|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$105.67
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.49 |
| Max. Negotiated Rate |
$95.10 |
| Rate for Payer: Aetna American Axle |
$68.69
|
| Rate for Payer: Aetna Commercial |
$89.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.69
|
| Rate for Payer: Cash Price |
$84.54
|
| Rate for Payer: Cofinity Advantage |
$73.97
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.54
|
| Rate for Payer: Healthscope Commercial |
$95.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.25
|
| Rate for Payer: PHP Commercial |
$89.82
|
| Rate for Payer: Priority Health SBD |
$66.57
|
| Rate for Payer: UMR Bronson Commercial |
$46.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.25
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$845.85
|
|
|
Service Code
|
NDC 11980018010
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$312.96 |
| Max. Negotiated Rate |
$761.26 |
| Rate for Payer: Aetna American Axle |
$549.80
|
| Rate for Payer: Aetna Commercial |
$718.97
|
| Rate for Payer: Aetna Medicare |
$422.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.80
|
| Rate for Payer: BCBS Complete |
$338.34
|
| Rate for Payer: Cash Price |
$676.68
|
| Rate for Payer: Cofinity Advantage |
$592.10
|
| Rate for Payer: Cofinity Commercial |
$727.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$676.68
|
| Rate for Payer: Healthscope Commercial |
$761.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$592.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$634.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$676.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$718.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$634.39
|
| Rate for Payer: PHP Commercial |
$718.97
|
| Rate for Payer: Priority Health SBD |
$532.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$549.80
|
| Rate for Payer: UHC Core |
$440.69
|
| Rate for Payer: UHC Exchange |
$332.42
|
| Rate for Payer: UMR Bronson Commercial |
$312.96
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$634.39
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$143.22
|
|
|
Service Code
|
NDC 60758011905
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$63.02 |
| Max. Negotiated Rate |
$128.90 |
| Rate for Payer: Aetna American Axle |
$93.09
|
| Rate for Payer: Aetna Commercial |
$121.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.09
|
| Rate for Payer: Cash Price |
$114.58
|
| Rate for Payer: Cofinity Advantage |
$100.25
|
| Rate for Payer: Cofinity Commercial |
$123.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.58
|
| Rate for Payer: Healthscope Commercial |
$128.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.42
|
| Rate for Payer: PHP Commercial |
$121.74
|
| Rate for Payer: Priority Health SBD |
$90.23
|
| Rate for Payer: UMR Bronson Commercial |
$63.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.42
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$105.67
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$39.10 |
| Max. Negotiated Rate |
$95.10 |
| Rate for Payer: Aetna American Axle |
$68.69
|
| Rate for Payer: Aetna Commercial |
$89.82
|
| Rate for Payer: Aetna Medicare |
$52.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.69
|
| Rate for Payer: BCBS Complete |
$42.27
|
| Rate for Payer: Cash Price |
$84.54
|
| Rate for Payer: Cofinity Advantage |
$73.97
|
| Rate for Payer: Cofinity Commercial |
$90.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.54
|
| Rate for Payer: Healthscope Commercial |
$95.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$79.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$79.25
|
| Rate for Payer: PHP Commercial |
$89.82
|
| Rate for Payer: Priority Health SBD |
$66.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$68.69
|
| Rate for Payer: UHC Core |
$55.05
|
| Rate for Payer: UHC Exchange |
$41.53
|
| Rate for Payer: UMR Bronson Commercial |
$39.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$79.25
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$423.71
|
|
|
Service Code
|
NDC 11980018005
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$156.77 |
| Max. Negotiated Rate |
$381.34 |
| Rate for Payer: Aetna American Axle |
$275.41
|
| Rate for Payer: Aetna Commercial |
$360.15
|
| Rate for Payer: Aetna Medicare |
$211.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.41
|
| Rate for Payer: BCBS Complete |
$169.48
|
| Rate for Payer: Cash Price |
$338.97
|
| Rate for Payer: Cofinity Advantage |
$296.60
|
| Rate for Payer: Cofinity Commercial |
$364.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.97
|
| Rate for Payer: Healthscope Commercial |
$381.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$296.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$338.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.78
|
| Rate for Payer: PHP Commercial |
$360.15
|
| Rate for Payer: Priority Health SBD |
$266.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$275.41
|
| Rate for Payer: UHC Core |
$220.75
|
| Rate for Payer: UHC Exchange |
$166.52
|
| Rate for Payer: UMR Bronson Commercial |
$156.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.78
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$173.46
|
|
|
Service Code
|
NDC 61314063710
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$64.18 |
| Max. Negotiated Rate |
$156.11 |
| Rate for Payer: Aetna American Axle |
$112.75
|
| Rate for Payer: Aetna Commercial |
$147.44
|
| Rate for Payer: Aetna Medicare |
$86.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.75
|
| Rate for Payer: BCBS Complete |
$69.38
|
| Rate for Payer: Cash Price |
$138.77
|
| Rate for Payer: Cofinity Advantage |
$121.42
|
| Rate for Payer: Cofinity Commercial |
$149.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.77
|
| Rate for Payer: Healthscope Commercial |
$156.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$138.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.09
|
| Rate for Payer: PHP Commercial |
$147.44
|
| Rate for Payer: Priority Health SBD |
$109.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$112.75
|
| Rate for Payer: UHC Core |
$90.37
|
| Rate for Payer: UHC Exchange |
$68.17
|
| Rate for Payer: UMR Bronson Commercial |
$64.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.09
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$143.22
|
|
|
Service Code
|
NDC 60758011905
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.99 |
| Max. Negotiated Rate |
$128.90 |
| Rate for Payer: Aetna American Axle |
$93.09
|
| Rate for Payer: Aetna Commercial |
$121.74
|
| Rate for Payer: Aetna Medicare |
$71.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.09
|
| Rate for Payer: BCBS Complete |
$57.29
|
| Rate for Payer: Cash Price |
$114.58
|
| Rate for Payer: Cofinity Advantage |
$100.25
|
| Rate for Payer: Cofinity Commercial |
$123.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.58
|
| Rate for Payer: Healthscope Commercial |
$128.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$107.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$114.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$107.42
|
| Rate for Payer: PHP Commercial |
$121.74
|
| Rate for Payer: Priority Health SBD |
$90.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$93.09
|
| Rate for Payer: UHC Core |
$74.62
|
| Rate for Payer: UHC Exchange |
$56.29
|
| Rate for Payer: UMR Bronson Commercial |
$52.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$107.42
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$173.46
|
|
|
Service Code
|
NDC 61314063710
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$76.32 |
| Max. Negotiated Rate |
$156.11 |
| Rate for Payer: Aetna American Axle |
$112.75
|
| Rate for Payer: Aetna Commercial |
$147.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.75
|
| Rate for Payer: Cash Price |
$138.77
|
| Rate for Payer: Cofinity Advantage |
$121.42
|
| Rate for Payer: Cofinity Commercial |
$149.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.77
|
| Rate for Payer: Healthscope Commercial |
$156.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.09
|
| Rate for Payer: PHP Commercial |
$147.44
|
| Rate for Payer: Priority Health SBD |
$109.28
|
| Rate for Payer: UMR Bronson Commercial |
$76.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.09
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$845.85
|
|
|
Service Code
|
NDC 11980018010
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$372.17 |
| Max. Negotiated Rate |
$761.26 |
