|
FUROSEMIDE 10 MG/ML INJECTION (CODE)
|
Facility
|
OP
|
$28.07
|
|
|
Service Code
|
HCPCS J1938
|
| Hospital Charge Code |
163713
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$25.26 |
| Rate for Payer: Aetna American Axle |
$18.25
|
| Rate for Payer: Aetna American Axle |
$12.80
|
| Rate for Payer: Aetna American Axle |
$15.31
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna Commercial |
$23.86
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$16.74
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Medicare |
$12.73
|
| Rate for Payer: Aetna Medicare |
$11.78
|
| Rate for Payer: Aetna Medicare |
$14.04
|
| Rate for Payer: Aetna Medicare |
$9.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: BCBS Complete |
$7.88
|
| Rate for Payer: BCBS Complete |
$9.42
|
| Rate for Payer: BCBS Complete |
$10.19
|
| Rate for Payer: BCBS Complete |
$11.23
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cofinity Advantage |
$19.65
|
| Rate for Payer: Cofinity Advantage |
$17.83
|
| Rate for Payer: Cofinity Advantage |
$16.48
|
| Rate for Payer: Cofinity Advantage |
$13.78
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$16.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.75
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$17.72
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| Rate for Payer: Healthscope Commercial |
$25.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: PHP Commercial |
$16.74
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$23.86
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$12.40
|
| Rate for Payer: Priority Health SBD |
$14.84
|
| Rate for Payer: Priority Health SBD |
$17.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UMR Bronson Commercial |
$10.39
|
| Rate for Payer: UMR Bronson Commercial |
$7.29
|
| Rate for Payer: UMR Bronson Commercial |
$8.71
|
| 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 |
$17.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.05
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$20.19
|
|
|
Service Code
|
HCPCS J1938
|
| Hospital Charge Code |
3291
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.88 |
| Max. Negotiated Rate |
$18.17 |
| Rate for Payer: Aetna American Axle |
$13.12
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna American Axle |
$18.25
|
| Rate for Payer: Aetna American Axle |
$13.48
|
| Rate for Payer: Aetna American Axle |
$17.34
|
| Rate for Payer: Aetna American Axle |
$10.40
|
| Rate for Payer: Aetna American Axle |
$14.29
|
| Rate for Payer: Aetna American Axle |
$10.56
|
| Rate for Payer: Aetna American Axle |
$11.08
|
| Rate for Payer: Aetna American Axle |
$15.31
|
| Rate for Payer: Aetna American Axle |
$12.80
|
| Rate for Payer: Aetna American Axle |
$16.69
|
| Rate for Payer: Aetna American Axle |
$6.68
|
| Rate for Payer: Aetna American Axle |
$13.46
|
| Rate for Payer: Aetna American Axle |
$7.88
|
| Rate for Payer: Aetna American Axle |
$8.71
|
| Rate for Payer: Aetna American Axle |
$9.09
|
| Rate for Payer: Aetna American Axle |
$9.13
|
| Rate for Payer: Aetna American Axle |
$11.88
|
| Rate for Payer: Aetna American Axle |
$13.67
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Commercial |
$17.63
|
| Rate for Payer: Aetna Commercial |
$17.88
|
| Rate for Payer: Aetna Commercial |
$23.86
|
| Rate for Payer: Aetna Commercial |
$15.53
|
| Rate for Payer: Aetna Commercial |
$13.60
|
| Rate for Payer: Aetna Commercial |
$14.49
|
| Rate for Payer: Aetna Commercial |
$10.31
|
| Rate for Payer: Aetna Commercial |
$11.39
|
| Rate for Payer: Aetna Commercial |
$16.74
|
| Rate for Payer: Aetna Commercial |
$21.82
|
| Rate for Payer: Aetna Commercial |
$22.68
|
| Rate for Payer: Aetna Commercial |
$13.80
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$8.73
|
| Rate for Payer: Aetna Commercial |
$11.88
|
| Rate for Payer: Aetna Commercial |
$11.93
|
| Rate for Payer: Aetna Commercial |
$17.59
|
| Rate for Payer: Aetna Commercial |
$18.68
|
| Rate for Payer: Aetna Commercial |
$17.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.56
|
| Rate for Payer: Cash Price |
$16.59
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$16.15
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cash Price |
$9.70
|
| Rate for Payer: Cash Price |
$11.18
|
| Rate for Payer: Cash Price |
$11.23
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$12.99
|
| Rate for Payer: Cash Price |
$17.58
|
| Rate for Payer: Cash Price |
$10.72
|
| Rate for Payer: Cash Price |
$21.34
|
| Rate for Payer: Cash Price |
$13.64
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$16.82
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$20.54
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$14.62
|
| Rate for Payer: Cofinity Advantage |
$19.65
|
| Rate for Payer: Cofinity Advantage |
$14.13
|
| Rate for Payer: Cofinity Advantage |
$8.49
|
| Rate for Payer: Cofinity Advantage |
$9.79
|
| Rate for Payer: Cofinity Advantage |
$9.38
|
| Rate for Payer: Cofinity Advantage |
$7.19
|
| Rate for Payer: Cofinity Advantage |
$18.68
|
| Rate for Payer: Cofinity Advantage |
$17.97
|
| Rate for Payer: Cofinity Advantage |
$17.83
|
| Rate for Payer: Cofinity Advantage |
$9.83
|
| Rate for Payer: Cofinity Advantage |
$11.20
|
| Rate for Payer: Cofinity Advantage |
$16.48
|
| Rate for Payer: Cofinity Advantage |
$11.37
|
| Rate for Payer: Cofinity Advantage |
$15.39
|
| Rate for Payer: Cofinity Advantage |
$11.94
|
| Rate for Payer: Cofinity Advantage |
$14.72
|
| Rate for Payer: Cofinity Advantage |
$12.79
|
| Rate for Payer: Cofinity Advantage |
$14.52
|
| Rate for Payer: Cofinity Advantage |
$13.78
|
| Rate for Payer: Cofinity Advantage |
$14.49
|
| Rate for Payer: Cofinity Commercial |
$17.84
|
| Rate for Payer: Cofinity Commercial |
$17.80
|
| Rate for Payer: Cofinity Commercial |
$12.02
|
| Rate for Payer: Cofinity Commercial |
$11.52
|
| Rate for Payer: Cofinity Commercial |
$10.43
|
| Rate for Payer: Cofinity Commercial |
$17.36
|
| Rate for Payer: Cofinity Commercial |
