|
CEFAZOLIN IV SYRINGE 1 G PMX
|
Facility
|
OP
|
$3.02
|
|
|
Service Code
|
HCPCS J0690
|
| Hospital Charge Code |
500535
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.12 |
| Max. Negotiated Rate |
$2.72 |
| Rate for Payer: Aetna American Axle |
$1.96
|
| Rate for Payer: Aetna Commercial |
$2.57
|
| Rate for Payer: Aetna Medicare |
$1.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.96
|
| Rate for Payer: BCBS Complete |
$1.21
|
| Rate for Payer: BCBS Trust/PPO |
$2.67
|
| Rate for Payer: BCN Commercial |
$2.67
|
| Rate for Payer: Cash Price |
$2.42
|
| Rate for Payer: Cash Price |
$2.42
|
| Rate for Payer: Cofinity Advantage |
$2.11
|
| Rate for Payer: Cofinity Commercial |
$2.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.42
|
| Rate for Payer: Healthscope Commercial |
$2.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.27
|
| Rate for Payer: PHP Commercial |
$2.57
|
| Rate for Payer: Priority Health SBD |
$1.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.37
|
| Rate for Payer: UHC Core |
$1.37
|
| Rate for Payer: UHC Exchange |
$1.37
|
| Rate for Payer: UMR Bronson Commercial |
$1.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.27
|
|
|
CEFAZOLIN IV SYRINGE 2 G PMX
|
Facility
|
OP
|
$6.04
|
|
|
Service Code
|
HCPCS J0690
|
| Hospital Charge Code |
500665
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.37 |
| Max. Negotiated Rate |
$5.44 |
| Rate for Payer: Aetna American Axle |
$3.93
|
| Rate for Payer: Aetna Commercial |
$5.13
|
| Rate for Payer: Aetna Medicare |
$3.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.93
|
| Rate for Payer: BCBS Complete |
$2.42
|
| Rate for Payer: BCBS Trust/PPO |
$2.67
|
| Rate for Payer: BCN Commercial |
$2.67
|
| Rate for Payer: Cash Price |
$4.83
|
| Rate for Payer: Cash Price |
$4.83
|
| Rate for Payer: Cofinity Advantage |
$4.23
|
| Rate for Payer: Cofinity Commercial |
$5.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.83
|
| Rate for Payer: Healthscope Commercial |
$5.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.53
|
| Rate for Payer: PHP Commercial |
$5.13
|
| Rate for Payer: Priority Health SBD |
$3.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.37
|
| Rate for Payer: UHC Core |
$1.37
|
| Rate for Payer: UHC Exchange |
$1.37
|
| Rate for Payer: UMR Bronson Commercial |
$2.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.53
|
|
|
CEFAZOLIN IV SYRINGE 2 G PMX
|
Facility
|
IP
|
$6.04
|
|
|
Service Code
|
HCPCS J0690
|
| Hospital Charge Code |
500665
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.66 |
| Max. Negotiated Rate |
$5.44 |
| Rate for Payer: Aetna American Axle |
$3.93
|
| Rate for Payer: Aetna Commercial |
$5.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.93
|
| Rate for Payer: Cash Price |
$4.83
|
| Rate for Payer: Cofinity Advantage |
$4.23
|
| Rate for Payer: Cofinity Commercial |
$5.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.83
|
| Rate for Payer: Healthscope Commercial |
$5.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.53
|
| Rate for Payer: PHP Commercial |
$5.13
|
| Rate for Payer: Priority Health SBD |
$3.81
|
| Rate for Payer: UMR Bronson Commercial |
$2.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.53
|
|
|
CEFDINIR 125 MG/5 ML ORAL SUSPENSION
|
Facility
|
OP
|
$170.79
|
|
|
Service Code
|
NDC 00093413664
|
| Hospital Charge Code |
22290
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$63.19 |
| Max. Negotiated Rate |
$153.71 |
| Rate for Payer: Aetna American Axle |
$111.01
|
| Rate for Payer: Aetna Commercial |
$145.17
|
| Rate for Payer: Aetna Medicare |
$85.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$111.01
|
| Rate for Payer: BCBS Complete |
$68.32
|
| Rate for Payer: Cash Price |
$136.63
|
| Rate for Payer: Cofinity Advantage |
$119.55
|
| Rate for Payer: Cofinity Commercial |
$146.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$136.63
|
| Rate for Payer: Healthscope Commercial |
$153.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$119.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$128.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$136.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.09
|
| Rate for Payer: PHP Commercial |
$145.17
|
| Rate for Payer: Priority Health SBD |
$107.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$111.01
|
| Rate for Payer: UHC Core |
$88.98
|
| Rate for Payer: UHC Exchange |
$67.12
|
| Rate for Payer: UMR Bronson Commercial |
