|
ROPIVACAINE 0.2 % FOR NERVE BLOCK INJECTION
|
Facility
|
OP
|
$122.04
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
161560
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$45.15 |
| Max. Negotiated Rate |
$109.84 |
| Rate for Payer: Aetna American Axle |
$79.33
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Medicare |
$61.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: BCBS Complete |
$48.82
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$85.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: UMR Bronson Commercial |
$45.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.53
|
|
|
ROPIVACAINE 0.2 % FOR NERVE BLOCK INJECTION
|
Facility
|
IP
|
$122.04
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
161560
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$53.70 |
| Max. Negotiated Rate |
$109.84 |
| Rate for Payer: Aetna American Axle |
$79.33
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$85.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: UMR Bronson Commercial |
$53.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.53
|
|
|
ROPIVACAINE 0.5 % 50ML IN SODIUM CHLORIDE 0.9% ML INFILTRATION 100 ML (TOTAL KNEE)
|
Facility
|
OP
|
$110.00
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
301830
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.16 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna American Axle |
$71.50
|
| Rate for Payer: Aetna Commercial |
$93.50
|
| Rate for Payer: Aetna Medicare |
$0.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.38
|
| Rate for Payer: BCBS Complete |
$0.17
|
| Rate for Payer: BCBS MAPPO |
$0.30
|
| Rate for Payer: BCN Medicare Advantage |
$0.30
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cofinity Commercial |
$94.60
|
| Rate for Payer: Cofinity Commercial |
$77.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$77.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.30
|
| Rate for Payer: Healthscope Commercial |
$99.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.50
|
| Rate for Payer: Mclaren Medicaid |
$0.16
|
| Rate for Payer: Mclaren Medicare |
$0.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.32
|
| Rate for Payer: Meridian Medicaid |
$0.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.50
|
| Rate for Payer: PACE Medicare |
$0.29
|
| Rate for Payer: PACE SWMI |
$0.30
|
| Rate for Payer: PHP Commercial |
$93.50
|
| Rate for Payer: PHP Medicare Advantage |
$0.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.50
|
| Rate for Payer: Priority Health Medicare |
$0.30
|
| Rate for Payer: Priority Health SBD |
$69.30
|
| Rate for Payer: Railroad Medicare Medicare |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.57
|
| Rate for Payer: UHC Medicare Advantage |
$0.30
|
| Rate for Payer: UHCCP Medicaid |
$0.16
|
| Rate for Payer: UMR Bronson Commercial |
$40.70
|
| Rate for Payer: VA VA |
$0.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.50
|
|
|
ROPIVACAINE 0.5 % 50ML IN SODIUM CHLORIDE 0.9% ML INFILTRATION 100 ML (TOTAL KNEE)
|
Facility
|
IP
|
$110.00
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
301830
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$48.40 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna American Axle |
$71.50
|
| Rate for Payer: Aetna Commercial |
$93.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.50
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cofinity Commercial |
$77.00
|
| Rate for Payer: Cofinity Commercial |
$94.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$77.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.00
|
| Rate for Payer: Healthscope Commercial |
$99.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.50
|
| Rate for Payer: PHP Commercial |
$93.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.50
|
| Rate for Payer: Priority Health SBD |
$69.30
|
| Rate for Payer: UMR Bronson Commercial |
$48.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.50
|
|
|
ROPIVACAINE 0.5 % 60 ML IN SODIUM CHLORIDE 0.9% ML INFILTRATION 100 ML (TOTAL HIP)
|
Facility
|
OP
|
$110.00
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
301829
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.16 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna American Axle |
$71.50
|
| Rate for Payer: Aetna Commercial |
$93.50
|
| Rate for Payer: Aetna Medicare |
$0.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$0.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$0.38
|
| Rate for Payer: BCBS Complete |
$0.17
|
| Rate for Payer: BCBS MAPPO |
$0.30
|
| Rate for Payer: BCN Medicare Advantage |
$0.30
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cofinity Commercial |
$77.00
|
| Rate for Payer: Cofinity Commercial |
$94.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$77.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$0.30
|
| Rate for Payer: Healthscope Commercial |
$99.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.50
|
| Rate for Payer: Mclaren Medicaid |
$0.16
|
| Rate for Payer: Mclaren Medicare |
$0.30
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$0.32
|
| Rate for Payer: Meridian Medicaid |
$0.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$0.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.50
|
| Rate for Payer: PACE Medicare |
$0.29
|
| Rate for Payer: PACE SWMI |
$0.30
|
| Rate for Payer: PHP Commercial |
$93.50
|
| Rate for Payer: PHP Medicare Advantage |
$0.30
|
| Rate for Payer: Priority Health Choice Medicaid |
$0.16
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.50
|
| Rate for Payer: Priority Health Medicare |
$0.30
|
| Rate for Payer: Priority Health SBD |
$69.30
|
| Rate for Payer: Railroad Medicare Medicare |
$0.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.84
