Commercial |
$16.80
|
| Rate for Payer: PHP Commercial |
$21.90
|
| Rate for Payer: PHP Commercial |
$23.20
|
| Rate for Payer: PHP Commercial |
$22.84
|
| Rate for Payer: PHP Commercial |
$19.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.40
|
| Rate for Payer: UHC Core |
$12.56
|
| Rate for Payer: UHC Core |
$22.44
|
| Rate for Payer: UHC Core |
$14.49
|
| Rate for Payer: UHC Core |
$16.51
|
| Rate for Payer: UHC Core |
$21.51
|
| Rate for Payer: UHC Core |
$22.80
|
| Rate for Payer: UHC Core |
$19.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.15
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$23.25
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.10 |
| Max. Negotiated Rate |
$20.93 |
| Rate for Payer: Aetna Commercial |
$19.76
|
| Rate for Payer: Aetna Commercial |
$23.20
|
| Rate for Payer: Aetna Commercial |
$12.78
|
| Rate for Payer: Aetna Commercial |
$16.80
|
| Rate for Payer: Aetna Commercial |
$22.84
|
| Rate for Payer: Aetna Commercial |
$14.75
|
| Rate for Payer: Aetna Commercial |
$21.90
|
| Rate for Payer: Aetna Medicare |
$4.51
|
| Rate for Payer: Aetna Medicare |
$5.14
|
| Rate for Payer: Aetna Medicare |
$7.10
|
| Rate for Payer: Aetna Medicare |
$6.04
|
| Rate for Payer: Aetna Medicare |
$3.91
|
| Rate for Payer: Aetna Medicare |
$6.99
|
| Rate for Payer: Aetna Medicare |
$6.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.18
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.40
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.70
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.05
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.53
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.42
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.18
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.70
|
| Rate for Payer: BCBS Complete |
$5.05
|
| Rate for Payer: BCBS Complete |
$2.78
|
| Rate for Payer: BCBS Complete |
$3.21
|
| Rate for Payer: BCBS Complete |
$4.30
|
| Rate for Payer: BCBS Complete |
$4.77
|
| Rate for Payer: BCBS Complete |
$3.66
|
| Rate for Payer: BCBS Complete |
$4.97
|
| Rate for Payer: BCBS MAPPO |
$4.94
|
| Rate for Payer: BCBS MAPPO |
$6.44
|
| Rate for Payer: BCBS MAPPO |
$5.81
|
| Rate for Payer: BCBS MAPPO |
$3.76
|
| Rate for Payer: BCBS MAPPO |
$6.72
|
| Rate for Payer: BCBS MAPPO |
$4.34
|
| Rate for Payer: BCBS MAPPO |
$6.83
|
| Rate for Payer: BCBS Trust/PPO |
$22.44
|
| Rate for Payer: BCBS Trust/PPO |
$21.18
|
| Rate for Payer: BCBS Trust/PPO |
$22.09
|
| Rate for Payer: BCBS Trust/PPO |
$19.11
|
| Rate for Payer: BCBS Trust/PPO |
$12.36
|
| Rate for Payer: BCBS Trust/PPO |
$14.26
|
| Rate for Payer: BCBS Trust/PPO |
$16.25
|
| Rate for Payer: BCN Commercial |
$14.26
|
| Rate for Payer: BCN Commercial |
$12.36
|
| Rate for Payer: BCN Commercial |
$22.44
|
| Rate for Payer: BCN Commercial |
$22.09
|
| Rate for Payer: BCN Commercial |
$21.18
|
| Rate for Payer: BCN Commercial |
$16.25
|
| Rate for Payer: BCN Commercial |
$19.11
|
| Rate for Payer: BCN Medicare Advantage |
$5.81
|
| Rate for Payer: BCN Medicare Advantage |
$4.34
|
| Rate for Payer: BCN Medicare Advantage |
$6.83
|
| Rate for Payer: BCN Medicare Advantage |
$4.94
|
| Rate for Payer: BCN Medicare Advantage |
$3.76
|
| Rate for Payer: BCN Medicare Advantage |
$6.72
|
| Rate for Payer: BCN Medicare Advantage |
$6.44
|
| Rate for Payer: Cash Price |
$20.61
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cash Price |
$21.50
|
| Rate for Payer: Cash Price |
$13.88
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$18.60
|
| Rate for Payer: Cash Price |
$15.82
|
| Rate for Payer: Cofinity Commercial |
$12.93
|
| Rate for Payer: Cofinity Commercial |
$22.15
|
| Rate for Payer: Cofinity Commercial |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$23.11
|
| Rate for Payer: Cofinity Commercial |
$14.92
|
| Rate for Payer: Cofinity Commercial |
$17.00
|
| Rate for Payer: Cofinity Commercial |
$23.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.03
