|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
IP
|
$123.38
|
|
|
Service Code
|
NDC 00054023524
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$54.29 |
| Max. Negotiated Rate |
$111.04 |
| Rate for Payer: Aetna American Axle |
$80.20
|
| Rate for Payer: Aetna Commercial |
$104.87
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.20
|
| Rate for Payer: Cash Price |
$98.70
|
| Rate for Payer: Cofinity Commercial |
$106.11
|
| Rate for Payer: Cofinity Commercial |
$86.37
|
| Rate for Payer: Cofinity Medicare Advantage |
$86.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.70
|
| Rate for Payer: Healthscope Commercial |
$111.04
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.37
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.87
|
| Rate for Payer: PHP Commercial |
$104.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.20
|
| Rate for Payer: Priority Health SBD |
$77.73
|
| Rate for Payer: UMR Bronson Commercial |
$54.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.54
|
|
|
MORPHINE 15 MG IMMEDIATE RELEASE TABLET
|
Facility
|
OP
|
$4.94
|
|
|
Service Code
|
NDC 00406511823
|
| Hospital Charge Code |
5178
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.83 |
| Max. Negotiated Rate |
$4.45 |
| Rate for Payer: Aetna American Axle |
$3.21
|
| Rate for Payer: Aetna Commercial |
$4.20
|
| Rate for Payer: Aetna Medicare |
$2.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.21
|
| Rate for Payer: BCBS Complete |
$1.98
|
| Rate for Payer: Cash Price |
$3.95
|
| Rate for Payer: Cofinity Commercial |
$3.46
|
| Rate for Payer: Cofinity Commercial |
$4.25
|
| Rate for Payer: Cofinity Medicare Advantage |
$3.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.95
|
| Rate for Payer: Healthscope Commercial |
$4.45
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$3.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.20
|
| Rate for Payer: PHP Commercial |
$4.20
|
| Rate for Payer: Priority Health Cigna Priority Health |
$3.21
|
| Rate for Payer: Priority Health SBD |
$3.11
|
| Rate for Payer: UMR Bronson Commercial |
$1.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$3.70
|
|
|
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 |
$21.78
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.78
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.45
|
| 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: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.78
|
| Rate for Payer: Priority Health SBD |
$21.10
|
| 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 INTRAVENOUS
|
Facility
|
OP
|
$33.50
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
30604
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.40 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.78
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna Medicare |
$16.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.78
|
| Rate for Payer: BCBS Complete |
$13.40
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.45
|
| 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: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.78
|
| Rate for Payer: Priority Health SBD |
$21.10
|
| Rate for Payer: UMR Bronson Commercial |
$12.40
|
| 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 |
$12.40 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.78
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna Medicare |
$16.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.78
|
| Rate for Payer: BCBS Complete |
$13.40
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.45
|
| 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: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.78
|
| Rate for Payer: Priority Health SBD |
$21.10
|
| Rate for Payer: UMR Bronson Commercial |
$12.40
|
| 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 |
$21.78
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.78
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.45
|
| 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: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.78
|
| Rate for Payer: Priority Health SBD |
$21.10
|
| 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 |
$12.40 |
| Max. Negotiated Rate |
$30.15 |
| Rate for Payer: Aetna American Axle |
$21.78
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna Medicare |
$16.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.78
|
| Rate for Payer: BCBS Complete |
$13.40
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.45
|
| 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: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.78
|
| Rate for Payer: Priority Health SBD |
$21.10
|
| Rate for Payer: UMR Bronson Commercial |
$12.40
|
| 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 |
$21.78
|
| Rate for Payer: Aetna Commercial |
$28.48
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$21.78
|
| Rate for Payer: Cash Price |
$26.80
|
| Rate for Payer: Cofinity Commercial |
$23.45
|
| Rate for Payer: Cofinity Commercial |
$28.81
|
| Rate for Payer: Cofinity Medicare Advantage |
$23.45
|
| 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: PHP Commercial |
$28.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.78
|
| Rate for Payer: Priority Health SBD |
