|
ROPINIROLE 0.5 MG TABLET
|
Facility
|
IP
|
$82.25
|
|
|
Service Code
|
NDC 43547026910
|
| Hospital Charge Code |
21800
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$57.25 |
| Max. Negotiated Rate |
$74.03 |
| Rate for Payer: Aetna Commercial |
$69.91
|
| Rate for Payer: BCBS Trust/PPO |
$67.93
|
| Rate for Payer: BCN Commercial |
$67.93
|
| Rate for Payer: Cash Price |
$65.80
|
| Rate for Payer: Cofinity Commercial |
$70.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.80
|
| Rate for Payer: Healthscope Commercial |
$74.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.91
|
| Rate for Payer: Nomi Health Commercial |
$67.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.69
|
| Rate for Payer: PHP Commercial |
$69.91
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.38
|
| Rate for Payer: UHC Core |
$68.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.69
|
|
|
ROPINIROLE 0.5 MG TABLET
|
Facility
|
OP
|
$82.25
|
|
|
Service Code
|
NDC 43547026910
|
| Hospital Charge Code |
21800
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$14.50 |
| Max. Negotiated Rate |
$74.03 |
| Rate for Payer: Aetna Commercial |
$69.91
|
| Rate for Payer: Aetna Medicare |
$21.39
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$25.70
|
| Rate for Payer: Amish Plain Church Group Commercial |
$25.70
|
| Rate for Payer: BCBS Complete |
$15.22
|
| Rate for Payer: BCBS MAPPO |
$20.56
|
| Rate for Payer: BCBS Trust/PPO |
$67.62
|
| Rate for Payer: BCN Commercial |
$67.62
|
| Rate for Payer: BCN Medicare Advantage |
$20.56
|
| Rate for Payer: Cash Price |
$65.80
|
| Rate for Payer: Cofinity Commercial |
$70.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.80
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$20.56
|
| Rate for Payer: Healthscope Commercial |
$74.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.69
|
| Rate for Payer: Mclaren Medicaid |
$14.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$21.59
|
| Rate for Payer: Meridian Medicaid |
$15.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$22.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.91
|
| Rate for Payer: Nomi Health Commercial |
$67.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.69
|
| Rate for Payer: PACE Senior Care Partners |
$19.53
|
| Rate for Payer: PACE SWMI |
$20.56
|
| Rate for Payer: PHP Commercial |
$69.91
|
| Rate for Payer: PHP Medicare Advantage |
$20.56
|
| Rate for Payer: Priority Health Choice Medicaid |
$14.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$71.56
|
| Rate for Payer: Priority Health Medicare |
$20.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$57.25
|
| Rate for Payer: Railroad Medicare Medicare |
$20.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$72.38
|
| Rate for Payer: UHC Core |
$68.68
|
| Rate for Payer: UHC Exchange |
$20.56
|
| Rate for Payer: UHC Medicaid |
$14.50
|
| Rate for Payer: UHC Medicare Advantage |
$20.56
|
| Rate for Payer: UHCCP Medicaid |
$14.50
|
| Rate for Payer: VA VA |
$20.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.69
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
OP
|
$131.60
|
|
|
Service Code
|
NDC 43547027010
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$23.20 |
| Max. Negotiated Rate |
$118.44 |
| Rate for Payer: Aetna Commercial |
$111.86
|
| Rate for Payer: Aetna Medicare |
$34.22
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$41.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$41.12
|
| Rate for Payer: BCBS Complete |
$24.36
|
| Rate for Payer: BCBS MAPPO |
$32.90
|
| Rate for Payer: BCBS Trust/PPO |
$108.19
|
| Rate for Payer: BCN Commercial |
$108.19
|
| Rate for Payer: BCN Medicare Advantage |
$32.90
|
| Rate for Payer: Cash Price |
$105.28
|
| Rate for Payer: Cofinity Commercial |
$113.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$32.90
|
| Rate for Payer: Healthscope Commercial |
$118.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.70
|
| Rate for Payer: Mclaren Medicaid |
$23.20
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$34.55
|
| Rate for Payer: Meridian Medicaid |
$24.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$36.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.86
|
| Rate for Payer: Nomi Health Commercial |
$107.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.70
|
| Rate for Payer: PACE Senior Care Partners |
$31.25
|
| Rate for Payer: PACE SWMI |
$32.90
|
| Rate for Payer: PHP Commercial |
$111.86
|
| Rate for Payer: PHP Medicare Advantage |
$32.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$23.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$114.49
|
| Rate for Payer: Priority Health Medicare |
$33.23
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.59
|
| Rate for Payer: Railroad Medicare Medicare |
$32.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.81
|
| Rate for Payer: UHC Core |
$109.89
|
| Rate for Payer: UHC Exchange |
$32.90
|
| Rate for Payer: UHC Medicaid |
$23.20
|
| Rate for Payer: UHC Medicare Advantage |
$32.90
|
| Rate for Payer: UHCCP Medicaid |
$23.20
|
| Rate for Payer: VA VA |
$32.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.70
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
IP
|
$131.60
|
|
|
Service Code
|
NDC 43547027010
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$91.59 |
| Max. Negotiated Rate |
$118.44 |
| Rate for Payer: Aetna Commercial |
$111.86
|
| Rate for Payer: BCBS Trust/PPO |
$108.69
|
| Rate for Payer: BCN Commercial |
$108.69
|
| Rate for Payer: Cash Price |
$105.28
|
| Rate for Payer: Cofinity Commercial |
$113.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$105.28
|
| Rate for Payer: Healthscope Commercial |
$118.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.86
|
| Rate for Payer: Nomi Health Commercial |
$107.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.70
|
| Rate for Payer: PHP Commercial |
$111.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$114.49
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$91.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$115.81
|
| Rate for Payer: UHC Core |
$109.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.70
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
OP
|
$360.05
|
|
|
Service Code
|
NDC 00904637461
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$63.48 |
| Max. Negotiated Rate |
$324.05 |
| Rate for Payer: Aetna Commercial |
$306.04
|
| Rate for Payer: Aetna Medicare |
$93.61
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$112.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$112.52
|
| Rate for Payer: BCBS Complete |
$66.65
|
| Rate for Payer: BCBS MAPPO |
$90.01
|
| Rate for Payer: BCBS Trust/PPO |
$296.00
|
| Rate for Payer: BCN Commercial |
$296.00
|
| Rate for Payer: BCN Medicare Advantage |
$90.01
|
| Rate for Payer: Cash Price |
$288.04
|
| Rate for Payer: Cofinity Commercial |
$309.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.04
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$90.01
|
| Rate for Payer: Healthscope Commercial |
$324.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$270.04
|
| Rate for Payer: Mclaren Medicaid |
$63.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$94.51
|
| Rate for Payer: Meridian Medicaid |
