|
PREDNISOLONE 15 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$1,895.04
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
11117
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1,318.95 |
| Max. Negotiated Rate |
$1,705.54 |
| Rate for Payer: Aetna Commercial |
$1,610.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,565.11
|
| Rate for Payer: BCN Commercial |
$1,565.11
|
| Rate for Payer: Cash Price |
$1,516.03
|
| Rate for Payer: Cofinity Commercial |
$1,629.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,516.03
|
| Rate for Payer: Healthscope Commercial |
$1,705.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,421.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,610.78
|
| Rate for Payer: Nomi Health Commercial |
$1,553.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,421.28
|
| Rate for Payer: PHP Commercial |
$1,610.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$1,648.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,318.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,667.64
|
| Rate for Payer: UHC Core |
$1,582.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,421.28
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$105.67
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$73.55 |
| Max. Negotiated Rate |
$95.10 |
| Rate for Payer: Aetna Commercial |
$89.82
|
| Rate for Payer: BCBS Trust/PPO |
$87.27
|
| Rate for Payer: BCN Commercial |
$87.27
|
| Rate for Payer: Cash Price |
$84.54
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.54
|
| Rate for Payer: Healthscope Commercial |
$95.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.82
|
| Rate for Payer: Nomi Health Commercial |
$86.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.25
|
| Rate for Payer: PHP Commercial |
$89.82
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$91.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.99
|
| Rate for Payer: UHC Core |
$88.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.25
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$105.67
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$18.63 |
| Max. Negotiated Rate |
$95.10 |
| Rate for Payer: Aetna Commercial |
$89.82
|
| Rate for Payer: Aetna Medicare |
$27.47
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$33.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$33.02
|
| Rate for Payer: BCBS Complete |
$19.56
|
| Rate for Payer: BCBS MAPPO |
$26.42
|
| Rate for Payer: BCBS Trust/PPO |
$86.87
|
| Rate for Payer: BCN Commercial |
$86.87
|
| Rate for Payer: BCN Medicare Advantage |
$26.42
|
| Rate for Payer: Cash Price |
$84.54
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.54
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$26.42
|
| Rate for Payer: Healthscope Commercial |
$95.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.25
|
| Rate for Payer: Mclaren Medicaid |
$18.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.74
|
| Rate for Payer: Meridian Medicaid |
$19.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$30.38
|
| Rate for Payer: Molina Medicare/Medicaid |
$29.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.82
|
| Rate for Payer: Nomi Health Commercial |
$86.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.25
|
| Rate for Payer: PACE Senior Care Partners |
$25.10
|
| Rate for Payer: PACE SWMI |
$26.42
|
| Rate for Payer: PHP Commercial |
$89.82
|
| Rate for Payer: PHP Medicare Advantage |
$26.42
|
| Rate for Payer: Priority Health Choice Medicaid |
$18.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$91.93
|
| Rate for Payer: Priority Health Medicare |
$26.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$73.55
|
| Rate for Payer: Railroad Medicare Medicare |
$26.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.99
|
| Rate for Payer: UHC Core |
$88.23
|
| Rate for Payer: UHC Exchange |
$26.42
|
| Rate for Payer: UHC Medicaid |
$18.63
|
| Rate for Payer: UHC Medicare Advantage |
$26.42
|
| Rate for Payer: UHCCP Medicaid |
$18.63
|
| Rate for Payer: VA VA |
$26.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.25
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$7.99
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.56 |
| Max. Negotiated Rate |
$7.19 |
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Commercial |
$691.18
|
| Rate for Payer: BCBS Trust/PPO |
$6.60
|
| Rate for Payer: BCBS Trust/PPO |
$671.58
|
| Rate for Payer: BCN Commercial |
$6.60
|
| Rate for Payer: BCN Commercial |
$671.58
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cofinity Commercial |
$699.31
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$731.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.18
|
| Rate for Payer: Nomi Health Commercial |
$6.55
|
| Rate for Payer: Nomi Health Commercial |
$666.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: PHP Commercial |
$691.18
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$707.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$715.57
|
| Rate for Payer: UHC Core |
$6.67
|
| Rate for Payer: UHC Core |
$678.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.86
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$7.99
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.41 |
| Max. Negotiated Rate |
$7.19 |
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Commercial |
$691.18
|
| Rate for Payer: Aetna Medicare |
$211.42
|
| Rate for Payer: Aetna Medicare |
$2.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$254.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.50
|
| Rate for Payer: Amish Plain Church Group Commercial |
$254.11
|
| Rate for Payer: BCBS Complete |
$1.48
|
| Rate for Payer: BCBS Complete |
$150.51
|
| Rate for Payer: BCBS MAPPO |
$2.00
|
| Rate for Payer: BCBS MAPPO |
$203.29
|
| Rate for Payer: BCBS Trust/PPO |
$6.57
|
| Rate for Payer: BCBS Trust/PPO |
$668.49
|
| Rate for Payer: BCN Commercial |
$668.49
|
| Rate for Payer: BCN Commercial |
$6.57
|
| Rate for Payer: BCN Medicare Advantage |
$203.29
|
| Rate for Payer: BCN Medicare Advantage |
$2.00
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Cofinity Commercial |