$63.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$128.09
|
|
|
CEFDINIR 125 MG/5 ML ORAL SUSPENSION
|
Facility
|
IP
|
$170.79
|
|
|
Service Code
|
NDC 00093413664
|
| Hospital Charge Code |
22290
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$75.15 |
| Max. Negotiated Rate |
$153.71 |
| Rate for Payer: Aetna American Axle |
$111.01
|
| Rate for Payer: Aetna Commercial |
$145.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$111.01
|
| Rate for Payer: Cash Price |
$136.63
|
| Rate for Payer: Cofinity Advantage |
$119.55
|
| Rate for Payer: Cofinity Commercial |
$146.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$136.63
|
| Rate for Payer: Healthscope Commercial |
$153.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$119.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$128.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$145.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$128.09
|
| Rate for Payer: PHP Commercial |
$145.17
|
| Rate for Payer: Priority Health SBD |
$107.60
|
| Rate for Payer: UMR Bronson Commercial |
$75.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$128.09
|
|
|
CEFDINIR 300 MG CAPSULE
|
Facility
|
OP
|
$223.20
|
|
|
Service Code
|
NDC 57237009960
|
| Hospital Charge Code |
22289
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.58 |
| Max. Negotiated Rate |
$200.88 |
| Rate for Payer: Aetna American Axle |
$145.08
|
| Rate for Payer: Aetna Commercial |
$189.72
|
| Rate for Payer: Aetna Medicare |
$111.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.08
|
| Rate for Payer: BCBS Complete |
$89.28
|
| Rate for Payer: Cash Price |
$178.56
|
| Rate for Payer: Cofinity Advantage |
$156.24
|
| Rate for Payer: Cofinity Commercial |
$191.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.56
|
| Rate for Payer: Healthscope Commercial |
$200.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$156.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$178.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.40
|
| Rate for Payer: PHP Commercial |
$189.72
|
| Rate for Payer: Priority Health SBD |
$140.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.08
|
| Rate for Payer: UHC Core |
$116.29
|
| Rate for Payer: UHC Exchange |
$87.72
|
| Rate for Payer: UMR Bronson Commercial |
$82.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.40
|
|
|
CEFDINIR 300 MG CAPSULE
|
Facility
|
IP
|
$187.49
|
|
|
Service Code
|
NDC 68180071160
|
| Hospital Charge Code |
22289
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.50 |
| Max. Negotiated Rate |
$168.74 |
| Rate for Payer: Aetna American Axle |
$121.87
|
| Rate for Payer: Aetna Commercial |
$159.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.87
|
| Rate for Payer: Cash Price |
$149.99
|
| Rate for Payer: Cofinity Advantage |
$131.24
|
| Rate for Payer: Cofinity Commercial |
$161.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.99
|
| Rate for Payer: Healthscope Commercial |
$168.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.62
|
| Rate for Payer: PHP Commercial |
$159.37
|
| Rate for Payer: Priority Health SBD |
$118.12
|
| Rate for Payer: UMR Bronson Commercial |
$82.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.62
|
|
|
CEFDINIR 300 MG CAPSULE
|
Facility
|
IP
|
$223.20
|
|
|
Service Code
|
NDC 57237009960
|
| Hospital Charge Code |
22289
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$98.21 |
| Max. Negotiated Rate |
$200.88 |
| Rate for Payer: Aetna American Axle |
$145.08
|
| Rate for Payer: Aetna Commercial |
$189.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.08
|
| Rate for Payer: Cash Price |
$178.56
|
| Rate for Payer: Cofinity Advantage |
$156.24
|
| Rate for Payer: Cofinity Commercial |
$191.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.56
|
| Rate for Payer: Healthscope Commercial |
$200.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$156.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.40
|
| Rate for Payer: PHP Commercial |
$189.72
|
| Rate for Payer: Priority Health SBD |
$140.62
|
| Rate for Payer: UMR Bronson Commercial |
$98.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.40
|
|
|
CEFDINIR 300 MG CAPSULE
|
Facility
|
OP
|
$262.20
|
|
|
Service Code
|
NDC 65862017760
|
| Hospital Charge Code |
22289
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$97.01 |
| Max. Negotiated Rate |
$235.98 |
| Rate for Payer: Aetna American Axle |
$170.43
|
| Rate for Payer: Aetna Commercial |
$222.87
|
| Rate for Payer: Aetna Medicare |
