|
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$32.69
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
170088
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.38 |
| Max. Negotiated Rate |
$29.42 |
| Rate for Payer: Aetna American Axle |
$21.25
|
| Rate for Payer: Aetna Commercial |
$27.79
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.25
|
| Rate for Payer: Cash Price |
$26.15
|
| Rate for Payer: Cofinity Advantage |
$22.88
|
| Rate for Payer: Cofinity Commercial |
$28.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.15
|
| Rate for Payer: Healthscope Commercial |
$29.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.52
|
| Rate for Payer: PHP Commercial |
$27.79
|
| Rate for Payer: Priority Health SBD |
$20.59
|
| Rate for Payer: UMR Bronson Commercial |
$14.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.52
|
|
|
MORPHINE 4 MG/ML INTRAVENOUS SYRINGE
|
Facility
|
OP
|
$32.69
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
170088
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$29.42 |
| Rate for Payer: Aetna American Axle |
$21.25
|
| Rate for Payer: Aetna Commercial |
$27.79
|
| Rate for Payer: Aetna Medicare |
$16.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.25
|
| Rate for Payer: BCBS Complete |
$13.08
|
| Rate for Payer: BCBS Trust/PPO |
$9.83
|
| Rate for Payer: BCN Commercial |
$9.83
|
| Rate for Payer: Cash Price |
$26.15
|
| Rate for Payer: Cash Price |
$26.15
|
| Rate for Payer: Cofinity Advantage |
$22.88
|
| Rate for Payer: Cofinity Commercial |
$28.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.15
|
| Rate for Payer: Healthscope Commercial |
$29.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$22.88
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$24.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$27.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$24.52
|
| Rate for Payer: PHP Commercial |
$27.79
|
| Rate for Payer: Priority Health SBD |
$20.59
|
| 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 |
$12.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$24.52
|
|
|
MORPHINE 50 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$511.53
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
109061
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$225.07 |
| Max. Negotiated Rate |
$460.38 |
| Rate for Payer: Aetna American Axle |
$332.49
|
| Rate for Payer: Aetna American Axle |
$156.57
|
| Rate for Payer: Aetna American Axle |
$368.37
|
| Rate for Payer: Aetna American Axle |
$896.80
|
| Rate for Payer: Aetna Commercial |
$481.71
|
| Rate for Payer: Aetna Commercial |
$434.80
|
| Rate for Payer: Aetna Commercial |
$1,172.74
|
| Rate for Payer: Aetna Commercial |
$204.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$368.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.49
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$896.80
|
| Rate for Payer: Cash Price |
$1,103.76
|
| Rate for Payer: Cash Price |
$453.38
|
| Rate for Payer: Cash Price |
$192.70
|
| Rate for Payer: Cash Price |
$409.22
|
| Rate for Payer: Cofinity Advantage |
$168.61
|
| Rate for Payer: Cofinity Advantage |
$965.79
|
| Rate for Payer: Cofinity Advantage |
$358.07
|
| Rate for Payer: Cofinity Advantage |
$396.70
|
| Rate for Payer: Cofinity Commercial |
$439.92
|
| Rate for Payer: Cofinity Commercial |
$1,186.54
|
| Rate for Payer: Cofinity Commercial |
$207.15
|
| Rate for Payer: Cofinity Commercial |
$487.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$409.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,103.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$453.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$192.70
|
| Rate for Payer: Healthscope Commercial |
$216.78
|
| Rate for Payer: Healthscope Commercial |
$510.05
|
| Rate for Payer: Healthscope Commercial |
$460.38
|
| Rate for Payer: Healthscope Commercial |
$1,241.73
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$358.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$965.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$168.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$396.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$180.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$425.04
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,034.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$481.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,172.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$204.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.04
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$383.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,034.78
