|
VALSARTAN 320 MG TABLET
|
Facility
|
OP
|
$223.35
|
|
|
Service Code
|
NDC 00378581577
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.64 |
| Max. Negotiated Rate |
$201.01 |
| Rate for Payer: Aetna American Axle |
$145.18
|
| Rate for Payer: Aetna Commercial |
$189.85
|
| Rate for Payer: Aetna Medicare |
$111.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.18
|
| Rate for Payer: BCBS Complete |
$89.34
|
| Rate for Payer: Cash Price |
$178.68
|
| Rate for Payer: Cofinity Advantage |
$156.34
|
| Rate for Payer: Cofinity Commercial |
$192.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.68
|
| Rate for Payer: Healthscope Commercial |
$201.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$156.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$178.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.51
|
| Rate for Payer: PHP Commercial |
$189.85
|
| Rate for Payer: Priority Health SBD |
$140.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$145.18
|
| Rate for Payer: UHC Core |
$116.37
|
| Rate for Payer: UHC Exchange |
$87.78
|
| Rate for Payer: UMR Bronson Commercial |
$82.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.51
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
|
IP
|
$216.87
|
|
|
Service Code
|
NDC 51660014390
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$95.42 |
| Max. Negotiated Rate |
$195.18 |
| Rate for Payer: Aetna American Axle |
$140.97
|
| Rate for Payer: Aetna Commercial |
$184.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.97
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cofinity Advantage |
$151.81
|
| Rate for Payer: Cofinity Commercial |
$186.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.50
|
| Rate for Payer: Healthscope Commercial |
$195.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$151.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.65
|
| Rate for Payer: PHP Commercial |
$184.34
|
| Rate for Payer: Priority Health SBD |
$136.63
|
| Rate for Payer: UMR Bronson Commercial |
$95.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.65
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
|
IP
|
$223.35
|
|
|
Service Code
|
NDC 00378581577
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$98.27 |
| Max. Negotiated Rate |
$201.01 |
| Rate for Payer: Aetna American Axle |
$145.18
|
| Rate for Payer: Aetna Commercial |
$189.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.18
|
| Rate for Payer: Cash Price |
$178.68
|
| Rate for Payer: Cofinity Advantage |
$156.34
|
| Rate for Payer: Cofinity Commercial |
$192.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.68
|
| Rate for Payer: Healthscope Commercial |
$201.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$156.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$167.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.51
|
| Rate for Payer: PHP Commercial |
$189.85
|
| Rate for Payer: Priority Health SBD |
$140.71
|
| Rate for Payer: UMR Bronson Commercial |
$98.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$167.51
|
|
|
VALSARTAN 320 MG TABLET
|
Facility
|
OP
|
$216.87
|
|
|
Service Code
|
NDC 51660014390
|
| Hospital Charge Code |
31211
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$80.24 |
| Max. Negotiated Rate |
$195.18 |
| Rate for Payer: Aetna American Axle |
$140.97
|
| Rate for Payer: Aetna Commercial |
$184.34
|
| Rate for Payer: Aetna Medicare |
$108.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$140.97
|
| Rate for Payer: BCBS Complete |
$86.75
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cofinity Advantage |
$151.81
|
| Rate for Payer: Cofinity Commercial |
$186.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$173.50
|
| Rate for Payer: Healthscope Commercial |
$195.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$151.81
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$162.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$173.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$184.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$162.65
|
| Rate for Payer: PHP Commercial |
$184.34
|
| Rate for Payer: Priority Health SBD |
$136.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$140.97
|
| Rate for Payer: UHC Core |
$112.99
|
| Rate for Payer: UHC Exchange |
$85.23
|
| Rate for Payer: UMR Bronson Commercial |
$80.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$162.65
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
IP
|
$842.83
|
|
|
Service Code
|
NDC 00078042315
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$370.85 |
| Max. Negotiated Rate |
$758.55 |
| Rate for Payer: Aetna American Axle |
$547.84
|
| Rate for Payer: Aetna Commercial |
$716.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$547.84
|
| Rate for Payer: Cash Price |
$674.26
|
| Rate for Payer: Cofinity Advantage |
$589.98
|
| Rate for Payer: Cofinity Commercial |
$724.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$674.26
|
