|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$4.69
|
|
|
Service Code
|
NDC 09900002045
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.06 |
| Max. Negotiated Rate |
$4.22 |
| Rate for Payer: Aetna American Axle |
$3.05
|
| Rate for Payer: Aetna Commercial |
$3.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.05
|
| Rate for Payer: Cash Price |
$3.75
|
| Rate for Payer: Cofinity Advantage |
$3.28
|
| Rate for Payer: Cofinity Commercial |
$4.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.75
|
| Rate for Payer: Healthscope Commercial |
$4.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.52
|
| Rate for Payer: PHP Commercial |
$3.99
|
| Rate for Payer: Priority Health SBD |
$2.95
|
| Rate for Payer: UMR Bronson Commercial |
$2.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.52
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$527.10
|
|
|
Service Code
|
NDC 00406511862
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$231.92 |
| Max. Negotiated Rate |
$474.39 |
| Rate for Payer: Aetna American Axle |
$342.62
|
| Rate for Payer: Aetna Commercial |
$448.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$342.62
|
| Rate for Payer: Cash Price |
$421.68
|
| Rate for Payer: Cofinity Advantage |
$368.97
|
| Rate for Payer: Cofinity Commercial |
$453.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$421.68
|
| Rate for Payer: Healthscope Commercial |
$474.39
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$368.97
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$395.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$448.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$395.32
|
| Rate for Payer: PHP Commercial |
$448.04
|
| Rate for Payer: Priority Health SBD |
$332.07
|
| Rate for Payer: UMR Bronson Commercial |
$231.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$395.32
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$4.69
|
|
|
Service Code
|
NDC 09900002045
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.74 |
| Max. Negotiated Rate |
$4.22 |
| Rate for Payer: Aetna American Axle |
$3.05
|
| Rate for Payer: Aetna Commercial |
$3.99
|
| Rate for Payer: Aetna Medicare |
$2.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.05
|
| Rate for Payer: BCBS Complete |
$1.88
|
| Rate for Payer: Cash Price |
$3.75
|
| Rate for Payer: Cofinity Advantage |
$3.28
|
| Rate for Payer: Cofinity Commercial |
$4.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.75
|
| Rate for Payer: Healthscope Commercial |
$4.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.52
|
| Rate for Payer: PHP Commercial |
$3.99
|
| Rate for Payer: Priority Health SBD |
$2.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.05
|
| Rate for Payer: UHC Core |
$2.44
|
| Rate for Payer: UHC Exchange |
$1.84
|
| Rate for Payer: UMR Bronson Commercial |
$1.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.52
|
|
|
MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS
|
Facility
|
OP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
30604
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.77
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna Medicare |
$16.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.77
|
| Rate for Payer: BCBS Complete |
$13.40
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Advantage |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health SBD |
$21.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UMR Bronson Commercial |
$12.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS
|
Facility
|
IP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
30604
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.74 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.77
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.77
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Advantage |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health SBD |
$21.11
|
| Rate for Payer: UMR Bronson Commercial |
$14.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE PEDIATRIC INFUSION
|
Facility
|
IP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
180632
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.74 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.77
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.77
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Advantage |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health SBD |
$21.11
|
| Rate for Payer: UMR Bronson Commercial |
$14.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE PEDIATRIC INFUSION
|
Facility
|
OP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
180632
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.77
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna Medicare |
$16.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.77
|
| Rate for Payer: BCBS Complete |
$13.40
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Advantage |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health SBD |
$21.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UMR Bronson Commercial |
$12.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 1 MG/ML IV INFUSION (IV PREMIX) 100 ML
|
Facility
|
IP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
151077
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.74 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.77