$66.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$99.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.04
|
| Rate for Payer: Nomi Health Commercial |
$295.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.04
|
| Rate for Payer: PACE Senior Care Partners |
$85.51
|
| Rate for Payer: PACE SWMI |
$90.01
|
| Rate for Payer: PHP Commercial |
$306.04
|
| Rate for Payer: PHP Medicare Advantage |
$90.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$63.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$313.24
|
| Rate for Payer: Priority Health Medicare |
$90.91
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$250.59
|
| Rate for Payer: Railroad Medicare Medicare |
$90.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$316.84
|
| Rate for Payer: UHC Core |
$300.64
|
| Rate for Payer: UHC Exchange |
$90.01
|
| Rate for Payer: UHC Medicaid |
$63.48
|
| Rate for Payer: UHC Medicare Advantage |
$90.01
|
| Rate for Payer: UHCCP Medicaid |
$63.48
|
| Rate for Payer: VA VA |
$90.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$270.04
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
IP
|
$3.97
|
|
|
Service Code
|
NDC 60687058811
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.76 |
| Max. Negotiated Rate |
$3.57 |
| Rate for Payer: Aetna Commercial |
$3.37
|
| Rate for Payer: BCBS Trust/PPO |
$3.28
|
| Rate for Payer: BCN Commercial |
$3.28
|
| Rate for Payer: Cash Price |
$3.18
|
| Rate for Payer: Cofinity Commercial |
$3.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.18
|
| Rate for Payer: Healthscope Commercial |
$3.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.37
|
| Rate for Payer: Nomi Health Commercial |
$3.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.98
|
| Rate for Payer: PHP Commercial |
$3.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.45
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.49
|
| Rate for Payer: UHC Core |
$3.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.98
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
OP
|
$396.15
|
|
|
Service Code
|
NDC 60687058801
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$69.84 |
| Max. Negotiated Rate |
$356.54 |
| Rate for Payer: Aetna Commercial |
$336.73
|
| Rate for Payer: Aetna Medicare |
$103.00
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$123.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$123.80
|
| Rate for Payer: BCBS Complete |
$73.33
|
| Rate for Payer: BCBS MAPPO |
$99.04
|
| Rate for Payer: BCBS Trust/PPO |
$325.67
|
| Rate for Payer: BCN Commercial |
$325.67
|
| Rate for Payer: BCN Medicare Advantage |
$99.04
|
| Rate for Payer: Cash Price |
$316.92
|
| Rate for Payer: Cofinity Commercial |
$340.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.92
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.04
|
| Rate for Payer: Healthscope Commercial |
$356.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.11
|
| Rate for Payer: Mclaren Medicaid |
$69.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$103.99
|
| Rate for Payer: Meridian Medicaid |
$73.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.89
|
| Rate for Payer: Molina Medicare/Medicaid |
$108.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$336.73
|
| Rate for Payer: Nomi Health Commercial |
$324.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.11
|
| Rate for Payer: PACE Senior Care Partners |
$94.09
|
| Rate for Payer: PACE SWMI |
$99.04
|
| Rate for Payer: PHP Commercial |
$336.73
|
| Rate for Payer: PHP Medicare Advantage |
$99.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$69.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$344.65
|
| Rate for Payer: Priority Health Medicare |
$100.03
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.72
|
| Rate for Payer: Railroad Medicare Medicare |
$99.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.61
|
| Rate for Payer: UHC Core |
$330.79
|
| Rate for Payer: UHC Exchange |
$99.04
|
| Rate for Payer: UHC Medicaid |
$69.84
|
| Rate for Payer: UHC Medicare Advantage |
$99.04
|
| Rate for Payer: UHCCP Medicaid |
$69.84
|
| Rate for Payer: VA VA |
$99.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.11
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
IP
|
$360.05
|
|
|
Service Code
|
NDC 00904637461
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$250.59 |
| Max. Negotiated Rate |
$324.05 |
| Rate for Payer: Aetna Commercial |
$306.04
|
| Rate for Payer: BCBS Trust/PPO |
$297.37
|
| Rate for Payer: BCN Commercial |
$297.37
|
| Rate for Payer: Cash Price |
$288.04
|
| Rate for Payer: Cofinity Commercial |
$309.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.04
|
| Rate for Payer: Healthscope Commercial |
$324.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$270.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.04
|
| Rate for Payer: Nomi Health Commercial |
$295.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.04
|
| Rate for Payer: PHP Commercial |
$306.04
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$313.24
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$250.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$316.84
|
| Rate for Payer: UHC Core |
$300.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$270.04
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
IP
|
$396.15
|
|
|
Service Code
|
NDC 60687058801
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$275.72 |
| Max. Negotiated Rate |
$356.54 |
| Rate for Payer: Aetna Commercial |
$336.73
|
| Rate for Payer: BCBS Trust/PPO |
$327.18
|
| Rate for Payer: BCN Commercial |
$327.18
|
| Rate for Payer: Cash Price |
$316.92
|
| Rate for Payer: Cofinity Commercial |
$340.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$316.92
|
| Rate for Payer: Healthscope Commercial |
$356.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$297.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$336.73
|
| Rate for Payer: Nomi Health Commercial |
$324.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$297.11
|
| Rate for Payer: PHP Commercial |
$336.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$344.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$275.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$348.61
|
| Rate for Payer: UHC Core |
$330.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$297.11
|
|
|
ROPINIROLE 1 MG TABLET
|
Facility
|
OP
|
$3.97
|
|
|
Service Code
|
NDC 60687058811
|
| Hospital Charge Code |
21689
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.70 |
| Max. Negotiated Rate |
$3.57 |
| Rate for Payer: Aetna Commercial |
$3.37
|
| Rate for Payer: Aetna Medicare |
$1.03
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.24
|
| Rate for Payer: BCBS Complete |
$0.73
|
| Rate for Payer: BCBS MAPPO |
$0.99
|
| Rate for Payer: BCBS Trust/PPO |
$3.26
|
| Rate for Payer: BCN Commercial |
$3.26
|
| Rate for Payer: BCN Medicare Advantage |
$0.99
|
| Rate for Payer: Cash Price |
$3.18
|
| Rate for Payer: Cofinity Commercial |
$3.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.99
|
| Rate for Payer: Healthscope Commercial |
$3.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.98
|
| Rate for Payer: Mclaren Medicaid |
$0.70
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.04
|
