|
VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,759.97
|
|
|
Service Code
|
APR-DRG 0223
|
| Min. Negotiated Rate |
$8,342.83 |
| Max. Negotiated Rate |
$8,759.97 |
| Rate for Payer: BCBS Complete |
$8,759.97
|
| Rate for Payer: Mclaren Medicaid |
$8,342.83
|
| Rate for Payer: Meridian Medicaid |
$8,759.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,342.83
|
| Rate for Payer: UHC Medicaid |
$8,342.83
|
| Rate for Payer: UHCCP Medicaid |
$8,342.83
|
|
|
VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,108.45
|
|
|
Service Code
|
APR-DRG 0221
|
| Min. Negotiated Rate |
$7,722.34 |
| Max. Negotiated Rate |
$8,108.45 |
| Rate for Payer: BCBS Complete |
$8,108.45
|
| Rate for Payer: Mclaren Medicaid |
$7,722.34
|
| Rate for Payer: Meridian Medicaid |
$8,108.45
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,722.34
|
| Rate for Payer: UHC Medicaid |
$7,722.34
|
| Rate for Payer: UHCCP Medicaid |
$7,722.34
|
|
|
VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$8,187.85
|
|
|
Service Code
|
APR-DRG 0222
|
| Min. Negotiated Rate |
$7,797.96 |
| Max. Negotiated Rate |
$8,187.85 |
| Rate for Payer: BCBS Complete |
$8,187.85
|
| Rate for Payer: Mclaren Medicaid |
$7,797.96
|
| Rate for Payer: Meridian Medicaid |
$8,187.85
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,797.96
|
| Rate for Payer: UHC Medicaid |
$7,797.96
|
| Rate for Payer: UHCCP Medicaid |
$7,797.96
|
|
|
VENTRICULAR SHUNT PROCEDURES
|
Facility
|
IP
|
$22,026.39
|
|
|
Service Code
|
APR-DRG 0224
|
| Min. Negotiated Rate |
$20,977.51 |
| Max. Negotiated Rate |
$22,026.39 |
| Rate for Payer: BCBS Complete |
$22,026.39
|
| Rate for Payer: Mclaren Medicaid |
$20,977.51
|
| Rate for Payer: Meridian Medicaid |
$22,026.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$20,977.51
|
| Rate for Payer: UHC Medicaid |
$20,977.51
|
| Rate for Payer: UHCCP Medicaid |
$20,977.51
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$26.83
|
|
|
Service Code
|
NDC 00409114405
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.67 |
| Max. Negotiated Rate |
$24.15 |
| Rate for Payer: Aetna Commercial |
$22.81
|
| Rate for Payer: BCBS Trust/PPO |
$22.16
|
| Rate for Payer: BCN Commercial |
$22.16
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cofinity Commercial |
$23.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.46
|
| Rate for Payer: Healthscope Commercial |
$24.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.81
|
| Rate for Payer: Nomi Health Commercial |
$22.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.12
|
| Rate for Payer: PHP Commercial |
$22.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.61
|
| Rate for Payer: UHC Core |
$22.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.12
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$26.83
|
|
|
Service Code
|
NDC 00409114465
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.67 |
| Max. Negotiated Rate |
$24.15 |
| Rate for Payer: Aetna Commercial |
$22.81
|
| Rate for Payer: BCBS Trust/PPO |
$22.16
|
| Rate for Payer: BCN Commercial |
$22.16
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cofinity Commercial |
$23.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.46
|
| Rate for Payer: Healthscope Commercial |
$24.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.81
|
| Rate for Payer: Nomi Health Commercial |
$22.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.12
|
| Rate for Payer: PHP Commercial |
$22.81
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.34
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.61
|
| Rate for Payer: UHC Core |
$22.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.12
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$19.97
|
|
|
Service Code
|
NDC 70069027101
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.52 |
| Max. Negotiated Rate |
$17.97 |
| Rate for Payer: Aetna Commercial |
$16.97
|
| Rate for Payer: Aetna Medicare |
$5.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.24
|
| Rate for Payer: BCBS Complete |
$3.70
|
| Rate for Payer: BCBS MAPPO |
$4.99
|
| Rate for Payer: BCBS Trust/PPO |
$16.42
|
| Rate for Payer: BCN Commercial |
$16.42
|
| Rate for Payer: BCN Medicare Advantage |
$4.99
|
| Rate for Payer: Cash Price |
$15.98
|
| Rate for Payer: Cofinity Commercial |
$17.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.99
|
| Rate for Payer: Healthscope Commercial |
