|
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 |
$1.03 |
| 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 |
$5.19
|
| Rate for Payer: Aetna American Axle |
$12.45
|
| Rate for Payer: Aetna American Axle |
$590.09
|
| 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 Commercial |
$686.44
|
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: Aetna Medicare |
$403.79
|
| Rate for Payer: Aetna Medicare |
$3.06
|
| Rate for Payer: Aetna Medicare |
$9.58
|
| Rate for Payer: Aetna Medicare |
$453.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$524.93
|
| 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) |
$12.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.19
|
| Rate for Payer: BCBS Complete |
$2.44
|
| Rate for Payer: BCBS Complete |
$7.66
|
| Rate for Payer: BCBS Complete |
$323.03
|
| Rate for Payer: BCBS Complete |
$363.13
|
| Rate for Payer: BCBS Complete |
$3.20
|
| Rate for Payer: BCBS Trust/PPO |
$1.03
|
| Rate for Payer: BCBS Trust/PPO |
$1.03
|
| Rate for Payer: BCBS Trust/PPO |
$1.03
|
| Rate for Payer: BCBS Trust/PPO |
$1.03
|
| Rate for Payer: BCBS Trust/PPO |
$1.03
|
| Rate for Payer: BCN Commercial |
$1.03
|
| Rate for Payer: BCN Commercial |
$1.03
|
| Rate for Payer: BCN Commercial |
$1.03
|
| Rate for Payer: BCN Commercial |
$1.03
|
| Rate for Payer: BCN Commercial |
$1.03
|
| Rate for Payer: Cash Price |
$4.89
|
| Rate for Payer: Cash Price |
$6.39
|
| Rate for Payer: Cash Price |
$15.33
|
| 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 |
$726.26
|
| Rate for Payer: Cash Price |
$726.26
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cofinity Commercial |
$4.28
|
| Rate for Payer: Cofinity Commercial |
$780.73
|
| 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 |
$635.48
|
| Rate for Payer: Cofinity Commercial |
$694.52
|
| Rate for Payer: Cofinity Commercial |
$565.31
|
| Rate for Payer: Cofinity Commercial |
$5.25
|
| Rate for Payer: Cofinity Commercial |
$16.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$565.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$635.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$5.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$4.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.39
|
| 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 |
$15.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$646.06
|
| Rate for Payer: Healthscope Commercial |
$726.82
|
| 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 |
$817.05
|
| 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 |
$565.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$635.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$605.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$680.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$5.99
|
| 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 |
$686.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$771.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.29
|
| Rate for Payer: PHP Commercial |
$771.66
|
| Rate for Payer: PHP Commercial |
$686.44
|
| Rate for Payer: PHP Commercial |
$5.19
|
| Rate for Payer: PHP Commercial |
$16.29
|
| Rate for Payer: PHP Commercial |
$6.79
|
| 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 |
$5.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.97
|
| Rate for Payer: Priority Health SBD |
$3.85
|
| Rate for Payer: Priority Health SBD |
$571.93
|
| Rate for Payer: Priority Health SBD |
$508.78
|
| Rate for Payer: Priority Health SBD |
$12.07
|
| Rate for Payer: Priority Health SBD |
$5.03
|
| Rate for Payer: UMR Bronson Commercial |
$7.09
|
| Rate for Payer: UMR Bronson Commercial |
$2.96
|
| Rate for Payer: UMR Bronson Commercial |
$2.26
|
| Rate for Payer: UMR Bronson Commercial |
$298.80
|
| Rate for Payer: UMR Bronson Commercial |
$335.90
|
| 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 |
$680.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$5.99
|
| 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
|
$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
|
OP
|
$46.77
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$42.09 |
| Rate for Payer: Cash Price |
$270.72
|
| Rate for Payer: Aetna American Axle |
$30.40
|
| Rate for Payer: Aetna American Axle |
$276.48
|
| Rate for Payer: Aetna American Axle |
$250.51
|
| Rate for Payer: Aetna American Axle |
$248.98
|
| Rate for Payer: Aetna American Axle |
$2.51
|
| Rate for Payer: Aetna American Axle |
$113.04
|
| Rate for Payer: Aetna American Axle |
$247.46
|
| Rate for Payer: Aetna American Axle |
$219.96
|
| Rate for Payer: Aetna Commercial |
$323.60
|
| Rate for Payer: Aetna Commercial |
$147.82
|
| Rate for Payer: Aetna Commercial |
$287.64
|
| 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 Medicare |
$191.52
|
| Rate for Payer: Aetna Medicare |
$169.20
|
| Rate for Payer: Aetna Medicare |
$212.68
|
| Rate for Payer: Aetna Medicare |
$190.35
|
| Rate for Payer: Aetna Medicare |
$23.38
|
| Rate for Payer: Aetna Medicare |
$192.70
|
| Rate for Payer: Aetna Medicare |
$86.95
|
| 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) |
$113.04
|
| 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) |
$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 |
$135.36
|
| Rate for Payer: BCBS Complete |
$69.56
|
| Rate for Payer: BCBS Complete |
$152.28
|
| 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 |
$304.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$270.72
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$304.56
|
| 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 Commercial |
$268.14
|
| Rate for Payer: Cofinity Commercial |
$3.32
|
| Rate for Payer: Cofinity Commercial |
$2.70
|
| Rate for Payer: Cofinity Commercial |
$121.73
|
| Rate for Payer: Cofinity Commercial |
$291.02
|
| Rate for Payer: Cofinity Commercial |
$32.74
|
| Rate for Payer: Cofinity Commercial |
$329.42
|
| Rate for Payer: Cofinity Commercial |
$331.44
|
| Rate for Payer: Cofinity Commercial |
$266.49
|
| Rate for Payer: Cofinity Commercial |
$236.88
|
| Rate for Payer: Cofinity Commercial |
$149.55
|
| Rate for Payer: Cofinity Commercial |
$327.40
|
| Rate for Payer: Cofinity Commercial |
$269.78
|
| Rate for Payer: Cofinity Commercial |
$365.80
|
| Rate for Payer: Cofinity Commercial |
$297.74
|
| Rate for Payer: Cofinity Commercial |
$40.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$269.78
|
| Rate for Payer: Cofinity Medicare Advantage |
$121.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$236.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$266.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$268.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$297.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$32.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.42
|
| 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 |
$340.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| 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 |