| Rate for Payer: Meridian Medicaid |
$0.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.14
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.37
|
| Rate for Payer: Nomi Health Commercial |
$3.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.98
|
| Rate for Payer: PACE Senior Care Partners |
$0.94
|
| Rate for Payer: PACE SWMI |
$0.99
|
| Rate for Payer: PHP Commercial |
$3.37
|
| Rate for Payer: PHP Medicare Advantage |
$0.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.70
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$3.45
|
| Rate for Payer: Priority Health Medicare |
$1.00
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$2.76
|
| Rate for Payer: Railroad Medicare Medicare |
$0.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.49
|
| Rate for Payer: UHC Core |
$3.31
|
| Rate for Payer: UHC Exchange |
$0.99
|
| Rate for Payer: UHC Medicaid |
$0.70
|
| Rate for Payer: UHC Medicare Advantage |
$0.99
|
| Rate for Payer: UHCCP Medicaid |
$0.70
|
| Rate for Payer: VA VA |
$0.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.98
|
|
|
ROPINIROLE ER 2 MG TABLET,EXTENDED RELEASE 24 HR
|
Facility
|
IP
|
$222.45
|
|
|
Service Code
|
NDC 00228365803
|
| Hospital Charge Code |
92015
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$154.83 |
| Max. Negotiated Rate |
$200.21 |
| Rate for Payer: Aetna Commercial |
$189.08
|
| Rate for Payer: BCBS Trust/PPO |
$183.72
|
| Rate for Payer: BCN Commercial |
$183.72
|
| Rate for Payer: Cash Price |
$177.96
|
| Rate for Payer: Cofinity Commercial |
$191.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$177.96
|
| Rate for Payer: Healthscope Commercial |
$200.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$166.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.08
|
| Rate for Payer: Nomi Health Commercial |
$182.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$166.84
|
| Rate for Payer: PHP Commercial |
$189.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$193.53
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.76
|
| Rate for Payer: UHC Core |
$185.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$166.84
|
|
|
ROPINIROLE ER 2 MG TABLET,EXTENDED RELEASE 24 HR
|
Facility
|
OP
|
$222.45
|
|
|
Service Code
|
NDC 00228365803
|
| Hospital Charge Code |
92015
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$39.22 |
| Max. Negotiated Rate |
$200.21 |
| Rate for Payer: Aetna Commercial |
$189.08
|
| Rate for Payer: Aetna Medicare |
$57.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$69.52
|
| Rate for Payer: Amish Plain Church Group Commercial |
$69.52
|
| Rate for Payer: BCBS Complete |
$41.18
|
| Rate for Payer: BCBS MAPPO |
$55.61
|
| Rate for Payer: BCBS Trust/PPO |
$182.88
|
| Rate for Payer: BCN Commercial |
$182.88
|
| Rate for Payer: BCN Medicare Advantage |
$55.61
|
| Rate for Payer: Cash Price |
$177.96
|
| Rate for Payer: Cofinity Commercial |
$191.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$177.96
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$55.61
|
| Rate for Payer: Healthscope Commercial |
$200.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$166.84
|
| Rate for Payer: Mclaren Medicaid |
$39.22
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$58.39
|
| Rate for Payer: Meridian Medicaid |
$41.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63.95
|
| Rate for Payer: Molina Medicare/Medicaid |
$61.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.08
|
| Rate for Payer: Nomi Health Commercial |
$182.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$166.84
|
| Rate for Payer: PACE Senior Care Partners |
$52.83
|
| Rate for Payer: PACE SWMI |
$55.61
|
| Rate for Payer: PHP Commercial |
$189.08
|
| Rate for Payer: PHP Medicare Advantage |
$55.61
|
| Rate for Payer: Priority Health Choice Medicaid |
$39.22
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$193.53
|
| Rate for Payer: Priority Health Medicare |
$56.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$154.83
|
| Rate for Payer: Railroad Medicare Medicare |
$55.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$195.76
|
| Rate for Payer: UHC Core |
$185.75
|
| Rate for Payer: UHC Exchange |
$55.61
|
| Rate for Payer: UHC Medicaid |
$39.22
|
| Rate for Payer: UHC Medicare Advantage |
$55.61
|
| Rate for Payer: UHCCP Medicaid |
$39.22
|
| Rate for Payer: VA VA |
$55.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$166.84
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$96.98
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$67.50 |
| Max. Negotiated Rate |
$87.28 |
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Commercial |
$52.06
|
| Rate for Payer: Aetna Commercial |
$53.30
|
| Rate for Payer: Aetna Commercial |
$63.18
|
| Rate for Payer: Aetna Commercial |
$46.95
|
| Rate for Payer: BCBS Trust/PPO |
$61.39
|
| Rate for Payer: BCBS Trust/PPO |
$80.10
|
| Rate for Payer: BCBS Trust/PPO |
$51.79
|
| Rate for Payer: BCBS Trust/PPO |
$50.59
|
| Rate for Payer: BCBS Trust/PPO |
$45.62
|
| Rate for Payer: BCN Commercial |
$61.39
|
| Rate for Payer: BCN Commercial |
$51.79
|
| Rate for Payer: BCN Commercial |
$45.62
|
| Rate for Payer: BCN Commercial |
$50.59
|
| Rate for Payer: BCN Commercial |
$80.10
|
| Rate for Payer: Cash Price |
$44.19
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$50.17
|
| Rate for Payer: Cash Price |
$49.00
|
| Rate for Payer: Cash Price |
$59.46
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Commercial |
$47.51
|
| Rate for Payer: Cofinity Commercial |
$63.92
|
| Rate for Payer: Cofinity Commercial |
$53.93
|
| Rate for Payer: Cofinity Commercial |
$52.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Healthscope Commercial |
$55.12
|
| Rate for Payer: Healthscope Commercial |
$56.44
|
| Rate for Payer: Healthscope Commercial |
$49.72
|
| Rate for Payer: Healthscope Commercial |
$66.90
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.18
|
| Rate for Payer: Nomi Health Commercial |
$45.30
|
| Rate for Payer: Nomi Health Commercial |
$50.23
|
| Rate for Payer: Nomi Health Commercial |
$51.42
|
| Rate for Payer: Nomi Health Commercial |
$60.95
|
| Rate for Payer: Nomi Health Commercial |
$79.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.73
|
| Rate for Payer: PHP Commercial |
$52.06
|
| Rate for Payer: PHP Commercial |
$53.30
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: PHP Commercial |
$63.18
|
| Rate for Payer: PHP Commercial |
$46.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$84.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$64.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$53.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.41
|
| Rate for Payer: UHC Core |
$46.13
|
| Rate for Payer: UHC Core |
$51.14
|
| Rate for Payer: UHC Core |
$62.07
|
| Rate for Payer: UHC Core |
$80.98
|
| Rate for Payer: UHC Core |
$52.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.75
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$96.98
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.10 |
| Max. Negotiated Rate |
$87.28 |
| Rate for Payer: Aetna Commercial |
$82.43
|
| Rate for Payer: Aetna Commercial |
$52.06
|
| Rate for Payer: Aetna Commercial |
$63.18
|
| Rate for Payer: Aetna Commercial |
$46.95
|
| Rate for Payer: Aetna Commercial |