$21.10
|
| Rate for Payer: UMR Bronson Commercial |
$14.74
|
| 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 |
$28.21 |
| Max. Negotiated Rate |
$72.90 |
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cash Price |
$64.80
|
| Rate for Payer: Cofinity Commercial |
$56.70
|
| Rate for Payer: Cofinity Commercial |
$69.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.70
|
| 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 |
$28.21
|
| Rate for Payer: BCN Commercial |
$28.21
|
| 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: PHP Commercial |
$68.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| Rate for Payer: Priority Health SBD |
$51.03
|
| 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 Commercial |
$56.70
|
| Rate for Payer: Cofinity Commercial |
$69.66
|
| Rate for Payer: Cofinity Medicare Advantage |
$56.70
|
| 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: PHP Commercial |
$68.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$52.65
|
| 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
|
$273.08
|
|
|
Service Code
|
NDC 00574711412
|
| Hospital Charge Code |
5181
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$101.04 |
| Max. Negotiated Rate |
$245.77 |
| Rate for Payer: Aetna American Axle |
$177.50
|
| Rate for Payer: Aetna Commercial |
$232.12
|
| Rate for Payer: Aetna Medicare |
$136.54
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$177.50
|
| Rate for Payer: BCBS Complete |
$109.23
|
| Rate for Payer: Cash Price |
$218.46
|
| Rate for Payer: Cofinity Commercial |
$191.16
|
| Rate for Payer: Cofinity Commercial |
$234.85
|
| Rate for Payer: Cofinity Medicare Advantage |
$191.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$218.46
|
| Rate for Payer: Healthscope Commercial |
$245.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$191.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$204.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.12
|
| Rate for Payer: PHP Commercial |
$232.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.50
|
| Rate for Payer: Priority Health SBD |
$172.04
|
| Rate for Payer: UMR Bronson Commercial |
$101.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$204.81
|
|
|
MORPHINE 20 MG RECTAL SUPPOSITORY
|
Facility
|
IP
|
$273.08
|
|
|
Service Code
|
NDC 00574711412
|
| Hospital Charge Code |
5181
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$120.16 |
| Max. Negotiated Rate |
$245.77 |
| Rate for Payer: Aetna American Axle |
$177.50
|
| Rate for Payer: Aetna Commercial |
$232.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$177.50
|
| Rate for Payer: Cash Price |
$218.46
|
| Rate for Payer: Cofinity Commercial |
$191.16
|
| Rate for Payer: Cofinity Commercial |
$234.85
|
| Rate for Payer: Cofinity Medicare Advantage |
$191.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$218.46
|
| Rate for Payer: Healthscope Commercial |
$245.77
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$191.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$204.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$232.12
|
| Rate for Payer: PHP Commercial |
$232.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$177.50
|
| Rate for Payer: Priority Health SBD |
$172.04
|
| Rate for Payer: UMR Bronson Commercial |
$120.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$204.81
|
|
|
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 |
$9.95
|
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna Commercial |
$25.30
|
| Rate for Payer: Aetna Medicare |
$14.88
|
| Rate for Payer: Aetna Medicare |
$7.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.95
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.35
|
| Rate for Payer: BCBS Complete |
$11.91
|
| Rate for Payer: BCBS Complete |
$6.12
|
| Rate for Payer: BCBS Trust/PPO |
$13.66
|
| Rate for Payer: BCBS Trust/PPO |
$13.66
|
| Rate for Payer: BCN Commercial |
$13.66
|
| Rate for Payer: BCN Commercial |
$13.66
|
| Rate for Payer: Cash Price |
$12.25
|
| Rate for Payer: Cash Price |
$12.25
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cash Price |
$23.82
|
| Rate for Payer: Cofinity Commercial |
$10.72
|
| Rate for Payer: Cofinity Commercial |
$13.17
|
| Rate for Payer: Cofinity Commercial |
$25.60
|
| Rate for Payer: Cofinity Commercial |
$20.84
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.72
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.25
|
| Rate for Payer: Healthscope Commercial |
$13.78
|
| Rate for Payer: Healthscope Commercial |
$26.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.72
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$22.33
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.01
|
| Rate for Payer: PHP Commercial |
$25.30
|
| Rate for Payer: PHP Commercial |
$13.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.35
|
| Rate for Payer: Priority Health SBD |
$18.76
|
| Rate for Payer: Priority Health SBD |
$9.65
|
| Rate for Payer: UMR Bronson Commercial |
$5.66
|
| Rate for Payer: UMR Bronson Commercial |
$11.01
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$22.33
|
|
|
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 |
$9.90 |
| 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 |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cofinity Commercial |