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.94
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.34
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.72
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.83
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.44
|
| Rate for Payer: Healthscope Commercial |
$24.18
|
| Rate for Payer: Healthscope Commercial |
$24.57
|
| Rate for Payer: Healthscope Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$17.79
|
| Rate for Payer: Healthscope Commercial |
$15.62
|
| Rate for Payer: Healthscope Commercial |
$13.54
|
| Rate for Payer: Healthscope Commercial |
$20.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.48
|
| Rate for Payer: Mclaren Medicaid |
$4.74
|
| Rate for Payer: Mclaren Medicaid |
$3.06
|
| Rate for Payer: Mclaren Medicaid |
$2.65
|
| Rate for Payer: Mclaren Medicaid |
$4.10
|
| Rate for Payer: Mclaren Medicaid |
$4.54
|
| Rate for Payer: Mclaren Medicaid |
$4.81
|
| Rate for Payer: Mclaren Medicaid |
$3.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.05
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.19
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.95
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.17
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.10
|
| Rate for Payer: Meridian Medicaid |
$3.21
|
| Rate for Payer: Meridian Medicaid |
$2.78
|
| Rate for Payer: Meridian Medicaid |
$3.66
|
| Rate for Payer: Meridian Medicaid |
$4.30
|
| Rate for Payer: Meridian Medicaid |
$4.77
|
| Rate for Payer: Meridian Medicaid |
$4.97
|
| Rate for Payer: Meridian Medicaid |
$5.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.73
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.84
|
| Rate for Payer: Nomi Health Commercial |
$16.21
|
| Rate for Payer: Nomi Health Commercial |
$21.12
|
| Rate for Payer: Nomi Health Commercial |
$19.07
|
| Rate for Payer: Nomi Health Commercial |
$14.23
|
| Rate for Payer: Nomi Health Commercial |
$12.33
|
| Rate for Payer: Nomi Health Commercial |
$22.03
|
| Rate for Payer: Nomi Health Commercial |
$22.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.15
|
| Rate for Payer: PACE Senior Care Partners |
$6.12
|
| Rate for Payer: PACE Senior Care Partners |
$4.12
|
| Rate for Payer: PACE Senior Care Partners |
$3.57
|
| Rate for Payer: PACE Senior Care Partners |
$6.38
|
| Rate for Payer: PACE Senior Care Partners |
$4.70
|
| Rate for Payer: PACE Senior Care Partners |
$6.48
|
| Rate for Payer: PACE Senior Care Partners |
$5.52
|
| Rate for Payer: PACE SWMI |
$4.94
|
| Rate for Payer: PACE SWMI |
$6.72
|
| Rate for Payer: PACE SWMI |
$6.44
|
| Rate for Payer: PACE SWMI |
$4.34
|
| Rate for Payer: PACE SWMI |
$5.81
|
| Rate for Payer: PACE SWMI |
$6.83
|
| Rate for Payer: PACE SWMI |
$3.76
|
| Rate for Payer: PHP Commercial |
$19.76
|
| Rate for Payer: PHP Commercial |
$16.80
|
| Rate for Payer: PHP Commercial |
$21.90
|
| Rate for Payer: PHP Commercial |
$14.75
|
| Rate for Payer: PHP Commercial |
$22.84
|
| Rate for Payer: PHP Commercial |
$12.78
|
| Rate for Payer: PHP Commercial |
$23.20
|
| Rate for Payer: PHP Medicare Advantage |
$4.34
|
| Rate for Payer: PHP Medicare Advantage |
$6.44
|
| Rate for Payer: PHP Medicare Advantage |
$3.76
|
| Rate for Payer: PHP Medicare Advantage |
$4.94
|
| Rate for Payer: PHP Medicare Advantage |
$5.81
|
| Rate for Payer: PHP Medicare Advantage |
$6.72
|
| Rate for Payer: PHP Medicare Advantage |
$6.83
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.74
|
| Rate for Payer: Priority Health Choice Medicaid |
$2.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.49
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.54
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$13.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.09
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.23
|
| Rate for Payer: Priority Health Medicare |
$6.78
|
| Rate for Payer: Priority Health Medicare |
$6.89
|
| Rate for Payer: Priority Health Medicare |
$6.50
|