|
| Rate for Payer: PHP Commercial |
$1,172.74
|
| Rate for Payer: PHP Commercial |
$434.80
|
| Rate for Payer: PHP Commercial |
$204.74
|
| Rate for Payer: PHP Commercial |
$481.71
|
| Rate for Payer: Priority Health SBD |
$357.03
|
| Rate for Payer: Priority Health SBD |
$869.21
|
| Rate for Payer: Priority Health SBD |
$322.26
|
| Rate for Payer: Priority Health SBD |
$151.75
|
| Rate for Payer: UMR Bronson Commercial |
$105.98
|
| Rate for Payer: UMR Bronson Commercial |
$225.07
|
| Rate for Payer: UMR Bronson Commercial |
$607.07
|
| Rate for Payer: UMR Bronson Commercial |
$249.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,034.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$180.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$425.04
|
|
|
MORPHINE 50 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$566.72
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
109061
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.02 |
| Max. Negotiated Rate |
$510.05 |
| Rate for Payer: Aetna American Axle |
$368.37
|
| Rate for Payer: Aetna American Axle |
$896.80
|
| Rate for Payer: Aetna American Axle |
$156.57
|
| Rate for Payer: Aetna American Axle |
$332.49
|
| Rate for Payer: Aetna Commercial |
$481.71
|
| Rate for Payer: Aetna Commercial |
$434.80
|
| Rate for Payer: Aetna Commercial |
$1,172.74
|
| Rate for Payer: Aetna Commercial |
$204.74
|
| Rate for Payer: Aetna Medicare |
$255.76
|
| Rate for Payer: Aetna Medicare |
$120.44
|
| Rate for Payer: Aetna Medicare |
$283.36
|
| Rate for Payer: Aetna Medicare |
$689.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$156.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$896.80
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$368.37
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$332.49
|
| Rate for Payer: BCBS Complete |
$551.88
|
| Rate for Payer: BCBS Complete |
$96.35
|
| Rate for Payer: BCBS Complete |
$204.61
|
| Rate for Payer: BCBS Complete |
$226.69
|
| 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 |
$409.22
|
| Rate for Payer: Cash Price |
$453.38
|
| Rate for Payer: Cash Price |
$1,103.76
|
| Rate for Payer: Cash Price |
$453.38
|
| Rate for Payer: Cash Price |
$409.22
|
| Rate for Payer: Cash Price |
$192.70
|
| Rate for Payer: Cash Price |
$192.70
|
| Rate for Payer: Cash Price |
$1,103.76
|
| Rate for Payer: Cofinity Advantage |
$396.70
|
| Rate for Payer: Cofinity Advantage |
$358.07
|
| Rate for Payer: Cofinity Advantage |
$168.61
|
| Rate for Payer: Cofinity Advantage |
$965.79
|
| Rate for Payer: Cofinity Commercial |
$207.15
|
| Rate for Payer: Cofinity Commercial |
$439.92
|
| Rate for Payer: Cofinity Commercial |
$487.38
|
| Rate for Payer: Cofinity Commercial |
$1,186.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$409.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$192.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$453.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,103.76
|
| Rate for Payer: Healthscope Commercial |
$460.38
|
| Rate for Payer: Healthscope Commercial |
$1,241.73
|
| Rate for Payer: Healthscope Commercial |
$216.78
|
| Rate for Payer: Healthscope Commercial |
$510.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$168.61
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$965.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$358.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$396.70
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$383.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,034.78
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$180.65
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$425.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$453.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$192.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,103.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$409.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,172.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$481.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$434.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$204.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$383.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$180.65
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,034.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$425.04
|
| Rate for Payer: PHP Commercial |
$1,172.74
|
| Rate for Payer: PHP Commercial |
$434.80
|
| Rate for Payer: PHP Commercial |
$481.71
|
| Rate for Payer: PHP Commercial |
$204.74
|
| Rate for Payer: Priority Health SBD |
