|
METHYLPHENIDATE LA 10 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE
|
Facility
|
IP
|
$3,873.21
|
|
|
Service Code
|
NDC 00078042405
|
| Hospital Charge Code |
38387
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,704.21 |
| Max. Negotiated Rate |
$3,485.89 |
| Rate for Payer: Aetna American Axle |
$2,517.59
|
| Rate for Payer: Aetna Commercial |
$3,292.23
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,517.59
|
| Rate for Payer: Cash Price |
$3,098.57
|
| Rate for Payer: Cofinity Advantage |
$2,711.25
|
| Rate for Payer: Cofinity Commercial |
$3,330.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,098.57
|
| Rate for Payer: Healthscope Commercial |
$3,485.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,711.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,904.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,904.91
|
| Rate for Payer: PHP Commercial |
$3,292.23
|
| Rate for Payer: Priority Health SBD |
$2,440.12
|
| Rate for Payer: UMR Bronson Commercial |
$1,704.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,904.91
|
|
|
METHYLPHENIDATE LA 10 MG BIPHASIC 50-50 CAPSULE,EXTENDED RELEASE
|
Facility
|
OP
|
$3,873.21
|
|
|
Service Code
|
NDC 00078042405
|
| Hospital Charge Code |
38387
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,433.09 |
| Max. Negotiated Rate |
$3,485.89 |
| Rate for Payer: Aetna American Axle |
$2,517.59
|
| Rate for Payer: Aetna Commercial |
$3,292.23
|
| Rate for Payer: Aetna Medicare |
$1,936.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,517.59
|
| Rate for Payer: BCBS Complete |
$1,549.28
|
| Rate for Payer: Cash Price |
$3,098.57
|
| Rate for Payer: Cofinity Advantage |
$2,711.25
|
| Rate for Payer: Cofinity Commercial |
$3,330.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,098.57
|
| Rate for Payer: Healthscope Commercial |
$3,485.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,711.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,904.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,098.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,292.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,904.91
|
| Rate for Payer: PHP Commercial |
$3,292.23
|
| Rate for Payer: Priority Health SBD |
$2,440.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2,517.59
|
| Rate for Payer: UHC Core |
$2,017.94
|
| Rate for Payer: UHC Exchange |
$1,522.17
|
| Rate for Payer: UMR Bronson Commercial |
$1,433.09
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,904.91
|
|
|
METHYLPREDNISOLONE 16 MG TABLET
|
Facility
|
OP
|
$444.00
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4992
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.23 |
| Max. Negotiated Rate |
$399.60 |
| Rate for Payer: Aetna American Axle |
$288.60
|
| Rate for Payer: Aetna American Axle |
$277.90
|
| Rate for Payer: Aetna American Axle |
$337.06
|
| Rate for Payer: Aetna Commercial |
$377.40
|
| Rate for Payer: Aetna Commercial |
$440.78
|
| Rate for Payer: Aetna Commercial |
$363.41
|
| Rate for Payer: Aetna Medicare |
$222.00
|
| Rate for Payer: Aetna Medicare |
$213.77
|
| Rate for Payer: Aetna Medicare |
$259.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$277.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$337.06
|
| Rate for Payer: BCBS Complete |
$171.02
|
| Rate for Payer: BCBS Complete |
$177.60
|
| Rate for Payer: BCBS Complete |
$207.42
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: Cash Price |
$342.03
|
| Rate for Payer: Cash Price |
$342.03
|
| Rate for Payer: Cash Price |
$414.85
|
| Rate for Payer: Cash Price |
$414.85
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cofinity Advantage |
$362.99
|
| Rate for Payer: Cofinity Advantage |
$310.80
|
| Rate for Payer: Cofinity Advantage |
$299.28
|
| Rate for Payer: Cofinity Commercial |
$367.68
|
| Rate for Payer: Cofinity Commercial |
$381.84
|
| Rate for Payer: Cofinity Commercial |
$445.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$414.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$355.20
|
| Rate for Payer: Healthscope Commercial |
$384.79
|
| Rate for Payer: Healthscope Commercial |
$399.60
|
| Rate for Payer: Healthscope Commercial |
$466.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$299.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$362.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$310.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$388.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$333.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$355.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$342.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$414.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$377.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$440.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$333.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$388.92
|
| Rate for Payer: PHP Commercial |
$377.40
|
| Rate for Payer: PHP Commercial |
$363.41
|
| Rate for Payer: PHP Commercial |
$440.78
|
| Rate for Payer: Priority Health SBD |
$269.35
|
| Rate for Payer: Priority Health SBD |
$326.69
|
| Rate for Payer: Priority Health SBD |
$279.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UMR Bronson Commercial |
$191.87
|
| Rate for Payer: UMR Bronson Commercial |
$158.19
|
| Rate for Payer: UMR Bronson Commercial |
$164.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$333.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$388.92
|
|
|
METHYLPREDNISOLONE 16 MG TABLET
|
Facility
|
IP
|
$427.54
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4992
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$188.12 |
| Max. Negotiated Rate |
$384.79 |
| Rate for Payer: Aetna American Axle |
$277.90
|
| Rate for Payer: Aetna American Axle |
$337.06
|
| Rate for Payer: Aetna American Axle |
$288.60
|
| Rate for Payer: Aetna Commercial |
$377.40
|
| Rate for Payer: Aetna Commercial |
$363.41
|
| Rate for Payer: Aetna Commercial |
$440.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$337.06