$699.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$203.29
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.00
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$731.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.86
|
| Rate for Payer: Mclaren Medicaid |
$143.36
|
| Rate for Payer: Mclaren Medicaid |
$1.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$213.45
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.10
|
| Rate for Payer: Meridian Medicaid |
$1.48
|
| Rate for Payer: Meridian Medicaid |
$150.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$233.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$223.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$2.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Nomi Health Commercial |
$666.78
|
| Rate for Payer: Nomi Health Commercial |
$6.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: PACE Senior Care Partners |
$193.12
|
| Rate for Payer: PACE Senior Care Partners |
$1.90
|
| Rate for Payer: PACE SWMI |
$203.29
|
| Rate for Payer: PACE SWMI |
$2.00
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Commercial |
$691.18
|
| Rate for Payer: PHP Medicare Advantage |
$2.00
|
| Rate for Payer: PHP Medicare Advantage |
$203.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$143.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$707.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$6.95
|
| Rate for Payer: Priority Health Medicare |
$205.32
|
| Rate for Payer: Priority Health Medicare |
$2.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$565.95
|
| Rate for Payer: Railroad Medicare Medicare |
$2.00
|
| Rate for Payer: Railroad Medicare Medicare |
$203.29
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$715.57
|
| Rate for Payer: UHC Core |
$678.98
|
| Rate for Payer: UHC Core |
$6.67
|
| Rate for Payer: UHC Exchange |
$203.29
|
| Rate for Payer: UHC Exchange |
$2.00
|
| Rate for Payer: UHC Medicaid |
$143.36
|
| Rate for Payer: UHC Medicaid |
$1.41
|
| Rate for Payer: UHC Medicare Advantage |
$2.00
|
| Rate for Payer: UHC Medicare Advantage |
$203.29
|
| Rate for Payer: UHCCP Medicaid |
$1.41
|
| Rate for Payer: UHCCP Medicaid |
$143.36
|
| Rate for Payer: VA VA |
$2.00
|
| Rate for Payer: VA VA |
$203.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
IP
|
$30.53
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$21.25 |
| Max. Negotiated Rate |
$27.48 |
| Rate for Payer: Aetna Commercial |
$25.95
|
| Rate for Payer: BCBS Trust/PPO |
$25.21
|
| Rate for Payer: BCN Commercial |
$25.21
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cofinity Commercial |
$26.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.42
|
| Rate for Payer: Healthscope Commercial |
$27.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.95
|
| Rate for Payer: Nomi Health Commercial |
$25.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.90
|
| Rate for Payer: PHP Commercial |
$25.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.87
|
| Rate for Payer: UHC Core |
$25.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.90
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
OP
|
$30.53
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.38 |
| Max. Negotiated Rate |
$27.48 |
| Rate for Payer: Aetna Commercial |
$25.95
|
| Rate for Payer: Aetna Medicare |
$7.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.54
|
| Rate for Payer: BCBS Complete |
$5.65
|
| Rate for Payer: BCBS MAPPO |
$7.63
|
| Rate for Payer: BCBS Trust/PPO |
$25.10
|
| Rate for Payer: BCN Commercial |
$25.10
|
| Rate for Payer: BCN Medicare Advantage |
$7.63
|
| Rate for Payer: Cash Price |
$24.42
|
| Rate for Payer: Cofinity Commercial |
$26.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.42
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.63
|
| Rate for Payer: Healthscope Commercial |
$27.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.90
|
| Rate for Payer: Mclaren Medicaid |
$5.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.01
|
| Rate for Payer: Meridian Medicaid |
$5.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.78
|
| Rate for Payer: Molina Medicare/Medicaid |
$8.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.95
|
| Rate for Payer: Nomi Health Commercial |
$25.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.90
|
| Rate for Payer: PACE Senior Care Partners |
$7.25
|
| Rate for Payer: PACE SWMI |
$7.63
|
| Rate for Payer: PHP Commercial |
$25.95
|
| Rate for Payer: PHP Medicare Advantage |
$7.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$26.56
|
| Rate for Payer: Priority Health Medicare |
$7.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$21.25
|
| Rate for Payer: Railroad Medicare Medicare |
$7.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$26.87
|
| Rate for Payer: UHC Core |
$25.49
|
| Rate for Payer: UHC Exchange |
$7.63
|
| Rate for Payer: UHC Medicaid |
$5.38
|
| Rate for Payer: UHC Medicare Advantage |
$7.63
|
| Rate for Payer: UHCCP Medicaid |
$5.38
|
| Rate for Payer: VA VA |
$7.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.90
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
IP
|
$321.95
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$224.08 |
| Max. Negotiated Rate |
$289.75 |
| Rate for Payer: Aetna Commercial |
$273.66
|
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: BCBS Trust/PPO |
$265.90
|
| Rate for Payer: BCBS Trust/PPO |
$38.63
|
| Rate for Payer: BCN Commercial |
$265.90
|
| Rate for Payer: BCN Commercial |
$38.63
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Commercial |
$276.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Healthscope Commercial |
$289.75
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Nomi Health Commercial |
$264.00
|
| Rate for Payer: Nomi Health Commercial |
$38.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.08
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$273.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$40.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$280.10
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$224.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.16
