|
HEPARIN (PORCINE) 10,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$48.82
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10177
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$43.94 |
| Rate for Payer: Aetna American Axle |
$31.73
|
| Rate for Payer: Aetna American Axle |
$11.84
|
| Rate for Payer: Aetna American Axle |
$67.26
|
| Rate for Payer: Aetna American Axle |
$12.47
|
| Rate for Payer: Aetna American Axle |
$13.59
|
| Rate for Payer: Aetna American Axle |
$17.50
|
| Rate for Payer: Aetna Commercial |
$16.31
|
| Rate for Payer: Aetna Commercial |
$22.88
|
| Rate for Payer: Aetna Commercial |
$15.49
|
| Rate for Payer: Aetna Commercial |
$87.95
|
| Rate for Payer: Aetna Commercial |
$41.50
|
| Rate for Payer: Aetna Commercial |
$17.77
|
| Rate for Payer: Aetna Medicare |
$24.41
|
| Rate for Payer: Aetna Medicare |
$10.46
|
| Rate for Payer: Aetna Medicare |
$9.11
|
| Rate for Payer: Aetna Medicare |
$13.46
|
| Rate for Payer: Aetna Medicare |
$9.60
|
| Rate for Payer: Aetna Medicare |
$51.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.73
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.50
|
| Rate for Payer: BCBS Complete |
$10.77
|
| Rate for Payer: BCBS Complete |
$8.36
|
| Rate for Payer: BCBS Complete |
$41.39
|
| Rate for Payer: BCBS Complete |
$7.68
|
| Rate for Payer: BCBS Complete |
$7.29
|
| Rate for Payer: BCBS Complete |
$19.53
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cash Price |
$15.35
|
| Rate for Payer: Cash Price |
$21.54
|
| Rate for Payer: Cash Price |
$14.58
|
| Rate for Payer: Cash Price |
$82.78
|
| Rate for Payer: Cash Price |
$14.58
|
| Rate for Payer: Cash Price |
$15.35
|
| Rate for Payer: Cash Price |
$21.54
|
| Rate for Payer: Cash Price |
$39.06
|
| Rate for Payer: Cash Price |
$16.73
|
| Rate for Payer: Cash Price |
$16.73
|
| Rate for Payer: Cash Price |
$82.78
|
| Rate for Payer: Cofinity Commercial |
$13.43
|
| Rate for Payer: Cofinity Commercial |
$34.17
|
| Rate for Payer: Cofinity Commercial |
$12.75
|
| Rate for Payer: Cofinity Commercial |
$88.98
|
| Rate for Payer: Cofinity Commercial |
$72.43
|
| Rate for Payer: Cofinity Commercial |
$15.67
|
| Rate for Payer: Cofinity Commercial |
$23.15
|
| Rate for Payer: Cofinity Commercial |
$18.84
|
| Rate for Payer: Cofinity Commercial |
$17.98
|
| Rate for Payer: Cofinity Commercial |
$14.64
|
| Rate for Payer: Cofinity Commercial |
$16.50
|
| Rate for Payer: Cofinity Commercial |
$41.99
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$72.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$34.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$39.06
|
| Rate for Payer: Healthscope Commercial |
$24.23
|
| Rate for Payer: Healthscope Commercial |
$43.94
|
| Rate for Payer: Healthscope Commercial |
$18.82
|
| Rate for Payer: Healthscope Commercial |
$17.27
|
| Rate for Payer: Healthscope Commercial |
$16.40
|
| Rate for Payer: Healthscope Commercial |
$93.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.43
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.64
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$34.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$36.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.39
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.19
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$41.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.77
|
| Rate for Payer: PHP Commercial |
$16.31
|
| Rate for Payer: PHP Commercial |
$17.77
|
| Rate for Payer: PHP Commercial |
$15.49
|
| Rate for Payer: PHP Commercial |
$87.95
|
| Rate for Payer: PHP Commercial |
$22.88
|
| Rate for Payer: PHP Commercial |
$41.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.84
|
| Rate for Payer: Priority Health SBD |
$16.96
|
| Rate for Payer: Priority Health SBD |
$11.48
|
| Rate for Payer: Priority Health SBD |
$12.09
|
| Rate for Payer: Priority Health SBD |
$13.17
|
| Rate for Payer: Priority Health SBD |
$65.19
|
| Rate for Payer: Priority Health SBD |
$30.76
|
| Rate for Payer: UMR Bronson Commercial |
$9.96
|
| Rate for Payer: UMR Bronson Commercial |
$18.06
|
| Rate for Payer: UMR Bronson Commercial |
$7.10
|
| Rate for Payer: UMR Bronson Commercial |
$38.28
|
| Rate for Payer: UMR Bronson Commercial |
$6.74
|
| Rate for Payer: UMR Bronson Commercial |
$7.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$36.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.68
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$22.50
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.98 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Aetna American Axle |
$14.62
|
| Rate for Payer: Aetna American Axle |
$17.53
|
| Rate for Payer: Aetna Commercial |
$22.92
|
| Rate for Payer: Aetna Commercial |
$19.12
|
| Rate for Payer: Aetna Medicare |
$11.25
|
| Rate for Payer: Aetna Medicare |
$13.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.53
|
| Rate for Payer: BCBS Complete |
$10.79
|
| Rate for Payer: BCBS Complete |
$9.00
|
| Rate for Payer: BCBS Trust/PPO |
$0.98
|
| Rate for Payer: BCBS Trust/PPO |
$0.98
|
| Rate for Payer: BCN Commercial |
$0.98
|
| Rate for Payer: BCN Commercial |
$0.98
|
| Rate for Payer: Cash Price |
$21.58
|
| Rate for Payer: Cash Price |
$21.58
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cofinity Commercial |
$23.19
|
| Rate for Payer: Cofinity Commercial |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$18.88
|
| Rate for Payer: Cofinity Commercial |
$19.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.00
|
| Rate for Payer: Healthscope Commercial |
$24.27
|
| Rate for Payer: Healthscope Commercial |
$20.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.92
|
| Rate for Payer: PHP Commercial |
$19.12
|
| Rate for Payer: PHP Commercial |
$22.92
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.53
|
| Rate for Payer: Priority Health SBD |
$16.99
|
| Rate for Payer: Priority Health SBD |
$14.18
|
| Rate for Payer: UMR Bronson Commercial |
$8.32
|
| Rate for Payer: UMR Bronson Commercial |
$9.98
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.88
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$27.84
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.25 |
| Max. Negotiated Rate |
$25.06 |
| Rate for Payer: Aetna American Axle |
$18.10
|
| Rate for Payer: Aetna American Axle |
$18.33
|
| Rate for Payer: Aetna American Axle |
$13.10
|
| Rate for Payer: Aetna American Axle |
$14.58
|
| Rate for Payer: Aetna American Axle |
$14.43
|
| Rate for Payer: Aetna American Axle |
$19.19
|
| Rate for Payer: Aetna American Axle |
$13.02
|
| Rate for Payer: Aetna American Axle |
$14.93
|
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna American Axle |
$10.29
|
| Rate for Payer: Aetna American Axle |
$10.78
|
| Rate for Payer: Aetna American Axle |
$8.00
|
| Rate for Payer: Aetna Commercial |
$19.07
|
| Rate for Payer: Aetna Commercial |
$23.97
|
| Rate for Payer: Aetna Commercial |
$17.03
|
| Rate for Payer: Aetna Commercial |
$23.66
|
| Rate for Payer: Aetna Commercial |
$19.52
|
| Rate for Payer: Aetna Commercial |
$18.87
|
| Rate for Payer: Aetna Commercial |
$10.46
|
| Rate for Payer: Aetna Commercial |
$13.46
|
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Commercial |
$25.10
|
| Rate for Payer: Aetna Commercial |