$16.93
|
| Rate for Payer: Cofinity Commercial |
$14.66
|
| Rate for Payer: Cofinity Commercial |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Cofinity Commercial |
$8.83
|
| Rate for Payer: Cofinity Commercial |
$22.94
|
| Rate for Payer: Cofinity Commercial |
$18.09
|
| Rate for Payer: Cofinity Commercial |
$12.07
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$18.90
|
| Rate for Payer: Cofinity Commercial |
$22.08
|
| Rate for Payer: Cofinity Commercial |
$15.71
|
| Rate for Payer: Cofinity Commercial |
$13.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.59
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| Rate for Payer: Healthscope Commercial |
$14.62
|
| Rate for Payer: Healthscope Commercial |
$12.64
|
| Rate for Payer: Healthscope Commercial |
$18.17
|
| Rate for Payer: Healthscope Commercial |
$18.93
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$23.10
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Healthscope Commercial |
$18.63
|
| Rate for Payer: Healthscope Commercial |
$24.01
|
| Rate for Payer: Healthscope Commercial |
$25.26
|
| Rate for Payer: Healthscope Commercial |
$12.06
|
| Rate for Payer: Healthscope Commercial |
$10.92
|
| Rate for Payer: Healthscope Commercial |
$12.58
|
| Rate for Payer: Healthscope Commercial |
$16.44
|
| Rate for Payer: Healthscope Commercial |
$9.24
|
| Rate for Payer: Healthscope Commercial |
$18.67
|
| Rate for Payer: Healthscope Commercial |
$17.72
|
| Rate for Payer: Healthscope Commercial |
$14.40
|
| Rate for Payer: Healthscope Commercial |
$19.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.77
|
| Rate for Payer: PHP Commercial |
$15.53
|
| Rate for Payer: PHP Commercial |
$16.74
|
| Rate for Payer: PHP Commercial |
$17.59
|
| Rate for Payer: PHP Commercial |
$17.63
|
| Rate for Payer: PHP Commercial |
$14.49
|
| Rate for Payer: PHP Commercial |
$17.88
|
| Rate for Payer: PHP Commercial |
$13.80
|
| Rate for Payer: PHP Commercial |
$18.68
|
| Rate for Payer: PHP Commercial |
$13.60
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: PHP Commercial |
$11.93
|
| Rate for Payer: PHP Commercial |
$23.86
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$21.82
|
| Rate for Payer: PHP Commercial |
$11.88
|
| Rate for Payer: PHP Commercial |
$8.73
|
| Rate for Payer: PHP Commercial |
$10.31
|
| Rate for Payer: PHP Commercial |
$11.39
|
| Rate for Payer: PHP Commercial |
$22.68
|
| Rate for Payer: PHP Commercial |
$17.16
|
| Rate for Payer: Priority Health SBD |
$17.68
|
| Rate for Payer: Priority Health SBD |
$10.23
|
| Rate for Payer: Priority Health SBD |
$13.07
|
| Rate for Payer: Priority Health SBD |
$12.40
|
| Rate for Payer: Priority Health SBD |
$12.72
|
| Rate for Payer: Priority Health SBD |
$16.17
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$10.74
|
| Rate for Payer: Priority Health SBD |
$8.85
|
| Rate for Payer: Priority Health SBD |
$13.25
|
| Rate for Payer: Priority Health SBD |
$13.04
|
| Rate for Payer: Priority Health SBD |
$16.81
|
| Rate for Payer: Priority Health SBD |
$10.08
|
| Rate for Payer: Priority Health SBD |
$13.85
|
| Rate for Payer: Priority Health SBD |
$14.84
|
| Rate for Payer: Priority Health SBD |
$11.51
|
| Rate for Payer: Priority Health SBD |
$7.64
|
| Rate for Payer: Priority Health SBD |
$6.47
|
| Rate for Payer: Priority Health SBD |
$8.44
|
| Rate for Payer: Priority Health SBD |
$8.81
|
| Rate for Payer: UMR Bronson Commercial |
$9.67
|
| Rate for Payer: UMR Bronson Commercial |
$9.11
|
| Rate for Payer: UMR Bronson Commercial |
$7.04
|
| Rate for Payer: UMR Bronson Commercial |
$11.21
|
| Rate for Payer: UMR Bronson Commercial |
$5.90
|
| Rate for Payer: UMR Bronson Commercial |
$4.52
|
| Rate for Payer: UMR Bronson Commercial |
$6.15
|
| Rate for Payer: UMR Bronson Commercial |
$5.34
|
| Rate for Payer: UMR Bronson Commercial |
$7.15
|
| Rate for Payer: UMR Bronson Commercial |
$11.29
|
| Rate for Payer: UMR Bronson Commercial |
$8.88
|
| Rate for Payer: UMR Bronson Commercial |
$9.25
|
| Rate for Payer: UMR Bronson Commercial |
$12.35
|
| Rate for Payer: UMR Bronson Commercial |
$7.50
|
| Rate for Payer: UMR Bronson Commercial |
$11.74
|
| Rate for Payer: UMR Bronson Commercial |
$9.13
|
| Rate for Payer: UMR Bronson Commercial |
$8.66
|
| Rate for Payer: UMR Bronson Commercial |
$8.04
|
| Rate for Payer: UMR Bronson Commercial |
$6.18
|
| Rate for Payer: UMR Bronson Commercial |
$10.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.55
|
|
|
FUROSEMIDE 10 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$26.68
|
|
|
Service Code
|
HCPCS J1938
|
| Hospital Charge Code |
3291
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.03 |
| Max. Negotiated Rate |
$24.01 |
| Rate for Payer: Aetna American Axle |
$17.34
|
| Rate for Payer: Aetna American Axle |
$18.32
|
| Rate for Payer: Aetna American Axle |
$15.31
|
| Rate for Payer: Aetna American Axle |
$13.48
|
| Rate for Payer: Aetna American Axle |
$16.69
|
| Rate for Payer: Aetna American Axle |
$5.30
|
| Rate for Payer: Aetna American Axle |
$14.29
|
| Rate for Payer: Aetna American Axle |
$11.08
|
| Rate for Payer: Aetna American Axle |
$9.13
|
| Rate for Payer: Aetna American Axle |
$18.25
|
| Rate for Payer: Aetna American Axle |
$10.40
|
| Rate for Payer: Aetna American Axle |
$12.80
|
| Rate for Payer: Aetna American Axle |
$11.88
|
| Rate for Payer: Aetna American Axle |
$6.68
|
| Rate for Payer: Aetna American Axle |
$13.46
|
| Rate for Payer: Aetna American Axle |
$13.67
|
| Rate for Payer: Aetna American Axle |
$10.56
|
| Rate for Payer: Aetna American Axle |
$7.88
|
| Rate for Payer: Aetna American Axle |
$8.71
|
| Rate for Payer: Aetna American Axle |
$16.56
|
| Rate for Payer: Aetna American Axle |
$9.85
|
| Rate for Payer: Aetna American Axle |
$9.09
|
| Rate for Payer: Aetna American Axle |
$13.12
|
| Rate for Payer: Aetna Commercial |
$18.68
|
| Rate for Payer: Aetna Commercial |
$23.96
|
| Rate for Payer: Aetna Commercial |
$10.31
|
| Rate for Payer: Aetna Commercial |