|
| Rate for Payer: UHC Core |
$268.83
|
| Rate for Payer: UHC Core |
$39.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.08
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
OP
|
$321.95
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$56.76 |
| Max. Negotiated Rate |
$289.75 |
| Rate for Payer: Aetna Commercial |
$273.66
|
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Medicare |
$12.16
|
| Rate for Payer: Aetna Medicare |
$83.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$100.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$100.61
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.62
|
| Rate for Payer: BCBS Complete |
$59.59
|
| Rate for Payer: BCBS Complete |
$8.66
|
| Rate for Payer: BCBS MAPPO |
$80.49
|
| Rate for Payer: BCBS MAPPO |
$11.69
|
| Rate for Payer: BCBS Trust/PPO |
$264.68
|
| Rate for Payer: BCBS Trust/PPO |
$38.45
|
| Rate for Payer: BCN Commercial |
$38.45
|
| Rate for Payer: BCN Commercial |
$264.68
|
| Rate for Payer: BCN Medicare Advantage |
$11.69
|
| Rate for Payer: BCN Medicare Advantage |
$80.49
|
| Rate for Payer: Cash Price |
$257.56
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cofinity Commercial |
$276.88
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.69
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$80.49
|
| Rate for Payer: Healthscope Commercial |
$289.75
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$241.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.08
|
| Rate for Payer: Mclaren Medicaid |
$8.25
|
| Rate for Payer: Mclaren Medicaid |
$56.76
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$84.51
|
| Rate for Payer: Meridian Medicaid |
$59.59
|
| Rate for Payer: Meridian Medicaid |
$8.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.56
|
| Rate for Payer: Molina Medicare/Medicaid |
$12.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$88.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.66
|
| Rate for Payer: Nomi Health Commercial |
$38.35
|
| Rate for Payer: Nomi Health Commercial |
$264.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$241.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.08
|
| Rate for Payer: PACE Senior Care Partners |
$11.11
|
| Rate for Payer: PACE Senior Care Partners |
$76.46
|
| Rate for Payer: PACE SWMI |
$11.69
|
| Rate for Payer: PACE SWMI |
$80.49
|
| Rate for Payer: PHP Commercial |
$273.66
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Medicare Advantage |
$80.49
|
| Rate for Payer: PHP Medicare Advantage |
$11.69
|
| Rate for Payer: Priority Health Choice Medicaid |
$8.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$56.76
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$40.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$280.10
|
| Rate for Payer: Priority Health Medicare |
$11.81
|
| Rate for Payer: Priority Health Medicare |
$81.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$224.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$32.55
|
| Rate for Payer: Railroad Medicare Medicare |
$80.49
|
| Rate for Payer: Railroad Medicare Medicare |
$11.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$283.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.16
|
| Rate for Payer: UHC Core |
$39.05
|
| Rate for Payer: UHC Core |
$268.83
|
| Rate for Payer: UHC Exchange |
$11.69
|
| Rate for Payer: UHC Exchange |
$80.49
|
| Rate for Payer: UHC Medicaid |
$8.25
|
| Rate for Payer: UHC Medicaid |
$56.76
|
| Rate for Payer: UHC Medicare Advantage |
$80.49
|
| Rate for Payer: UHC Medicare Advantage |
$11.69
|
| Rate for Payer: UHCCP Medicaid |
$56.76
|
| Rate for Payer: UHCCP Medicaid |
$8.25
|
| Rate for Payer: VA VA |
$80.49
|
| Rate for Payer: VA VA |
$11.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$241.46
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
OP
|
$196.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$34.67 |
| Max. Negotiated Rate |
$176.99 |
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Medicare |
$114.87
|
| Rate for Payer: Aetna Medicare |
$51.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$138.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61.45
|
| Rate for Payer: Amish Plain Church Group Commercial |
$138.06
|
| Rate for Payer: BCBS Complete |
$36.40
|
| Rate for Payer: BCBS Complete |
$81.78
|
| Rate for Payer: BCBS MAPPO |
$49.16
|
| Rate for Payer: BCBS MAPPO |
$110.45
|
| Rate for Payer: BCBS Trust/PPO |
$161.67
|
| Rate for Payer: BCBS Trust/PPO |
$363.20
|
| Rate for Payer: BCN Commercial |
$363.20
|
| Rate for Payer: BCN Commercial |
$161.67
|
| Rate for Payer: BCN Medicare Advantage |
$110.45
|
| Rate for Payer: BCN Medicare Advantage |
$49.16
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$49.16
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.35
|
| Rate for Payer: Mclaren Medicaid |
$77.89
|
| Rate for Payer: Mclaren Medicaid |
$34.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.62
|
| Rate for Payer: Meridian Medicaid |
$36.40
|
| Rate for Payer: Meridian Medicaid |
$81.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$121.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$54.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Nomi Health Commercial |
$362.28
|
| Rate for Payer: Nomi Health Commercial |
$161.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: PACE Senior Care Partners |
$104.93
|
| Rate for Payer: PACE Senior Care Partners |
$46.70
|
| Rate for Payer: PACE SWMI |
$110.45
|
| Rate for Payer: PACE SWMI |
$49.16
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Medicare Advantage |
$49.16
|
| Rate for Payer: PHP Medicare Advantage |
$110.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$34.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$384.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$171.09
|
| Rate for Payer: Priority Health Medicare |
$111.55
|
| Rate for Payer: Priority Health Medicare |
$49.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$136.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$307.49
|
