|
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIG
|
Facility
|
IP
|
$7,647.68
|
|
|
Service Code
|
APR-DRG 3432
|
| Min. Negotiated Rate |
$7,283.50 |
| Max. Negotiated Rate |
$7,647.68 |
| Rate for Payer: BCBS Complete |
$7,647.68
|
| Rate for Payer: Mclaren Medicaid |
$7,283.50
|
| Rate for Payer: Meridian Medicaid |
$7,647.68
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,283.50
|
| Rate for Payer: UHC Medicaid |
$7,283.50
|
| Rate for Payer: UHCCP Medicaid |
$7,283.50
|
|
|
MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIG
|
Facility
|
IP
|
$18,357.09
|
|
|
Service Code
|
APR-DRG 3434
|
| Min. Negotiated Rate |
$17,482.94 |
| Max. Negotiated Rate |
$18,357.09 |
| Rate for Payer: BCBS Complete |
$18,357.09
|
| Rate for Payer: Mclaren Medicaid |
$17,482.94
|
| Rate for Payer: Meridian Medicaid |
$18,357.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$17,482.94
|
| Rate for Payer: UHC Medicaid |
$17,482.94
|
| Rate for Payer: UHCCP Medicaid |
$17,482.94
|
|
|
MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN
|
Facility
|
IP
|
$21.01
|
|
|
Service Code
|
NDC 54643900708
|
| Hospital Charge Code |
184515
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.24 |
| Max. Negotiated Rate |
$18.91 |
| Rate for Payer: Aetna American Axle |
$13.66
|
| Rate for Payer: Aetna Commercial |
$17.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.66
|
| Rate for Payer: Cash Price |
$16.81
|
| Rate for Payer: Cofinity Advantage |
$14.71
|
| Rate for Payer: Cofinity Commercial |
$18.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.81
|
| Rate for Payer: Healthscope Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.76
|
| Rate for Payer: PHP Commercial |
$17.86
|
| Rate for Payer: Priority Health SBD |
$13.24
|
| Rate for Payer: UMR Bronson Commercial |
$9.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.76
|
|
|
MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN
|
Facility
|
OP
|
$21.01
|
|
|
Service Code
|
NDC 54643900708
|
| Hospital Charge Code |
184515
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.77 |
| Max. Negotiated Rate |
$18.91 |
| Rate for Payer: Aetna American Axle |
$13.66
|
| Rate for Payer: Aetna Commercial |
$17.86
|
| Rate for Payer: Aetna Medicare |
$10.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.66
|
| Rate for Payer: BCBS Complete |
$8.40
|
| Rate for Payer: Cash Price |
$16.81
|
| Rate for Payer: Cofinity Advantage |
$14.71
|
| Rate for Payer: Cofinity Commercial |
$18.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.81
|
| Rate for Payer: Healthscope Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.76
|
| Rate for Payer: PHP Commercial |
$17.86
|
| Rate for Payer: Priority Health SBD |
$13.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.66
|
| Rate for Payer: UHC Core |
$10.95
|
| Rate for Payer: UHC Exchange |
$8.26
|
| Rate for Payer: UMR Bronson Commercial |
$7.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.76
|
|
|
MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN
|
Facility
|
OP
|
$21.01
|
|
|
Service Code
|
NDC 54643900709
|
| Hospital Charge Code |
184516
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.77 |
| Max. Negotiated Rate |
$18.91 |
| Rate for Payer: Aetna American Axle |
$13.66
|
| Rate for Payer: Aetna Commercial |
$17.86
|
| Rate for Payer: Aetna Medicare |
$10.51
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.66
|
| Rate for Payer: BCBS Complete |
$8.40
|
| Rate for Payer: Cash Price |
$16.81
|
| Rate for Payer: Cofinity Advantage |
$14.71
|
| Rate for Payer: Cofinity Commercial |
$18.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.81
|
| Rate for Payer: Healthscope Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.76
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.76
|
| Rate for Payer: PHP Commercial |
$17.86
|
| Rate for Payer: Priority Health SBD |
$13.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$13.66
|
| Rate for Payer: UHC Core |
$10.95
|
| Rate for Payer: UHC Exchange |
$8.26
|
| Rate for Payer: UMR Bronson Commercial |
$7.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.76
|
|
|
MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN
|
Facility
|
IP
|
$21.01
|
|
|
Service Code
|
NDC 54643900709
|
| Hospital Charge Code |
184516
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.24 |