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$277.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$288.60
|
| Rate for Payer: Cash Price |
$355.20
|
| Rate for Payer: Cash Price |
$342.03
|
| Rate for Payer: Cash Price |
$414.85
|
| Rate for Payer: Cofinity Advantage |
$362.99
|
| Rate for Payer: Cofinity Advantage |
$299.28
|
| Rate for Payer: Cofinity Advantage |
$310.80
|
| Rate for Payer: Cofinity Commercial |
$445.96
|
| Rate for Payer: Cofinity Commercial |
$367.68
|
| Rate for Payer: Cofinity Commercial |
$381.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$342.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$355.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$414.85
|
| Rate for Payer: Healthscope Commercial |
$399.60
|
| Rate for Payer: Healthscope Commercial |
$466.70
|
| Rate for Payer: Healthscope Commercial |
$384.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$310.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$299.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$362.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$388.92
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$320.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$333.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$363.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$377.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$440.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$320.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$333.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$388.92
|
| Rate for Payer: PHP Commercial |
$377.40
|
| Rate for Payer: PHP Commercial |
$363.41
|
| Rate for Payer: PHP Commercial |
$440.78
|
| Rate for Payer: Priority Health SBD |
$269.35
|
| Rate for Payer: Priority Health SBD |
$279.72
|
| Rate for Payer: Priority Health SBD |
$326.69
|
| Rate for Payer: UMR Bronson Commercial |
$188.12
|
| Rate for Payer: UMR Bronson Commercial |
$228.17
|
| Rate for Payer: UMR Bronson Commercial |
$195.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$333.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$320.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$388.92
|
|
|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
IP
|
$510.24
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$224.51 |
| Max. Negotiated Rate |
$459.22 |
| Rate for Payer: Aetna American Axle |
$331.66
|
| Rate for Payer: Aetna American Axle |
$184.01
|
| Rate for Payer: Aetna American Axle |
$415.90
|
| Rate for Payer: Aetna American Axle |
$167.96
|
| Rate for Payer: Aetna Commercial |
$543.86
|
| Rate for Payer: Aetna Commercial |
$433.70
|
| Rate for Payer: Aetna Commercial |
$219.64
|
| Rate for Payer: Aetna Commercial |
$240.63
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$415.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$331.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.96
|
| Rate for Payer: Cash Price |
$206.72
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cofinity Advantage |
$198.17
|
| Rate for Payer: Cofinity Advantage |
$180.88
|
| Rate for Payer: Cofinity Advantage |
$357.17
|
| Rate for Payer: Cofinity Advantage |
$447.89
|
| Rate for Payer: Cofinity Commercial |
$438.81
|
| Rate for Payer: Cofinity Commercial |
$222.22
|
| Rate for Payer: Cofinity Commercial |
$243.47
|
| Rate for Payer: Cofinity Commercial |
$550.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Healthscope Commercial |
$254.79
|
| Rate for Payer: Healthscope Commercial |
$575.86
|
| Rate for Payer: Healthscope Commercial |
$459.22
|
| Rate for Payer: Healthscope Commercial |
$232.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$357.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$180.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$198.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$447.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$193.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.80
|
| Rate for Payer: PHP Commercial |
$219.64
|
| Rate for Payer: PHP Commercial |
$433.70
|
| Rate for Payer: PHP Commercial |
$240.63
|
| Rate for Payer: PHP Commercial |
$543.86
|
| Rate for Payer: Priority Health SBD |
$403.10
|
| Rate for Payer: Priority Health SBD |
$162.79
|
| Rate for Payer: Priority Health SBD |
$321.45
|
| Rate for Payer: Priority Health SBD |
$178.35
|
| Rate for Payer: UMR Bronson Commercial |
$124.56
|
| Rate for Payer: UMR Bronson Commercial |
$224.51
|
| Rate for Payer: UMR Bronson Commercial |
$113.70
|
| Rate for Payer: UMR Bronson Commercial |
$281.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$193.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.88
|
|
|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
OP
|
$639.84
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.23 |
| Max. Negotiated Rate |
$575.86 |
| Rate for Payer: Aetna American Axle |
$415.90
|
| Rate for Payer: Aetna American Axle |
$167.96
|
| Rate for Payer: Aetna American Axle |
$184.01
|
| Rate for Payer: Aetna American Axle |
$331.66
|
| Rate for Payer: Aetna Commercial |
$543.86
|
| Rate for Payer: Aetna Commercial |
$433.70
|
| Rate for Payer: Aetna Commercial |
$219.64
|
| Rate for Payer: Aetna Commercial |
$240.63
|
| Rate for Payer: Aetna Medicare |
$255.12
|
| Rate for Payer: Aetna Medicare |
$141.55
|
| Rate for Payer: Aetna Medicare |
$319.92
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$184.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$167.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$415.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$331.66
|
| Rate for Payer: BCBS Complete |
$103.36
|
| Rate for Payer: BCBS Complete |
$113.24
|
| Rate for Payer: BCBS Complete |
$204.10
|
| Rate for Payer: BCBS Complete |
$255.94
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$206.72
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$206.72
|
| Rate for Payer: Cofinity Advantage |
$447.89
|
| Rate for Payer: Cofinity Advantage |
$357.17
|
| Rate for Payer: Cofinity Advantage |
$198.17
|
| Rate for Payer: Cofinity Advantage |
$180.88