$53.30
|
| Rate for Payer: Aetna Medicare |
$15.93
|
| Rate for Payer: Aetna Medicare |
$25.21
|
| Rate for Payer: Aetna Medicare |
$16.30
|
| Rate for Payer: Aetna Medicare |
$14.36
|
| Rate for Payer: Aetna Medicare |
$19.33
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$17.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.14
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$19.60
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23.23
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$30.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.60
|
| Rate for Payer: Amish Plain Church Group Commercial |
$30.31
|
| Rate for Payer: Amish Plain Church Group Commercial |
$19.14
|
| Rate for Payer: Amish Plain Church Group Commercial |
$17.26
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23.23
|
| Rate for Payer: BCBS Complete |
$11.34
|
| Rate for Payer: BCBS Complete |
$10.22
|
| Rate for Payer: BCBS Complete |
$11.61
|
| Rate for Payer: BCBS Complete |
$17.95
|
| Rate for Payer: BCBS Complete |
$13.76
|
| Rate for Payer: BCBS MAPPO |
$24.25
|
| Rate for Payer: BCBS MAPPO |
$15.31
|
| Rate for Payer: BCBS MAPPO |
$13.81
|
| Rate for Payer: BCBS MAPPO |
$15.68
|
| Rate for Payer: BCBS MAPPO |
$18.58
|
| Rate for Payer: BCBS Trust/PPO |
$51.55
|
| Rate for Payer: BCBS Trust/PPO |
$45.41
|
| Rate for Payer: BCBS Trust/PPO |
$50.35
|
| Rate for Payer: BCBS Trust/PPO |
$79.73
|
| Rate for Payer: BCBS Trust/PPO |
$61.11
|
| Rate for Payer: BCN Commercial |
$51.55
|
| Rate for Payer: BCN Commercial |
$50.35
|
| Rate for Payer: BCN Commercial |
$45.41
|
| Rate for Payer: BCN Commercial |
$79.73
|
| Rate for Payer: BCN Commercial |
$61.11
|
| Rate for Payer: BCN Medicare Advantage |
$24.25
|
| Rate for Payer: BCN Medicare Advantage |
$18.58
|
| Rate for Payer: BCN Medicare Advantage |
$15.68
|
| Rate for Payer: BCN Medicare Advantage |
$15.31
|
| Rate for Payer: BCN Medicare Advantage |
$13.81
|
| Rate for Payer: Cash Price |
$44.19
|
| Rate for Payer: Cash Price |
$49.00
|
| Rate for Payer: Cash Price |
$77.58
|
| Rate for Payer: Cash Price |
$59.46
|
| Rate for Payer: Cash Price |
$50.17
|
| Rate for Payer: Cofinity Commercial |
$63.92
|
| Rate for Payer: Cofinity Commercial |
$53.93
|
| Rate for Payer: Cofinity Commercial |
$83.40
|
| Rate for Payer: Cofinity Commercial |
$47.51
|
| Rate for Payer: Cofinity Commercial |
$52.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.19
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$24.25
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18.58
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$15.68
|
| Rate for Payer: Healthscope Commercial |
$49.72
|
| Rate for Payer: Healthscope Commercial |
$87.28
|
| Rate for Payer: Healthscope Commercial |
$66.90
|
| Rate for Payer: Healthscope Commercial |
$55.12
|
| Rate for Payer: Healthscope Commercial |
$56.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.03
|
| Rate for Payer: Mclaren Medicaid |
$10.80
|
| Rate for Payer: Mclaren Medicaid |
$13.10
|
| Rate for Payer: Mclaren Medicaid |
$11.06
|
| Rate for Payer: Mclaren Medicaid |
$17.10
|
| Rate for Payer: Mclaren Medicaid |
$9.74
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19.51
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.08
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$25.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$16.46
|
| Rate for Payer: Meridian Medicaid |
$11.34
|
| Rate for Payer: Meridian Medicaid |
$10.22
|
| Rate for Payer: Meridian Medicaid |
$11.61
|
| Rate for Payer: Meridian Medicaid |
$13.76
|
| Rate for Payer: Meridian Medicaid |
$17.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$27.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.37
|
| Rate for Payer: Molina Medicare/Medicaid |
$20.44
|
| Rate for Payer: Molina Medicare/Medicaid |
$15.19
|
| Rate for Payer: Molina Medicare/Medicaid |
$16.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$26.67
|
| Rate for Payer: Molina Medicare/Medicaid |
$17.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$53.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.06
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$46.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$82.43
|
| Rate for Payer: Nomi Health Commercial |
$79.52
|
| Rate for Payer: Nomi Health Commercial |
$51.42
|
| Rate for Payer: Nomi Health Commercial |
$60.95
|
| Rate for Payer: Nomi Health Commercial |
$45.30
|
| Rate for Payer: Nomi Health Commercial |
$50.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$55.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$47.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$72.73
|
| Rate for Payer: PACE Senior Care Partners |
$13.12
|
| Rate for Payer: PACE Senior Care Partners |
$14.55
|
| Rate for Payer: PACE Senior Care Partners |
$23.03
|
| Rate for Payer: PACE Senior Care Partners |
$17.65
|
| Rate for Payer: PACE Senior Care Partners |
$14.89
|
| Rate for Payer: PACE SWMI |
$13.81
|
| Rate for Payer: PACE SWMI |
$15.31
|
| Rate for Payer: PACE SWMI |
$15.68
|
| Rate for Payer: PACE SWMI |
$18.58
|
| Rate for Payer: PACE SWMI |
$24.25
|
| Rate for Payer: PHP Commercial |
$63.18
|
| Rate for Payer: PHP Commercial |
$46.95
|
| Rate for Payer: PHP Commercial |
$53.30
|
| Rate for Payer: PHP Commercial |
$52.06
|
| Rate for Payer: PHP Commercial |
$82.43
|
| Rate for Payer: PHP Medicare Advantage |
$15.31
|
| Rate for Payer: PHP Medicare Advantage |
$24.25
|
| Rate for Payer: PHP Medicare Advantage |
$13.81
|
| Rate for Payer: PHP Medicare Advantage |
$18.58
|
| Rate for Payer: PHP Medicare Advantage |
$15.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$13.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$17.10
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$10.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$9.74
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$54.56
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$64.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$48.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$84.37
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$53.29
|
| Rate for Payer: Priority Health Medicare |
$15.47
|
| Rate for Payer: Priority Health Medicare |
$24.49
|
| Rate for Payer: Priority Health Medicare |
$13.95
|
| Rate for Payer: Priority Health Medicare |
$18.77
|
| Rate for Payer: Priority Health Medicare |
$15.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$51.73
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$43.65
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$42.63
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$67.50
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$38.45
|
| Rate for Payer: Railroad Medicare Medicare |
$24.25
|
| Rate for Payer: Railroad Medicare Medicare |
$18.58
|
| Rate for Payer: Railroad Medicare Medicare |
$15.68
|
| Rate for Payer: Railroad Medicare Medicare |
$13.81
|
| Rate for Payer: Railroad Medicare Medicare |
$15.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$65.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$55.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$48.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$85.34
|
| Rate for Payer: UHC Core |
$62.07
|
| Rate for Payer: UHC Core |
