|
PR ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN
|
Professional
|
Both
|
$724.00
|
|
|
Service Code
|
HCPCS 33953
|
| Min. Negotiated Rate |
$289.60 |
| Max. Negotiated Rate |
$649.83 |
| Rate for Payer: Aetna Commercial |
$604.70
|
| Rate for Payer: Aetna Medicare |
$469.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$649.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$604.70
|
| Rate for Payer: BCBS Complete |
$289.60
|
| Rate for Payer: BCBS MAPPO |
$451.27
|
| Rate for Payer: BCN Medicare Advantage |
$451.27
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cash Price |
$579.20
|
| Rate for Payer: Cofinity Commercial |
$649.83
|
| Rate for Payer: Cofinity Commercial |
$604.70
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$451.27
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$473.83
|
| Rate for Payer: Nomi Health Commercial |
$541.52
|
| Rate for Payer: PACE SWMI |
$451.27
|
| Rate for Payer: PHP Commercial |
$631.78
|
| Rate for Payer: PHP Medicare Advantage |
$451.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$470.60
|
| Rate for Payer: Priority Health Medicare |
$451.27
|
| Rate for Payer: UHC Dual Complete DSNP |
$451.27
|
| Rate for Payer: UHC Medicare Advantage |
$451.27
|
| Rate for Payer: UMR Bronson Commercial |
$333.04
|
|
|
PR ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER
|
Professional
|
Both
|
$1,100.00
|
|
|
Service Code
|
HCPCS 33986
|
| Min. Negotiated Rate |
$440.00 |
| Max. Negotiated Rate |
$724.16 |
| Rate for Payer: Aetna Commercial |
$673.87
|
| Rate for Payer: Aetna Medicare |
$523.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$724.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$673.87
|
| Rate for Payer: BCBS Complete |
$440.00
|
| Rate for Payer: BCBS MAPPO |
$502.89
|
| Rate for Payer: BCN Medicare Advantage |
$502.89
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cash Price |
$880.00
|
| Rate for Payer: Cofinity Commercial |
$724.16
|
| Rate for Payer: Cofinity Commercial |
$673.87
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$502.89
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$528.03
|
| Rate for Payer: Nomi Health Commercial |
$603.47
|
| Rate for Payer: PACE SWMI |
$502.89
|
| Rate for Payer: PHP Commercial |
$704.05
|
| Rate for Payer: PHP Medicare Advantage |
$502.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$715.00
|
| Rate for Payer: Priority Health Medicare |
$502.89
|
| Rate for Payer: UHC Dual Complete DSNP |
$502.89
|
| Rate for Payer: UHC Medicare Advantage |
$502.89
|
| Rate for Payer: UMR Bronson Commercial |
$506.00
|
|
|
PR ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS
|
Professional
|
Both
|
$230.00
|
|
|
Service Code
|
HCPCS 95836
|
| Min. Negotiated Rate |
$92.00 |
| Max. Negotiated Rate |
$149.50 |
| Rate for Payer: Aetna Commercial |
$133.84
|
| Rate for Payer: Aetna Medicare |
$103.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.84
|
| Rate for Payer: BCBS Complete |
$92.00
|
| Rate for Payer: BCBS MAPPO |
$99.88
|
| Rate for Payer: BCN Medicare Advantage |
$99.88
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cash Price |
$184.00
|
| Rate for Payer: Cofinity Commercial |
$143.83
|
| Rate for Payer: Cofinity Commercial |
$133.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$99.88
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$104.87
|
| Rate for Payer: Nomi Health Commercial |
$119.86
|
| Rate for Payer: PACE SWMI |
$99.88
|
| Rate for Payer: PHP Commercial |
$139.83
|
| Rate for Payer: PHP Medicare Advantage |
$99.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$149.50
|
| Rate for Payer: Priority Health Medicare |
$99.88
|
| Rate for Payer: UHC Dual Complete DSNP |
$99.88
|
| Rate for Payer: UHC Medicare Advantage |
$99.88
|
| Rate for Payer: UMR Bronson Commercial |
$105.80
|
|
|
PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM
|
Professional
|
Both
|
$998.00
|
|
|
Service Code
|
HCPCS 43259
|
| Min. Negotiated Rate |
$212.84 |
| Max. Negotiated Rate |
$648.70 |
| Rate for Payer: Aetna Commercial |
$285.21
|
| Rate for Payer: Aetna Medicare |
$221.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$306.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$285.21
|
| Rate for Payer: BCBS Complete |
$399.20
|
| Rate for Payer: BCBS MAPPO |
$212.84
|
| Rate for Payer: BCN Medicare Advantage |
$212.84
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cash Price |
$798.40
|
| Rate for Payer: Cofinity Commercial |
$306.49
|
| Rate for Payer: Cofinity Commercial |
$285.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$212.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$223.48
|
| Rate for Payer: Nomi Health Commercial |
$255.41
|
| Rate for Payer: PACE SWMI |
$212.84
|
| Rate for Payer: PHP Commercial |
$297.98
|
| Rate for Payer: PHP Medicare Advantage |
$212.84
|
| Rate for Payer: Priority Health Cigna Priority Health |
$648.70
|
| Rate for Payer: Priority Health Medicare |
$212.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$212.84
|
| Rate for Payer: UHC Medicare Advantage |
$212.84
|
| Rate for Payer: UMR Bronson Commercial |
$459.08
|
|
|
PREDNISOLONE 15 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$473.76
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
11117
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$208.45 |
| Max. Negotiated Rate |
$426.38 |
| Rate for Payer: Aetna American Axle |
$307.94
|
| Rate for Payer: Aetna Commercial |
$402.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.94
|
| Rate for Payer: Cash Price |
$379.01
|
| Rate for Payer: Cofinity Commercial |
$331.63
|
| Rate for Payer: Cofinity Commercial |
$407.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$331.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$379.01
|
| Rate for Payer: Healthscope Commercial |
$426.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$331.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$355.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.70
|
| Rate for Payer: PHP Commercial |
$402.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$307.94
|
| Rate for Payer: Priority Health SBD |
$298.47
|
| Rate for Payer: UMR Bronson Commercial |
$208.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$355.32
|
|
|
PREDNISOLONE 15 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$473.76
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
11117
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$175.29 |
| Max. Negotiated Rate |
$426.38 |
| Rate for Payer: Aetna American Axle |
$307.94
|
| Rate for Payer: Aetna Commercial |
$402.70
|
| Rate for Payer: Aetna Medicare |
$236.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$307.94
|