$14.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Cash Price |
$17.94
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cash Price |
$22.56
|
| Rate for Payer: Cash Price |
$22.27
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$13.26
|
| Rate for Payer: Cash Price |
$17.76
|
| Rate for Payer: Cash Price |
$9.84
|
| Rate for Payer: Cash Price |
$12.66
|
| Rate for Payer: Cash Price |
$23.62
|
| Rate for Payer: Cash Price |
$18.38
|
| Rate for Payer: Cash Price |
$16.02
|
| Rate for Payer: Cofinity Commercial |
$19.74
|
| Rate for Payer: Cofinity Commercial |
$19.09
|
| Rate for Payer: Cofinity Commercial |
$15.54
|
| Rate for Payer: Cofinity Commercial |
$10.58
|
| Rate for Payer: Cofinity Commercial |
$14.52
|
| Rate for Payer: Cofinity Commercial |
$11.82
|
| Rate for Payer: Cofinity Commercial |
$11.61
|
| Rate for Payer: Cofinity Commercial |
$11.08
|
| Rate for Payer: Cofinity Commercial |
$13.61
|
| Rate for Payer: Cofinity Commercial |
$14.26
|
| Rate for Payer: Cofinity Commercial |
$8.61
|
| Rate for Payer: Cofinity Commercial |
$25.40
|
| Rate for Payer: Cofinity Commercial |
$20.67
|
| Rate for Payer: Cofinity Commercial |
$24.25
|
| Rate for Payer: Cofinity Commercial |
$23.94
|
| Rate for Payer: Cofinity Commercial |
$19.49
|
| Rate for Payer: Cofinity Commercial |
$19.75
|
| Rate for Payer: Cofinity Commercial |
$16.08
|
| Rate for Payer: Cofinity Commercial |
$14.02
|
| Rate for Payer: Cofinity Commercial |
$17.23
|
| Rate for Payer: Cofinity Commercial |
$19.29
|
| Rate for Payer: Cofinity Commercial |
$15.70
|
| Rate for Payer: Cofinity Commercial |
$14.11
|
| Rate for Payer: Cofinity Commercial |
$17.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.27
|
| Rate for Payer: Healthscope Commercial |
$25.38
|
| Rate for Payer: Healthscope Commercial |
$11.07
|
| Rate for Payer: Healthscope Commercial |
$14.25
|
| Rate for Payer: Healthscope Commercial |
$14.92
|
| Rate for Payer: Healthscope Commercial |
$15.19
|
| Rate for Payer: Healthscope Commercial |
$18.03
|
| Rate for Payer: Healthscope Commercial |
$18.14
|
| Rate for Payer: Healthscope Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$20.19
|
| Rate for Payer: Healthscope Commercial |
$20.67
|
| Rate for Payer: Healthscope Commercial |
$25.06
|
| Rate for Payer: Healthscope Commercial |
$26.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.67
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.07
|
| Rate for Payer: PHP Commercial |
$25.10
|
| Rate for Payer: PHP Commercial |
$17.14
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Commercial |
$10.46
|
| Rate for Payer: PHP Commercial |
$18.87
|
| Rate for Payer: PHP Commercial |
$19.07
|
| Rate for Payer: PHP Commercial |
$17.03
|
| Rate for Payer: PHP Commercial |
$14.09
|
| Rate for Payer: PHP Commercial |
$23.97
|
| Rate for Payer: PHP Commercial |
$13.46
|
| Rate for Payer: PHP Commercial |
$14.35
|
| Rate for Payer: PHP Commercial |
$19.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.10
|
| Rate for Payer: Priority Health SBD |
$12.62
|
| Rate for Payer: Priority Health SBD |
$14.13
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: Priority Health SBD |
$13.99
|
| Rate for Payer: Priority Health SBD |
$17.77
|
| Rate for Payer: Priority Health SBD |
$17.54
|
| Rate for Payer: Priority Health SBD |
$12.70
|
| Rate for Payer: Priority Health SBD |
$7.75
|
| Rate for Payer: Priority Health SBD |
$9.97
|
| Rate for Payer: Priority Health SBD |
$14.47
|
| Rate for Payer: Priority Health SBD |
$18.60
|
| Rate for Payer: Priority Health SBD |
$10.45
|
| Rate for Payer: UMR Bronson Commercial |
$12.25
|
| Rate for Payer: UMR Bronson Commercial |
$6.97
|
| Rate for Payer: UMR Bronson Commercial |
$7.30
|
| Rate for Payer: UMR Bronson Commercial |
$10.11
|
| Rate for Payer: UMR Bronson Commercial |
$5.41
|
| Rate for Payer: UMR Bronson Commercial |
$12.41
|
| Rate for Payer: UMR Bronson Commercial |
$7.43
|
| Rate for Payer: UMR Bronson Commercial |
$9.87
|
| Rate for Payer: UMR Bronson Commercial |
$8.81
|
| Rate for Payer: UMR Bronson Commercial |
$9.77
|
| Rate for Payer: UMR Bronson Commercial |
$12.99
|
| Rate for Payer: UMR Bronson Commercial |
$8.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.12
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$22.50
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.90 |
| Max. Negotiated Rate |
$20.25 |
| Rate for Payer: Aetna American Axle |
$14.62
|
| Rate for Payer: Aetna American Axle |
$17.53
|
| Rate for Payer: Aetna Commercial |
$19.12
|
| Rate for Payer: Aetna Commercial |
$22.92
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.53
|
| Rate for Payer: Cash Price |
$18.00
|
| Rate for Payer: Cash Price |
$21.58
|
| Rate for Payer: Cofinity Commercial |
$23.19
|
| Rate for Payer: Cofinity Commercial |
$18.88
|
| Rate for Payer: Cofinity Commercial |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$19.35
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.75
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.58
|
| Rate for Payer: Healthscope Commercial |
$20.25
|
| Rate for Payer: Healthscope Commercial |
$24.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.12
|
| Rate for Payer: PHP Commercial |
$22.92
|
| Rate for Payer: PHP Commercial |
$19.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.53
|
| Rate for Payer: Priority Health SBD |
$14.18
|
| Rate for Payer: Priority Health SBD |
$16.99
|
| Rate for Payer: UMR Bronson Commercial |
$9.90
|
| Rate for Payer: UMR Bronson Commercial |
$11.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.23
|
|
|
HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$22.43
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10176
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$20.19 |
| Rate for Payer: Aetna American Axle |
$14.58
|
| Rate for Payer: Aetna American Axle |
$9.57
|
| Rate for Payer: Aetna American Axle |
$10.97
|
| Rate for Payer: Aetna American Axle |
$14.43
|
| Rate for Payer: Aetna American Axle |
$8.00
|
| Rate for Payer: Aetna American Axle |
$10.29
|
| Rate for Payer: Aetna American Axle |
$13.10
|
| Rate for Payer: Aetna American Axle |
$10.78
|
| Rate for Payer: Aetna American Axle |
$18.10
|
| Rate for Payer: Aetna American Axle |
$13.02
|
| Rate for Payer: Aetna American Axle |
$18.33
|
| Rate for Payer: Aetna American Axle |
$14.93
|
| Rate for Payer: Aetna American Axle |
$19.19
|
| Rate for Payer: Aetna Commercial |
$12.51
|
| Rate for Payer: Aetna Commercial |
$13.46
|
| Rate for Payer: Aetna Commercial |
$17.14
|
| Rate for Payer: Aetna Commercial |
$18.87
|
| Rate for Payer: Aetna Commercial |
$19.07
|
| Rate for Payer: Aetna Commercial |
$17.03
|
| Rate for Payer: Aetna Commercial |
$25.10
|
| Rate for Payer: Aetna Commercial |
$14.35
|
| Rate for Payer: Aetna Commercial |
$19.52
|
| Rate for Payer: Aetna Commercial |
$10.46
|
| Rate for Payer: Aetna Commercial |
$14.09
|
| Rate for Payer: Aetna Commercial |
$23.66
|
| Rate for Payer: Aetna Commercial |
$23.97
|
| Rate for Payer: Aetna Medicare |
$8.29
|
| Rate for Payer: Aetna Medicare |
$11.10
|
| Rate for Payer: Aetna Medicare |
$6.15
|
| Rate for Payer: Aetna Medicare |
$7.92
|
| Rate for Payer: Aetna Medicare |
$14.76
|
| Rate for Payer: Aetna Medicare |
$14.10
|