$18.73
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.73
|
| 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: PHP Commercial |
$22.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.39
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| 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
|
IP
|
$15.31
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5170
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.74 |
| Max. Negotiated Rate |
$13.78 |
| Rate for Payer: Aetna American Axle |
$9.95
|
| Rate for Payer: Aetna Commercial |
$13.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.95
|
| Rate for Payer: Cash Price |
$12.25
|
| Rate for Payer: Cofinity Commercial |
$10.72
|
| Rate for Payer: Cofinity Commercial |
$13.17
|
| Rate for Payer: Cofinity Medicare Advantage |
$10.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.25
|
| Rate for Payer: Healthscope Commercial |
$13.78
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.72
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.01
|
| Rate for Payer: PHP Commercial |
$13.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.95
|
| Rate for Payer: Priority Health SBD |
$9.65
|
| Rate for Payer: UMR Bronson Commercial |
$6.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.48
|
|
|
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 Commercial |
$18.73
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.73
|
| 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: PHP Commercial |
$22.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.39
|
| 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 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 |
$28.21 |
| Rate for Payer: Aetna American Axle |
$19.36
|
| Rate for Payer: Aetna Commercial |
$25.32
|
| Rate for Payer: Aetna Medicare |
$14.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.36
|
| Rate for Payer: BCBS Complete |
$11.92
|
| Rate for Payer: BCBS Trust/PPO |
$28.21
|
| Rate for Payer: BCN Commercial |
$28.21
|
| Rate for Payer: Cash Price |
$23.83
|
| Rate for Payer: Cash Price |
$23.83
|
| Rate for Payer: Cofinity Commercial |
$20.85
|
| Rate for Payer: Cofinity Commercial |
$25.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.85
|
| 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: PHP Commercial |
$25.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.36
|
| Rate for Payer: Priority Health SBD |
$18.77
|
| 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 Commercial |
$25.32
|
| Rate for Payer: Aetna American Axle |
$19.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$19.36
|
| Rate for Payer: Cash Price |
$23.83
|
| Rate for Payer: Cofinity Commercial |
$20.85
|
| Rate for Payer: Cofinity Commercial |
$25.62
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.85
|
| 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: PHP Commercial |
$25.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$19.36
|
| 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
|
$36.26
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.05 |
| Max. Negotiated Rate |
$32.63 |
| Rate for Payer: Aetna American Axle |
$23.57
|
| Rate for Payer: Aetna American Axle |
$17.39
|
| Rate for Payer: Aetna American Axle |
$10.53
|
| Rate for Payer: Aetna American Axle |
$14.85
|
| Rate for Payer: Aetna Commercial |
$30.82
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Medicare |
$13.38
|
| Rate for Payer: Aetna Medicare |
$11.42
|
| Rate for Payer: Aetna Medicare |
$8.10
|
| Rate for Payer: Aetna Medicare |
$18.13
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.85
|
| Rate for Payer: BCBS Complete |
$10.70
|
| Rate for Payer: BCBS Complete |
$6.48
|
| Rate for Payer: BCBS Complete |
$14.50
|
| Rate for Payer: BCBS Complete |
$9.14
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: Cash Price |
$18.28
|
| 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 |
$12.96
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$29.01
|
| Rate for Payer: Cofinity Commercial |
$31.18
|
| Rate for Payer: Cofinity Commercial |
$19.65
|
| Rate for Payer: Cofinity Commercial |
$11.34
|
| Rate for Payer: Cofinity Commercial |
$13.93
|
| Rate for Payer: Cofinity Commercial |
$16.00
|
| Rate for Payer: Cofinity Commercial |
$18.73
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$25.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.38
|
| 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 |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.96
|
| Rate for Payer: Healthscope Commercial |
$14.58
|
| Rate for Payer: Healthscope Commercial |
$32.63
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Healthscope Commercial |
$20.56
|
| 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 |
$16.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| 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 |
$13.77
|
| Rate for Payer: PHP Commercial |
$30.82
|
| Rate for Payer: PHP Commercial |
$19.42
|
| Rate for Payer: PHP Commercial |
$13.77
|
| Rate for Payer: PHP Commercial |
$22.75
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.39
|
| 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: Priority Health SBD |
$22.84
|