| Max. Negotiated Rate |
$18.91 |
| Rate for Payer: Aetna American Axle |
$13.66
|
| Rate for Payer: Aetna Commercial |
$17.86
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.66
|
| Rate for Payer: Cash Price |
$16.81
|
| Rate for Payer: Cofinity Advantage |
$14.71
|
| Rate for Payer: Cofinity Commercial |
$18.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.81
|
| Rate for Payer: Healthscope Commercial |
$18.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.76
|
| Rate for Payer: PHP Commercial |
$17.86
|
| Rate for Payer: Priority Health SBD |
$13.24
|
| Rate for Payer: UMR Bronson Commercial |
$9.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.76
|
|
|
MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$42.01
|
|
|
Service Code
|
NDC 54643900701
|
| Hospital Charge Code |
161578
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.48 |
| Max. Negotiated Rate |
$37.81 |
| Rate for Payer: Aetna American Axle |
$27.31
|
| Rate for Payer: Aetna Commercial |
$35.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.31
|
| Rate for Payer: Cash Price |
$33.61
|
| Rate for Payer: Cofinity Advantage |
$29.41
|
| Rate for Payer: Cofinity Commercial |
$36.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.61
|
| Rate for Payer: Healthscope Commercial |
$37.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.51
|
| Rate for Payer: PHP Commercial |
$35.71
|
| Rate for Payer: Priority Health SBD |
$26.47
|
| Rate for Payer: UMR Bronson Commercial |
$18.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.51
|
|
|
MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$291.10
|
|
|
Service Code
|
NDC 54643565002
|
| Hospital Charge Code |
161578
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$107.71 |
| Max. Negotiated Rate |
$261.99 |
| Rate for Payer: Aetna American Axle |
$189.22
|
| Rate for Payer: Aetna Commercial |
$247.44
|
| Rate for Payer: Aetna Medicare |
$145.55
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$189.22
|
| Rate for Payer: BCBS Complete |
$116.44
|
| Rate for Payer: Cash Price |
$232.88
|
| Rate for Payer: Cofinity Advantage |
$203.77
|
| Rate for Payer: Cofinity Commercial |
$250.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.88
|
| Rate for Payer: Healthscope Commercial |
$261.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$203.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$218.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$232.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$218.32
|
| Rate for Payer: PHP Commercial |
$247.44
|
| Rate for Payer: Priority Health SBD |
$183.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$189.22
|
| Rate for Payer: UHC Core |
$151.66
|
| Rate for Payer: UHC Exchange |
$114.40
|
| Rate for Payer: UMR Bronson Commercial |
$107.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$218.32
|
|
|
MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$291.10
|
|
|
Service Code
|
NDC 54643565002
|
| Hospital Charge Code |
161578
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$128.08 |
| Max. Negotiated Rate |
$261.99 |
| Rate for Payer: Aetna American Axle |
$189.22
|
| Rate for Payer: Aetna Commercial |
$247.44
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$189.22
|
| Rate for Payer: Cash Price |
$232.88
|
| Rate for Payer: Cofinity Advantage |
$203.77
|
| Rate for Payer: Cofinity Commercial |
$250.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$232.88
|
| Rate for Payer: Healthscope Commercial |
$261.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$203.77
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$218.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$247.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$218.32
|
| Rate for Payer: PHP Commercial |
$247.44
|
| Rate for Payer: Priority Health SBD |
$183.39
|
| Rate for Payer: UMR Bronson Commercial |
$128.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$218.32
|
|
|
MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$42.01
|
|
|
Service Code
|
NDC 54643900701
|
| Hospital Charge Code |
161578
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$15.54 |
| Max. Negotiated Rate |
$37.81 |
| Rate for Payer: Aetna American Axle |
$27.31
|
| Rate for Payer: Aetna Commercial |
$35.71
|
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.31