$322.26
|
| Rate for Payer: Priority Health SBD |
$869.21
|
| Rate for Payer: Priority Health SBD |
$151.75
|
| Rate for Payer: Priority Health SBD |
$357.03
|
| 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 |
$209.69
|
| Rate for Payer: UMR Bronson Commercial |
$510.49
|
| Rate for Payer: UMR Bronson Commercial |
$89.12
|
| Rate for Payer: UMR Bronson Commercial |
$189.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$383.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$180.65
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,034.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$425.04
|
|
|
MORPHINE 7.5 MG IMMEDIATE RELEASE CUSTOM TABLET
|
Facility
|
OP
|
$2.28
|
|
|
Service Code
|
NDC 09900001130
|
| Hospital Charge Code |
300182
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.84 |
| Max. Negotiated Rate |
$2.05 |
| Rate for Payer: Aetna American Axle |
$1.48
|
| Rate for Payer: Aetna Commercial |
$1.94
|
| Rate for Payer: Aetna Medicare |
$1.14
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.48
|
| Rate for Payer: BCBS Complete |
$0.91
|
| Rate for Payer: Cash Price |
$1.82
|
| Rate for Payer: Cofinity Advantage |
$1.60
|
| Rate for Payer: Cofinity Commercial |
$1.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.82
|
| Rate for Payer: Healthscope Commercial |
$2.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.71
|
| Rate for Payer: PHP Commercial |
$1.94
|
| Rate for Payer: Priority Health SBD |
$1.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.48
|
| Rate for Payer: UHC Core |
$1.19
|
| Rate for Payer: UHC Exchange |
$0.90
|
| Rate for Payer: UMR Bronson Commercial |
$0.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.71
|
|
|
MORPHINE 7.5 MG IMMEDIATE RELEASE CUSTOM TABLET
|
Facility
|
IP
|
$2.28
|
|
|
Service Code
|
NDC 09900001130
|
| Hospital Charge Code |
300182
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$2.05 |
| Rate for Payer: Aetna American Axle |
$1.48
|
| Rate for Payer: Aetna Commercial |
$1.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$1.48
|
| Rate for Payer: Cash Price |
$1.82
|
| Rate for Payer: Cofinity Advantage |
$1.60
|
| Rate for Payer: Cofinity Commercial |
$1.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.82
|
| Rate for Payer: Healthscope Commercial |
$2.05
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.71
|
| Rate for Payer: PHP Commercial |
$1.94
|
| Rate for Payer: Priority Health SBD |
$1.44
|
| Rate for Payer: UMR Bronson Commercial |
$1.00
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1.71
|
|
|
MORPHINE (BULK) 100 % POWDER
|
Facility
|
OP
|
$127.12
|
|
|
Service Code
|
NDC 00406152153
|
| Hospital Charge Code |
5184
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$47.03 |
| Max. Negotiated Rate |
$114.41 |
| Rate for Payer: Aetna American Axle |
$82.63
|
| Rate for Payer: Aetna Commercial |
$108.05
|
| Rate for Payer: Aetna Medicare |
$63.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.63
|
| Rate for Payer: BCBS Complete |
$50.85
|
| Rate for Payer: Cash Price |
$101.70
|
| Rate for Payer: Cofinity Advantage |
$88.98
|
| Rate for Payer: Cofinity Commercial |
$109.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.70
|
| Rate for Payer: Healthscope Commercial |
$114.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$101.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.34
|
| Rate for Payer: PHP Commercial |
$108.05
|
| Rate for Payer: Priority Health SBD |
$80.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$82.63
|
| Rate for Payer: UHC Core |
$66.23
|
| Rate for Payer: UHC Exchange |
$49.96
|
| Rate for Payer: UMR Bronson Commercial |
$47.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.34
|
|
|
MORPHINE (BULK) 100 % POWDER
|
Facility
|
IP
|
$127.12
|
|
|
Service Code
|
NDC 00406152153
|
| Hospital Charge Code |
5184
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$55.93 |
| Max. Negotiated Rate |
$114.41 |
| Rate for Payer: Aetna American Axle |
$82.63
|
| Rate for Payer: Aetna Commercial |
$108.05
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$82.63
|
| Rate for Payer: Cash Price |
$101.70
|
| Rate for Payer: Cofinity Advantage |
$88.98
|
| Rate for Payer: Cofinity Commercial |
$109.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$101.70
|
| Rate for Payer: Healthscope Commercial |
$114.41
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$88.98
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$95.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$108.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$95.34
|
| Rate for Payer: PHP Commercial |