| Rate for Payer: Healthscope Commercial |
$758.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$589.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$632.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$716.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$632.12
|
| Rate for Payer: PHP Commercial |
$716.41
|
| Rate for Payer: Priority Health SBD |
$530.98
|
| Rate for Payer: UMR Bronson Commercial |
$370.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$632.12
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
IP
|
$3.93
|
|
|
Service Code
|
NDC 60687061211
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.73 |
| Max. Negotiated Rate |
$3.54 |
| Rate for Payer: Aetna American Axle |
$2.55
|
| Rate for Payer: Aetna Commercial |
$3.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.55
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cofinity Advantage |
$2.75
|
| Rate for Payer: Cofinity Commercial |
$3.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.95
|
| Rate for Payer: PHP Commercial |
$3.34
|
| Rate for Payer: Priority Health SBD |
$2.48
|
| Rate for Payer: UMR Bronson Commercial |
$1.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.95
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
IP
|
$122.67
|
|
|
Service Code
|
NDC 43547036703
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$53.97 |
| Max. Negotiated Rate |
$110.40 |
| Rate for Payer: Aetna American Axle |
$79.74
|
| Rate for Payer: Aetna Commercial |
$104.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.74
|
| Rate for Payer: Cash Price |
$98.14
|
| Rate for Payer: Cofinity Advantage |
$85.87
|
| Rate for Payer: Cofinity Commercial |
$105.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.14
|
| Rate for Payer: Healthscope Commercial |
$110.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$85.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.00
|
| Rate for Payer: PHP Commercial |
$104.27
|
| Rate for Payer: Priority Health SBD |
$77.28
|
| Rate for Payer: UMR Bronson Commercial |
$53.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.00
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
IP
|
$117.80
|
|
|
Service Code
|
NDC 60687061221
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$51.83 |
| Max. Negotiated Rate |
$106.02 |
| Rate for Payer: Aetna American Axle |
$76.57
|
| Rate for Payer: Aetna Commercial |
$100.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.57
|
| Rate for Payer: Cash Price |
$94.24
|
| Rate for Payer: Cofinity Advantage |
$82.46
|
| Rate for Payer: Cofinity Commercial |
$101.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.24
|
| Rate for Payer: Healthscope Commercial |
$106.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$82.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.35
|
| Rate for Payer: PHP Commercial |
$100.13
|
| Rate for Payer: Priority Health SBD |
$74.21
|
| Rate for Payer: UMR Bronson Commercial |
$51.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.35
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
OP
|
$3.93
|
|
|
Service Code
|
NDC 60687061211
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.45 |
| Max. Negotiated Rate |
$3.54 |
| Rate for Payer: Aetna American Axle |
$2.55
|
| Rate for Payer: Aetna Commercial |
$3.34
|
| Rate for Payer: Aetna Medicare |
$1.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.55
|
| Rate for Payer: BCBS Complete |
$1.57
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cofinity Advantage |
$2.75
|
| Rate for Payer: Cofinity Commercial |
$3.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Healthscope Commercial |
$3.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.95
|
| Rate for Payer: PHP Commercial |
$3.34
|
| Rate for Payer: Priority Health SBD |
$2.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.55
|
| Rate for Payer: UHC Core |
$2.05
|
| Rate for Payer: UHC Exchange |
$1.54
|
| Rate for Payer: UMR Bronson Commercial |
$1.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.95
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
OP
|
$842.83
|
|
|
Service Code
|
NDC 00078042315
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$311.85 |
| Max. Negotiated Rate |
$758.55 |
| Rate for Payer: Aetna American Axle |
$547.84
|
| Rate for Payer: Aetna Commercial |
$716.41
|
| Rate for Payer: Aetna Medicare |
$421.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$547.84
|
| Rate for Payer: BCBS Complete |
$337.13
|
| Rate for Payer: Cash Price |
$674.26
|
| Rate for Payer: Cofinity Advantage |
$589.98
|
| Rate for Payer: Cofinity Commercial |
$724.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$674.26
|
| Rate for Payer: Healthscope Commercial |
$758.55
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$589.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$632.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$674.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$716.41
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$632.12