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.77
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Advantage |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health SBD |
$21.11
|
| Rate for Payer: UMR Bronson Commercial |
$14.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 1 MG/ML IV INFUSION (IV PREMIX) 100 ML
|
Facility
|
OP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
151077
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.77
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna Medicare |
$16.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.77
|
| Rate for Payer: BCBS Complete |
$13.40
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Advantage |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.80
|
| Rate for Payer: Healthscope Commercial |
$30.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$23.45
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$25.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.12
|
| Rate for Payer: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health SBD |
$21.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UMR Bronson Commercial |
$12.39
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$25.12
|
|
|
MORPHINE 1 MG/ML PEDIATRIC PCA IV SOLUTION
|
Facility
|
OP
|
$81.00
|
|
|
Service Code
|
HCPCS J2274
|
| Hospital Charge Code |
300298
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$22.28 |
| Max. Negotiated Rate |
$72.90 |
| Rate for Payer: Aetna American Axle |
$52.65
|
| Rate for Payer: Aetna Commercial |
$68.85
|
| Rate for Payer: Aetna Medicare |
$40.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.65
|
| Rate for Payer: BCBS Complete |
$32.40
|
| Rate for Payer: BCBS Trust/PPO |
$43.73
|
| Rate for Payer: BCN Commercial |
$43.73
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Advantage |
$56.70
|
| Rate for Payer: Cofinity Commercial |
$69.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.80
|
| Rate for Payer: Healthscope Commercial |
$72.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$64.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.75
|
| Rate for Payer: PHP Commercial |
$68.85
|
| Rate for Payer: Priority Health SBD |
$51.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.28
|
| Rate for Payer: UHC Core |
$22.28
|
| Rate for Payer: UHC Exchange |
$22.28
|
| Rate for Payer: UMR Bronson Commercial |
$29.97
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.75
|
|
|
MORPHINE 1 MG/ML PEDIATRIC PCA IV SOLUTION
|
Facility
|
IP
|
$81.00
|
|
|
Service Code
|
HCPCS J2274
|
| Hospital Charge Code |
300298
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$35.64 |
| Max. Negotiated Rate |
$72.90 |
| Rate for Payer: Aetna American Axle |
$52.65
|
| Rate for Payer: Aetna Commercial |
$68.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$52.65
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Advantage |
$56.70
|
| Rate for Payer: Cofinity Commercial |
$69.66
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$64.80
|
| Rate for Payer: Healthscope Commercial |
$72.90
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$56.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$60.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$68.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$60.75
|
| Rate for Payer: PHP Commercial |
$68.85
|
| Rate for Payer: Priority Health SBD |
$51.03
|
| Rate for Payer: UMR Bronson Commercial |
$35.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$60.75
|
|
|
MORPHINE 20 MG RECTAL SUPPOSITORY
|
Facility
|
OP
|
$259.90
|
|
|
Service Code
|
NDC 00574711412
|
| Hospital Charge Code |
5181
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$96.16 |
| Max. Negotiated Rate |
$233.91 |
| Rate for Payer: Aetna American Axle |
$168.94
|
| Rate for Payer: Aetna Commercial |
$220.91
|
| Rate for Payer: Aetna Medicare |
$129.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.94
|
| Rate for Payer: BCBS Complete |
$103.96
|
| Rate for Payer: Cash Price |
$207.92
|
| Rate for Payer: Cofinity Advantage |
$181.93
|
| Rate for Payer: Cofinity Commercial |
$223.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.92
|
| Rate for Payer: Healthscope Commercial |
$233.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$207.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.93
|
| Rate for Payer: PHP Commercial |
$220.91
|
| Rate for Payer: Priority Health SBD |
$163.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$168.94
|
| Rate for Payer: UHC Core |
$135.41
|
| Rate for Payer: UHC Exchange |
$102.14
|
| Rate for Payer: UMR Bronson Commercial |
$96.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.93
|
|
|
MORPHINE 20 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$259.90
|
|
|
Service Code
|
NDC 00574711412
|
| Hospital Charge Code |
5181
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$114.36 |
| Max. Negotiated Rate |
$233.91 |
| Rate for Payer: Aetna American Axle |
$168.94
|
| Rate for Payer: Aetna Commercial |
$220.91
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$168.94
|
| Rate for Payer: Cash Price |
$207.92
|
| Rate for Payer: Cofinity Advantage |
$181.93
|
| Rate for Payer: Cofinity Commercial |
$223.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$207.92
|
| Rate for Payer: Healthscope Commercial |