$46.13
|
| Rate for Payer: UHC Core |
$80.98
|
| Rate for Payer: UHC Core |
$52.36
|
| Rate for Payer: UHC Core |
$51.14
|
| Rate for Payer: UHC Exchange |
$13.81
|
| Rate for Payer: UHC Exchange |
$18.58
|
| Rate for Payer: UHC Exchange |
$15.31
|
| Rate for Payer: UHC Exchange |
$24.25
|
| Rate for Payer: UHC Exchange |
$15.68
|
| Rate for Payer: UHC Medicaid |
$17.10
|
| Rate for Payer: UHC Medicaid |
$13.10
|
| Rate for Payer: UHC Medicaid |
$10.80
|
| Rate for Payer: UHC Medicaid |
$11.06
|
| Rate for Payer: UHC Medicaid |
$9.74
|
| Rate for Payer: UHC Medicare Advantage |
$15.68
|
| Rate for Payer: UHC Medicare Advantage |
$13.81
|
| Rate for Payer: UHC Medicare Advantage |
$24.25
|
| Rate for Payer: UHC Medicare Advantage |
$15.31
|
| Rate for Payer: UHC Medicare Advantage |
$18.58
|
| Rate for Payer: UHCCP Medicaid |
$13.10
|
| Rate for Payer: UHCCP Medicaid |
$17.10
|
| Rate for Payer: UHCCP Medicaid |
$11.06
|
| Rate for Payer: UHCCP Medicaid |
$9.74
|
| Rate for Payer: UHCCP Medicaid |
$10.80
|
| Rate for Payer: VA VA |
$24.25
|
| Rate for Payer: VA VA |
$13.81
|
| Rate for Payer: VA VA |
$18.58
|
| Rate for Payer: VA VA |
$15.31
|
| Rate for Payer: VA VA |
$15.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.43
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
IP
|
$33.11
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$23.04 |
| Max. Negotiated Rate |
$29.80 |
| Rate for Payer: Aetna Commercial |
$28.14
|
| Rate for Payer: Aetna Commercial |
$20.77
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$24.40
|
| Rate for Payer: Aetna Commercial |
$21.51
|
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$24.53
|
| Rate for Payer: BCBS Trust/PPO |
$27.35
|
| Rate for Payer: BCBS Trust/PPO |
$20.18
|
| Rate for Payer: BCBS Trust/PPO |
$23.84
|
| Rate for Payer: BCBS Trust/PPO |
$16.98
|
| Rate for Payer: BCBS Trust/PPO |
$23.71
|
| Rate for Payer: BCBS Trust/PPO |
$20.54
|
| Rate for Payer: BCBS Trust/PPO |
$20.90
|
| Rate for Payer: BCN Commercial |
$20.54
|
| Rate for Payer: BCN Commercial |
$23.84
|
| Rate for Payer: BCN Commercial |
$27.35
|
| Rate for Payer: BCN Commercial |
$23.71
|
| Rate for Payer: BCN Commercial |
$20.18
|
| Rate for Payer: BCN Commercial |
$20.90
|
| Rate for Payer: BCN Commercial |
$16.98
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$22.97
|
| Rate for Payer: Cash Price |
$26.49
|
| Rate for Payer: Cash Price |
$23.09
|
| Rate for Payer: Cash Price |
$19.55
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cofinity Commercial |
$21.77
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$24.69
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$21.02
|
| Rate for Payer: Cofinity Commercial |
$28.47
|
| Rate for Payer: Cofinity Commercial |
$24.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.49
|
| Rate for Payer: Healthscope Commercial |
$22.00
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$25.97
|
| Rate for Payer: Healthscope Commercial |
$25.84
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$29.80
|
| Rate for Payer: Healthscope Commercial |
$22.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Nomi Health Commercial |
$20.75
|
| Rate for Payer: Nomi Health Commercial |
$16.86
|
| Rate for Payer: Nomi Health Commercial |
$27.15
|
| Rate for Payer: Nomi Health Commercial |
$23.67
|
| Rate for Payer: Nomi Health Commercial |
$23.54
|
| Rate for Payer: Nomi Health Commercial |
$20.39
|
| Rate for Payer: Nomi Health Commercial |
$20.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.65
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: PHP Commercial |
$20.77
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$24.40
|
| Rate for Payer: PHP Commercial |
$28.14
|
| Rate for Payer: PHP Commercial |
$24.53
|
| Rate for Payer: PHP Commercial |
$21.51
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.02
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.11
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.89
|
| Rate for Payer: UHC Core |
$17.17
|
| Rate for Payer: UHC Core |
$24.10
|
| Rate for Payer: UHC Core |
$20.41
|
| Rate for Payer: UHC Core |
$20.77
|
| Rate for Payer: UHC Core |
$23.97
|
| Rate for Payer: UHC Core |
$27.65
|
| Rate for Payer: UHC Core |
$21.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.64
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
OP
|
$25.31
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.46 |
| Max. Negotiated Rate |
$22.78 |
| Rate for Payer: Aetna Commercial |
$21.51
|
| Rate for Payer: Aetna Commercial |
$28.14
|
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$24.53
|
| Rate for Payer: Aetna Commercial |
$20.77
|
| Rate for Payer: Aetna Commercial |
$24.40
|
| Rate for Payer: Aetna Medicare |
$6.35
|
| Rate for Payer: Aetna Medicare |
$6.47
|
| Rate for Payer: Aetna Medicare |
$8.61
|
| Rate for Payer: Aetna Medicare |
$6.58
|
| Rate for Payer: Aetna Medicare |
$5.35
|
| Rate for Payer: Aetna Medicare |
$7.50
|
| Rate for Payer: Aetna Medicare |
$7.46
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.91
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.77
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$9.02
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.97
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$7.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10.35
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.91
|
| Rate for Payer: Amish Plain Church Group Commercial |
$9.02
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.97
|
| Rate for Payer: Amish Plain Church Group Commercial |
$7.77
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.42
|
| Rate for Payer: BCBS Complete |
$6.13
|
| Rate for Payer: BCBS Complete |
$3.81
|
| Rate for Payer: BCBS Complete |
$4.52
|
| Rate for Payer: BCBS Complete |
$4.68
|
| Rate for Payer: BCBS Complete |
$5.31
|
| Rate for Payer: BCBS Complete |
$4.60
|
| Rate for Payer: BCBS Complete |
$5.34
|
| Rate for Payer: BCBS MAPPO |
$6.22
|
| Rate for Payer: BCBS MAPPO |
$7.18
|
| Rate for Payer: BCBS MAPPO |
$6.33
|
| Rate for Payer: BCBS MAPPO |
$5.14
|
| Rate for Payer: BCBS MAPPO |
$7.21
|
| Rate for Payer: BCBS MAPPO |
$6.11
|
| Rate for Payer: BCBS MAPPO |
$8.28
|
| Rate for Payer: BCBS Trust/PPO |
$27.22
|
| Rate for Payer: BCBS Trust/PPO |
$23.60
|
| Rate for Payer: BCBS Trust/PPO |
$23.73
|
| Rate for Payer: BCBS Trust/PPO |
$20.81
|
| Rate for Payer: BCBS Trust/PPO |
$16.90
|
| Rate for Payer: BCBS Trust/PPO |
$20.09
|
| Rate for Payer: BCBS Trust/PPO |
$20.45
|
| Rate for Payer: BCN Commercial |
$20.09
|
| Rate for Payer: BCN Commercial |
$16.90
|
| Rate for Payer: BCN Commercial |
$27.22
|
| Rate for Payer: BCN Commercial |
$23.73
|
| Rate for Payer: BCN Commercial |
$23.60
|
| Rate for Payer: BCN Commercial |
$20.45
|
| Rate for Payer: BCN Commercial |
$20.81
|
| Rate for Payer: BCN Medicare Advantage |
$6.33
|
| Rate for Payer: BCN Medicare Advantage |
$6.11
|
| Rate for Payer: BCN Medicare Advantage |
$8.28
|
| Rate for Payer: BCN Medicare Advantage |
$6.22
|
| Rate for Payer: BCN Medicare Advantage |
$5.14
|
| Rate for Payer: BCN Medicare Advantage |
$7.21
|
| Rate for Payer: BCN Medicare Advantage |
$7.18
|
| Rate for Payer: Cash Price |
$22.97
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$23.09