$17.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.98
|
| Rate for Payer: Mclaren Medicaid |
$3.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.24
|
| Rate for Payer: Meridian Medicaid |
$3.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.97
|
| Rate for Payer: Nomi Health Commercial |
$16.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.98
|
| Rate for Payer: PACE Senior Care Partners |
$4.74
|
| Rate for Payer: PACE SWMI |
$4.99
|
| Rate for Payer: PHP Commercial |
$16.97
|
| Rate for Payer: PHP Medicare Advantage |
$4.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.37
|
| Rate for Payer: Priority Health Medicare |
$5.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.90
|
| Rate for Payer: Railroad Medicare Medicare |
$4.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.57
|
| Rate for Payer: UHC Core |
$16.67
|
| Rate for Payer: UHC Exchange |
$4.99
|
| Rate for Payer: UHC Medicaid |
$3.52
|
| Rate for Payer: UHC Medicare Advantage |
$4.99
|
| Rate for Payer: UHCCP Medicaid |
$3.52
|
| Rate for Payer: VA VA |
$4.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.98
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$26.83
|
|
|
Service Code
|
NDC 00409114405
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.73 |
| Max. Negotiated Rate |
$24.15 |
| Rate for Payer: Aetna Commercial |
$22.81
|
| Rate for Payer: Aetna Medicare |
$6.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.38
|
| Rate for Payer: BCBS Complete |
$4.97
|
| Rate for Payer: BCBS MAPPO |
$6.71
|
| Rate for Payer: BCBS Trust/PPO |
$22.06
|
| Rate for Payer: BCN Commercial |
$22.06
|
| Rate for Payer: BCN Medicare Advantage |
$6.71
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cofinity Commercial |
$23.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.71
|
| Rate for Payer: Healthscope Commercial |
$24.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.12
|
| Rate for Payer: Mclaren Medicaid |
$4.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.04
|
| Rate for Payer: Meridian Medicaid |
$4.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.81
|
| Rate for Payer: Nomi Health Commercial |
$22.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.12
|
| Rate for Payer: PACE Senior Care Partners |
$6.37
|
| Rate for Payer: PACE SWMI |
$6.71
|
| Rate for Payer: PHP Commercial |
$22.81
|
| Rate for Payer: PHP Medicare Advantage |
$6.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.34
|
| Rate for Payer: Priority Health Medicare |
$6.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.67
|
| Rate for Payer: Railroad Medicare Medicare |
$6.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.61
|
| Rate for Payer: UHC Core |
$22.40
|
| Rate for Payer: UHC Exchange |
$6.71
|
| Rate for Payer: UHC Medicaid |
$4.73
|
| Rate for Payer: UHC Medicare Advantage |
$6.71
|
| Rate for Payer: UHCCP Medicaid |
$4.73
|
| Rate for Payer: VA VA |
$6.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.12
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$26.83
|
|
|
Service Code
|
NDC 00409114465
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$4.73 |
| Max. Negotiated Rate |
$24.15 |
| Rate for Payer: Aetna Commercial |
$22.81
|
| Rate for Payer: Aetna Medicare |
$6.98
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.38
|
| Rate for Payer: BCBS Complete |
$4.97
|
| Rate for Payer: BCBS MAPPO |
$6.71
|
| Rate for Payer: BCBS Trust/PPO |
$22.06
|
| Rate for Payer: BCN Commercial |
$22.06
|
| Rate for Payer: BCN Medicare Advantage |
$6.71
|
| Rate for Payer: Cash Price |
$21.46
|
| Rate for Payer: Cofinity Commercial |
$23.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.46
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.71
|
| Rate for Payer: Healthscope Commercial |
$24.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.12
|
| Rate for Payer: Mclaren Medicaid |
$4.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.04
|
| Rate for Payer: Meridian Medicaid |
$4.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.71
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.81
|
| Rate for Payer: Nomi Health Commercial |
$22.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.12
|
| Rate for Payer: PACE Senior Care Partners |
$6.37
|
| Rate for Payer: PACE SWMI |
$6.71
|
| Rate for Payer: PHP Commercial |
$22.81
|
| Rate for Payer: PHP Medicare Advantage |