| Rate for Payer: BCBS Complete |
$189.50
|
| Rate for Payer: Cash Price |
$379.01
|
| Rate for Payer: Cofinity Commercial |
$331.63
|
| Rate for Payer: Cofinity Commercial |
$407.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$331.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$379.01
|
| Rate for Payer: Healthscope Commercial |
$426.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$331.63
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$355.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$402.70
|
| Rate for Payer: PHP Commercial |
$402.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$307.94
|
| Rate for Payer: Priority Health SBD |
$298.47
|
| Rate for Payer: UMR Bronson Commercial |
$175.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$355.32
|
|
|
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 Commercial |
$100.25
|
| Rate for Payer: Cofinity Commercial |
$123.17
|
| Rate for Payer: Cofinity Medicare Advantage |
$100.25
|
| 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: PHP Commercial |
$121.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.09
|
| 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
|
$103.01
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$38.11 |
| Max. Negotiated Rate |
$92.71 |
| Rate for Payer: Aetna American Axle |
$66.96
|
| Rate for Payer: Aetna Commercial |
$87.56
|
| Rate for Payer: Aetna Medicare |
$51.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.96
|
| Rate for Payer: BCBS Complete |
$41.20
|
| Rate for Payer: Cash Price |
$82.41
|
| Rate for Payer: Cofinity Commercial |
$72.11
|
| Rate for Payer: Cofinity Commercial |
$88.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$72.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.41
|
| Rate for Payer: Healthscope Commercial |
$92.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.56
|
| Rate for Payer: PHP Commercial |
$87.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.96
|
| Rate for Payer: Priority Health SBD |
$64.90
|
| Rate for Payer: UMR Bronson Commercial |
$38.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.26
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$173.25
|
|
|
Service Code
|
NDC 61314063710
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$76.23 |
| Max. Negotiated Rate |
$155.93 |
| Rate for Payer: Aetna American Axle |
$112.61
|
| Rate for Payer: Aetna Commercial |
$147.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.61
|
| Rate for Payer: Cash Price |
$138.60
|
| Rate for Payer: Cofinity Commercial |
$121.28
|
| Rate for Payer: Cofinity Commercial |
$149.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$121.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.60
|
| Rate for Payer: Healthscope Commercial |
$155.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$129.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.26
|
| Rate for Payer: PHP Commercial |
$147.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.61
|
| Rate for Payer: Priority Health SBD |
$109.15
|
| Rate for Payer: UMR Bronson Commercial |
$76.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$129.94
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$103.01
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$45.32 |
| Max. Negotiated Rate |
$92.71 |
| Rate for Payer: Aetna American Axle |
$66.96
|
| Rate for Payer: Aetna Commercial |
$87.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$66.96
|
| Rate for Payer: Cash Price |
$82.41
|
| Rate for Payer: Cofinity Commercial |
$72.11
|
| Rate for Payer: Cofinity Commercial |
$88.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$72.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.41
|
| Rate for Payer: Healthscope Commercial |
$92.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.56
|
| Rate for Payer: PHP Commercial |
$87.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.96
|
| Rate for Payer: Priority Health SBD |
$64.90
|
| Rate for Payer: UMR Bronson Commercial |
$45.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.26
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$173.25
|
|
|
Service Code
|
NDC 61314063710
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$64.10 |
| Max. Negotiated Rate |
$155.93 |
| Rate for Payer: Aetna American Axle |
$112.61
|
| Rate for Payer: Aetna Commercial |
$147.26
|
| Rate for Payer: Aetna Medicare |
$86.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$112.61
|
| Rate for Payer: BCBS Complete |
$69.30
|
| Rate for Payer: Cash Price |
$138.60
|
| Rate for Payer: Cofinity Commercial |
$121.28
|
| Rate for Payer: Cofinity Commercial |
$149.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$121.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.60
|
| Rate for Payer: Healthscope Commercial |
$155.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$129.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.26
|
| Rate for Payer: PHP Commercial |
$147.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.61
|
| Rate for Payer: Priority Health SBD |
$109.15
|
| Rate for Payer: UMR Bronson Commercial |
$64.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$129.94
|
|
|
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 Commercial |
$100.25
|
| Rate for Payer: Cofinity Commercial |
$123.17
|
| Rate for Payer: Cofinity Medicare Advantage |
$100.25
|
| 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: PHP Commercial |
$121.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.09
|
| Rate for Payer: Priority Health SBD |
$90.23
|
| 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
|
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 Commercial |
$592.10
|
| Rate for Payer: Cofinity Commercial |
$727.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$592.10
|
| 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: PHP Commercial |
$718.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$549.80
|
| Rate for Payer: Priority Health SBD |
$532.89
|
| 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
|
$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 Commercial |
$592.10
|
| Rate for Payer: Cofinity Commercial |
$727.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$592.10
|
| 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: PHP Commercial |
$718.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$549.80
|
| 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 Commercial |
$296.60
|
| Rate for Payer: Cofinity Commercial |
$364.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$296.60
|
| 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: PHP Commercial |
$360.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.41
|