$6.93
|
| Rate for Payer: Aetna Commercial |
$13.80
|
| Rate for Payer: Aetna Commercial |
$20.02
|
| Rate for Payer: Aetna Commercial |
$21.82
|
| Rate for Payer: Aetna Commercial |
$13.60
|
| Rate for Payer: Aetna Commercial |
$16.74
|
| Rate for Payer: Aetna Commercial |
$17.63
|
| Rate for Payer: Aetna Commercial |
$12.88
|
| Rate for Payer: Aetna Commercial |
$22.68
|
| Rate for Payer: Aetna Commercial |
$14.49
|
| Rate for Payer: Aetna Commercial |
$8.73
|
| Rate for Payer: Aetna Commercial |
$17.16
|
| Rate for Payer: Aetna Commercial |
$11.93
|
| Rate for Payer: Aetna Commercial |
$23.86
|
| Rate for Payer: Aetna Commercial |
$11.39
|
| Rate for Payer: Aetna Commercial |
$21.65
|
| Rate for Payer: Aetna Commercial |
$17.59
|
| Rate for Payer: Aetna Commercial |
$17.88
|
| Rate for Payer: Aetna Commercial |
$15.53
|
| Rate for Payer: Aetna Commercial |
$11.88
|
| Rate for Payer: Aetna Medicare |
$13.34
|
| Rate for Payer: Aetna Medicare |
$8.53
|
| Rate for Payer: Aetna Medicare |
$11.78
|
| Rate for Payer: Aetna Medicare |
$6.70
|
| Rate for Payer: Aetna Medicare |
$10.35
|
| Rate for Payer: Aetna Medicare |
$10.52
|
| Rate for Payer: Aetna Medicare |
$4.08
|
| Rate for Payer: Aetna Medicare |
$14.10
|
| Rate for Payer: Aetna Medicare |
$10.10
|
| Rate for Payer: Aetna Medicare |
$6.99
|
| Rate for Payer: Aetna Medicare |
$14.04
|
| Rate for Payer: Aetna Medicare |
$7.02
|
| Rate for Payer: Aetna Medicare |
$10.99
|
| Rate for Payer: Aetna Medicare |
$7.58
|
| Rate for Payer: Aetna Medicare |
$9.85
|
| Rate for Payer: Aetna Medicare |
$10.37
|
| Rate for Payer: Aetna Medicare |
$8.00
|
| Rate for Payer: Aetna Medicare |
$6.07
|
| Rate for Payer: Aetna Medicare |
$12.84
|
| Rate for Payer: Aetna Medicare |
$8.12
|
| Rate for Payer: Aetna Medicare |
$9.13
|
| Rate for Payer: Aetna Medicare |
$5.13
|
| Rate for Payer: Aetna Medicare |
$12.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.46
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.31
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.08
|
| Rate for Payer: BCBS Complete |
$6.40
|
| Rate for Payer: BCBS Complete |
$4.11
|
| Rate for Payer: BCBS Complete |
$9.42
|
| Rate for Payer: BCBS Complete |
$6.82
|
| Rate for Payer: BCBS Complete |
$6.50
|
| Rate for Payer: BCBS Complete |
$4.85
|
| Rate for Payer: BCBS Complete |
$7.31
|
| Rate for Payer: BCBS Complete |
$5.62
|
| Rate for Payer: BCBS Complete |
$8.41
|
| Rate for Payer: BCBS Complete |
$8.30
|
| Rate for Payer: BCBS Complete |
$11.28
|
| Rate for Payer: BCBS Complete |
$8.08
|
| Rate for Payer: BCBS Complete |
$3.26
|
| Rate for Payer: BCBS Complete |
$10.19
|
| Rate for Payer: BCBS Complete |
$8.79
|
| Rate for Payer: BCBS Complete |
$5.59
|
| Rate for Payer: BCBS Complete |
$10.67
|
| Rate for Payer: BCBS Complete |
$6.06
|
| Rate for Payer: BCBS Complete |
$11.23
|
| Rate for Payer: BCBS Complete |
$7.88
|
| Rate for Payer: BCBS Complete |
$5.36
|
| Rate for Payer: BCBS Complete |
$8.28
|
| Rate for Payer: BCBS Complete |
$10.27
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCBS Trust/PPO |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: BCN Commercial |
$0.03
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$22.55
|
| Rate for Payer: Cash Price |
$11.18
|
| Rate for Payer: Cash Price |
$16.59
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$11.18
|
| Rate for Payer: Cash Price |
$16.59
|
| Rate for Payer: Cash Price |
$16.15
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$16.56
|
| Rate for Payer: Cash Price |
$22.46
|
| Rate for Payer: Cash Price |
$11.23
|
| Rate for Payer: Cash Price |
$17.58
|
| Rate for Payer: Cash Price |
$16.82
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$11.23
|
| Rate for Payer: Cash Price |
$17.58
|
| Rate for Payer: Cash Price |
$9.70
|
| Rate for Payer: Cash Price |
$21.34
|
| Rate for Payer: Cash Price |
$12.12
|
| Rate for Payer: Cash Price |
$9.70
|
| Rate for Payer: Cash Price |
$10.72
|
| Rate for Payer: Cash Price |
$10.72
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$8.22
|
| Rate for Payer: Cash Price |
$12.12
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$21.34
|
| Rate for Payer: Cash Price |
$15.75
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cash Price |
$13.64
|
| Rate for Payer: Cash Price |
$20.54
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$12.80
|
| Rate for Payer: Cash Price |
$18.84
|
| Rate for Payer: Cash Price |
$13.64
|
| Rate for Payer: Cash Price |
$20.54
|
| Rate for Payer: Cash Price |
$12.99
|
| Rate for Payer: Cash Price |
$14.62
|
| Rate for Payer: Cash Price |
$12.99
|
| Rate for Payer: Cash Price |
$14.62
|
| Rate for Payer: Cash Price |
$6.52
|
| Rate for Payer: Cash Price |
$16.82
|
| Rate for Payer: Cash Price |
$22.55
|
| Rate for Payer: Cash Price |
$20.38
|
| Rate for Payer: Cash Price |
$16.15
|
| Rate for Payer: Cofinity Advantage |
$19.65
|
| Rate for Payer: Cofinity Advantage |
$14.52
|
| Rate for Payer: Cofinity Advantage |
$9.38
|
| Rate for Payer: Cofinity Advantage |
$8.49
|
| Rate for Payer: Cofinity Advantage |
$7.19
|
| Rate for Payer: Cofinity Advantage |
$5.71
|
| Rate for Payer: Cofinity Advantage |
$19.73
|
| Rate for Payer: Cofinity Advantage |
$9.79
|
| Rate for Payer: Cofinity Advantage |
$9.83
|
| Rate for Payer: Cofinity Advantage |
$18.68
|
| Rate for Payer: Cofinity Advantage |
$10.61
|
| Rate for Payer: Cofinity Advantage |
$17.97
|
| Rate for Payer: Cofinity Advantage |
$11.20
|
| Rate for Payer: Cofinity Advantage |
$11.37
|
| Rate for Payer: Cofinity Advantage |
$17.83
|
| Rate for Payer: Cofinity Advantage |
$11.94
|
| Rate for Payer: Cofinity Advantage |
$16.48
|
| Rate for Payer: Cofinity Advantage |
$12.79
|
| Rate for Payer: Cofinity Advantage |
$15.39
|
| Rate for Payer: Cofinity Advantage |
$13.78
|
| Rate for Payer: Cofinity Advantage |
$14.13
|
| Rate for Payer: Cofinity Advantage |
$14.72
|
| Rate for Payer: Cofinity Advantage |
$14.49
|
| Rate for Payer: Cofinity Commercial |
$17.36
|