$6.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$4.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$23.34
|
| Rate for Payer: Priority Health Medicare |
$6.77
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$18.67
|
| Rate for Payer: Railroad Medicare Medicare |
$6.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$23.61
|
| Rate for Payer: UHC Core |
$22.40
|
| Rate for Payer: UHC Exchange |
$6.71
|
| Rate for Payer: UHC Medicaid |
$4.73
|
| Rate for Payer: UHC Medicare Advantage |
$6.71
|
| Rate for Payer: UHCCP Medicaid |
$4.73
|
| Rate for Payer: VA VA |
$6.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.12
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$281.01
|
|
|
Service Code
|
NDC 00409401101
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$195.58 |
| Max. Negotiated Rate |
$252.91 |
| Rate for Payer: Aetna Commercial |
$238.86
|
| Rate for Payer: BCBS Trust/PPO |
$232.09
|
| Rate for Payer: BCN Commercial |
$232.09
|
| Rate for Payer: Cash Price |
$224.81
|
| Rate for Payer: Cofinity Commercial |
$241.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.81
|
| Rate for Payer: Healthscope Commercial |
$252.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$238.86
|
| Rate for Payer: Nomi Health Commercial |
$230.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.76
|
| Rate for Payer: PHP Commercial |
$238.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$244.48
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.29
|
| Rate for Payer: UHC Core |
$234.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.76
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$19.97
|
|
|
Service Code
|
NDC 70069027105
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.90 |
| Max. Negotiated Rate |
$17.97 |
| Rate for Payer: Aetna Commercial |
$16.97
|
| Rate for Payer: BCBS Trust/PPO |
$16.49
|
| Rate for Payer: BCN Commercial |
$16.49
|
| Rate for Payer: Cash Price |
$15.98
|
| Rate for Payer: Cofinity Commercial |
$17.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.98
|
| Rate for Payer: Healthscope Commercial |
$17.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.97
|
| Rate for Payer: Nomi Health Commercial |
$16.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.98
|
| Rate for Payer: PHP Commercial |
$16.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.57
|
| Rate for Payer: UHC Core |
$16.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.98
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$19.97
|
|
|
Service Code
|
NDC 70069027101
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$13.90 |
| Max. Negotiated Rate |
$17.97 |
| Rate for Payer: Aetna Commercial |
$16.97
|
| Rate for Payer: BCBS Trust/PPO |
$16.49
|
| Rate for Payer: BCN Commercial |
$16.49
|
| Rate for Payer: Cash Price |
$15.98
|
| Rate for Payer: Cofinity Commercial |
$17.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.98
|
| Rate for Payer: Healthscope Commercial |
$17.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.97
|
| Rate for Payer: Nomi Health Commercial |
$16.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.98
|
| Rate for Payer: PHP Commercial |
$16.97
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.37
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.57
|
| Rate for Payer: UHC Core |
$16.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.98
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$19.97
|
|
|
Service Code
|
NDC 70069027105
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$3.52 |
| Max. Negotiated Rate |
$17.97 |
| Rate for Payer: Aetna Commercial |
$16.97
|
| Rate for Payer: Aetna Medicare |
$5.19
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$6.24
|
| Rate for Payer: Amish Plain Church Group Commercial |
$6.24
|
| Rate for Payer: BCBS Complete |
$3.70
|
| Rate for Payer: BCBS MAPPO |
$4.99
|
| Rate for Payer: BCBS Trust/PPO |
$16.42
|
| Rate for Payer: BCN Commercial |
$16.42
|
| Rate for Payer: BCN Medicare Advantage |
$4.99
|
| Rate for Payer: Cash Price |
$15.98
|
| Rate for Payer: Cofinity Commercial |
$17.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$4.99
|
| Rate for Payer: Healthscope Commercial |
$17.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.98
|
| Rate for Payer: Mclaren Medicaid |
$3.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$5.24
|
| Rate for Payer: Meridian Medicaid |
$3.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.74
