|
PR ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER
|
Professional
|
Both
|
$1,100.00
|
|
|
Service Code
|
HCPCS 33986
|
| Min. Negotiated Rate |
$128.38 |
| Max. Negotiated Rate |
$814.75 |
| Rate for Payer: Aetna Commercial |
$673.87
|
| Rate for Payer: Aetna Medicare |
$523.01
|
| Rate for Payer: BCBS Complete |
$344.64
|
| Rate for Payer: BCBS MAPPO |
$502.89
|
| Rate for Payer: BCBS Trust/PPO |
$128.38
|
| Rate for Payer: BCN Commercial |
$747.19
|
| Rate for Payer: BCN Medicare Advantage |
$502.89
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cofinity Commercial |
$724.16
|
| Rate for Payer: Cofinity Commercial |
$673.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.89
|
| Rate for Payer: Mclaren Medicaid |
$328.23
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$528.03
|
| Rate for Payer: Meridian Medicaid |
$344.64
|
| Rate for Payer: Nomi Health Commercial |
$603.47
|
| Rate for Payer: PACE SWMI |
$502.89
|
| Rate for Payer: PHP Medicare Advantage |
$502.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$328.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$715.00
|
| Rate for Payer: Priority Health HMO/PPO |
$814.75
|
| Rate for Payer: Priority Health Medicare |
$507.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$814.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$502.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.89
|
| Rate for Payer: UHC Exchange |
$502.89
|
| Rate for Payer: UHC Medicare Advantage |
$502.89
|
| Rate for Payer: UHCCP Medicaid |
$328.23
|
|
|
PR ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 95836
|
| Min. Negotiated Rate |
$67.10 |
| Max. Negotiated Rate |
$658.26 |
| Rate for Payer: Aetna Commercial |
$133.84
|
| Rate for Payer: Aetna Medicare |
$103.88
|
| Rate for Payer: BCBS Complete |
$70.46
|
| Rate for Payer: BCBS MAPPO |
$99.88
|
| Rate for Payer: BCBS Trust/PPO |
$658.26
|
| Rate for Payer: BCN Commercial |
$152.47
|
| Rate for Payer: BCN Medicare Advantage |
$99.88
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$143.83
|
| Rate for Payer: Cofinity Commercial |
$133.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.88
|
| Rate for Payer: Mclaren Medicaid |
$67.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.87
|
| Rate for Payer: Meridian Medicaid |
$70.46
|
| Rate for Payer: Nomi Health Commercial |
$119.86
|
| Rate for Payer: PACE SWMI |
$99.88
|
| Rate for Payer: PHP Medicare Advantage |
$99.88
|
| Rate for Payer: Priority Health Choice Medicaid |
$67.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: Priority Health HMO/PPO |
$141.57
|
| Rate for Payer: Priority Health Medicare |
$100.88
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$141.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$99.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.88
|
| Rate for Payer: UHC Exchange |
$99.88
|
| Rate for Payer: UHC Medicare Advantage |
$99.88
|
| Rate for Payer: UHCCP Medicaid |
$67.10
|
|
|
PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 43259
|
| Min. Negotiated Rate |
$142.50 |
| Max. Negotiated Rate |
$946.19 |
| Rate for Payer: Aetna Commercial |
$285.21
|
| Rate for Payer: Aetna Medicare |
$221.35
|
| Rate for Payer: BCBS Complete |
$149.62
|
| Rate for Payer: BCBS MAPPO |
$212.84
|
| Rate for Payer: BCBS Trust/PPO |
$946.19
|
| Rate for Payer: BCN Commercial |
$322.53
|
| Rate for Payer: BCN Medicare Advantage |
$212.84
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cofinity Commercial |
$306.49
|
| Rate for Payer: Cofinity Commercial |
$285.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.84
|
| Rate for Payer: Mclaren Medicaid |
$142.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.48
|
| Rate for Payer: Meridian Medicaid |
$149.62
|
| Rate for Payer: Nomi Health Commercial |
$255.41
|
| Rate for Payer: PACE SWMI |
$212.84
|
| Rate for Payer: PHP Medicare Advantage |
$212.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$142.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$648.70
|
| Rate for Payer: Priority Health HMO/PPO |
$396.73
|
| Rate for Payer: Priority Health Medicare |
$214.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$396.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$212.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.84
|
| Rate for Payer: UHC Exchange |
$212.84
|
| Rate for Payer: UHC Medicare Advantage |
$212.84
|
| Rate for Payer: UHCCP Medicaid |
$142.50
|
|
|
PREDNISOLONE 15 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$1,895.04
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
11117
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$450.07 |
| Max. Negotiated Rate |
$1,705.54 |
| Rate for Payer: Aetna Commercial |
$1,610.78
|
| Rate for Payer: Aetna Medicare |
$492.71
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$592.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$592.20
|
| Rate for Payer: BCBS Complete |
$758.02
|
| Rate for Payer: BCBS MAPPO |
$473.76
|
| Rate for Payer: BCBS Trust/PPO |
$1,557.91
|
| Rate for Payer: BCN Commercial |
$1,473.39
|
| Rate for Payer: BCN Medicare Advantage |
$473.76
|
| 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: Health Alliance Plan Medicare Advantage |
$473.76
|
| Rate for Payer: Healthscope Commercial |
$1,705.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,421.28
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$497.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$544.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,610.78
|