|
| Rate for Payer: Cash Price |
$19.55
|
| Rate for Payer: Cash Price |
$26.49
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$24.69
|
| Rate for Payer: Cofinity Commercial |
$21.77
|
| Rate for Payer: Cofinity Commercial |
$24.82
|
| Rate for Payer: Cofinity Commercial |
$21.02
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$28.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$5.14
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.22
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8.28
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.33
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$7.18
|
| Rate for Payer: Healthscope Commercial |
$25.97
|
| Rate for Payer: Healthscope Commercial |
$29.80
|
| Rate for Payer: Healthscope Commercial |
$25.84
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$22.00
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Healthscope Commercial |
$22.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.83
|
| Rate for Payer: Mclaren Medicaid |
$5.09
|
| Rate for Payer: Mclaren Medicaid |
$4.31
|
| Rate for Payer: Mclaren Medicaid |
$3.62
|
| Rate for Payer: Mclaren Medicaid |
$4.46
|
| Rate for Payer: Mclaren Medicaid |
$5.06
|
| Rate for Payer: Mclaren Medicaid |
$5.84
|
| Rate for Payer: Mclaren Medicaid |
$4.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.58
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.53
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.42
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.40
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8.69
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$6.64
|
| Rate for Payer: Meridian Medicaid |
$4.52
|
| Rate for Payer: Meridian Medicaid |
$3.81
|
| Rate for Payer: Meridian Medicaid |
$4.60
|
| Rate for Payer: Meridian Medicaid |
$4.68
|
| Rate for Payer: Meridian Medicaid |
$5.31
|
| Rate for Payer: Meridian Medicaid |
$5.34
|
| Rate for Payer: Meridian Medicaid |
$6.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.30
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.96
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.65
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.94
|
| Rate for Payer: Molina Medicare/Medicaid |
$9.11
|
| Rate for Payer: Molina Medicare/Medicaid |
$6.72
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.53
|
| Rate for Payer: Nomi Health Commercial |
$20.39
|
| Rate for Payer: Nomi Health Commercial |
$23.54
|
| Rate for Payer: Nomi Health Commercial |
$20.75
|
| Rate for Payer: Nomi Health Commercial |
$20.04
|
| Rate for Payer: Nomi Health Commercial |
$16.86
|
| Rate for Payer: Nomi Health Commercial |
$23.67
|
| Rate for Payer: Nomi Health Commercial |
$27.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.64
|
| Rate for Payer: PACE Senior Care Partners |
$6.82
|
| Rate for Payer: PACE Senior Care Partners |
$5.80
|
| Rate for Payer: PACE Senior Care Partners |
$4.88
|
| Rate for Payer: PACE Senior Care Partners |
$6.85
|
| Rate for Payer: PACE Senior Care Partners |
$5.91
|
| Rate for Payer: PACE Senior Care Partners |
$7.86
|
| Rate for Payer: PACE Senior Care Partners |
$6.01
|
| Rate for Payer: PACE SWMI |
$6.22
|
| Rate for Payer: PACE SWMI |
$7.21
|
| Rate for Payer: PACE SWMI |
$7.18
|
| Rate for Payer: PACE SWMI |
$6.11
|
| Rate for Payer: PACE SWMI |
$6.33
|
| Rate for Payer: PACE SWMI |
$8.28
|
| Rate for Payer: PACE SWMI |
$5.14
|
| Rate for Payer: PHP Commercial |
$21.51
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$24.40
|
| Rate for Payer: PHP Commercial |
$20.77
|
| Rate for Payer: PHP Commercial |
$24.53
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: PHP Commercial |
$28.14
|
| Rate for Payer: PHP Medicare Advantage |
$6.11
|
| Rate for Payer: PHP Medicare Advantage |
$7.18
|
| Rate for Payer: PHP Medicare Advantage |
$5.14
|
| Rate for Payer: PHP Medicare Advantage |
$6.22
|
| Rate for Payer: PHP Medicare Advantage |
$6.33
|
| Rate for Payer: PHP Medicare Advantage |
$7.21
|
| Rate for Payer: PHP Medicare Advantage |
$8.28
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.62
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$5.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.89
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$24.98
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$25.11
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$21.26
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$28.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$22.02
|
| Rate for Payer: Priority Health Medicare |
$7.29
|
| Rate for Payer: Priority Health Medicare |
$8.36
|
| Rate for Payer: Priority Health Medicare |
$7.25
|
| Rate for Payer: Priority Health Medicare |
$6.28
|
| Rate for Payer: Priority Health Medicare |
$6.17
|
| Rate for Payer: Priority Health Medicare |
$6.39
|
| Rate for Payer: Priority Health Medicare |
$5.19
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$23.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$20.09
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.62
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$19.98
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$14.31
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$17.01
|
| Rate for Payer: Railroad Medicare Medicare |
$6.22
|
| Rate for Payer: Railroad Medicare Medicare |
$7.18
|
| Rate for Payer: Railroad Medicare Medicare |
$8.28
|
| Rate for Payer: Railroad Medicare Medicare |
$5.14
|
| Rate for Payer: Railroad Medicare Medicare |
$7.21
|
| Rate for Payer: Railroad Medicare Medicare |
$6.11
|
| Rate for Payer: Railroad Medicare Medicare |
$6.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$21.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$29.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$25.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$18.09
|
| Rate for Payer: UHC Core |
$21.13
|
| Rate for Payer: UHC Core |
$17.17
|
| Rate for Payer: UHC Core |
$20.77
|
| Rate for Payer: UHC Core |
$24.10
|
| Rate for Payer: UHC Core |
$27.65
|
| Rate for Payer: UHC Core |
$20.41
|
| Rate for Payer: UHC Core |
$23.97
|
| Rate for Payer: UHC Exchange |
$6.11
|
| Rate for Payer: UHC Exchange |
$7.18
|
| Rate for Payer: UHC Exchange |
$5.14
|
| Rate for Payer: UHC Exchange |
$7.21
|
| Rate for Payer: UHC Exchange |
$6.33
|
| Rate for Payer: UHC Exchange |
$6.22
|
| Rate for Payer: UHC Exchange |
$8.28
|
| Rate for Payer: UHC Medicaid |
$5.84
|
| Rate for Payer: UHC Medicaid |
$5.09
|
| Rate for Payer: UHC Medicaid |
$4.38
|
| Rate for Payer: UHC Medicaid |
$3.62
|
| Rate for Payer: UHC Medicaid |
$4.31
|
| Rate for Payer: UHC Medicaid |
$5.06
|
| Rate for Payer: UHC Medicaid |
$4.46
|
| Rate for Payer: UHC Medicare Advantage |
$6.11
|
| Rate for Payer: UHC Medicare Advantage |
$8.28
|
| Rate for Payer: UHC Medicare Advantage |
$5.14
|
| Rate for Payer: UHC Medicare Advantage |
$6.33
|
| Rate for Payer: UHC Medicare Advantage |
$7.21
|
| Rate for Payer: UHC Medicare Advantage |
$7.18
|
| Rate for Payer: UHC Medicare Advantage |
$6.22
|
| Rate for Payer: UHCCP Medicaid |
$3.62
|
| Rate for Payer: UHCCP Medicaid |
$5.84
|
| Rate for Payer: UHCCP Medicaid |
$4.31
|
| Rate for Payer: UHCCP Medicaid |
$4.46
|
| Rate for Payer: UHCCP Medicaid |
$5.06
|