$131.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.43
|
| Rate for Payer: BCBS Complete |
$104.88
|
| Rate for Payer: Cash Price |
$209.76
|
| Rate for Payer: Cofinity Advantage |
$183.54
|
| Rate for Payer: Cofinity Commercial |
$225.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.76
|
| Rate for Payer: Healthscope Commercial |
$235.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$183.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$209.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$196.65
|
| Rate for Payer: PHP Commercial |
$222.87
|
| Rate for Payer: Priority Health SBD |
$165.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$170.43
|
| Rate for Payer: UHC Core |
$136.61
|
| Rate for Payer: UHC Exchange |
$103.04
|
| Rate for Payer: UMR Bronson Commercial |
$97.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.65
|
|
|
CEFDINIR 300 MG CAPSULE
|
Facility
|
OP
|
$187.49
|
|
|
Service Code
|
NDC 68180071160
|
| Hospital Charge Code |
22289
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$69.37 |
| Max. Negotiated Rate |
$168.74 |
| Rate for Payer: Aetna American Axle |
$121.87
|
| Rate for Payer: Aetna Commercial |
$159.37
|
| Rate for Payer: Aetna Medicare |
$93.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$121.87
|
| Rate for Payer: BCBS Complete |
$75.00
|
| Rate for Payer: Cash Price |
$149.99
|
| Rate for Payer: Cofinity Advantage |
$131.24
|
| Rate for Payer: Cofinity Commercial |
$161.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$149.99
|
| Rate for Payer: Healthscope Commercial |
$168.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$140.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$149.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$140.62
|
| Rate for Payer: PHP Commercial |
$159.37
|
| Rate for Payer: Priority Health SBD |
$118.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$121.87
|
| Rate for Payer: UHC Core |
$97.68
|
| Rate for Payer: UHC Exchange |
$73.68
|
| Rate for Payer: UMR Bronson Commercial |
$69.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$140.62
|
|
|
CEFDINIR 300 MG CAPSULE
|
Facility
|
IP
|
$262.20
|
|
|
Service Code
|
NDC 65862017760
|
| Hospital Charge Code |
22289
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$115.37 |
| Max. Negotiated Rate |
$235.98 |
| Rate for Payer: Aetna American Axle |
$170.43
|
| Rate for Payer: Aetna Commercial |
$222.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.43
|
| Rate for Payer: Cash Price |
$209.76
|
| Rate for Payer: Cofinity Advantage |
$183.54
|
| Rate for Payer: Cofinity Commercial |
$225.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.76
|
| Rate for Payer: Healthscope Commercial |
$235.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$183.54
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$196.65
|
| Rate for Payer: PHP Commercial |
$222.87
|
| Rate for Payer: Priority Health SBD |
$165.19
|
| Rate for Payer: UMR Bronson Commercial |
$115.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.65
|
|
|
CEFEPIME 100 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$1,280.00
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
188964
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$563.20 |
| Max. Negotiated Rate |
$1,152.00 |
| Rate for Payer: Aetna American Axle |
$832.00
|
| Rate for Payer: Aetna American Axle |
$26.00
|
| Rate for Payer: Aetna Commercial |
$1,088.00
|
| Rate for Payer: Aetna Commercial |
$34.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$832.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.00
|
| Rate for Payer: Cash Price |
$1,024.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Advantage |
$28.00
|
| Rate for Payer: Cofinity Advantage |
$896.00
|
| Rate for Payer: Cofinity Commercial |
$34.40
|
| Rate for Payer: Cofinity Commercial |
$1,100.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,024.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.00
|
| Rate for Payer: Healthscope Commercial |
$1,152.00
|
| Rate for Payer: Healthscope Commercial |
$36.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$896.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$960.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,088.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$960.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: PHP Commercial |
$1,088.00
|
| Rate for Payer: PHP Commercial |
$34.00
|
| Rate for Payer: Priority Health SBD |
$25.20
|