| Rate for Payer: Nomi Health Commercial |
$1,553.93
|
| Rate for Payer: PACE Senior Care Partners |
$450.07
|
| Rate for Payer: PACE SWMI |
$473.76
|
| Rate for Payer: PHP Commercial |
$1,610.78
|
| Rate for Payer: PHP Medicare Advantage |
$473.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,231.78
|
| Rate for Payer: Priority Health HMO/PPO |
$1,648.68
|
| Rate for Payer: Priority Health Medicare |
$478.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,269.68
|
| Rate for Payer: Railroad Medicare Medicare |
$473.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,667.64
|
| Rate for Payer: UHC Core |
$1,582.36
|
| Rate for Payer: UHC Dual Complete DSNP |
$473.76
|
| Rate for Payer: UHC Exchange |
$473.76
|
| Rate for Payer: UHC Medicare Advantage |
$473.76
|
| Rate for Payer: VA VA |
$473.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,421.28
|
|
|
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 |
$1,231.78 |
| Max. Negotiated Rate |
$1,705.54 |
| Rate for Payer: Aetna Commercial |
$1,610.78
|
| Rate for Payer: BCBS Trust/PPO |
$1,546.92
|
| Rate for Payer: BCN Commercial |
$1,464.49
|
| 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: PHP Commercial |
$1,610.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,231.78
|
| Rate for Payer: Priority Health HMO/PPO |
$1,648.68
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$1,269.68
|
| 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
|
OP
|
$103.01
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$24.46 |
| Max. Negotiated Rate |
$92.71 |
| Rate for Payer: Aetna Commercial |
$87.56
|
| Rate for Payer: Aetna Medicare |
$26.78
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$32.19
|
| Rate for Payer: Amish Plain Church Group Commercial |
$32.19
|
| Rate for Payer: BCBS Complete |
$41.20
|
| Rate for Payer: BCBS MAPPO |
$25.75
|
| Rate for Payer: BCBS Trust/PPO |
$84.68
|
| Rate for Payer: BCN Commercial |
$80.09
|
| Rate for Payer: BCN Medicare Advantage |
$25.75
|
| Rate for Payer: Cash Price |
$82.41
|
| Rate for Payer: Cofinity Commercial |
$88.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.41
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$25.75
|
| Rate for Payer: Healthscope Commercial |
$92.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.26
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$27.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.56
|
| Rate for Payer: Nomi Health Commercial |
$84.47
|
| Rate for Payer: PACE Senior Care Partners |
$24.46
|
| Rate for Payer: PACE SWMI |
$25.75
|
| Rate for Payer: PHP Commercial |
$87.56
|
| Rate for Payer: PHP Medicare Advantage |
$25.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.96
|
| Rate for Payer: Priority Health HMO/PPO |
$89.62
|
| Rate for Payer: Priority Health Medicare |
$26.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.02
|
| Rate for Payer: Railroad Medicare Medicare |
$25.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.65
|
| Rate for Payer: UHC Core |
$86.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$25.75
|
| Rate for Payer: UHC Exchange |
$25.75
|
| Rate for Payer: UHC Medicare Advantage |
$25.75
|
| Rate for Payer: VA VA |
$25.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.26
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$103.01
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$66.96 |
| Max. Negotiated Rate |
$92.71 |
| Rate for Payer: Aetna Commercial |
$87.56
|
| Rate for Payer: BCBS Trust/PPO |
$84.09
|
| Rate for Payer: BCN Commercial |
$79.61
|
| Rate for Payer: Cash Price |
$82.41
|
| Rate for Payer: Cofinity Commercial |
$88.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.41
|
| Rate for Payer: Healthscope Commercial |
$92.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.56
|
| Rate for Payer: Nomi Health Commercial |
$84.47
|
| Rate for Payer: PHP Commercial |
$87.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.96
|
| Rate for Payer: Priority Health HMO/PPO |
$89.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$69.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.65
|
| Rate for Payer: UHC Core |
$86.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.26
|
|
|
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 |
$5.19 |
| Max. Negotiated Rate |
$7.19 |
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Commercial |
$686.44
|
| Rate for Payer: BCBS Trust/PPO |
$6.52
|
| Rate for Payer: BCBS Trust/PPO |
$659.23
|
| Rate for Payer: BCN Commercial |
$6.17
|
| Rate for Payer: BCN Commercial |
$624.10
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cofinity Commercial |
$694.52
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$646.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$726.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$605.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$686.44
|
| Rate for Payer: Nomi Health Commercial |
$6.55
|
| Rate for Payer: Nomi Health Commercial |
$662.22
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Commercial |
$686.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$524.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.19
|
| Rate for Payer: Priority Health HMO/PPO |
$702.59
|
| Rate for Payer: Priority Health HMO/PPO |
$6.95
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.35
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$710.67
|
| Rate for Payer: UHC Core |
$6.67
|
| Rate for Payer: UHC Core |
$674.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$605.68