| Rate for Payer: UHCCP Medicaid |
$5.09
|
| Rate for Payer: UHCCP Medicaid |
$4.38
|
| Rate for Payer: VA VA |
$5.14
|
| Rate for Payer: VA VA |
$7.21
|
| Rate for Payer: VA VA |
$6.22
|
| Rate for Payer: VA VA |
$7.18
|
| Rate for Payer: VA VA |
$8.28
|
| Rate for Payer: VA VA |
$6.11
|
| Rate for Payer: VA VA |
$6.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.98
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$6.39
|
|
|
Service Code
|
NDC 60687024511
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.13 |
| Max. Negotiated Rate |
$5.75 |
| Rate for Payer: Aetna Commercial |
$5.43
|
| Rate for Payer: Aetna Medicare |
$1.66
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.00
|
| Rate for Payer: BCBS Complete |
$1.18
|
| Rate for Payer: BCBS MAPPO |
$1.60
|
| Rate for Payer: BCBS Trust/PPO |
$5.25
|
| Rate for Payer: BCN Commercial |
$5.25
|
| Rate for Payer: BCN Medicare Advantage |
$1.60
|
| Rate for Payer: Cash Price |
$5.11
|
| Rate for Payer: Cofinity Commercial |
$5.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.11
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.60
|
| Rate for Payer: Healthscope Commercial |
$5.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.79
|
| Rate for Payer: Mclaren Medicaid |
$1.13
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.68
|
| Rate for Payer: Meridian Medicaid |
$1.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.84
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.43
|
| Rate for Payer: Nomi Health Commercial |
$5.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.79
|
| Rate for Payer: PACE Senior Care Partners |
$1.52
|
| Rate for Payer: PACE SWMI |
$1.60
|
| Rate for Payer: PHP Commercial |
$5.43
|
| Rate for Payer: PHP Medicare Advantage |
$1.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.56
|
| Rate for Payer: Priority Health Medicare |
$1.61
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.45
|
| Rate for Payer: Railroad Medicare Medicare |
$1.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.62
|
| Rate for Payer: UHC Core |
$5.34
|
| Rate for Payer: UHC Exchange |
$1.60
|
| Rate for Payer: UHC Medicaid |
$1.13
|
| Rate for Payer: UHC Medicare Advantage |
$1.60
|
| Rate for Payer: UHCCP Medicaid |
$1.13
|
| Rate for Payer: VA VA |
$1.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.79
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
IP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$343.43 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: BCBS Trust/PPO |
$407.53
|
| Rate for Payer: BCN Commercial |
$407.53
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$370.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: Nomi Health Commercial |
$404.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$370.08
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$429.29
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$343.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$434.23
|
| Rate for Payer: UHC Core |
$412.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$370.08
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$86.99 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: Aetna Medicare |
$128.29
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$154.20
|
| Rate for Payer: Amish Plain Church Group Commercial |
$154.20
|
| Rate for Payer: BCBS Complete |
$91.34
|
| Rate for Payer: BCBS MAPPO |
$123.36
|
| Rate for Payer: BCBS Trust/PPO |
$405.66
|
| Rate for Payer: BCN Commercial |
$405.66
|
| Rate for Payer: BCN Medicare Advantage |
$123.36
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$123.36
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$370.08
|
| Rate for Payer: Mclaren Medicaid |
$86.99
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$129.53
|
| Rate for Payer: Meridian Medicaid |
$91.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$141.86
|
| Rate for Payer: Molina Medicare/Medicaid |
$135.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: Nomi Health Commercial |
$404.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$370.08
|
| Rate for Payer: PACE Senior Care Partners |
$117.19
|
| Rate for Payer: PACE SWMI |
$123.36
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: PHP Medicare Advantage |
$123.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$86.99
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$429.29
|
| Rate for Payer: Priority Health Medicare |
$124.59
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$343.43
|
| Rate for Payer: Railroad Medicare Medicare |
$123.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$434.23
|
| Rate for Payer: UHC Core |
$412.02
|
| Rate for Payer: UHC Exchange |
$123.36
|
| Rate for Payer: UHC Medicaid |
$86.99
|
| Rate for Payer: UHC Medicare Advantage |
$123.36
|
| Rate for Payer: UHCCP Medicaid |
$86.99
|
| Rate for Payer: VA VA |
$123.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$370.08
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$638.88
|
|
|
Service Code
|
NDC 60687024501
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$112.63 |
| Max. Negotiated Rate |
$574.99 |
| Rate for Payer: Aetna Commercial |
$543.05
|
| Rate for Payer: Aetna Medicare |
$166.11
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$199.65
|
| Rate for Payer: Amish Plain Church Group Commercial |
$199.65
|
| Rate for Payer: BCBS Complete |
$118.26
|
| Rate for Payer: BCBS MAPPO |
$159.72
|
| Rate for Payer: BCBS Trust/PPO |
$525.22
|
| Rate for Payer: BCN Commercial |
$525.22
|
| Rate for Payer: BCN Medicare Advantage |
$159.72
|
| Rate for Payer: Cash Price |
$511.10
|
| Rate for Payer: Cofinity Commercial |
$549.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.10
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$159.72
|
| Rate for Payer: Healthscope Commercial |
$574.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.16
|
| Rate for Payer: Mclaren Medicaid |
$112.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$167.71
|
| Rate for Payer: Meridian Medicaid |
$118.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$183.68
|
| Rate for Payer: Molina Medicare/Medicaid |
$175.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.05
|
| Rate for Payer: Nomi Health Commercial |
$523.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.16
|
| Rate for Payer: PACE Senior Care Partners |
$151.73
|
| Rate for Payer: PACE SWMI |
$159.72
|
| Rate for Payer: PHP Commercial |
$543.05
|
| Rate for Payer: PHP Medicare Advantage |
$159.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$112.63
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$555.83
|
| Rate for Payer: Priority Health Medicare |
$161.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$444.66
|
| Rate for Payer: Railroad Medicare Medicare |
$159.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.21
|
| Rate for Payer: UHC Core |
$533.46
|
| Rate for Payer: UHC Exchange |
$159.72
|
| Rate for Payer: UHC Medicaid |
$112.63
|
| Rate for Payer: UHC Medicare Advantage |
$159.72
|
| Rate for Payer: UHCCP Medicaid |
$112.63
|
| Rate for Payer: VA VA |
$159.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.16
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
IP
|
$6.39
|
|
|
Service Code
|
NDC 60687024511