| Rate for Payer: Priority Health SBD |
$806.40
|
| Rate for Payer: UMR Bronson Commercial |
$563.20
|
| Rate for Payer: UMR Bronson Commercial |
$17.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$960.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.00
|
|
|
CEFEPIME 100 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$1,280.00
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
188964
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$1,152.00 |
| Rate for Payer: Aetna American Axle |
$832.00
|
| Rate for Payer: Aetna American Axle |
$26.00
|
| Rate for Payer: Aetna Commercial |
$1,088.00
|
| Rate for Payer: Aetna Commercial |
$34.00
|
| Rate for Payer: Aetna Medicare |
$640.00
|
| Rate for Payer: Aetna Medicare |
$20.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$832.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.00
|
| Rate for Payer: BCBS Complete |
$16.00
|
| Rate for Payer: BCBS Complete |
$512.00
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: Cash Price |
$1,024.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cash Price |
$1,024.00
|
| Rate for Payer: Cash Price |
$32.00
|
| Rate for Payer: Cofinity Advantage |
$896.00
|
| Rate for Payer: Cofinity Advantage |
$28.00
|
| Rate for Payer: Cofinity Commercial |
$1,100.80
|
| Rate for Payer: Cofinity Commercial |
$34.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,024.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.00
|
| Rate for Payer: Healthscope Commercial |
$1,152.00
|
| Rate for Payer: Healthscope Commercial |
$36.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$896.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$960.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,024.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,088.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$30.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$960.00
|
| Rate for Payer: PHP Commercial |
$1,088.00
|
| Rate for Payer: PHP Commercial |
$34.00
|
| Rate for Payer: Priority Health SBD |
$806.40
|
| Rate for Payer: Priority Health SBD |
$25.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UMR Bronson Commercial |
$473.60
|
| Rate for Payer: UMR Bronson Commercial |
$14.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$960.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.00
|
|
|
CEFEPIME 1 GRAM CUSTOM SOLUTION FOR DESENSITIZATION
|
Facility
|
OP
|
$29.64
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
180570
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$26.68 |
| Rate for Payer: Aetna American Axle |
$19.27
|
| Rate for Payer: Aetna Commercial |
$25.19
|
| Rate for Payer: Aetna Medicare |
$14.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.27
|
| Rate for Payer: BCBS Complete |
$11.86
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: Cash Price |
$23.71
|
| Rate for Payer: Cash Price |
$23.71
|
| Rate for Payer: Cofinity Advantage |
$20.75
|
| Rate for Payer: Cofinity Commercial |
$25.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.71
|
| Rate for Payer: Healthscope Commercial |
$26.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.23
|
| Rate for Payer: PHP Commercial |
$25.19
|
| Rate for Payer: Priority Health SBD |
$18.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UMR Bronson Commercial |
$10.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.23
|
|
|
CEFEPIME 1 GRAM CUSTOM SOLUTION FOR DESENSITIZATION
|
Facility
|
IP
|
$29.64
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
180570
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.04 |
| Max. Negotiated Rate |
$26.68 |
| Rate for Payer: Aetna American Axle |
$19.27
|
| Rate for Payer: Aetna Commercial |
$25.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.27
|
| Rate for Payer: Cash Price |
$23.71
|
| Rate for Payer: Cofinity Advantage |
$20.75
|
| Rate for Payer: Cofinity Commercial |
$25.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.71
|
| Rate for Payer: Healthscope Commercial |
$26.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.23
|
| Rate for Payer: PHP Commercial |
$25.19
|
| Rate for Payer: Priority Health SBD |
$18.67
|
| Rate for Payer: UMR Bronson Commercial |
$13.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.23
|
|
|
CEFEPIME 1 GRAM SOLUTION FOR IM INJECTION CUSTOM
|
Facility
|
OP
|
$16.87
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
300392
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$15.18 |