| 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 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 Commercial |
$296.60
|
| Rate for Payer: Cofinity Commercial |
$364.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$296.60
|
| 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: PHP Commercial |
$360.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$275.41
|
| Rate for Payer: Priority Health SBD |
$266.94
|
| Rate for Payer: UMR Bronson Commercial |
$156.77
|
| 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
|
$6.11
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.26 |
| Max. Negotiated Rate |
$5.50 |
| Rate for Payer: Aetna American Axle |
$3.97
|
| Rate for Payer: Aetna American Axle |
$524.93
|
| Rate for Payer: Aetna American Axle |
$590.09
|
| Rate for Payer: Aetna American Axle |
$12.45
|
| Rate for Payer: Aetna American Axle |
$5.19
|
| Rate for Payer: Aetna Commercial |
$16.29
|
| Rate for Payer: Aetna Commercial |
$771.66
|
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna Commercial |
$686.44
|
| Rate for Payer: Aetna Commercial |
$5.19
|
| Rate for Payer: Aetna Medicare |
$403.79
|
| Rate for Payer: Aetna Medicare |
$3.06
|
| Rate for Payer: Aetna Medicare |
$453.92
|
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: Aetna Medicare |
$9.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.93
|
| Rate for Payer: BCBS Complete |
$363.13
|
| Rate for Payer: BCBS Complete |
$7.66
|
| Rate for Payer: BCBS Complete |
$323.03
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCBS Complete |
$2.44
|
| Rate for Payer: Cash Price |
$726.26
|
| Rate for Payer: Cash Price |
$15.33
|
| Rate for Payer: Cash Price |
$4.89
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cofinity Commercial |
$635.48
|
| Rate for Payer: Cofinity Commercial |
$5.25
|
| Rate for Payer: Cofinity Commercial |
$694.52
|
| Rate for Payer: Cofinity Commercial |
$13.41
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Cofinity Commercial |
$5.59
|
| Rate for Payer: Cofinity Commercial |
$565.31
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$4.28
|
| Rate for Payer: Cofinity Commercial |
$780.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$565.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$4.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$635.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$726.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$646.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Healthscope Commercial |
$17.24
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$817.05
|
| Rate for Payer: Healthscope Commercial |
$726.82
|
| Rate for Payer: Healthscope Commercial |
$5.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$565.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$635.48
|
| 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 |
$4.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$605.68
|
| 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 |
$16.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$686.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$771.66
|
| Rate for Payer: PHP Commercial |
$686.44
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Commercial |
$16.29
|
| Rate for Payer: PHP Commercial |
$5.19
|
| Rate for Payer: PHP Commercial |
$771.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$590.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$524.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.97
|
| 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: Priority Health SBD |
$508.78
|
| Rate for Payer: Priority Health SBD |
$571.93
|
| Rate for Payer: UMR Bronson Commercial |
$335.90
|
| Rate for Payer: UMR Bronson Commercial |
$298.80
|
| Rate for Payer: UMR Bronson Commercial |
$2.26
|
| Rate for Payer: UMR Bronson Commercial |
$7.09
|
| Rate for Payer: UMR Bronson Commercial |
$2.96
|
| 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 |
$605.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$807.58
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$355.34 |
| Max. Negotiated Rate |
$726.82 |
| Rate for Payer: Aetna American Axle |
$524.93
|
| Rate for Payer: Aetna American Axle |
$12.45
|
| Rate for Payer: Aetna American Axle |
$3.97
|
| Rate for Payer: Aetna American Axle |
$590.09
|
| Rate for Payer: Aetna American Axle |
$5.19
|
| Rate for Payer: Aetna Commercial |
$686.44
|
| Rate for Payer: Aetna Commercial |
$5.19
|
| Rate for Payer: Aetna Commercial |
$16.29
|
| Rate for Payer: Aetna Commercial |
$771.66
|
| Rate for Payer: Aetna Commercial |
$6.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$590.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.97
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cash Price |
$726.26
|
| Rate for Payer: Cash Price |
$4.89
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$15.33
|
| Rate for Payer: Cofinity Commercial |
$635.48
|
| Rate for Payer: Cofinity Commercial |
$13.41
|
| Rate for Payer: Cofinity Commercial |
$694.52
|
| Rate for Payer: Cofinity Commercial |
$565.31
|
| Rate for Payer: Cofinity Commercial |
$5.59
|
| Rate for Payer: Cofinity Commercial |
$4.28
|
| Rate for Payer: Cofinity Commercial |
$5.25
|
| Rate for Payer: Cofinity Commercial |
$6.87
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Commercial |
$780.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$565.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$4.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$635.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$646.06
|
| 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 |
$726.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| Rate for Payer: Healthscope Commercial |
$5.50
|
| Rate for Payer: Healthscope Commercial |
$726.82
|
| Rate for Payer: Healthscope Commercial |
$7.19
|
| Rate for Payer: Healthscope Commercial |
$817.05
|
| Rate for Payer: Healthscope Commercial |
$17.24
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$565.31
|
| 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 |
$4.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$635.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$605.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.87
|
| 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: Multiplan/Beech St/PHCS Commercial |
$686.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.29
|
| Rate for Payer: PHP Commercial |
$16.29
|
| Rate for Payer: PHP Commercial |
$771.66
|
| Rate for Payer: PHP Commercial |
$6.79
|
| Rate for Payer: PHP Commercial |
$686.44
|
| Rate for Payer: PHP Commercial |
$5.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$524.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$5.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$590.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.45