|
| Rate for Payer: Molina Medicare/Medicaid |
$5.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.97
|
| Rate for Payer: Nomi Health Commercial |
$16.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.98
|
| Rate for Payer: PACE Senior Care Partners |
$4.74
|
| Rate for Payer: PACE SWMI |
$4.99
|
| Rate for Payer: PHP Commercial |
$16.97
|
| Rate for Payer: PHP Medicare Advantage |
$4.99
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$17.37
|
| Rate for Payer: Priority Health Medicare |
$5.04
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$13.90
|
| Rate for Payer: Railroad Medicare Medicare |
$4.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$17.57
|
| Rate for Payer: UHC Core |
$16.67
|
| Rate for Payer: UHC Exchange |
$4.99
|
| Rate for Payer: UHC Medicaid |
$3.52
|
| Rate for Payer: UHC Medicare Advantage |
$4.99
|
| Rate for Payer: UHCCP Medicaid |
$3.52
|
| Rate for Payer: VA VA |
$4.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.98
|
|
|
VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$281.01
|
|
|
Service Code
|
NDC 00409401101
|
| Hospital Charge Code |
8527
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$49.54 |
| Max. Negotiated Rate |
$252.91 |
| Rate for Payer: Aetna Commercial |
$238.86
|
| Rate for Payer: Aetna Medicare |
$73.06
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$87.82
|
| Rate for Payer: Amish Plain Church Group Commercial |
$87.82
|
| Rate for Payer: BCBS Complete |
$52.01
|
| Rate for Payer: BCBS MAPPO |
$70.25
|
| Rate for Payer: BCBS Trust/PPO |
$231.02
|
| Rate for Payer: BCN Commercial |
$231.02
|
| Rate for Payer: BCN Medicare Advantage |
$70.25
|
| Rate for Payer: Cash Price |
$224.81
|
| Rate for Payer: Cofinity Commercial |
$241.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.81
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$70.25
|
| Rate for Payer: Healthscope Commercial |
$252.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.76
|
| Rate for Payer: Mclaren Medicaid |
$49.54
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$73.77
|
| Rate for Payer: Meridian Medicaid |
$52.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$80.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$77.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$238.86
|
| Rate for Payer: Nomi Health Commercial |
$230.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.76
|
| Rate for Payer: PACE Senior Care Partners |
$66.74
|
| Rate for Payer: PACE SWMI |
$70.25
|
| Rate for Payer: PHP Commercial |
$238.86
|
| Rate for Payer: PHP Medicare Advantage |
$70.25
|
| Rate for Payer: Priority Health Choice Medicaid |
$49.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$244.48
|
| Rate for Payer: Priority Health Medicare |
$70.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$195.58
|
| Rate for Payer: Railroad Medicare Medicare |
$70.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$247.29
|
| Rate for Payer: UHC Core |
$234.64
|
| Rate for Payer: UHC Exchange |
$70.25
|
| Rate for Payer: UHC Medicaid |
$49.54
|
| Rate for Payer: UHC Medicare Advantage |
$70.25
|
| Rate for Payer: UHCCP Medicaid |
$49.54
|
| Rate for Payer: VA VA |
$70.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.76
|
|
|
VERAPAMIL 80 MG TABLET
|
Facility
|
OP
|
$143.35
|
|
|
Service Code
|
NDC 23155002601
|
| Hospital Charge Code |
8530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$25.27 |
| Max. Negotiated Rate |
$129.01 |
| Rate for Payer: Aetna Commercial |
$121.85
|
| Rate for Payer: Aetna Medicare |
$37.27
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$44.80
|
| Rate for Payer: Amish Plain Church Group Commercial |
$44.80
|
| Rate for Payer: BCBS Complete |
$26.53
|
| Rate for Payer: BCBS MAPPO |
$35.84
|
| Rate for Payer: BCBS Trust/PPO |
$117.85
|
| Rate for Payer: BCN Commercial |
$117.85
|
| Rate for Payer: BCN Medicare Advantage |
$35.84
|
| Rate for Payer: Cash Price |
$114.68
|
| Rate for Payer: Cofinity Commercial |
$123.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.68
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$35.84
|
| Rate for Payer: Healthscope Commercial |
$129.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.51
|
| Rate for Payer: Mclaren Medicaid |
$25.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$37.63
|
| Rate for Payer: Meridian Medicaid |