| Rate for Payer: Aetna American Axle |
$549.80
|
| Rate for Payer: Aetna Commercial |
$718.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$549.80
|
| Rate for Payer: Cash Price |
$676.68
|
| Rate for Payer: Cofinity Advantage |
$592.10
|
| Rate for Payer: Cofinity Commercial |
$727.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$676.68
|
| Rate for Payer: Healthscope Commercial |
$761.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$592.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$634.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$718.97
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$634.39
|
| Rate for Payer: PHP Commercial |
$718.97
|
| Rate for Payer: Priority Health SBD |
$532.89
|
| Rate for Payer: UMR Bronson Commercial |
$372.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$634.39
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$423.71
|
|
|
Service Code
|
NDC 11980018005
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$186.43 |
| Max. Negotiated Rate |
$381.34 |
| Rate for Payer: Aetna American Axle |
$275.41
|
| Rate for Payer: Aetna Commercial |
$360.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$275.41
|
| Rate for Payer: Cash Price |
$338.97
|
| Rate for Payer: Cofinity Advantage |
$296.60
|
| Rate for Payer: Cofinity Commercial |
$364.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$338.97
|
| Rate for Payer: Healthscope Commercial |
$381.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$296.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$317.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$360.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$317.78
|
| Rate for Payer: PHP Commercial |
$360.15
|
| Rate for Payer: Priority Health SBD |
$266.94
|
| Rate for Payer: UMR Bronson Commercial |
$186.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$317.78
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$19.16
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.73 |
| Max. Negotiated Rate |
$17.24 |
| Rate for Payer: Aetna American Axle |
$12.45
|
| Rate for Payer: Aetna American Axle |
$528.55
|
| Rate for Payer: Aetna American Axle |
$5.19
|
| Rate for Payer: Aetna American Axle |
$3.97
|
| Rate for Payer: Aetna American Axle |
$590.09
|
| Rate for Payer: Aetna Commercial |
$16.29
|
| Rate for Payer: Aetna Commercial |
$5.19
|
| Rate for Payer: Aetna Commercial |
$771.66
|
| Rate for Payer: Aetna Commercial |
$691.18
|
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Medicare |
$453.92
|
| Rate for Payer: Aetna Medicare |
$3.06
|
| Rate for Payer: Aetna Medicare |
$9.58
|
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: Aetna Medicare |
$406.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.09
|
| Rate for Payer: BCBS Complete |
$325.26
|
| Rate for Payer: BCBS Complete |
$7.66
|
| Rate for Payer: BCBS Complete |
$2.44
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCBS Complete |
$363.13
|
| Rate for Payer: BCBS Trust/PPO |
$0.73
|
| Rate for Payer: BCBS Trust/PPO |
$0.73
|
| Rate for Payer: BCBS Trust/PPO |
$0.73
|
| Rate for Payer: BCBS Trust/PPO |
$0.73
|
| Rate for Payer: BCBS Trust/PPO |
$0.73
|
| Rate for Payer: BCN Commercial |
$0.73
|
| Rate for Payer: BCN Commercial |
$0.73
|
| Rate for Payer: BCN Commercial |
$0.73
|
| Rate for Payer: BCN Commercial |
$0.73
|
| Rate for Payer: BCN Commercial |
$0.73
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$726.26
|
| Rate for Payer: Cash Price |
$4.89
|
| Rate for Payer: Cash Price |
$15.33
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$15.33
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$4.89
|
| Rate for Payer: Cash Price |
$726.26
|
| Rate for Payer: Cofinity Advantage |
$569.21
|
| Rate for Payer: Cofinity Advantage |
$4.28
|
| Rate for Payer: Cofinity Advantage |
$5.59
|
| Rate for Payer: Cofinity Advantage |
$635.48
|
| Rate for Payer: Cofinity Advantage |
$13.41
|
| Rate for Payer: Cofinity Commercial |
$699.31
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$5.25
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Cofinity Commercial |
$780.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$817.05
|
| Rate for Payer: Healthscope Commercial |
$731.84
|
| Rate for Payer: Healthscope Commercial |
$17.24
|
| Rate for Payer: Healthscope Commercial |
$5.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$635.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$569.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.37
|
| Rate for Payer: MI Amish Medical Board Commercial |
$726.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$650.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$771.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$680.87
|
| Rate for Payer: PHP Commercial |
$5.19
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Commercial |
$771.66
|
| Rate for Payer: PHP Commercial |
$691.18
|
| Rate for Payer: PHP Commercial |
$16.29
|
| Rate for Payer: Priority Health SBD |
$5.03
|
| Rate for Payer: Priority Health SBD |
$12.07
|
| Rate for Payer: Priority Health SBD |
$512.28
|
| Rate for Payer: Priority Health SBD |
$571.93
|
| Rate for Payer: Priority Health SBD |
$3.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Core |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
| Rate for Payer: UHC Exchange |
$1.52
|
| Rate for Payer: UMR Bronson Commercial |
$7.09
|
| Rate for Payer: UMR Bronson Commercial |
$300.87
|
| Rate for Payer: UMR Bronson Commercial |
$2.96
|
| Rate for Payer: UMR Bronson Commercial |
$335.90
|
| Rate for Payer: UMR Bronson Commercial |
$2.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$680.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.37
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$813.15
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$357.79 |
| Max. Negotiated Rate |
$731.84 |
| Rate for Payer: Aetna American Axle |
$528.55
|
| Rate for Payer: Aetna American Axle |
$5.19
|
| Rate for Payer: Aetna American Axle |
$590.09
|
| Rate for Payer: Aetna American Axle |
$3.97
|
| Rate for Payer: Aetna American Axle |
$12.45
|
| Rate for Payer: Aetna Commercial |
$16.29
|
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Commercial |
$691.18
|
| Rate for Payer: Aetna Commercial |
$771.66
|
| Rate for Payer: Aetna Commercial |
$5.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$528.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.09
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$4.89
|
| Rate for Payer: Cash Price |
$726.26
|
| Rate for Payer: Cash Price |
$650.52
|
| Rate for Payer: Cash Price |
$15.33
|
| Rate for Payer: Cofinity Advantage |
$13.41
|
| Rate for Payer: Cofinity Advantage |
$635.48
|
| Rate for Payer: Cofinity Advantage |
$4.28
|
| Rate for Payer: Cofinity Advantage |
$569.21
|
| Rate for Payer: Cofinity Advantage |
$5.59
|
| Rate for Payer: Cofinity Commercial |
$780.73
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$5.25
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Cofinity Commercial |
$699.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$650.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.26
|
| Rate for Payer: Healthscope Commercial |
$17.24
|
| Rate for Payer: Healthscope Commercial |
$5.50
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$731.84
|
| Rate for Payer: Healthscope Commercial |
$817.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$635.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$569.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$609.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$691.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$771.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.37
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$680.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$609.86
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Commercial |
$16.29
|
| Rate for Payer: PHP Commercial |
$691.18
|
| Rate for Payer: PHP Commercial |
$771.66
|
| Rate for Payer: PHP Commercial |
$5.19
|
| Rate for Payer: Priority Health SBD |
$512.28
|
| Rate for Payer: Priority Health SBD |
$571.93
|
| Rate for Payer: Priority Health SBD |
$3.85
|
| Rate for Payer: Priority Health SBD |
$12.07
|
| Rate for Payer: Priority Health SBD |
$5.03
|
| Rate for Payer: UMR Bronson Commercial |
$2.69
|
| Rate for Payer: UMR Bronson Commercial |
$399.45
|
| Rate for Payer: UMR Bronson Commercial |
$3.52
|
| Rate for Payer: UMR Bronson Commercial |
$8.43
|
| Rate for Payer: UMR Bronson Commercial |