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$807.58
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$191.80 |
| Max. Negotiated Rate |
$726.82 |
| Rate for Payer: Aetna Commercial |
$686.44
|
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Medicare |
$209.97
|
| Rate for Payer: Aetna Medicare |
$2.08
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$252.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$252.37
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.50
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCBS Complete |
$323.03
|
| Rate for Payer: BCBS MAPPO |
$2.00
|
| Rate for Payer: BCBS MAPPO |
$201.90
|
| Rate for Payer: BCBS Trust/PPO |
$663.91
|
| Rate for Payer: BCBS Trust/PPO |
$6.57
|
| Rate for Payer: BCN Commercial |
$627.89
|
| Rate for Payer: BCN Commercial |
$6.21
|
| Rate for Payer: BCN Medicare Advantage |
$201.90
|
| Rate for Payer: BCN Medicare Advantage |
$2.00
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Cofinity Commercial |
$694.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$646.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$201.90
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$726.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$605.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.10
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$211.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$232.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$686.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Nomi Health Commercial |
$662.22
|
| Rate for Payer: Nomi Health Commercial |
$6.55
|
| Rate for Payer: PACE Senior Care Partners |
$191.80
|
| Rate for Payer: PACE Senior Care Partners |
$1.90
|
| Rate for Payer: PACE SWMI |
$201.90
|
| Rate for Payer: PACE SWMI |
$2.00
|
| Rate for Payer: PHP Commercial |
$686.44
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Medicare Advantage |
$2.00
|
| Rate for Payer: PHP Medicare Advantage |
$201.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$524.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.19
|
| Rate for Payer: Priority Health HMO/PPO |
$6.95
|
| Rate for Payer: Priority Health HMO/PPO |
$702.59
|
| Rate for Payer: Priority Health Medicare |
$203.91
|
| Rate for Payer: Priority Health Medicare |
$2.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$541.08
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$5.35
|
| Rate for Payer: Railroad Medicare Medicare |
$2.00
|
| Rate for Payer: Railroad Medicare Medicare |
$201.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$710.67
|
| Rate for Payer: UHC Core |
$674.33
|
| Rate for Payer: UHC Core |
$6.67
|
| Rate for Payer: UHC Dual Complete DSNP |
$201.90
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.00
|
| Rate for Payer: UHC Exchange |
$2.00
|
| Rate for Payer: UHC Exchange |
$201.90
|
| Rate for Payer: UHC Medicare Advantage |
$2.00
|
| Rate for Payer: UHC Medicare Advantage |
$201.90
|
| Rate for Payer: VA VA |
$2.00
|
| Rate for Payer: VA VA |
$201.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$605.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
OP
|
$29.48
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.00 |
| Max. Negotiated Rate |
$26.53 |
| Rate for Payer: Aetna Commercial |
$25.06
|
| Rate for Payer: Aetna Medicare |
$7.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.21
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.21
|
| Rate for Payer: BCBS Complete |
$11.79
|
| Rate for Payer: BCBS MAPPO |
$7.37
|
| Rate for Payer: BCBS Trust/PPO |
$24.24
|
| Rate for Payer: BCN Commercial |
$22.92
|
| Rate for Payer: BCN Medicare Advantage |
$7.37
|
| Rate for Payer: Cash Price |
$23.58
|
| Rate for Payer: Cofinity Commercial |
$25.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.37
|
| Rate for Payer: Healthscope Commercial |
$26.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.06
|
| Rate for Payer: Nomi Health Commercial |
$24.17
|
| Rate for Payer: PACE Senior Care Partners |
$7.00
|
| Rate for Payer: PACE SWMI |
$7.37
|
| Rate for Payer: PHP Commercial |
$25.06
|
| Rate for Payer: PHP Medicare Advantage |
$7.37
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.16
|
| Rate for Payer: Priority Health HMO/PPO |
$25.65
|
| Rate for Payer: Priority Health Medicare |
$7.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.75
|
| Rate for Payer: Railroad Medicare Medicare |
$7.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.94
|
| Rate for Payer: UHC Core |
$24.62
|
| Rate for Payer: UHC Dual Complete DSNP |
$7.37
|
| Rate for Payer: UHC Exchange |
$7.37
|
| Rate for Payer: UHC Medicare Advantage |
$7.37
|
| Rate for Payer: VA VA |
$7.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.11
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (5 ML) ORAL SOLUTION
|
Facility
|
IP
|
$29.48
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
162294
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$19.16 |
| Max. Negotiated Rate |
$26.53 |
| Rate for Payer: Aetna Commercial |
$25.06
|
| Rate for Payer: BCBS Trust/PPO |
$24.06
|
| Rate for Payer: BCN Commercial |
$22.78
|
| Rate for Payer: Cash Price |
$23.58
|
| Rate for Payer: Cofinity Commercial |
$25.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.58
|
| Rate for Payer: Healthscope Commercial |
$26.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.06
|
| Rate for Payer: Nomi Health Commercial |
$24.17
|
| Rate for Payer: PHP Commercial |
$25.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.16
|