$108.05
|
| Rate for Payer: Priority Health SBD |
$80.09
|
| Rate for Payer: UMR Bronson Commercial |
$55.93
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$95.34
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
OP
|
$11.68
|
|
|
Service Code
|
NDC 68094005601
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.32 |
| Max. Negotiated Rate |
$10.51 |
| Rate for Payer: Aetna American Axle |
$7.59
|
| Rate for Payer: Aetna Commercial |
$9.93
|
| Rate for Payer: Aetna Medicare |
$5.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.59
|
| Rate for Payer: BCBS Complete |
$4.67
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Cofinity Advantage |
$8.18
|
| Rate for Payer: Cofinity Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.34
|
| Rate for Payer: Healthscope Commercial |
$10.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.76
|
| Rate for Payer: PHP Commercial |
$9.93
|
| Rate for Payer: Priority Health SBD |
$7.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.59
|
| Rate for Payer: UHC Core |
$6.09
|
| Rate for Payer: UHC Exchange |
$4.59
|
| Rate for Payer: UMR Bronson Commercial |
$4.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.76
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
OP
|
$11.44
|
|
|
Service Code
|
NDC 68094004558
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.23 |
| Max. Negotiated Rate |
$10.30 |
| Rate for Payer: Aetna American Axle |
$7.44
|
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna Medicare |
$5.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.44
|
| Rate for Payer: BCBS Complete |
$4.58
|
| Rate for Payer: Cash Price |
$9.15
|
| Rate for Payer: Cofinity Advantage |
$8.01
|
| Rate for Payer: Cofinity Commercial |
$9.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.15
|
| Rate for Payer: Healthscope Commercial |
$10.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.58
|
| Rate for Payer: PHP Commercial |
$9.72
|
| Rate for Payer: Priority Health SBD |
$7.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.44
|
| Rate for Payer: UHC Core |
$5.96
|
| Rate for Payer: UHC Exchange |
$4.50
|
| Rate for Payer: UMR Bronson Commercial |
$4.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.58
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
OP
|
$11.68
|
|
|
Service Code
|
NDC 68094005658
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.32 |
| Max. Negotiated Rate |
$10.51 |
| Rate for Payer: Aetna American Axle |
$7.59
|
| Rate for Payer: Aetna Commercial |
$9.93
|
| Rate for Payer: Aetna Medicare |
$5.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.59
|
| Rate for Payer: BCBS Complete |
$4.67
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Cofinity Advantage |
$8.18
|
| Rate for Payer: Cofinity Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.34
|
| Rate for Payer: Healthscope Commercial |
$10.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.76
|
| Rate for Payer: PHP Commercial |
$9.93
|
| Rate for Payer: Priority Health SBD |
$7.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.59
|
| Rate for Payer: UHC Core |
$6.09
|
| Rate for Payer: UHC Exchange |
$4.59
|
| Rate for Payer: UMR Bronson Commercial |
$4.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.76
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
IP
|
$11.44
|
|
|
Service Code
|
NDC 68094004558
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.03 |
| Max. Negotiated Rate |
$10.30 |
| Rate for Payer: Aetna American Axle |
$7.44
|
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.44
|
| Rate for Payer: Cash Price |
$9.15
|
| Rate for Payer: Cofinity Advantage |
$8.01
|
| Rate for Payer: Cofinity Commercial |
$9.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.15
|
| Rate for Payer: Healthscope Commercial |
$10.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.58
|
| Rate for Payer: PHP Commercial |
$9.72
|
| Rate for Payer: Priority Health SBD |
$7.21
|
| Rate for Payer: UMR Bronson Commercial |
$5.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.58
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
IP
|
$11.68
|
|
|
Service Code
|
NDC 68094005658
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.14 |
| Max. Negotiated Rate |
$10.51 |
| Rate for Payer: Aetna American Axle |
$7.59
|
| Rate for Payer: Aetna Commercial |
$9.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.59
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Cofinity Advantage |
$8.18
|
| Rate for Payer: Cofinity Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.34
|
| Rate for Payer: Healthscope Commercial |