$233.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$181.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$194.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$220.91
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$194.93
|
| Rate for Payer: PHP Commercial |
$220.91
|
| Rate for Payer: Priority Health SBD |
$163.74
|
| Rate for Payer: UMR Bronson Commercial |
$114.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$194.93
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$16.41
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.22 |
| Max. Negotiated Rate |
$14.77 |
| Rate for Payer: Aetna American Axle |
$10.67
|
| Rate for Payer: Aetna Commercial |
$13.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.67
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: Cofinity Advantage |
$11.49
|
| Rate for Payer: Cofinity Commercial |
$14.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.13
|
| Rate for Payer: Healthscope Commercial |
$14.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.31
|
| Rate for Payer: PHP Commercial |
$13.95
|
| Rate for Payer: Priority Health SBD |
$10.34
|
| Rate for Payer: UMR Bronson Commercial |
$7.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.31
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$26.76
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.77 |
| Max. Negotiated Rate |
$24.08 |
| Rate for Payer: Aetna American Axle |
$17.39
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cofinity Advantage |
$18.73
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: UMR Bronson Commercial |
$11.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$26.76
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$24.08 |
| Rate for Payer: Aetna American Axle |
$17.39
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Medicare |
$13.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: BCBS Complete |
$10.70
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cofinity Advantage |
$18.73
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UMR Bronson Commercial |
$9.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
|
|
MORPHINE 2 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$29.77
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.01 |
| Max. Negotiated Rate |
$26.79 |
| Rate for Payer: Aetna American Axle |
$19.35
|
| Rate for Payer: Aetna American Axle |
$10.67
|
| Rate for Payer: Aetna Commercial |
$13.95
|
| Rate for Payer: Aetna Commercial |
$25.30
|
| Rate for Payer: Aetna Medicare |
$14.88
|
| Rate for Payer: Aetna Medicare |
$8.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.67
|
| Rate for Payer: BCBS Complete |
$6.56
|
| Rate for Payer: BCBS Complete |
$11.91
|
| Rate for Payer: BCBS Trust/PPO |
$21.93
|
| Rate for Payer: BCBS Trust/PPO |
$21.93
|
| Rate for Payer: BCN Commercial |
$21.93
|
| Rate for Payer: BCN Commercial |
$21.93
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: Cash Price |
$13.13
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cofinity Advantage |
$20.84
|
| Rate for Payer: Cofinity Advantage |
$11.49
|
| Rate for Payer: Cofinity Commercial |
$14.11
|
| Rate for Payer: Cofinity Commercial |
$25.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.82
|
| Rate for Payer: Healthscope Commercial |
$26.79
|
| Rate for Payer: Healthscope Commercial |
$14.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.33
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.33
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.31
|
| Rate for Payer: PHP Commercial |
$13.95
|
| Rate for Payer: PHP Commercial |
$25.30
|
| Rate for Payer: Priority Health SBD |
$18.76
|
| Rate for Payer: Priority Health SBD |
$10.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.17
|
| Rate for Payer: UHC Core |
$11.17
|
| Rate for Payer: UHC Core |
$11.17
|
| Rate for Payer: UHC Exchange |
$11.17
|
| Rate for Payer: UHC Exchange |
$11.17
|
| Rate for Payer: UMR Bronson Commercial |
$11.01
|
| Rate for Payer: UMR Bronson Commercial |
$6.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.33
|
|
|
MORPHINE 30 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$938.00
|
|
|
Service Code
|
NDC 00054023625
|
| Hospital Charge Code |
5179
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$347.06 |
| Max. Negotiated Rate |
$844.20 |
| Rate for Payer: Aetna American Axle |
$609.70
|
| Rate for Payer: Aetna Commercial |
$797.30
|
| Rate for Payer: Aetna Medicare |
$469.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.70
|
| Rate for Payer: BCBS Complete |
$375.20
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Advantage |
$656.60
|
| Rate for Payer: Cofinity Commercial |
$806.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.40
|
| Rate for Payer: Healthscope Commercial |
$844.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$656.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$750.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$703.50
|
| Rate for Payer: PHP Commercial |
$797.30
|
| Rate for Payer: Priority Health SBD |
$590.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$609.70
|
| Rate for Payer: UHC Core |
$488.70
|
| Rate for Payer: UHC Exchange |
$368.63
|
| Rate for Payer: UMR Bronson Commercial |
$347.06
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.50
|
|
|
MORPHINE 30 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$938.00