$357.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$609.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$680.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.58
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
OP
|
$425.35
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$382.81 |
| Rate for Payer: Aetna American Axle |
$276.48
|
| Rate for Payer: Aetna American Axle |
$2.51
|
| Rate for Payer: Aetna American Axle |
$247.46
|
| Rate for Payer: Aetna American Axle |
$248.98
|
| Rate for Payer: Aetna American Axle |
$250.51
|
| Rate for Payer: Aetna American Axle |
$113.03
|
| Rate for Payer: Aetna American Axle |
$219.96
|
| Rate for Payer: Aetna American Axle |
$30.40
|
| Rate for Payer: Aetna Commercial |
$323.60
|
| Rate for Payer: Aetna Commercial |
$147.81
|
| Rate for Payer: Aetna Commercial |
$327.59
|
| Rate for Payer: Aetna Commercial |
$325.59
|
| Rate for Payer: Aetna Commercial |
$3.28
|
| Rate for Payer: Aetna Commercial |
$361.55
|
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Commercial |
$287.64
|
| Rate for Payer: Aetna Medicare |
$190.35
|
| Rate for Payer: Aetna Medicare |
$169.20
|
| Rate for Payer: Aetna Medicare |
$212.68
|
| Rate for Payer: Aetna Medicare |
$86.95
|
| Rate for Payer: Aetna Medicare |
$192.70
|
| Rate for Payer: Aetna Medicare |
$191.53
|
| Rate for Payer: Aetna Medicare |
$23.39
|
| Rate for Payer: Aetna Medicare |
$1.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.51
|
| Rate for Payer: BCBS Complete |
$18.71
|
| Rate for Payer: BCBS Complete |
$1.54
|
| Rate for Payer: BCBS Complete |
$153.22
|
| Rate for Payer: BCBS Complete |
$69.56
|
| Rate for Payer: BCBS Complete |
$152.28
|
| Rate for Payer: BCBS Complete |
$135.36
|
| Rate for Payer: BCBS Complete |
$170.14
|
| Rate for Payer: BCBS Complete |
$154.16
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$270.72
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$270.72
|
| Rate for Payer: Cash Price |
$306.44
|
| Rate for Payer: Cash Price |
$306.44
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$3.09
|
| Rate for Payer: Cash Price |
$3.09
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cofinity Advantage |
$2.70
|
| Rate for Payer: Cofinity Advantage |
$32.74
|
| Rate for Payer: Cofinity Advantage |
$266.49
|
| Rate for Payer: Cofinity Advantage |
$269.78
|
| Rate for Payer: Cofinity Advantage |
$297.75
|
| Rate for Payer: Cofinity Advantage |
$268.13
|
| Rate for Payer: Cofinity Advantage |
$121.73
|
| Rate for Payer: Cofinity Advantage |
$236.88
|
| Rate for Payer: Cofinity Commercial |
$329.42
|
| Rate for Payer: Cofinity Commercial |
$3.32
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Cofinity Commercial |
$291.02
|
| Rate for Payer: Cofinity Commercial |
$327.40
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$331.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.28
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Healthscope Commercial |
$342.63
|
| Rate for Payer: Healthscope Commercial |
$344.75
|
| Rate for Payer: Healthscope Commercial |
$382.81
|
| Rate for Payer: Healthscope Commercial |
$3.47
|
| Rate for Payer: Healthscope Commercial |
$304.56
|
| Rate for Payer: Healthscope Commercial |
$346.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$297.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$266.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$269.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$308.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$306.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$139.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$340.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$270.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$37.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$304.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$319.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.52
|
| Rate for Payer: PHP Commercial |
$147.81
|
| Rate for Payer: PHP Commercial |
$325.59
|
| Rate for Payer: PHP Commercial |
$3.28
|
| Rate for Payer: PHP Commercial |
$323.60
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$361.55
|
| Rate for Payer: PHP Commercial |
$327.59
|
| Rate for Payer: PHP Commercial |
$287.64
|
| Rate for Payer: Priority Health SBD |
$213.19
|
| Rate for Payer: Priority Health SBD |
$29.47
|
| Rate for Payer: Priority Health SBD |
$109.56
|
| Rate for Payer: Priority Health SBD |
$2.43
|
| Rate for Payer: Priority Health SBD |
$267.97
|
| Rate for Payer: Priority Health SBD |
$239.84
|
| Rate for Payer: Priority Health SBD |
$241.32
|
| Rate for Payer: Priority Health SBD |
$242.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UMR Bronson Commercial |
$157.38
|
| Rate for Payer: UMR Bronson Commercial |
$17.30
|
| Rate for Payer: UMR Bronson Commercial |
$142.60
|
| Rate for Payer: UMR Bronson Commercial |
$140.86
|
| Rate for Payer: UMR Bronson Commercial |
$1.43
|
| Rate for Payer: UMR Bronson Commercial |
$64.34
|
| Rate for Payer: UMR Bronson Commercial |
$125.21
|
| Rate for Payer: UMR Bronson Commercial |
$141.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.01
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
IP
|
$383.05
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$168.54 |
| Max. Negotiated Rate |
$344.75 |
| Rate for Payer: Aetna American Axle |
$248.98
|
| Rate for Payer: Aetna American Axle |
$2.51
|
| Rate for Payer: Aetna American Axle |
$276.48
|
| Rate for Payer: Aetna American Axle |
$113.03
|
| Rate for Payer: Aetna American Axle |
$247.46
|
| Rate for Payer: Aetna American Axle |
$219.96
|
| Rate for Payer: Aetna American Axle |
$30.40
|
| Rate for Payer: Aetna American Axle |
$250.51
|
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Commercial |
$361.55
|
| Rate for Payer: Aetna Commercial |
$325.59
|
| Rate for Payer: Aetna Commercial |
$147.81
|
| Rate for Payer: Aetna Commercial |
$287.64
|
| Rate for Payer: Aetna Commercial |
$3.28
|
| Rate for Payer: Aetna Commercial |
$323.60
|
| Rate for Payer: Aetna Commercial |
$327.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$250.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$276.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$30.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.51
|
| Rate for Payer: Cash Price |
$270.72
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cash Price |
$306.44
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$3.09
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cofinity Advantage |
$32.74
|
| Rate for Payer: Cofinity Advantage |
$236.88
|
| Rate for Payer: Cofinity Advantage |
$268.13
|
| Rate for Payer: Cofinity Advantage |
$266.49
|
| Rate for Payer: Cofinity Advantage |
$121.73
|
| Rate for Payer: Cofinity Advantage |
$2.70
|
| Rate for Payer: Cofinity Advantage |
$297.75
|
| Rate for Payer: Cofinity Advantage |
$269.78
|
| Rate for Payer: Cofinity Commercial |
$291.02
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Cofinity Commercial |
$327.40
|
| Rate for Payer: Cofinity Commercial |
$329.42
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Commercial |
$331.44
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$3.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$270.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Healthscope Commercial |
$346.86
|
| Rate for Payer: Healthscope Commercial |
$344.75
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Healthscope Commercial |
$382.81
|
| Rate for Payer: Healthscope Commercial |
$342.63
|
| Rate for Payer: Healthscope Commercial |
$304.56
|
| Rate for Payer: Healthscope Commercial |
$3.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$266.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$269.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$297.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$253.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$130.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$285.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$289.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$319.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.08
|
| Rate for Payer: PHP Commercial |
$325.59
|
| Rate for Payer: PHP Commercial |
$327.59
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$323.60
|
| Rate for Payer: PHP Commercial |
$287.64
|
| Rate for Payer: PHP Commercial |
$147.81
|
| Rate for Payer: PHP Commercial |
$3.28
|
| Rate for Payer: PHP Commercial |
$361.55
|
| Rate for Payer: Priority Health SBD |
$2.43
|
| Rate for Payer: Priority Health SBD |