$26.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$41.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$39.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.85
|
| Rate for Payer: Nomi Health Commercial |
$117.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.51
|
| Rate for Payer: PACE Senior Care Partners |
$34.05
|
| Rate for Payer: PACE SWMI |
$35.84
|
| Rate for Payer: PHP Commercial |
$121.85
|
| Rate for Payer: PHP Medicare Advantage |
$35.84
|
| Rate for Payer: Priority Health Choice Medicaid |
$25.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$124.71
|
| Rate for Payer: Priority Health Medicare |
$36.20
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.77
|
| Rate for Payer: Railroad Medicare Medicare |
$35.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.15
|
| Rate for Payer: UHC Core |
$119.70
|
| Rate for Payer: UHC Exchange |
$35.84
|
| Rate for Payer: UHC Medicaid |
$25.27
|
| Rate for Payer: UHC Medicare Advantage |
$35.84
|
| Rate for Payer: UHCCP Medicaid |
$25.27
|
| Rate for Payer: VA VA |
$35.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.51
|
|
|
VERAPAMIL 80 MG TABLET
|
Facility
|
IP
|
$143.35
|
|
|
Service Code
|
NDC 23155002601
|
| Hospital Charge Code |
8530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$99.77 |
| Max. Negotiated Rate |
$129.01 |
| Rate for Payer: Aetna Commercial |
$121.85
|
| Rate for Payer: BCBS Trust/PPO |
$118.39
|
| Rate for Payer: BCN Commercial |
$118.39
|
| Rate for Payer: Cash Price |
$114.68
|
| Rate for Payer: Cofinity Commercial |
$123.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.68
|
| Rate for Payer: Healthscope Commercial |
$129.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.85
|
| Rate for Payer: Nomi Health Commercial |
$117.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.51
|
| Rate for Payer: PHP Commercial |
$121.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$124.71
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$99.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$126.15
|
| Rate for Payer: UHC Core |
$119.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.51
|
|
|
VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$5.25
|
|
|
Service Code
|
NDC 60687049311
|
| Hospital Charge Code |
11639
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.93 |
| Max. Negotiated Rate |
$4.72 |
| Rate for Payer: Aetna Commercial |
$4.46
|
| Rate for Payer: Aetna Medicare |
$1.36
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$1.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$1.64
|
| Rate for Payer: BCBS Complete |
$0.97
|
| Rate for Payer: BCBS MAPPO |
$1.31
|
| Rate for Payer: BCBS Trust/PPO |
$4.32
|
| Rate for Payer: BCN Commercial |
$4.32
|
| Rate for Payer: BCN Medicare Advantage |
$1.31
|
| Rate for Payer: Cash Price |
$4.20
|
| Rate for Payer: Cofinity Commercial |
$4.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.20
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$1.31
|
| Rate for Payer: Healthscope Commercial |
$4.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.94
|
| Rate for Payer: Mclaren Medicaid |
$0.93
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$1.38
|
| Rate for Payer: Meridian Medicaid |
$0.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$1.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.46
|
| Rate for Payer: Nomi Health Commercial |
$4.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.94
|
| Rate for Payer: PACE Senior Care Partners |
$1.25
|
| Rate for Payer: PACE SWMI |
$1.31
|
| Rate for Payer: PHP Commercial |
$4.46
|
| Rate for Payer: PHP Medicare Advantage |
$1.31
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.93
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4.57
|
| Rate for Payer: Priority Health Medicare |
$1.33
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.65
|
| Rate for Payer: Railroad Medicare Medicare |
$1.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.62
|
| Rate for Payer: UHC Core |
$4.38
|
| Rate for Payer: UHC Exchange |
$1.31
|
| Rate for Payer: UHC Medicaid |
$0.93
|
| Rate for Payer: UHC Medicare Advantage |
$1.31
|
| Rate for Payer: UHCCP Medicaid |
$0.93
|
| Rate for Payer: VA VA |
$1.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.94
|
|
|
VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$524.64
|
|
|
Service Code
|
NDC 60687049301
|
| Hospital Charge Code |
11639