| Rate for Payer: Railroad Medicare Medicare |
$49.16
|
| Rate for Payer: Railroad Medicare Medicare |
$110.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$388.78
|
| Rate for Payer: UHC Core |
$368.90
|
| Rate for Payer: UHC Core |
$164.20
|
| Rate for Payer: UHC Exchange |
$110.45
|
| Rate for Payer: UHC Exchange |
$49.16
|
| Rate for Payer: UHC Medicaid |
$77.89
|
| Rate for Payer: UHC Medicaid |
$34.67
|
| Rate for Payer: UHC Medicare Advantage |
$49.16
|
| Rate for Payer: UHC Medicare Advantage |
$110.45
|
| Rate for Payer: UHCCP Medicaid |
$34.67
|
| Rate for Payer: UHCCP Medicaid |
$77.89
|
| Rate for Payer: VA VA |
$49.16
|
| Rate for Payer: VA VA |
$110.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$147.49
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
IP
|
$196.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$136.87 |
| Max. Negotiated Rate |
$176.99 |
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: BCBS Trust/PPO |
$162.41
|
| Rate for Payer: BCBS Trust/PPO |
$364.88
|
| Rate for Payer: BCN Commercial |
$162.41
|
| Rate for Payer: BCN Commercial |
$364.88
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Nomi Health Commercial |
$161.25
|
| Rate for Payer: Nomi Health Commercial |
$362.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$384.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$171.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$136.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$307.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$173.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$388.78
|
| Rate for Payer: UHC Core |
$164.20
|
| Rate for Payer: UHC Core |
$368.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$147.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.35
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
OP
|
$4.28
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.75 |
| Max. Negotiated Rate |
$3.85 |
| Rate for Payer: Aetna Commercial |
$3.64
|
| Rate for Payer: Aetna Commercial |
$237.70
|
| Rate for Payer: Aetna Commercial |
$363.55
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Medicare |
$72.71
|
| Rate for Payer: Aetna Medicare |
$1.11
|
| Rate for Payer: Aetna Medicare |
$77.60
|
| Rate for Payer: Aetna Medicare |
$5.24
|
| Rate for Payer: Aetna Medicare |
$111.20
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$93.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$133.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$93.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.34
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.39
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.29
|
| Rate for Payer: Amish Plain Church Group Commercial |
$133.66
|
| Rate for Payer: BCBS Complete |
$51.76
|
| Rate for Payer: BCBS Complete |
$3.73
|
| Rate for Payer: BCBS Complete |
$55.24
|
| Rate for Payer: BCBS Complete |
$0.79
|
| Rate for Payer: BCBS Complete |
$79.17
|
| Rate for Payer: BCBS MAPPO |
$1.07
|
| Rate for Payer: BCBS MAPPO |
$69.91
|
| Rate for Payer: BCBS MAPPO |
$5.04
|
| Rate for Payer: BCBS MAPPO |
$74.61
|
| Rate for Payer: BCBS MAPPO |
$106.92
|
| Rate for Payer: BCBS Trust/PPO |
$245.36
|
| Rate for Payer: BCBS Trust/PPO |
$16.56
|
| Rate for Payer: BCBS Trust/PPO |
$229.90
|
| Rate for Payer: BCBS Trust/PPO |
$3.52
|
| Rate for Payer: BCBS Trust/PPO |
$351.61
|
| Rate for Payer: BCN Commercial |
$245.36
|
| Rate for Payer: BCN Commercial |
$229.90
|
| Rate for Payer: BCN Commercial |
$16.56
|
| Rate for Payer: BCN Commercial |
$3.52
|
| Rate for Payer: BCN Commercial |
$351.61
|
| Rate for Payer: BCN Medicare Advantage |
$1.07
|
| Rate for Payer: BCN Medicare Advantage |
$106.92
|
| Rate for Payer: BCN Medicare Advantage |
$74.61
|
| Rate for Payer: BCN Medicare Advantage |
$69.91
|
| Rate for Payer: BCN Medicare Advantage |
$5.04
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$223.72
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$240.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.07
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$106.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.91
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.61
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Healthscope Commercial |
$251.69
|
| Rate for Payer: Healthscope Commercial |
$268.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.84
|
| Rate for Payer: Mclaren Medicaid |
$49.30
|
| Rate for Payer: Mclaren Medicaid |
$75.40
|
| Rate for Payer: Mclaren Medicaid |
$52.62
|
| Rate for Payer: Mclaren Medicaid |
$0.75
|
| Rate for Payer: Mclaren Medicaid |
$3.55
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$112.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.41
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.29
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.12
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$78.34
|
| Rate for Payer: Meridian Medicaid |
$51.76
|
| Rate for Payer: Meridian Medicaid |
$3.73
|
| Rate for Payer: Meridian Medicaid |
$55.24
|
| Rate for Payer: Meridian Medicaid |
$79.17
|
| Rate for Payer: Meridian Medicaid |
$0.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$122.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$117.62
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.54
|
| Rate for Payer: Molina Medicare/Medicaid |
$76.90
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.18
|
| Rate for Payer: Molina Medicare/Medicaid |
$82.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Nomi Health Commercial |
$3.51
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: Nomi Health Commercial |
$350.71
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$229.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$209.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$223.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: PACE Senior Care Partners |
$4.78
|
| Rate for Payer: PACE Senior Care Partners |
$66.42
|
| Rate for Payer: PACE Senior Care Partners |
$1.02
|
| Rate for Payer: PACE Senior Care Partners |
$101.58
|
| Rate for Payer: PACE Senior Care Partners |
$70.88
|