|
| Rate for Payer: UHC Dual Complete DSNP |
$0.30
|
| Rate for Payer: UHC Exchange |
$0.57
|
| Rate for Payer: UHC Medicare Advantage |
$0.30
|
| Rate for Payer: UHCCP Medicaid |
$0.16
|
| Rate for Payer: UMR Bronson Commercial |
$40.70
|
| Rate for Payer: VA VA |
$0.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.50
|
|
|
ROPIVACAINE 0.5 % 60 ML IN SODIUM CHLORIDE 0.9% ML INFILTRATION 100 ML (TOTAL HIP)
|
Facility
|
IP
|
$110.00
|
|
|
Service Code
|
HCPCS J1885
|
| Hospital Charge Code |
301829
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$48.40 |
| Max. Negotiated Rate |
$99.00 |
| Rate for Payer: Aetna American Axle |
$71.50
|
| Rate for Payer: Aetna Commercial |
$93.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.50
|
| Rate for Payer: Cash Price |
$88.00
|
| Rate for Payer: Cofinity Commercial |
$77.00
|
| Rate for Payer: Cofinity Commercial |
$94.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$77.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$88.00
|
| Rate for Payer: Healthscope Commercial |
$99.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$77.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$82.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$93.50
|
| Rate for Payer: PHP Commercial |
$93.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$71.50
|
| Rate for Payer: Priority Health SBD |
$69.30
|
| Rate for Payer: UMR Bronson Commercial |
$48.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$82.50
|
|
|
ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
|
Facility
|
OP
|
$99.53
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18194
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$36.83 |
| Max. Negotiated Rate |
$89.58 |
| Rate for Payer: Aetna American Axle |
$64.69
|
| Rate for Payer: Aetna American Axle |
$26.44
|
| Rate for Payer: Aetna American Axle |
$47.69
|
| Rate for Payer: Aetna American Axle |
$48.81
|
| Rate for Payer: Aetna American Axle |
$48.10
|
| Rate for Payer: Aetna American Axle |
$93.61
|
| Rate for Payer: Aetna American Axle |
$52.67
|
| Rate for Payer: Aetna Commercial |
$84.60
|
| Rate for Payer: Aetna Commercial |
$34.58
|
| Rate for Payer: Aetna Commercial |
$68.88
|
| Rate for Payer: Aetna Commercial |
$122.41
|
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Commercial |
$62.36
|
| Rate for Payer: Aetna Commercial |
$62.90
|
| Rate for Payer: Aetna Medicare |
$36.69
|
| Rate for Payer: Aetna Medicare |
$40.52
|
| Rate for Payer: Aetna Medicare |
$49.77
|
| Rate for Payer: Aetna Medicare |
$37.55
|
| Rate for Payer: Aetna Medicare |
$20.34
|
| Rate for Payer: Aetna Medicare |
$37.00
|
| Rate for Payer: Aetna Medicare |
$72.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.10
|
| Rate for Payer: BCBS Complete |
$29.60
|
| Rate for Payer: BCBS Complete |
$57.60
|
| Rate for Payer: BCBS Complete |
$30.04
|
| Rate for Payer: BCBS Complete |
$29.35
|
| Rate for Payer: BCBS Complete |
$16.27
|
| Rate for Payer: BCBS Complete |
$39.81
|
| Rate for Payer: BCBS Complete |
$32.41
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$58.70
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$32.54
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$79.62
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Cofinity Commercial |
$28.48
|
| Rate for Payer: Cofinity Commercial |
$69.69
|
| Rate for Payer: Cofinity Commercial |
$64.59
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$123.85
|
| Rate for Payer: Cofinity Commercial |
$85.60
|
| Rate for Payer: Cofinity Commercial |
$69.67
|
| Rate for Payer: Cofinity Commercial |
$34.98
|
| Rate for Payer: Cofinity Commercial |
$63.64
|
| Rate for Payer: Cofinity Commercial |
$100.81
|
| Rate for Payer: Cofinity Commercial |
$63.10
|
| Rate for Payer: Cofinity Commercial |
$51.36
|
| Rate for Payer: Cofinity Commercial |
$51.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$69.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$100.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$28.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.08
|
| Rate for Payer: Healthscope Commercial |
$129.61
|
| Rate for Payer: Healthscope Commercial |
$89.58
|
| Rate for Payer: Healthscope Commercial |
$72.93
|
| Rate for Payer: Healthscope Commercial |
$66.60
|
| Rate for Payer: Healthscope Commercial |
$36.61
|
| Rate for Payer: Healthscope Commercial |
$67.59
|
| Rate for Payer: Healthscope Commercial |
$66.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$108.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.60
|
| Rate for Payer: PHP Commercial |
$62.36
|
| Rate for Payer: PHP Commercial |
$68.88
|
| Rate for Payer: PHP Commercial |
$63.84
|
| Rate for Payer: PHP Commercial |
$84.60
|
| Rate for Payer: PHP Commercial |
$34.58
|
| Rate for Payer: PHP Commercial |
$122.41
|
| Rate for Payer: PHP Commercial |
$62.90
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.44
|
| Rate for Payer: Priority Health SBD |
$62.70
|
| Rate for Payer: Priority Health SBD |
$51.05
|
| Rate for Payer: Priority Health SBD |
$46.62
|
| Rate for Payer: Priority Health SBD |
$46.22
|
| Rate for Payer: Priority Health SBD |
$47.31
|
| Rate for Payer: Priority Health SBD |
$90.73
|
| Rate for Payer: Priority Health SBD |
$25.63
|
| Rate for Payer: UMR Bronson Commercial |
$15.05
|
| Rate for Payer: UMR Bronson Commercial |
$27.38
|
| Rate for Payer: UMR Bronson Commercial |
$27.15
|
| Rate for Payer: UMR Bronson Commercial |
$53.28
|
| Rate for Payer: UMR Bronson Commercial |
$29.98
|
| Rate for Payer: UMR Bronson Commercial |
$27.79
|
| Rate for Payer: UMR Bronson Commercial |
$36.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$108.01
|
|
|
ROPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION
|
Facility
|
IP
|
$144.01
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18194
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$63.36 |
| Max. Negotiated Rate |
$129.61 |
| Rate for Payer: Aetna American Axle |
$93.61
|
| Rate for Payer: Aetna American Axle |
$52.67
|
| Rate for Payer: Aetna American Axle |
$48.81
|
| Rate for Payer: Aetna American Axle |
$47.69
|
| Rate for Payer: Aetna American Axle |
$26.44
|
| Rate for Payer: Aetna American Axle |
$48.10
|
| Rate for Payer: Aetna American Axle |
$64.69
|
| Rate for Payer: Aetna Commercial |
$68.88
|
| Rate for Payer: Aetna Commercial |
$34.58
|
| Rate for Payer: Aetna Commercial |
$62.90
|
| Rate for Payer: Aetna Commercial |
$63.84
|
| Rate for Payer: Aetna Commercial |
$84.60
|
| Rate for Payer: Aetna Commercial |
$62.36
|
| Rate for Payer: Aetna Commercial |
$122.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$93.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$26.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$48.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$64.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.67
|
| Rate for Payer: Cash Price |
$59.20
|
| Rate for Payer: Cash Price |
$64.82
|
| Rate for Payer: Cash Price |
$32.54
|
| Rate for Payer: Cash Price |
$115.21
|
| Rate for Payer: Cash Price |
$58.70
|
| Rate for Payer: Cash Price |
$60.08
|
| Rate for Payer: Cash Price |
$79.62
|
| Rate for Payer: Cofinity Commercial |
$69.69
|
| Rate for Payer: Cofinity Commercial |
$100.81
|
| Rate for Payer: Cofinity Commercial |
$63.64
|
| Rate for Payer: Cofinity Commercial |
$51.80
|
| Rate for Payer: Cofinity Commercial |
$51.36
|
| Rate for Payer: Cofinity Commercial |
$28.48
|
| Rate for Payer: Cofinity Commercial |
$34.98
|
| Rate for Payer: Cofinity Commercial |
$63.10
|
| Rate for Payer: Cofinity Commercial |
$123.85
|
| Rate for Payer: Cofinity Commercial |
$52.57
|
| Rate for Payer: Cofinity Commercial |
$64.59
|
| Rate for Payer: Cofinity Commercial |
$56.72
|
| Rate for Payer: Cofinity Commercial |
$69.67
|
| Rate for Payer: Cofinity Commercial |
$85.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$69.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.80
|
| Rate for Payer: Cofinity Medicare Advantage |
$100.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$52.57
|
| Rate for Payer: Cofinity Medicare Advantage |
$28.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$79.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$59.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$115.21
|
| Rate for Payer: Healthscope Commercial |
$89.58
|
| Rate for Payer: Healthscope Commercial |
$67.59
|
| Rate for Payer: Healthscope Commercial |
$66.03
|
| Rate for Payer: Healthscope Commercial |
$66.60
|
| Rate for Payer: Healthscope Commercial |
$36.61
|
| Rate for Payer: Healthscope Commercial |
$129.61
|
| Rate for Payer: Healthscope Commercial |
$72.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$100.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.36
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$28.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$69.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$52.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$108.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$30.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$74.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$122.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$84.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$63.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.88
|
| Rate for Payer: PHP Commercial |
$63.84
|
| Rate for Payer: PHP Commercial |
$62.36
|
| Rate for Payer: PHP Commercial |
$62.90
|
| Rate for Payer: PHP Commercial |
$122.41
|
| Rate for Payer: PHP Commercial |
$34.58
|
| Rate for Payer: PHP Commercial |
$84.60
|
| Rate for Payer: PHP Commercial |
$68.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$64.69
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$48.81
|
| Rate for Payer: Priority Health SBD |
$46.22
|
| Rate for Payer: Priority Health SBD |
$25.63
|
| Rate for Payer: Priority Health SBD |
$90.73
|
| Rate for Payer: Priority Health SBD |
$62.70
|
| Rate for Payer: Priority Health SBD |
$51.05
|
| Rate for Payer: Priority Health SBD |
$47.31
|
| Rate for Payer: Priority Health SBD |
$46.62
|
| Rate for Payer: UMR Bronson Commercial |
$32.56
|
| Rate for Payer: UMR Bronson Commercial |
$43.79
|
| Rate for Payer: UMR Bronson Commercial |
$33.04
|
| Rate for Payer: UMR Bronson Commercial |
$35.65
|
| Rate for Payer: UMR Bronson Commercial |
$63.36
|
| Rate for Payer: UMR Bronson Commercial |
$32.28
|
| Rate for Payer: UMR Bronson Commercial |
$17.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$30.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$74.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$108.01
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$119.33
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$52.51 |
| Max. Negotiated Rate |
$107.40 |
| Rate for Payer: Aetna American Axle |
$77.56
|
| Rate for Payer: Aetna American Axle |
$110.39
|
| Rate for Payer: Aetna American Axle |
$106.77
|
| Rate for Payer: Aetna American Axle |
$79.33
|
| Rate for Payer: Aetna American Axle |
$85.05
|
| Rate for Payer: Aetna American Axle |
$198.46
|
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$114.98
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Commercial |
$91.59
|
| Rate for Payer: Cofinity Commercial |
$83.53
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$114.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$83.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Healthscope Commercial |