| Rate for Payer: Aetna Medicare |
$13.92
|
| Rate for Payer: Aetna Medicare |
$11.48
|
| Rate for Payer: Aetna Medicare |
$8.44
|
| Rate for Payer: Aetna Medicare |
$11.22
|
| Rate for Payer: Aetna Medicare |
$10.02
|
| Rate for Payer: Aetna Medicare |
$7.36
|
| Rate for Payer: Aetna Medicare |
$10.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.58
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.19
|
| Rate for Payer: BCBS Complete |
$6.75
|
| Rate for Payer: BCBS Complete |
$4.92
|
| Rate for Payer: BCBS Complete |
$11.81
|
| Rate for Payer: BCBS Complete |
$8.88
|
| Rate for Payer: BCBS Complete |
$6.63
|
| Rate for Payer: BCBS Complete |
$11.28
|
| Rate for Payer: BCBS Complete |
$8.01
|
| Rate for Payer: BCBS Complete |
$9.19
|
| Rate for Payer: BCBS Complete |
$6.33
|
| Rate for Payer: BCBS Complete |
$5.89
|
| Rate for Payer: BCBS Complete |
$8.97
|
| Rate for Payer: BCBS Complete |
$11.14
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$23.62
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cash Price |
$12.66
|
| Rate for Payer: Cash Price |
$9.84
|
| Rate for Payer: Cash Price |
$23.62
|
| Rate for Payer: Cash Price |
$22.56
|
| Rate for Payer: Cash Price |
$11.78
|
| Rate for Payer: Cash Price |
$9.84
|
| Rate for Payer: Cash Price |
$22.56
|
| Rate for Payer: Cash Price |
$22.27
|
| Rate for Payer: Cash Price |
$17.76
|
| Rate for Payer: Cash Price |
$12.66
|
| Rate for Payer: Cash Price |
$11.78
|
| Rate for Payer: Cash Price |
$13.26
|
| Rate for Payer: Cash Price |
$13.26
|
| Rate for Payer: Cash Price |
$22.27
|
| Rate for Payer: Cash Price |
$18.38
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$13.50
|
| Rate for Payer: Cash Price |
$18.38
|
| Rate for Payer: Cash Price |
$17.94
|
| Rate for Payer: Cash Price |
$16.02
|
| Rate for Payer: Cash Price |
$16.13
|
| Rate for Payer: Cash Price |
$16.02
|
| Rate for Payer: Cash Price |
$17.94
|
| Rate for Payer: Cash Price |
$17.76
|
| Rate for Payer: Cofinity Commercial |
$11.82
|
| Rate for Payer: Cofinity Commercial |
$25.40
|
| Rate for Payer: Cofinity Commercial |
$14.02
|
| Rate for Payer: Cofinity Commercial |
$17.23
|
| Rate for Payer: Cofinity Commercial |
$14.11
|
| Rate for Payer: Cofinity Commercial |
$17.34
|
| Rate for Payer: Cofinity Commercial |
$16.08
|
| Rate for Payer: Cofinity Commercial |
$20.67
|
| Rate for Payer: Cofinity Commercial |
$19.75
|
| Rate for Payer: Cofinity Commercial |
$14.26
|
| Rate for Payer: Cofinity Commercial |
$19.09
|
| Rate for Payer: Cofinity Commercial |
$15.54
|
| Rate for Payer: Cofinity Commercial |
$24.25
|
| Rate for Payer: Cofinity Commercial |
$11.61
|
| Rate for Payer: Cofinity Commercial |
$19.49
|
| Rate for Payer: Cofinity Commercial |
$23.94
|
| Rate for Payer: Cofinity Commercial |
$19.74
|
| Rate for Payer: Cofinity Commercial |
$10.30
|
| Rate for Payer: Cofinity Commercial |
$11.08
|
| Rate for Payer: Cofinity Commercial |
$13.61
|
| Rate for Payer: Cofinity Commercial |
$8.61
|
| Rate for Payer: Cofinity Commercial |
$10.58
|
| Rate for Payer: Cofinity Commercial |
$15.70
|
| Rate for Payer: Cofinity Commercial |
$19.29
|
| Rate for Payer: Cofinity Commercial |
$12.66
|
| Rate for Payer: Cofinity Commercial |
$14.52
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.61
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.54
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.74
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.94
|
| Rate for Payer: Healthscope Commercial |
$25.38
|
| Rate for Payer: Healthscope Commercial |
$14.92
|
| Rate for Payer: Healthscope Commercial |
$20.67
|
| Rate for Payer: Healthscope Commercial |
$26.58
|
| Rate for Payer: Healthscope Commercial |
$19.98
|
| Rate for Payer: Healthscope Commercial |
$18.14
|
| Rate for Payer: Healthscope Commercial |
$14.25
|
| Rate for Payer: Healthscope Commercial |
$13.25
|
| Rate for Payer: Healthscope Commercial |
$18.03
|
| Rate for Payer: Healthscope Commercial |
$11.07
|
| Rate for Payer: Healthscope Commercial |
$20.19
|
| Rate for Payer: Healthscope Commercial |
$15.19
|
| Rate for Payer: Healthscope Commercial |
$25.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.67
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.22
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.82
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.97
|
| Rate for Payer: PHP Commercial |
$12.51
|
| Rate for Payer: PHP Commercial |
$23.66
|
| Rate for Payer: PHP Commercial |
$19.52
|
| Rate for Payer: PHP Commercial |
$17.03
|
| Rate for Payer: PHP Commercial |
$18.87
|
| Rate for Payer: PHP Commercial |
$14.35
|
| Rate for Payer: PHP Commercial |
$25.10
|
| Rate for Payer: PHP Commercial |
$23.97
|
| Rate for Payer: PHP Commercial |
$19.07
|
| Rate for Payer: PHP Commercial |
$17.14
|
| Rate for Payer: PHP Commercial |
$13.46
|
| Rate for Payer: PHP Commercial |
$14.09
|
| Rate for Payer: PHP Commercial |
$10.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.97
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.93
|
| Rate for Payer: Priority Health SBD |
$17.54
|
| Rate for Payer: Priority Health SBD |
$17.77
|
| Rate for Payer: Priority Health SBD |
$18.60
|
| Rate for Payer: Priority Health SBD |
$12.70
|
| Rate for Payer: Priority Health SBD |
$10.45
|
| Rate for Payer: Priority Health SBD |
$14.13
|
| Rate for Payer: Priority Health SBD |
$14.47
|
| Rate for Payer: Priority Health SBD |
$10.63
|
| Rate for Payer: Priority Health SBD |
$9.97
|
| Rate for Payer: Priority Health SBD |
$13.99
|
| Rate for Payer: Priority Health SBD |
$7.75
|
| Rate for Payer: Priority Health SBD |
$9.27
|
| Rate for Payer: Priority Health SBD |
$12.62
|
| Rate for Payer: UMR Bronson Commercial |
$6.13
|
| Rate for Payer: UMR Bronson Commercial |
$7.46
|
| Rate for Payer: UMR Bronson Commercial |
$10.93
|
| Rate for Payer: UMR Bronson Commercial |
$8.30
|
| Rate for Payer: UMR Bronson Commercial |
$7.41
|
| Rate for Payer: UMR Bronson Commercial |
$5.86
|
| Rate for Payer: UMR Bronson Commercial |
$10.43
|
| Rate for Payer: UMR Bronson Commercial |
$4.55
|
| Rate for Payer: UMR Bronson Commercial |
$5.45
|
| Rate for Payer: UMR Bronson Commercial |
$6.25
|
| Rate for Payer: UMR Bronson Commercial |
$8.21
|
| Rate for Payer: UMR Bronson Commercial |
$10.30
|
| Rate for Payer: UMR Bronson Commercial |
$8.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.88
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.66
|
|
|
HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$36.79
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10178
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$33.11 |
| Rate for Payer: Aetna American Axle |
$23.91
|
| Rate for Payer: Aetna Commercial |
$31.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.91
|
| Rate for Payer: Cash Price |
$29.43
|
| Rate for Payer: Cofinity Commercial |
$25.75
|
| Rate for Payer: Cofinity Commercial |
$31.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.43
|
| Rate for Payer: Healthscope Commercial |
$33.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.27
|
| Rate for Payer: PHP Commercial |
$31.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.91
|
| Rate for Payer: Priority Health SBD |
$23.18
|
| Rate for Payer: UMR Bronson Commercial |