|
| Rate for Payer: Cofinity Commercial |
$243.47
|
| Rate for Payer: Cofinity Commercial |
$438.81
|
| Rate for Payer: Cofinity Commercial |
$550.26
|
| Rate for Payer: Cofinity Commercial |
$222.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$206.72
|
| Rate for Payer: Healthscope Commercial |
$459.22
|
| Rate for Payer: Healthscope Commercial |
$232.56
|
| Rate for Payer: Healthscope Commercial |
$254.79
|
| Rate for Payer: Healthscope Commercial |
$575.86
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$198.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$180.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$357.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$447.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$382.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$193.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$212.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$479.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$511.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$226.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$206.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$408.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$219.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.63
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$193.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.88
|
| Rate for Payer: PHP Commercial |
$219.64
|
| Rate for Payer: PHP Commercial |
$433.70
|
| Rate for Payer: PHP Commercial |
$543.86
|
| Rate for Payer: PHP Commercial |
$240.63
|
| Rate for Payer: Priority Health SBD |
$321.45
|
| Rate for Payer: Priority Health SBD |
$162.79
|
| Rate for Payer: Priority Health SBD |
$178.35
|
| Rate for Payer: Priority Health SBD |
$403.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UMR Bronson Commercial |
$236.74
|
| Rate for Payer: UMR Bronson Commercial |
$95.61
|
| Rate for Payer: UMR Bronson Commercial |
$104.75
|
| Rate for Payer: UMR Bronson Commercial |
$188.79
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$382.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$212.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$193.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$479.88
|
|
|
METHYLPREDNISOLONE 8 MG TABLET
|
Facility
|
OP
|
$149.64
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
10576
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.23 |
| Max. Negotiated Rate |
$134.68 |
| Rate for Payer: Aetna American Axle |
$97.27
|
| Rate for Payer: Aetna American Axle |
$116.69
|
| Rate for Payer: Aetna Commercial |
$127.19
|
| Rate for Payer: Aetna Commercial |
$152.59
|
| Rate for Payer: Aetna Medicare |
$74.82
|
| Rate for Payer: Aetna Medicare |
$89.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.69
|
| Rate for Payer: BCBS Complete |
$71.81
|
| Rate for Payer: BCBS Complete |
$59.86
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCBS Trust/PPO |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: BCN Commercial |
$0.45
|
| Rate for Payer: Cash Price |
$119.71
|
| Rate for Payer: Cash Price |
$143.62
|
| Rate for Payer: Cash Price |
$119.71
|
| Rate for Payer: Cash Price |
$143.62
|
| Rate for Payer: Cofinity Advantage |
$104.75
|
| Rate for Payer: Cofinity Advantage |
$125.66
|
| Rate for Payer: Cofinity Commercial |
$128.69
|
| Rate for Payer: Cofinity Commercial |
$154.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.62
|
| Rate for Payer: Healthscope Commercial |
$134.68
|
| Rate for Payer: Healthscope Commercial |
$161.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$104.75
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$125.66
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$134.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$119.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$143.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$134.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$112.23
|
| Rate for Payer: PHP Commercial |
$127.19
|
| Rate for Payer: PHP Commercial |
$152.59
|
| Rate for Payer: Priority Health SBD |
$94.27
|
| Rate for Payer: Priority Health SBD |
$113.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Core |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UHC Exchange |
$0.23
|
| Rate for Payer: UMR Bronson Commercial |
$55.37
|
| Rate for Payer: UMR Bronson Commercial |
$66.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$134.64
|
|
|
METHYLPREDNISOLONE 8 MG TABLET
|
Facility
|
IP
|
$149.64
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
10576
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$65.84 |
| Max. Negotiated Rate |
$134.68 |
| Rate for Payer: Aetna American Axle |
$97.27
|
| Rate for Payer: Aetna American Axle |
$116.69
|
| Rate for Payer: Aetna Commercial |
$127.19
|
| Rate for Payer: Aetna Commercial |
$152.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$97.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.69
|
| Rate for Payer: Cash Price |
$119.71
|
| Rate for Payer: Cash Price |
$143.62
|
| Rate for Payer: Cofinity Advantage |
$125.66
|
| Rate for Payer: Cofinity Advantage |
$104.75
|
| Rate for Payer: Cofinity Commercial |
$154.39
|
| Rate for Payer: Cofinity Commercial |
$128.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$119.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.62
|
| Rate for Payer: Healthscope Commercial |
$134.68
|
| Rate for Payer: Healthscope Commercial |
$161.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$125.66
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$104.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$112.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$134.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$127.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$112.23
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$134.64
|
| Rate for Payer: PHP Commercial |
$127.19
|
| Rate for Payer: PHP Commercial |
$152.59
|
| Rate for Payer: Priority Health SBD |
$113.10
|
| Rate for Payer: Priority Health SBD |
$94.27