$117.77
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$118.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$85.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$114.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$213.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$228.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$103.48
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: UMR Bronson Commercial |
$134.34
|
| Rate for Payer: UMR Bronson Commercial |
$53.70
|
| Rate for Payer: UMR Bronson Commercial |
$57.57
|
| Rate for Payer: UMR Bronson Commercial |
$74.73
|
| Rate for Payer: UMR Bronson Commercial |
$72.27
|
| Rate for Payer: UMR Bronson Commercial |
$52.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$228.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.50
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$169.83
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
169800
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$62.84 |
| Max. Negotiated Rate |
$152.85 |
| Rate for Payer: Aetna American Axle |
$110.39
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Medicare |
$84.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: BCBS Complete |
$67.93
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$118.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: UMR Bronson Commercial |
$62.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.37
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
IP
|
$169.83
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
169800
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$74.73 |
| Max. Negotiated Rate |
$152.85 |
| Rate for Payer: Aetna American Axle |
$110.39
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$118.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: UMR Bronson Commercial |
$74.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.37
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION
|
Facility
|
OP
|
$164.26
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18192
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$60.78 |
| Max. Negotiated Rate |
$147.83 |
| Rate for Payer: Aetna American Axle |
$106.77
|
| Rate for Payer: Aetna American Axle |
$79.33
|
| Rate for Payer: Aetna American Axle |
$77.56
|
| Rate for Payer: Aetna American Axle |
$110.39
|
| Rate for Payer: Aetna American Axle |
$85.05
|
| Rate for Payer: Aetna American Axle |
$198.46
|
| Rate for Payer: Aetna Commercial |
$259.52
|
| Rate for Payer: Aetna Commercial |
$139.62
|
| Rate for Payer: Aetna Commercial |
$103.73
|
| Rate for Payer: Aetna Commercial |
$101.43
|
| Rate for Payer: Aetna Commercial |
$144.36
|
| Rate for Payer: Aetna Commercial |
$111.22
|
| Rate for Payer: Aetna Medicare |
$65.42
|
| Rate for Payer: Aetna Medicare |
$59.66
|
| Rate for Payer: Aetna Medicare |
$84.92
|
| Rate for Payer: Aetna Medicare |
$152.66
|
| Rate for Payer: Aetna Medicare |
$82.13
|
| Rate for Payer: Aetna Medicare |
$61.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$110.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$85.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$198.46
|
| Rate for Payer: BCBS Complete |
$122.13
|
| Rate for Payer: BCBS Complete |
$65.70
|
| Rate for Payer: BCBS Complete |
$48.82
|
| Rate for Payer: BCBS Complete |
$52.34
|
| Rate for Payer: BCBS Complete |
$67.93
|
| Rate for Payer: BCBS Complete |
$47.73
|
| Rate for Payer: Cash Price |
$97.63
|
| Rate for Payer: Cash Price |
$104.68
|
| Rate for Payer: Cash Price |
$131.41
|
| Rate for Payer: Cash Price |
$244.26
|
| Rate for Payer: Cash Price |
$135.86
|
| Rate for Payer: Cash Price |
$95.46
|
| Rate for Payer: Cofinity Commercial |
$262.58
|
| Rate for Payer: Cofinity Commercial |
$141.26
|
| Rate for Payer: Cofinity Commercial |
$102.62
|
| Rate for Payer: Cofinity Commercial |
$91.59
|
| Rate for Payer: Cofinity Commercial |
$112.53
|
| Rate for Payer: Cofinity Commercial |
$114.98
|
| Rate for Payer: Cofinity Commercial |
$83.53
|
| Rate for Payer: Cofinity Commercial |
$104.95
|
| Rate for Payer: Cofinity Commercial |
$85.43
|
| Rate for Payer: Cofinity Commercial |
$213.72
|
| Rate for Payer: Cofinity Commercial |
$146.05
|
| Rate for Payer: Cofinity Commercial |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$118.88
|
| Rate for Payer: Cofinity Medicare Advantage |
$85.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$83.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$114.98
|
| Rate for Payer: Cofinity Medicare Advantage |
$213.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$135.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$97.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$244.26
|
| Rate for Payer: Healthscope Commercial |
$109.84
|
| Rate for Payer: Healthscope Commercial |
$117.77
|
| Rate for Payer: Healthscope Commercial |
$107.40
|
| Rate for Payer: Healthscope Commercial |
$147.83
|
| Rate for Payer: Healthscope Commercial |
$274.79
|
| Rate for Payer: Healthscope Commercial |
$152.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$114.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$85.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$213.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$118.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$91.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$228.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$127.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$98.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$103.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$259.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$144.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$101.43