|
| Rate for Payer: Priority Health SBD |
$571.93
|
| Rate for Payer: Priority Health SBD |
$5.03
|
| Rate for Payer: Priority Health SBD |
$3.85
|
| Rate for Payer: Priority Health SBD |
$12.07
|
| Rate for Payer: Priority Health SBD |
$508.78
|
| Rate for Payer: UMR Bronson Commercial |
$8.43
|
| Rate for Payer: UMR Bronson Commercial |
$2.69
|
| Rate for Payer: UMR Bronson Commercial |
$355.34
|
| Rate for Payer: UMR Bronson Commercial |
$399.45
|
| Rate for Payer: UMR Bronson Commercial |
$3.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$680.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$605.68
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
IP
|
$425.35
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$187.15 |
| 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 |
$250.51
|
| Rate for Payer: Aetna American Axle |
$247.46
|
| Rate for Payer: Aetna American Axle |
$113.03
|
| Rate for Payer: Aetna American Axle |
$219.96
|
| Rate for Payer: Aetna American Axle |
$248.98
|
| Rate for Payer: Aetna American Axle |
$30.40
|
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Commercial |
$361.55
|
| Rate for Payer: Aetna Commercial |
$323.60
|
| Rate for Payer: Aetna Commercial |
$325.59
|
| Rate for Payer: Aetna Commercial |
$287.64
|
| Rate for Payer: Aetna Commercial |
$147.81
|
| Rate for Payer: Aetna Commercial |
$3.28
|
| Rate for Payer: Aetna Commercial |
$327.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$219.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$248.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$247.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$113.03
|
| 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) |
$250.51
|
| Rate for Payer: Cash Price |
$306.44
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cash Price |
$270.72
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$3.09
|
| Rate for Payer: Cofinity Commercial |
$329.42
|
| Rate for Payer: Cofinity Commercial |
$121.73
|
| Rate for Payer: Cofinity Commercial |
$268.13
|
| Rate for Payer: Cofinity Commercial |
$266.49
|
| Rate for Payer: Cofinity Commercial |
$236.88
|
| Rate for Payer: Cofinity Commercial |
$291.02
|
| Rate for Payer: Cofinity Commercial |
$327.40
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Cofinity Commercial |
$269.78
|
| Rate for Payer: Cofinity Commercial |
$331.44
|
| Rate for Payer: Cofinity Commercial |
$2.70
|
| Rate for Payer: Cofinity Commercial |
$3.32
|
| Rate for Payer: Cofinity Commercial |
$297.75
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$32.74
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$297.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$32.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$236.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$266.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$268.13
|
| Rate for Payer: Cofinity Medicare Advantage |
$121.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$269.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$340.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| 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 |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| 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 |
$346.86
|
| Rate for Payer: Healthscope Commercial |
$3.47
|
| Rate for Payer: Healthscope Commercial |
$344.75
|
| Rate for Payer: Healthscope Commercial |
$342.63
|
| Rate for Payer: Healthscope Commercial |
$304.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$269.78
|
| 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 |
$266.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$236.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.73
|
| 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 |
$319.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.80
|
| 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 |
$289.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| 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 |
$325.59
|
| 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: PHP Commercial |
$361.55
|
| Rate for Payer: PHP Commercial |
$323.60
|
| Rate for Payer: PHP Commercial |
$3.28
|
| Rate for Payer: PHP Commercial |
$325.59
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$147.81
|
| Rate for Payer: PHP Commercial |
$327.59
|
| Rate for Payer: PHP Commercial |
$287.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.46
|
| Rate for Payer: Priority Health SBD |
$239.84
|
| Rate for Payer: Priority Health SBD |
$213.19
|
| Rate for Payer: Priority Health SBD |
$109.56
|
| Rate for Payer: Priority Health SBD |
$241.32
|
| Rate for Payer: Priority Health SBD |
$2.43
|
| Rate for Payer: Priority Health SBD |
$242.80
|
| Rate for Payer: Priority Health SBD |
$29.47
|
| Rate for Payer: Priority Health SBD |
$267.97
|
| Rate for Payer: UMR Bronson Commercial |
$167.51
|
| Rate for Payer: UMR Bronson Commercial |
$168.54
|
| Rate for Payer: UMR Bronson Commercial |
$1.70
|
| Rate for Payer: UMR Bronson Commercial |
$187.15
|
| Rate for Payer: UMR Bronson Commercial |
$148.90
|
| Rate for Payer: UMR Bronson Commercial |
$20.58
|
| Rate for Payer: UMR Bronson Commercial |
$169.58
|
| Rate for Payer: UMR Bronson Commercial |
$76.52
|
| 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 |
$2.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.01
|
| 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 |
$289.05
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
OP
|
$3.86
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.43 |
| Max. Negotiated Rate |
$3.47 |
| Rate for Payer: Aetna American Axle |
$2.51
|
| Rate for Payer: Aetna American Axle |
$250.51
|
| Rate for Payer: Aetna American Axle |
$247.46
|
| Rate for Payer: Aetna American Axle |
$219.96
|
| Rate for Payer: Aetna American Axle |
$248.98
|
| Rate for Payer: Aetna American Axle |
$113.03
|
| Rate for Payer: Aetna American Axle |
$30.40
|
| Rate for Payer: Aetna American Axle |
$276.48
|
| Rate for Payer: Aetna Commercial |
$361.55
|
| Rate for Payer: Aetna Commercial |
$327.59
|
| Rate for Payer: Aetna Commercial |
$3.28
|
| Rate for Payer: Aetna Commercial |
$147.81
|
| Rate for Payer: Aetna Commercial |
$39.75
|
| Rate for Payer: Aetna Commercial |
$287.64
|
| Rate for Payer: Aetna Commercial |
$325.59
|
| Rate for Payer: Aetna Commercial |
$323.60
|
| Rate for Payer: Aetna Medicare |
$190.35
|
| Rate for Payer: Aetna Medicare |
$86.95
|
| Rate for Payer: Aetna Medicare |
$191.53
|
| Rate for Payer: Aetna Medicare |
$169.20
|
| Rate for Payer: Aetna Medicare |
$1.93
|