$342.63
|
| Rate for Payer: Healthscope Commercial |
$344.74
|
| Rate for Payer: Healthscope Commercial |
$382.82
|
| Rate for Payer: Healthscope Commercial |
$42.09
|
| Rate for Payer: Healthscope Commercial |
$3.47
|
| Rate for Payer: Healthscope Commercial |
$156.51
|
| Rate for Payer: Healthscope Commercial |
$304.56
|
| Rate for Payer: Healthscope Commercial |
$346.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$32.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$297.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$269.78
|
| 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: Kalamazoo County Sherrif's Dept Commercial |
$121.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$289.05
|
| 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 |
$130.42
|
| 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 |
$319.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$287.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$361.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.59
|
| Rate for Payer: PHP Commercial |
$3.28
|
| Rate for Payer: PHP Commercial |
$287.64
|
| Rate for Payer: PHP Commercial |
$39.75
|
| Rate for Payer: PHP Commercial |
$327.59
|
| Rate for Payer: PHP Commercial |
$147.82
|
| Rate for Payer: PHP Commercial |
$323.60
|
| Rate for Payer: PHP Commercial |
$361.55
|
| Rate for Payer: PHP Commercial |
$325.59
|
| 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 |
$248.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.04
|
| 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 SBD |
$109.56
|
| Rate for Payer: Priority Health SBD |
$29.47
|
| Rate for Payer: Priority Health SBD |
$241.32
|
| Rate for Payer: Priority Health SBD |
$242.80
|
| Rate for Payer: Priority Health SBD |
$213.19
|
| Rate for Payer: Priority Health SBD |
$239.84
|
| Rate for Payer: Priority Health SBD |
$267.97
|
| Rate for Payer: Priority Health SBD |
$2.43
|
| Rate for Payer: UMR Bronson Commercial |
$157.38
|
| Rate for Payer: UMR Bronson Commercial |
$17.30
|
| Rate for Payer: UMR Bronson Commercial |
$1.43
|
| Rate for Payer: UMR Bronson Commercial |
$142.60
|
| Rate for Payer: UMR Bronson Commercial |
$141.73
|
| Rate for Payer: UMR Bronson Commercial |
$125.21
|
| Rate for Payer: UMR Bronson Commercial |
$64.34
|
| Rate for Payer: UMR Bronson Commercial |
$140.86
|
| 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 |
$2.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$319.01
|
| 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 |
$289.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$130.42
|
|
|
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 |
$382.82 |
| 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 |
$113.04
|
| 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 |
$147.82
|
| 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) |
$113.04
|
| 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 |
$268.14
|
| 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 |
$297.74
|
| 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 |
$297.74
|
| 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 |
$268.14
|
| 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 |
$382.82
|
| Rate for Payer: Healthscope Commercial |
$346.86
|
| Rate for Payer: Healthscope Commercial |
$3.47
|
| Rate for Payer: Healthscope Commercial |
$344.74
|
| 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 |
$297.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$266.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$268.14
|
| 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 |
$130.42
|
| 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 |
$147.82
|
| 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 |
$147.82
|
| 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 |
$113.04
|
| 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 |
$130.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$289.05
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
OP
|
$441.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$397.62 |
| Rate for Payer: Aetna American Axle |
$287.17
|
| Rate for Payer: Aetna American Axle |
$273.42
|
| Rate for Payer: Aetna American Axle |
$127.82
|
| Rate for Payer: Aetna American Axle |
$142.06
|
| 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 Commercial |
$357.55
|
| Rate for Payer: Aetna Medicare |
$210.32
|
| Rate for Payer: Aetna Medicare |
$109.28
|
| Rate for Payer: Aetna Medicare |
$98.32
|
| Rate for Payer: Aetna Medicare |
$220.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$287.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$127.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$273.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.06
|
| Rate for Payer: BCBS Complete |
$168.26
|
| Rate for Payer: BCBS Complete |
$78.66
|
| Rate for Payer: BCBS Complete |
$176.72
|
| Rate for Payer: BCBS Complete |
$87.42
|
| 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: Cash Price |
$174.84
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$336.52
|
| Rate for Payer: Cash Price |
$174.84
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$336.52
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cofinity Commercial |
$379.95
|
| Rate for Payer: Cofinity Commercial |
$187.95
|
| Rate for Payer: Cofinity Commercial |
$137.66
|
| Rate for Payer: Cofinity Commercial |
$169.12
|
| Rate for Payer: Cofinity Commercial |
$152.98
|
| Rate for Payer: Cofinity Commercial |
$294.46
|
| Rate for Payer: Cofinity Commercial |
$361.76
|
| Rate for Payer: Cofinity Commercial |
$309.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$152.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$294.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$137.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$309.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$174.84
|
| 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: Healthscope Commercial |
$176.98
|
| Rate for Payer: Healthscope Commercial |
$397.62
|
| Rate for Payer: Healthscope Commercial |
$378.58
|
| Rate for Payer: Healthscope Commercial |
$196.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$137.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$152.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$309.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$331.35
|
| 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 |
$163.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$185.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$357.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$375.53
|
| Rate for Payer: PHP Commercial |
$185.77
|
| Rate for Payer: PHP Commercial |
$167.15
|
| Rate for Payer: PHP Commercial |
$357.55
|
| 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 Cigna Priority Health |
$273.42
|
| Rate for Payer: Priority Health SBD |
$123.89
|
| Rate for Payer: Priority Health SBD |