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Medicare |
$8.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: BCBS Complete |
$6.75
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cofinity Advantage |
$11.81
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.65
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UMR Bronson Commercial |
$6.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
|
|
CEFEPIME 1 GRAM SOLUTION FOR IM INJECTION CUSTOM
|
Facility
|
IP
|
$16.87
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
300392
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$15.18 |
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cofinity Advantage |
$11.81
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.65
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: UMR Bronson Commercial |
$7.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
|
|
CEFEPIME 1 GRAM SOLUTION FOR INJECTION
|
Facility
|
OP
|
$21.07
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
16369
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$18.96 |
| Rate for Payer: Aetna American Axle |
$13.70
|
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna American Axle |
$13.20
|
| Rate for Payer: Aetna American Axle |
$13.42
|
| Rate for Payer: Aetna American Axle |
$11.75
|
| Rate for Payer: Aetna American Axle |
$15.66
|
| Rate for Payer: Aetna American Axle |
$14.55
|
| Rate for Payer: Aetna Commercial |
$20.48
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Commercial |
$17.54
|
| Rate for Payer: Aetna Commercial |
$17.26
|
| Rate for Payer: Aetna Commercial |
$17.91
|
| Rate for Payer: Aetna Commercial |
$15.37
|
| Rate for Payer: Aetna Commercial |
$19.03
|
| Rate for Payer: Aetna Medicare |
$8.44
|
| Rate for Payer: Aetna Medicare |
$12.04
|
| Rate for Payer: Aetna Medicare |
$10.54
|
| Rate for Payer: Aetna Medicare |
$11.20
|
| Rate for Payer: Aetna Medicare |
$10.32
|
| Rate for Payer: Aetna Medicare |
$9.04
|
| Rate for Payer: Aetna Medicare |
$10.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.55
|
| Rate for Payer: BCBS Complete |
$7.23
|
| Rate for Payer: BCBS Complete |
$9.64
|
| Rate for Payer: BCBS Complete |
$8.26
|
| Rate for Payer: BCBS Complete |
$8.43
|
| Rate for Payer: BCBS Complete |
$8.96
|
| Rate for Payer: BCBS Complete |
$6.75
|
| Rate for Payer: BCBS Complete |
$8.12
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: Cash Price |
$16.25
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$16.86
|
| Rate for Payer: Cash Price |
$16.51
|
| Rate for Payer: Cash Price |
$16.51
|
| Rate for Payer: Cash Price |
$17.91
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cash Price |
$14.46
|
| Rate for Payer: Cash Price |
$17.91
|
| Rate for Payer: Cash Price |
$16.86
|
| Rate for Payer: Cash Price |
$14.46
|
| Rate for Payer: Cash Price |
$16.25
|
| Rate for Payer: Cofinity Advantage |
$14.45
|
| Rate for Payer: Cofinity Advantage |
$14.22
|
| Rate for Payer: Cofinity Advantage |
$12.66
|
| Rate for Payer: Cofinity Advantage |
$11.81
|
| Rate for Payer: Cofinity Advantage |
$14.75
|
| Rate for Payer: Cofinity Advantage |
$15.67
|
| Rate for Payer: Cofinity Advantage |
$16.86
|
| Rate for Payer: Cofinity Commercial |
$18.12
|
| Rate for Payer: Cofinity Commercial |
$19.26
|
| Rate for Payer: Cofinity Commercial |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Cofinity Commercial |
$15.55
|
| Rate for Payer: Cofinity Commercial |
$17.47
|
| Rate for Payer: Cofinity Commercial |
$17.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$18.58
|
| Rate for Payer: Healthscope Commercial |
$20.15
|
| Rate for Payer: Healthscope Commercial |
$21.68
|
| Rate for Payer: Healthscope Commercial |
$18.96
|
| Rate for Payer: Healthscope Commercial |
$16.27
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Healthscope Commercial |
$18.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.65
|
| Rate for Payer: PHP Commercial |
$17.54
|
| Rate for Payer: PHP Commercial |
$17.26
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: PHP Commercial |
$15.37
|
| Rate for Payer: PHP Commercial |
$17.91
|
| Rate for Payer: PHP Commercial |
$19.03
|
| Rate for Payer: PHP Commercial |
$20.48
|
| Rate for Payer: Priority Health SBD |
$14.11
|
| Rate for Payer: Priority Health SBD |
$12.80
|
| Rate for Payer: Priority Health SBD |
$13.27
|
| Rate for Payer: Priority Health SBD |
$15.18
|
| Rate for Payer: Priority Health SBD |
$11.39
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: Priority Health SBD |