|
| Rate for Payer: PHP Commercial |
$716.41
|
| Rate for Payer: Priority Health SBD |
$530.98
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$547.84
|
| Rate for Payer: UHC Core |
$439.11
|
| Rate for Payer: UHC Exchange |
$331.23
|
| Rate for Payer: UMR Bronson Commercial |
$311.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$632.12
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
OP
|
$122.67
|
|
|
Service Code
|
NDC 43547036703
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$45.39 |
| Max. Negotiated Rate |
$110.40 |
| Rate for Payer: Aetna American Axle |
$79.74
|
| Rate for Payer: Aetna Commercial |
$104.27
|
| Rate for Payer: Aetna Medicare |
$61.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.74
|
| Rate for Payer: BCBS Complete |
$49.07
|
| Rate for Payer: Cash Price |
$98.14
|
| Rate for Payer: Cofinity Advantage |
$85.87
|
| Rate for Payer: Cofinity Commercial |
$105.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.14
|
| Rate for Payer: Healthscope Commercial |
$110.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$85.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$98.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$92.00
|
| Rate for Payer: PHP Commercial |
$104.27
|
| Rate for Payer: Priority Health SBD |
$77.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$79.74
|
| Rate for Payer: UHC Core |
$63.91
|
| Rate for Payer: UHC Exchange |
$48.21
|
| Rate for Payer: UMR Bronson Commercial |
$45.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.00
|
|
|
VALSARTAN 40 MG TABLET
|
Facility
|
OP
|
$117.80
|
|
|
Service Code
|
NDC 60687061221
|
| Hospital Charge Code |
33541
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.59 |
| Max. Negotiated Rate |
$106.02 |
| Rate for Payer: Aetna American Axle |
$76.57
|
| Rate for Payer: Aetna Commercial |
$100.13
|
| Rate for Payer: Aetna Medicare |
$58.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$76.57
|
| Rate for Payer: BCBS Complete |
$47.12
|
| Rate for Payer: Cash Price |
$94.24
|
| Rate for Payer: Cofinity Advantage |
$82.46
|
| Rate for Payer: Cofinity Commercial |
$101.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$94.24
|
| Rate for Payer: Healthscope Commercial |
$106.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$82.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$88.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$94.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$100.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$88.35
|
| Rate for Payer: PHP Commercial |
$100.13
|
| Rate for Payer: Priority Health SBD |
$74.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$76.57
|
| Rate for Payer: UHC Core |
$61.37
|
| Rate for Payer: UHC Exchange |
$46.30
|
| Rate for Payer: UMR Bronson Commercial |
$43.59
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$88.35
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
OP
|
$3,022.31
|
|
|
Service Code
|
NDC 00078035834
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,118.25 |
| Max. Negotiated Rate |
$2,720.08 |
| Rate for Payer: Aetna American Axle |
$1,964.50
|
| Rate for Payer: Aetna Commercial |
$2,568.96
|
| Rate for Payer: Aetna Medicare |
$1,511.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,964.50
|
| Rate for Payer: BCBS Complete |
$1,208.92
|
| Rate for Payer: Cash Price |
$2,417.85
|
| Rate for Payer: Cofinity Advantage |
$2,115.62
|
| Rate for Payer: Cofinity Commercial |
$2,599.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,417.85
|
| Rate for Payer: Healthscope Commercial |
$2,720.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,115.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,266.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,417.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,568.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,266.73
|
| Rate for Payer: PHP Commercial |
$2,568.96
|
| Rate for Payer: Priority Health SBD |
$1,904.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1,964.50
|
| Rate for Payer: UHC Core |
$1,574.62
|
| Rate for Payer: UHC Exchange |
$1,187.77
|
| Rate for Payer: UMR Bronson Commercial |
$1,118.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,266.73
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
IP
|
$5.17
|
|
|
Service Code
|
NDC 60687062311
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.27 |
| Max. Negotiated Rate |
$4.65 |
| Rate for Payer: Aetna American Axle |
$3.36
|
| Rate for Payer: Aetna Commercial |
$4.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.36
|
| Rate for Payer: Cash Price |
$4.14
|
| Rate for Payer: Cofinity Advantage |
$3.62
|
| Rate for Payer: Cofinity Commercial |
$4.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.14
|
| Rate for Payer: Healthscope Commercial |
$4.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.88
|
| Rate for Payer: PHP Commercial |
$4.39
|
| Rate for Payer: Priority Health SBD |