|
|
|
Service Code
|
NDC 00054023625
|
| Hospital Charge Code |
5179
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$412.72 |
| Max. Negotiated Rate |
$844.20 |
| Rate for Payer: Aetna American Axle |
$609.70
|
| Rate for Payer: Aetna Commercial |
$797.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$609.70
|
| Rate for Payer: Cash Price |
$750.40
|
| Rate for Payer: Cofinity Advantage |
$656.60
|
| Rate for Payer: Cofinity Commercial |
$806.68
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$750.40
|
| Rate for Payer: Healthscope Commercial |
$844.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$656.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$703.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$797.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$703.50
|
| Rate for Payer: PHP Commercial |
$797.30
|
| Rate for Payer: Priority Health SBD |
$590.94
|
| Rate for Payer: UMR Bronson Commercial |
$412.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$703.50
|
|
|
MORPHINE 4 MG/4 ML INJECTION SOLUTION
|
Facility
|
OP
|
$29.79
|
|
|
Service Code
|
HCPCS J2274
|
| Hospital Charge Code |
300093
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.02 |
| Max. Negotiated Rate |
$43.73 |
| Rate for Payer: Aetna American Axle |
$19.36
|
| Rate for Payer: Aetna Commercial |
$25.32
|
| Rate for Payer: Aetna Medicare |
$14.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.36
|
| Rate for Payer: BCBS Complete |
$11.92
|
| Rate for Payer: BCBS Trust/PPO |
$43.73
|
| Rate for Payer: BCN Commercial |
$43.73
|
| Rate for Payer: Cash Price |
$23.83
|
| Rate for Payer: Cash Price |
$23.83
|
| Rate for Payer: Cofinity Advantage |
$20.85
|
| Rate for Payer: Cofinity Commercial |
$25.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.83
|
| Rate for Payer: Healthscope Commercial |
$26.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.34
|
| Rate for Payer: PHP Commercial |
$25.32
|
| Rate for Payer: Priority Health SBD |
$18.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$22.28
|
| Rate for Payer: UHC Core |
$22.28
|
| Rate for Payer: UHC Exchange |
$22.28
|
| Rate for Payer: UMR Bronson Commercial |
$11.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.34
|
|
|
MORPHINE 4 MG/4 ML INJECTION SOLUTION
|
Facility
|
IP
|
$29.79
|
|
|
Service Code
|
HCPCS J2274
|
| Hospital Charge Code |
300093
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.11 |
| Max. Negotiated Rate |
$26.81 |
| Rate for Payer: Aetna American Axle |
$19.36
|
| Rate for Payer: Aetna Commercial |
$25.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.36
|
| Rate for Payer: Cash Price |
$23.83
|
| Rate for Payer: Cofinity Advantage |
$20.85
|
| Rate for Payer: Cofinity Commercial |
$25.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.83
|
| Rate for Payer: Healthscope Commercial |
$26.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.34
|
| Rate for Payer: PHP Commercial |
$25.32
|
| Rate for Payer: Priority Health SBD |
$18.77
|
| Rate for Payer: UMR Bronson Commercial |
$13.11
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.34
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$16.93
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.26 |
| Max. Negotiated Rate |
$21.93 |
| Rate for Payer: Aetna American Axle |
$11.00
|
| Rate for Payer: Aetna American Axle |
$16.78
|
| Rate for Payer: Aetna Commercial |
$14.39
|
| Rate for Payer: Aetna Commercial |
$21.94
|
| Rate for Payer: Aetna Medicare |
$8.46
|
| Rate for Payer: Aetna Medicare |
$12.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.78
|
| Rate for Payer: BCBS Complete |
$10.32
|
| Rate for Payer: BCBS Complete |
$6.77
|
| Rate for Payer: BCBS Trust/PPO |
$21.93
|
| Rate for Payer: BCBS Trust/PPO |
$21.93
|
| Rate for Payer: BCN Commercial |
$21.93
|
| Rate for Payer: BCN Commercial |
$21.93
|
| Rate for Payer: Cash Price |
$13.54
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cash Price |
$13.54
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cofinity Advantage |
$11.85
|
| Rate for Payer: Cofinity Advantage |
$18.07
|
| Rate for Payer: Cofinity Commercial |
$14.56
|
| Rate for Payer: Cofinity Commercial |
$22.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.65
|
| Rate for Payer: Healthscope Commercial |
$15.24
|
| Rate for Payer: Healthscope Commercial |
$23.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.85
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.36
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.36
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.70
|
| Rate for Payer: PHP Commercial |
$14.39
|
| Rate for Payer: PHP Commercial |
$21.94
|
| Rate for Payer: Priority Health SBD |
$10.67
|
| Rate for Payer: Priority Health SBD |
$16.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$11.17
|
| Rate for Payer: UHC Core |
$11.17
|
| Rate for Payer: UHC Core |
$11.17
|
| Rate for Payer: UHC Exchange |
$11.17
|
| Rate for Payer: UHC Exchange |
$11.17
|
| Rate for Payer: UMR Bronson Commercial |
$6.26
|
| Rate for Payer: UMR Bronson Commercial |
$9.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.36
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$16.93
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.45 |
| Max. Negotiated Rate |
$15.24 |
| Rate for Payer: Aetna American Axle |