| Rate for Payer: Cofinity Commercial |
$18.90
|
| Rate for Payer: Cofinity Commercial |
$10.43
|
| Rate for Payer: Cofinity Commercial |
$13.97
|
| Rate for Payer: Cofinity Commercial |
$18.09
|
| Rate for Payer: Cofinity Commercial |
$17.80
|
| Rate for Payer: Cofinity Commercial |
$24.24
|
| Rate for Payer: Cofinity Commercial |
$14.66
|
| Rate for Payer: Cofinity Commercial |
$13.03
|
| Rate for Payer: Cofinity Commercial |
$8.83
|
| Rate for Payer: Cofinity Commercial |
$16.93
|
| Rate for Payer: Cofinity Commercial |
$12.02
|
| Rate for Payer: Cofinity Commercial |
$15.71
|
| Rate for Payer: Cofinity Commercial |
$11.52
|
| Rate for Payer: Cofinity Commercial |
$22.94
|
| Rate for Payer: Cofinity Commercial |
$24.14
|
| Rate for Payer: Cofinity Commercial |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$22.08
|
| Rate for Payer: Cofinity Commercial |
$21.90
|
| Rate for Payer: Cofinity Commercial |
$17.84
|
| Rate for Payer: Cofinity Commercial |
$12.07
|
| Rate for Payer: Cofinity Commercial |
$7.01
|
| Rate for Payer: Cofinity Commercial |
$20.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.55
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.23
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Healthscope Commercial |
$14.62
|
| Rate for Payer: Healthscope Commercial |
$16.44
|
| Rate for Payer: Healthscope Commercial |
$22.92
|
| Rate for Payer: Healthscope Commercial |
$14.40
|
| Rate for Payer: Healthscope Commercial |
$19.78
|
| Rate for Payer: Healthscope Commercial |
$23.10
|
| Rate for Payer: Healthscope Commercial |
$13.63
|
| Rate for Payer: Healthscope Commercial |
$17.72
|
| Rate for Payer: Healthscope Commercial |
$24.01
|
| Rate for Payer: Healthscope Commercial |
$12.64
|
| Rate for Payer: Healthscope Commercial |
$12.58
|
| Rate for Payer: Healthscope Commercial |
$18.67
|
| Rate for Payer: Healthscope Commercial |
$25.26
|
| Rate for Payer: Healthscope Commercial |
$12.06
|
| Rate for Payer: Healthscope Commercial |
$18.17
|
| Rate for Payer: Healthscope Commercial |
$18.93
|
| Rate for Payer: Healthscope Commercial |
$25.37
|
| Rate for Payer: Healthscope Commercial |
$7.33
|
| Rate for Payer: Healthscope Commercial |
$9.24
|
| Rate for Payer: Healthscope Commercial |
$10.92
|
| Rate for Payer: Healthscope Commercial |
$18.63
|
| Rate for Payer: Healthscope Commercial |
$21.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.19
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.97
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.52
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.65
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.36
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.23
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.15
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$6.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.36
|
| Rate for Payer: PHP Commercial |
$15.53
|
| Rate for Payer: PHP Commercial |
$17.63
|
| Rate for Payer: PHP Commercial |
$17.16
|
| Rate for Payer: PHP Commercial |
$17.88
|
| Rate for Payer: PHP Commercial |
$16.74
|
| Rate for Payer: PHP Commercial |
$18.68
|
| Rate for Payer: PHP Commercial |
$14.49
|
| Rate for Payer: PHP Commercial |
$20.02
|
| Rate for Payer: PHP Commercial |
$13.80
|
| Rate for Payer: PHP Commercial |
$21.65
|
| Rate for Payer: PHP Commercial |
$13.60
|
| Rate for Payer: PHP Commercial |
$12.88
|
| Rate for Payer: PHP Commercial |
$21.82
|
| Rate for Payer: PHP Commercial |
$11.93
|
| Rate for Payer: PHP Commercial |
$6.93
|
| Rate for Payer: PHP Commercial |
$22.68
|
| Rate for Payer: PHP Commercial |
$11.88
|
| Rate for Payer: PHP Commercial |
$23.86
|
| Rate for Payer: PHP Commercial |
$11.39
|
| Rate for Payer: PHP Commercial |
$23.96
|
| Rate for Payer: PHP Commercial |
$8.73
|
| Rate for Payer: PHP Commercial |
$10.31
|
| Rate for Payer: PHP Commercial |
$17.59
|
| Rate for Payer: Priority Health SBD |
$16.05
|
| Rate for Payer: Priority Health SBD |
$8.81
|
| Rate for Payer: Priority Health SBD |
$8.85
|
| Rate for Payer: Priority Health SBD |
$16.81
|
| Rate for Payer: Priority Health SBD |
$12.40
|
| Rate for Payer: Priority Health SBD |
$10.74
|
| Rate for Payer: Priority Health SBD |
$14.84
|
| Rate for Payer: Priority Health SBD |
$7.64
|
| Rate for Payer: Priority Health SBD |
$6.47
|
| Rate for Payer: Priority Health SBD |
$10.08
|
| Rate for Payer: Priority Health SBD |
$11.51
|
| Rate for Payer: Priority Health SBD |
$17.76
|
| Rate for Payer: Priority Health SBD |
$13.07
|
| Rate for Payer: Priority Health SBD |
$12.72
|
| Rate for Payer: Priority Health SBD |
$9.54
|
| Rate for Payer: Priority Health SBD |
$10.23
|
| Rate for Payer: Priority Health SBD |
$13.85
|
| Rate for Payer: Priority Health SBD |
$13.04
|
| Rate for Payer: Priority Health SBD |
$8.44
|
| Rate for Payer: Priority Health SBD |
$16.17
|
| Rate for Payer: Priority Health SBD |
$17.68
|
| Rate for Payer: Priority Health SBD |
$13.25
|
| Rate for Payer: Priority Health SBD |
$5.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Core |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UHC Exchange |
$0.03
|
| Rate for Payer: UMR Bronson Commercial |
$10.43
|
| Rate for Payer: UMR Bronson Commercial |
$7.67
|
| Rate for Payer: UMR Bronson Commercial |
$4.96
|
| Rate for Payer: UMR Bronson Commercial |
$7.78
|
| Rate for Payer: UMR Bronson Commercial |
$7.66
|
| Rate for Payer: UMR Bronson Commercial |
$9.50
|
| Rate for Payer: UMR Bronson Commercial |
$10.39
|
| Rate for Payer: UMR Bronson Commercial |
$6.76
|
| Rate for Payer: UMR Bronson Commercial |
$8.13
|
| Rate for Payer: UMR Bronson Commercial |
$6.31
|
| Rate for Payer: UMR Bronson Commercial |
$5.61
|
| Rate for Payer: UMR Bronson Commercial |
$7.47
|
| Rate for Payer: UMR Bronson Commercial |
$3.80
|
| Rate for Payer: UMR Bronson Commercial |
$4.49
|
| Rate for Payer: UMR Bronson Commercial |
$3.02
|
| Rate for Payer: UMR Bronson Commercial |
$5.17
|
| Rate for Payer: UMR Bronson Commercial |
$6.01
|