$10.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.76
|
| Rate for Payer: PHP Commercial |
$9.93
|
| Rate for Payer: Priority Health SBD |
$7.36
|
| Rate for Payer: UMR Bronson Commercial |
$5.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.76
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
OP
|
$11.44
|
|
|
Service Code
|
NDC 68094004501
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.23 |
| Max. Negotiated Rate |
$10.30 |
| Rate for Payer: Aetna American Axle |
$7.44
|
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna Medicare |
$5.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.44
|
| Rate for Payer: BCBS Complete |
$4.58
|
| Rate for Payer: Cash Price |
$9.15
|
| Rate for Payer: Cofinity Advantage |
$8.01
|
| Rate for Payer: Cofinity Commercial |
$9.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.15
|
| Rate for Payer: Healthscope Commercial |
$10.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.58
|
| Rate for Payer: PHP Commercial |
$9.72
|
| Rate for Payer: Priority Health SBD |
$7.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$7.44
|
| Rate for Payer: UHC Core |
$5.96
|
| Rate for Payer: UHC Exchange |
$4.50
|
| Rate for Payer: UMR Bronson Commercial |
$4.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.58
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
IP
|
$11.68
|
|
|
Service Code
|
NDC 68094005601
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.14 |
| Max. Negotiated Rate |
$10.51 |
| Rate for Payer: Aetna American Axle |
$7.59
|
| Rate for Payer: Aetna Commercial |
$9.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.59
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Cofinity Advantage |
$8.18
|
| Rate for Payer: Cofinity Commercial |
$10.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.34
|
| Rate for Payer: Healthscope Commercial |
$10.51
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.76
|
| Rate for Payer: PHP Commercial |
$9.93
|
| Rate for Payer: Priority Health SBD |
$7.36
|
| Rate for Payer: UMR Bronson Commercial |
$5.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.76
|
|
|
MORPHINE CONCENTRATE 10 MG/0.5 ML ORAL SYRINGE (FOR ORAL USE ONLY)
|
Facility
|
IP
|
$11.44
|
|
|
Service Code
|
NDC 68094004501
|
| Hospital Charge Code |
189674
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.03 |
| Max. Negotiated Rate |
$10.30 |
| Rate for Payer: Aetna American Axle |
$7.44
|
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.44
|
| Rate for Payer: Cash Price |
$9.15
|
| Rate for Payer: Cofinity Advantage |
$8.01
|
| Rate for Payer: Cofinity Commercial |
$9.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.15
|
| Rate for Payer: Healthscope Commercial |
$10.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.58
|
| Rate for Payer: PHP Commercial |
$9.72
|
| Rate for Payer: Priority Health SBD |
$7.21
|
| Rate for Payer: UMR Bronson Commercial |
$5.03
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.58
|
|
|
MORPHINE ER 100 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$1,260.87
|
|
|
Service Code
|
NDC 00904656061
|
| Hospital Charge Code |
20919
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$554.78 |
| Max. Negotiated Rate |
$1,134.78 |
| Rate for Payer: Aetna American Axle |
$819.57
|
| Rate for Payer: Aetna Commercial |
$1,071.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$819.57
|
| Rate for Payer: Cash Price |
$1,008.70
|
| Rate for Payer: Cofinity Advantage |
$882.61
|
| Rate for Payer: Cofinity Commercial |
$1,084.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,008.70
|
| Rate for Payer: Healthscope Commercial |
$1,134.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$882.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$945.65
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,071.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$945.65
|
| Rate for Payer: PHP Commercial |
$1,071.74
|
| Rate for Payer: Priority Health SBD |
$794.35
|
| Rate for Payer: UMR Bronson Commercial |
$554.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$945.65
|
|
|
MORPHINE ER 100 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$1,260.87
|
|
|
Service Code
|
NDC 00904656061
|
| Hospital Charge Code |
20919
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$466.52 |
| Max. Negotiated Rate |
$1,134.78 |
| Rate for Payer: Aetna American Axle |
$819.57
|
| Rate for Payer: Aetna Commercial |
$1,071.74
|
| Rate for Payer: Aetna Medicare |
$630.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$819.57
|
| Rate for Payer: BCBS Complete |
$504.35
|
| Rate for Payer: Cash Price |
$1,008.70
|