|
| Rate for Payer: UMR Bronson Commercial |
$65.84
|
| Rate for Payer: UMR Bronson Commercial |
$78.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$112.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$134.64
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
OP
|
$19.10
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4995
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.20 |
| Max. Negotiated Rate |
$17.19 |
| Rate for Payer: Aetna American Axle |
$12.41
|
| Rate for Payer: Aetna American Axle |
$21.82
|
| Rate for Payer: Aetna American Axle |
$21.81
|
| Rate for Payer: Aetna American Axle |
$17.56
|
| Rate for Payer: Aetna American Axle |
$23.41
|
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Commercial |
$22.96
|
| Rate for Payer: Aetna Commercial |
$30.61
|
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Medicare |
$18.00
|
| Rate for Payer: Aetna Medicare |
$13.51
|
| Rate for Payer: Aetna Medicare |
$9.55
|
| Rate for Payer: Aetna Medicare |
$16.78
|
| Rate for Payer: Aetna Medicare |
$16.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.41
|
| Rate for Payer: BCBS Complete |
$13.43
|
| Rate for Payer: BCBS Complete |
$7.64
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Complete |
$13.42
|
| Rate for Payer: BCBS Complete |
$14.40
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: Cash Price |
$26.86
|
| Rate for Payer: Cash Price |
$28.81
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cash Price |
$26.86
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cash Price |
$28.81
|
| Rate for Payer: Cofinity Advantage |
$23.50
|
| Rate for Payer: Cofinity Advantage |
$18.91
|
| Rate for Payer: Cofinity Advantage |
$23.49
|
| Rate for Payer: Cofinity Advantage |
$25.21
|
| Rate for Payer: Cofinity Advantage |
$13.37
|
| Rate for Payer: Cofinity Commercial |
$28.87
|
| Rate for Payer: Cofinity Commercial |
$16.43
|
| Rate for Payer: Cofinity Commercial |
$23.23
|
| Rate for Payer: Cofinity Commercial |
$28.86
|
| Rate for Payer: Cofinity Commercial |
$30.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.85
|
| Rate for Payer: Healthscope Commercial |
$30.20
|
| Rate for Payer: Healthscope Commercial |
$32.41
|
| Rate for Payer: Healthscope Commercial |
$30.21
|
| Rate for Payer: Healthscope Commercial |
$17.19
|
| Rate for Payer: Healthscope Commercial |
$24.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.01
|
| Rate for Payer: PHP Commercial |
$22.96
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: PHP Commercial |
$30.61
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: PHP Commercial |
$16.23
|
| Rate for Payer: Priority Health SBD |
$21.14
|
| Rate for Payer: Priority Health SBD |
$12.03
|
| Rate for Payer: Priority Health SBD |
$21.15
|
| Rate for Payer: Priority Health SBD |
$22.69
|
| Rate for Payer: Priority Health SBD |
$17.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UMR Bronson Commercial |
$7.07
|
| Rate for Payer: UMR Bronson Commercial |
$12.42
|
| Rate for Payer: UMR Bronson Commercial |
$12.42
|
| Rate for Payer: UMR Bronson Commercial |
$13.32
|
| Rate for Payer: UMR Bronson Commercial |
$9.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.32
|
|
|
METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
IP
|
$33.57
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4995
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.77 |
| Max. Negotiated Rate |
$30.21 |
| Rate for Payer: Aetna American Axle |
$21.82
|
| Rate for Payer: Aetna American Axle |
$21.81
|
| Rate for Payer: Aetna American Axle |
$23.41
|
| Rate for Payer: Aetna American Axle |
$17.56
|
| Rate for Payer: Aetna American Axle |
$12.41
|
| Rate for Payer: Aetna Commercial |
$16.23
|
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Commercial |
$28.53
|
| Rate for Payer: Aetna Commercial |
$30.61
|
| Rate for Payer: Aetna Commercial |
$22.96
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.81
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.41
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.41
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cash Price |
$28.81
|
| Rate for Payer: Cash Price |
$26.86
|
| Rate for Payer: Cash Price |
$15.28
|
| Rate for Payer: Cofinity Advantage |
$13.37
|
| Rate for Payer: Cofinity Advantage |
$25.21
|
| Rate for Payer: Cofinity Advantage |
$18.91
|
| Rate for Payer: Cofinity Advantage |
$23.50
|
| Rate for Payer: Cofinity Advantage |
$23.49
|
| Rate for Payer: Cofinity Commercial |
$30.97
|
| Rate for Payer: Cofinity Commercial |
$16.43
|
| Rate for Payer: Cofinity Commercial |
$23.23
|
| Rate for Payer: Cofinity Commercial |
$28.86
|
| Rate for Payer: Cofinity Commercial |
$28.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.81
|
| Rate for Payer: Healthscope Commercial |
$17.19
|
| Rate for Payer: Healthscope Commercial |
$24.31
|
| Rate for Payer: Healthscope Commercial |
$30.20
|
| Rate for Payer: Healthscope Commercial |
$30.21
|
| Rate for Payer: Healthscope Commercial |
$32.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.21
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.37
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.49
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.32
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.23
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.61
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.18
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: PHP Commercial |
$16.23
|
| Rate for Payer: PHP Commercial |
$28.53
|
| Rate for Payer: PHP Commercial |
$30.61
|
| Rate for Payer: PHP Commercial |
$22.96
|
| Rate for Payer: Priority Health SBD |
$21.15
|
| Rate for Payer: Priority Health SBD |
$22.69
|
| Rate for Payer: Priority Health SBD |
$17.02
|
| Rate for Payer: Priority Health SBD |
$12.03
|
| Rate for Payer: Priority Health SBD |
$21.14
|
| Rate for Payer: UMR Bronson Commercial |
$11.88
|
| Rate for Payer: UMR Bronson Commercial |
$15.84
|
| Rate for Payer: UMR Bronson Commercial |
$14.77
|
| Rate for Payer: UMR Bronson Commercial |
$8.40
|