$16.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.59
|
|
|
HEPARIN (PORCINE) 20,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$36.79
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10178
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$33.11 |
| Rate for Payer: Aetna American Axle |
$23.91
|
| Rate for Payer: Aetna Commercial |
$31.27
|
| Rate for Payer: Aetna Medicare |
$18.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.91
|
| Rate for Payer: BCBS Complete |
$14.72
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$29.43
|
| Rate for Payer: Cash Price |
$29.43
|
| Rate for Payer: Cofinity Commercial |
$25.75
|
| Rate for Payer: Cofinity Commercial |
$31.64
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.43
|
| Rate for Payer: Healthscope Commercial |
$33.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$31.27
|
| Rate for Payer: PHP Commercial |
$31.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.91
|
| Rate for Payer: Priority Health SBD |
$23.18
|
| Rate for Payer: UMR Bronson Commercial |
$13.61
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.59
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV
|
Facility
|
OP
|
$73.44
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15846
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$66.10 |
| Rate for Payer: Aetna American Axle |
$47.74
|
| Rate for Payer: Aetna American Axle |
$43.26
|
| Rate for Payer: Aetna American Axle |
$67.21
|
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: Aetna Commercial |
$87.89
|
| Rate for Payer: Aetna Commercial |
$56.58
|
| Rate for Payer: Aetna Medicare |
$33.28
|
| Rate for Payer: Aetna Medicare |
$51.70
|
| Rate for Payer: Aetna Medicare |
$36.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.26
|
| Rate for Payer: BCBS Complete |
$26.62
|
| Rate for Payer: BCBS Complete |
$29.38
|
| Rate for Payer: BCBS Complete |
$41.36
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$53.25
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cash Price |
$53.25
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cofinity Commercial |
$57.24
|
| Rate for Payer: Cofinity Commercial |
$72.38
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Cofinity Commercial |
$46.59
|
| Rate for Payer: Cofinity Commercial |
$51.41
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$72.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: Healthscope Commercial |
$59.90
|
| Rate for Payer: Healthscope Commercial |
$93.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: PHP Commercial |
$87.89
|
| Rate for Payer: PHP Commercial |
$56.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: Priority Health SBD |
$41.93
|
| Rate for Payer: Priority Health SBD |
$46.27
|
| Rate for Payer: Priority Health SBD |
$65.14
|
| Rate for Payer: UMR Bronson Commercial |
$27.17
|
| Rate for Payer: UMR Bronson Commercial |
$38.26
|
| Rate for Payer: UMR Bronson Commercial |
$24.63
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.08
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) IN DEXTROSE 5 % IV
|
Facility
|
IP
|
$66.56
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15846
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$29.29 |
| Max. Negotiated Rate |
$59.90 |
| Rate for Payer: Aetna American Axle |
$43.26
|
| Rate for Payer: Aetna American Axle |
$67.21
|
| Rate for Payer: Aetna American Axle |
$47.74
|
| Rate for Payer: Aetna Commercial |
$56.58
|
| Rate for Payer: Aetna Commercial |
$87.89
|
| Rate for Payer: Aetna Commercial |
$62.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$67.21
|
| Rate for Payer: Cash Price |
$58.75
|
| Rate for Payer: Cash Price |
$53.25
|
| Rate for Payer: Cash Price |
$82.72
|
| Rate for Payer: Cofinity Commercial |
$88.92
|
| Rate for Payer: Cofinity Commercial |
$72.38
|
| Rate for Payer: Cofinity Commercial |
$46.59
|
| Rate for Payer: Cofinity Commercial |
$57.24
|
| Rate for Payer: Cofinity Commercial |
$51.41
|
| Rate for Payer: Cofinity Commercial |
$63.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$72.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$51.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.72
|
| Rate for Payer: Healthscope Commercial |
$66.10
|
| Rate for Payer: Healthscope Commercial |
$93.06
|
| Rate for Payer: Healthscope Commercial |
$59.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$72.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$51.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$55.08
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$77.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$62.42
|
| Rate for Payer: PHP Commercial |
$87.89
|
| Rate for Payer: PHP Commercial |
$62.42
|
| Rate for Payer: PHP Commercial |
$56.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$67.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.74
|
| Rate for Payer: Priority Health SBD |
$41.93
|
| Rate for Payer: Priority Health SBD |
$65.14
|
| Rate for Payer: Priority Health SBD |
$46.27
|
| Rate for Payer: UMR Bronson Commercial |
$32.31
|
| Rate for Payer: UMR Bronson Commercial |
$29.29
|
| Rate for Payer: UMR Bronson Commercial |
$45.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$77.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$55.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.92
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) INFUSION CUSTOM
|
Facility
|
IP
|
$66.56
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
180233
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$29.29 |
| Max. Negotiated Rate |
$59.90 |
| Rate for Payer: Aetna American Axle |
$43.26
|
| Rate for Payer: Aetna American Axle |
$57.02
|
| Rate for Payer: Aetna American Axle |
$59.67
|
| Rate for Payer: Aetna Commercial |
$74.57
|
| Rate for Payer: Aetna Commercial |
$56.58
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.02
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$70.18
|
| Rate for Payer: Cash Price |
$53.25
|
| Rate for Payer: Cofinity Commercial |
$57.24
|
| Rate for Payer: Cofinity Commercial |
$75.45
|
| Rate for Payer: Cofinity Commercial |
$61.41
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Cofinity Commercial |
$46.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$64.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.18
|
| Rate for Payer: Healthscope Commercial |
$78.96
|
| Rate for Payer: Healthscope Commercial |
$59.90
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.57
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$74.57
|
| Rate for Payer: PHP Commercial |
$56.58
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.26
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: Priority Health SBD |
$55.27
|
| Rate for Payer: Priority Health SBD |
$41.93
|
| Rate for Payer: UMR Bronson Commercial |
$29.29
|
| Rate for Payer: UMR Bronson Commercial |
$40.39
|
| Rate for Payer: UMR Bronson Commercial |
$38.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.80
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) INFUSION CUSTOM
|
Facility
|
OP
|
$91.80
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
180233
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$82.62 |
| Rate for Payer: Aetna American Axle |
$59.67
|
| Rate for Payer: Aetna American Axle |
$57.02