$265.01
|
| Rate for Payer: Priority Health SBD |
$137.69
|
| Rate for Payer: Priority Health SBD |
$278.33
|
| Rate for Payer: UMR Bronson Commercial |
$72.76
|
| Rate for Payer: UMR Bronson Commercial |
$155.64
|
| Rate for Payer: UMR Bronson Commercial |
$163.47
|
| Rate for Payer: UMR Bronson Commercial |
$80.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$315.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$163.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$147.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$331.35
|
|
|
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 |
$294.46
|
| Rate for Payer: Cofinity Commercial |
$152.98
|
| 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 |
$152.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$294.46
|
| 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 |
$176.98
|
| Rate for Payer: Healthscope Commercial |
$196.70
|
| 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 |
$152.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$309.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$294.46
|
| 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
|
OP
|
$406.55
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$365.90 |
| Rate for Payer: Aetna American Axle |
$264.26
|
| Rate for Payer: Aetna American Axle |
$300.92
|
| Rate for Payer: Aetna American Axle |
$1,458.76
|
| Rate for Payer: Aetna American Axle |
$226.07
|
| Rate for Payer: Aetna American Axle |
$294.81
|
| Rate for Payer: Aetna American Axle |
$193.99
|
| Rate for Payer: Aetna American Axle |
$2,886.98
|
| Rate for Payer: Aetna American Axle |
$122.20
|
| Rate for Payer: Aetna American Axle |
$13.09
|
| Rate for Payer: Aetna American Axle |
$255.09
|
| Rate for Payer: Aetna American Axle |
$2.55
|
| Rate for Payer: Aetna Commercial |
$385.52
|
| Rate for Payer: Aetna Commercial |
$333.58
|
| Rate for Payer: Aetna Commercial |
$253.68
|
| Rate for Payer: Aetna Commercial |
$3,775.28
|
| Rate for Payer: Aetna Commercial |
$159.80
|
| Rate for Payer: Aetna Commercial |
$345.57
|
| Rate for Payer: Aetna Commercial |
$3.34
|
| Rate for Payer: Aetna Commercial |
$393.51
|
| Rate for Payer: Aetna Commercial |
$295.63
|
| Rate for Payer: Aetna Commercial |
$17.12
|
| Rate for Payer: Aetna Commercial |
$1,907.61
|
| Rate for Payer: Aetna Medicare |
$203.28
|
| Rate for Payer: Aetna Medicare |
$173.90
|
| Rate for Payer: Aetna Medicare |
$10.07
|
| Rate for Payer: Aetna Medicare |
$94.00
|
| Rate for Payer: Aetna Medicare |
$196.22
|
| Rate for Payer: Aetna Medicare |
$1.96
|
| Rate for Payer: Aetna Medicare |
$1,122.12
|
| Rate for Payer: Aetna Medicare |
$231.48
|
| Rate for Payer: Aetna Medicare |
$226.78
|
| Rate for Payer: Aetna Medicare |
$2,220.75
|
| Rate for Payer: Aetna Medicare |
$149.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$264.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$300.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$226.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,886.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$255.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,458.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$294.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$193.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.09
|
| Rate for Payer: BCBS Complete |
$897.70
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Complete |
$185.18
|
| Rate for Payer: BCBS Complete |
$139.12
|
| Rate for Payer: BCBS Complete |
$75.20
|
| Rate for Payer: BCBS Complete |
$162.62
|
| Rate for Payer: BCBS Complete |
$1,776.60
|
| Rate for Payer: BCBS Complete |
$181.42
|
| Rate for Payer: BCBS Complete |
$119.38
|
| Rate for Payer: BCBS Complete |
$1.57
|
| Rate for Payer: BCBS Complete |
$156.98
|
| 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: 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: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$3,553.20
|
| Rate for Payer: Cash Price |
$3.14
|
| 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 |
$16.11
|
| Rate for Payer: Cash Price |
$150.40
|
| Rate for Payer: Cash Price |
$1,795.40
|
| Rate for Payer: Cash Price |
$370.36
|
| Rate for Payer: Cash Price |
$370.36
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$238.76
|
| 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 |
$278.24
|
| Rate for Payer: Cash Price |
$325.24
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cofinity Commercial |
$256.67
|
| Rate for Payer: Cofinity Commercial |
$208.92
|
| Rate for Payer: Cofinity Commercial |
$17.32
|
| Rate for Payer: Cofinity Commercial |
$3,109.05
|
| Rate for Payer: Cofinity Commercial |
$3,819.69
|
| Rate for Payer: Cofinity Commercial |
$3.38
|
| Rate for Payer: Cofinity Commercial |
$2.75
|
| Rate for Payer: Cofinity Commercial |
$337.51
|
| Rate for Payer: Cofinity Commercial |
$317.48
|
| Rate for Payer: Cofinity Commercial |
$390.05
|
| Rate for Payer: Cofinity Commercial |
$324.06
|
| Rate for Payer: Cofinity Commercial |
$398.14
|
| Rate for Payer: Cofinity Commercial |
$1,930.06
|
| Rate for Payer: Cofinity Commercial |
$274.72
|
| Rate for Payer: Cofinity Commercial |
$1,570.98
|
| Rate for Payer: Cofinity Commercial |
$14.10
|
| Rate for Payer: Cofinity Commercial |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$284.58
|
| Rate for Payer: Cofinity Commercial |
$349.63
|
| Rate for Payer: Cofinity Commercial |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$243.46
|
| Rate for Payer: Cofinity Commercial |
$299.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$274.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,570.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$208.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$243.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$284.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$3,109.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$317.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$324.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,795.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$278.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$313.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$325.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,553.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$370.36
|
| 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 |
$362.84
|
| Rate for Payer: Healthscope Commercial |
$353.20
|
| Rate for Payer: Healthscope Commercial |
$268.60
|
| Rate for Payer: Healthscope Commercial |
$313.02
|
| Rate for Payer: Healthscope Commercial |
$416.66
|
| Rate for Payer: Healthscope Commercial |
$2,019.82
|
| Rate for Payer: Healthscope Commercial |
$18.13
|
| Rate for Payer: Healthscope Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$408.20
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$365.90
|
| Rate for Payer: Healthscope Commercial |