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.61
|
| Rate for Payer: Cofinity Advantage |
$29.41
|
| Rate for Payer: Cofinity Commercial |
$36.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.61
|
| Rate for Payer: Healthscope Commercial |
$37.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.51
|
| Rate for Payer: PHP Commercial |
$35.71
|
| Rate for Payer: Priority Health SBD |
$26.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.31
|
| Rate for Payer: UHC Core |
$21.89
|
| Rate for Payer: UHC Exchange |
$16.51
|
| Rate for Payer: UMR Bronson Commercial |
$15.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.51
|
|
|
MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$42.01
|
|
|
Service Code
|
NDC 54643564901
|
| Hospital Charge Code |
161578
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$15.54 |
| Max. Negotiated Rate |
$37.81 |
| Rate for Payer: Aetna American Axle |
$27.31
|
| Rate for Payer: Aetna Commercial |
$35.71
|
| Rate for Payer: Aetna Medicare |
$21.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.31
|
| Rate for Payer: BCBS Complete |
$16.80
|
| Rate for Payer: Cash Price |
$33.61
|
| Rate for Payer: Cofinity Advantage |
$29.41
|
| Rate for Payer: Cofinity Commercial |
$36.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.61
|
| Rate for Payer: Healthscope Commercial |
$37.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$33.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.51
|
| Rate for Payer: PHP Commercial |
$35.71
|
| Rate for Payer: Priority Health SBD |
$26.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$27.31
|
| Rate for Payer: UHC Core |
$21.89
|
| Rate for Payer: UHC Exchange |
$16.51
|
| Rate for Payer: UMR Bronson Commercial |
$15.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.51
|
|
|
MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$42.01
|
|
|
Service Code
|
NDC 54643564901
|
| Hospital Charge Code |
161578
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.48 |
| Max. Negotiated Rate |
$37.81 |
| Rate for Payer: Aetna American Axle |
$27.31
|
| Rate for Payer: Aetna Commercial |
$35.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$27.31
|
| Rate for Payer: Cash Price |
$33.61
|
| Rate for Payer: Cofinity Advantage |
$29.41
|
| Rate for Payer: Cofinity Commercial |
$36.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.61
|
| Rate for Payer: Healthscope Commercial |
$37.81
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$29.41
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$31.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$31.51
|
| Rate for Payer: PHP Commercial |
$35.71
|
| Rate for Payer: Priority Health SBD |
$26.47
|
| Rate for Payer: UMR Bronson Commercial |
$18.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$31.51
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
IP
|
$71.43
|
|
|
Service Code
|
NDC 5464356499
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$31.43 |
| Max. Negotiated Rate |
$64.29 |
| Rate for Payer: Aetna American Axle |
$46.43
|
| Rate for Payer: Aetna Commercial |
$60.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.43
|
| Rate for Payer: Cash Price |
$57.14
|
| Rate for Payer: Cofinity Advantage |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$61.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$64.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.57
|
| Rate for Payer: PHP Commercial |
$60.72
|
| Rate for Payer: Priority Health SBD |
$45.00
|
| Rate for Payer: UMR Bronson Commercial |
$31.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.57
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
OP
|
$485.11
|
|
|
Service Code
|
NDC 54643564700
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$179.49 |
| Max. Negotiated Rate |
$436.60 |
| Rate for Payer: Aetna American Axle |
$315.32
|
| Rate for Payer: Aetna Commercial |
$412.34
|
| Rate for Payer: Aetna Medicare |
$242.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$315.32
|
| Rate for Payer: BCBS Complete |
$194.04
|
| Rate for Payer: Cash Price |
$388.09
|
| Rate for Payer: Cofinity Advantage |
$339.58
|
| Rate for Payer: Cofinity Commercial |
$417.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$388.09
|
| Rate for Payer: Healthscope Commercial |