|
| Rate for Payer: PHP Commercial |
$139.62
|
| Rate for Payer: PHP Commercial |
$111.22
|
| Rate for Payer: PHP Commercial |
$103.73
|
| Rate for Payer: PHP Commercial |
$144.36
|
| Rate for Payer: PHP Commercial |
$259.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$77.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$110.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$198.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$85.05
|
| Rate for Payer: Priority Health SBD |
$76.89
|
| Rate for Payer: Priority Health SBD |
$106.99
|
| Rate for Payer: Priority Health SBD |
$82.44
|
| Rate for Payer: Priority Health SBD |
$103.48
|
| Rate for Payer: Priority Health SBD |
$75.18
|
| Rate for Payer: Priority Health SBD |
$192.35
|
| Rate for Payer: UMR Bronson Commercial |
$112.97
|
| Rate for Payer: UMR Bronson Commercial |
$44.15
|
| Rate for Payer: UMR Bronson Commercial |
$45.15
|
| Rate for Payer: UMR Bronson Commercial |
$48.41
|
| Rate for Payer: UMR Bronson Commercial |
$60.78
|
| Rate for Payer: UMR Bronson Commercial |
$62.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$127.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$228.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$98.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$91.53
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) PAIN PUMP (BMH)
|
Facility
|
IP
|
$688.83
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
154973
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$303.09 |
| Max. Negotiated Rate |
$619.95 |
| Rate for Payer: Aetna American Axle |
$447.74
|
| Rate for Payer: Aetna American Axle |
$542.22
|
| Rate for Payer: Aetna Commercial |
$585.51
|
| Rate for Payer: Aetna Commercial |
$709.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$542.22
|
| Rate for Payer: Cash Price |
$551.06
|
| Rate for Payer: Cash Price |
$667.34
|
| Rate for Payer: Cofinity Commercial |
$717.39
|
| Rate for Payer: Cofinity Commercial |
$583.93
|
| Rate for Payer: Cofinity Commercial |
$482.18
|
| Rate for Payer: Cofinity Commercial |
$592.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$482.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$583.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$667.34
|
| Rate for Payer: Healthscope Commercial |
$619.95
|
| Rate for Payer: Healthscope Commercial |
$750.76
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$482.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$583.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$516.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$625.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$709.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.51
|
| Rate for Payer: PHP Commercial |
$709.05
|
| Rate for Payer: PHP Commercial |
$585.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.22
|
| Rate for Payer: Priority Health SBD |
$433.96
|
| Rate for Payer: Priority Health SBD |
$525.53
|
| Rate for Payer: UMR Bronson Commercial |
$303.09
|
| Rate for Payer: UMR Bronson Commercial |
$367.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$516.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$625.63
|
|
|
ROPIVACAINE (PF) 2 MG/ML (0.2 %) PAIN PUMP (BMH)
|
Facility
|
OP
|
$688.83
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
154973
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$254.87 |
| Max. Negotiated Rate |
$619.95 |
| Rate for Payer: Aetna American Axle |
$447.74
|
| Rate for Payer: Aetna American Axle |
$542.22
|
| Rate for Payer: Aetna Commercial |
$585.51
|
| Rate for Payer: Aetna Commercial |
$709.05
|
| Rate for Payer: Aetna Medicare |
$344.42
|
| Rate for Payer: Aetna Medicare |
$417.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$447.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$542.22
|
| Rate for Payer: BCBS Complete |
$333.67
|
| Rate for Payer: BCBS Complete |
$275.53
|
| Rate for Payer: Cash Price |
$551.06
|
| Rate for Payer: Cash Price |
$667.34
|
| Rate for Payer: Cofinity Commercial |
$592.39
|
| Rate for Payer: Cofinity Commercial |
$482.18
|
| Rate for Payer: Cofinity Commercial |
$583.93
|
| Rate for Payer: Cofinity Commercial |
$717.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$583.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$482.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$551.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$667.34
|
| Rate for Payer: Healthscope Commercial |
$750.76
|
| Rate for Payer: Healthscope Commercial |
$619.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$482.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$583.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$516.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$625.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$585.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$709.05
|
| Rate for Payer: PHP Commercial |
$709.05
|
| Rate for Payer: PHP Commercial |
$585.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$447.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$542.22
|
| Rate for Payer: Priority Health SBD |
$525.53
|
| Rate for Payer: Priority Health SBD |
$433.96
|
| Rate for Payer: UMR Bronson Commercial |
$254.87
|
| Rate for Payer: UMR Bronson Commercial |
$308.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$625.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$516.62
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
OP
|
$29.31
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.84 |
| Max. Negotiated Rate |
$26.38 |
| Rate for Payer: Aetna American Axle |
$19.05
|
| Rate for Payer: Aetna American Axle |
$18.49
|
| Rate for Payer: Aetna American Axle |
$15.89
|