|
| Rate for Payer: Aetna American Axle |
$43.26
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna Commercial |
$56.58
|
| Rate for Payer: Aetna Commercial |
$74.57
|
| Rate for Payer: Aetna Medicare |
$43.86
|
| Rate for Payer: Aetna Medicare |
$33.28
|
| Rate for Payer: Aetna Medicare |
$45.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$43.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$57.02
|
| Rate for Payer: BCBS Complete |
$35.09
|
| Rate for Payer: BCBS Complete |
$36.72
|
| Rate for Payer: BCBS Complete |
$26.62
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$70.18
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$53.25
|
| Rate for Payer: Cash Price |
$70.18
|
| Rate for Payer: Cash Price |
$53.25
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cofinity Commercial |
$75.45
|
| Rate for Payer: Cofinity Commercial |
$46.59
|
| Rate for Payer: Cofinity Commercial |
$57.24
|
| Rate for Payer: Cofinity Commercial |
$61.41
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$64.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$46.59
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$53.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$70.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Healthscope Commercial |
$78.96
|
| Rate for Payer: Healthscope Commercial |
$59.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$46.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$49.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$56.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$56.58
|
| Rate for Payer: PHP Commercial |
$74.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$43.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$57.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Priority Health SBD |
$55.27
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: Priority Health SBD |
$41.93
|
| Rate for Payer: UMR Bronson Commercial |
$33.97
|
| Rate for Payer: UMR Bronson Commercial |
$24.63
|
| Rate for Payer: UMR Bronson Commercial |
$32.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$49.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) SHEATH MAINTENANCE INFUSION CUSTOM
|
Facility
|
OP
|
$91.80
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
300185
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$82.62 |
| Rate for Payer: Aetna American Axle |
$59.67
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna Medicare |
$45.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: BCBS Complete |
$36.72
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$64.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: UMR Bronson Commercial |
$33.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML (100 UNIT/ML) SHEATH MAINTENANCE INFUSION CUSTOM
|
Facility
|
IP
|
$91.80
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
300185
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$40.39 |
| Max. Negotiated Rate |
$82.62 |
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: UMR Bronson Commercial |
$40.39
|
| Rate for Payer: Aetna American Axle |
$59.67
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$64.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN
|
Facility
|
IP
|
$75.74
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15849
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$33.33 |
| Max. Negotiated Rate |
$68.17 |
| Rate for Payer: Aetna American Axle |
$49.23
|
| Rate for Payer: Aetna American Axle |
$59.67
|
| Rate for Payer: Aetna American Axle |
$62.65
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$81.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: Cash Price |
$77.11
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Cofinity Commercial |
$82.90
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Cofinity Commercial |
$53.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$64.26
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Healthscope Commercial |
$86.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$81.93
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.23
|
| Rate for Payer: Priority Health SBD |
$60.73
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: UMR Bronson Commercial |
$33.33
|
| Rate for Payer: UMR Bronson Commercial |
$42.41
|
| Rate for Payer: UMR Bronson Commercial |
$40.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
|
|
HEPARIN (PORCINE) 25,000 UNIT/250 ML IN 0.45 % SODIUM CHLORIDE IV SOLN
|
Facility
|
OP
|
$96.39
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15849
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$86.75 |
| Rate for Payer: Aetna American Axle |
$62.65
|
| Rate for Payer: Aetna American Axle |
$59.67
|
| Rate for Payer: Aetna American Axle |
$49.23
|
| Rate for Payer: Aetna Commercial |
$81.93
|
| Rate for Payer: Aetna Commercial |
$64.38
|
| Rate for Payer: Aetna Commercial |
$78.03
|
| Rate for Payer: Aetna Medicare |
$45.90
|
| Rate for Payer: Aetna Medicare |
$37.87
|
| Rate for Payer: Aetna Medicare |
$48.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$49.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$62.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$59.67
|
| Rate for Payer: BCBS Complete |
$36.72
|
| Rate for Payer: BCBS Complete |
$38.56
|
| Rate for Payer: BCBS Complete |
$30.30
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$77.11
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$73.44
|
| Rate for Payer: Cash Price |
$60.59
|
| Rate for Payer: Cash Price |
$77.11
|
| Rate for Payer: Cofinity Commercial |
$78.95
|
| Rate for Payer: Cofinity Commercial |
$53.02
|
| Rate for Payer: Cofinity Commercial |
$65.14
|
| Rate for Payer: Cofinity Commercial |
$64.26
|
| Rate for Payer: Cofinity Commercial |
$67.47
|
| Rate for Payer: Cofinity Commercial |
$82.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$67.47
|
| Rate for Payer: Cofinity Medicare Advantage |
$53.02
|
| Rate for Payer: Cofinity Medicare Advantage |
$64.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$73.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$77.11
|
| Rate for Payer: Healthscope Commercial |
$86.75
|
| Rate for Payer: Healthscope Commercial |
$82.62
|
| Rate for Payer: Healthscope Commercial |
$68.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$53.02
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$64.26
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$67.47
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$56.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$72.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$68.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$78.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$81.93
|
| Rate for Payer: PHP Commercial |
$81.93
|
| Rate for Payer: PHP Commercial |
$64.38
|
| Rate for Payer: PHP Commercial |
$78.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$49.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$59.67
|
| Rate for Payer: Priority Health Cigna Priority Health |
$62.65
|
| Rate for Payer: Priority Health SBD |
$57.83
|
| Rate for Payer: Priority Health SBD |
$60.73
|
| Rate for Payer: Priority Health SBD |
$47.72
|
| Rate for Payer: UMR Bronson Commercial |
$35.66
|
| Rate for Payer: UMR Bronson Commercial |
$28.02
|