$436.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$339.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$388.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.83
|
| Rate for Payer: PHP Commercial |
$412.34
|
| Rate for Payer: Priority Health SBD |
$305.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.32
|
| Rate for Payer: UHC Core |
$252.74
|
| Rate for Payer: UHC Exchange |
$190.65
|
| Rate for Payer: UMR Bronson Commercial |
$179.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.83
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
OP
|
$71.43
|
|
|
Service Code
|
NDC 54643902301
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$26.43 |
| Max. Negotiated Rate |
$64.29 |
| Rate for Payer: Aetna American Axle |
$46.43
|
| Rate for Payer: Aetna Commercial |
$60.72
|
| Rate for Payer: Aetna Medicare |
$35.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.43
|
| Rate for Payer: BCBS Complete |
$28.57
|
| Rate for Payer: Cash Price |
$57.14
|
| Rate for Payer: Cofinity Advantage |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$61.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$64.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.57
|
| Rate for Payer: PHP Commercial |
$60.72
|
| Rate for Payer: Priority Health SBD |
$45.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.43
|
| Rate for Payer: UHC Core |
$37.22
|
| Rate for Payer: UHC Exchange |
$28.07
|
| Rate for Payer: UMR Bronson Commercial |
$26.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.57
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
IP
|
$71.43
|
|
|
Service Code
|
NDC 54643902301
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$31.43 |
| Max. Negotiated Rate |
$64.29 |
| Rate for Payer: Aetna American Axle |
$46.43
|
| Rate for Payer: Aetna Commercial |
$60.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.43
|
| Rate for Payer: Cash Price |
$57.14
|
| Rate for Payer: Cofinity Advantage |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$61.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$64.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.57
|
| Rate for Payer: PHP Commercial |
$60.72
|
| Rate for Payer: Priority Health SBD |
$45.00
|
| Rate for Payer: UMR Bronson Commercial |
$31.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.57
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
IP
|
$71.43
|
|
|
Service Code
|
NDC 54643564601
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$31.43 |
| Max. Negotiated Rate |
$64.29 |
| Rate for Payer: Aetna American Axle |
$46.43
|
| Rate for Payer: Aetna Commercial |
$60.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.43
|
| Rate for Payer: Cash Price |
$57.14
|
| Rate for Payer: Cofinity Advantage |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$61.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$64.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.57
|
| Rate for Payer: PHP Commercial |
$60.72
|
| Rate for Payer: Priority Health SBD |
$45.00
|
| Rate for Payer: UMR Bronson Commercial |
$31.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.57
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
OP
|
$71.43
|
|
|
Service Code
|
NDC 54643564601
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$26.43 |
| Max. Negotiated Rate |
$64.29 |
| Rate for Payer: Aetna American Axle |
$46.43
|
| Rate for Payer: Aetna Commercial |
$60.72
|
| Rate for Payer: Aetna Medicare |
$35.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.43
|
| Rate for Payer: BCBS Complete |
$28.57
|
| Rate for Payer: Cash Price |
$57.14
|
| Rate for Payer: Cofinity Advantage |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$61.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$64.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.57
|
| Rate for Payer: PHP Commercial |
$60.72
|
| Rate for Payer: Priority Health SBD |
$45.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.43
|
| Rate for Payer: UHC Core |
$37.22
|
| Rate for Payer: UHC Exchange |
$28.07
|
| Rate for Payer: UMR Bronson Commercial |
$26.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.57
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
IP
|
$485.11
|
|
|
Service Code
|
NDC 54643564700
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$213.45 |
| Max. Negotiated Rate |
$436.60 |
| Rate for Payer: Aetna American Axle |
$315.32
|
| Rate for Payer: Aetna Commercial |