$267.97
|
| Rate for Payer: Priority Health SBD |
$29.47
|
| Rate for Payer: Priority Health SBD |
$213.19
|
| Rate for Payer: Priority Health SBD |
$109.56
|
| Rate for Payer: Priority Health SBD |
$239.84
|
| Rate for Payer: Priority Health SBD |
$241.32
|
| Rate for Payer: Priority Health SBD |
$242.80
|
| Rate for Payer: UMR Bronson Commercial |
$76.52
|
| Rate for Payer: UMR Bronson Commercial |
$169.58
|
| Rate for Payer: UMR Bronson Commercial |
$167.51
|
| Rate for Payer: UMR Bronson Commercial |
$20.58
|
| Rate for Payer: UMR Bronson Commercial |
$187.15
|
| Rate for Payer: UMR Bronson Commercial |
$168.54
|
| Rate for Payer: UMR Bronson Commercial |
$148.90
|
| Rate for Payer: UMR Bronson Commercial |
$1.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$287.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.01
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
IP
|
$420.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$185.09 |
| Max. Negotiated Rate |
$378.58 |
| Rate for Payer: Aetna American Axle |
$273.42
|
| Rate for Payer: Aetna American Axle |
$143.59
|
| Rate for Payer: Aetna American Axle |
$287.17
|
| Rate for Payer: Aetna American Axle |
$127.82
|
| Rate for Payer: Aetna American Axle |
$103.87
|
| Rate for Payer: Aetna Commercial |
$135.83
|
| Rate for Payer: Aetna Commercial |
$187.76
|
| Rate for Payer: Aetna Commercial |
$357.55
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.17
|
| Rate for Payer: Cash Price |
$176.72
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$336.52
|
| Rate for Payer: Cash Price |
$127.84
|
| Rate for Payer: Cofinity Advantage |
$111.86
|
| Rate for Payer: Cofinity Advantage |
$309.26
|
| Rate for Payer: Cofinity Advantage |
$137.66
|
| Rate for Payer: Cofinity Advantage |
$294.45
|
| Rate for Payer: Cofinity Advantage |
$154.63
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Cofinity Commercial |
$137.43
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Cofinity Commercial |
$189.97
|
| Rate for Payer: Cofinity Commercial |
$361.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$127.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Healthscope Commercial |
$143.82
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: Healthscope Commercial |
$198.81
|
| Rate for Payer: Healthscope Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$137.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$309.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$111.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$154.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$119.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$135.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.49
|
| Rate for Payer: PHP Commercial |
$187.76
|
| Rate for Payer: PHP Commercial |
$135.83
|
| Rate for Payer: PHP Commercial |
$357.55
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: Priority Health SBD |
$265.01
|
| Rate for Payer: Priority Health SBD |
$278.33
|
| Rate for Payer: Priority Health SBD |
$123.89
|
| Rate for Payer: Priority Health SBD |
$100.67
|
| Rate for Payer: Priority Health SBD |
$139.17
|
| Rate for Payer: UMR Bronson Commercial |
$86.53
|
| Rate for Payer: UMR Bronson Commercial |
$194.39
|
| Rate for Payer: UMR Bronson Commercial |
$97.20
|
| Rate for Payer: UMR Bronson Commercial |
$70.31
|
| Rate for Payer: UMR Bronson Commercial |
$185.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$119.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$147.49
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
OP
|
$159.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$143.82 |
| Rate for Payer: Aetna American Axle |
$103.87
|
| Rate for Payer: Aetna American Axle |
$273.42
|
| Rate for Payer: Aetna American Axle |
$143.59
|
| Rate for Payer: Aetna American Axle |
$127.82
|
| Rate for Payer: Aetna American Axle |
$287.17
|
| Rate for Payer: Aetna Commercial |
$135.83
|
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Commercial |
$357.55
|
| Rate for Payer: Aetna Commercial |
$187.76
|
| Rate for Payer: Aetna Medicare |
$220.90
|
| Rate for Payer: Aetna Medicare |
$98.33
|
| Rate for Payer: Aetna Medicare |
$79.90
|
| Rate for Payer: Aetna Medicare |
$110.45
|
| Rate for Payer: Aetna Medicare |
$210.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$103.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.17
|
| Rate for Payer: BCBS Complete |
$168.26
|
| Rate for Payer: BCBS Complete |
$63.92
|
| Rate for Payer: BCBS Complete |
$78.66
|
| Rate for Payer: BCBS Complete |
$88.36
|
| Rate for Payer: BCBS Complete |
$176.72
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$336.52
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$127.84
|
| Rate for Payer: Cash Price |
$176.72
|
| Rate for Payer: Cash Price |
$127.84
|
| Rate for Payer: Cash Price |
$176.72
|
| Rate for Payer: Cash Price |
$336.52
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cofinity Advantage |
$294.45
|
| Rate for Payer: Cofinity Advantage |
$137.66
|
| Rate for Payer: Cofinity Advantage |
$154.63
|
| Rate for Payer: Cofinity Advantage |
$309.26
|
| Rate for Payer: Cofinity Advantage |
$111.86
|
| Rate for Payer: Cofinity Commercial |
$361.76
|
| Rate for Payer: Cofinity Commercial |
$137.43
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Cofinity Commercial |
$189.97
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$336.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$127.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.72
|
| Rate for Payer: Healthscope Commercial |
$198.81
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Healthscope Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$143.82
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$137.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$309.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$154.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$111.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.35
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$315.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$119.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$353.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$157.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$336.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$127.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$135.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$119.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$315.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$147.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$331.35
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$187.76
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Commercial |
$357.55
|
| Rate for Payer: PHP Commercial |
$135.83
|
| Rate for Payer: Priority Health SBD |
$139.17
|
| Rate for Payer: Priority Health SBD |
$100.67
|
| Rate for Payer: Priority Health SBD |
$265.01
|
| Rate for Payer: Priority Health SBD |
$278.33
|
| Rate for Payer: Priority Health SBD |
$123.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UMR Bronson Commercial |
$59.13
|
| Rate for Payer: UMR Bronson Commercial |
$155.64
|
| Rate for Payer: UMR Bronson Commercial |
$81.73
|
| Rate for Payer: UMR Bronson Commercial |
$163.47
|
| Rate for Payer: UMR Bronson Commercial |
$72.76
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$147.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$119.85
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
IP
|
$406.55
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$178.88 |
| Max. Negotiated Rate |
$365.89 |
| Rate for Payer: Aetna American Axle |
$264.26
|
| Rate for Payer: Aetna American Axle |
$193.99
|
| Rate for Payer: Aetna American Axle |
$13.09
|
| Rate for Payer: Aetna American Axle |
$1,458.76
|
| Rate for Payer: Aetna American Axle |
$181.77
|
| Rate for Payer: Aetna American Axle |
$122.20
|
| Rate for Payer: Aetna American Axle |
$294.81
|
| Rate for Payer: Aetna American Axle |
$2,825.88
|
| Rate for Payer: Aetna American Axle |
$2.78
|
| Rate for Payer: Aetna American Axle |
$278.00
|
| Rate for Payer: Aetna Commercial |
$363.55
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Commercial |
$1,907.61
|
| Rate for Payer: Aetna Commercial |
$385.52
|
| Rate for Payer: Aetna Commercial |
$345.57
|
| Rate for Payer: Aetna Commercial |
$3,695.38
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$3.64
|
| Rate for Payer: Aetna Commercial |