| Rate for Payer: Priority Health HMO/PPO |
$25.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.94
|
| Rate for Payer: UHC Core |
$24.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.11
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
IP
|
$277.30
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$180.24 |
| Max. Negotiated Rate |
$249.57 |
| Rate for Payer: Aetna Commercial |
$235.70
|
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: BCBS Trust/PPO |
$226.36
|
| Rate for Payer: BCBS Trust/PPO |
$38.18
|
| Rate for Payer: BCN Commercial |
$214.30
|
| Rate for Payer: BCN Commercial |
$36.14
|
| Rate for Payer: Cash Price |
$221.84
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Commercial |
$238.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.84
|
| Rate for Payer: Healthscope Commercial |
$249.57
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Nomi Health Commercial |
$227.39
|
| Rate for Payer: Nomi Health Commercial |
$38.35
|
| Rate for Payer: PHP Commercial |
$235.70
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$180.24
|
| Rate for Payer: Priority Health HMO/PPO |
$40.69
|
| Rate for Payer: Priority Health HMO/PPO |
$241.25
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$185.79
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.16
|
| Rate for Payer: UHC Core |
$231.55
|
| Rate for Payer: UHC Core |
$39.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$207.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.08
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
OP
|
$46.77
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.11 |
| Max. Negotiated Rate |
$42.09 |
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Commercial |
$235.70
|
| Rate for Payer: Aetna Medicare |
$12.16
|
| Rate for Payer: Aetna Medicare |
$72.10
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$86.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$86.66
|
| Rate for Payer: BCBS Complete |
$110.92
|
| Rate for Payer: BCBS Complete |
$18.71
|
| Rate for Payer: BCBS MAPPO |
$69.32
|
| Rate for Payer: BCBS MAPPO |
$11.69
|
| Rate for Payer: BCBS Trust/PPO |
$38.45
|
| Rate for Payer: BCBS Trust/PPO |
$227.97
|
| Rate for Payer: BCN Commercial |
$36.36
|
| Rate for Payer: BCN Commercial |
$215.60
|
| Rate for Payer: BCN Medicare Advantage |
$11.69
|
| Rate for Payer: BCN Medicare Advantage |
$69.32
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cash Price |
$221.84
|
| Rate for Payer: Cofinity Commercial |
$238.48
|
| 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 |
$221.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$69.32
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11.69
|
| Rate for Payer: Healthscope Commercial |
$249.57
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$207.98
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$72.79
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$79.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.70
|
| Rate for Payer: Nomi Health Commercial |
$38.35
|
| Rate for Payer: Nomi Health Commercial |
$227.39
|
| Rate for Payer: PACE Senior Care Partners |
$11.11
|
| Rate for Payer: PACE Senior Care Partners |
$65.86
|
| Rate for Payer: PACE SWMI |
$11.69
|
| Rate for Payer: PACE SWMI |
$69.32
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$235.70
|
| Rate for Payer: PHP Medicare Advantage |
$69.32
|
| Rate for Payer: PHP Medicare Advantage |
$11.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$180.24
|
| Rate for Payer: Priority Health HMO/PPO |
$241.25
|
| Rate for Payer: Priority Health HMO/PPO |
$40.69
|
| Rate for Payer: Priority Health Medicare |
$11.81
|
| Rate for Payer: Priority Health Medicare |
$70.02
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$31.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$185.79
|
| Rate for Payer: Railroad Medicare Medicare |
$69.32
|
| Rate for Payer: Railroad Medicare Medicare |
$11.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$244.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$41.16
|
| Rate for Payer: UHC Core |
$39.05
|
| Rate for Payer: UHC Core |
$231.55
|
| Rate for Payer: UHC Dual Complete DSNP |
$11.69
|
| Rate for Payer: UHC Dual Complete DSNP |
$69.32
|
| Rate for Payer: UHC Exchange |
$69.32
|
| Rate for Payer: UHC Exchange |
$11.69
|
| Rate for Payer: UHC Medicare Advantage |
$69.32
|
| Rate for Payer: UHC Medicare Advantage |
$11.69
|
| Rate for Payer: VA VA |
$69.32
|
| 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 |
$207.98
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
IP
|
$196.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$127.82 |
| Max. Negotiated Rate |
$176.98 |
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: BCBS Trust/PPO |
$160.53
|
| Rate for Payer: BCBS Trust/PPO |
$360.64
|
| Rate for Payer: BCN Commercial |
$151.97
|
| Rate for Payer: BCN Commercial |
$341.42
|
| 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 |
$176.98
|
| 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: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.82
|
| Rate for Payer: Priority Health HMO/PPO |
$384.37
|
| Rate for Payer: Priority Health HMO/PPO |
$171.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$131.76
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$296.01
|
| 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 1 MG TABLET
|
Facility
|
OP
|
$441.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$104.93 |
| Max. Negotiated Rate |
$397.62 |