| Rate for Payer: Aetna American Axle |
$13.36
|
| Rate for Payer: Aetna American Axle |
$16.17
|
| Rate for Payer: Aetna American Axle |
$11.72
|
| Rate for Payer: Aetna American Axle |
$52.59
|
| Rate for Payer: Aetna American Axle |
$21.87
|
| Rate for Payer: Aetna Commercial |
$28.60
|
| Rate for Payer: Aetna Commercial |
$24.17
|
| Rate for Payer: Aetna Commercial |
$24.91
|
| Rate for Payer: Aetna Commercial |
$15.33
|
| Rate for Payer: Aetna Commercial |
$68.77
|
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$20.77
|
| Rate for Payer: Aetna Medicare |
$12.22
|
| Rate for Payer: Aetna Medicare |
$9.02
|
| Rate for Payer: Aetna Medicare |
$12.44
|
| Rate for Payer: Aetna Medicare |
$10.28
|
| Rate for Payer: Aetna Medicare |
$14.65
|
| Rate for Payer: Aetna Medicare |
$40.45
|
| Rate for Payer: Aetna Medicare |
$14.22
|
| Rate for Payer: Aetna Medicare |
$16.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.05
|
| Rate for Payer: BCBS Complete |
$8.22
|
| Rate for Payer: BCBS Complete |
$7.21
|
| Rate for Payer: BCBS Complete |
$9.95
|
| Rate for Payer: BCBS Complete |
$9.78
|
| Rate for Payer: BCBS Complete |
$11.38
|
| Rate for Payer: BCBS Complete |
$11.72
|
| Rate for Payer: BCBS Complete |
$13.46
|
| Rate for Payer: BCBS Complete |
$32.36
|
| Rate for Payer: Cash Price |
$19.55
|
| Rate for Payer: Cash Price |
$14.42
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cash Price |
$23.45
|
| Rate for Payer: Cash Price |
$64.73
|
| Rate for Payer: Cofinity Commercial |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$69.58
|
| Rate for Payer: Cofinity Commercial |
$56.64
|
| Rate for Payer: Cofinity Commercial |
$28.94
|
| Rate for Payer: Cofinity Commercial |
$23.55
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$12.62
|
| Rate for Payer: Cofinity Commercial |
$21.02
|
| Rate for Payer: Cofinity Commercial |
$25.21
|
| Rate for Payer: Cofinity Commercial |
$20.52
|
| Rate for Payer: Cofinity Commercial |
$17.11
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Commercial |
$15.51
|
| Rate for Payer: Cofinity Commercial |
$14.39
|
| Rate for Payer: Cofinity Commercial |
$24.46
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.45
|
| Rate for Payer: Healthscope Commercial |
$16.23
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$25.60
|
| Rate for Payer: Healthscope Commercial |
$26.38
|
| Rate for Payer: Healthscope Commercial |
$30.29
|
| Rate for Payer: Healthscope Commercial |
$72.82
|
| Rate for Payer: Healthscope Commercial |
$22.00
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$24.17
|
| Rate for Payer: PHP Commercial |
$68.77
|
| Rate for Payer: PHP Commercial |
$24.91
|
| Rate for Payer: PHP Commercial |
$20.77
|
| Rate for Payer: PHP Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$15.33
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.59
|
| Rate for Payer: Priority Health SBD |
$11.36
|
| Rate for Payer: Priority Health SBD |
$50.97
|
| Rate for Payer: Priority Health SBD |
$21.20
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$15.40
|
| Rate for Payer: Priority Health SBD |
$17.92
|
| Rate for Payer: Priority Health SBD |
$12.95
|
| Rate for Payer: Priority Health SBD |
$18.47
|
| Rate for Payer: UMR Bronson Commercial |
$10.84
|
| Rate for Payer: UMR Bronson Commercial |
$12.45
|
| Rate for Payer: UMR Bronson Commercial |
$7.61
|
| Rate for Payer: UMR Bronson Commercial |
$29.94
|
| Rate for Payer: UMR Bronson Commercial |
$10.52
|
| Rate for Payer: UMR Bronson Commercial |
$9.20
|
| Rate for Payer: UMR Bronson Commercial |
$9.04
|
| Rate for Payer: UMR Bronson Commercial |
$6.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.65
|
|
|
ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION
|
Facility
|
IP
|
$33.65
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
153276
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.81 |
| Max. Negotiated Rate |
$30.29 |
| Rate for Payer: Aetna American Axle |
$21.87
|
| Rate for Payer: Aetna American Axle |
$19.05
|
| Rate for Payer: Aetna American Axle |
$18.49
|
| Rate for Payer: Aetna American Axle |
$15.89
|
| Rate for Payer: Aetna American Axle |
$11.72
|
| Rate for Payer: Aetna American Axle |
$13.36
|
| Rate for Payer: Aetna American Axle |
$16.17
|
| Rate for Payer: Aetna American Axle |
$52.59
|
| Rate for Payer: Aetna Commercial |
$68.77
|
| Rate for Payer: Aetna Commercial |
$28.60
|
| Rate for Payer: Aetna Commercial |
$20.77
|
| Rate for Payer: Aetna Commercial |
$21.14
|
| Rate for Payer: Aetna Commercial |
$17.48
|
| Rate for Payer: Aetna Commercial |
$15.33
|
| Rate for Payer: Aetna Commercial |
$24.91
|
| Rate for Payer: Aetna Commercial |
$24.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.49
|
| Rate for Payer: Cash Price |
$19.90
|
| Rate for Payer: Cash Price |
$26.92
|
| Rate for Payer: Cash Price |
$22.75
|
| Rate for Payer: Cash Price |
$64.73
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$19.55
|
| Rate for Payer: Cash Price |
$14.42
|
| Rate for Payer: Cash Price |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$21.39
|
| Rate for Payer: Cofinity Commercial |
$12.62
|
| Rate for Payer: Cofinity Commercial |
$17.41
|
| Rate for Payer: Cofinity Commercial |
$17.11
|
| Rate for Payer: Cofinity Commercial |
$14.39
|
| Rate for Payer: Cofinity Commercial |
$17.68
|
| Rate for Payer: Cofinity Commercial |
$21.02
|
| Rate for Payer: Cofinity Commercial |
$15.51
|
| Rate for Payer: Cofinity Commercial |
$19.91
|
| Rate for Payer: Cofinity Commercial |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$20.52
|
| Rate for Payer: Cofinity Commercial |
$25.21
|
| Rate for Payer: Cofinity Commercial |
$23.55
|
| Rate for Payer: Cofinity Commercial |
$28.94
|
| Rate for Payer: Cofinity Commercial |