| Rate for Payer: UMR Bronson Commercial |
$5.92
|
| Rate for Payer: UMR Bronson Commercial |
$9.42
|
| Rate for Payer: UMR Bronson Commercial |
$8.71
|
| Rate for Payer: UMR Bronson Commercial |
$7.29
|
| Rate for Payer: UMR Bronson Commercial |
$9.87
|
| Rate for Payer: UMR Bronson Commercial |
$5.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.10
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$245.34
|
|
|
Service Code
|
NDC 00054329450
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$107.95 |
| Max. Negotiated Rate |
$220.81 |
| Rate for Payer: Aetna American Axle |
$159.47
|
| Rate for Payer: Aetna Commercial |
$208.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.47
|
| Rate for Payer: Cash Price |
$196.27
|
| Rate for Payer: Cofinity Advantage |
$171.74
|
| Rate for Payer: Cofinity Commercial |
$210.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$196.27
|
| Rate for Payer: Healthscope Commercial |
$220.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$171.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$184.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$184.00
|
| Rate for Payer: PHP Commercial |
$208.54
|
| Rate for Payer: Priority Health SBD |
$154.56
|
| Rate for Payer: UMR Bronson Commercial |
$107.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$184.00
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$129.72
|
|
|
Service Code
|
NDC 00054329446
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$48.00 |
| Max. Negotiated Rate |
$116.75 |
| Rate for Payer: Aetna American Axle |
$84.32
|
| Rate for Payer: Aetna Commercial |
$110.26
|
| Rate for Payer: Aetna Medicare |
$64.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.32
|
| Rate for Payer: BCBS Complete |
$51.89
|
| Rate for Payer: Cash Price |
$103.78
|
| Rate for Payer: Cofinity Advantage |
$90.80
|
| Rate for Payer: Cofinity Commercial |
$111.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.78
|
| Rate for Payer: Healthscope Commercial |
$116.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$103.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.29
|
| Rate for Payer: PHP Commercial |
$110.26
|
| Rate for Payer: Priority Health SBD |
$81.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$84.32
|
| Rate for Payer: UHC Core |
$67.58
|
| Rate for Payer: UHC Exchange |
$50.98
|
| Rate for Payer: UMR Bronson Commercial |
$48.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.29
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$160.74
|
|
|
Service Code
|
NDC 60432061360
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$70.73 |
| Max. Negotiated Rate |
$144.67 |
| Rate for Payer: Aetna American Axle |
$104.48
|
| Rate for Payer: Aetna Commercial |
$136.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.48
|
| Rate for Payer: Cash Price |
$128.59
|
| Rate for Payer: Cofinity Advantage |
$112.52
|
| Rate for Payer: Cofinity Commercial |
$138.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.59
|
| Rate for Payer: Healthscope Commercial |
$144.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.56
|
| Rate for Payer: PHP Commercial |
$136.63
|
| Rate for Payer: Priority Health SBD |
$101.27
|
| Rate for Payer: UMR Bronson Commercial |
$70.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.56
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$129.72
|
|
|
Service Code
|
NDC 00054329446
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$57.08 |
| Max. Negotiated Rate |
$116.75 |
| Rate for Payer: Aetna American Axle |
$84.32
|
| Rate for Payer: Aetna Commercial |
$110.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.32
|
| Rate for Payer: Cash Price |
$103.78
|
| Rate for Payer: Cofinity Advantage |
$90.80
|
| Rate for Payer: Cofinity Commercial |
$111.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$103.78
|
| Rate for Payer: Healthscope Commercial |
$116.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$90.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$97.29
|
| Rate for Payer: PHP Commercial |
$110.26
|
| Rate for Payer: Priority Health SBD |
$81.72
|
| Rate for Payer: UMR Bronson Commercial |
$57.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.29
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$160.74
|
|
|
Service Code
|
NDC 60432061360
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$59.47 |
| Max. Negotiated Rate |
$144.67 |
| Rate for Payer: Aetna American Axle |
$104.48
|
| Rate for Payer: Aetna Commercial |
$136.63
|
| Rate for Payer: Aetna Medicare |
$80.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$104.48
|
| Rate for Payer: BCBS Complete |
$64.30
|
| Rate for Payer: Cash Price |
$128.59
|
| Rate for Payer: Cofinity Advantage |
$112.52
|
| Rate for Payer: Cofinity Commercial |
$138.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$128.59
|
| Rate for Payer: Healthscope Commercial |
$144.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$112.52
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$120.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$128.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$136.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$120.56
|
| Rate for Payer: PHP Commercial |
$136.63
|
| Rate for Payer: Priority Health SBD |
$101.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$104.48
|
| Rate for Payer: UHC Core |
$83.75
|
| Rate for Payer: UHC Exchange |
$63.17
|
| Rate for Payer: UMR Bronson Commercial |
$59.47
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$120.56
|
|
|
FUROSEMIDE 10 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$245.34
|
|
|
Service Code
|
NDC 00054329450
|
| Hospital Charge Code |
3292
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$90.78 |
| Max. Negotiated Rate |
$220.81 |
| Rate for Payer: Aetna American Axle |
$159.47
|
| Rate for Payer: Aetna Commercial |
$208.54
|
| Rate for Payer: Aetna Medicare |
$122.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$159.47
|
| Rate for Payer: BCBS Complete |
$98.14