$13.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UMR Bronson Commercial |
$7.51
|
| Rate for Payer: UMR Bronson Commercial |
$7.64
|
| Rate for Payer: UMR Bronson Commercial |
$6.69
|
| Rate for Payer: UMR Bronson Commercial |
$6.24
|
| Rate for Payer: UMR Bronson Commercial |
$8.91
|
| Rate for Payer: UMR Bronson Commercial |
$8.28
|
| Rate for Payer: UMR Bronson Commercial |
$7.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.48
|
|
|
CEFEPIME 1 GRAM SOLUTION FOR INJECTION
|
Facility
|
IP
|
$24.09
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
16369
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.60 |
| Max. Negotiated Rate |
$21.68 |
| Rate for Payer: Aetna American Axle |
$15.66
|
| Rate for Payer: Aetna American Axle |
$13.20
|
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna American Axle |
$11.75
|
| Rate for Payer: Aetna American Axle |
$13.70
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Commercial |
$15.37
|
| Rate for Payer: Aetna Commercial |
$17.26
|
| Rate for Payer: Aetna Commercial |
$17.91
|
| Rate for Payer: Aetna Commercial |
$20.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.70
|
| Rate for Payer: Cash Price |
$16.25
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cash Price |
$16.86
|
| Rate for Payer: Cash Price |
$14.46
|
| Rate for Payer: Cofinity Advantage |
$16.86
|
| Rate for Payer: Cofinity Advantage |
$14.22
|
| Rate for Payer: Cofinity Advantage |
$11.81
|
| Rate for Payer: Cofinity Advantage |
$12.66
|
| Rate for Payer: Cofinity Advantage |
$14.75
|
| Rate for Payer: Cofinity Commercial |
$20.72
|
| Rate for Payer: Cofinity Commercial |
$17.47
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Cofinity Commercial |
$15.55
|
| Rate for Payer: Cofinity Commercial |
$18.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Healthscope Commercial |
$16.27
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Healthscope Commercial |
$18.96
|
| Rate for Payer: Healthscope Commercial |
$21.68
|
| Rate for Payer: Healthscope Commercial |
$18.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.56
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: PHP Commercial |
$15.37
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: PHP Commercial |
$17.91
|
| Rate for Payer: PHP Commercial |
$20.48
|
| Rate for Payer: PHP Commercial |
$17.26
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: Priority Health SBD |
$11.39
|
| Rate for Payer: Priority Health SBD |
$13.27
|
| Rate for Payer: Priority Health SBD |
$12.80
|
| Rate for Payer: Priority Health SBD |
$15.18
|
| Rate for Payer: UMR Bronson Commercial |
$8.94
|
| Rate for Payer: UMR Bronson Commercial |
$10.60
|
| Rate for Payer: UMR Bronson Commercial |
$9.27
|
| Rate for Payer: UMR Bronson Commercial |
$7.42
|
| Rate for Payer: UMR Bronson Commercial |
$7.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.80
|
|
|
CEFEPIME 1 GRAM SOLUTION MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$16.87
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
301730
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.42 |
| Max. Negotiated Rate |
$15.18 |
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cofinity Advantage |
$11.81
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.65
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: UMR Bronson Commercial |
$7.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
|
|
CEFEPIME 1 GRAM SOLUTION MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$16.87
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
301730
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$15.18 |
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Medicare |
$8.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: BCBS Complete |
$6.75
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cofinity Advantage |
$11.81
|
| Rate for Payer: Cofinity Commercial |
$14.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Healthscope Commercial |
$15.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.65
|
| Rate for Payer: PHP Commercial |
$14.34
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UMR Bronson Commercial |
$6.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.65
|
|
|
CEFEPIME 2 GM IVPB (IV PREMIX)
|
Facility
|
OP
|
$22.25
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
200159
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$20.02 |
| Rate for Payer: Aetna American Axle |
$14.46
|