$412.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$315.32
|
| Rate for Payer: Cash Price |
$388.09
|
| Rate for Payer: Cofinity Advantage |
$339.58
|
| Rate for Payer: Cofinity Commercial |
$417.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$388.09
|
| Rate for Payer: Healthscope Commercial |
$436.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$339.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.83
|
| Rate for Payer: PHP Commercial |
$412.34
|
| Rate for Payer: Priority Health SBD |
$305.62
|
| Rate for Payer: UMR Bronson Commercial |
$213.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.83
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
OP
|
$71.43
|
|
|
Service Code
|
NDC 5464356499
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$26.43 |
| Max. Negotiated Rate |
$64.29 |
| Rate for Payer: Aetna American Axle |
$46.43
|
| Rate for Payer: Aetna Commercial |
$60.72
|
| Rate for Payer: Aetna Medicare |
$35.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.43
|
| Rate for Payer: BCBS Complete |
$28.57
|
| Rate for Payer: Cash Price |
$57.14
|
| Rate for Payer: Cofinity Advantage |
$50.00
|
| Rate for Payer: Cofinity Commercial |
$61.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.14
|
| Rate for Payer: Healthscope Commercial |
$64.29
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.00
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$57.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.57
|
| Rate for Payer: PHP Commercial |
$60.72
|
| Rate for Payer: Priority Health SBD |
$45.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.43
|
| Rate for Payer: UHC Core |
$37.22
|
| Rate for Payer: UHC Exchange |
$28.07
|
| Rate for Payer: UMR Bronson Commercial |
$26.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.57
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
IP
|
$485.11
|
|
|
Service Code
|
NDC 54643903100
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$213.45 |
| Max. Negotiated Rate |
$436.60 |
| Rate for Payer: Aetna American Axle |
$315.32
|
| Rate for Payer: Aetna Commercial |
$412.34
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$315.32
|
| Rate for Payer: Cash Price |
$388.09
|
| Rate for Payer: Cofinity Advantage |
$339.58
|
| Rate for Payer: Cofinity Commercial |
$417.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$388.09
|
| Rate for Payer: Healthscope Commercial |
$436.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$339.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.83
|
| Rate for Payer: PHP Commercial |
$412.34
|
| Rate for Payer: Priority Health SBD |
$305.62
|
| Rate for Payer: UMR Bronson Commercial |
$213.45
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.83
|
|
|
MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN
|
Facility
|
OP
|
$485.11
|
|
|
Service Code
|
NDC 54643903100
|
| Hospital Charge Code |
115531
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$179.49 |
| Max. Negotiated Rate |
$436.60 |
| Rate for Payer: Aetna American Axle |
$315.32
|
| Rate for Payer: Aetna Commercial |
$412.34
|
| Rate for Payer: Aetna Medicare |
$242.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$315.32
|
| Rate for Payer: BCBS Complete |
$194.04
|
| Rate for Payer: Cash Price |
$388.09
|
| Rate for Payer: Cofinity Advantage |
$339.58
|
| Rate for Payer: Cofinity Commercial |
$417.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$388.09
|
| Rate for Payer: Healthscope Commercial |
$436.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$339.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$363.83
|
| Rate for Payer: MI Amish Medical Board Commercial |
$388.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$412.34
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$363.83
|
| Rate for Payer: PHP Commercial |
$412.34
|
| Rate for Payer: Priority Health SBD |
$305.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$315.32
|
| Rate for Payer: UHC Core |
$252.74
|
| Rate for Payer: UHC Exchange |
$190.65
|
| Rate for Payer: UMR Bronson Commercial |
$179.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$363.83
|
|
|
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$228.16
|
|
|
Service Code
|
HCPCS J7519
|
| Hospital Charge Code |
23968
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.61 |