|
| Rate for Payer: Cash Price |
$196.27
|
| Rate for Payer: Cofinity Advantage |
$171.74
|
| Rate for Payer: Cofinity Commercial |
$210.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$196.27
|
| Rate for Payer: Healthscope Commercial |
$220.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$171.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$184.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$196.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$208.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$184.00
|
| Rate for Payer: PHP Commercial |
$208.54
|
| Rate for Payer: Priority Health SBD |
$154.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$159.47
|
| Rate for Payer: UHC Core |
$127.82
|
| Rate for Payer: UHC Exchange |
$96.42
|
| Rate for Payer: UMR Bronson Commercial |
$90.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$184.00
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
IP
|
$1.37
|
|
|
Service Code
|
NDC 51079007201
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.60 |
| Max. Negotiated Rate |
$1.23 |
| Rate for Payer: Aetna American Axle |
$0.89
|
| Rate for Payer: Aetna Commercial |
$1.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.89
|
| Rate for Payer: Cash Price |
$1.10
|
| Rate for Payer: Cofinity Advantage |
$0.96
|
| Rate for Payer: Cofinity Commercial |
$1.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.10
|
| Rate for Payer: Healthscope Commercial |
$1.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$0.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.03
|
| Rate for Payer: PHP Commercial |
$1.16
|
| Rate for Payer: Priority Health SBD |
$0.86
|
| Rate for Payer: UMR Bronson Commercial |
$0.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.03
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
IP
|
$136.30
|
|
|
Service Code
|
NDC 51079007220
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$59.97 |
| Max. Negotiated Rate |
$122.67 |
| Rate for Payer: Aetna American Axle |
$88.59
|
| Rate for Payer: Aetna Commercial |
$115.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.59
|
| Rate for Payer: Cash Price |
$109.04
|
| Rate for Payer: Cofinity Advantage |
$95.41
|
| Rate for Payer: Cofinity Commercial |
$117.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.04
|
| Rate for Payer: Healthscope Commercial |
$122.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$95.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.22
|
| Rate for Payer: PHP Commercial |
$115.86
|
| Rate for Payer: Priority Health SBD |
$85.87
|
| Rate for Payer: UMR Bronson Commercial |
$59.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.22
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
OP
|
$82.25
|
|
|
Service Code
|
NDC 69315011601
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$30.43 |
| Max. Negotiated Rate |
$74.03 |
| Rate for Payer: Aetna American Axle |
$53.46
|
| Rate for Payer: Aetna Commercial |
$69.91
|
| Rate for Payer: Aetna Medicare |
$41.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.46
|
| Rate for Payer: BCBS Complete |
$32.90
|
| Rate for Payer: Cash Price |
$65.80
|
| Rate for Payer: Cofinity Advantage |
$57.58
|
| Rate for Payer: Cofinity Commercial |
$70.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.80
|
| Rate for Payer: Healthscope Commercial |
$74.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.69
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.69
|
| Rate for Payer: PHP Commercial |
$69.91
|
| Rate for Payer: Priority Health SBD |
$51.82
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.46
|
| Rate for Payer: UHC Core |
$42.85
|
| Rate for Payer: UHC Exchange |
$32.32
|
| Rate for Payer: UMR Bronson Commercial |
$30.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.69
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
IP
|
$82.25
|
|
|
Service Code
|
NDC 69315011601
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$36.19 |
| Max. Negotiated Rate |
$74.03 |
| Rate for Payer: Aetna American Axle |
$53.46
|
| Rate for Payer: Aetna Commercial |
$69.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.46
|
| Rate for Payer: Cash Price |
$65.80
|
| Rate for Payer: Cofinity Advantage |
$57.58
|
| Rate for Payer: Cofinity Commercial |
$70.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.80
|
| Rate for Payer: Healthscope Commercial |
$74.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.69
|
| Rate for Payer: PHP Commercial |
$69.91
|
| Rate for Payer: Priority Health SBD |
$51.82
|
| Rate for Payer: UMR Bronson Commercial |
$36.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.69
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
OP
|
$1.37
|
|
|
Service Code
|
NDC 51079007201
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.51 |
| Max. Negotiated Rate |
$1.23 |
| Rate for Payer: Aetna American Axle |
$0.89
|
| Rate for Payer: Aetna Commercial |
$1.16
|
| Rate for Payer: Aetna Medicare |
$0.69
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$0.89
|
| Rate for Payer: BCBS Complete |
$0.55
|
| Rate for Payer: Cash Price |
$1.10
|
| Rate for Payer: Cofinity Advantage |
$0.96
|
| Rate for Payer: Cofinity Commercial |
$1.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.10
|
| Rate for Payer: Healthscope Commercial |
$1.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$0.96
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.03
|
| Rate for Payer: PHP Commercial |
$1.16
|
| Rate for Payer: Priority Health SBD |
$0.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.89
|
| Rate for Payer: UHC Core |
$0.71
|
| Rate for Payer: UHC Exchange |
$0.54
|
| Rate for Payer: UMR Bronson Commercial |
$0.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.03
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
OP
|
$138.65
|
|
|
Service Code
|
NDC 00904717761
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$51.30 |
| Max. Negotiated Rate |
$124.78 |
| Rate for Payer: Aetna American Axle |
$90.12
|