| Rate for Payer: Priority Health Medicare |
$4.99
|
| Rate for Payer: Priority Health Medicare |
$4.38
|
| Rate for Payer: Priority Health Medicare |
$5.87
|
| Rate for Payer: Priority Health Medicare |
$3.80
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.70
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$10.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$12.08
|
| Rate for Payer: Railroad Medicare Medicare |
$4.94
|
| Rate for Payer: Railroad Medicare Medicare |
$6.44
|
| Rate for Payer: Railroad Medicare Medicare |
$6.83
|
| Rate for Payer: Railroad Medicare Medicare |
$3.76
|
| Rate for Payer: Railroad Medicare Medicare |
$6.72
|
| Rate for Payer: Railroad Medicare Medicare |
$4.34
|
| Rate for Payer: Railroad Medicare Medicare |
$5.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$24.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.24
|
| Rate for Payer: UHC Core |
$19.41
|
| Rate for Payer: UHC Core |
$12.56
|
| Rate for Payer: UHC Core |
$16.51
|
| Rate for Payer: UHC Core |
$22.44
|
| Rate for Payer: UHC Core |
$22.80
|
| Rate for Payer: UHC Core |
$14.49
|
| Rate for Payer: UHC Core |
$21.51
|
| Rate for Payer: UHC Exchange |
$4.34
|
| Rate for Payer: UHC Exchange |
$6.44
|
| Rate for Payer: UHC Exchange |
$3.76
|
| Rate for Payer: UHC Exchange |
$6.72
|
| Rate for Payer: UHC Exchange |
$5.81
|
| Rate for Payer: UHC Exchange |
$4.94
|
| Rate for Payer: UHC Exchange |
$6.83
|
| Rate for Payer: UHC Medicaid |
$4.81
|
| Rate for Payer: UHC Medicaid |
$4.74
|
| Rate for Payer: UHC Medicaid |
$3.49
|
| Rate for Payer: UHC Medicaid |
$2.65
|
| Rate for Payer: UHC Medicaid |
$3.06
|
| Rate for Payer: UHC Medicaid |
$4.54
|
| Rate for Payer: UHC Medicaid |
$4.10
|
| Rate for Payer: UHC Medicare Advantage |
$4.34
|
| Rate for Payer: UHC Medicare Advantage |
$6.83
|
| Rate for Payer: UHC Medicare Advantage |
$3.76
|
| Rate for Payer: UHC Medicare Advantage |
$5.81
|
| Rate for Payer: UHC Medicare Advantage |
$6.72
|
| Rate for Payer: UHC Medicare Advantage |
$6.44
|
| Rate for Payer: UHC Medicare Advantage |
$4.94
|
| Rate for Payer: UHCCP Medicaid |
$2.65
|
| Rate for Payer: UHCCP Medicaid |
$4.81
|
| Rate for Payer: UHCCP Medicaid |
$3.06
|
| Rate for Payer: UHCCP Medicaid |
$4.10
|
| Rate for Payer: UHCCP Medicaid |
$4.54
|
| Rate for Payer: UHCCP Medicaid |
$4.74
|
| Rate for Payer: UHCCP Medicaid |
$3.49
|
| Rate for Payer: VA VA |
$3.76
|
| Rate for Payer: VA VA |
$6.72
|
| Rate for Payer: VA VA |
$4.94
|
| Rate for Payer: VA VA |
$6.44
|
| Rate for Payer: VA VA |
$6.83
|
| Rate for Payer: VA VA |
$4.34
|
| Rate for Payer: VA VA |
$5.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.44
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$28.41
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.77 |
| Max. Negotiated Rate |
$25.57 |
| Rate for Payer: Aetna Commercial |
$24.15
|
| Rate for Payer: Aetna Commercial |
$20.27
|
| Rate for Payer: Aetna Commercial |
$14.55
|
| Rate for Payer: Aetna Commercial |
$34.82
|
| Rate for Payer: BCBS Trust/PPO |
$23.46
|
| Rate for Payer: BCBS Trust/PPO |
$33.83
|
| Rate for Payer: BCBS Trust/PPO |
$19.70
|
| Rate for Payer: BCBS Trust/PPO |
$14.14
|
| Rate for Payer: BCN Commercial |
$23.46
|
| Rate for Payer: BCN Commercial |
$14.14
|
| Rate for Payer: BCN Commercial |
$33.83
|
| Rate for Payer: BCN Commercial |
$19.70
|
| Rate for Payer: Cash Price |
$19.08
|
| Rate for Payer: Cash Price |
$22.73
|
| Rate for Payer: Cash Price |
$32.77
|
| Rate for Payer: Cash Price |
$13.70
|
| Rate for Payer: Cofinity Commercial |
$14.72
|
| Rate for Payer: Cofinity Commercial |
$35.23
|
| Rate for Payer: Cofinity Commercial |
$24.43
|
| Rate for Payer: Cofinity Commercial |
$20.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.77
|
| Rate for Payer: Healthscope Commercial |
$36.86
|
| Rate for Payer: Healthscope Commercial |
$21.46
|
| Rate for Payer: Healthscope Commercial |
$25.57
|
| Rate for Payer: Healthscope Commercial |
$15.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.82