| Rate for Payer: PACE SWMI |
$5.04
|
| Rate for Payer: PACE SWMI |
$69.91
|
| Rate for Payer: PACE SWMI |
$74.61
|
| Rate for Payer: PACE SWMI |
$106.92
|
| Rate for Payer: PACE SWMI |
$1.07
|
| Rate for Payer: PHP Commercial |
$363.55
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$237.70
|
| Rate for Payer: PHP Commercial |
$3.64
|
| Rate for Payer: PHP Medicare Advantage |
$69.91
|
| Rate for Payer: PHP Medicare Advantage |
$1.07
|
| Rate for Payer: PHP Medicare Advantage |
$5.04
|
| Rate for Payer: PHP Medicare Advantage |
$106.92
|
| Rate for Payer: PHP Medicare Advantage |
$74.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$75.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.55
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$259.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$372.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$243.30
|
| Rate for Payer: Priority Health Medicare |
$70.61
|
| Rate for Payer: Priority Health Medicare |
$1.08
|
| Rate for Payer: Priority Health Medicare |
$5.09
|
| Rate for Payer: Priority Health Medicare |
$107.99
|
| Rate for Payer: Priority Health Medicare |
$75.36
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$297.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$207.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.02
|
| Rate for Payer: Railroad Medicare Medicare |
$1.07
|
| Rate for Payer: Railroad Medicare Medicare |
$106.92
|
| Rate for Payer: Railroad Medicare Medicare |
$74.61
|
| Rate for Payer: Railroad Medicare Medicare |
$5.04
|
| Rate for Payer: Railroad Medicare Medicare |
$69.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$262.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.77
|
| Rate for Payer: UHC Core |
$357.13
|
| Rate for Payer: UHC Core |
$16.82
|
| Rate for Payer: UHC Core |
$3.57
|
| Rate for Payer: UHC Core |
$249.21
|
| Rate for Payer: UHC Core |
$233.51
|
| Rate for Payer: UHC Exchange |
$5.04
|
| Rate for Payer: UHC Exchange |
$106.92
|
| Rate for Payer: UHC Exchange |
$69.91
|
| Rate for Payer: UHC Exchange |
$1.07
|
| Rate for Payer: UHC Exchange |
$74.61
|
| Rate for Payer: UHC Medicaid |
$0.75
|
| Rate for Payer: UHC Medicaid |
$75.40
|
| Rate for Payer: UHC Medicaid |
$49.30
|
| Rate for Payer: UHC Medicaid |
$52.62
|
| Rate for Payer: UHC Medicaid |
$3.55
|
| Rate for Payer: UHC Medicare Advantage |
$74.61
|
| Rate for Payer: UHC Medicare Advantage |
$5.04
|
| Rate for Payer: UHC Medicare Advantage |
$1.07
|
| Rate for Payer: UHC Medicare Advantage |
$69.91
|
| Rate for Payer: UHC Medicare Advantage |
$106.92
|
| Rate for Payer: UHCCP Medicaid |
$75.40
|
| Rate for Payer: UHCCP Medicaid |
$0.75
|
| Rate for Payer: UHCCP Medicaid |
$52.62
|
| Rate for Payer: UHCCP Medicaid |
$3.55
|
| Rate for Payer: UHCCP Medicaid |
$49.30
|
| Rate for Payer: VA VA |
$1.07
|
| Rate for Payer: VA VA |
$5.04
|
| Rate for Payer: VA VA |
$106.92
|
| Rate for Payer: VA VA |
$69.91
|
| Rate for Payer: VA VA |
$74.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.11
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
IP
|
$4.28
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.98 |
| Max. Negotiated Rate |
$3.85 |
| Rate for Payer: Aetna Commercial |
$3.64
|
| Rate for Payer: Aetna Commercial |
$237.70
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Commercial |
$363.55
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: BCBS Trust/PPO |
$353.24
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$246.49
|
| Rate for Payer: BCBS Trust/PPO |
$230.96
|
| Rate for Payer: BCBS Trust/PPO |
$16.63
|
| Rate for Payer: BCN Commercial |
$353.24
|
| Rate for Payer: BCN Commercial |
$246.49
|
| Rate for Payer: BCN Commercial |
$16.63
|
| Rate for Payer: BCN Commercial |
$230.96
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$223.72
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$240.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Healthscope Commercial |
$251.69
|
| Rate for Payer: Healthscope Commercial |
$268.61
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$229.31
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: Nomi Health Commercial |
$350.71
|
| Rate for Payer: Nomi Health Commercial |
$3.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$223.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$209.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: PHP Commercial |
$237.70
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$3.64
|
| Rate for Payer: PHP Commercial |
$363.55
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.72
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$259.65
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$372.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$243.30
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$194.64
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$297.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$207.72
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$262.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$246.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$376.38
|
| Rate for Payer: UHC Core |
$16.82
|
| Rate for Payer: UHC Core |
$233.51
|
| Rate for Payer: UHC Core |
$357.13
|
| Rate for Payer: UHC Core |
$3.57
|
| Rate for Payer: UHC Core |
$249.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.77
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
OP
|
$262.20
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$46.23 |
| Max. Negotiated Rate |
$235.98 |
| Rate for Payer: Aetna Commercial |
$222.87
|
| Rate for Payer: Aetna Commercial |
$325.42
|
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Medicare |
$77.06
|
| Rate for Payer: Aetna Medicare |
$68.17
|
| Rate for Payer: Aetna Medicare |
$99.54
|
| Rate for Payer: Aetna Medicare |
$1.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$81.94
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$119.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$92.62
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$92.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$119.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$81.94