$3,997.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$317.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$284.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$324.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,570.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,109.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$274.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$243.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$131.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,683.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3,331.12
|
| 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 |
$2.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$260.85
|
| 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 |
$340.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$393.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$345.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$295.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,775.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$159.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,907.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$333.58
|
| Rate for Payer: PHP Commercial |
$385.52
|
| Rate for Payer: PHP Commercial |
$295.63
|
| Rate for Payer: PHP Commercial |
$393.51
|
| Rate for Payer: PHP Commercial |
$3.34
|
| Rate for Payer: PHP Commercial |
$253.68
|
| Rate for Payer: PHP Commercial |
$345.57
|
| Rate for Payer: PHP Commercial |
$3,775.28
|
| Rate for Payer: PHP Commercial |
$17.12
|
| Rate for Payer: PHP Commercial |
$159.80
|
| Rate for Payer: PHP Commercial |
$1,907.61
|
| Rate for Payer: PHP Commercial |
$333.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$264.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$300.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$122.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2,886.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$226.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1,458.76
|
| Rate for Payer: Priority Health SBD |
$219.11
|
| Rate for Payer: Priority Health SBD |
$256.13
|
| Rate for Payer: Priority Health SBD |
$285.74
|
| Rate for Payer: Priority Health SBD |
$247.24
|
| Rate for Payer: Priority Health SBD |
$2,798.14
|
| Rate for Payer: Priority Health SBD |
$188.02
|
| Rate for Payer: Priority Health SBD |
$291.66
|
| Rate for Payer: Priority Health SBD |
$2.48
|
| Rate for Payer: Priority Health SBD |
$1,413.88
|
| Rate for Payer: Priority Health SBD |
$118.44
|
| Rate for Payer: Priority Health SBD |
$12.69
|
| Rate for Payer: UMR Bronson Commercial |
$150.42
|
| Rate for Payer: UMR Bronson Commercial |
$145.21
|
| Rate for Payer: UMR Bronson Commercial |
$830.37
|
| Rate for Payer: UMR Bronson Commercial |
$171.29
|
| Rate for Payer: UMR Bronson Commercial |
$69.56
|
| Rate for Payer: UMR Bronson Commercial |
$7.45
|
| Rate for Payer: UMR Bronson Commercial |
$167.81
|
| Rate for Payer: UMR Bronson Commercial |
$110.43
|
| Rate for Payer: UMR Bronson Commercial |
$1.45
|
| Rate for Payer: UMR Bronson Commercial |
$128.69
|
| Rate for Payer: UMR Bronson Commercial |
$1,643.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$347.21
|
| 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 |
$1,683.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3,331.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$260.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$223.84
|
|
|
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 |
$2,886.98
|
| 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) |
$2,886.98
|
| 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 |
$208.92
|
| 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 |
$1,570.98
|
| 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 |
$317.48
|
| 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 |
$274.72
|
| 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 |
$317.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$131.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$208.92
|
| Rate for Payer: Cofinity Medicare Advantage |
$1,570.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$274.72
|
| 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 |
$2,019.82
|
| Rate for Payer: Healthscope Commercial |
$268.60
|
| Rate for Payer: Healthscope Commercial |
$313.02
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Healthscope Commercial |
$365.90
|
| Rate for Payer: Healthscope Commercial |
$3,997.35
|
| Rate for Payer: Healthscope Commercial |
$408.20
|
| Rate for Payer: Healthscope Commercial |
$416.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$208.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3,109.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$274.72
|
| 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 |
$317.48
|
| 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 |
$1,570.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$294.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.10
|
| 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 |
$2,886.98
|
| 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 |
$15.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$294.34
|
|
|
PREDNISONE 20 MG TABLET COPD RESCUE KIT
|
Facility
|
OP
|
$0.03
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
301672
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$0.03 |
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
|
|
PREDNISONE 2.5 MG TABLET
|
Facility
|
OP
|
$317.25
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6495
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$285.52 |
| Rate for Payer: Aetna American Axle |
$206.21
|
| Rate for Payer: Aetna American Axle |
$152.75
|
| Rate for Payer: Aetna American Axle |
$120.67
|
| Rate for Payer: Aetna Commercial |
$269.66
|
| Rate for Payer: Aetna Commercial |
$157.80
|
| Rate for Payer: Aetna Commercial |
$199.75
|
| Rate for Payer: Aetna Medicare |
$117.50
|
| Rate for Payer: Aetna Medicare |
$92.82
|
| 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) |
$206.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$152.75
|
| Rate for Payer: BCBS Complete |
$94.00
|
| Rate for Payer: BCBS Complete |
$126.90
|
| Rate for Payer: BCBS Complete |
$74.26
|
| 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 |
$188.00
|
| Rate for Payer: Cash Price |
$253.80
|
| Rate for Payer: Cash Price |
$148.52
|
| Rate for Payer: Cash Price |
$188.00
|
| Rate for Payer: Cash Price |
$148.52
|
| Rate for Payer: Cash Price |
$253.80
|
| Rate for Payer: Cofinity Commercial |
$202.10
|
| Rate for Payer: Cofinity Commercial |
$129.96
|
| Rate for Payer: Cofinity Commercial |
$159.66
|
| Rate for Payer: Cofinity Commercial |
$164.50
|
| Rate for Payer: Cofinity Commercial |
$222.08
|
| Rate for Payer: Cofinity Commercial |