|
| Rate for Payer: Nomi Health Commercial |
$14.04
|
| Rate for Payer: Nomi Health Commercial |
$19.56
|
| Rate for Payer: Nomi Health Commercial |
$33.59
|
| Rate for Payer: Nomi Health Commercial |
$23.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.72
|
| Rate for Payer: PHP Commercial |
$34.82
|
| Rate for Payer: PHP Commercial |
$14.55
|
| Rate for Payer: PHP Commercial |
$20.27
|
| Rate for Payer: PHP Commercial |
$24.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.75
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.00
|
| Rate for Payer: UHC Core |
$23.72
|
| Rate for Payer: UHC Core |
$34.20
|
| Rate for Payer: UHC Core |
$19.91
|
| Rate for Payer: UHC Core |
$14.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.31
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$17.12
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.02 |
| Max. Negotiated Rate |
$15.41 |
| Rate for Payer: Aetna Commercial |
$14.55
|
| Rate for Payer: Aetna Commercial |
$24.15
|
| Rate for Payer: Aetna Commercial |
$34.82
|
| Rate for Payer: Aetna Commercial |
$20.27
|
| Rate for Payer: Aetna Medicare |
$6.20
|
| Rate for Payer: Aetna Medicare |
$4.45
|
| Rate for Payer: Aetna Medicare |
$7.39
|
| Rate for Payer: Aetna Medicare |
$10.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$5.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.88
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.88
|
| Rate for Payer: Amish Plain Church Group Commercial |
$5.35
|
| Rate for Payer: BCBS Complete |
$7.58
|
| Rate for Payer: BCBS Complete |
$4.41
|
| Rate for Payer: BCBS Complete |
$3.17
|
| Rate for Payer: BCBS Complete |
$5.26
|
| Rate for Payer: BCBS MAPPO |
$4.28
|
| Rate for Payer: BCBS MAPPO |
$5.96
|
| Rate for Payer: BCBS MAPPO |
$10.24
|
| Rate for Payer: BCBS MAPPO |
$7.10
|
| Rate for Payer: BCBS Trust/PPO |
$23.36
|
| Rate for Payer: BCBS Trust/PPO |
$14.07
|
| Rate for Payer: BCBS Trust/PPO |
$33.67
|
| Rate for Payer: BCBS Trust/PPO |
$19.61
|
| Rate for Payer: BCN Commercial |
$23.36
|
| Rate for Payer: BCN Commercial |
$33.67
|
| Rate for Payer: BCN Commercial |
$19.61
|
| Rate for Payer: BCN Commercial |
$14.07
|
| Rate for Payer: BCN Medicare Advantage |
$7.10
|
| Rate for Payer: BCN Medicare Advantage |
$5.96
|
| Rate for Payer: BCN Medicare Advantage |
$10.24
|
| Rate for Payer: BCN Medicare Advantage |
$4.28
|
| Rate for Payer: Cash Price |
$32.77
|
| Rate for Payer: Cash Price |
$22.73
|
| Rate for Payer: Cash Price |
$13.70
|
| Rate for Payer: Cash Price |
$19.08
|
| Rate for Payer: Cofinity Commercial |
$20.51
|
| Rate for Payer: Cofinity Commercial |
$14.72
|
| Rate for Payer: Cofinity Commercial |
$24.43
|
| Rate for Payer: Cofinity Commercial |
$35.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.08
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.24
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.10
|
| Rate for Payer: Healthscope Commercial |
$15.41
|
| Rate for Payer: Healthscope Commercial |
$36.86
|
| Rate for Payer: Healthscope Commercial |
$25.57
|
| Rate for Payer: Healthscope Commercial |
$21.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.84
|
| Rate for Payer: Mclaren Medicaid |
$5.01
|
| Rate for Payer: Mclaren Medicaid |
$4.20
|
| Rate for Payer: Mclaren Medicaid |
$3.02
|
| Rate for Payer: Mclaren Medicaid |
$7.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$4.49
|
| Rate for Payer: Meridian Medicaid |
$3.17
|
| Rate for Payer: Meridian Medicaid |
$5.26
|
| Rate for Payer: Meridian Medicaid |
$7.58
|
| Rate for Payer: Meridian Medicaid |
$4.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$4.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.81
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.82
|
| Rate for Payer: Nomi Health Commercial |
$23.30
|
| Rate for Payer: Nomi Health Commercial |
$14.04
|
| Rate for Payer: Nomi Health Commercial |
$19.56
|
| Rate for Payer: Nomi Health Commercial |