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna Medicare |
$114.87
|
| Rate for Payer: Aetna Medicare |
$51.13
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$61.45
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$138.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$138.06
|
| Rate for Payer: Amish Plain Church Group Commercial |
$61.45
|
| Rate for Payer: BCBS Complete |
$78.66
|
| Rate for Payer: BCBS Complete |
$176.72
|
| Rate for Payer: BCBS MAPPO |
$49.16
|
| Rate for Payer: BCBS MAPPO |
$110.45
|
| Rate for Payer: BCBS Trust/PPO |
$363.20
|
| Rate for Payer: BCBS Trust/PPO |
$161.67
|
| Rate for Payer: BCN Commercial |
$343.50
|
| Rate for Payer: BCN Commercial |
$152.90
|
| Rate for Payer: BCN Medicare Advantage |
$110.45
|
| Rate for Payer: BCN Medicare Advantage |
$49.16
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| 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 |
$49.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$110.45
|
| Rate for Payer: Healthscope Commercial |
$176.98
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$51.62
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.02
|
| 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: 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 |
$375.53
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Medicare Advantage |
$49.16
|
| Rate for Payer: PHP Medicare Advantage |
$110.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.82
|
| Rate for Payer: Priority Health HMO/PPO |
$171.09
|
| Rate for Payer: Priority Health HMO/PPO |
$384.37
|
| Rate for Payer: Priority Health Medicare |
$111.55
|
| Rate for Payer: Priority Health Medicare |
$49.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$296.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$131.76
|
| 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 Dual Complete DSNP |
$110.45
|
| Rate for Payer: UHC Dual Complete DSNP |
$49.16
|
| Rate for Payer: UHC Exchange |
$49.16
|
| Rate for Payer: UHC Exchange |
$110.45
|
| Rate for Payer: UHC Medicare Advantage |
$49.16
|
| Rate for Payer: UHC Medicare Advantage |
$110.45
|
| 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 20 MG TABLET
|
Facility
|
OP
|
$20.14
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.78 |
| Max. Negotiated Rate |
$18.13 |
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$3.34
|
| Rate for Payer: Aetna Commercial |
$333.58
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Medicare |
$77.60
|
| Rate for Payer: Aetna Medicare |
$5.24
|
| Rate for Payer: Aetna Medicare |
$102.04
|
| Rate for Payer: Aetna Medicare |
$1.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$122.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$93.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$93.27
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.23
|
| Rate for Payer: Amish Plain Church Group Commercial |
$122.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.29
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Complete |
$119.38
|
| Rate for Payer: BCBS Complete |
$1.57
|
| Rate for Payer: BCBS Complete |
$156.98
|
| Rate for Payer: BCBS MAPPO |
$5.04
|
| Rate for Payer: BCBS MAPPO |
$74.61
|
| Rate for Payer: BCBS MAPPO |
$0.98
|
| Rate for Payer: BCBS MAPPO |
$98.11
|
| Rate for Payer: BCBS Trust/PPO |
$16.56
|
| Rate for Payer: BCBS Trust/PPO |
$3.23
|
| Rate for Payer: BCBS Trust/PPO |
$245.36
|
| Rate for Payer: BCBS Trust/PPO |
$322.63
|
| Rate for Payer: BCN Commercial |
$15.66
|
| Rate for Payer: BCN Commercial |
$305.13
|
| Rate for Payer: BCN Commercial |
$232.04
|
| Rate for Payer: BCN Commercial |
$3.06
|
| Rate for Payer: BCN Medicare Advantage |
$74.61
|
| Rate for Payer: BCN Medicare Advantage |
$0.98
|
| Rate for Payer: BCN Medicare Advantage |
$5.04
|
| Rate for Payer: BCN Medicare Advantage |
$98.11
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cofinity Commercial |
$3.38
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$337.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$313.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$74.61
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$98.11
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$353.20
|
| Rate for Payer: Healthscope Commercial |
$268.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$294.34
|
| 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 |
$78.34
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.03
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$112.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$333.58
|
| Rate for Payer: Nomi Health Commercial |
$321.81
|
| Rate for Payer: Nomi Health Commercial |
$3.22
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: PACE Senior Care Partners |
$4.78
|
| Rate for Payer: PACE Senior Care Partners |
$93.21
|
| Rate for Payer: PACE Senior Care Partners |
$0.93
|
| Rate for Payer: PACE Senior Care Partners |
$70.88
|
| Rate for Payer: PACE SWMI |
$74.61
|
| Rate for Payer: PACE SWMI |
$5.04
|
| Rate for Payer: PACE SWMI |
$98.11
|
| Rate for Payer: PACE SWMI |
$0.98
|
| Rate for Payer: PHP Commercial |
$333.58
|
| Rate for Payer: PHP Commercial |
$3.34
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Medicare Advantage |
$74.61
|
| Rate for Payer: PHP Medicare Advantage |
$5.04
|
| Rate for Payer: PHP Medicare Advantage |
$0.98
|
| Rate for Payer: PHP Medicare Advantage |
$98.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.09
|
| Rate for Payer: Priority Health HMO/PPO |
$259.65
|