$272.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$222.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$129.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$164.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$148.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$188.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$253.80
|
| Rate for Payer: Healthscope Commercial |
$285.52
|
| Rate for Payer: Healthscope Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$167.08
|
| 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 |
$222.08
|
| 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 |
$176.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$199.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$157.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$269.66
|
| Rate for Payer: PHP Commercial |
$269.66
|
| Rate for Payer: PHP Commercial |
$157.80
|
| Rate for Payer: PHP Commercial |
$199.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$120.67
|
| 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 SBD |
$148.05
|
| Rate for Payer: Priority Health SBD |
$199.87
|
| Rate for Payer: Priority Health SBD |
$116.96
|
| Rate for Payer: UMR Bronson Commercial |
$117.38
|
| Rate for Payer: UMR Bronson Commercial |
$68.69
|
| Rate for Payer: UMR Bronson Commercial |
$86.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$139.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$176.25
|
| 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 |
$167.08 |
| 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 |
$272.84
|
| Rate for Payer: Cofinity Commercial |
$222.08
|
| 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 |
$222.08
|
| 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 |
$167.08
|
| 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 |
$222.08
|
| 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
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
OP
|
$228.95
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$206.06 |
| Rate for Payer: Aetna American Axle |
$148.82
|
| Rate for Payer: Aetna American Axle |
$187.10
|
| Rate for Payer: Aetna American Axle |
$172.90
|
| Rate for Payer: Aetna American Axle |
$147.58
|
| Rate for Payer: Aetna American Axle |
$192.66
|
| Rate for Payer: Aetna Commercial |
$194.61
|
| Rate for Payer: Aetna Commercial |
$192.99
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$226.10
|
| Rate for Payer: Aetna Commercial |
$244.67
|
| Rate for Payer: Aetna Medicare |
$133.00
|
| Rate for Payer: Aetna Medicare |
$143.92
|
| Rate for Payer: Aetna Medicare |
$114.48
|
| Rate for Payer: Aetna Medicare |
$113.52
|
| Rate for Payer: Aetna Medicare |
$148.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$187.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$192.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$172.90
|
| Rate for Payer: BCBS Complete |
$91.58
|
| Rate for Payer: BCBS Complete |
$90.82
|
| Rate for Payer: BCBS Complete |
$115.14
|
| Rate for Payer: BCBS Complete |
$118.56
|
| Rate for Payer: BCBS Complete |
$106.40
|
| 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 |
$183.16
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$181.64
|
| Rate for Payer: Cash Price |
$183.16
|
| Rate for Payer: Cash Price |
$181.64
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cofinity Commercial |
$160.26
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Commercial |
$158.94
|
| Rate for Payer: Cofinity Commercial |
$228.76
|
| Rate for Payer: Cofinity Commercial |
$186.20
|
| Rate for Payer: Cofinity Commercial |
$207.48
|
| Rate for Payer: Cofinity Commercial |
$247.55
|
| Rate for Payer: Cofinity Commercial |
$201.50
|
| Rate for Payer: Cofinity Commercial |
$196.90
|
| Rate for Payer: Cofinity Commercial |
$195.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$201.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$207.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$186.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$160.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$158.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$181.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.28
|
| Rate for Payer: Healthscope Commercial |
$259.06
|
| Rate for Payer: Healthscope Commercial |
$204.34
|
| Rate for Payer: Healthscope Commercial |
$206.06
|
| Rate for Payer: Healthscope Commercial |
$239.40
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$158.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$160.26
|
| 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 |
$207.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$215.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$222.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$170.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$194.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.99
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$244.67
|
| Rate for Payer: PHP Commercial |
$194.61
|
| Rate for Payer: PHP Commercial |
$192.99
|
| Rate for Payer: PHP Commercial |
$226.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.82
|
| Rate for Payer: Priority Health SBD |
$144.24
|
| Rate for Payer: Priority Health SBD |
$186.73
|
| Rate for Payer: Priority Health SBD |
$181.35
|
| Rate for Payer: Priority Health SBD |
$143.04
|
| Rate for Payer: Priority Health SBD |
$167.58
|
| Rate for Payer: UMR Bronson Commercial |
$84.01
|
| Rate for Payer: UMR Bronson Commercial |
$98.42
|
| Rate for Payer: UMR Bronson Commercial |
$84.71
|
| Rate for Payer: UMR Bronson Commercial |
$106.50
|
| Rate for Payer: UMR Bronson Commercial |
$109.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.71
|
| 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 |
$199.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.29
|
|
|
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 |
$147.58
|
| Rate for Payer: Aetna American Axle |
$148.82
|
| Rate for Payer: Aetna American Axle |
$192.66
|
| Rate for Payer: Aetna American Axle |
$172.90
|
| Rate for Payer: Aetna Commercial |
$244.67
|
| Rate for Payer: Aetna Commercial |
$194.61
|
| Rate for Payer: Aetna Commercial |
$192.99
|
| Rate for Payer: Aetna Commercial |
$251.94
|
| Rate for Payer: Aetna Commercial |
$226.10
|
| 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) |
$192.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.82
|
| Rate for Payer: Cash Price |
$230.28
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cash Price |
$183.16
|
| Rate for Payer: Cash Price |
$212.80
|
| Rate for Payer: Cash Price |
$181.64
|
| Rate for Payer: Cofinity Commercial |
$207.48
|
| Rate for Payer: Cofinity Commercial |
$158.94
|
| Rate for Payer: Cofinity Commercial |
$247.55
|
| Rate for Payer: Cofinity Commercial |
$201.50
|
| Rate for Payer: Cofinity Commercial |
$186.20
|
| Rate for Payer: Cofinity Commercial |
$160.26
|
| Rate for Payer: Cofinity Commercial |
$196.90
|
| Rate for Payer: Cofinity Commercial |
$228.76
|
| Rate for Payer: Cofinity Commercial |