| Rate for Payer: UMR Bronson Commercial |
$14.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.26
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
OP
|
$25.90
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.20 |
| Max. Negotiated Rate |
$23.31 |
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna American Axle |
$38.13
|
| Rate for Payer: Aetna American Axle |
$38.12
|
| Rate for Payer: Aetna American Axle |
$17.56
|
| Rate for Payer: Aetna American Axle |
$55.62
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Commercial |
$22.97
|
| Rate for Payer: Aetna Commercial |
$72.73
|
| Rate for Payer: Aetna Commercial |
$49.86
|
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Medicare |
$42.78
|
| Rate for Payer: Aetna Medicare |
$13.51
|
| Rate for Payer: Aetna Medicare |
$12.95
|
| Rate for Payer: Aetna Medicare |
$29.32
|
| Rate for Payer: Aetna Medicare |
$29.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.62
|
| Rate for Payer: BCBS Complete |
$23.46
|
| Rate for Payer: BCBS Complete |
$10.36
|
| Rate for Payer: BCBS Complete |
$10.81
|
| Rate for Payer: BCBS Complete |
$23.46
|
| Rate for Payer: BCBS Complete |
$34.23
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCBS Trust/PPO |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: BCN Commercial |
$0.38
|
| Rate for Payer: Cash Price |
$46.93
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cash Price |
$21.62
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$46.92
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cash Price |
$46.92
|
| Rate for Payer: Cash Price |
$46.93
|
| Rate for Payer: Cash Price |
$21.62
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cofinity Advantage |
$41.06
|
| Rate for Payer: Cofinity Advantage |
$18.91
|
| Rate for Payer: Cofinity Advantage |
$41.05
|
| Rate for Payer: Cofinity Advantage |
$59.90
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Commercial |
$50.45
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Cofinity Commercial |
$23.24
|
| Rate for Payer: Cofinity Commercial |
$50.44
|
| Rate for Payer: Cofinity Commercial |
$73.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.92
|
| Rate for Payer: Healthscope Commercial |
$52.78
|
| Rate for Payer: Healthscope Commercial |
$77.01
|
| Rate for Payer: Healthscope Commercial |
$52.79
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$24.32
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$59.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.62
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.92
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.18
|
| Rate for Payer: PHP Commercial |
$22.97
|
| Rate for Payer: PHP Commercial |
$49.85
|
| Rate for Payer: PHP Commercial |
$72.73
|
| Rate for Payer: PHP Commercial |
$49.86
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: Priority Health SBD |
$36.95
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health SBD |
$36.96
|
| Rate for Payer: Priority Health SBD |
$53.91
|
| Rate for Payer: Priority Health SBD |
$17.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Core |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UHC Exchange |
$0.20
|
| Rate for Payer: UMR Bronson Commercial |
$9.58
|
| Rate for Payer: UMR Bronson Commercial |
$21.70
|
| Rate for Payer: UMR Bronson Commercial |
$21.70
|
| Rate for Payer: UMR Bronson Commercial |
$31.66
|
| Rate for Payer: UMR Bronson Commercial |
$10.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
IP
|
$58.66
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$25.81 |
| Max. Negotiated Rate |
$52.79 |
| Rate for Payer: Aetna American Axle |
$38.13
|
| Rate for Payer: Aetna American Axle |
$38.12
|
| Rate for Payer: Aetna American Axle |
$55.62
|
| Rate for Payer: Aetna American Axle |
$17.56
|
| Rate for Payer: Aetna American Axle |
$16.84
|
| Rate for Payer: Aetna Commercial |
$22.02
|
| Rate for Payer: Aetna Commercial |
$49.85
|
| Rate for Payer: Aetna Commercial |
$49.86
|
| Rate for Payer: Aetna Commercial |
$72.73
|
| Rate for Payer: Aetna Commercial |
$22.97
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$38.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$55.62
|
| Rate for Payer: Cash Price |
$46.92
|
| Rate for Payer: Cash Price |
$21.62
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cash Price |
$46.93
|
| Rate for Payer: Cash Price |
$20.72
|
| Rate for Payer: Cofinity Advantage |
$18.13
|
| Rate for Payer: Cofinity Advantage |
$59.90
|
| Rate for Payer: Cofinity Advantage |
$18.91
|
| Rate for Payer: Cofinity Advantage |
$41.06
|
| Rate for Payer: Cofinity Advantage |
$41.05
|
| Rate for Payer: Cofinity Commercial |
$73.59
|
| Rate for Payer: Cofinity Commercial |
$22.27
|
| Rate for Payer: Cofinity Commercial |
$23.24
|
| Rate for Payer: Cofinity Commercial |
$50.44
|
| Rate for Payer: Cofinity Commercial |
$50.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.46
|
| Rate for Payer: Healthscope Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$24.32
|
| Rate for Payer: Healthscope Commercial |
$52.78
|
| Rate for Payer: Healthscope Commercial |
$52.79
|
| Rate for Payer: Healthscope Commercial |
$77.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$59.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$41.06
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.43
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$64.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.99
|
| Rate for Payer: PHP Commercial |
$49.85
|
| Rate for Payer: PHP Commercial |
$22.02
|
| Rate for Payer: PHP Commercial |
$49.86
|
| Rate for Payer: PHP Commercial |
$72.73
|
| Rate for Payer: PHP Commercial |
$22.97
|
| Rate for Payer: Priority Health SBD |
$36.96
|
| Rate for Payer: Priority Health SBD |
$53.91
|
| Rate for Payer: Priority Health SBD |
$17.02
|
| Rate for Payer: Priority Health SBD |
$16.32
|
| Rate for Payer: Priority Health SBD |
$36.95
|
| Rate for Payer: UMR Bronson Commercial |
$11.89
|
| Rate for Payer: UMR Bronson Commercial |
$37.65
|
| Rate for Payer: UMR Bronson Commercial |
$25.81