|
| Rate for Payer: BCBS Complete |
$0.71
|
| Rate for Payer: BCBS Complete |
$54.86
|
| Rate for Payer: BCBS Complete |
$48.53
|
| Rate for Payer: BCBS Complete |
$70.87
|
| Rate for Payer: BCBS MAPPO |
$65.55
|
| Rate for Payer: BCBS MAPPO |
$74.10
|
| Rate for Payer: BCBS MAPPO |
$0.96
|
| Rate for Payer: BCBS MAPPO |
$95.71
|
| Rate for Payer: BCBS Trust/PPO |
$314.74
|
| Rate for Payer: BCBS Trust/PPO |
$215.55
|
| Rate for Payer: BCBS Trust/PPO |
$3.15
|
| Rate for Payer: BCBS Trust/PPO |
$243.67
|
| Rate for Payer: BCN Commercial |
$314.74
|
| Rate for Payer: BCN Commercial |
$3.15
|
| Rate for Payer: BCN Commercial |
$243.67
|
| Rate for Payer: BCN Commercial |
$215.55
|
| Rate for Payer: BCN Medicare Advantage |
$95.71
|
| Rate for Payer: BCN Medicare Advantage |
$74.10
|
| Rate for Payer: BCN Medicare Advantage |
$0.96
|
| Rate for Payer: BCN Medicare Advantage |
$65.55
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cash Price |
$209.76
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Commercial |
$225.49
|
| Rate for Payer: Cofinity Commercial |
$329.25
|
| Rate for Payer: Cofinity Commercial |
$3.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$65.55
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$95.71
|
| Rate for Payer: Healthscope Commercial |
$235.98
|
| Rate for Payer: Healthscope Commercial |
$3.45
|
| Rate for Payer: Healthscope Commercial |
$344.56
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.65
|
| Rate for Payer: Mclaren Medicaid |
$67.50
|
| Rate for Payer: Mclaren Medicaid |
$52.26
|
| Rate for Payer: Mclaren Medicaid |
$46.23
|
| Rate for Payer: Mclaren Medicaid |
$0.68
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$100.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$68.83
|
| Rate for Payer: Meridian Medicaid |
$48.53
|
| Rate for Payer: Meridian Medicaid |
$70.87
|
| Rate for Payer: Meridian Medicaid |
$0.71
|
| Rate for Payer: Meridian Medicaid |
$54.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$75.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.22
|
| Rate for Payer: Molina Medicare/Medicaid |
$81.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$72.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$105.28
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.26
|
| Rate for Payer: Nomi Health Commercial |
$313.94
|
| Rate for Payer: Nomi Health Commercial |
$215.00
|
| Rate for Payer: Nomi Health Commercial |
$243.05
|
| Rate for Payer: Nomi Health Commercial |
$3.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$196.65
|
| Rate for Payer: PACE Senior Care Partners |
$90.93
|
| Rate for Payer: PACE Senior Care Partners |
$0.91
|
| Rate for Payer: PACE Senior Care Partners |
$62.27
|
| Rate for Payer: PACE Senior Care Partners |
$70.39
|
| Rate for Payer: PACE SWMI |
$65.55
|
| Rate for Payer: PACE SWMI |
$0.96
|
| Rate for Payer: PACE SWMI |
$74.10
|
| Rate for Payer: PACE SWMI |
$95.71
|
| Rate for Payer: PHP Commercial |
$222.87
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$325.42
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: PHP Medicare Advantage |
$65.55
|
| Rate for Payer: PHP Medicare Advantage |
$0.96
|
| Rate for Payer: PHP Medicare Advantage |
$74.10
|
| Rate for Payer: PHP Medicare Advantage |
$95.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$52.26
|
| Rate for Payer: Priority Health Choice Medicaid |
$46.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.87
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$228.11
|
| Rate for Payer: Priority Health Medicare |
$74.84
|
| Rate for Payer: Priority Health Medicare |
$66.21
|
| Rate for Payer: Priority Health Medicare |
$96.67
|
| Rate for Payer: Priority Health Medicare |
$0.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$206.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.49
|
| Rate for Payer: Railroad Medicare Medicare |
$95.71
|
| Rate for Payer: Railroad Medicare Medicare |
$65.55
|
| Rate for Payer: Railroad Medicare Medicare |
$0.96
|
| Rate for Payer: Railroad Medicare Medicare |
$74.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.37
|
| Rate for Payer: UHC Core |
$218.94
|
| Rate for Payer: UHC Core |
$319.68
|
| Rate for Payer: UHC Core |
$247.49
|
| Rate for Payer: UHC Core |
$3.20
|
| Rate for Payer: UHC Exchange |
$95.71
|
| Rate for Payer: UHC Exchange |
$74.10
|
| Rate for Payer: UHC Exchange |
$0.96
|
| Rate for Payer: UHC Exchange |
$65.55
|
| Rate for Payer: UHC Medicaid |
$46.23
|
| Rate for Payer: UHC Medicaid |
$52.26
|
| Rate for Payer: UHC Medicaid |
$67.50
|
| Rate for Payer: UHC Medicaid |
$0.68
|
| Rate for Payer: UHC Medicare Advantage |
$74.10
|
| Rate for Payer: UHC Medicare Advantage |
$65.55
|
| Rate for Payer: UHC Medicare Advantage |
$0.96
|
| Rate for Payer: UHC Medicare Advantage |
$95.71
|
| Rate for Payer: UHCCP Medicaid |
$67.50
|
| Rate for Payer: UHCCP Medicaid |
$0.68
|
| Rate for Payer: UHCCP Medicaid |
$52.26
|
| Rate for Payer: UHCCP Medicaid |
$46.23
|
| Rate for Payer: VA VA |
$65.55
|
| Rate for Payer: VA VA |
$0.96
|
| Rate for Payer: VA VA |
$95.71
|
| Rate for Payer: VA VA |
$74.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.87
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
IP
|
$382.85
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$266.46 |
| Max. Negotiated Rate |
$344.56 |
| Rate for Payer: Aetna Commercial |
$325.42
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$222.87
|
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: BCBS Trust/PPO |
$316.20
|
| Rate for Payer: BCBS Trust/PPO |
$3.16
|
| Rate for Payer: BCBS Trust/PPO |
$244.80
|
| Rate for Payer: BCBS Trust/PPO |
$216.55
|
| Rate for Payer: BCN Commercial |
$316.20
|
| Rate for Payer: BCN Commercial |
$216.55
|
| Rate for Payer: BCN Commercial |
$3.16
|
| Rate for Payer: BCN Commercial |
$244.80
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$209.76
|
| Rate for Payer: Cofinity Commercial |
$225.49
|
| Rate for Payer: Cofinity Commercial |
$3.29
|
| Rate for Payer: Cofinity Commercial |
$329.25