$56.64
|
| Rate for Payer: Cofinity Commercial |
$69.58
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.55
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.39
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$17.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.55
|
| Rate for Payer: Healthscope Commercial |
$16.23
|
| Rate for Payer: Healthscope Commercial |
$72.82
|
| Rate for Payer: Healthscope Commercial |
$30.29
|
| Rate for Payer: Healthscope Commercial |
$25.60
|
| Rate for Payer: Healthscope Commercial |
$26.38
|
| Rate for Payer: Healthscope Commercial |
$22.38
|
| Rate for Payer: Healthscope Commercial |
$22.00
|
| Rate for Payer: Healthscope Commercial |
$18.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.24
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.77
|
| Rate for Payer: PHP Commercial |
$28.60
|
| Rate for Payer: PHP Commercial |
$20.77
|
| Rate for Payer: PHP Commercial |
$24.91
|
| Rate for Payer: PHP Commercial |
$21.14
|
| Rate for Payer: PHP Commercial |
$68.77
|
| Rate for Payer: PHP Commercial |
$15.33
|
| Rate for Payer: PHP Commercial |
$24.17
|
| Rate for Payer: PHP Commercial |
$17.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.72
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.89
|
| Rate for Payer: Priority Health SBD |
$15.40
|
| Rate for Payer: Priority Health SBD |
$12.95
|
| Rate for Payer: Priority Health SBD |
$11.36
|
| Rate for Payer: Priority Health SBD |
$15.67
|
| Rate for Payer: Priority Health SBD |
$18.47
|
| Rate for Payer: Priority Health SBD |
$17.92
|
| Rate for Payer: Priority Health SBD |
$50.97
|
| Rate for Payer: Priority Health SBD |
$21.20
|
| Rate for Payer: UMR Bronson Commercial |
$10.75
|
| Rate for Payer: UMR Bronson Commercial |
$10.94
|
| Rate for Payer: UMR Bronson Commercial |
$12.90
|
| Rate for Payer: UMR Bronson Commercial |
$14.81
|
| Rate for Payer: UMR Bronson Commercial |
$9.05
|
| Rate for Payer: UMR Bronson Commercial |
$35.60
|
| Rate for Payer: UMR Bronson Commercial |
$12.51
|
| Rate for Payer: UMR Bronson Commercial |
$7.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.33
|
|
|
ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION
|
Facility
|
OP
|
$20.65
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.64 |
| Max. Negotiated Rate |
$18.59 |
| Rate for Payer: Aetna American Axle |
$13.42
|
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna Medicare |
$10.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.42
|
| Rate for Payer: BCBS Complete |
$8.26
|
| Rate for Payer: Cash Price |
$16.52
|
| Rate for Payer: Cofinity Commercial |
$14.46
|
| Rate for Payer: Cofinity Commercial |
$17.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.52
|
| Rate for Payer: Healthscope Commercial |
$18.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.55
|
| Rate for Payer: PHP Commercial |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.42
|
| Rate for Payer: Priority Health SBD |
$13.01
|
| Rate for Payer: UMR Bronson Commercial |
$7.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.49
|
|
|
ROPIVACAINE (PF) 7.5 MG/ML (0.75 %) INJECTION SOLUTION
|
Facility
|
IP
|
$20.65
|
|
|
Service Code
|
HCPCS J2795
|
| Hospital Charge Code |
18193
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.09 |
| Max. Negotiated Rate |
$18.59 |
| Rate for Payer: Aetna American Axle |
$13.42
|
| Rate for Payer: Aetna Commercial |
$17.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.42
|
| Rate for Payer: Cash Price |
$16.52
|
| Rate for Payer: Cofinity Commercial |
$14.46
|
| Rate for Payer: Cofinity Commercial |
$17.76
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.52
|
| Rate for Payer: Healthscope Commercial |
$18.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.55
|
| Rate for Payer: PHP Commercial |
$17.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.42
|
| Rate for Payer: Priority Health SBD |
$13.01
|
| Rate for Payer: UMR Bronson Commercial |
$9.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.49
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$182.57 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna American Axle |
$320.74
|
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: Aetna Medicare |
$246.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.74
|
| Rate for Payer: BCBS Complete |
$197.38
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$345.41
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$345.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$370.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.74
|
| Rate for Payer: Priority Health SBD |
$310.87
|
| Rate for Payer: UMR Bronson Commercial |
$182.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$370.08
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$5.42
|
|
|
Service Code
|
NDC 60687024511
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.01 |
| Max. Negotiated Rate |
$4.88 |
| Rate for Payer: Aetna American Axle |
$3.52
|
| Rate for Payer: Aetna Commercial |
$4.61
|
| Rate for Payer: Aetna Medicare |
$2.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.52
|
| Rate for Payer: BCBS Complete |
$2.17
|
| Rate for Payer: Cash Price |
$4.34
|
| Rate for Payer: Cofinity Commercial |
$3.79
|
| Rate for Payer: Cofinity Commercial |
$4.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.34
|
| Rate for Payer: Healthscope Commercial |
$4.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.61
|
| Rate for Payer: PHP Commercial |
$4.61
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.52
|
| Rate for Payer: Priority Health SBD |
$3.41
|
| Rate for Payer: UMR Bronson Commercial |
$2.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.07
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