$237.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,825.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,458.76
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$223.72
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$1,795.40
|
| Rate for Payer: Cash Price |
$3,478.00
|
| Rate for Payer: Cash Price |
$325.24
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cofinity Advantage |
$131.60
|
| Rate for Payer: Cofinity Advantage |
$14.10
|
| Rate for Payer: Cofinity Advantage |
$195.75
|
| Rate for Payer: Cofinity Advantage |
$1,570.97
|
| Rate for Payer: Cofinity Advantage |
$208.91
|
| Rate for Payer: Cofinity Advantage |
$284.58
|
| Rate for Payer: Cofinity Advantage |
$299.39
|
| Rate for Payer: Cofinity Advantage |
$3.00
|
| Rate for Payer: Cofinity Advantage |
$3,043.25
|
| Rate for Payer: Cofinity Advantage |
$317.49
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Commercial |
$3,738.85
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$349.63
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Cofinity Commercial |
$1,930.06
|
| Rate for Payer: Cofinity Commercial |
$240.50
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,478.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,795.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.24
|
| Rate for Payer: Healthscope Commercial |
$3,912.75
|
| Rate for Payer: Healthscope Commercial |
$268.61
|
| Rate for Payer: Healthscope Commercial |
$365.89
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$251.69
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$2,019.83
|
| Rate for Payer: Healthscope Commercial |
$408.19
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$284.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$317.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$195.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,043.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$299.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,570.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$304.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,260.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,695.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,907.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,260.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$223.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$209.74
|
| Rate for Payer: PHP Commercial |
$385.52
|
| Rate for Payer: PHP Commercial |
$345.57
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$363.55
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$3.64
|
| Rate for Payer: PHP Commercial |
$3,695.38
|
| Rate for Payer: PHP Commercial |
$237.70
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Commercial |
$1,907.61
|
| Rate for Payer: Priority Health SBD |
$269.45
|
| Rate for Payer: Priority Health SBD |
$2,738.93
|
| Rate for Payer: Priority Health SBD |
$285.74
|
| Rate for Payer: Priority Health SBD |
$1,413.88
|
| Rate for Payer: Priority Health SBD |
$2.70
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: Priority Health SBD |
$12.69
|
| Rate for Payer: Priority Health SBD |
$188.02
|
| Rate for Payer: Priority Health SBD |
$256.13
|
| Rate for Payer: Priority Health SBD |
$176.18
|
| Rate for Payer: UMR Bronson Commercial |
$8.86
|
| Rate for Payer: UMR Bronson Commercial |
$199.56
|
| Rate for Payer: UMR Bronson Commercial |
$987.47
|
| Rate for Payer: UMR Bronson Commercial |
$82.72
|
| Rate for Payer: UMR Bronson Commercial |
$131.32
|
| Rate for Payer: UMR Bronson Commercial |
$1,912.90
|
| Rate for Payer: UMR Bronson Commercial |
$123.05
|
| Rate for Payer: UMR Bronson Commercial |
$178.88
|
| Rate for Payer: UMR Bronson Commercial |
$188.19
|
| Rate for Payer: UMR Bronson Commercial |
$1.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$304.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,683.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,260.62
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
OP
|
$406.55
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$365.89 |
| Rate for Payer: Aetna American Axle |
$264.26
|
| Rate for Payer: Aetna American Axle |
$13.09
|
| Rate for Payer: Aetna American Axle |
$181.77
|
| Rate for Payer: Aetna American Axle |
$2,825.88
|
| Rate for Payer: Aetna American Axle |
$294.81
|
| Rate for Payer: Aetna American Axle |
$2.78
|
| Rate for Payer: Aetna American Axle |
$278.00
|
| Rate for Payer: Aetna American Axle |
$193.99
|
| Rate for Payer: Aetna American Axle |
$1,458.76
|
| Rate for Payer: Aetna American Axle |
$122.20
|
| Rate for Payer: Aetna Commercial |
$363.55
|
| Rate for Payer: Aetna Commercial |
$345.57
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$3,695.38
|
| Rate for Payer: Aetna Commercial |
$385.52
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna Commercial |
$237.70
|
| Rate for Payer: Aetna Commercial |
$3.64
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Commercial |
$1,907.61
|
| Rate for Payer: Aetna Medicare |
$226.78
|
| Rate for Payer: Aetna Medicare |
$2.14
|
| Rate for Payer: Aetna Medicare |
$10.07
|
| Rate for Payer: Aetna Medicare |
$94.00
|
| Rate for Payer: Aetna Medicare |
$1,122.12
|
| Rate for Payer: Aetna Medicare |
$149.22
|
| Rate for Payer: Aetna Medicare |
$139.82
|
| Rate for Payer: Aetna Medicare |
$203.28
|
| Rate for Payer: Aetna Medicare |
$213.85
|
| Rate for Payer: Aetna Medicare |
$2,173.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,458.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$278.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,825.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$181.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.78
|
| Rate for Payer: BCBS Complete |
$171.08
|
| Rate for Payer: BCBS Complete |
$119.38
|
| Rate for Payer: BCBS Complete |
$1.71
|
| Rate for Payer: BCBS Complete |
$162.62
|
| Rate for Payer: BCBS Complete |
$897.70
|
| Rate for Payer: BCBS Complete |
$181.42
|
| Rate for Payer: BCBS Complete |
$1,739.00
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: BCBS Complete |
$111.86
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$3,478.00
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$342.16
|
| Rate for Payer: Cash Price |
$325.24
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$223.72
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$1,795.40
|
| Rate for Payer: Cash Price |
$1,795.40
|
| Rate for Payer: Cash Price |
$223.72
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$325.24
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$3.42
|
| Rate for Payer: Cash Price |
$3,478.00
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cofinity Advantage |
$131.60
|
| Rate for Payer: Cofinity Advantage |
$14.10
|
| Rate for Payer: Cofinity Advantage |
$1,570.97
|
| Rate for Payer: Cofinity Advantage |
$3.00
|
| Rate for Payer: Cofinity Advantage |
$317.49
|
| Rate for Payer: Cofinity Advantage |
$299.39
|
| Rate for Payer: Cofinity Advantage |
$284.58
|
| Rate for Payer: Cofinity Advantage |
$3,043.25
|
| Rate for Payer: Cofinity Advantage |
$195.75
|
| Rate for Payer: Cofinity Advantage |
$208.91
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$1,930.06
|
| Rate for Payer: Cofinity Commercial |
$240.50
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$349.63
|
| Rate for Payer: Cofinity Commercial |
$367.82
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Cofinity Commercial |
$3,738.85
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$150.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,795.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,478.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$223.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Healthscope Commercial |
$2,019.83
|
| Rate for Payer: Healthscope Commercial |
$384.93
|
| Rate for Payer: Healthscope Commercial |
$268.61
|
| Rate for Payer: Healthscope Commercial |
$408.19
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$251.69
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$365.89
|
| Rate for Payer: Healthscope Commercial |
$3,912.75