| Rate for Payer: Priority Health HMO/PPO |
$3.42
|
| Rate for Payer: Priority Health HMO/PPO |
$341.43
|
| Rate for Payer: Priority Health HMO/PPO |
$17.52
|
| Rate for Payer: Priority Health Medicare |
$99.09
|
| Rate for Payer: Priority Health Medicare |
$5.09
|
| Rate for Payer: Priority Health Medicare |
$75.36
|
| Rate for Payer: Priority Health Medicare |
$0.99
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$262.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$199.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.49
|
| Rate for Payer: Railroad Medicare Medicare |
$74.61
|
| Rate for Payer: Railroad Medicare Medicare |
$98.11
|
| Rate for Payer: Railroad Medicare Medicare |
$5.04
|
| Rate for Payer: Railroad Medicare Medicare |
$0.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$262.64
|
| Rate for Payer: UHC Core |
$16.82
|
| Rate for Payer: UHC Core |
$3.28
|
| Rate for Payer: UHC Core |
$249.21
|
| Rate for Payer: UHC Core |
$327.70
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.98
|
| Rate for Payer: UHC Dual Complete DSNP |
$98.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$5.04
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.61
|
| Rate for Payer: UHC Exchange |
$0.98
|
| Rate for Payer: UHC Exchange |
$74.61
|
| Rate for Payer: UHC Exchange |
$5.04
|
| Rate for Payer: UHC Exchange |
$98.11
|
| Rate for Payer: UHC Medicare Advantage |
$0.98
|
| Rate for Payer: UHC Medicare Advantage |
$5.04
|
| Rate for Payer: UHC Medicare Advantage |
$98.11
|
| Rate for Payer: UHC Medicare Advantage |
$74.61
|
| Rate for Payer: VA VA |
$74.61
|
| Rate for Payer: VA VA |
$0.98
|
| Rate for Payer: VA VA |
$98.11
|
| Rate for Payer: VA VA |
$5.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.34
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
IP
|
$392.45
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$255.09 |
| Max. Negotiated Rate |
$353.20 |
| Rate for Payer: Aetna Commercial |
$333.58
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$3.34
|
| Rate for Payer: BCBS Trust/PPO |
$320.36
|
| Rate for Payer: BCBS Trust/PPO |
$3.21
|
| Rate for Payer: BCBS Trust/PPO |
$243.62
|
| Rate for Payer: BCBS Trust/PPO |
$16.44
|
| Rate for Payer: BCN Commercial |
$303.29
|
| Rate for Payer: BCN Commercial |
$15.56
|
| Rate for Payer: BCN Commercial |
$3.04
|
| Rate for Payer: BCN Commercial |
$230.64
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$3.38
|
| Rate for Payer: Cofinity Commercial |
$337.51
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$313.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$268.60
|
| Rate for Payer: Healthscope Commercial |
$353.20
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$294.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$333.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.34
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: Nomi Health Commercial |
$3.22
|
| Rate for Payer: Nomi Health Commercial |
$321.81
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$333.58
|
| Rate for Payer: PHP Commercial |
$3.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.09
|
| Rate for Payer: Priority Health HMO/PPO |
$341.43
|
| Rate for Payer: Priority Health HMO/PPO |
$3.42
|
| Rate for Payer: Priority Health HMO/PPO |
$17.52
|
| Rate for Payer: Priority Health HMO/PPO |
$259.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$262.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$199.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$262.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.36
|
| Rate for Payer: UHC Core |
$327.70
|
| Rate for Payer: UHC Core |
$3.28
|
| Rate for Payer: UHC Core |
$249.21
|
| Rate for Payer: UHC Core |
$16.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.34
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
OP
|
$227.05
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$53.92 |
| Max. Negotiated Rate |
$204.34 |
| Rate for Payer: Aetna Commercial |
$192.99
|
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: Aetna Commercial |
$325.42
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Medicare |
$77.06
|
| Rate for Payer: Aetna Medicare |
$59.03
|
| Rate for Payer: Aetna Medicare |
$99.54
|
| Rate for Payer: Aetna Medicare |
$1.00
|
| 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 |
$70.95
|
| 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 |
$70.95
|
| Rate for Payer: BCBS Complete |
$90.82
|
| Rate for Payer: BCBS Complete |
$118.56
|
| Rate for Payer: BCBS Complete |
$1.53
|
| Rate for Payer: BCBS Complete |
$153.14
|
| Rate for Payer: BCBS MAPPO |
$56.76
|
| 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 |
$186.66
|
| Rate for Payer: BCBS Trust/PPO |
$3.15
|
| Rate for Payer: BCBS Trust/PPO |
$243.67
|
| Rate for Payer: BCBS Trust/PPO |
$314.74
|
| Rate for Payer: BCN Commercial |
$176.53
|
| Rate for Payer: BCN Commercial |
$297.67
|
| Rate for Payer: BCN Commercial |
$230.45
|
| Rate for Payer: BCN Commercial |
$2.98
|
| Rate for Payer: BCN Medicare Advantage |
$74.10
|
| Rate for Payer: BCN Medicare Advantage |
$0.96
|
| Rate for Payer: BCN Medicare Advantage |
$56.76
|
| Rate for Payer: BCN Medicare Advantage |
$95.71
|
| Rate for Payer: Cash Price |
$181.64
|
| Rate for Payer: Cash Price |
$3.06
|
| Rate for Payer: Cash Price |
$306.28
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cofinity Commercial |
$3.29
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Commercial |
$195.26
|
| Rate for Payer: Cofinity Commercial |
$329.25
|