|
| Rate for Payer: UMR Bronson Commercial |
$11.40
|
| Rate for Payer: UMR Bronson Commercial |
$25.81
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$64.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.27
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$141.60
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$62.30 |
| Max. Negotiated Rate |
$127.44 |
| Rate for Payer: Aetna American Axle |
$92.04
|
| Rate for Payer: Aetna American Axle |
$123.89
|
| Rate for Payer: Aetna Commercial |
$120.36
|
| Rate for Payer: Aetna Commercial |
$162.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.89
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cofinity Advantage |
$133.42
|
| Rate for Payer: Cofinity Advantage |
$99.12
|
| Rate for Payer: Cofinity Commercial |
$163.92
|
| Rate for Payer: Cofinity Commercial |
$121.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.48
|
| Rate for Payer: Healthscope Commercial |
$127.44
|
| Rate for Payer: Healthscope Commercial |
$171.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.95
|
| Rate for Payer: PHP Commercial |
$120.36
|
| Rate for Payer: PHP Commercial |
$162.01
|
| Rate for Payer: Priority Health SBD |
$120.08
|
| Rate for Payer: Priority Health SBD |
$89.21
|
| Rate for Payer: UMR Bronson Commercial |
$62.30
|
| Rate for Payer: UMR Bronson Commercial |
$83.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.95
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$141.60
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$127.44 |
| Rate for Payer: Aetna American Axle |
$92.04
|
| Rate for Payer: Aetna American Axle |
$123.89
|
| Rate for Payer: Aetna Commercial |
$120.36
|
| Rate for Payer: Aetna Commercial |
$162.01
|
| Rate for Payer: Aetna Medicare |
$70.80
|
| Rate for Payer: Aetna Medicare |
$95.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$123.89
|
| Rate for Payer: BCBS Complete |
$76.24
|
| Rate for Payer: BCBS Complete |
$56.64
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cofinity Advantage |
$99.12
|
| Rate for Payer: Cofinity Advantage |
$133.42
|
| Rate for Payer: Cofinity Commercial |
$121.78
|
| Rate for Payer: Cofinity Commercial |
$163.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.48
|
| Rate for Payer: Healthscope Commercial |
$127.44
|
| Rate for Payer: Healthscope Commercial |
$171.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.12
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$133.42
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$142.95
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.20
|
| Rate for Payer: PHP Commercial |
$120.36
|
| Rate for Payer: PHP Commercial |
$162.01
|
| Rate for Payer: Priority Health SBD |
$89.21
|
| Rate for Payer: Priority Health SBD |
$120.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UMR Bronson Commercial |
$52.39
|
| Rate for Payer: UMR Bronson Commercial |
$70.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$142.95
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$17.37
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.64 |
| Max. Negotiated Rate |
$15.63 |
| Rate for Payer: Aetna American Axle |
$11.29
|
| Rate for Payer: Aetna American Axle |
$17.03
|
| Rate for Payer: Aetna Commercial |
$14.76
|
| Rate for Payer: Aetna Commercial |
$22.27
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.03
|
| Rate for Payer: Cash Price |
$13.90
|
| Rate for Payer: Cash Price |
$20.96
|
| Rate for Payer: Cofinity Advantage |
$18.34
|
| Rate for Payer: Cofinity Advantage |
$12.16
|
| Rate for Payer: Cofinity Commercial |
$22.53
|
| Rate for Payer: Cofinity Commercial |
$14.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.96
|
| Rate for Payer: Healthscope Commercial |
$15.63
|
| Rate for Payer: Healthscope Commercial |
$23.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.65
|
| Rate for Payer: PHP Commercial |
$14.76
|
| Rate for Payer: PHP Commercial |
$22.27
|
| Rate for Payer: Priority Health SBD |
$16.51
|
| Rate for Payer: Priority Health SBD |
$10.94
|
| Rate for Payer: UMR Bronson Commercial |
$7.64
|
| Rate for Payer: UMR Bronson Commercial |
$11.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.65
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$17.37
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$15.63 |
| Rate for Payer: Aetna American Axle |
$11.29
|
| Rate for Payer: Aetna American Axle |
$17.03
|
| Rate for Payer: Aetna Commercial |
$14.76
|
| Rate for Payer: Aetna Commercial |
$22.27
|
| Rate for Payer: Aetna Medicare |
$8.69
|
| Rate for Payer: Aetna Medicare |
$13.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.29
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.03
|
| Rate for Payer: BCBS Complete |
$10.48
|
| Rate for Payer: BCBS Complete |
$6.95
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: Cash Price |
$13.90
|
| Rate for Payer: Cash Price |
$20.96
|
| Rate for Payer: Cash Price |
$13.90
|
| Rate for Payer: Cash Price |
$20.96
|
| Rate for Payer: Cofinity Advantage |
$12.16
|
| Rate for Payer: Cofinity Advantage |
$18.34
|
| Rate for Payer: Cofinity Commercial |
$14.94
|
| Rate for Payer: Cofinity Commercial |
$22.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.96
|
| Rate for Payer: Healthscope Commercial |
$15.63
|
| Rate for Payer: Healthscope Commercial |
$23.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.16
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.03
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.27
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.03
|
| Rate for Payer: PHP Commercial |
$14.76
|
| Rate for Payer: PHP Commercial |
$22.27
|
| Rate for Payer: Priority Health SBD |
$10.94
|
| Rate for Payer: Priority Health SBD |
$16.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UMR Bronson Commercial |
$6.43
|
| Rate for Payer: UMR Bronson Commercial |
$9.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.65
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$357.77
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10579