| Rate for Payer: Aetna Medicare |
$23.39
|
| Rate for Payer: Aetna Medicare |
$192.70
|
| Rate for Payer: Aetna Medicare |
$212.68
|
| 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) |
$250.51
|
| 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: BCBS Complete |
$135.36
|
| Rate for Payer: BCBS Complete |
$69.56
|
| Rate for Payer: BCBS Complete |
$153.22
|
| Rate for Payer: BCBS Complete |
$152.28
|
| Rate for Payer: BCBS Complete |
$154.16
|
| Rate for Payer: BCBS Complete |
$1.54
|
| Rate for Payer: BCBS Complete |
$170.14
|
| Rate for Payer: BCBS Complete |
$18.71
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$270.72
|
| Rate for Payer: Cash Price |
$340.28
|
| Rate for Payer: Cash Price |
$306.44
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$3.09
|
| Rate for Payer: Cash Price |
$37.42
|
| Rate for Payer: Cofinity Commercial |
$269.78
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Commercial |
$32.74
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$297.75
|
| Rate for Payer: Cofinity Commercial |
$291.02
|
| Rate for Payer: Cofinity Commercial |
$329.42
|
| Rate for Payer: Cofinity Commercial |
$121.73
|
| Rate for Payer: Cofinity Commercial |
$327.40
|
| Rate for Payer: Cofinity Commercial |
$3.32
|
| Rate for Payer: Cofinity Commercial |
$2.70
|
| Rate for Payer: Cofinity Commercial |
$266.49
|
| Rate for Payer: Cofinity Commercial |
$268.13
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Cofinity Commercial |
$236.88
|
| Rate for Payer: Cofinity Commercial |
$331.44
|
| Rate for Payer: Cofinity Medicare Advantage |
$297.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$121.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$32.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$266.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$236.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$268.13
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$269.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.44
|
| 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 |
$139.12
|
| 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 |
$3.09
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: Healthscope Commercial |
$344.75
|
| Rate for Payer: Healthscope Commercial |
$346.86
|
| Rate for Payer: Healthscope Commercial |
$3.47
|
| Rate for Payer: Healthscope Commercial |
$382.81
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Healthscope Commercial |
$342.63
|
| Rate for Payer: Healthscope Commercial |
$304.56
|
| 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 |
$269.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$121.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.13
|
| 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 |
$236.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$285.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$319.01
|
| 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 |
$289.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$287.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$130.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$253.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.55
|
| 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 |
$3.28
|
| Rate for Payer: PHP Commercial |
$323.60
|
| Rate for Payer: PHP Commercial |
$361.55
|
| Rate for Payer: PHP Commercial |
$147.81
|
| Rate for Payer: PHP Commercial |
$287.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$219.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$276.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$248.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.40
|
| Rate for Payer: Priority Health SBD |
$109.56
|
| Rate for Payer: Priority Health SBD |
$29.47
|
| Rate for Payer: Priority Health SBD |
$267.97
|
| Rate for Payer: Priority Health SBD |
$241.32
|
| Rate for Payer: Priority Health SBD |
$239.84
|
| Rate for Payer: Priority Health SBD |
$242.80
|
| Rate for Payer: Priority Health SBD |
$213.19
|
| Rate for Payer: Priority Health SBD |
$2.43
|
| Rate for Payer: UMR Bronson Commercial |
$1.43
|
| Rate for Payer: UMR Bronson Commercial |
$157.38
|
| Rate for Payer: UMR Bronson Commercial |
$125.21
|
| Rate for Payer: UMR Bronson Commercial |
$17.30
|
| Rate for Payer: UMR Bronson Commercial |
$142.60
|
| Rate for Payer: UMR Bronson Commercial |
$141.73
|
| Rate for Payer: UMR Bronson Commercial |
$140.86
|
| Rate for Payer: UMR Bronson Commercial |
$64.34
|
| 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
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$253.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$285.52
|
| 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
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
OP
|
$218.55
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$80.86 |
| Max. Negotiated Rate |
$196.69 |
| Rate for Payer: Aetna American Axle |
$142.06
|
| Rate for Payer: Aetna American Axle |
$287.17
|
| Rate for Payer: Aetna American Axle |
$127.82
|
| Rate for Payer: Aetna American Axle |
$273.42
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Commercial |
$185.77
|
| Rate for Payer: Aetna Commercial |
$357.55
|
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna Medicare |
$210.32
|
| Rate for Payer: Aetna Medicare |
$98.33
|
| Rate for Payer: Aetna Medicare |
$220.90
|
| Rate for Payer: Aetna Medicare |
$109.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.82
|
| Rate for Payer: BCBS Complete |
$78.66
|
| Rate for Payer: BCBS Complete |
$176.72
|
| Rate for Payer: BCBS Complete |
$168.26
|
| Rate for Payer: BCBS Complete |
$87.42
|
| Rate for Payer: Cash Price |
$174.84
|
| 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 Commercial |
$187.95
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Cofinity Commercial |
$137.66
|
| Rate for Payer: Cofinity Commercial |
$361.76
|
| Rate for Payer: Cofinity Commercial |
$294.45
|
| Rate for Payer: Cofinity Commercial |
$309.26
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Cofinity Commercial |
$152.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$137.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$152.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$294.45
|
| Rate for Payer: Cofinity Medicare Advantage |
$309.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| 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 |
$174.84
|
| Rate for Payer: Healthscope Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: Healthscope Commercial |
$196.69
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$309.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$152.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$137.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$163.91