$33.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.84
|
| Rate for Payer: PACE Senior Care Partners |
$6.75
|
| Rate for Payer: PACE Senior Care Partners |
$9.73
|
| Rate for Payer: PACE Senior Care Partners |
$4.07
|
| Rate for Payer: PACE Senior Care Partners |
$5.66
|
| Rate for Payer: PACE SWMI |
$4.28
|
| Rate for Payer: PACE SWMI |
$10.24
|
| Rate for Payer: PACE SWMI |
$5.96
|
| Rate for Payer: PACE SWMI |
$7.10
|
| Rate for Payer: PHP Commercial |
$14.55
|
| Rate for Payer: PHP Commercial |
$20.27
|
| Rate for Payer: PHP Commercial |
$24.15
|
| Rate for Payer: PHP Commercial |
$34.82
|
| Rate for Payer: PHP Medicare Advantage |
$4.28
|
| Rate for Payer: PHP Medicare Advantage |
$10.24
|
| Rate for Payer: PHP Medicare Advantage |
$5.96
|
| Rate for Payer: PHP Medicare Advantage |
$7.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.20
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$14.89
|
| Rate for Payer: Priority Health Medicare |
$6.02
|
| Rate for Payer: Priority Health Medicare |
$4.32
|
| Rate for Payer: Priority Health Medicare |
$7.17
|
| Rate for Payer: Priority Health Medicare |
$10.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$16.60
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$11.92
|
| Rate for Payer: Railroad Medicare Medicare |
$7.10
|
| Rate for Payer: Railroad Medicare Medicare |
$4.28
|
| Rate for Payer: Railroad Medicare Medicare |
$10.24
|
| Rate for Payer: Railroad Medicare Medicare |
$5.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$20.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$15.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.04
|
| Rate for Payer: UHC Core |
$14.30
|
| Rate for Payer: UHC Core |
$23.72
|
| Rate for Payer: UHC Core |
$19.91
|
| Rate for Payer: UHC Core |
$34.20
|
| Rate for Payer: UHC Exchange |
$7.10
|
| Rate for Payer: UHC Exchange |
$5.96
|
| Rate for Payer: UHC Exchange |
$10.24
|
| Rate for Payer: UHC Exchange |
$4.28
|
| Rate for Payer: UHC Medicaid |
$3.02
|
| Rate for Payer: UHC Medicaid |
$4.20
|
| Rate for Payer: UHC Medicaid |
$5.01
|
| Rate for Payer: UHC Medicaid |
$7.22
|
| Rate for Payer: UHC Medicare Advantage |
$5.96
|
| Rate for Payer: UHC Medicare Advantage |
$4.28
|
| Rate for Payer: UHC Medicare Advantage |
$10.24
|
| Rate for Payer: UHC Medicare Advantage |
$7.10
|
| Rate for Payer: UHCCP Medicaid |
$5.01
|
| Rate for Payer: UHCCP Medicaid |
$7.22
|
| Rate for Payer: UHCCP Medicaid |
$4.20
|
| Rate for Payer: UHCCP Medicaid |
$3.02
|
| Rate for Payer: VA VA |
$4.28
|
| Rate for Payer: VA VA |
$10.24
|
| Rate for Payer: VA VA |
$7.10
|
| Rate for Payer: VA VA |
$5.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.72
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$40.96
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301718
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$28.51 |
| Max. Negotiated Rate |
$36.86 |
| Rate for Payer: Aetna Commercial |
$34.82
|
| Rate for Payer: BCBS Trust/PPO |
$33.83
|
| Rate for Payer: BCN Commercial |
$33.83
|
| Rate for Payer: Cash Price |
$32.77
|
| Rate for Payer: Cofinity Commercial |
$35.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.77
|
| Rate for Payer: Healthscope Commercial |
$36.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.82
|
| Rate for Payer: Nomi Health Commercial |
$33.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.72
|
| Rate for Payer: PHP Commercial |
$34.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.04
|
| Rate for Payer: UHC Core |
$34.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.72
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$40.96
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301718
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.22 |
| Max. Negotiated Rate |
$36.86 |
| Rate for Payer: Aetna Commercial |
$34.82
|
| Rate for Payer: Aetna Medicare |
$10.65
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12.80
|
| Rate for Payer: BCBS Complete |
$7.58
|
| Rate for Payer: BCBS MAPPO |