| Rate for Payer: Aetna Commercial |
$18.91
|
| Rate for Payer: Aetna Medicare |
$11.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.46
|
| Rate for Payer: BCBS Complete |
$8.90
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$17.80
|
| Rate for Payer: Cash Price |
$17.80
|
| Rate for Payer: Cofinity Advantage |
$15.57
|
| Rate for Payer: Cofinity Commercial |
$19.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.80
|
| Rate for Payer: Healthscope Commercial |
$20.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.69
|
| Rate for Payer: PHP Commercial |
$18.91
|
| Rate for Payer: Priority Health SBD |
$14.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UMR Bronson Commercial |
$8.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.69
|
|
|
CEFEPIME 2 GM IVPB (IV PREMIX)
|
Facility
|
IP
|
$22.25
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
200159
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.79 |
| Max. Negotiated Rate |
$20.02 |
| Rate for Payer: Aetna American Axle |
$14.46
|
| Rate for Payer: Aetna Commercial |
$18.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.46
|
| Rate for Payer: Cash Price |
$17.80
|
| Rate for Payer: Cofinity Advantage |
$15.57
|
| Rate for Payer: Cofinity Commercial |
$19.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.80
|
| Rate for Payer: Healthscope Commercial |
$20.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.69
|
| Rate for Payer: PHP Commercial |
$18.91
|
| Rate for Payer: Priority Health SBD |
$14.02
|
| Rate for Payer: UMR Bronson Commercial |
$9.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.69
|
|
|
CEFEPIME 2 GRAM SOLUTION FOR INJECTION
|
Facility
|
OP
|
$32.43
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
16371
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.44 |
| Max. Negotiated Rate |
$29.19 |
| Rate for Payer: Aetna American Axle |
$21.08
|
| Rate for Payer: Aetna American Axle |
$12.73
|
| Rate for Payer: Aetna American Axle |
$16.68
|
| Rate for Payer: Aetna American Axle |
$19.54
|
| Rate for Payer: Aetna American Axle |
$16.37
|
| Rate for Payer: Aetna American Axle |
$28.12
|
| Rate for Payer: Aetna American Axle |
$21.47
|
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Commercial |
$16.64
|
| Rate for Payer: Aetna Commercial |
$25.55
|
| Rate for Payer: Aetna Commercial |
$21.81
|
| Rate for Payer: Aetna Commercial |
$27.57
|
| Rate for Payer: Aetna Commercial |
$21.41
|
| Rate for Payer: Aetna Commercial |
$28.08
|
| Rate for Payer: Aetna Medicare |
$9.79
|
| Rate for Payer: Aetna Medicare |
$21.63
|
| Rate for Payer: Aetna Medicare |
$16.21
|
| Rate for Payer: Aetna Medicare |
$16.52
|
| Rate for Payer: Aetna Medicare |
$15.03
|
| Rate for Payer: Aetna Medicare |
$12.60
|
| Rate for Payer: Aetna Medicare |
$12.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.47
|
| Rate for Payer: BCBS Complete |
$10.08
|
| Rate for Payer: BCBS Complete |
$17.30
|
| Rate for Payer: BCBS Complete |
$12.02
|
| Rate for Payer: BCBS Complete |
$12.97
|
| Rate for Payer: BCBS Complete |
$13.21
|
| Rate for Payer: BCBS Complete |
$7.83
|
| Rate for Payer: BCBS Complete |
$10.26
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCBS Trust/PPO |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: BCN Commercial |
$2.80
|
| Rate for Payer: Cash Price |
$20.53
|
| Rate for Payer: Cash Price |
$34.61
|
| Rate for Payer: Cash Price |
$15.66
|
| Rate for Payer: Cash Price |
$25.94
|
| Rate for Payer: Cash Price |
$24.05
|
| Rate for Payer: Cash Price |
$24.05
|
| Rate for Payer: Cash Price |
$26.42
|
| Rate for Payer: Cash Price |
$15.66
|
| Rate for Payer: Cash Price |
$34.61
|
| Rate for Payer: Cash Price |
$20.15
|
| Rate for Payer: Cash Price |
$26.42
|
| Rate for Payer: Cash Price |
$25.94
|
| Rate for Payer: Cash Price |
$20.15
|
| Rate for Payer: Cash Price |
$20.53
|
| Rate for Payer: Cofinity Advantage |
$21.04
|
| Rate for Payer: Cofinity Advantage |
$17.96
|
| Rate for Payer: Cofinity Advantage |
$17.63
|
| Rate for Payer: Cofinity Advantage |
$13.71
|
| Rate for Payer: Cofinity Advantage |
$22.70
|
| Rate for Payer: Cofinity Advantage |
$23.12
|
| Rate for Payer: Cofinity Advantage |
$30.28
|
| Rate for Payer: Cofinity Commercial |
$27.89
|
| Rate for Payer: Cofinity Commercial |
$28.41
|
| Rate for Payer: Cofinity Commercial |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$16.84
|
| Rate for Payer: Cofinity Commercial |
$21.66
|
| Rate for Payer: Cofinity Commercial |