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$284.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,043.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$299.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$317.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$195.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,570.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,260.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$304.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$209.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,795.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$238.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$223.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,478.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$362.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$325.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$150.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$237.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,907.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,695.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$340.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3,260.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$304.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,683.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$209.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$223.84
|
| Rate for Payer: PHP Commercial |
$237.70
|
| Rate for Payer: PHP Commercial |
$385.52
|
| Rate for Payer: PHP Commercial |
$3,695.38
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$3.64
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Commercial |
$345.57
|
| Rate for Payer: PHP Commercial |
$363.55
|
| Rate for Payer: PHP Commercial |
$1,907.61
|
| Rate for Payer: Priority Health SBD |
$256.13
|
| Rate for Payer: Priority Health SBD |
$1,413.88
|
| Rate for Payer: Priority Health SBD |
$176.18
|
| Rate for Payer: Priority Health SBD |
$2.70
|
| Rate for Payer: Priority Health SBD |
$269.45
|
| Rate for Payer: Priority Health SBD |
$285.74
|
| Rate for Payer: Priority Health SBD |
$2,738.93
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: Priority Health SBD |
$12.69
|
| Rate for Payer: Priority Health SBD |
$188.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UMR Bronson Commercial |
$69.56
|
| Rate for Payer: UMR Bronson Commercial |
$110.43
|
| Rate for Payer: UMR Bronson Commercial |
$158.25
|
| Rate for Payer: UMR Bronson Commercial |
$1.58
|
| Rate for Payer: UMR Bronson Commercial |
$7.45
|
| Rate for Payer: UMR Bronson Commercial |
$103.47
|
| Rate for Payer: UMR Bronson Commercial |
$830.37
|
| Rate for Payer: UMR Bronson Commercial |
$167.81
|
| Rate for Payer: UMR Bronson Commercial |
$150.42
|
| Rate for Payer: UMR Bronson Commercial |
$1,608.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$304.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,260.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,683.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$209.74
|
|
|
PREDNISONE 2.5 MG TABLET
|
Facility
|
OP
|
$274.95
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6495
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$247.46 |
| Rate for Payer: Aetna American Axle |
$178.72
|
| Rate for Payer: Aetna American Axle |
$120.67
|
| Rate for Payer: Aetna American Axle |
$206.21
|
| Rate for Payer: Aetna Commercial |
$233.71
|
| Rate for Payer: Aetna Commercial |
$269.66
|
| Rate for Payer: Aetna Commercial |
$157.80
|
| Rate for Payer: Aetna Medicare |
$137.47
|
| Rate for Payer: Aetna Medicare |
$92.83
|
| Rate for Payer: Aetna Medicare |
$158.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$178.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.21
|
| Rate for Payer: BCBS Complete |
$74.26
|
| Rate for Payer: BCBS Complete |
$109.98
|
| Rate for Payer: BCBS Complete |
$126.90
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$148.52
|
| Rate for Payer: Cash Price |
$148.52
|
| Rate for Payer: Cash Price |
$253.80
|
| Rate for Payer: Cash Price |
$253.80
|
| Rate for Payer: Cash Price |
$219.96
|
| Rate for Payer: Cash Price |
$219.96
|
| Rate for Payer: Cofinity Advantage |
$222.07
|
| Rate for Payer: Cofinity Advantage |
$192.47
|
| Rate for Payer: Cofinity Advantage |
$129.96
|
| Rate for Payer: Cofinity Commercial |
$159.66
|
| Rate for Payer: Cofinity Commercial |
$236.46
|
| Rate for Payer: Cofinity Commercial |
$272.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.96
|
| Rate for Payer: Healthscope Commercial |
$167.09
|
| Rate for Payer: Healthscope Commercial |
$247.46
|
| Rate for Payer: Healthscope Commercial |
$285.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$129.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$222.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$192.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$206.21
|
| Rate for Payer: MI Amish Medical Board Commercial |
$219.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$148.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$253.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$233.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$206.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.94
|
| Rate for Payer: PHP Commercial |
$233.71
|
| Rate for Payer: PHP Commercial |
$157.80
|
| Rate for Payer: PHP Commercial |
$269.66
|
| Rate for Payer: Priority Health SBD |
$116.96
|
| Rate for Payer: Priority Health SBD |
$199.87
|
| Rate for Payer: Priority Health SBD |
$173.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UMR Bronson Commercial |
$117.38
|
| Rate for Payer: UMR Bronson Commercial |
$68.69
|
| Rate for Payer: UMR Bronson Commercial |
$101.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$206.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.94
|
|
|
PREDNISONE 2.5 MG TABLET
|
Facility
|
IP
|
$185.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6495
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$81.69 |
| Max. Negotiated Rate |
$167.09 |
| Rate for Payer: Aetna American Axle |
$120.67
|
| Rate for Payer: Aetna American Axle |
$206.21
|
| Rate for Payer: Aetna American Axle |
$178.72
|
| Rate for Payer: Aetna Commercial |
$233.71
|
| Rate for Payer: Aetna Commercial |
$157.80
|
| Rate for Payer: Aetna Commercial |
$269.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$178.72
|
| Rate for Payer: Cash Price |
$219.96
|
| Rate for Payer: Cash Price |
$148.52
|
| Rate for Payer: Cash Price |
$253.80
|
| Rate for Payer: Cofinity Advantage |
$222.07
|
| Rate for Payer: Cofinity Advantage |
$129.96
|
| Rate for Payer: Cofinity Advantage |
$192.47
|
| Rate for Payer: Cofinity Commercial |
$272.83
|
| Rate for Payer: Cofinity Commercial |
$159.66
|
| Rate for Payer: Cofinity Commercial |
$236.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$219.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.80
|
| Rate for Payer: Healthscope Commercial |
$247.46
|
| Rate for Payer: Healthscope Commercial |
$285.52
|
| Rate for Payer: Healthscope Commercial |
$167.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$192.47
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$129.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$222.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$206.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$233.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$139.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$206.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$237.94
|
| Rate for Payer: PHP Commercial |
$233.71
|
| Rate for Payer: PHP Commercial |
$157.80
|
| Rate for Payer: PHP Commercial |
$269.66
|
| Rate for Payer: Priority Health SBD |
$116.96
|
| Rate for Payer: Priority Health SBD |
$173.22
|
| Rate for Payer: Priority Health SBD |
$199.87
|
| Rate for Payer: UMR Bronson Commercial |
$81.69
|
| Rate for Payer: UMR Bronson Commercial |
$139.59
|
| Rate for Payer: UMR Bronson Commercial |
$120.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$206.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.94
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
OP
|
$214.70
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$193.23 |
| Rate for Payer: Aetna American Axle |
$139.56
|
| Rate for Payer: Aetna American Axle |
$187.10
|
| Rate for Payer: Aetna American Axle |
$172.90
|
| Rate for Payer: Aetna American Axle |
$170.43
|
| Rate for Payer: Aetna American Axle |
$192.66
|
| Rate for Payer: Aetna Commercial |
$182.50
|
| Rate for Payer: Aetna Commercial |
$222.87
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$244.67
|
| Rate for Payer: Aetna Commercial |
$226.10
|
| Rate for Payer: Aetna Medicare |
$148.20
|
| Rate for Payer: Aetna Medicare |
$131.10
|
| Rate for Payer: Aetna Medicare |
$107.35
|
| Rate for Payer: Aetna Medicare |
$133.00
|
| Rate for Payer: Aetna Medicare |
$143.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.66
|
| Rate for Payer: BCBS Complete |