|
| 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 |
$167.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.55
|
| Rate for Payer: PHP Commercial |
$357.55
|
| Rate for Payer: PHP Commercial |
$185.77
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$273.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.82
|
| Rate for Payer: Priority Health SBD |
$265.01
|
| Rate for Payer: Priority Health SBD |
$278.33
|
| Rate for Payer: Priority Health SBD |
$137.69
|
| Rate for Payer: Priority Health SBD |
$123.89
|
| Rate for Payer: UMR Bronson Commercial |
$155.64
|
| Rate for Payer: UMR Bronson Commercial |
$80.86
|
| 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 |
$147.49
|
| 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 |
$163.91
|
|
|
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 |
$142.06
|
| Rate for Payer: Aetna American Axle |
$127.82
|
| Rate for Payer: Aetna American Axle |
$287.17
|
| Rate for Payer: Aetna Commercial |
$357.55
|
| Rate for Payer: Aetna Commercial |
$375.53
|
| Rate for Payer: Aetna Commercial |
$185.77
|
| Rate for Payer: Aetna Commercial |
$167.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.42
|
| Rate for Payer: Cash Price |
$174.84
|
| 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 Commercial |
$137.66
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Cofinity Commercial |
$309.26
|
| Rate for Payer: Cofinity Commercial |
$294.45
|
| Rate for Payer: Cofinity Commercial |
$152.99
|
| Rate for Payer: Cofinity Commercial |
$187.95
|
| Rate for Payer: Cofinity Commercial |
$361.76
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$152.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$294.45
|
| Rate for Payer: Cofinity Medicare Advantage |
$309.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$137.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| 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 |
$174.84
|
| Rate for Payer: Healthscope Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$176.99
|
| Rate for Payer: Healthscope Commercial |
$196.69
|
| 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 |
$152.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$309.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$163.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$147.49
|
| 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 |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.55
|
| Rate for Payer: PHP Commercial |
$357.55
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$185.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$273.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.82
|
| Rate for Payer: Priority Health SBD |
$278.33
|
| Rate for Payer: Priority Health SBD |
$123.89
|
| Rate for Payer: Priority Health SBD |
$137.69
|
| Rate for Payer: Priority Health SBD |
$265.01
|
| Rate for Payer: UMR Bronson Commercial |
$185.09
|
| Rate for Payer: UMR Bronson Commercial |
$194.39
|
| Rate for Payer: UMR Bronson Commercial |
$96.16
|
| Rate for Payer: UMR Bronson Commercial |
$86.53
|
| 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 |
$163.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.49
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
IP
|
$20.14
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.86 |
| Max. Negotiated Rate |
$18.13 |
| Rate for Payer: Aetna American Axle |
$13.09
|
| Rate for Payer: Aetna American Axle |
$193.99
|
| Rate for Payer: Aetna American Axle |
$122.20
|
| Rate for Payer: Aetna American Axle |
$255.09
|
| Rate for Payer: Aetna American Axle |
$2.55
|
| Rate for Payer: Aetna American Axle |
$226.07
|
| Rate for Payer: Aetna American Axle |
$264.26
|
| Rate for Payer: Aetna American Axle |
$2,886.97
|
| Rate for Payer: Aetna American Axle |
$294.81
|
| Rate for Payer: Aetna American Axle |
$300.92
|
| Rate for Payer: Aetna American Axle |
$1,458.76
|
| Rate for Payer: Aetna Commercial |
$3.34
|
| Rate for Payer: Aetna Commercial |
$345.57
|
| Rate for Payer: Aetna Commercial |
$1,907.61
|
| Rate for Payer: Aetna Commercial |
$393.51
|
| Rate for Payer: Aetna Commercial |
$333.58
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna Commercial |
$385.52
|
| Rate for Payer: Aetna Commercial |
$295.63
|
| Rate for Payer: Aetna Commercial |
$3,775.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,886.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,458.76
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$1,795.40
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$370.36
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$3,553.20
|
| Rate for Payer: Cash Price |
$325.24
|
| Rate for Payer: Cash Price |
$278.24
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cofinity Commercial |
$208.91
|
| Rate for Payer: Cofinity Commercial |
$284.58
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$1,930.06
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$14.10
|
| Rate for Payer: Cofinity Commercial |
$1,570.97
|
| Rate for Payer: Cofinity Commercial |
$337.51
|
| Rate for Payer: Cofinity Commercial |
$243.46
|
| Rate for Payer: Cofinity Commercial |
$299.11
|
| Rate for Payer: Cofinity Commercial |
$317.49
|
| Rate for Payer: Cofinity Commercial |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$3.38
|
| Rate for Payer: Cofinity Commercial |
$2.75
|
| Rate for Payer: Cofinity Commercial |
$274.71
|
| Rate for Payer: Cofinity Commercial |
$398.14
|
| Rate for Payer: Cofinity Commercial |
$324.06
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$3,819.69
|
| Rate for Payer: Cofinity Commercial |
$3,109.05
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Cofinity Commercial |
$349.63
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$317.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$208.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,570.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$274.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$284.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$324.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,109.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$243.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| 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 |
$150.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,553.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$313.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$370.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Healthscope Commercial |
$353.20
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$2,019.83
|
| Rate for Payer: Healthscope Commercial |
$268.61
|
| Rate for Payer: Healthscope Commercial |