$195.26
|
| Rate for Payer: Cofinity Commercial |
$254.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$201.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$158.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$160.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$207.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$186.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$230.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$183.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$181.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$212.80
|
| Rate for Payer: Healthscope Commercial |
$206.06
|
| Rate for Payer: Healthscope Commercial |
$259.06
|
| Rate for Payer: Healthscope Commercial |
$239.40
|
| Rate for Payer: Healthscope Commercial |
$266.76
|
| Rate for Payer: Healthscope Commercial |
$204.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$201.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$158.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$186.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$160.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$207.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$199.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$170.29
|
| 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 |
$194.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$226.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$244.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$192.99
|
| Rate for Payer: PHP Commercial |
$192.99
|
| Rate for Payer: PHP Commercial |
$251.94
|
| Rate for Payer: PHP Commercial |
$226.10
|
| Rate for Payer: PHP Commercial |
$244.67
|
| Rate for Payer: PHP Commercial |
$194.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$148.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$187.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.58
|
| Rate for Payer: Priority Health SBD |
$186.73
|
| Rate for Payer: Priority Health SBD |
$167.58
|
| Rate for Payer: Priority Health SBD |
$144.24
|
| Rate for Payer: Priority Health SBD |
$143.04
|
| Rate for Payer: Priority Health SBD |
$181.35
|
| Rate for Payer: UMR Bronson Commercial |
$99.90
|
| Rate for Payer: UMR Bronson Commercial |
$100.74
|
| Rate for Payer: UMR Bronson Commercial |
$126.65
|
| Rate for Payer: UMR Bronson Commercial |
$130.42
|
| Rate for Payer: UMR Bronson Commercial |
$117.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$199.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$222.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$215.89
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
IP
|
$3.67
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.61 |
| Max. Negotiated Rate |
$3.30 |
| Rate for Payer: Aetna American Axle |
$2.39
|
| Rate for Payer: Aetna American Axle |
$238.29
|
| Rate for Payer: Aetna American Axle |
$229.12
|
| Rate for Payer: Aetna American Axle |
$28.26
|
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna Commercial |
$299.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$238.29
|
| 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 |
$293.28
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$282.00
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cofinity Commercial |
$246.75
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Cofinity Commercial |
$30.44
|
| Rate for Payer: Cofinity Commercial |
$2.57
|
| Rate for Payer: Cofinity Commercial |
$256.62
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Cofinity Commercial |
$303.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.44
|
| Rate for Payer: Cofinity Medicare Advantage |
$246.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$282.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$317.25
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$246.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$274.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$264.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$299.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$299.62
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$229.12
|
| Rate for Payer: Priority Health SBD |
$27.39
|
| Rate for Payer: Priority Health SBD |
$222.08
|
| Rate for Payer: Priority Health SBD |
$230.96
|
| Rate for Payer: Priority Health SBD |
$2.31
|
| Rate for Payer: UMR Bronson Commercial |
$1.61
|
| Rate for Payer: UMR Bronson Commercial |
$19.13
|
| Rate for Payer: UMR Bronson Commercial |
$161.30
|
| Rate for Payer: UMR Bronson Commercial |
$155.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$264.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.75
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
OP
|
$43.48
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$39.13 |
| Rate for Payer: Aetna American Axle |
$28.26
|
| Rate for Payer: Aetna American Axle |
$2.39
|
| Rate for Payer: Aetna American Axle |
$229.12
|
| Rate for Payer: Aetna American Axle |
$238.29
|
| Rate for Payer: Aetna Commercial |
$36.96
|
| Rate for Payer: Aetna Commercial |
$311.61
|
| Rate for Payer: Aetna Commercial |
$299.62
|
| Rate for Payer: Aetna Commercial |
$3.12
|
| Rate for Payer: Aetna Medicare |
$1.84
|
| Rate for Payer: Aetna Medicare |
$183.30
|
| Rate for Payer: Aetna Medicare |
$176.25
|
| Rate for Payer: Aetna Medicare |
$21.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$229.12
|
| 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 |
$1.47
|
| Rate for Payer: BCBS Complete |
$141.00
|
| Rate for Payer: BCBS Complete |
$17.39
|
| 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: 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 |
$293.28
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$282.00
|
| Rate for Payer: Cash Price |
$282.00
|
| Rate for Payer: Cash Price |
$2.94
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cofinity Commercial |
$37.39
|
| Rate for Payer: Cofinity Commercial |
$315.28
|
| Rate for Payer: Cofinity Commercial |
$246.75
|
| Rate for Payer: Cofinity Commercial |
$303.15
|
| Rate for Payer: Cofinity Commercial |
$256.62
|
| Rate for Payer: Cofinity Commercial |
$2.57
|
| Rate for Payer: Cofinity Commercial |
$3.16
|
| Rate for Payer: Cofinity Commercial |
$30.44
|
| Rate for Payer: Cofinity Medicare Advantage |
$256.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$2.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$246.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$30.44
|
| 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 |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$282.00
|
| Rate for Payer: Healthscope Commercial |
$317.25
|
| Rate for Payer: Healthscope Commercial |
$39.13
|
| Rate for Payer: Healthscope Commercial |
$3.30
|
| Rate for Payer: Healthscope Commercial |