| Rate for Payer: UMR Bronson Commercial |
$33.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$56.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$68.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$72.29
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$17.45
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$15.70 |
| Rate for Payer: Aetna American Axle |
$11.34
|
| Rate for Payer: Aetna American Axle |
$11.04
|
| Rate for Payer: Aetna American Axle |
$10.82
|
| Rate for Payer: Aetna American Axle |
$84.64
|
| Rate for Payer: Aetna American Axle |
$7.53
|
| Rate for Payer: Aetna American Axle |
$8.26
|
| Rate for Payer: Aetna American Axle |
$8.55
|
| Rate for Payer: Aetna American Axle |
$13.38
|
| Rate for Payer: Aetna Commercial |
$17.49
|
| Rate for Payer: Aetna Commercial |
$14.83
|
| Rate for Payer: Aetna Commercial |
$110.68
|
| Rate for Payer: Aetna Commercial |
$11.19
|
| Rate for Payer: Aetna Commercial |
$10.80
|
| Rate for Payer: Aetna Commercial |
$9.85
|
| Rate for Payer: Aetna Commercial |
$14.43
|
| Rate for Payer: Aetna Commercial |
$14.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.82
|
| Rate for Payer: Cash Price |
$10.53
|
| Rate for Payer: Cash Price |
$13.96
|
| Rate for Payer: Cash Price |
$13.32
|
| Rate for Payer: Cash Price |
$16.46
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cash Price |
$104.17
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$13.58
|
| Rate for Payer: Cofinity Commercial |
$9.21
|
| Rate for Payer: Cofinity Commercial |
$8.11
|
| Rate for Payer: Cofinity Commercial |
$11.32
|
| Rate for Payer: Cofinity Commercial |
$111.98
|
| Rate for Payer: Cofinity Commercial |
$10.93
|
| Rate for Payer: Cofinity Commercial |
$8.90
|
| Rate for Payer: Cofinity Commercial |
$91.15
|
| Rate for Payer: Cofinity Commercial |
$9.97
|
| Rate for Payer: Cofinity Commercial |
$11.66
|
| Rate for Payer: Cofinity Commercial |
$14.32
|
| Rate for Payer: Cofinity Commercial |
$11.89
|
| Rate for Payer: Cofinity Commercial |
$14.60
|
| Rate for Payer: Cofinity Commercial |
$12.22
|
| Rate for Payer: Cofinity Commercial |
$15.01
|
| Rate for Payer: Cofinity Commercial |
$14.41
|
| Rate for Payer: Cofinity Commercial |
$17.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.41
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.17
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$18.52
|
| Rate for Payer: Healthscope Commercial |
$15.70
|
| Rate for Payer: Healthscope Commercial |
$14.98
|
| Rate for Payer: Healthscope Commercial |
$15.28
|
| Rate for Payer: Healthscope Commercial |
$11.84
|
| Rate for Payer: Healthscope Commercial |
$117.19
|
| Rate for Payer: Healthscope Commercial |
$11.44
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.68
|
| Rate for Payer: PHP Commercial |
$14.83
|
| Rate for Payer: PHP Commercial |
$110.68
|
| Rate for Payer: PHP Commercial |
$14.43
|
| Rate for Payer: PHP Commercial |
$11.19
|
| Rate for Payer: PHP Commercial |
$17.49
|
| Rate for Payer: PHP Commercial |
$9.85
|
| Rate for Payer: PHP Commercial |
$14.15
|
| Rate for Payer: PHP Commercial |
$10.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.64
|
| Rate for Payer: Priority Health SBD |
$82.03
|
| Rate for Payer: Priority Health SBD |
$8.01
|
| Rate for Payer: Priority Health SBD |
$7.30
|
| Rate for Payer: Priority Health SBD |
$8.29
|
| Rate for Payer: Priority Health SBD |
$10.70
|
| Rate for Payer: Priority Health SBD |
$10.49
|
| Rate for Payer: Priority Health SBD |
$12.97
|
| Rate for Payer: Priority Health SBD |
$10.99
|
| Rate for Payer: UMR Bronson Commercial |
$57.29
|
| Rate for Payer: UMR Bronson Commercial |
$5.79
|
| Rate for Payer: UMR Bronson Commercial |
$7.47
|
| Rate for Payer: UMR Bronson Commercial |
$7.68
|
| Rate for Payer: UMR Bronson Commercial |
$5.59
|
| Rate for Payer: UMR Bronson Commercial |
$9.06
|
| Rate for Payer: UMR Bronson Commercial |
$7.33
|
| Rate for Payer: UMR Bronson Commercial |
$5.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.49
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$20.58
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$18.52 |
| Rate for Payer: Aetna American Axle |
$13.38
|
| Rate for Payer: Aetna American Axle |
$11.34
|
| Rate for Payer: Aetna American Axle |
$10.82
|
| Rate for Payer: Aetna American Axle |
$8.55
|
| Rate for Payer: Aetna American Axle |
$11.04
|
| Rate for Payer: Aetna American Axle |
$7.53
|
| Rate for Payer: Aetna American Axle |
$84.64
|
| Rate for Payer: Aetna American Axle |
$8.26
|
| Rate for Payer: Aetna Commercial |
$110.68
|
| Rate for Payer: Aetna Commercial |
$9.85
|
| Rate for Payer: Aetna Commercial |
$10.80
|
| Rate for Payer: Aetna Commercial |
$14.15
|
| Rate for Payer: Aetna Commercial |
$11.19
|
| Rate for Payer: Aetna Commercial |
$14.43
|
| Rate for Payer: Aetna Commercial |
$14.83
|
| Rate for Payer: Aetna Commercial |
$17.49
|
| Rate for Payer: Aetna Medicare |
$6.58
|
| Rate for Payer: Aetna Medicare |
$6.36
|
| Rate for Payer: Aetna Medicare |
$8.72
|
| Rate for Payer: Aetna Medicare |
$65.10
|
| Rate for Payer: Aetna Medicare |
$10.29
|
| Rate for Payer: Aetna Medicare |
$8.32
|
| Rate for Payer: Aetna Medicare |
$5.80
|
| Rate for Payer: Aetna Medicare |
$8.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$84.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.26
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.82
|
| Rate for Payer: BCBS Complete |
$8.23
|
| Rate for Payer: BCBS Complete |
$6.79
|
| Rate for Payer: BCBS Complete |
$5.26
|
| Rate for Payer: BCBS Complete |
$5.08
|
| Rate for Payer: BCBS Complete |
$4.64
|
| Rate for Payer: BCBS Complete |
$52.08
|
| Rate for Payer: BCBS Complete |
$6.98
|
| Rate for Payer: BCBS Complete |
$6.66
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$104.17
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$10.17
|
| Rate for Payer: Cash Price |
$9.27
|
| Rate for Payer: Cash Price |
$104.17
|
| Rate for Payer: Cash Price |
$10.53
|
| Rate for Payer: Cash Price |
$10.53
|
| Rate for Payer: Cash Price |
$13.32
|
| Rate for Payer: Cash Price |
$13.32
|
| Rate for Payer: Cash Price |
$13.58
|
| Rate for Payer: Cash Price |
$13.58
|
| Rate for Payer: Cash Price |
$13.96
|
| Rate for Payer: Cash Price |
$13.96
|
| Rate for Payer: Cash Price |
$16.46
|
| Rate for Payer: Cash Price |
$16.46
|
| Rate for Payer: Cofinity Commercial |
$11.32
|
| Rate for Payer: Cofinity Commercial |
$14.60
|
| Rate for Payer: Cofinity Commercial |
$11.89
|
| Rate for Payer: Cofinity Commercial |
$8.11
|
| Rate for Payer: Cofinity Commercial |
$8.90
|
| Rate for Payer: Cofinity Commercial |
$14.41
|
| Rate for Payer: Cofinity Commercial |
$9.21
|
| Rate for Payer: Cofinity Commercial |
$14.32
|
| Rate for Payer: Cofinity Commercial |
$111.98
|
| Rate for Payer: Cofinity Commercial |
$10.93
|
| Rate for Payer: Cofinity Commercial |
$9.97
|
| Rate for Payer: Cofinity Commercial |
$91.15
|
| Rate for Payer: Cofinity Commercial |
$11.66
|
| Rate for Payer: Cofinity Commercial |
$15.01
|
| Rate for Payer: Cofinity Commercial |
$12.22
|
| Rate for Payer: Cofinity Commercial |
$17.70
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$8.90
|
| Rate for Payer: Cofinity Medicare Advantage |
$91.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.21