| 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 |
$181.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.06
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$56.76
|
| 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 |
$204.34
|
| 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 |
$170.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.14
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$59.60
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$77.80
|
| 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 |
$100.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$85.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Nomi Health Commercial |
$313.94
|
| Rate for Payer: Nomi Health Commercial |
$3.14
|
| Rate for Payer: Nomi Health Commercial |
$186.18
|
| Rate for Payer: Nomi Health Commercial |
$243.05
|
| Rate for Payer: PACE Senior Care Partners |
$53.92
|
| 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 |
$70.40
|
| Rate for Payer: PACE SWMI |
$74.10
|
| Rate for Payer: PACE SWMI |
$56.76
|
| Rate for Payer: PACE SWMI |
$95.71
|
| Rate for Payer: PACE SWMI |
$0.96
|
| Rate for Payer: PHP Commercial |
$325.42
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$192.99
|
| Rate for Payer: PHP Medicare Advantage |
$74.10
|
| Rate for Payer: PHP Medicare Advantage |
$56.76
|
| Rate for Payer: PHP Medicare Advantage |
$0.96
|
| Rate for Payer: PHP Medicare Advantage |
$95.71
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.58
|
| Rate for Payer: Priority Health HMO/PPO |
$257.87
|
| Rate for Payer: Priority Health HMO/PPO |
$3.33
|
| Rate for Payer: Priority Health HMO/PPO |
$333.08
|
| Rate for Payer: Priority Health HMO/PPO |
$197.53
|
| Rate for Payer: Priority Health Medicare |
$96.67
|
| Rate for Payer: Priority Health Medicare |
$57.33
|
| Rate for Payer: Priority Health Medicare |
$74.84
|
| Rate for Payer: Priority Health Medicare |
$0.97
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$256.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$152.12
|
| Rate for Payer: Railroad Medicare Medicare |
$74.10
|
| Rate for Payer: Railroad Medicare Medicare |
$95.71
|
| Rate for Payer: Railroad Medicare Medicare |
$56.76
|
| Rate for Payer: Railroad Medicare Medicare |
$0.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$260.83
|
| Rate for Payer: UHC Core |
$189.59
|
| Rate for Payer: UHC Core |
$3.20
|
| Rate for Payer: UHC Core |
$247.49
|
| Rate for Payer: UHC Core |
$319.68
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.96
|
| Rate for Payer: UHC Dual Complete DSNP |
$95.71
|
| Rate for Payer: UHC Dual Complete DSNP |
$56.76
|
| Rate for Payer: UHC Dual Complete DSNP |
$74.10
|
| Rate for Payer: UHC Exchange |
$0.96
|
| Rate for Payer: UHC Exchange |
$74.10
|
| Rate for Payer: UHC Exchange |
$56.76
|
| Rate for Payer: UHC Exchange |
$95.71
|
| Rate for Payer: UHC Medicare Advantage |
$0.96
|
| Rate for Payer: UHC Medicare Advantage |
$56.76
|
| Rate for Payer: UHC Medicare Advantage |
$95.71
|
| Rate for Payer: UHC Medicare Advantage |
$74.10
|
| Rate for Payer: VA VA |
$74.10
|
| Rate for Payer: VA VA |
$0.96
|
| Rate for Payer: VA VA |
$95.71
|
| Rate for Payer: VA VA |
$56.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.14
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
IP
|
$382.85
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$248.85 |
| Max. Negotiated Rate |
$344.56 |
| Rate for Payer: Aetna Commercial |
$325.42
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$192.99
|
| Rate for Payer: Aetna Commercial |
$3.26
|
| Rate for Payer: BCBS Trust/PPO |
$312.52
|
| Rate for Payer: BCBS Trust/PPO |
$3.13
|
| Rate for Payer: BCBS Trust/PPO |
$241.95
|
| Rate for Payer: BCBS Trust/PPO |
$185.34
|
| Rate for Payer: BCN Commercial |
$295.87
|
| Rate for Payer: BCN Commercial |
$175.46
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$229.06
|
| 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 |
$181.64
|
| Rate for Payer: Cofinity Commercial |
$195.26
|
| 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 |
$181.64
|
| 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 |
$204.34
|
| 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 |
$170.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.99
|
| 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 |
$186.18
|
| 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: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$192.99
|
| Rate for Payer: PHP Commercial |
$325.42
|
| Rate for Payer: PHP Commercial |
$3.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.85
|
| Rate for Payer: Priority Health HMO/PPO |
$333.08
|
| Rate for Payer: Priority Health HMO/PPO |
$3.33
|
| Rate for Payer: Priority Health HMO/PPO |
$197.53
|
| Rate for Payer: Priority Health HMO/PPO |
$257.87
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$256.51
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$198.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$152.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$199.80
|
| 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 |
$189.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.29
|
| 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
|
OP
|
$366.60
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$87.07 |
| 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 |
$114.56
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$114.56
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.15
|
| Rate for Payer: Amish Plain Church Group Commercial |