| Rate for Payer: Cofinity Advantage |
$882.61
|
| Rate for Payer: Cofinity Commercial |
$1,084.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,008.70
|
| Rate for Payer: Healthscope Commercial |
$1,134.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$882.61
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$945.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,008.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,071.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$945.65
|
| Rate for Payer: PHP Commercial |
$1,071.74
|
| Rate for Payer: Priority Health SBD |
$794.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$819.57
|
| Rate for Payer: UHC Core |
$656.91
|
| Rate for Payer: UHC Exchange |
$495.52
|
| Rate for Payer: UMR Bronson Commercial |
$466.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$945.65
|
|
|
MORPHINE ER 15 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$561.75
|
|
|
Service Code
|
NDC 42858080101
|
| Hospital Charge Code |
20920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$207.85 |
| Max. Negotiated Rate |
$505.57 |
| Rate for Payer: Aetna American Axle |
$365.14
|
| Rate for Payer: Aetna Commercial |
$477.49
|
| Rate for Payer: Aetna Medicare |
$280.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$365.14
|
| Rate for Payer: BCBS Complete |
$224.70
|
| Rate for Payer: Cash Price |
$449.40
|
| Rate for Payer: Cofinity Advantage |
$393.23
|
| Rate for Payer: Cofinity Commercial |
$483.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$449.40
|
| Rate for Payer: Healthscope Commercial |
$505.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$393.23
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$421.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$449.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$477.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$421.31
|
| Rate for Payer: PHP Commercial |
$477.49
|
| Rate for Payer: Priority Health SBD |
$353.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$365.14
|
| Rate for Payer: UHC Core |
$292.67
|
| Rate for Payer: UHC Exchange |
$220.77
|
| Rate for Payer: UMR Bronson Commercial |
$207.85
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$421.31
|
|
|
MORPHINE ER 15 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$585.20
|
|
|
Service Code
|
NDC 68084015701
|
| Hospital Charge Code |
20920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$216.52 |
| Max. Negotiated Rate |
$526.68 |
| Rate for Payer: Aetna American Axle |
$380.38
|
| Rate for Payer: Aetna Commercial |
$497.42
|
| Rate for Payer: Aetna Medicare |
$292.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.38
|
| Rate for Payer: BCBS Complete |
$234.08
|
| Rate for Payer: Cash Price |
$468.16
|
| Rate for Payer: Cofinity Advantage |
$409.64
|
| Rate for Payer: Cofinity Commercial |
$503.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$468.16
|
| Rate for Payer: Healthscope Commercial |
$526.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$409.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$438.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$468.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$497.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$438.90
|
| Rate for Payer: PHP Commercial |
$497.42
|
| Rate for Payer: Priority Health SBD |
$368.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$380.38
|
| Rate for Payer: UHC Core |
$304.89
|
| Rate for Payer: UHC Exchange |
$229.98
|
| Rate for Payer: UMR Bronson Commercial |
$216.52
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$438.90
|
|
|
MORPHINE ER 15 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$585.20
|
|
|
Service Code
|
NDC 68084015701
|
| Hospital Charge Code |
20920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$257.49 |
| Max. Negotiated Rate |
$526.68 |
| Rate for Payer: Aetna American Axle |
$380.38
|
| Rate for Payer: Aetna Commercial |
$497.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$380.38
|
| Rate for Payer: Cash Price |
$468.16
|
| Rate for Payer: Cofinity Advantage |
$409.64
|
| Rate for Payer: Cofinity Commercial |
$503.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$468.16
|
| Rate for Payer: Healthscope Commercial |
$526.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$409.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$438.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$497.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$438.90
|
| Rate for Payer: PHP Commercial |
$497.42
|
| Rate for Payer: Priority Health SBD |
$368.68
|
| Rate for Payer: UMR Bronson Commercial |