| Max. Negotiated Rate |
$205.34 |
| Rate for Payer: Aetna American Axle |
$148.30
|
| Rate for Payer: Aetna American Axle |
$47.29
|
| Rate for Payer: Aetna Commercial |
$193.94
|
| Rate for Payer: Aetna Commercial |
$61.85
|
| Rate for Payer: Aetna Medicare |
$114.08
|
| Rate for Payer: Aetna Medicare |
$36.38
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.29
|
| Rate for Payer: BCBS Complete |
$29.10
|
| Rate for Payer: BCBS Complete |
$91.26
|
| Rate for Payer: BCBS Trust/PPO |
$1.18
|
| Rate for Payer: BCBS Trust/PPO |
$1.18
|
| Rate for Payer: BCN Commercial |
$1.18
|
| Rate for Payer: BCN Commercial |
$1.18
|
| Rate for Payer: Cash Price |
$182.53
|
| Rate for Payer: Cash Price |
$58.21
|
| Rate for Payer: Cash Price |
$182.53
|
| Rate for Payer: Cash Price |
$58.21
|
| Rate for Payer: Cofinity Advantage |
$159.71
|
| Rate for Payer: Cofinity Advantage |
$50.93
|
| Rate for Payer: Cofinity Commercial |
$196.22
|
| Rate for Payer: Cofinity Commercial |
$62.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.21
|
| Rate for Payer: Healthscope Commercial |
$205.34
|
| Rate for Payer: Healthscope Commercial |
$65.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$159.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.93
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$182.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$58.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.12
|
| Rate for Payer: PHP Commercial |
$193.94
|
| Rate for Payer: PHP Commercial |
$61.85
|
| Rate for Payer: Priority Health SBD |
$143.74
|
| Rate for Payer: Priority Health SBD |
$45.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.61
|
| Rate for Payer: UHC Core |
$0.61
|
| Rate for Payer: UHC Core |
$0.61
|
| Rate for Payer: UHC Exchange |
$0.61
|
| Rate for Payer: UHC Exchange |
$0.61
|
| Rate for Payer: UMR Bronson Commercial |
$84.42
|
| Rate for Payer: UMR Bronson Commercial |
$26.92
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.57
|
|
|
MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$228.16
|
|
|
Service Code
|
HCPCS J7519
|
| Hospital Charge Code |
23968
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$100.39 |
| Max. Negotiated Rate |
$205.34 |
| Rate for Payer: Aetna American Axle |
$148.30
|
| Rate for Payer: Aetna American Axle |
$47.29
|
| Rate for Payer: Aetna Commercial |
$193.94
|
| Rate for Payer: Aetna Commercial |
$61.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$148.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$47.29
|
| Rate for Payer: Cash Price |
$182.53
|
| Rate for Payer: Cash Price |
$58.21
|
| Rate for Payer: Cofinity Advantage |
$50.93
|
| Rate for Payer: Cofinity Advantage |
$159.71
|
| Rate for Payer: Cofinity Commercial |
$62.57
|
| Rate for Payer: Cofinity Commercial |
$196.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$182.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$58.21
|
| Rate for Payer: Healthscope Commercial |
$205.34
|
| Rate for Payer: Healthscope Commercial |
$65.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$50.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$159.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$171.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$54.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$193.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$171.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$54.57
|
| Rate for Payer: PHP Commercial |
$193.94
|
| Rate for Payer: PHP Commercial |
$61.85
|
| Rate for Payer: Priority Health SBD |
$45.84
|
| Rate for Payer: Priority Health SBD |
$143.74
|
| Rate for Payer: UMR Bronson Commercial |
$100.39
|
| Rate for Payer: UMR Bronson Commercial |
$32.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$171.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$54.57
|
|
|
MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION
|
Facility
|
OP
|
$3,706.52
|
|
|
Service Code
|
HCPCS J7528
|
| Hospital Charge Code |
25005
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.40 |
| Max. Negotiated Rate |
$3,335.87 |
| Rate for Payer: Aetna American Axle |
$2,409.24
|
| Rate for Payer: Aetna American Axle |
$2,594.71
|
| Rate for Payer: Aetna American Axle |
$941.99
|
| Rate for Payer: Aetna American Axle |
$828.18
|
| Rate for Payer: Aetna Commercial |
$1,231.84
|