$13.59
|
| Rate for Payer: BCBS Complete |
$1.47
|
| Rate for Payer: BCBS Complete |
$146.64
|
| Rate for Payer: BCBS Complete |
$17.39
|
| 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 |
$3.02
|
| Rate for Payer: BCBS Trust/PPO |
$301.38
|
| Rate for Payer: BCBS Trust/PPO |
$35.74
|
| Rate for Payer: BCN Commercial |
$2.85
|
| Rate for Payer: BCN Commercial |
$33.81
|
| Rate for Payer: BCN Commercial |
$285.03
|
| Rate for Payer: BCN Medicare Advantage |
$91.65
|
| Rate for Payer: BCN Medicare Advantage |
$0.92
|
| Rate for Payer: BCN Medicare Advantage |
$10.87
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10.87
|
| 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 |
$2.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.95
|
| 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: 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: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Nomi Health Commercial |
$35.65
|
| Rate for Payer: Nomi Health Commercial |
$300.61
|
| Rate for Payer: Nomi Health Commercial |
$3.01
|
| Rate for Payer: PACE Senior Care Partners |
$10.33
|
| Rate for Payer: PACE Senior Care Partners |
$87.07
|
| Rate for Payer: PACE Senior Care Partners |
$0.87
|
| Rate for Payer: PACE SWMI |
$0.92
|
| Rate for Payer: PACE SWMI |
$91.65
|
| Rate for Payer: PACE SWMI |
$10.87
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Medicare Advantage |
$0.92
|
| Rate for Payer: PHP Medicare Advantage |
$10.87
|
| Rate for Payer: PHP Medicare Advantage |
$91.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.39
|
| Rate for Payer: Priority Health HMO/PPO |
$37.83
|
| Rate for Payer: Priority Health HMO/PPO |
$318.94
|
| Rate for Payer: Priority Health HMO/PPO |
$3.19
|
| Rate for Payer: Priority Health Medicare |
$92.57
|
| Rate for Payer: Priority Health Medicare |
$10.98
|
| Rate for Payer: Priority Health Medicare |
$0.93
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.62
|
| 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 |
$36.31
|
| Rate for Payer: UHC Core |
$3.06
|
| Rate for Payer: UHC Core |
$306.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$91.65
|
| Rate for Payer: UHC Dual Complete DSNP |
$10.87
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.92
|
| Rate for Payer: UHC Exchange |
$0.92
|
| Rate for Payer: UHC Exchange |
$91.65
|
| Rate for Payer: UHC Exchange |
$10.87
|
| Rate for Payer: UHC Medicare Advantage |
$91.65
|
| Rate for Payer: UHC Medicare Advantage |
$0.92
|
| Rate for Payer: UHC Medicare Advantage |
$10.87
|
| Rate for Payer: VA VA |
$0.92
|
| Rate for Payer: VA VA |
$10.87
|
| Rate for Payer: VA VA |
$91.65
|
| 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
|
IP
|
$366.60
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$238.29 |
| 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 |
$3.00
|
| Rate for Payer: BCBS Trust/PPO |
$299.26
|
| Rate for Payer: BCBS Trust/PPO |
$35.49
|
| Rate for Payer: BCN Commercial |
$2.84
|
| Rate for Payer: BCN Commercial |
$283.31
|
| Rate for Payer: BCN Commercial |
$33.60
|
| 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: PHP Commercial |
$3.12
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.39
|
| Rate for Payer: Priority Health HMO/PPO |
$37.83
|
| Rate for Payer: Priority Health HMO/PPO |
$3.19
|
| Rate for Payer: Priority Health HMO/PPO |
$318.94
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.46
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$29.13
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$245.62
|
| 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
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 2-4 PTS
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 98961
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$656.15 |
| Rate for Payer: Aetna Commercial |
$13.91
|
| Rate for Payer: Aetna Medicare |
$11.50
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS Trust/PPO |
$656.15
|
| Rate for Payer: BCN Commercial |
$14.19
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO |
$19.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.91
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 5-8 PTS
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 98962
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$888.07 |
| Rate for Payer: Aetna Commercial |
$10.35
|
| Rate for Payer: Aetna Medicare |
$8.50
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: BCBS Trust/PPO |
$888.07
|
| Rate for Payer: BCN Commercial |
$10.55
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health HMO/PPO |
$14.92
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.92
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP INDIV PT
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 98960
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$505.58 |
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Medicare |
$24.00
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS Trust/PPO |
$505.58
|
| Rate for Payer: BCN Commercial |
$33.79
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health HMO/PPO |
$41.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$41.61
|
|
|
PR EEG,ALL NIGHT RECORD
|
Professional
|
Both
|
$1,345.00
|
|
|
Service Code
|
HCPCS 95827
|
| Min. Negotiated Rate |
$538.00 |
| Max. Negotiated Rate |
$874.25 |
| Rate for Payer: Aetna Medicare |
$672.50
|
| Rate for Payer: BCBS Complete |
$538.00
|
| Rate for Payer: Cash Price |
$1,076.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$874.25
|
|