$10.24
|
| Rate for Payer: BCBS Trust/PPO |
$33.67
|
| Rate for Payer: BCN Commercial |
$33.67
|
| Rate for Payer: BCN Medicare Advantage |
$10.24
|
| Rate for Payer: Cash Price |
$32.77
|
| Rate for Payer: Cofinity Commercial |
$35.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.77
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.24
|
| Rate for Payer: Healthscope Commercial |
$36.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.72
|
| Rate for Payer: Mclaren Medicaid |
$7.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10.75
|
| Rate for Payer: Meridian Medicaid |
$7.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.82
|
| Rate for Payer: Nomi Health Commercial |
$33.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.72
|
| Rate for Payer: PACE Senior Care Partners |
$9.73
|
| Rate for Payer: PACE SWMI |
$10.24
|
| Rate for Payer: PHP Commercial |
$34.82
|
| Rate for Payer: PHP Medicare Advantage |
$10.24
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$35.64
|
| Rate for Payer: Priority Health Medicare |
$10.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$28.51
|
| Rate for Payer: Railroad Medicare Medicare |
$10.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$36.04
|
| Rate for Payer: UHC Core |
$34.20
|
| Rate for Payer: UHC Exchange |
$10.24
|
| Rate for Payer: UHC Medicaid |
$7.22
|
| Rate for Payer: UHC Medicare Advantage |
$10.24
|
| Rate for Payer: UHCCP Medicaid |
$7.22
|
| Rate for Payer: VA VA |
$10.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.72
|
|
|
PIPER.BUT-PYRETHRINS-PERMETHRN 4 %-0.33 %-0.5 % TOPICAL KIT
|
Facility
|
OP
|
$62.62
|
|
|
Service Code
|
NDC 16500050492
|
| Hospital Charge Code |
10920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$11.04 |
| Max. Negotiated Rate |
$56.36 |
| Rate for Payer: Aetna Commercial |
$53.23
|
| Rate for Payer: Aetna Medicare |
$16.28
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.57
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.57
|
| Rate for Payer: BCBS Complete |
$11.59
|
| Rate for Payer: BCBS MAPPO |
$15.65
|
| Rate for Payer: BCBS Trust/PPO |
$51.48
|
| Rate for Payer: BCN Commercial |
$51.48
|
| Rate for Payer: BCN Medicare Advantage |
$15.65
|
| Rate for Payer: Cash Price |
$50.10
|
| Rate for Payer: Cofinity Commercial |
$53.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.65
|
| Rate for Payer: Healthscope Commercial |
$56.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.97
|
| Rate for Payer: Mclaren Medicaid |
$11.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.44
|
| Rate for Payer: Meridian Medicaid |
$11.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.00
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.23
|
| Rate for Payer: Nomi Health Commercial |
$51.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.97
|
| Rate for Payer: PACE Senior Care Partners |
$14.87
|
| Rate for Payer: PACE SWMI |
$15.65
|
| Rate for Payer: PHP Commercial |
$53.23
|
| Rate for Payer: PHP Medicare Advantage |
$15.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.48
|
| Rate for Payer: Priority Health Medicare |
$15.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.58
|
| Rate for Payer: Railroad Medicare Medicare |
$15.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.11
|
| Rate for Payer: UHC Core |
$52.29
|
| Rate for Payer: UHC Exchange |
$15.65
|
| Rate for Payer: UHC Medicaid |
$11.04
|
| Rate for Payer: UHC Medicare Advantage |
$15.65
|
| Rate for Payer: UHCCP Medicaid |
$11.04
|
| Rate for Payer: VA VA |
$15.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.97
|
|
|
PIPER.BUT-PYRETHRINS-PERMETHRN 4 %-0.33 %-0.5 % TOPICAL KIT
|
Facility
|
IP
|
$62.62
|
|
|
Service Code
|
NDC 16500050492
|
| Hospital Charge Code |
10920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.58 |
| Max. Negotiated Rate |
$56.36 |
| Rate for Payer: Aetna Commercial |
$53.23
|
| Rate for Payer: BCBS Trust/PPO |
$51.72
|
| Rate for Payer: BCN Commercial |
$51.72
|