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.89
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.27
|
| Rate for Payer: Healthscope Commercial |
$117.19
|
| Rate for Payer: Healthscope Commercial |
$11.84
|
| Rate for Payer: Healthscope Commercial |
$15.70
|
| Rate for Payer: Healthscope Commercial |
$18.52
|
| Rate for Payer: Healthscope Commercial |
$15.28
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$14.98
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$91.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$97.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$110.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.19
|
| Rate for Payer: PHP Commercial |
$14.43
|
| Rate for Payer: PHP Commercial |
$10.80
|
| Rate for Payer: PHP Commercial |
$17.49
|
| Rate for Payer: PHP Commercial |
$14.15
|
| Rate for Payer: PHP Commercial |
$9.85
|
| Rate for Payer: PHP Commercial |
$110.68
|
| Rate for Payer: PHP Commercial |
$14.83
|
| Rate for Payer: PHP Commercial |
$11.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$84.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$8.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.34
|
| Rate for Payer: Priority Health SBD |
$7.30
|
| Rate for Payer: Priority Health SBD |
$12.97
|
| Rate for Payer: Priority Health SBD |
$8.29
|
| Rate for Payer: Priority Health SBD |
$10.49
|
| Rate for Payer: Priority Health SBD |
$8.01
|
| Rate for Payer: Priority Health SBD |
$82.03
|
| Rate for Payer: Priority Health SBD |
$10.99
|
| Rate for Payer: Priority Health SBD |
$10.70
|
| Rate for Payer: UMR Bronson Commercial |
$6.46
|
| Rate for Payer: UMR Bronson Commercial |
$7.61
|
| Rate for Payer: UMR Bronson Commercial |
$6.28
|
| Rate for Payer: UMR Bronson Commercial |
$6.16
|
| Rate for Payer: UMR Bronson Commercial |
$4.87
|
| Rate for Payer: UMR Bronson Commercial |
$4.70
|
| Rate for Payer: UMR Bronson Commercial |
$4.29
|
| Rate for Payer: UMR Bronson Commercial |
$48.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$97.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.69
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
OP
|
$13.87
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.98 |
| Max. Negotiated Rate |
$12.48 |
| Rate for Payer: Aetna American Axle |
$9.02
|
| Rate for Payer: Aetna Commercial |
$11.79
|
| Rate for Payer: Aetna Medicare |
$6.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.02
|
| Rate for Payer: BCBS Complete |
$5.55
|
| Rate for Payer: BCBS Trust/PPO |
$0.98
|
| Rate for Payer: BCN Commercial |
$0.98
|
| Rate for Payer: Cash Price |
$11.10
|
| Rate for Payer: Cash Price |
$11.10
|
| Rate for Payer: Cofinity Commercial |
$11.93
|
| Rate for Payer: Cofinity Commercial |
$9.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.10
|
| Rate for Payer: Healthscope Commercial |
$12.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.79
|
| Rate for Payer: PHP Commercial |
$11.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.02
|
| Rate for Payer: Priority Health SBD |
$8.74
|
| Rate for Payer: UMR Bronson Commercial |
$5.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.40
|
|
|
HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION
|
Facility
|
IP
|
$13.87
|
|
|
Service Code
|
HCPCS J1643
|
| Hospital Charge Code |
10181
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.10 |
| Max. Negotiated Rate |
$12.48 |
| Rate for Payer: Aetna American Axle |
$9.02
|
| Rate for Payer: Aetna Commercial |
$11.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.02
|
| Rate for Payer: Cash Price |
$11.10
|
| Rate for Payer: Cofinity Commercial |
$11.93
|
| Rate for Payer: Cofinity Commercial |
$9.71
|
| Rate for Payer: Cofinity Medicare Advantage |
$9.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.10
|
| Rate for Payer: Healthscope Commercial |
$12.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.79
|
| Rate for Payer: PHP Commercial |
$11.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.02
|
| Rate for Payer: Priority Health SBD |
$8.74
|
| Rate for Payer: UMR Bronson Commercial |
$6.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.40
|
|
|
HEPARIN (PORCINE) 500 UNIT/250 ML IN 0.9 % SODIUM CHLORIDE IV
|
Facility
|
OP
|
$63.57
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
300015
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$57.21 |
| Rate for Payer: Aetna American Axle |
$41.32
|
| Rate for Payer: Aetna Commercial |
$54.03
|
| Rate for Payer: Aetna Medicare |
$31.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.32
|
| Rate for Payer: BCBS Complete |
$25.43
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$50.86
|
| Rate for Payer: Cash Price |
$50.86
|
| Rate for Payer: Cofinity Commercial |
$44.50
|
| Rate for Payer: Cofinity Commercial |
$54.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$44.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.86
|
| Rate for Payer: Healthscope Commercial |
$57.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.03
|
| Rate for Payer: PHP Commercial |
$54.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.32
|
| Rate for Payer: Priority Health SBD |
$40.05
|
| Rate for Payer: UMR Bronson Commercial |
$23.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.68
|
|
|
HEPARIN (PORCINE) 500 UNIT/250 ML IN 0.9 % SODIUM CHLORIDE IV
|
Facility
|
IP
|
$63.57
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
300015
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.97 |
| Max. Negotiated Rate |
$57.21 |
| Rate for Payer: Aetna American Axle |
$41.32
|
| Rate for Payer: Aetna Commercial |
$54.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$41.32
|
| Rate for Payer: Cash Price |
$50.86
|
| Rate for Payer: Cofinity Commercial |
$44.50
|
| Rate for Payer: Cofinity Commercial |
$54.67
|
| Rate for Payer: Cofinity Medicare Advantage |
$44.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$50.86
|
| Rate for Payer: Healthscope Commercial |
$57.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$44.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$47.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$54.03
|
| Rate for Payer: PHP Commercial |
$54.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$41.32
|
| Rate for Payer: Priority Health SBD |
$40.05
|
| Rate for Payer: UMR Bronson Commercial |
$27.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$47.68
|
|
|
HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV
|
Facility
|
OP
|
$87.40
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15847
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$78.66 |
| Rate for Payer: Aetna American Axle |
$56.81
|
| Rate for Payer: Aetna American Axle |
$46.66
|
| Rate for Payer: Aetna American Axle |
$31.10
|
| Rate for Payer: Aetna American Axle |
$36.29
|
| Rate for Payer: Aetna Commercial |
$74.29
|
| Rate for Payer: Aetna Commercial |
$47.46
|
| Rate for Payer: Aetna Commercial |
$40.67
|
| Rate for Payer: Aetna Commercial |
$61.01
|
| Rate for Payer: Aetna Medicare |
$35.89
|
| Rate for Payer: Aetna Medicare |
$27.92
|
| Rate for Payer: Aetna Medicare |
$23.92
|
| Rate for Payer: Aetna Medicare |
$43.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.29
|
| Rate for Payer: BCBS Complete |
$28.71
|
| Rate for Payer: BCBS Complete |