| Rate for Payer: Aetna Commercial |
$117.85
|
| Rate for Payer: Aetna Medicare |
$69.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.12
|
| Rate for Payer: BCBS Complete |
$55.46
|
| Rate for Payer: Cash Price |
$110.92
|
| Rate for Payer: Cofinity Advantage |
$97.06
|
| Rate for Payer: Cofinity Commercial |
$119.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$110.92
|
| Rate for Payer: Healthscope Commercial |
$124.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$97.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$103.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$110.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.99
|
| Rate for Payer: PHP Commercial |
$117.85
|
| Rate for Payer: Priority Health SBD |
$87.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$90.12
|
| Rate for Payer: UHC Core |
$72.24
|
| Rate for Payer: UHC Exchange |
$54.49
|
| Rate for Payer: UMR Bronson Commercial |
$51.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$103.99
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
IP
|
$79.90
|
|
|
Service Code
|
NDC 64980056201
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.16 |
| Max. Negotiated Rate |
$71.91 |
| Rate for Payer: Aetna American Axle |
$51.94
|
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.94
|
| Rate for Payer: Cash Price |
$63.92
|
| Rate for Payer: Cofinity Advantage |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$68.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.92
|
| Rate for Payer: Healthscope Commercial |
$71.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.92
|
| Rate for Payer: PHP Commercial |
$67.92
|
| Rate for Payer: Priority Health SBD |
$50.34
|
| Rate for Payer: UMR Bronson Commercial |
$35.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.92
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
IP
|
$138.65
|
|
|
Service Code
|
NDC 00904717761
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$61.01 |
| Max. Negotiated Rate |
$124.78 |
| Rate for Payer: Aetna American Axle |
$90.12
|
| Rate for Payer: Aetna Commercial |
$117.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$90.12
|
| Rate for Payer: Cash Price |
$110.92
|
| Rate for Payer: Cofinity Advantage |
$97.06
|
| Rate for Payer: Cofinity Commercial |
$119.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$110.92
|
| Rate for Payer: Healthscope Commercial |
$124.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$97.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$103.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$117.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$103.99
|
| Rate for Payer: PHP Commercial |
$117.85
|
| Rate for Payer: Priority Health SBD |
$87.35
|
| Rate for Payer: UMR Bronson Commercial |
$61.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$103.99
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
IP
|
$65.80
|
|
|
Service Code
|
NDC 43547040110
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$28.95 |
| Max. Negotiated Rate |
$59.22 |
| Rate for Payer: Aetna American Axle |
$42.77
|
| Rate for Payer: Aetna Commercial |
$55.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.77
|
| Rate for Payer: Cash Price |
$52.64
|
| Rate for Payer: Cofinity Advantage |
$46.06
|
| Rate for Payer: Cofinity Commercial |
$56.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.64
|
| Rate for Payer: Healthscope Commercial |
$59.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.35
|
| Rate for Payer: PHP Commercial |
$55.93
|
| Rate for Payer: Priority Health SBD |
$41.45
|
| Rate for Payer: UMR Bronson Commercial |
$28.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.35
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
OP
|
$65.80
|
|
|
Service Code
|
NDC 43547040110
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$24.35 |
| Max. Negotiated Rate |
$59.22 |
| Rate for Payer: Aetna American Axle |
$42.77
|
| Rate for Payer: Aetna Commercial |
$55.93
|
| Rate for Payer: Aetna Medicare |
$32.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$42.77
|
| Rate for Payer: BCBS Complete |
$26.32
|
| Rate for Payer: Cash Price |
$52.64
|
| Rate for Payer: Cofinity Advantage |
$46.06
|
| Rate for Payer: Cofinity Commercial |
$56.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$52.64
|
| Rate for Payer: Healthscope Commercial |
$59.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$52.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$55.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$49.35
|
| Rate for Payer: PHP Commercial |
$55.93
|
| Rate for Payer: Priority Health SBD |
$41.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$42.77
|
| Rate for Payer: UHC Core |
$34.28
|
| Rate for Payer: UHC Exchange |
$25.86
|
| Rate for Payer: UMR Bronson Commercial |
$24.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.35
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
OP
|
$136.30
|
|
|
Service Code
|
NDC 51079007220
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$50.43 |
| Max. Negotiated Rate |
$122.67 |
| Rate for Payer: Aetna American Axle |
$88.59
|
| Rate for Payer: Aetna Commercial |
$115.86
|
| Rate for Payer: Aetna Medicare |
$68.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$88.59
|
| Rate for Payer: BCBS Complete |
$54.52
|
| Rate for Payer: Cash Price |
$109.04
|
| Rate for Payer: Cofinity Advantage |
$95.41
|
| Rate for Payer: Cofinity Commercial |
$117.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$109.04
|
| Rate for Payer: Healthscope Commercial |
$122.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$95.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$102.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$109.04
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$102.22
|
| Rate for Payer: PHP Commercial |
$115.86
|
| Rate for Payer: Priority Health SBD |
$85.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$88.59
|
| Rate for Payer: UHC Core |
$71.01
|
| Rate for Payer: UHC Exchange |