$257.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$438.90
|
|
|
MORPHINE ER 15 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$490.00
|
|
|
Service Code
|
NDC 63304045001
|
| Hospital Charge Code |
20920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$215.60 |
| Max. Negotiated Rate |
$441.00 |
| Rate for Payer: Aetna American Axle |
$318.50
|
| Rate for Payer: Aetna Commercial |
$416.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$318.50
|
| Rate for Payer: Cash Price |
$392.00
|
| Rate for Payer: Cofinity Advantage |
$343.00
|
| Rate for Payer: Cofinity Commercial |
$421.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$392.00
|
| Rate for Payer: Healthscope Commercial |
$441.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$343.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$367.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$416.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$367.50
|
| Rate for Payer: PHP Commercial |
$416.50
|
| Rate for Payer: Priority Health SBD |
$308.70
|
| Rate for Payer: UMR Bronson Commercial |
$215.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$367.50
|
|
|
MORPHINE ER 15 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$5.86
|
|
|
Service Code
|
NDC 68084015711
|
| Hospital Charge Code |
20920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.17 |
| Max. Negotiated Rate |
$5.27 |
| Rate for Payer: Aetna American Axle |
$3.81
|
| Rate for Payer: Aetna Commercial |
$4.98
|
| Rate for Payer: Aetna Medicare |
$2.93
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.81
|
| Rate for Payer: BCBS Complete |
$2.34
|
| Rate for Payer: Cash Price |
$4.69
|
| Rate for Payer: Cofinity Advantage |
$4.10
|
| Rate for Payer: Cofinity Commercial |
$5.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.69
|
| Rate for Payer: Healthscope Commercial |
$5.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.39
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.39
|
| Rate for Payer: PHP Commercial |
$4.98
|
| Rate for Payer: Priority Health SBD |
$3.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$3.81
|
| Rate for Payer: UHC Core |
$3.05
|
| Rate for Payer: UHC Exchange |
$2.30
|
| Rate for Payer: UMR Bronson Commercial |
$2.17
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.39
|
|
|
MORPHINE ER 15 MG TABLET,EXTENDED RELEASE
|
Facility
|
IP
|
$5.86
|
|
|
Service Code
|
NDC 68084015711
|
| Hospital Charge Code |
20920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$2.58 |
| Max. Negotiated Rate |
$5.27 |
| Rate for Payer: Aetna American Axle |
$3.81
|
| Rate for Payer: Aetna Commercial |
$4.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.81
|
| Rate for Payer: Cash Price |
$4.69
|
| Rate for Payer: Cofinity Advantage |
$4.10
|
| Rate for Payer: Cofinity Commercial |
$5.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.69
|
| Rate for Payer: Healthscope Commercial |
$5.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$4.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.39
|
| Rate for Payer: PHP Commercial |
$4.98
|
| Rate for Payer: Priority Health SBD |
$3.69
|
| Rate for Payer: UMR Bronson Commercial |
$2.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.39
|
|
|
MORPHINE ER 15 MG TABLET,EXTENDED RELEASE
|
Facility
|
OP
|
$532.00
|
|
|
Service Code
|
NDC 00904655761
|
| Hospital Charge Code |
20920
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$196.84 |
| Max. Negotiated Rate |
$478.80 |
| Rate for Payer: Aetna American Axle |
$345.80
|
| Rate for Payer: Aetna Commercial |
$452.20
|
| Rate for Payer: Aetna Medicare |
$266.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$345.80
|
| Rate for Payer: BCBS Complete |
$212.80
|
| Rate for Payer: Cash Price |
$425.60
|
| Rate for Payer: Cofinity Advantage |
$372.40
|
| Rate for Payer: Cofinity Commercial |
$457.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$425.60
|
| Rate for Payer: Healthscope Commercial |
$478.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$372.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$399.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$425.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$452.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$399.00
|
| Rate for Payer: PHP Commercial |
$452.20
|
| Rate for Payer: Priority Health SBD |
$335.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$345.80
|
| Rate for Payer: UHC Core |
$277.17
|
| Rate for Payer: UHC Exchange |
$209.08
|
| Rate for Payer: UMR Bronson Commercial |
$196.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$399.00
|
|