| Rate for Payer: UMR Bronson Commercial |
$5.99
|
| Rate for Payer: UMR Bronson Commercial |
$9.90
|
| Rate for Payer: UMR Bronson Commercial |
$13.42
|
| Rate for Payer: UMR Bronson Commercial |
$8.45
|
| 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
|
|
|
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 |
$10.53
|
| Rate for Payer: Aetna American Axle |
$23.57
|
| Rate for Payer: Aetna Commercial |
$22.75
|
| Rate for Payer: Aetna Commercial |
$30.82
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Commercial |
$13.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$23.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.39
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$21.41
|
| Rate for Payer: Cash Price |
$12.96
|
| Rate for Payer: Cash Price |
$29.01
|
| Rate for Payer: Cofinity Commercial |
$11.34
|
| Rate for Payer: Cofinity Commercial |
$31.18
|
| Rate for Payer: Cofinity Commercial |
$25.38
|
| Rate for Payer: Cofinity Commercial |
$18.73
|
| Rate for Payer: Cofinity Commercial |
$16.00
|
| Rate for Payer: Cofinity Commercial |
$19.65
|
| Rate for Payer: Cofinity Commercial |
$23.01
|
| Rate for Payer: Cofinity Commercial |
$13.93
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.00
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.73
|
| Rate for Payer: Cofinity Medicare Advantage |
$25.38
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.34
|
| 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 |
$21.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Healthscope Commercial |
$24.08
|
| Rate for Payer: Healthscope Commercial |
$14.58
|
| Rate for Payer: Healthscope Commercial |
$20.56
|
| Rate for Payer: Healthscope Commercial |
$32.63
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.34
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.00
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$25.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$27.20
|
| 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: PHP Commercial |
$22.75
|
| Rate for Payer: PHP Commercial |
$30.82
|
| Rate for Payer: PHP Commercial |
$13.77
|
| Rate for Payer: PHP Commercial |
$19.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$23.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.53
|
| Rate for Payer: Priority Health SBD |
$22.84
|
| Rate for Payer: Priority Health SBD |
$10.21
|
| Rate for Payer: Priority Health SBD |
$14.40
|
| Rate for Payer: Priority Health SBD |
$16.86
|
| Rate for Payer: UMR Bronson Commercial |
$11.77
|
| Rate for Payer: UMR Bronson Commercial |
$15.95
|
| Rate for Payer: UMR Bronson Commercial |
$10.05
|
| Rate for Payer: UMR Bronson Commercial |
$7.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$27.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.15
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.14
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.07
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
IP
|
$25.81
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.36 |
| Max. Negotiated Rate |
$23.23 |
| Rate for Payer: Aetna American Axle |
$16.78
|
| Rate for Payer: Aetna Commercial |
$21.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.78
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cofinity Commercial |
$18.07
|
| Rate for Payer: Cofinity Commercial |
$22.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.65
|
| Rate for Payer: Healthscope Commercial |
$23.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.94
|
| Rate for Payer: PHP Commercial |
$21.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.78
|
| Rate for Payer: Priority Health SBD |
$16.26
|
| Rate for Payer: UMR Bronson Commercial |
$11.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.36
|
|
|
MORPHINE 4 MG/ML INJECTION SYRINGE
|
Facility
|
OP
|
$25.81
|
|
|
Service Code
|
HCPCS J2272
|
| Hospital Charge Code |
5172
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.55 |
| Max. Negotiated Rate |
$23.23 |
| Rate for Payer: Aetna American Axle |
$16.78
|
| Rate for Payer: Aetna Commercial |
$21.94
|
| Rate for Payer: Aetna Medicare |
$12.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.78
|
| Rate for Payer: BCBS Complete |
$10.32
|
| Rate for Payer: BCBS Trust/PPO |
$13.66
|
| Rate for Payer: BCN Commercial |
$13.66
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cash Price |
$20.65
|
| Rate for Payer: Cofinity Commercial |
$18.07
|
| Rate for Payer: Cofinity Commercial |
$22.20
|
| Rate for Payer: Cofinity Medicare Advantage |
$18.07
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.65
|
| Rate for Payer: Healthscope Commercial |
$23.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.94
|
| Rate for Payer: PHP Commercial |
$21.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$16.78
|
| Rate for Payer: Priority Health SBD |
$16.26
|
| Rate for Payer: UMR Bronson Commercial |
$9.55
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.36
|
|
|
MORPHINE 50 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$70.14
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
109061
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.05 |
| Max. Negotiated Rate |
$63.13 |
| Rate for Payer: Aetna American Axle |
$45.59
|
| Rate for Payer: Aetna American Axle |
$37.66
|