$11.00
|
| Rate for Payer: Aetna American Axle |
$16.78
|
| Rate for Payer: Aetna Commercial |
$14.39
|
| Rate for Payer: Aetna Commercial |
$21.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.78
|
| Rate for Payer: Cash Price |
$13.54
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cofinity Advantage |
$18.07
|
| Rate for Payer: Cofinity Advantage |
$11.85
|
| Rate for Payer: Cofinity Commercial |
$22.20
|
| Rate for Payer: Cofinity Commercial |
$14.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.65
|
| Rate for Payer: Healthscope Commercial |
$15.24
|
| Rate for Payer: Healthscope Commercial |
$23.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.36
|
| Rate for Payer: PHP Commercial |
$14.39
|
| Rate for Payer: PHP Commercial |
$21.94
|
| Rate for Payer: Priority Health SBD |
$16.26
|
| Rate for Payer: Priority Health SBD |
$10.67
|
| Rate for Payer: UMR Bronson Commercial |
$7.45
|
| Rate for Payer: UMR Bronson Commercial |
$11.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.70
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.36
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$26.76
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.77 |
| Max. Negotiated Rate |
$24.08 |
| Rate for Payer: Aetna American Axle |
$17.39
|
| Rate for Payer: Aetna American Axle |
$14.85
|
| Rate for Payer: Aetna American Axle |
$23.57
|
| Rate for Payer: Aetna American Axle |
$10.53
|
| Rate for Payer: Aetna Commercial |
$30.82
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.53
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: Cash Price |
$29.01
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cofinity Advantage |
$15.99
|
| Rate for Payer: Cofinity Advantage |
$11.34
|
| Rate for Payer: Cofinity Advantage |
$18.73
|
| Rate for Payer: Cofinity Advantage |
$25.38
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$13.93
|
| Rate for Payer: Cofinity Commercial |
$19.65
|
| Rate for Payer: Cofinity Commercial |
$31.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Healthscope Commercial |
$20.57
|
| Rate for Payer: Healthscope Commercial |
$32.63
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Healthscope Commercial |
$14.58
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.15
|
| Rate for Payer: PHP Commercial |
$13.77
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$19.42
|
| Rate for Payer: PHP Commercial |
$30.82
|
| Rate for Payer: Priority Health SBD |
$22.84
|
| Rate for Payer: Priority Health SBD |
$10.21
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: Priority Health SBD |
$14.40
|
| Rate for Payer: UMR Bronson Commercial |
$10.05
|
| Rate for Payer: UMR Bronson Commercial |
$11.77
|
| Rate for Payer: UMR Bronson Commercial |
$7.13
|
| Rate for Payer: UMR Bronson Commercial |
$15.95
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.20
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$36.26
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$32.63 |
| Rate for Payer: Aetna American Axle |
$23.57
|
| Rate for Payer: Aetna American Axle |
$10.53
|
| Rate for Payer: Aetna American Axle |
$14.85
|
| Rate for Payer: Aetna American Axle |
$17.39
|
| Rate for Payer: Aetna Commercial |
$30.82
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Medicare |
$13.38
|
| Rate for Payer: Aetna Medicare |
$11.43
|
| Rate for Payer: Aetna Medicare |
$18.13
|
| Rate for Payer: Aetna Medicare |
$8.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: BCBS Complete |
$6.48
|
| Rate for Payer: BCBS Complete |
$9.14
|
| Rate for Payer: BCBS Complete |
$10.70
|
| Rate for Payer: BCBS Complete |
$14.50
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$29.01
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: Cash Price |
$29.01
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: Cofinity Advantage |
$25.38
|
| Rate for Payer: Cofinity Advantage |
$18.73
|
| Rate for Payer: Cofinity Advantage |
$15.99
|
| Rate for Payer: Cofinity Advantage |
$11.34
|
| Rate for Payer: Cofinity Commercial |
$19.65
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$31.18
|
| Rate for Payer: Cofinity Commercial |
$13.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$29.01
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.96
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Healthscope Commercial |
$14.58
|
| Rate for Payer: Healthscope Commercial |
$20.57
|
| Rate for Payer: Healthscope Commercial |
$32.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$29.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.07
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$27.20
|
| Rate for Payer: PHP Commercial |
$13.77
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$30.82
|
| Rate for Payer: PHP Commercial |
$19.42
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: Priority Health SBD |
$10.21
|
| Rate for Payer: Priority Health SBD |
$14.40
|
| Rate for Payer: Priority Health SBD |
$22.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Core |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UHC Exchange |
$5.02
|
| Rate for Payer: UMR Bronson Commercial |
$13.42
|
| Rate for Payer: UMR Bronson Commercial |
$5.99
|
| Rate for Payer: UMR Bronson Commercial |
$8.45
|
| Rate for Payer: UMR Bronson Commercial |
$9.90
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.20
|
|