$22.07
|
| Rate for Payer: Cofinity Commercial |
$25.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$25.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.61
|
| Rate for Payer: Healthscope Commercial |
$27.05
|
| Rate for Payer: Healthscope Commercial |
$29.73
|
| Rate for Payer: Healthscope Commercial |
$38.93
|
| Rate for Payer: Healthscope Commercial |
$29.19
|
| Rate for Payer: Healthscope Commercial |
$22.67
|
| Rate for Payer: Healthscope Commercial |
$17.62
|
| Rate for Payer: Healthscope Commercial |
$23.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.66
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$25.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.69
|
| Rate for Payer: PHP Commercial |
$25.55
|
| Rate for Payer: PHP Commercial |
$21.81
|
| Rate for Payer: PHP Commercial |
$16.64
|
| Rate for Payer: PHP Commercial |
$21.41
|
| Rate for Payer: PHP Commercial |
$27.57
|
| Rate for Payer: PHP Commercial |
$28.08
|
| Rate for Payer: PHP Commercial |
$36.77
|
| Rate for Payer: Priority Health SBD |
$20.81
|
| Rate for Payer: Priority Health SBD |
$16.17
|
| Rate for Payer: Priority Health SBD |
$20.43
|
| Rate for Payer: Priority Health SBD |
$27.25
|
| Rate for Payer: Priority Health SBD |
$15.87
|
| Rate for Payer: Priority Health SBD |
$12.34
|
| Rate for Payer: Priority Health SBD |
$18.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Core |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UHC Exchange |
$1.44
|
| Rate for Payer: UMR Bronson Commercial |
$9.49
|
| Rate for Payer: UMR Bronson Commercial |
$11.12
|
| Rate for Payer: UMR Bronson Commercial |
$9.32
|
| Rate for Payer: UMR Bronson Commercial |
$7.24
|
| Rate for Payer: UMR Bronson Commercial |
$16.01
|
| Rate for Payer: UMR Bronson Commercial |
$12.22
|
| Rate for Payer: UMR Bronson Commercial |
$12.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.55
|
|
|
CEFEPIME 2 GRAM SOLUTION FOR INJECTION
|
Facility
|
IP
|
$33.03
|
|
|
Service Code
|
HCPCS J0692
|
| Hospital Charge Code |
16371
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.53 |
| Max. Negotiated Rate |
$29.73 |
| Rate for Payer: Aetna American Axle |
$21.47
|
| Rate for Payer: Aetna American Axle |
$19.54
|
| Rate for Payer: Aetna American Axle |
$28.12
|
| Rate for Payer: Aetna American Axle |
$16.68
|
| Rate for Payer: Aetna American Axle |
$12.73
|
| Rate for Payer: Aetna Commercial |
$16.64
|
| Rate for Payer: Aetna Commercial |
$25.55
|
| Rate for Payer: Aetna Commercial |
$28.08
|
| Rate for Payer: Aetna Commercial |
$36.77
|
| Rate for Payer: Aetna Commercial |
$21.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.12
|
| Rate for Payer: Cash Price |
$24.05
|
| Rate for Payer: Cash Price |
$20.53
|
| Rate for Payer: Cash Price |
$34.61
|
| Rate for Payer: Cash Price |
$26.42
|
| Rate for Payer: Cash Price |
$15.66
|
| Rate for Payer: Cofinity Advantage |
$13.71
|
| Rate for Payer: Cofinity Advantage |
$30.28
|
| Rate for Payer: Cofinity Advantage |
$17.96
|
| Rate for Payer: Cofinity Advantage |
$23.12
|
| Rate for Payer: Cofinity Advantage |
$21.04
|
| Rate for Payer: Cofinity Commercial |
$37.20
|
| Rate for Payer: Cofinity Commercial |
$16.84
|
| Rate for Payer: Cofinity Commercial |
$22.07
|
| Rate for Payer: Cofinity Commercial |
$25.85
|
| Rate for Payer: Cofinity Commercial |
$28.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.61
|
| Rate for Payer: Healthscope Commercial |
$17.62
|
| Rate for Payer: Healthscope Commercial |
$23.09
|
| Rate for Payer: Healthscope Commercial |
$27.05
|
| Rate for Payer: Healthscope Commercial |
$29.73
|
| Rate for Payer: Healthscope Commercial |
$38.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.77
|
| Rate for Payer: PHP Commercial |
$25.55
|
| Rate for Payer: PHP Commercial |
$16.64
|
| Rate for Payer: PHP Commercial |
$28.08
|
| Rate for Payer: PHP Commercial |
$36.77
|
| Rate for Payer: PHP Commercial |
$21.81
|
| Rate for Payer: Priority Health SBD |
$20.81
|
| Rate for Payer: Priority Health SBD |
$27.25
|
| Rate for Payer: Priority Health SBD |
$16.17
|
| Rate for Payer: Priority Health SBD |
$12.34
|
| Rate for Payer: Priority Health SBD |
$18.94
|
| Rate for Payer: UMR Bronson Commercial |
$11.29
|
| Rate for Payer: UMR Bronson Commercial |
$19.03
|
| Rate for Payer: UMR Bronson Commercial |
$13.23
|
| Rate for Payer: UMR Bronson Commercial |
$8.62
|
| Rate for Payer: UMR Bronson Commercial |
$14.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.25
|
|