| Rate for Payer: Aetna Commercial |
$3,393.08
|
| Rate for Payer: Aetna Commercial |
$1,083.00
|
| Rate for Payer: Aetna Commercial |
$3,150.54
|
| Rate for Payer: Aetna Medicare |
$1,995.93
|
| Rate for Payer: Aetna Medicare |
$637.06
|
| Rate for Payer: Aetna Medicare |
$1,853.26
|
| Rate for Payer: Aetna Medicare |
$724.61
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,594.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2,409.24
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$941.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$828.18
|
| Rate for Payer: BCBS Complete |
$579.69
|
| Rate for Payer: BCBS Complete |
$509.65
|
| Rate for Payer: BCBS Complete |
$1,596.74
|
| Rate for Payer: BCBS Complete |
$1,482.61
|
| Rate for Payer: Cash Price |
$1,019.30
|
| Rate for Payer: Cash Price |
$1,159.38
|
| Rate for Payer: Cash Price |
$3,193.49
|
| Rate for Payer: Cash Price |
$1,159.38
|
| Rate for Payer: Cash Price |
$2,965.22
|
| Rate for Payer: Cash Price |
$1,019.30
|
| Rate for Payer: Cash Price |
$3,193.49
|
| Rate for Payer: Cash Price |
$2,965.22
|
| Rate for Payer: Cofinity Advantage |
$2,794.30
|
| Rate for Payer: Cofinity Advantage |
$1,014.45
|
| Rate for Payer: Cofinity Advantage |
$2,594.56
|
| Rate for Payer: Cofinity Advantage |
$891.88
|
| Rate for Payer: Cofinity Commercial |
$3,433.00
|
| Rate for Payer: Cofinity Commercial |
$3,187.61
|
| Rate for Payer: Cofinity Commercial |
$1,095.74
|
| Rate for Payer: Cofinity Commercial |
$1,246.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,965.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3,193.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,019.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,159.38
|
| Rate for Payer: Healthscope Commercial |
$3,335.87
|
| Rate for Payer: Healthscope Commercial |
$1,304.30
|
| Rate for Payer: Healthscope Commercial |
$3,592.67
|
| Rate for Payer: Healthscope Commercial |
$1,146.71
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$891.88
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,594.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$1,014.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2,794.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,993.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2,779.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$955.59
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$1,086.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2,965.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$3,193.49
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,019.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,159.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,083.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,231.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,150.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3,393.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,779.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,993.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$955.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,086.91
|
| Rate for Payer: PHP Commercial |
$1,231.84
|
| Rate for Payer: PHP Commercial |
$1,083.00
|
| Rate for Payer: PHP Commercial |
$3,393.08
|
| Rate for Payer: PHP Commercial |
$3,150.54
|
| Rate for Payer: Priority Health SBD |
$802.70
|
| Rate for Payer: Priority Health SBD |
$2,335.11
|
| Rate for Payer: Priority Health SBD |
$2,514.87
|
| Rate for Payer: Priority Health SBD |
$913.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.40
|
| Rate for Payer: UHC Core |
$0.40
|
| Rate for Payer: UHC Core |
$0.40
|
| Rate for Payer: UHC Core |
$0.40
|
| Rate for Payer: UHC Core |
$0.40
|
| Rate for Payer: UHC Exchange |
$0.40
|
| Rate for Payer: UHC Exchange |
$0.40
|
| Rate for Payer: UHC Exchange |
$0.40
|
| Rate for Payer: UHC Exchange |
$0.40
|
| Rate for Payer: UMR Bronson Commercial |
$1,371.41
|
| Rate for Payer: UMR Bronson Commercial |
$471.42
|
| Rate for Payer: UMR Bronson Commercial |
$536.21
|
| Rate for Payer: UMR Bronson Commercial |
$1,476.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,779.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$1,086.91
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2,993.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$955.59
|
|