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Healthscope Commercial |
$3.45
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Healthscope Commercial |
$344.56
|
| Rate for Payer: Healthscope Commercial |
$235.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.26
|
| Rate for Payer: Nomi Health Commercial |
$215.00
|
| Rate for Payer: Nomi Health Commercial |
$243.05
|
| Rate for Payer: Nomi Health Commercial |
$3.14
|
| Rate for Payer: Nomi Health Commercial |
$313.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$196.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.87
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: PHP Commercial |
$222.87
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$325.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$333.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$228.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$257.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$266.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$206.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$182.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$230.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.91
|
| Rate for Payer: UHC Core |
$319.68
|
| Rate for Payer: UHC Core |
$3.20
|
| Rate for Payer: UHC Core |
$247.49
|
| Rate for Payer: UHC Core |
$218.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.14
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
IP
|
$366.60
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$255.15 |
| Max. Negotiated Rate |
$329.94 |
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: BCBS Trust/PPO |
$3.03
|
| Rate for Payer: BCBS Trust/PPO |
$302.77
|
| Rate for Payer: BCBS Trust/PPO |
$35.91
|
| Rate for Payer: BCN Commercial |
$3.03
|
| Rate for Payer: BCN Commercial |
$302.77
|
| Rate for Payer: BCN Commercial |
$35.91
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Nomi Health Commercial |
$300.61
|
| Rate for Payer: Nomi Health Commercial |
$3.01
|
| Rate for Payer: Nomi Health Commercial |
$35.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$318.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$255.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.61
|
| Rate for Payer: UHC Core |
$306.11
|
| Rate for Payer: UHC Core |
$36.31
|
| Rate for Payer: UHC Core |
$3.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.75
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
OP
|
$366.60
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$64.63 |
| Max. Negotiated Rate |
$329.94 |
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Medicare |
$11.30
|
| Rate for Payer: Aetna Medicare |
$95.32
|
| Rate for Payer: Aetna Medicare |
$0.95
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$13.59
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.15
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$114.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$114.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.59
|
| Rate for Payer: BCBS Complete |
$0.68
|
| Rate for Payer: BCBS Complete |
$67.86
|
| Rate for Payer: BCBS Complete |
$8.05
|
| Rate for Payer: BCBS MAPPO |
$10.87
|
| Rate for Payer: BCBS MAPPO |
$91.65
|
| Rate for Payer: BCBS MAPPO |
$0.92
|
| Rate for Payer: BCBS Trust/PPO |
$301.38
|
| Rate for Payer: BCBS Trust/PPO |
$3.02
|
| Rate for Payer: BCBS Trust/PPO |
$35.74
|
| Rate for Payer: BCN Commercial |
$3.02
|
| Rate for Payer: BCN Commercial |
$35.74
|
| Rate for Payer: BCN Commercial |
$301.38
|
| Rate for Payer: BCN Medicare Advantage |
$10.87
|
| Rate for Payer: BCN Medicare Advantage |
$0.92
|
| Rate for Payer: BCN Medicare Advantage |
$91.65
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$91.65
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.75
|
| Rate for Payer: Mclaren Medicaid |
$64.63
|
| Rate for Payer: Mclaren Medicaid |
$7.67
|
| Rate for Payer: Mclaren Medicaid |
$0.65
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$96.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.96
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$11.41
|
| Rate for Payer: Meridian Medicaid |
$8.05
|
| Rate for Payer: Meridian Medicaid |
$67.86
|
| Rate for Payer: Meridian Medicaid |
$0.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$105.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.50
|
| Rate for Payer: Molina Medicare/Medicaid |
$11.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.01
|
| Rate for Payer: Molina Medicare/Medicaid |
$100.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Nomi Health Commercial |
$35.65
|
| Rate for Payer: Nomi Health Commercial |
$3.01
|
| Rate for Payer: Nomi Health Commercial |
$300.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: PACE Senior Care Partners |
$0.87
|
| Rate for Payer: PACE Senior Care Partners |
$87.07
|
| Rate for Payer: PACE Senior Care Partners |
$10.33
|
| Rate for Payer: PACE SWMI |
$10.87
|
| Rate for Payer: PACE SWMI |
$0.92
|
| Rate for Payer: PACE SWMI |
$91.65
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: PHP Medicare Advantage |
$0.92
|
| Rate for Payer: PHP Medicare Advantage |
$91.65
|
| Rate for Payer: PHP Medicare Advantage |
$10.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$64.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$7.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$318.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$37.83
|
| Rate for Payer: Priority Health Medicare |
$10.98
|
| Rate for Payer: Priority Health Medicare |
$0.93
|
| Rate for Payer: Priority Health Medicare |
$92.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.55
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$30.26
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$255.15
|
| Rate for Payer: Railroad Medicare Medicare |
$0.92
|
| Rate for Payer: Railroad Medicare Medicare |
$10.87
|
| Rate for Payer: Railroad Medicare Medicare |
$91.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$38.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$322.61
|
| Rate for Payer: UHC Core |
$306.11
|
| Rate for Payer: UHC Core |
$36.31
|
| Rate for Payer: UHC Core |