$3.26
|
| Rate for Payer: UMR Bronson Commercial |
$2.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.88
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
OP
|
$189.81
|
|
|
Service Code
|
NDC 55111073290
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$70.23 |
| Max. Negotiated Rate |
$170.83 |
| Rate for Payer: Aetna American Axle |
$123.38
|
| Rate for Payer: Aetna Commercial |
$161.34
|
| Rate for Payer: Aetna Medicare |
$94.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.38
|
| Rate for Payer: BCBS Complete |
$75.92
|
| Rate for Payer: Cash Price |
$151.85
|
| Rate for Payer: Cofinity Advantage |
$132.87
|
| Rate for Payer: Cofinity Commercial |
$163.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.85
|
| Rate for Payer: Healthscope Commercial |
$170.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$132.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$151.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.36
|
| Rate for Payer: PHP Commercial |
$161.34
|
| Rate for Payer: Priority Health SBD |
$119.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$123.38
|
| Rate for Payer: UHC Core |
$98.89
|
| Rate for Payer: UHC Exchange |
$74.60
|
| Rate for Payer: UMR Bronson Commercial |
$70.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.36
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
OP
|
$516.96
|
|
|
Service Code
|
NDC 60687062301
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$191.28 |
| Max. Negotiated Rate |
$465.26 |
| Rate for Payer: Aetna American Axle |
$336.02
|
| Rate for Payer: Aetna Commercial |
$439.42
|
| Rate for Payer: Aetna Medicare |
$258.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$336.02
|
| Rate for Payer: BCBS Complete |
$206.78
|
| Rate for Payer: Cash Price |
$413.57
|
| Rate for Payer: Cofinity Advantage |
$361.87
|
| Rate for Payer: Cofinity Commercial |
$444.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.57
|
| Rate for Payer: Healthscope Commercial |
$465.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$361.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$387.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$413.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$439.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$387.72
|
| Rate for Payer: PHP Commercial |
$439.42
|
| Rate for Payer: Priority Health SBD |
$325.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$336.02
|
| Rate for Payer: UHC Core |
$269.34
|
| Rate for Payer: UHC Exchange |
$203.17
|
| Rate for Payer: UMR Bronson Commercial |
$191.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$387.72
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
OP
|
$5.17
|
|
|
Service Code
|
NDC 60687062311
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.91 |
| Max. Negotiated Rate |
$4.65 |
| Rate for Payer: Aetna American Axle |
$3.36
|
| Rate for Payer: Aetna Commercial |
$4.39
|
| Rate for Payer: Aetna Medicare |
$2.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.36
|
| Rate for Payer: BCBS Complete |
$2.07
|
| Rate for Payer: Cash Price |
$4.14
|
| Rate for Payer: Cofinity Advantage |
$3.62
|
| Rate for Payer: Cofinity Commercial |
$4.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.14
|
| Rate for Payer: Healthscope Commercial |
$4.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.88
|
| Rate for Payer: PHP Commercial |
$4.39
|
| Rate for Payer: Priority Health SBD |
$3.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.36
|
| Rate for Payer: UHC Core |
$2.69
|
| Rate for Payer: UHC Exchange |
$2.03
|
| Rate for Payer: UMR Bronson Commercial |
$1.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.88
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
IP
|
$188.96
|
|
|
Service Code
|
NDC 72819018209
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$83.14 |
| Max. Negotiated Rate |
$170.06 |
| Rate for Payer: Aetna American Axle |
$122.82
|
| Rate for Payer: Aetna Commercial |
$160.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.82
|
| Rate for Payer: Cash Price |
$151.17
|
| Rate for Payer: Cofinity Advantage |
$132.27
|
| Rate for Payer: Cofinity Commercial |
$162.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.17
|
| Rate for Payer: Healthscope Commercial |
$170.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$132.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.72
|
| Rate for Payer: PHP Commercial |
$160.62
|
| Rate for Payer: Priority Health SBD |
$119.04
|
| Rate for Payer: UMR Bronson Commercial |
$83.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.72
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
IP
|
$3,022.31
|
|
|
Service Code
|
NDC 00078035834
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,329.82 |
| Max. Negotiated Rate |
$2,720.08 |
| Rate for Payer: Aetna American Axle |
$1,964.50
|
| Rate for Payer: Aetna Commercial |
$2,568.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1,964.50
|
| Rate for Payer: Cash Price |