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.45 |
| Max. Negotiated Rate |
$5.75 |
| Rate for Payer: Aetna Commercial |
$5.43
|
| Rate for Payer: BCBS Trust/PPO |
$5.28
|
| Rate for Payer: BCN Commercial |
$5.28
|
| Rate for Payer: Cash Price |
$5.11
|
| Rate for Payer: Cofinity Commercial |
$5.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.11
|
| Rate for Payer: Healthscope Commercial |
$5.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.43
|
| Rate for Payer: Nomi Health Commercial |
$5.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.79
|
| Rate for Payer: PHP Commercial |
$5.43
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$5.56
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$4.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.62
|
| Rate for Payer: UHC Core |
$5.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.79
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
IP
|
$638.88
|
|
|
Service Code
|
NDC 60687024501
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$444.66 |
| Max. Negotiated Rate |
$574.99 |
| Rate for Payer: Aetna Commercial |
$543.05
|
| Rate for Payer: BCBS Trust/PPO |
$527.65
|
| Rate for Payer: BCN Commercial |
$527.65
|
| Rate for Payer: Cash Price |
$511.10
|
| Rate for Payer: Cofinity Commercial |
$549.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.10
|
| Rate for Payer: Healthscope Commercial |
$574.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.05
|
| Rate for Payer: Nomi Health Commercial |
$523.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.16
|
| Rate for Payer: PHP Commercial |
$543.05
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$555.83
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$444.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$562.21
|
| Rate for Payer: UHC Core |
$533.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.16
|
|
|
ROSUVASTATIN 20 MG TABLET
|
Facility
|
OP
|
$547.20
|
|
|
Service Code
|
NDC 60687025601
|
| Hospital Charge Code |
35135
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$96.47 |
| Max. Negotiated Rate |
$492.48 |
| Rate for Payer: Aetna Commercial |
$465.12
|
| Rate for Payer: Aetna Medicare |
$142.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$171.00
|
| Rate for Payer: Amish Plain Church Group Commercial |
$171.00
|
| Rate for Payer: BCBS Complete |
$101.29
|
| Rate for Payer: BCBS MAPPO |
$136.80
|
| Rate for Payer: BCBS Trust/PPO |
$449.85
|
| Rate for Payer: BCN Commercial |
$449.85
|
| Rate for Payer: BCN Medicare Advantage |
$136.80
|
| Rate for Payer: Cash Price |
$437.76
|
| Rate for Payer: Cofinity Commercial |
$470.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$437.76
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$136.80
|
| Rate for Payer: Healthscope Commercial |
$492.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$410.40
|
| Rate for Payer: Mclaren Medicaid |
$96.47
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$143.64
|
| Rate for Payer: Meridian Medicaid |
$101.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$157.32
|
| Rate for Payer: Molina Medicare/Medicaid |
$150.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$465.12
|
| Rate for Payer: Nomi Health Commercial |
$448.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$410.40
|
| Rate for Payer: PACE Senior Care Partners |
$129.96
|
| Rate for Payer: PACE SWMI |
$136.80
|
| Rate for Payer: PHP Commercial |
$465.12
|
| Rate for Payer: PHP Medicare Advantage |
$136.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$96.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$476.06
|
| Rate for Payer: Priority Health Medicare |
$138.17
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$380.85
|
| Rate for Payer: Railroad Medicare Medicare |
$136.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$481.54
|
| Rate for Payer: UHC Core |
$456.91
|
| Rate for Payer: UHC Exchange |
$136.80
|
| Rate for Payer: UHC Medicaid |
$96.47
|
| Rate for Payer: UHC Medicare Advantage |
$136.80
|
| Rate for Payer: UHCCP Medicaid |
$96.47
|
| Rate for Payer: VA VA |
$136.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$410.40
|
|
|
ROSUVASTATIN 20 MG TABLET
|
Facility
|
IP
|
$547.20
|
|
|
Service Code
|
NDC 60687025601
|
| Hospital Charge Code |
35135
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$380.85 |
| Max. Negotiated Rate |
$492.48 |
| Rate for Payer: Aetna Commercial |
$465.12
|
| Rate for Payer: BCBS Trust/PPO |
$451.93
|
| Rate for Payer: BCN Commercial |
$451.93
|
| Rate for Payer: Cash Price |
$437.76
|
| Rate for Payer: Cofinity Commercial |
$470.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$437.76
|
| Rate for Payer: Healthscope Commercial |
$492.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$410.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$465.12
|
| Rate for Payer: Nomi Health Commercial |
$448.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$410.40
|
| Rate for Payer: PHP Commercial |
$465.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$476.06
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$380.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$481.54
|
| Rate for Payer: UHC Core |
$456.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$410.40
|
|
|
ROSUVASTATIN 20 MG TABLET
|
Facility
|
OP
|
$5.48
|
|
|
Service Code
|
NDC 60687025611
|
| Hospital Charge Code |
35135
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.97 |
| Max. Negotiated Rate |
$4.93 |
| Rate for Payer: Aetna Commercial |
$4.66
|
| Rate for Payer: Aetna Medicare |
$1.42
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.71
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.71
|
| Rate for Payer: BCBS Complete |
$1.01
|
| Rate for Payer: BCBS MAPPO |
$1.37
|
| Rate for Payer: BCBS Trust/PPO |
$4.51
|
| Rate for Payer: BCN Commercial |
$4.51
|
| Rate for Payer: BCN Medicare Advantage |
$1.37
|
| Rate for Payer: Cash Price |
$4.38
|
| Rate for Payer: Cofinity Commercial |
$4.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.37
|
| Rate for Payer: Healthscope Commercial |
$4.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.11
|
| Rate for Payer: Mclaren Medicaid |
$0.97
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.44
|
| Rate for Payer: Meridian Medicaid |
$1.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.58
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.66
|
| Rate for Payer: Nomi Health Commercial |
$4.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.11
|
| Rate for Payer: PACE Senior Care Partners |
$1.30
|
| Rate for Payer: PACE SWMI |
$1.37
|
| Rate for Payer: PHP Commercial |
$4.66
|
| Rate for Payer: PHP Medicare Advantage |
$1.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4.77
|
| Rate for Payer: Priority Health Medicare |
$1.38
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.81
|
| Rate for Payer: Railroad Medicare Medicare |
$1.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.82
|
| Rate for Payer: UHC Core |
$4.58
|
| Rate for Payer: UHC Exchange |
$1.37
|
| Rate for Payer: UHC Medicaid |
$0.97
|
| Rate for Payer: UHC Medicare Advantage |
$1.37
|
| Rate for Payer: UHCCP Medicaid |
$0.97
|
| Rate for Payer: VA VA |
$1.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.11
|
|