$313.02
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$365.89
|
| Rate for Payer: Healthscope Commercial |
$3,997.35
|
| Rate for Payer: Healthscope Commercial |
$408.19
|
| Rate for Payer: Healthscope Commercial |
$416.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,109.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$274.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$284.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$317.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$324.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,570.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$294.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$223.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$347.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$304.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,331.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,775.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$333.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.57
|
| 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 |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,907.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.51
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Commercial |
$295.63
|
| Rate for Payer: PHP Commercial |
$3,775.28
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$333.58
|
| Rate for Payer: PHP Commercial |
$385.52
|
| Rate for Payer: PHP Commercial |
$3.34
|
| Rate for Payer: PHP Commercial |
$393.51
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$1,907.61
|
| Rate for Payer: PHP Commercial |
$345.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,458.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$264.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,886.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.09
|
| Rate for Payer: Priority Health SBD |
$12.69
|
| Rate for Payer: Priority Health SBD |
$1,413.88
|
| Rate for Payer: Priority Health SBD |
$285.74
|
| Rate for Payer: Priority Health SBD |
$291.66
|
| Rate for Payer: Priority Health SBD |
$219.11
|
| Rate for Payer: Priority Health SBD |
$247.24
|
| Rate for Payer: Priority Health SBD |
$2.48
|
| Rate for Payer: Priority Health SBD |
$188.02
|
| Rate for Payer: Priority Health SBD |
$2,798.14
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: Priority Health SBD |
$256.13
|
| Rate for Payer: UMR Bronson Commercial |
$1,954.26
|
| Rate for Payer: UMR Bronson Commercial |
$8.86
|
| Rate for Payer: UMR Bronson Commercial |
$203.70
|
| Rate for Payer: UMR Bronson Commercial |
$178.88
|
| Rate for Payer: UMR Bronson Commercial |
$987.47
|
| Rate for Payer: UMR Bronson Commercial |
$172.68
|
| Rate for Payer: UMR Bronson Commercial |
$199.56
|
| Rate for Payer: UMR Bronson Commercial |
$82.72
|
| Rate for Payer: UMR Bronson Commercial |
$131.32
|
| Rate for Payer: UMR Bronson Commercial |
$1.73
|
| Rate for Payer: UMR Bronson Commercial |
$153.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$347.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,331.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$304.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,683.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.34
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
OP
|
$347.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$128.69 |
| Max. Negotiated Rate |
$313.02 |
| Rate for Payer: Aetna American Axle |
$226.07
|
| Rate for Payer: Aetna American Axle |
$2.55
|
| Rate for Payer: Aetna American Axle |
$13.09
|
| Rate for Payer: Aetna American Axle |
$255.09
|
| Rate for Payer: Aetna American Axle |
$193.99
|
| Rate for Payer: Aetna American Axle |
$122.20
|
| Rate for Payer: Aetna American Axle |
$300.92
|
| Rate for Payer: Aetna American Axle |
$1,458.76
|
| Rate for Payer: Aetna American Axle |
$294.81
|
| Rate for Payer: Aetna American Axle |
$2,886.97
|
| Rate for Payer: Aetna American Axle |
$264.26
|
| Rate for Payer: Aetna Commercial |
$3.34
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna Commercial |
$333.58
|
| Rate for Payer: Aetna Commercial |
$393.51
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Commercial |
$295.63
|
| Rate for Payer: Aetna Commercial |
$345.57
|
| Rate for Payer: Aetna Commercial |
$1,907.61
|
| Rate for Payer: Aetna Commercial |
$3,775.28
|
| Rate for Payer: Aetna Commercial |
$385.52
|
| Rate for Payer: Aetna Medicare |
$149.22
|
| Rate for Payer: Aetna Medicare |
$1,122.12
|
| Rate for Payer: Aetna Medicare |
$203.28
|
| Rate for Payer: Aetna Medicare |
$231.47
|
| Rate for Payer: Aetna Medicare |
$196.22
|
| Rate for Payer: Aetna Medicare |
$94.00
|
| Rate for Payer: Aetna Medicare |
$1.97
|
| Rate for Payer: Aetna Medicare |
$226.78
|
| Rate for Payer: Aetna Medicare |
$173.90
|
| Rate for Payer: Aetna Medicare |
$2,220.75
|
| Rate for Payer: Aetna Medicare |
$10.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,458.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,886.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.55
|
| Rate for Payer: BCBS Complete |
$162.62
|
| Rate for Payer: BCBS Complete |
$1,776.60
|
| Rate for Payer: BCBS Complete |
$185.18
|
| Rate for Payer: BCBS Complete |
$119.38
|
| Rate for Payer: BCBS Complete |
$156.98
|
| Rate for Payer: BCBS Complete |
$1.57
|
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: BCBS Complete |
$181.42
|
| Rate for Payer: BCBS Complete |
$897.70
|
| Rate for Payer: BCBS Complete |
$139.12
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: Cash Price |
$1,795.40
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$3,553.20
|
| Rate for Payer: Cash Price |
$325.24
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cash Price |
$278.24
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cash Price |
$370.36
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$243.46
|
| Rate for Payer: Cofinity Commercial |
$299.11
|
| Rate for Payer: Cofinity Commercial |
$3.38
|
| Rate for Payer: Cofinity Commercial |
$2.75
|
| Rate for Payer: Cofinity Commercial |
$3,819.69
|
| Rate for Payer: Cofinity Commercial |
$3,109.05
|
| Rate for Payer: Cofinity Commercial |
$317.49
|
| Rate for Payer: Cofinity Commercial |
$337.51
|
| Rate for Payer: Cofinity Commercial |
$1,570.97
|
| Rate for Payer: Cofinity Commercial |
$1,930.06
|
| Rate for Payer: Cofinity Commercial |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$349.63
|
| Rate for Payer: Cofinity Commercial |
$284.58
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Cofinity Commercial |
$208.91
|
| Rate for Payer: Cofinity Commercial |
$274.71
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$398.14