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$92.49 |
| Max. Negotiated Rate |
$472.18 |
| Rate for Payer: Aetna Commercial |
$445.94
|
| Rate for Payer: Aetna Medicare |
$136.41
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$163.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$163.95
|
| Rate for Payer: BCBS Complete |
$97.11
|
| Rate for Payer: BCBS MAPPO |
$131.16
|
| Rate for Payer: BCBS Trust/PPO |
$431.31
|
| Rate for Payer: BCN Commercial |
$431.31
|
| Rate for Payer: BCN Medicare Advantage |
$131.16
|
| Rate for Payer: Cash Price |
$419.71
|
| Rate for Payer: Cofinity Commercial |
$451.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$419.71
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$131.16
|
| Rate for Payer: Healthscope Commercial |
$472.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$393.48
|
| Rate for Payer: Mclaren Medicaid |
$92.49
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$137.72
|
| Rate for Payer: Meridian Medicaid |
$97.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$150.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$144.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$445.94
|
| Rate for Payer: Nomi Health Commercial |
$430.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$393.48
|
| Rate for Payer: PACE Senior Care Partners |
$124.60
|
| Rate for Payer: PACE SWMI |
$131.16
|
| Rate for Payer: PHP Commercial |
$445.94
|
| Rate for Payer: PHP Medicare Advantage |
$131.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$92.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$456.44
|
| Rate for Payer: Priority Health Medicare |
$132.47
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.15
|
| Rate for Payer: Railroad Medicare Medicare |
$131.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$461.68
|
| Rate for Payer: UHC Core |
$438.07
|
| Rate for Payer: UHC Exchange |
$131.16
|
| Rate for Payer: UHC Medicaid |
$92.49
|
| Rate for Payer: UHC Medicare Advantage |
$131.16
|
| Rate for Payer: UHCCP Medicaid |
$92.49
|
| Rate for Payer: VA VA |
$131.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$393.48
|
|
|
VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$205.20
|
|
|
Service Code
|
NDC 68462029201
|
| Hospital Charge Code |
11639
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$36.18 |
| Max. Negotiated Rate |
$184.68 |
| Rate for Payer: Aetna Commercial |
$174.42
|
| Rate for Payer: Aetna Medicare |
$53.35
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$64.12
|
| Rate for Payer: Amish Plain Church Group Commercial |
$64.12
|
| Rate for Payer: BCBS Complete |
$37.98
|
| Rate for Payer: BCBS MAPPO |
$51.30
|
| Rate for Payer: BCBS Trust/PPO |
$168.69
|
| Rate for Payer: BCN Commercial |
$168.69
|
| Rate for Payer: BCN Medicare Advantage |
$51.30
|
| Rate for Payer: Cash Price |
$164.16
|
| Rate for Payer: Cofinity Commercial |
$176.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$51.30
|
| Rate for Payer: Healthscope Commercial |
$184.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.90
|
| Rate for Payer: Mclaren Medicaid |
$36.18
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$53.87
|
| Rate for Payer: Meridian Medicaid |
$37.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.99
|
| Rate for Payer: Molina Medicare/Medicaid |
$56.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.42
|
| Rate for Payer: Nomi Health Commercial |
$168.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.90
|
| Rate for Payer: PACE Senior Care Partners |
$48.73
|
| Rate for Payer: PACE SWMI |
$51.30
|
| Rate for Payer: PHP Commercial |
$174.42
|
| Rate for Payer: PHP Medicare Advantage |
$51.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$36.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$178.52
|
| Rate for Payer: Priority Health Medicare |
$51.81
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.82
|
| Rate for Payer: Railroad Medicare Medicare |
$51.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.58
|
| Rate for Payer: UHC Core |
$171.34
|
| Rate for Payer: UHC Exchange |
$51.30
|
| Rate for Payer: UHC Medicaid |
$36.18
|
| Rate for Payer: UHC Medicare Advantage |
$51.30
|
| Rate for Payer: UHCCP Medicaid |
$36.18
|
| Rate for Payer: VA VA |
$51.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.90
|
|
|
VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$5.25
|
|
|
Service Code
|
NDC 60687049311