$19.14
|
| Rate for Payer: BCBS Complete |
$34.96
|
| Rate for Payer: BCBS Complete |
$22.33
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$44.66
|
| Rate for Payer: Cash Price |
$69.92
|
| Rate for Payer: Cash Price |
$57.42
|
| Rate for Payer: Cash Price |
$44.66
|
| Rate for Payer: Cash Price |
$38.28
|
| Rate for Payer: Cash Price |
$38.28
|
| Rate for Payer: Cash Price |
$57.42
|
| Rate for Payer: Cash Price |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Cofinity Commercial |
$48.01
|
| Rate for Payer: Cofinity Commercial |
$33.50
|
| Rate for Payer: Cofinity Commercial |
$41.15
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Cofinity Commercial |
$50.25
|
| Rate for Payer: Cofinity Commercial |
$61.73
|
| Rate for Payer: Cofinity Commercial |
$61.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$39.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$50.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.50
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.28
|
| Rate for Payer: Healthscope Commercial |
$43.06
|
| Rate for Payer: Healthscope Commercial |
$78.66
|
| Rate for Payer: Healthscope Commercial |
$64.60
|
| Rate for Payer: Healthscope Commercial |
$50.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.25
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.67
|
| Rate for Payer: PHP Commercial |
$74.29
|
| Rate for Payer: PHP Commercial |
$47.46
|
| Rate for Payer: PHP Commercial |
$40.67
|
| Rate for Payer: PHP Commercial |
$61.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.10
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.66
|
| Rate for Payer: Priority Health SBD |
$30.15
|
| Rate for Payer: Priority Health SBD |
$45.22
|
| Rate for Payer: Priority Health SBD |
$35.17
|
| Rate for Payer: Priority Health SBD |
$55.06
|
| Rate for Payer: UMR Bronson Commercial |
$17.70
|
| Rate for Payer: UMR Bronson Commercial |
$26.56
|
| Rate for Payer: UMR Bronson Commercial |
$32.34
|
| Rate for Payer: UMR Bronson Commercial |
$20.66
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.55
|
|
|
HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE IV
|
Facility
|
IP
|
$71.78
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
15847
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$31.58 |
| Max. Negotiated Rate |
$64.60 |
| Rate for Payer: Aetna American Axle |
$46.66
|
| Rate for Payer: Aetna American Axle |
$36.29
|
| Rate for Payer: Aetna American Axle |
$31.10
|
| Rate for Payer: Aetna American Axle |
$56.81
|
| Rate for Payer: Aetna Commercial |
$61.01
|
| Rate for Payer: Aetna Commercial |
$74.29
|
| Rate for Payer: Aetna Commercial |
$47.46
|
| Rate for Payer: Aetna Commercial |
$40.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$31.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$36.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.66
|
| Rate for Payer: Cash Price |
$44.66
|
| Rate for Payer: Cash Price |
$57.42
|
| Rate for Payer: Cash Price |
$38.28
|
| Rate for Payer: Cash Price |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$33.50
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Cofinity Commercial |
$61.18
|
| Rate for Payer: Cofinity Commercial |
$50.25
|
| Rate for Payer: Cofinity Commercial |
$39.08
|
| Rate for Payer: Cofinity Commercial |
$48.01
|
| Rate for Payer: Cofinity Commercial |
$61.73
|
| Rate for Payer: Cofinity Commercial |
$41.15
|
| Rate for Payer: Cofinity Medicare Advantage |
$39.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$50.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.18
|
| Rate for Payer: Cofinity Medicare Advantage |
$33.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.66
|
| Rate for Payer: Healthscope Commercial |
$64.60
|
| Rate for Payer: Healthscope Commercial |
$43.06
|
| Rate for Payer: Healthscope Commercial |
$50.25
|
| Rate for Payer: Healthscope Commercial |
$78.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$33.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$39.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$41.87
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$35.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.01
|
| Rate for Payer: PHP Commercial |
$61.01
|
| Rate for Payer: PHP Commercial |
$74.29
|
| Rate for Payer: PHP Commercial |
$40.67
|
| Rate for Payer: PHP Commercial |
$47.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.10
|
| Rate for Payer: Priority Health SBD |
$55.06
|
| Rate for Payer: Priority Health SBD |
$30.15
|
| Rate for Payer: Priority Health SBD |
$35.17
|
| Rate for Payer: Priority Health SBD |
$45.22
|
| Rate for Payer: UMR Bronson Commercial |
$31.58
|
| Rate for Payer: UMR Bronson Commercial |
$38.46
|
| Rate for Payer: UMR Bronson Commercial |
$24.57
|
| Rate for Payer: UMR Bronson Commercial |
$21.05
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$35.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$41.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.84
|
|
|
HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN NS CONTINUOUS INFUSION CUSTOM
|
Facility
|
OP
|
$87.40
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
300069
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.58 |
| Max. Negotiated Rate |
$78.66 |
| Rate for Payer: Aetna American Axle |
$56.81
|
| Rate for Payer: Aetna Commercial |
$74.29
|
| Rate for Payer: Aetna Medicare |
$43.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.81
|
| Rate for Payer: BCBS Complete |
$34.96
|
| Rate for Payer: BCBS Trust/PPO |
$0.58
|
| Rate for Payer: BCN Commercial |
$0.58
|
| Rate for Payer: Cash Price |
$69.92
|
| Rate for Payer: Cash Price |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$61.18
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.92
|
| Rate for Payer: Healthscope Commercial |
$78.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.29
|
| Rate for Payer: PHP Commercial |
$74.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.81
|
| Rate for Payer: Priority Health SBD |
$55.06
|
| Rate for Payer: UMR Bronson Commercial |
$32.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.55
|
|
|
HEPARIN (PORCINE) (PF) 1,000 UNIT/500 ML IN NS CONTINUOUS INFUSION CUSTOM
|
Facility
|
IP
|
$87.40
|
|
|
Service Code
|
HCPCS J1644
|
| Hospital Charge Code |
300069
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$38.46 |
| Max. Negotiated Rate |
$78.66 |
| Rate for Payer: Aetna American Axle |
$56.81
|
| Rate for Payer: Aetna Commercial |
$74.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$56.81
|
| Rate for Payer: Cash Price |
$69.92
|
| Rate for Payer: Cofinity Commercial |
$61.18
|
| Rate for Payer: Cofinity Commercial |
$75.16
|
| Rate for Payer: Cofinity Medicare Advantage |
$61.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$69.92
|
| Rate for Payer: Healthscope Commercial |
$78.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$61.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$65.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$74.29
|
| Rate for Payer: PHP Commercial |
$74.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$56.81
|
| Rate for Payer: Priority Health SBD |
$55.06
|
| Rate for Payer: UMR Bronson Commercial |
$38.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$65.55
|
|