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$324.06
|
| Rate for Payer: Cofinity Commercial |
$14.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$284.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$274.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$208.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,109.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$317.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$324.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$243.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,570.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$313.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| 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 |
$278.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,553.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$370.36
|
| Rate for Payer: Healthscope Commercial |
$2,019.83
|
| Rate for Payer: Healthscope Commercial |
$313.02
|
| Rate for Payer: Healthscope Commercial |
$365.89
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$353.20
|
| Rate for Payer: Healthscope Commercial |
$3,997.35
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$268.61
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$408.19
|
| Rate for Payer: Healthscope Commercial |
$416.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$324.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$317.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,570.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$284.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,109.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$274.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.91
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,331.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$347.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$294.34
|
| 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 |
$141.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$340.16
|
| 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 |
$385.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,775.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.63
|
| 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 |
$159.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$333.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.34
|
| Rate for Payer: PHP Commercial |
$3,775.28
|
| Rate for Payer: PHP Commercial |
$1,907.61
|
| Rate for Payer: PHP Commercial |
$345.57
|
| Rate for Payer: PHP Commercial |
$295.63
|
| Rate for Payer: PHP Commercial |
$333.58
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Commercial |
$393.51
|
| Rate for Payer: PHP Commercial |
$385.52
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$3.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$264.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,886.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,458.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.81
|
| Rate for Payer: Priority Health SBD |
$12.69
|
| Rate for Payer: Priority Health SBD |
$2.48
|
| Rate for Payer: Priority Health SBD |
$219.11
|
| Rate for Payer: Priority Health SBD |
$247.24
|
| Rate for Payer: Priority Health SBD |
$285.74
|
| Rate for Payer: Priority Health SBD |
$2,798.14
|
| Rate for Payer: Priority Health SBD |
$291.66
|
| Rate for Payer: Priority Health SBD |
$1,413.88
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: Priority Health SBD |
$256.13
|
| Rate for Payer: Priority Health SBD |
$188.02
|
| Rate for Payer: UMR Bronson Commercial |
$150.42
|
| Rate for Payer: UMR Bronson Commercial |
$830.37
|
| Rate for Payer: UMR Bronson Commercial |
$69.56
|
| Rate for Payer: UMR Bronson Commercial |
$1.45
|
| Rate for Payer: UMR Bronson Commercial |
$167.81
|
| Rate for Payer: UMR Bronson Commercial |
$171.29
|
| Rate for Payer: UMR Bronson Commercial |
$128.69
|
| Rate for Payer: UMR Bronson Commercial |
$7.45
|
| Rate for Payer: UMR Bronson Commercial |
$110.43
|
| Rate for Payer: UMR Bronson Commercial |
$145.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,643.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,331.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$340.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.11
|
| 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 |
$304.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$347.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.34
|
|
|
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 |
$152.75
|
| Rate for Payer: Aetna American Axle |
$206.21
|
| Rate for Payer: Aetna Commercial |
$199.75
|
| Rate for Payer: Aetna Commercial |
$157.80
|
| Rate for Payer: Aetna Commercial |
$269.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$120.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$206.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.75
|
| Rate for Payer: Cash Price |
$253.80
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$148.52
|
| Rate for Payer: Cofinity Commercial |
$159.66
|
| Rate for Payer: Cofinity Commercial |
$202.10
|
| Rate for Payer: Cofinity Commercial |
$164.50
|
| Rate for Payer: Cofinity Commercial |
$272.83
|
| Rate for Payer: Cofinity Commercial |
$222.07
|
| Rate for Payer: Cofinity Commercial |
$129.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$164.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$129.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$222.07
|
| 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 |
$188.00
|
| Rate for Payer: Healthscope Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$167.09
|
| 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 |
$164.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$222.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$176.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$139.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$237.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$199.75
|
| Rate for Payer: PHP Commercial |
$269.66
|
| Rate for Payer: PHP Commercial |
$199.75
|
| Rate for Payer: PHP Commercial |
$157.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$152.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$206.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.67
|
| Rate for Payer: Priority Health SBD |
$199.87
|
| Rate for Payer: Priority Health SBD |
$148.05
|
| Rate for Payer: Priority Health SBD |
$116.96
|
| Rate for Payer: UMR Bronson Commercial |
$81.69
|
| Rate for Payer: UMR Bronson Commercial |
$139.59
|
| Rate for Payer: UMR Bronson Commercial |
$103.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$237.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$176.25
|
|