$115.14
|
| Rate for Payer: BCBS Complete |
$85.88
|
| Rate for Payer: BCBS Complete |
$104.88
|
| Rate for Payer: BCBS Complete |
$106.40
|
| Rate for Payer: BCBS Complete |
$118.56
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$209.76
|
| Rate for Payer: Cash Price |
$171.76
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$171.76
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$209.76
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cofinity Advantage |
$201.50
|
| Rate for Payer: Cofinity Advantage |
$183.54
|
| Rate for Payer: Cofinity Advantage |
$186.20
|
| Rate for Payer: Cofinity Advantage |
$207.48
|
| Rate for Payer: Cofinity Advantage |
$150.29
|
| Rate for Payer: Cofinity Commercial |
$247.55
|
| Rate for Payer: Cofinity Commercial |
$184.64
|
| Rate for Payer: Cofinity Commercial |
$225.49
|
| Rate for Payer: Cofinity Commercial |
$228.76
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.80
|
| Rate for Payer: Healthscope Commercial |
$239.40
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Healthscope Commercial |
$259.06
|
| Rate for Payer: Healthscope Commercial |
$193.23
|
| Rate for Payer: Healthscope Commercial |
$235.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$183.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$207.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$186.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$201.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$150.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$161.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$237.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$209.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$230.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$212.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$171.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$161.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$196.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.30
|
| Rate for Payer: PHP Commercial |
$222.87
|
| Rate for Payer: PHP Commercial |
$226.10
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$244.67
|
| Rate for Payer: PHP Commercial |
$182.50
|
| Rate for Payer: Priority Health SBD |
$167.58
|
| Rate for Payer: Priority Health SBD |
$135.26
|
| Rate for Payer: Priority Health SBD |
$181.35
|
| Rate for Payer: Priority Health SBD |
$186.73
|
| Rate for Payer: Priority Health SBD |
$165.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UMR Bronson Commercial |
$79.44
|
| Rate for Payer: UMR Bronson Commercial |
$106.50
|
| Rate for Payer: UMR Bronson Commercial |
$98.42
|
| Rate for Payer: UMR Bronson Commercial |
$109.67
|
| Rate for Payer: UMR Bronson Commercial |
$97.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$161.03
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
IP
|
$287.85
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$126.65 |
| Max. Negotiated Rate |
$259.06 |
| Rate for Payer: Aetna American Axle |
$187.10
|
| Rate for Payer: Aetna American Axle |
$172.90
|
| Rate for Payer: Aetna American Axle |
$192.66
|
| Rate for Payer: Aetna American Axle |
$170.43
|
| Rate for Payer: Aetna American Axle |
$139.56
|
| Rate for Payer: Aetna Commercial |
$182.50
|
| Rate for Payer: Aetna Commercial |
$226.10
|
| Rate for Payer: Aetna Commercial |
$244.67
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$222.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$170.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$139.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.66
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$209.76
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$171.76
|
| Rate for Payer: Cofinity Advantage |
$150.29
|
| Rate for Payer: Cofinity Advantage |
$207.48
|
| Rate for Payer: Cofinity Advantage |
$183.54
|
| Rate for Payer: Cofinity Advantage |
$201.50
|
| Rate for Payer: Cofinity Advantage |
$186.20
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Commercial |
$184.64
|
| Rate for Payer: Cofinity Commercial |
$225.49
|
| Rate for Payer: Cofinity Commercial |
$228.76
|
| Rate for Payer: Cofinity Commercial |
$247.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$171.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Healthscope Commercial |
$193.23
|
| Rate for Payer: Healthscope Commercial |
$235.98
|
| Rate for Payer: Healthscope Commercial |
$239.40
|
| Rate for Payer: Healthscope Commercial |
$259.06
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$183.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$207.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$150.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$186.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$201.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$161.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$196.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$182.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$222.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$161.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$199.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$196.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$222.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$215.89
|
| Rate for Payer: PHP Commercial |
$226.10
|
| Rate for Payer: PHP Commercial |
$182.50
|
| Rate for Payer: PHP Commercial |
$244.67
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$222.87
|
| Rate for Payer: Priority Health SBD |
$181.35
|
| Rate for Payer: Priority Health SBD |
$186.73
|
| Rate for Payer: Priority Health SBD |
$165.19
|
| Rate for Payer: Priority Health SBD |
$135.26
|
| Rate for Payer: Priority Health SBD |
$167.58
|
| Rate for Payer: UMR Bronson Commercial |
$115.37
|
| Rate for Payer: UMR Bronson Commercial |
$130.42
|
| Rate for Payer: UMR Bronson Commercial |
$117.04
|
| Rate for Payer: UMR Bronson Commercial |
$94.47
|
| Rate for Payer: UMR Bronson Commercial |
$126.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$161.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$196.65
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
IP
|
$357.20
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$157.17 |
| Max. Negotiated Rate |
$321.48 |
| Rate for Payer: Aetna American Axle |
$232.18
|
| Rate for Payer: Aetna American Axle |
$2.39
|
| Rate for Payer: Aetna American Axle |
$256.62
|
| Rate for Payer: Aetna American Axle |
$88.59
|
| Rate for Payer: Aetna American Axle |
$203.16
|
| Rate for Payer: Aetna American Axle |
$102.34
|
| Rate for Payer: Aetna American Axle |
$28.26
|
| Rate for Payer: Aetna American Axle |
$238.29
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: Aetna Commercial |
$335.58
|
| Rate for Payer: Aetna Commercial |
$303.62
|
| Rate for Payer: Aetna Commercial |
$115.86
|
| Rate for Payer: Aetna Commercial |
$133.83
|
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Commercial |
$265.67
|
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.39
|
| Rate for Payer: Cash Price |
$125.96
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$285.76
|
| Rate for Payer: Cash Price |
$109.04
|
| Rate for Payer: Cash Price |
$250.04
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$315.84
|
| Rate for Payer: Cofinity Advantage |
$30.44
|
| Rate for Payer: Cofinity Advantage |
$110.22
|
| Rate for Payer: Cofinity Advantage |
$250.04
|
| Rate for Payer: Cofinity Advantage |
$218.78
|
| Rate for Payer: Cofinity Advantage |
$95.41
|
| Rate for Payer: Cofinity Advantage |
$2.57
|
| Rate for Payer: Cofinity Advantage |
$276.36
|
| Rate for Payer: Cofinity Advantage |
$256.62
|
| Rate for Payer: Cofinity Commercial |
$135.41
|
| Rate for Payer: Cofinity Commercial |
$117.22
|
| Rate for Payer: Cofinity Commercial |
$268.79
|
| Rate for Payer: Cofinity Commercial |
$307.19
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Cofinity Commercial |
$339.53
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.04
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: Healthscope Commercial |
$321.48
|
| Rate for Payer: Healthscope Commercial |
$122.67
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Healthscope Commercial |
$355.32
|
| Rate for Payer: Healthscope Commercial |
$281.30
|
| Rate for Payer: Healthscope Commercial |
$141.71