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$157.42 |
| Max. Negotiated Rate |
$321.99 |
| Rate for Payer: Aetna American Axle |
$232.55
|
| Rate for Payer: Aetna Commercial |
$304.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.55
|
| Rate for Payer: Cash Price |
$286.22
|
| Rate for Payer: Cofinity Advantage |
$250.44
|
| Rate for Payer: Cofinity Commercial |
$307.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$286.22
|
| Rate for Payer: Healthscope Commercial |
$321.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$250.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$268.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$304.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$268.33
|
| Rate for Payer: PHP Commercial |
$304.10
|
| Rate for Payer: Priority Health SBD |
$225.40
|
| Rate for Payer: UMR Bronson Commercial |
$157.42
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$268.33
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$357.77
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10579
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$321.99 |
| Rate for Payer: Aetna American Axle |
$232.55
|
| Rate for Payer: Aetna Commercial |
$304.10
|
| Rate for Payer: Aetna Medicare |
$178.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.55
|
| Rate for Payer: BCBS Complete |
$143.11
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: Cash Price |
$286.22
|
| Rate for Payer: Cash Price |
$286.22
|
| Rate for Payer: Cofinity Advantage |
$250.44
|
| Rate for Payer: Cofinity Commercial |
$307.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$286.22
|
| Rate for Payer: Healthscope Commercial |
$321.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$250.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$268.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$286.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$304.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$268.33
|
| Rate for Payer: PHP Commercial |
$304.10
|
| Rate for Payer: Priority Health SBD |
$225.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UMR Bronson Commercial |
$132.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$268.33
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$16.70
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$15.03 |
| Rate for Payer: Aetna American Axle |
$10.86
|
| Rate for Payer: Aetna American Axle |
$16.33
|
| Rate for Payer: Aetna Commercial |
$14.20
|
| Rate for Payer: Aetna Commercial |
$21.36
|
| Rate for Payer: Aetna Medicare |
$8.35
|
| Rate for Payer: Aetna Medicare |
$12.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.33
|
| Rate for Payer: BCBS Complete |
$10.05
|
| Rate for Payer: BCBS Complete |
$6.68
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: Cash Price |
$13.36
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$13.36
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cofinity Advantage |
$11.69
|
| Rate for Payer: Cofinity Advantage |
$17.59
|
| Rate for Payer: Cofinity Commercial |
$14.36
|
| Rate for Payer: Cofinity Commercial |
$21.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.10
|
| Rate for Payer: Healthscope Commercial |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$22.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.69
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.53
|
| Rate for Payer: PHP Commercial |
$14.20
|
| Rate for Payer: PHP Commercial |
$21.36
|
| Rate for Payer: Priority Health SBD |
$10.52
|
| Rate for Payer: Priority Health SBD |
$15.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UMR Bronson Commercial |
$6.18
|
| Rate for Payer: UMR Bronson Commercial |
$9.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.85
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$16.70
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.35 |
| Max. Negotiated Rate |
$15.03 |
| Rate for Payer: Aetna American Axle |
$10.86
|
| Rate for Payer: Aetna American Axle |
$16.33
|
| Rate for Payer: Aetna Commercial |
$14.20
|
| Rate for Payer: Aetna Commercial |
$21.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.33
|
| Rate for Payer: Cash Price |
$13.36
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cofinity Advantage |
$17.59
|
| Rate for Payer: Cofinity Advantage |
$11.69
|
| Rate for Payer: Cofinity Commercial |
$21.61
|
| Rate for Payer: Cofinity Commercial |
$14.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.10
|
| Rate for Payer: Healthscope Commercial |
$15.03
|
| Rate for Payer: Healthscope Commercial |
$22.62
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$17.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.69
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$18.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.85
|
| Rate for Payer: PHP Commercial |
$14.20
|
| Rate for Payer: PHP Commercial |
$21.36
|
| Rate for Payer: Priority Health SBD |
$15.83
|
| Rate for Payer: Priority Health SBD |
$10.52
|
| Rate for Payer: UMR Bronson Commercial |
$7.35
|
| Rate for Payer: UMR Bronson Commercial |
$11.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$18.85
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$46.25 |
| Max. Negotiated Rate |
$94.60 |
| Rate for Payer: Aetna American Axle |
$68.32
|
| Rate for Payer: Aetna American Axle |
$39.25
|
| Rate for Payer: Aetna Commercial |
$89.34
|
| Rate for Payer: Aetna Commercial |
$51.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.25
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$48.31
|
| Rate for Payer: Cofinity Advantage |
$42.27
|
| Rate for Payer: Cofinity Advantage |
$73.58
|
| Rate for Payer: Cofinity Commercial |
$51.94
|
| Rate for Payer: Cofinity Commercial |
$90.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.31
|
| Rate for Payer: Healthscope Commercial |
$94.60
|
| Rate for Payer: Healthscope Commercial |
$54.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.29
|
| Rate for Payer: PHP Commercial |
$89.34
|
| Rate for Payer: PHP Commercial |
$51.33
|
| Rate for Payer: Priority Health SBD |
$38.05
|