|
| Hospital Charge Code |
11639
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.65 |
| Max. Negotiated Rate |
$4.72 |
| Rate for Payer: Aetna Commercial |
$4.46
|
| Rate for Payer: BCBS Trust/PPO |
$4.34
|
| Rate for Payer: BCN Commercial |
$4.34
|
| Rate for Payer: Cash Price |
$4.20
|
| Rate for Payer: Cofinity Commercial |
$4.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.20
|
| Rate for Payer: Healthscope Commercial |
$4.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.46
|
| Rate for Payer: Nomi Health Commercial |
$4.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.94
|
| Rate for Payer: PHP Commercial |
$4.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$4.57
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$3.65
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$4.62
|
| Rate for Payer: UHC Core |
$4.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.94
|
|
|
VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$205.20
|
|
|
Service Code
|
NDC 68462029201
|
| Hospital Charge Code |
11639
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$142.82 |
| Max. Negotiated Rate |
$184.68 |
| Rate for Payer: Aetna Commercial |
$174.42
|
| Rate for Payer: BCBS Trust/PPO |
$169.47
|
| Rate for Payer: BCN Commercial |
$169.47
|
| Rate for Payer: Cash Price |
$164.16
|
| Rate for Payer: Cofinity Commercial |
$176.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.16
|
| Rate for Payer: Healthscope Commercial |
$184.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$153.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$174.42
|
| Rate for Payer: Nomi Health Commercial |
$168.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.90
|
| Rate for Payer: PHP Commercial |
$174.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$178.52
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$142.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$180.58
|
| Rate for Payer: UHC Core |
$171.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$153.90
|
|
|
VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$524.64
|
|
|
Service Code
|
NDC 60687049301
|
| Hospital Charge Code |
11639
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$365.15 |
| Max. Negotiated Rate |
$472.18 |
| Rate for Payer: Aetna Commercial |
$445.94
|
| Rate for Payer: BCBS Trust/PPO |
$433.30
|
| Rate for Payer: BCN Commercial |
$433.30
|
| Rate for Payer: Cash Price |
$419.71
|
| Rate for Payer: Cofinity Commercial |
$451.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$419.71
|
| Rate for Payer: Healthscope Commercial |
$472.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$393.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$445.94
|
| Rate for Payer: Nomi Health Commercial |
$430.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$393.48
|
| Rate for Payer: PHP Commercial |
$445.94
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$456.44
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$365.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$461.68
|
| Rate for Payer: UHC Core |
$438.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$393.48
|
|
|
VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$439.45
|
|
|
Service Code
|
NDC 68462029301
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$77.48 |
| Max. Negotiated Rate |
$395.50 |
| Rate for Payer: Aetna Commercial |
$373.53
|
| Rate for Payer: Aetna Medicare |
$114.26
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$137.33
|
| Rate for Payer: Amish Plain Church Group Commercial |
$137.33
|
| Rate for Payer: BCBS Complete |
$81.34
|
| Rate for Payer: BCBS MAPPO |
$109.86
|
| Rate for Payer: BCBS Trust/PPO |
$361.27
|
| Rate for Payer: BCN Commercial |
$361.27
|
| Rate for Payer: BCN Medicare Advantage |
$109.86
|
| Rate for Payer: Cash Price |
$351.56
|
| Rate for Payer: Cofinity Commercial |
$377.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$351.56
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$109.86
|
| Rate for Payer: Healthscope Commercial |
$395.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$329.59
|
| Rate for Payer: Mclaren Medicaid |
$77.48
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$115.36
|
| Rate for Payer: Meridian Medicaid |
$81.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$126.34
|
| Rate for Payer: Molina Medicare/Medicaid |
$120.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$373.53