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$250.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$95.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$110.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$276.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$267.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$335.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$296.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: PHP Commercial |
$303.62
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$265.67
|
| Rate for Payer: PHP Commercial |
$133.83
|
| Rate for Payer: PHP Commercial |
$115.86
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: PHP Commercial |
$335.58
|
| Rate for Payer: Priority Health SBD |
$2.31
|
| Rate for Payer: Priority Health SBD |
$248.72
|
| Rate for Payer: Priority Health SBD |
$27.39
|
| Rate for Payer: Priority Health SBD |
$99.19
|
| Rate for Payer: Priority Health SBD |
$85.87
|
| Rate for Payer: Priority Health SBD |
$196.91
|
| Rate for Payer: Priority Health SBD |
$225.04
|
| Rate for Payer: Priority Health SBD |
$230.96
|
| Rate for Payer: UMR Bronson Commercial |
$59.97
|
| Rate for Payer: UMR Bronson Commercial |
$161.30
|
| Rate for Payer: UMR Bronson Commercial |
$137.52
|
| Rate for Payer: UMR Bronson Commercial |
$19.13
|
| Rate for Payer: UMR Bronson Commercial |
$173.71
|
| Rate for Payer: UMR Bronson Commercial |
$157.17
|
| Rate for Payer: UMR Bronson Commercial |
$69.28
|
| Rate for Payer: UMR Bronson Commercial |
$1.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$267.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.10
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
OP
|
$394.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$355.32 |
| Rate for Payer: Aetna American Axle |
$256.62
|
| Rate for Payer: Aetna American Axle |
$2.39
|
| Rate for Payer: Aetna American Axle |
$203.16
|
| Rate for Payer: Aetna American Axle |
$232.18
|
| Rate for Payer: Aetna American Axle |
$238.29
|
| Rate for Payer: Aetna American Axle |
$88.59
|
| Rate for Payer: Aetna American Axle |
$102.34
|
| Rate for Payer: Aetna American Axle |
$28.26
|
| Rate for Payer: Aetna Commercial |
$265.67
|
| Rate for Payer: Aetna Commercial |
$115.86
|
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna Commercial |
$303.62
|
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Commercial |
$335.58
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: Aetna Commercial |
$133.83
|
| Rate for Payer: Aetna Medicare |
$156.28
|
| Rate for Payer: Aetna Medicare |
$78.72
|
| Rate for Payer: Aetna Medicare |
$197.40
|
| Rate for Payer: Aetna Medicare |
$68.15
|
| Rate for Payer: Aetna Medicare |
$183.30
|
| Rate for Payer: Aetna Medicare |
$178.60
|
| Rate for Payer: Aetna Medicare |
$21.74
|
| Rate for Payer: Aetna Medicare |
$1.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$102.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$203.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$256.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.29
|
| Rate for Payer: BCBS Complete |
$17.39
|
| Rate for Payer: BCBS Complete |
$1.47
|
| Rate for Payer: BCBS Complete |
$142.88
|
| Rate for Payer: BCBS Complete |
$54.52
|
| Rate for Payer: BCBS Complete |
$125.02
|
| Rate for Payer: BCBS Complete |
$62.98
|
| Rate for Payer: BCBS Complete |
$157.92
|
| Rate for Payer: BCBS Complete |
$146.64
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$125.96
|
| Rate for Payer: Cash Price |
$109.04
|
| Rate for Payer: Cash Price |
$109.04
|
| Rate for Payer: Cash Price |
$250.04
|
| Rate for Payer: Cash Price |
$250.04
|
| Rate for Payer: Cash Price |
$125.96
|
| Rate for Payer: Cash Price |
$285.76
|
| Rate for Payer: Cash Price |
$285.76
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$315.84
|
| Rate for Payer: Cash Price |
$315.84
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cofinity Advantage |
$2.57
|
| Rate for Payer: Cofinity Advantage |
$30.44
|
| Rate for Payer: Cofinity Advantage |
$218.78
|
| Rate for Payer: Cofinity Advantage |
$256.62
|
| Rate for Payer: Cofinity Advantage |
$276.36
|
| Rate for Payer: Cofinity Advantage |
$250.04
|
| Rate for Payer: Cofinity Advantage |
$95.41
|
| Rate for Payer: Cofinity Advantage |
$110.22
|
| Rate for Payer: Cofinity Commercial |
$307.19
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Cofinity Commercial |
$117.22
|
| Rate for Payer: Cofinity Commercial |
$135.41
|
| Rate for Payer: Cofinity Commercial |
$268.79
|
| Rate for Payer: Cofinity Commercial |
$339.53
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$250.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$125.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$315.84
|
| Rate for Payer: Healthscope Commercial |
$122.67
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Healthscope Commercial |
$281.30
|
| Rate for Payer: Healthscope Commercial |
$321.48
|
| Rate for Payer: Healthscope Commercial |
$355.32
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$141.71
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$276.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$218.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$95.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$110.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$250.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$296.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$118.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$267.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$234.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$293.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$285.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$315.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$125.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$34.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$250.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$335.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$133.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$265.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$274.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$267.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$118.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$32.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$296.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$234.41
|
| Rate for Payer: PHP Commercial |
$115.86
|
| Rate for Payer: PHP Commercial |
$303.62
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: PHP Commercial |
$265.67
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$335.58
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$133.83
|
| Rate for Payer: Priority Health SBD |
$99.19
|
| Rate for Payer: Priority Health SBD |
$27.39
|
| Rate for Payer: Priority Health SBD |
$85.87
|
| Rate for Payer: Priority Health SBD |
$2.31
|
| Rate for Payer: Priority Health SBD |
$248.72
|
| Rate for Payer: Priority Health SBD |
$196.91
|
| Rate for Payer: Priority Health SBD |
$225.04
|
| Rate for Payer: Priority Health SBD |
$230.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Core |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UHC Exchange |
$0.02
|
| Rate for Payer: UMR Bronson Commercial |
$146.08
|
| Rate for Payer: UMR Bronson Commercial |
$16.09
|
| Rate for Payer: UMR Bronson Commercial |
$135.64
|
| Rate for Payer: UMR Bronson Commercial |
$115.64
|
| Rate for Payer: UMR Bronson Commercial |
$1.36
|
| Rate for Payer: UMR Bronson Commercial |
$50.43
|
| Rate for Payer: UMR Bronson Commercial |
$58.26
|
| Rate for Payer: UMR Bronson Commercial |
$132.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$234.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$267.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$118.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$296.10
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 2-4 PTS
|
Professional
|
Both
|
$24.00
|
|
|
Service Code
|
HCPCS 98961
|
| Min. Negotiated Rate |
$9.60 |
| Max. Negotiated Rate |
$20.67 |
| Rate for Payer: Aetna Commercial |
$13.91
|
| Rate for Payer: Aetna Medicare |
$12.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.91
|
| Rate for Payer: BCBS Complete |
$9.60
|
| Rate for Payer: BCN Commercial |
$14.34
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Cash Price |
$19.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Narrow Network |
$20.67
|
| Rate for Payer: Priority Health SBD |
$20.67
|
| Rate for Payer: Priority Health Tiered Network |
$20.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$19.72
|
| Rate for Payer: UHC Core |
$19.72
|
| Rate for Payer: UHC Exchange |
$19.72
|
| Rate for Payer: UMR Bronson Commercial |
$11.04
|
|