IP
|
$227.53
|
|
|
Service Code
|
NDC 60687024565
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$100.11 |
| Max. Negotiated Rate |
$204.78 |
| Rate for Payer: Aetna American Axle |
$147.89
|
| Rate for Payer: Aetna Commercial |
$193.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.89
|
| Rate for Payer: Cash Price |
$182.02
|
| Rate for Payer: Cofinity Commercial |
$159.27
|
| Rate for Payer: Cofinity Commercial |
$195.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$159.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.02
|
| Rate for Payer: Healthscope Commercial |
$204.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$159.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$170.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193.40
|
| Rate for Payer: PHP Commercial |
$193.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.89
|
| Rate for Payer: Priority Health SBD |
$143.34
|
| Rate for Payer: UMR Bronson Commercial |
$100.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.65
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$227.53
|
|
|
Service Code
|
NDC 60687024565
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$84.19 |
| Max. Negotiated Rate |
$204.78 |
| Rate for Payer: Aetna American Axle |
$147.89
|
| Rate for Payer: Aetna Commercial |
$193.40
|
| Rate for Payer: Aetna Medicare |
$113.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$147.89
|
| Rate for Payer: BCBS Complete |
$91.01
|
| Rate for Payer: Cash Price |
$182.02
|
| Rate for Payer: Cofinity Commercial |
$159.27
|
| Rate for Payer: Cofinity Commercial |
$195.68
|
| Rate for Payer: Cofinity Medicare Advantage |
$159.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.02
|
| Rate for Payer: Healthscope Commercial |
$204.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$159.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$170.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193.40
|
| Rate for Payer: PHP Commercial |
$193.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$147.89
|
| Rate for Payer: Priority Health SBD |
$143.34
|
| Rate for Payer: UMR Bronson Commercial |
$84.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$170.65
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$219.96
|
|
|
Service Code
|
NDC 13668018090
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$81.39 |
| Max. Negotiated Rate |
$197.96 |
| Rate for Payer: Aetna American Axle |
$142.97
|
| Rate for Payer: Aetna Commercial |
$186.97
|
| Rate for Payer: Aetna Medicare |
$109.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$142.97
|
| Rate for Payer: BCBS Complete |
$87.98
|
| Rate for Payer: Cash Price |
$175.97
|
| Rate for Payer: Cofinity Commercial |
$153.97
|
| Rate for Payer: Cofinity Commercial |
$189.17
|
| Rate for Payer: Cofinity Medicare Advantage |
$153.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$175.97
|
| Rate for Payer: Healthscope Commercial |
$197.96
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$153.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$164.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$186.97
|
| Rate for Payer: PHP Commercial |
$186.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$142.97
|
| Rate for Payer: Priority Health SBD |
$138.57
|
| Rate for Payer: UMR Bronson Commercial |
$81.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$164.97
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
IP
|
$493.44
|
|
|
Service Code
|
NDC 00904677961
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$217.11 |
| Max. Negotiated Rate |
$444.10 |
| Rate for Payer: Aetna American Axle |
$320.74
|
| Rate for Payer: Aetna Commercial |
$419.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$320.74
|
| Rate for Payer: Cash Price |
$394.75
|
| Rate for Payer: Cofinity Commercial |
$345.41
|
| Rate for Payer: Cofinity Commercial |
$424.36
|
| Rate for Payer: Cofinity Medicare Advantage |
$345.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$394.75
|
| Rate for Payer: Healthscope Commercial |
$444.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$345.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$370.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$419.42
|
| Rate for Payer: PHP Commercial |
$419.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$320.74
|
| Rate for Payer: Priority Health SBD |
$310.87
|
| Rate for Payer: UMR Bronson Commercial |
$217.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$370.08
|
|
|
ROSUVASTATIN 10 MG TABLET
|
Facility
|
OP
|
$175.55
|
|
|
Service Code
|
NDC 31722088390
|
| Hospital Charge Code |
35134
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$64.95 |
| Max. Negotiated Rate |
$158.00 |
| Rate for Payer: Aetna American Axle |
$114.11
|
| Rate for Payer: Aetna Commercial |
$149.22
|
| Rate for Payer: Aetna Medicare |
$87.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$114.11
|
| Rate for Payer: BCBS Complete |
$70.22
|
| Rate for Payer: Cash Price |
$140.44
|
| Rate for Payer: Cofinity Commercial |
$122.89
|
| Rate for Payer: Cofinity Commercial |
$150.97
|
| Rate for Payer: Cofinity Medicare Advantage |
$122.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$140.44
|
| Rate for Payer: Healthscope Commercial |
$158.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$122.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$131.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$149.22
|
| Rate for Payer: PHP Commercial |
$149.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$114.11
|
| Rate for Payer: Priority Health SBD |
$110.60
|
| Rate for Payer: UMR Bronson Commercial |
$64.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$131.66
|
|