$2,417.85
|
| Rate for Payer: Cofinity Advantage |
$2,115.62
|
| Rate for Payer: Cofinity Commercial |
$2,599.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,417.85
|
| Rate for Payer: Healthscope Commercial |
$2,720.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,115.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,266.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,568.96
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,266.73
|
| Rate for Payer: PHP Commercial |
$2,568.96
|
| Rate for Payer: Priority Health SBD |
$1,904.06
|
| Rate for Payer: UMR Bronson Commercial |
$1,329.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,266.73
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
IP
|
$516.96
|
|
|
Service Code
|
NDC 60687062301
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$227.46 |
| Max. Negotiated Rate |
$465.26 |
| Rate for Payer: Aetna American Axle |
$336.02
|
| Rate for Payer: Aetna Commercial |
$439.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$336.02
|
| Rate for Payer: Cash Price |
$413.57
|
| Rate for Payer: Cofinity Advantage |
$361.87
|
| Rate for Payer: Cofinity Commercial |
$444.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$413.57
|
| Rate for Payer: Healthscope Commercial |
$465.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$361.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$387.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$439.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$387.72
|
| Rate for Payer: PHP Commercial |
$439.42
|
| Rate for Payer: Priority Health SBD |
$325.68
|
| Rate for Payer: UMR Bronson Commercial |
$227.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$387.72
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
OP
|
$188.96
|
|
|
Service Code
|
NDC 72819018209
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$69.92 |
| Max. Negotiated Rate |
$170.06 |
| Rate for Payer: Aetna American Axle |
$122.82
|
| Rate for Payer: Aetna Commercial |
$160.62
|
| Rate for Payer: Aetna Medicare |
$94.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$122.82
|
| Rate for Payer: BCBS Complete |
$75.58
|
| Rate for Payer: Cash Price |
$151.17
|
| Rate for Payer: Cofinity Advantage |
$132.27
|
| Rate for Payer: Cofinity Commercial |
$162.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.17
|
| Rate for Payer: Healthscope Commercial |
$170.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$132.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$141.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$151.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$160.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$141.72
|
| Rate for Payer: PHP Commercial |
$160.62
|
| Rate for Payer: Priority Health SBD |
$119.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$122.82
|
| Rate for Payer: UHC Core |
$98.45
|
| Rate for Payer: UHC Exchange |
$74.26
|
| Rate for Payer: UMR Bronson Commercial |
$69.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$141.72
|
|
|
VALSARTAN 80 MG TABLET
|
Facility
|
IP
|
$189.81
|
|
|
Service Code
|
NDC 55111073290
|
| Hospital Charge Code |
31209
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$83.52 |
| Max. Negotiated Rate |
$170.83 |
| Rate for Payer: Aetna American Axle |
$123.38
|
| Rate for Payer: Aetna Commercial |
$161.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.38
|
| Rate for Payer: Cash Price |
$151.85
|
| Rate for Payer: Cofinity Advantage |
$132.87
|
| Rate for Payer: Cofinity Commercial |
$163.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$151.85
|
| Rate for Payer: Healthscope Commercial |
$170.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$132.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$161.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.36
|
| Rate for Payer: PHP Commercial |
$161.34
|
| Rate for Payer: Priority Health SBD |
$119.58
|
| Rate for Payer: UMR Bronson Commercial |
$83.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.36
|
|
|
VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION
|
Facility
|
IP
|
$19.10
|
|
|
Service Code
|
HCPCS J3373
|
| Hospital Charge Code |
8442
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.40 |
| Max. Negotiated Rate |
$17.19 |
| Rate for Payer: Aetna American Axle |
$12.41
|
| Rate for Payer: Aetna American Axle |
$20.18
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Commercial |
$26.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cofinity Advantage |
$21.73
|
| Rate for Payer: Cofinity Advantage |
$13.37
|
| Rate for Payer: Cofinity Advantage |
$17.83
|
| Rate for Payer: Cofinity Commercial |
$26.69
|
| Rate for Payer: Cofinity Commercial |
$16.43
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.83
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$27.94
|
| Rate for Payer: Healthscope Commercial |
$17.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.28