|
| Rate for Payer: Nomi Health Commercial |
$360.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$329.59
|
| Rate for Payer: PACE Senior Care Partners |
$104.37
|
| Rate for Payer: PACE SWMI |
$109.86
|
| Rate for Payer: PHP Commercial |
$373.53
|
| Rate for Payer: PHP Medicare Advantage |
$109.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$77.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$382.32
|
| Rate for Payer: Priority Health Medicare |
$110.96
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.86
|
| Rate for Payer: Railroad Medicare Medicare |
$109.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$386.72
|
| Rate for Payer: UHC Core |
$366.94
|
| Rate for Payer: UHC Exchange |
$109.86
|
| Rate for Payer: UHC Medicaid |
$77.48
|
| Rate for Payer: UHC Medicare Advantage |
$109.86
|
| Rate for Payer: UHCCP Medicaid |
$77.48
|
| Rate for Payer: VA VA |
$109.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$329.59
|
|
|
VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$439.45
|
|
|
Service Code
|
NDC 68462029301
|
| Hospital Charge Code |
11640
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$305.86 |
| Max. Negotiated Rate |
$395.50 |
| Rate for Payer: Aetna Commercial |
$373.53
|
| Rate for Payer: BCBS Trust/PPO |
$362.94
|
| Rate for Payer: BCN Commercial |
$362.94
|
| Rate for Payer: Cash Price |
$351.56
|
| Rate for Payer: Cofinity Commercial |
$377.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$351.56
|
| Rate for Payer: Healthscope Commercial |
$395.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$329.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$373.53
|
| Rate for Payer: Nomi Health Commercial |
$360.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$329.59
|
| Rate for Payer: PHP Commercial |
$373.53
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$382.32
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$305.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$386.72
|
| Rate for Payer: UHC Core |
$366.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$329.59
|
|
|
VERAPAMIL ER (SR) 240 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$305.50
|
|
|
Service Code
|
NDC 68462026001
|
| Hospital Charge Code |
8531
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$53.86 |
| Max. Negotiated Rate |
$274.95 |
| Rate for Payer: Aetna Commercial |
$259.68
|
| Rate for Payer: Aetna Medicare |
$79.43
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$95.47
|
| Rate for Payer: Amish Plain Church Group Commercial |
$95.47
|
| Rate for Payer: BCBS Complete |
$56.55
|
| Rate for Payer: BCBS MAPPO |
$76.38
|
| Rate for Payer: BCBS Trust/PPO |
$251.15
|
| Rate for Payer: BCN Commercial |
$251.15
|
| Rate for Payer: BCN Medicare Advantage |
$76.38
|
| Rate for Payer: Cash Price |
$244.40
|
| Rate for Payer: Cofinity Commercial |
$262.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.40
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$76.38
|
| Rate for Payer: Healthscope Commercial |
$274.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$229.12
|
| Rate for Payer: Mclaren Medicaid |
$53.86
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$80.19
|
| Rate for Payer: Meridian Medicaid |
$56.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.83
|
| Rate for Payer: Molina Medicare/Medicaid |
$84.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.68
|
| Rate for Payer: Nomi Health Commercial |
$250.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$229.12
|
| Rate for Payer: PACE Senior Care Partners |
$72.56
|
| Rate for Payer: PACE SWMI |
$76.38
|
| Rate for Payer: PHP Commercial |
$259.68
|
| Rate for Payer: PHP Medicare Advantage |
$76.38
|
| Rate for Payer: Priority Health Choice Medicaid |
$53.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO |
$265.79
|
| Rate for Payer: Priority Health Medicare |
$77.14
|
| Rate for Payer: Priority Health Narrow/Tiered Network |
$212.63
|
| Rate for Payer: Railroad Medicare Medicare |
$76.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$268.84
|
| Rate for Payer: UHC Core |
$255.09
|
| Rate for Payer: UHC Exchange |
$76.38
|
| Rate for Payer: UHC Medicaid |
$53.86
|
| Rate for Payer: UHC Medicare Advantage |
$76.38
|
| Rate for Payer: UHCCP Medicaid |
$53.86
|
| Rate for Payer: VA VA |
$76.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$229.12
|
|