| Rate for Payer: Cash Price |
$50.10
|
| Rate for Payer: Cofinity Commercial |
$53.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.10
|
| Rate for Payer: Healthscope Commercial |
$56.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$46.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.23
|
| Rate for Payer: Nomi Health Commercial |
$51.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.97
|
| Rate for Payer: PHP Commercial |
$53.23
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.11
|
| Rate for Payer: UHC Core |
$52.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$46.97
|
|
|
PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE
|
Facility
|
OP
|
$775.68
|
|
|
Service Code
|
HCPCS 90677
|
| Hospital Charge Code |
197781
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$136.75 |
| Max. Negotiated Rate |
$698.11 |
| Rate for Payer: Aetna Commercial |
$659.33
|
| Rate for Payer: Aetna Medicare |
$201.68
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$242.40
|
| Rate for Payer: Amish Plain Church Group Commercial |
$242.40
|
| Rate for Payer: BCBS Complete |
$143.58
|
| Rate for Payer: BCBS MAPPO |
$193.92
|
| Rate for Payer: BCBS Trust/PPO |
$637.69
|
| Rate for Payer: BCN Commercial |
$637.69
|
| Rate for Payer: BCN Medicare Advantage |
$193.92
|
| Rate for Payer: Cash Price |
$620.54
|
| Rate for Payer: Cofinity Commercial |
$667.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$620.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$193.92
|
| Rate for Payer: Healthscope Commercial |
$698.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$581.76
|
| Rate for Payer: Mclaren Medicaid |
$136.75
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$203.62
|
| Rate for Payer: Meridian Medicaid |
$143.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$223.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$213.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$659.33
|
| Rate for Payer: Nomi Health Commercial |
$636.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$581.76
|
| Rate for Payer: PACE Senior Care Partners |
$184.22
|
| Rate for Payer: PACE SWMI |
$193.92
|
| Rate for Payer: PHP Commercial |
$659.33
|
| Rate for Payer: PHP Medicare Advantage |
$193.92
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$674.84
|
| Rate for Payer: Priority Health Medicare |
$195.86
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$539.87
|
| Rate for Payer: Railroad Medicare Medicare |
$193.92
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$682.60
|
| Rate for Payer: UHC Core |
$647.69
|
| Rate for Payer: UHC Exchange |
$193.92
|
| Rate for Payer: UHC Medicaid |
$136.75
|
| Rate for Payer: UHC Medicare Advantage |
$193.92
|
| Rate for Payer: UHCCP Medicaid |
$136.75
|
| Rate for Payer: VA VA |
$193.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$581.76
|
|
|
PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE
|
Facility
|
IP
|
$775.68
|
|
|
Service Code
|
HCPCS 90677
|
| Hospital Charge Code |
197781
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$539.87 |
| Max. Negotiated Rate |
$698.11 |
| Rate for Payer: Aetna Commercial |
$659.33
|
| Rate for Payer: BCBS Trust/PPO |
$640.63
|
| Rate for Payer: BCN Commercial |
$640.63
|
| Rate for Payer: Cash Price |
$620.54
|
| Rate for Payer: Cofinity Commercial |
$667.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$620.54
|
| Rate for Payer: Healthscope Commercial |
$698.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$581.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$659.33
|
| Rate for Payer: Nomi Health Commercial |
$636.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$581.76
|
| Rate for Payer: PHP Commercial |
$659.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$674.84
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$539.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$682.60
|
| Rate for Payer: UHC Core |
$647.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$581.76
|
|