$3.06
|
| Rate for Payer: UHC Exchange |
$10.87
|
| Rate for Payer: UHC Exchange |
$0.92
|
| Rate for Payer: UHC Exchange |
$91.65
|
| Rate for Payer: UHC Medicaid |
$64.63
|
| Rate for Payer: UHC Medicaid |
$7.67
|
| Rate for Payer: UHC Medicaid |
$0.65
|
| Rate for Payer: UHC Medicare Advantage |
$0.92
|
| Rate for Payer: UHC Medicare Advantage |
$91.65
|
| Rate for Payer: UHC Medicare Advantage |
$10.87
|
| Rate for Payer: UHCCP Medicaid |
$0.65
|
| Rate for Payer: UHCCP Medicaid |
$64.63
|
| Rate for Payer: UHCCP Medicaid |
$7.67
|
| Rate for Payer: VA VA |
$91.65
|
| Rate for Payer: VA VA |
$10.87
|
| Rate for Payer: VA VA |
$0.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.61
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 2-4 PTS
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 98961
|
| Min. Negotiated Rate |
$9.60 |
| Max. Negotiated Rate |
$20.67 |
| Rate for Payer: Aetna Commercial |
$13.91
|
| Rate for Payer: Aetna Medicare |
$12.00
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCN Commercial |
$14.34
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$20.67
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.67
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 5-8 PTS
|
Professional
|
Both
|
$18.00
|
|
|
Service Code
|
HCPCS 98962
|
| Min. Negotiated Rate |
$7.20 |
| Max. Negotiated Rate |
$15.15 |
| Rate for Payer: Aetna Commercial |
$10.35
|
| Rate for Payer: Aetna Medicare |
$9.00
|
| Rate for Payer: BCBS Complete |
$7.20
|
| Rate for Payer: BCN Commercial |
$10.66
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Cash Price |
$14.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$15.15
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$15.15
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP INDIV PT
|
Professional
|
Both
|
$49.00
|
|
|
Service Code
|
HCPCS 98960
|
| Min. Negotiated Rate |
$19.60 |
| Max. Negotiated Rate |
$46.81 |
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Medicare |
$24.50
|
| Rate for Payer: BCBS Complete |
$19.60
|
| Rate for Payer: BCN Commercial |
$46.81
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Cash Price |
$39.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$43.18
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.18
|
|
|
PR EEG,ALL NIGHT RECORD
|
Professional
|
Both
|
$1,385.00
|
|
|
Service Code
|
HCPCS 95827
|
| Min. Negotiated Rate |
$554.00 |
| Max. Negotiated Rate |
$1,038.75 |
| Rate for Payer: Aetna Medicare |
$692.50
|
| Rate for Payer: BCBS Complete |
$554.00
|
| Rate for Payer: Cash Price |
$1,108.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,038.75
|
|
|
PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO
|
Professional
|
Both
|
$441.00
|
|
|
Service Code
|
HCPCS 95721
|
| Min. Negotiated Rate |
$112.68 |
| Max. Negotiated Rate |
$330.75 |
| Rate for Payer: Aetna Commercial |
$226.71
|
| Rate for Payer: Aetna Medicare |
$220.50
|
| Rate for Payer: BCBS Complete |
$118.31
|
| Rate for Payer: BCN Commercial |
$302.77
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Cash Price |
$352.80
|
| Rate for Payer: Mclaren Medicaid |
$112.68
|
| Rate for Payer: Meridian Medicaid |
$118.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$330.75
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.68
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$279.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$279.23
|
| Rate for Payer: UHC Medicaid |
$112.68
|
| Rate for Payer: UHCCP Medicaid |
$112.68
|
|
|
PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG
|
Professional
|
Both
|
$536.00
|
|
|
Service Code
|
HCPCS 95722
|
| Min. Negotiated Rate |
$136.53 |
| Max. Negotiated Rate |
$402.00 |
| Rate for Payer: Aetna Commercial |
$276.49
|
| Rate for Payer: Aetna Medicare |
$268.00
|
| Rate for Payer: BCBS Complete |
$143.36
|
| Rate for Payer: BCN Commercial |
$368.50
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Cash Price |
$428.80
|
| Rate for Payer: Mclaren Medicaid |
$136.53
|
| Rate for Payer: Meridian Medicaid |
$143.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$402.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$136.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$339.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$339.83
|
| Rate for Payer: UHC Medicaid |
$136.53
|
| Rate for Payer: UHCCP Medicaid |
$136.53
|
|
|
PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO
|
Professional
|
Both
|
$547.00
|
|
|
Service Code
|
HCPCS 95723
|
| Min. Negotiated Rate |
$137.17 |
| Max. Negotiated Rate |
$410.25 |
| Rate for Payer: Aetna Commercial |
$280.96
|
| Rate for Payer: Aetna Medicare |
$273.50
|
| Rate for Payer: BCBS Complete |
$144.03
|
| Rate for Payer: BCN Commercial |
$371.99
|
| Rate for Payer: Cash Price |
$437.60
|
| Rate for Payer: Cash Price |
$437.60
|
| Rate for Payer: Mclaren Medicaid |
$137.17
|
| Rate for Payer: Meridian Medicaid |
$144.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$410.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$137.17
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$343.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$343.06
|
| Rate for Payer: UHC Medicaid |
$137.17
|
| Rate for Payer: UHCCP Medicaid |
$137.17
|
|
|
PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG
|
Professional
|
Both
|
$684.00
|
|
|
Service Code
|
HCPCS 95724
|
| Min. Negotiated Rate |
$173.38 |
| Max. Negotiated Rate |
$513.00 |
| Rate for Payer: Aetna Commercial |
$352.81
|
| Rate for Payer: Aetna Medicare |
$342.00
|
| Rate for Payer: BCBS Complete |
$182.05
|
| Rate for Payer: BCN Commercial |
$467.60
|
| Rate for Payer: Cash Price |
$547.20
|
| Rate for Payer: Cash Price |
$547.20
|
| Rate for Payer: Mclaren Medicaid |
$173.38
|
| Rate for Payer: Meridian Medicaid |
$182.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$513.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$173.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$431.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$431.23
|
| Rate for Payer: UHC Medicaid |
$173.38
|
| Rate for Payer: UHCCP Medicaid |
$173.38
|
|