| Rate for Payer: Priority Health SBD |
$66.22
|
| Rate for Payer: UMR Bronson Commercial |
$46.25
|
| Rate for Payer: UMR Bronson Commercial |
$26.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.29
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$94.60 |
| Rate for Payer: Aetna American Axle |
$68.32
|
| Rate for Payer: Aetna American Axle |
$39.25
|
| Rate for Payer: Aetna Commercial |
$89.34
|
| Rate for Payer: Aetna Commercial |
$51.33
|
| Rate for Payer: Aetna Medicare |
$52.55
|
| Rate for Payer: Aetna Medicare |
$30.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.25
|
| Rate for Payer: BCBS Complete |
$24.16
|
| Rate for Payer: BCBS Complete |
$42.04
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$48.31
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$48.31
|
| Rate for Payer: Cofinity Advantage |
$73.58
|
| Rate for Payer: Cofinity Advantage |
$42.27
|
| Rate for Payer: Cofinity Commercial |
$90.39
|
| Rate for Payer: Cofinity Commercial |
$51.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.31
|
| Rate for Payer: Healthscope Commercial |
$94.60
|
| Rate for Payer: Healthscope Commercial |
$54.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: PHP Commercial |
$89.34
|
| Rate for Payer: PHP Commercial |
$51.33
|
| Rate for Payer: Priority Health SBD |
$66.22
|
| Rate for Payer: Priority Health SBD |
$38.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UMR Bronson Commercial |
$38.89
|
| Rate for Payer: UMR Bronson Commercial |
$22.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.29
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG IV SOLUTION MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
302038
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.43 |
| Max. Negotiated Rate |
$94.60 |
| Rate for Payer: Aetna American Axle |
$68.32
|
| Rate for Payer: Aetna American Axle |
$39.25
|
| Rate for Payer: Aetna Commercial |
$89.34
|
| Rate for Payer: Aetna Commercial |
$51.33
|
| Rate for Payer: Aetna Medicare |
$52.55
|
| Rate for Payer: Aetna Medicare |
$30.20
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.25
|
| Rate for Payer: BCBS Complete |
$24.16
|
| Rate for Payer: BCBS Complete |
$42.04
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCBS Trust/PPO |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: BCN Commercial |
$0.83
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$48.31
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$48.31
|
| Rate for Payer: Cofinity Advantage |
$73.58
|
| Rate for Payer: Cofinity Advantage |
$42.27
|
| Rate for Payer: Cofinity Commercial |
$90.39
|
| Rate for Payer: Cofinity Commercial |
$51.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.31
|
| Rate for Payer: Healthscope Commercial |
$94.60
|
| Rate for Payer: Healthscope Commercial |
$54.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.09
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: PHP Commercial |
$89.34
|
| Rate for Payer: PHP Commercial |
$51.33
|
| Rate for Payer: Priority Health SBD |
$66.22
|
| Rate for Payer: Priority Health SBD |
$38.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Core |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UHC Exchange |
$0.43
|
| Rate for Payer: UMR Bronson Commercial |
$38.89
|
| Rate for Payer: UMR Bronson Commercial |
$22.34
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.29
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG IV SOLUTION MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
302038
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$46.25 |
| Max. Negotiated Rate |
$94.60 |
| Rate for Payer: Aetna American Axle |
$68.32
|
| Rate for Payer: Aetna American Axle |
$39.25
|
| Rate for Payer: Aetna Commercial |
$89.34
|
| Rate for Payer: Aetna Commercial |
$51.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$68.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$39.25
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$48.31
|
| Rate for Payer: Cofinity Advantage |
$42.27
|
| Rate for Payer: Cofinity Advantage |
$73.58
|
| Rate for Payer: Cofinity Commercial |
$51.94
|
| Rate for Payer: Cofinity Commercial |
$90.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.31
|
| Rate for Payer: Healthscope Commercial |
$94.60
|
| Rate for Payer: Healthscope Commercial |
$54.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$42.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$73.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$78.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$45.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.29
|
| Rate for Payer: PHP Commercial |
$89.34
|
| Rate for Payer: PHP Commercial |
$51.33
|
| Rate for Payer: Priority Health SBD |
$38.05
|
| Rate for Payer: Priority Health SBD |
$66.22
|
| Rate for Payer: UMR Bronson Commercial |
$46.25
|
| Rate for Payer: UMR Bronson Commercial |
$26.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$78.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$45.29
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOL (CODE)
|
Facility
|
IP
|
$34.95
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
163731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15.38 |
| Max. Negotiated Rate |
$31.45 |
| Rate for Payer: Aetna American Axle |
$22.72
|
| Rate for Payer: Aetna Commercial |
$29.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$22.72
|
| Rate for Payer: Cash Price |
$27.96
|
| Rate for Payer: Cofinity Advantage |
$24.46
|
| Rate for Payer: Cofinity Commercial |
$30.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$27.96
|
| Rate for Payer: Healthscope Commercial |
$31.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$24.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$26.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$29.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.21
|
| Rate for Payer: PHP Commercial |
$29.71
|
| Rate for Payer: Priority Health SBD |
$22.02
|
| Rate for Payer: UMR Bronson Commercial |
$15.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$26.21
|
|