$53.57
|
| Rate for Payer: UMR Bronson Commercial |
$50.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$102.22
|
|
|
FUROSEMIDE 20 MG TABLET
|
Facility
|
OP
|
$79.90
|
|
|
Service Code
|
NDC 64980056201
|
| Hospital Charge Code |
3294
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$29.56 |
| Max. Negotiated Rate |
$71.91 |
| Rate for Payer: Aetna American Axle |
$51.94
|
| Rate for Payer: Aetna Commercial |
$67.92
|
| Rate for Payer: Aetna Medicare |
$39.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$51.94
|
| Rate for Payer: BCBS Complete |
$31.96
|
| Rate for Payer: Cash Price |
$63.92
|
| Rate for Payer: Cofinity Advantage |
$55.93
|
| Rate for Payer: Cofinity Commercial |
$68.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$63.92
|
| Rate for Payer: Healthscope Commercial |
$71.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$55.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$59.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$63.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$67.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$59.92
|
| Rate for Payer: PHP Commercial |
$67.92
|
| Rate for Payer: Priority Health SBD |
$50.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$51.94
|
| Rate for Payer: UHC Core |
$41.63
|
| Rate for Payer: UHC Exchange |
$31.40
|
| Rate for Payer: UMR Bronson Commercial |
$29.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$59.92
|
|
|
FUROSEMIDE 40 MG TABLET
|
Facility
|
OP
|
$115.15
|
|
|
Service Code
|
NDC 64980056301
|
| Hospital Charge Code |
3295
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$42.61 |
| Max. Negotiated Rate |
$103.64 |
| Rate for Payer: Aetna American Axle |
$74.85
|
| Rate for Payer: Aetna Commercial |
$97.88
|
| Rate for Payer: Aetna Medicare |
$57.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.85
|
| Rate for Payer: BCBS Complete |
$46.06
|
| Rate for Payer: Cash Price |
$92.12
|
| Rate for Payer: Cofinity Advantage |
$80.61
|
| Rate for Payer: Cofinity Commercial |
$99.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.12
|
| Rate for Payer: Healthscope Commercial |
$103.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$80.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$86.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$92.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$86.36
|
| Rate for Payer: PHP Commercial |
$97.88
|
| Rate for Payer: Priority Health SBD |
$72.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$74.85
|
| Rate for Payer: UHC Core |
$59.99
|
| Rate for Payer: UHC Exchange |
$45.25
|
| Rate for Payer: UMR Bronson Commercial |
$42.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$86.36
|
|
|
FUROSEMIDE 40 MG TABLET
|
Facility
|
IP
|
$84.60
|
|
|
Service Code
|
NDC 43547040210
|
| Hospital Charge Code |
3295
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$37.22 |
| Max. Negotiated Rate |
$76.14 |
| Rate for Payer: Aetna American Axle |
$54.99
|
| Rate for Payer: Aetna Commercial |
$71.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$54.99
|
| Rate for Payer: Cash Price |
$67.68
|
| Rate for Payer: Cofinity Advantage |
$59.22
|
| Rate for Payer: Cofinity Commercial |
$72.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$67.68
|
| Rate for Payer: Healthscope Commercial |
$76.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$59.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$63.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$71.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$63.45
|
| Rate for Payer: PHP Commercial |
$71.91
|
| Rate for Payer: Priority Health SBD |
$53.30
|
| Rate for Payer: UMR Bronson Commercial |
$37.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$63.45
|
|
|
FUROSEMIDE 40 MG TABLET
|
Facility
|
OP
|
$89.30
|
|
|
Service Code
|
NDC 69315011701
|
| Hospital Charge Code |
3295
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$33.04 |
| Max. Negotiated Rate |
$80.37 |
| Rate for Payer: Aetna American Axle |
$58.05
|
| Rate for Payer: Aetna Commercial |
$75.91
|
| Rate for Payer: Aetna Medicare |
$44.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.05
|
| Rate for Payer: BCBS Complete |
$35.72
|
| Rate for Payer: Cash Price |
$71.44
|
| Rate for Payer: Cofinity Advantage |
$62.51
|
| Rate for Payer: Cofinity Commercial |
$76.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.44
|
| Rate for Payer: Healthscope Commercial |
$80.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$62.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$71.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.97
|
| Rate for Payer: PHP Commercial |
$75.91
|
| Rate for Payer: Priority Health SBD |
$56.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$58.05
|
| Rate for Payer: UHC Core |
$46.53
|
| Rate for Payer: UHC Exchange |
$35.09
|
| Rate for Payer: UMR Bronson Commercial |
$33.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.97
|
|
|
FUROSEMIDE 40 MG TABLET
|
Facility
|
IP
|
$89.30
|
|
|
Service Code
|
NDC 69315011701
|
| Hospital Charge Code |
3295
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$39.29 |
| Max. Negotiated Rate |
$80.37 |
| Rate for Payer: Aetna American Axle |
$58.05
|
| Rate for Payer: Aetna Commercial |
$75.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$58.05
|
| Rate for Payer: Cash Price |
$71.44
|
| Rate for Payer: Cofinity Advantage |
$62.51
|
| Rate for Payer: Cofinity Commercial |
$76.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$71.44
|
| Rate for Payer: Healthscope Commercial |
$80.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$62.51
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$66.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$75.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$66.97
|
| Rate for Payer: PHP Commercial |
$75.91
|
| Rate for Payer: Priority Health SBD |
$56.26
|
| Rate for Payer: UMR Bronson Commercial |
$39.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$66.97
|
|