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$16.23
|
| Rate for Payer: PHP Commercial |
$26.38
|
| Rate for Payer: Priority Health SBD |
$12.03
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$19.56
|
| Rate for Payer: UMR Bronson Commercial |
$8.40
|
| Rate for Payer: UMR Bronson Commercial |
$13.66
|
| Rate for Payer: UMR Bronson Commercial |
$11.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.28
|
|
|
VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION
|
Facility
|
OP
|
$31.04
|
|
|
Service Code
|
HCPCS J3373
|
| Hospital Charge Code |
8442
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$27.94 |
| Rate for Payer: Aetna American Axle |
$20.18
|
| Rate for Payer: Aetna American Axle |
$12.05
|
| Rate for Payer: Aetna American Axle |
$12.41
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna Commercial |
$26.38
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$15.76
|
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Medicare |
$12.73
|
| Rate for Payer: Aetna Medicare |
$9.55
|
| Rate for Payer: Aetna Medicare |
$15.52
|
| Rate for Payer: Aetna Medicare |
$9.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$20.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: BCBS Complete |
$7.42
|
| Rate for Payer: BCBS Complete |
$7.64
|
| Rate for Payer: BCBS Complete |
$10.19
|
| Rate for Payer: BCBS Complete |
$12.42
|
| Rate for Payer: BCBS Trust/PPO |
$0.10
|
| Rate for Payer: BCBS Trust/PPO |
$0.10
|
| Rate for Payer: BCBS Trust/PPO |
$0.10
|
| Rate for Payer: BCBS Trust/PPO |
$0.10
|
| Rate for Payer: BCN Commercial |
$0.10
|
| Rate for Payer: BCN Commercial |
$0.10
|
| Rate for Payer: BCN Commercial |
$0.10
|
| Rate for Payer: BCN Commercial |
$0.10
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cash Price |
$14.83
|
| Rate for Payer: Cash Price |
$24.83
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cash Price |
$14.83
|
| Rate for Payer: Cofinity Advantage |
$21.73
|
| Rate for Payer: Cofinity Advantage |
$17.83
|
| Rate for Payer: Cofinity Advantage |
$13.37
|
| Rate for Payer: Cofinity Advantage |
$12.98
|
| Rate for Payer: Cofinity Commercial |
$16.43
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$26.69
|
| Rate for Payer: Cofinity Commercial |
$15.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.83
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$16.69
|
| Rate for Payer: Healthscope Commercial |
$17.19
|
| Rate for Payer: Healthscope Commercial |
$27.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$21.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.90
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$23.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$23.28
|
| Rate for Payer: PHP Commercial |
$15.76
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$26.38
|
| Rate for Payer: PHP Commercial |
$16.23
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$11.68
|
| Rate for Payer: Priority Health SBD |
$12.03
|
| Rate for Payer: Priority Health SBD |
$19.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.05
|
| Rate for Payer: UHC Core |
$0.05
|
| Rate for Payer: UHC Core |
$0.05
|
| Rate for Payer: UHC Core |
$0.05
|
| Rate for Payer: UHC Core |
$0.05
|
| Rate for Payer: UHC Exchange |
$0.05
|
| Rate for Payer: UHC Exchange |
$0.05
|
| Rate for Payer: UHC Exchange |
$0.05
|
| Rate for Payer: UHC Exchange |
$0.05
|
| Rate for Payer: UMR Bronson Commercial |
$11.48
|
| Rate for Payer: UMR Bronson Commercial |
$6.86
|
| Rate for Payer: UMR Bronson Commercial |
$7.07
|
| Rate for Payer: UMR Bronson Commercial |
$9.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$23.28
|
|
|
VANCOMYCIN 1000 MG IVPB (BMH IV-PREMIX)
|
Facility
|
OP
|
$113.57
|
|
|
Service Code
|
HCPCS J3373
|
| Hospital Charge Code |
180476
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.05 |
| Max. Negotiated Rate |
$102.21 |
| Rate for Payer: Aetna American Axle |
$73.82
|
| Rate for Payer: Aetna Commercial |
$96.53
|
| Rate for Payer: Aetna Medicare |
$56.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$73.82
|
| Rate for Payer: BCBS Complete |
$45.43
|
| Rate for Payer: BCBS Trust/PPO |
$0.10
|
| Rate for Payer: BCN Commercial |
$0.10
|
| Rate for Payer: Cash Price |
$90.86
|
| Rate for Payer: Cash Price |
$90.86
|
| Rate for Payer: Cofinity Advantage |
$79.50
|
| Rate for Payer: Cofinity Commercial |
$97.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$90.86
|
| Rate for Payer: Healthscope Commercial |
$102.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$90.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$96.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$85.18
|
| Rate for Payer: PHP Commercial |
$96.53
|
| Rate for Payer: Priority Health SBD |
$71.55
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.05
|
| Rate for Payer: UHC Core |
$0.05
|
| Rate for Payer: UHC Exchange |
$0.05
|
| Rate for Payer: UMR Bronson Commercial |
$42.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.18
|
|