$329.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$246.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$256.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$30.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$32.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$264.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.75
|
| 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 |
$36.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$299.62
|
| Rate for Payer: PHP Commercial |
$36.96
|
| Rate for Payer: PHP Commercial |
$311.61
|
| Rate for Payer: PHP Commercial |
$299.62
|
| Rate for Payer: PHP Commercial |
$3.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$229.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.39
|
| Rate for Payer: Priority Health SBD |
$222.08
|
| Rate for Payer: Priority Health SBD |
$2.31
|
| Rate for Payer: Priority Health SBD |
$230.96
|
| Rate for Payer: Priority Health SBD |
$27.39
|
| Rate for Payer: UMR Bronson Commercial |
$130.42
|
| Rate for Payer: UMR Bronson Commercial |
$1.36
|
| Rate for Payer: UMR Bronson Commercial |
$16.09
|
| Rate for Payer: UMR Bronson Commercial |
$135.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$274.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$264.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$32.61
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 2-4 PTS
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 98961
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$656.15 |
| Rate for Payer: Aetna Commercial |
$13.91
|
| Rate for Payer: Aetna Medicare |
$11.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.91
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: BCBS Trust/PPO |
$656.15
|
| Rate for Payer: BCN Commercial |
$14.19
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.91
|
| Rate for Payer: Priority Health Narrow Network |
$19.91
|
| Rate for Payer: Priority Health SBD |
$19.91
|
| Rate for Payer: UMR Bronson Commercial |
$10.58
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 5-8 PTS
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 98962
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$888.07 |
| Rate for Payer: Aetna Commercial |
$10.35
|
| Rate for Payer: Aetna Medicare |
$8.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.35
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: BCBS Trust/PPO |
$888.07
|
| Rate for Payer: BCN Commercial |
$10.55
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.92
|
| Rate for Payer: Priority Health Narrow Network |
$14.92
|
| Rate for Payer: Priority Health SBD |
$14.92
|
| Rate for Payer: UMR Bronson Commercial |
$7.82
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP INDIV PT
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 98960
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$505.58 |
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Medicare |
$24.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$28.53
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: BCBS Trust/PPO |
$505.58
|
| Rate for Payer: BCN Commercial |
$33.79
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$41.61
|
| Rate for Payer: Priority Health Narrow Network |
$41.61
|
| Rate for Payer: Priority Health SBD |
$41.61
|
| Rate for Payer: UMR Bronson Commercial |
$22.08
|
|
|
PR EEG,ALL NIGHT RECORD
|
Professional
|
Both
|
$1,345.00
|
|
|
Service Code
|
HCPCS 95827
|
| Min. Negotiated Rate |
$538.00 |
| Max. Negotiated Rate |
$874.25 |
| Rate for Payer: Aetna Medicare |
$672.50
|
| Rate for Payer: BCBS Complete |
$538.00
|
| Rate for Payer: Cash Price |
$1,076.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$874.25
|
| Rate for Payer: UMR Bronson Commercial |
$618.70
|
|
|
PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO
|
Professional
|
Both
|
$428.00
|
|
|
Service Code
|
HCPCS 95721
|
| Min. Negotiated Rate |
$129.50 |
| Max. Negotiated Rate |
$405.73 |
| Rate for Payer: Aetna Commercial |
$258.26
|
| Rate for Payer: Aetna Medicare |
$200.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$258.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$277.53
|
| Rate for Payer: BCBS Complete |
$135.98
|
| Rate for Payer: BCBS MAPPO |
$192.73
|
| Rate for Payer: BCBS Trust/PPO |
$405.73
|
| Rate for Payer: BCN Commercial |
$299.07
|
| Rate for Payer: BCN Medicare Advantage |
$192.73
|
| Rate for Payer: Cash Price |
$342.40
|
| Rate for Payer: Cash Price |
$342.40
|
| Rate for Payer: Cofinity Commercial |
$277.53
|
| Rate for Payer: Cofinity Commercial |
$258.26
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$192.73
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$202.37
|
| Rate for Payer: Meridian Medicaid |
$135.98
|
| Rate for Payer: Nomi Health Commercial |
$231.28
|
| Rate for Payer: PACE SWMI |
$192.73
|
| Rate for Payer: PHP Commercial |
$269.82
|
| Rate for Payer: PHP Medicare Advantage |
$192.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$129.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$278.20
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$275.91
|
| Rate for Payer: Priority Health Medicare |
$192.73
|
| Rate for Payer: Priority Health Narrow Network |
$275.91
|
| Rate for Payer: Priority Health SBD |
$275.91
|
| Rate for Payer: UHC Dual Complete DSNP |
$192.73
|
| Rate for Payer: UHC Medicare Advantage |
$192.73
|
| Rate for Payer: UHCCP Medicaid |
$129.50
|
| Rate for Payer: UMR Bronson Commercial |
$196.88
|
|
|
PR EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG
|
Professional
|
Both
|
$520.00
|
|
|
Service Code
|
HCPCS 95722
|
| Min. Negotiated Rate |
$157.62 |
| Max. Negotiated Rate |
$364.06 |
| Rate for Payer: Aetna Commercial |
$314.65
|
| Rate for Payer: Aetna Medicare |
$244.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$314.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$338.13
|
| Rate for Payer: BCBS Complete |
$165.50
|
| Rate for Payer: BCBS MAPPO |
$234.81
|
| Rate for Payer: BCBS Trust/PPO |
$240.38
|
| Rate for Payer: BCN Commercial |
$364.06
|
| Rate for Payer: BCN Medicare Advantage |
$234.81
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cash Price |
$416.00
|
| Rate for Payer: Cofinity Commercial |
$314.65
|
| Rate for Payer: Cofinity Commercial |
$338.13
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$234.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$246.55
|
| Rate for Payer: Meridian Medicaid |
$165.50
|
| Rate for Payer: Nomi Health Commercial |
$281.77
|
| Rate for Payer: PACE SWMI |
$234.81
|
| Rate for Payer: PHP Commercial |
$328.73
|
| Rate for Payer: PHP Medicare Advantage |
$234.81
|
| Rate for Payer: Priority Health Choice Medicaid |
$157.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$338.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$334.72
|
| Rate for Payer: Priority Health Medicare |
$234.81
|
| Rate for Payer: Priority Health Narrow Network |
$334.72
|
| Rate for Payer: Priority Health SBD |
$334.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$234.81
|
| Rate for Payer: UHC Medicare Advantage |
$234.81
|
| Rate for Payer: UHCCP Medicaid |