| Rate for Payer: Aetna American Axle |
$79.98
|
| Rate for Payer: Aetna Commercial |
$59.62
|
| Rate for Payer: Aetna Commercial |
$104.59
|
| Rate for Payer: Aetna Commercial |
$49.25
|
| Rate for Payer: Aetna Medicare |
$28.97
|
| Rate for Payer: Aetna Medicare |
$61.52
|
| Rate for Payer: Aetna Medicare |
$35.07
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.66
|
| Rate for Payer: BCBS Complete |
$23.18
|
| Rate for Payer: BCBS Complete |
$28.06
|
| Rate for Payer: BCBS Complete |
$49.22
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCBS Trust/PPO |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: BCN Commercial |
$13.05
|
| Rate for Payer: Cash Price |
$46.35
|
| Rate for Payer: Cash Price |
$56.11
|
| Rate for Payer: Cash Price |
$98.44
|
| Rate for Payer: Cash Price |
$46.35
|
| Rate for Payer: Cash Price |
$98.44
|
| Rate for Payer: Cash Price |
$56.11
|
| Rate for Payer: Cofinity Commercial |
$49.83
|
| Rate for Payer: Cofinity Commercial |
$105.82
|
| Rate for Payer: Cofinity Commercial |
$86.14
|
| Rate for Payer: Cofinity Commercial |
$40.56
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Cofinity Commercial |
$60.32
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.10
|
| Rate for Payer: Cofinity Medicare Advantage |
$86.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.11
|
| Rate for Payer: Healthscope Commercial |
$63.13
|
| Rate for Payer: Healthscope Commercial |
$52.15
|
| Rate for Payer: Healthscope Commercial |
$110.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.62
|
| Rate for Payer: PHP Commercial |
$59.62
|
| Rate for Payer: PHP Commercial |
$104.59
|
| Rate for Payer: PHP Commercial |
$49.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.59
|
| Rate for Payer: Priority Health SBD |
$36.50
|
| Rate for Payer: Priority Health SBD |
$44.19
|
| Rate for Payer: Priority Health SBD |
$77.52
|
| Rate for Payer: UMR Bronson Commercial |
$25.95
|
| Rate for Payer: UMR Bronson Commercial |
$45.53
|
| Rate for Payer: UMR Bronson Commercial |
$21.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.46
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.60
|
|
|
MORPHINE 50 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$123.05
|
|
|
Service Code
|
HCPCS J2270
|
| Hospital Charge Code |
109061
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$54.14 |
| Max. Negotiated Rate |
$110.74 |
| Rate for Payer: Aetna American Axle |
$79.98
|
| Rate for Payer: Aetna American Axle |
$37.66
|
| Rate for Payer: Aetna American Axle |
$45.59
|
| Rate for Payer: Aetna Commercial |
$49.25
|
| Rate for Payer: Aetna Commercial |
$104.59
|
| Rate for Payer: Aetna Commercial |
$59.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$79.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$45.59
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$37.66
|
| Rate for Payer: Cash Price |
$56.11
|
| Rate for Payer: Cash Price |
$46.35
|
| Rate for Payer: Cash Price |
$98.44
|
| Rate for Payer: Cofinity Commercial |
$86.14
|
| Rate for Payer: Cofinity Commercial |
$49.83
|
| Rate for Payer: Cofinity Commercial |
$40.56
|
| Rate for Payer: Cofinity Commercial |
$60.32
|
| Rate for Payer: Cofinity Commercial |
$49.10
|
| Rate for Payer: Cofinity Commercial |
$105.82
|
| Rate for Payer: Cofinity Medicare Advantage |
$40.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$86.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$49.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$98.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.35
|
| Rate for Payer: Healthscope Commercial |
$52.15
|
| Rate for Payer: Healthscope Commercial |
$110.74
|
| Rate for Payer: Healthscope Commercial |
$63.13
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$40.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$43.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$92.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$52.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$104.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$59.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.25
|
| Rate for Payer: PHP Commercial |
$59.62
|
| Rate for Payer: PHP Commercial |
$49.25
|
| Rate for Payer: PHP Commercial |
$104.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$37.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$45.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$79.98
|
| Rate for Payer: Priority Health SBD |
$44.19
|
| Rate for Payer: Priority Health SBD |
$36.50
|
| Rate for Payer: Priority Health SBD |
$77.52
|
| Rate for Payer: UMR Bronson Commercial |
$54.14
|
| Rate for Payer: UMR Bronson Commercial |
$30.86
|
| Rate for Payer: UMR Bronson Commercial |
$25.49
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$52.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$92.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$43.46
|
|
|
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 Commercial |
$1.60
|
| Rate for Payer: Cofinity Commercial |
$1.96
|
| Rate for Payer: Cofinity Medicare Advantage |
$1.60
|
| 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: PHP Commercial |
$1.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.48
|
| 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
|
|