$157.62
|
| Rate for Payer: UMR Bronson Commercial |
$239.20
|
|
|
PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO
|
Professional
|
Both
|
$531.00
|
|
|
Service Code
|
HCPCS 95723
|
| Min. Negotiated Rate |
$159.11 |
| Max. Negotiated Rate |
$365.53 |
| Rate for Payer: Aetna Commercial |
$317.61
|
| Rate for Payer: Aetna Medicare |
$246.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$317.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$341.31
|
| Rate for Payer: BCBS Complete |
$167.07
|
| Rate for Payer: BCBS MAPPO |
$237.02
|
| Rate for Payer: BCBS Trust/PPO |
$282.64
|
| Rate for Payer: BCN Commercial |
$365.53
|
| Rate for Payer: BCN Medicare Advantage |
$237.02
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Cash Price |
$424.80
|
| Rate for Payer: Cofinity Commercial |
$317.61
|
| Rate for Payer: Cofinity Commercial |
$341.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$237.02
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$248.87
|
| Rate for Payer: Meridian Medicaid |
$167.07
|
| Rate for Payer: Nomi Health Commercial |
$284.42
|
| Rate for Payer: PACE SWMI |
$237.02
|
| Rate for Payer: PHP Commercial |
$331.83
|
| Rate for Payer: PHP Medicare Advantage |
$237.02
|
| Rate for Payer: Priority Health Choice Medicaid |
$159.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$345.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$334.72
|
| Rate for Payer: Priority Health Medicare |
$237.02
|
| Rate for Payer: Priority Health Narrow Network |
$334.72
|
| Rate for Payer: Priority Health SBD |
$334.72
|
| Rate for Payer: UHC Dual Complete DSNP |
$237.02
|
| Rate for Payer: UHC Medicare Advantage |
$237.02
|
| Rate for Payer: UHCCP Medicaid |
$159.11
|
| Rate for Payer: UMR Bronson Commercial |
$244.26
|
|
|
PR EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG
|
Professional
|
Both
|
$664.00
|
|
|
Service Code
|
HCPCS 95724
|
| Min. Negotiated Rate |
$200.01 |
| Max. Negotiated Rate |
$460.34 |
| Rate for Payer: Aetna Commercial |
$399.37
|
| Rate for Payer: Aetna Medicare |
$309.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$399.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$429.18
|
| Rate for Payer: BCBS Complete |
$210.01
|
| Rate for Payer: BCBS MAPPO |
$298.04
|
| Rate for Payer: BCBS Trust/PPO |
$438.49
|
| Rate for Payer: BCN Commercial |
$460.34
|
| Rate for Payer: BCN Medicare Advantage |
$298.04
|
| Rate for Payer: Cash Price |
$531.20
|
| Rate for Payer: Cash Price |
$531.20
|
| Rate for Payer: Cofinity Commercial |
$399.37
|
| Rate for Payer: Cofinity Commercial |
$429.18
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$298.04
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$312.94
|
| Rate for Payer: Meridian Medicaid |
$210.01
|
| Rate for Payer: Nomi Health Commercial |
$357.65
|
| Rate for Payer: PACE SWMI |
$298.04
|
| Rate for Payer: PHP Commercial |
$417.26
|
| Rate for Payer: PHP Medicare Advantage |
$298.04
|
| Rate for Payer: Priority Health Choice Medicaid |
$200.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$431.60
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$421.11
|
| Rate for Payer: Priority Health Medicare |
$298.04
|
| Rate for Payer: Priority Health Narrow Network |
$421.11
|
| Rate for Payer: Priority Health SBD |
$421.11
|
| Rate for Payer: UHC Dual Complete DSNP |
$298.04
|
| Rate for Payer: UHC Medicare Advantage |
$298.04
|
| Rate for Payer: UHCCP Medicaid |
$200.01
|
| Rate for Payer: UMR Bronson Commercial |
$305.44
|
|
|
PR EEG COMPLETE STD PHYS/QHP>84 HR W/O VID
|
Professional
|
Both
|
$607.00
|
|
|
Service Code
|
HCPCS 95725
|
| Min. Negotiated Rate |
$182.33 |
| Max. Negotiated Rate |
$476.00 |
| Rate for Payer: Aetna Commercial |
$363.84
|
| Rate for Payer: Aetna Medicare |
$282.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$363.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$390.99
|
| Rate for Payer: BCBS Complete |
$191.45
|
| Rate for Payer: BCBS MAPPO |
$271.52
|
| Rate for Payer: BCBS Trust/PPO |
$476.00
|
| Rate for Payer: BCN Commercial |
$418.30
|
| Rate for Payer: BCN Medicare Advantage |
$271.52
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cash Price |
$485.60
|
| Rate for Payer: Cofinity Commercial |
$363.84
|
| Rate for Payer: Cofinity Commercial |
$390.99
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$271.52
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$285.10
|
| Rate for Payer: Meridian Medicaid |
$191.45
|
| Rate for Payer: Nomi Health Commercial |
$325.82
|
| Rate for Payer: PACE SWMI |
$271.52
|
| Rate for Payer: PHP Commercial |
$380.13
|
| Rate for Payer: PHP Medicare Advantage |
$271.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$182.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$394.55
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$386.28
|
| Rate for Payer: Priority Health Medicare |
$271.52
|
| Rate for Payer: Priority Health Narrow Network |
$386.28
|
| Rate for Payer: Priority Health SBD |
$386.28
|
| Rate for Payer: UHC Dual Complete DSNP |
$271.52
|
| Rate for Payer: UHC Medicare Advantage |
$271.52
|
| Rate for Payer: UHCCP Medicaid |
$182.33
|
| Rate for Payer: UMR Bronson Commercial |
$279.22
|
|
|
PR EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG
|
Professional
|
Both
|
$839.00
|
|
|
Service Code
|
HCPCS 95726
|
| Min. Negotiated Rate |
$254.11 |
| Max. Negotiated Rate |
$585.43 |
| Rate for Payer: Aetna Commercial |
$507.14
|
| Rate for Payer: Aetna Medicare |
$393.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$507.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$544.98
|
| Rate for Payer: BCBS Complete |
$266.82
|
| Rate for Payer: BCBS MAPPO |
$378.46
|
| Rate for Payer: BCBS Trust/PPO |
$530.41
|
| Rate for Payer: BCN Commercial |
$585.43
|
| Rate for Payer: BCN Medicare Advantage |
$378.46
|
| Rate for Payer: Cash Price |
$671.20
|
| Rate for Payer: Cash Price |
$671.20
|
| Rate for Payer: Cofinity Commercial |
$507.14
|
| Rate for Payer: Cofinity Commercial |
$544.98
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$378.46
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$397.38
|
| Rate for Payer: Meridian Medicaid |
$266.82
|
| Rate for Payer: Nomi Health Commercial |
$454.15
|
| Rate for Payer: PACE SWMI |
$378.46
|
| Rate for Payer: PHP Commercial |
$529.84
|
| Rate for Payer: PHP Medicare Advantage |
$378.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$254.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$545.35
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$539.61
|
| Rate for Payer: Priority Health Medicare |
$378.46
|
| Rate for Payer: Priority Health Narrow Network |
$539.61
|
| Rate for Payer: Priority Health SBD |
$539.61
|
| Rate for Payer: UHC Dual Complete DSNP |
$378.46
|
| Rate for Payer: UHC Medicare Advantage |
$378.46
|
| Rate for Payer: UHCCP Medicaid |
$254.11
|
| Rate for Payer: UMR Bronson Commercial |
$385.94
|
|
