|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$14.30
|
|
|
Service Code
|
NDC 09900000346
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.29 |
| Max. Negotiated Rate |
$12.87 |
| Rate for Payer: Aetna American Axle |
$9.29
|
| Rate for Payer: Aetna Commercial |
$12.15
|
| Rate for Payer: Aetna Medicare |
$7.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.29
|
| Rate for Payer: BCBS Complete |
$5.72
|
| Rate for Payer: Cash Price |
$11.44
|
| Rate for Payer: Cofinity Advantage |
$10.01
|
| Rate for Payer: Cofinity Commercial |
$12.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$12.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.72
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.72
|
| Rate for Payer: PHP Commercial |
$12.15
|
| Rate for Payer: Priority Health SBD |
$9.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$9.29
|
| Rate for Payer: UHC Core |
$7.45
|
| Rate for Payer: UHC Exchange |
$5.62
|
| Rate for Payer: UMR Bronson Commercial |
$5.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.72
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$151.53
|
|
|
Service Code
|
NDC 51672409103
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$56.07 |
| Max. Negotiated Rate |
$136.38 |
| Rate for Payer: Aetna American Axle |
$98.49
|
| Rate for Payer: Aetna Commercial |
$128.80
|
| Rate for Payer: Aetna Medicare |
$75.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$98.49
|
| Rate for Payer: BCBS Complete |
$60.61
|
| Rate for Payer: Cash Price |
$121.22
|
| Rate for Payer: Cofinity Advantage |
$106.07
|
| Rate for Payer: Cofinity Commercial |
$130.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$121.22
|
| Rate for Payer: Healthscope Commercial |
$136.38
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$106.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$113.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$121.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$128.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$113.65
|
| Rate for Payer: PHP Commercial |
$128.80
|
| Rate for Payer: Priority Health SBD |
$95.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$98.49
|
| Rate for Payer: UHC Core |
$78.95
|
| Rate for Payer: UHC Exchange |
$59.55
|
| Rate for Payer: UMR Bronson Commercial |
$56.07
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$113.65
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$374.64
|
|
|
Service Code
|
NDC 00054006447
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$138.62 |
| Max. Negotiated Rate |
$337.18 |
| Rate for Payer: Aetna American Axle |
$243.52
|
| Rate for Payer: Aetna Commercial |
$318.44
|
| Rate for Payer: Aetna Medicare |
$187.32
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.52
|
| Rate for Payer: BCBS Complete |
$149.86
|
| Rate for Payer: Cash Price |
$299.71
|
| Rate for Payer: Cofinity Advantage |
$262.25
|
| Rate for Payer: Cofinity Commercial |
$322.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.71
|
| Rate for Payer: Healthscope Commercial |
$337.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.98
|
| Rate for Payer: MI Amish Medical Board Commercial |
$299.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$280.98
|
| Rate for Payer: PHP Commercial |
$318.44
|
| Rate for Payer: Priority Health SBD |
$236.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.52
|
| Rate for Payer: UHC Core |
$195.19
|
| Rate for Payer: UHC Exchange |
$147.23
|
| Rate for Payer: UMR Bronson Commercial |
$138.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.98
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$14.30
|
|
|
Service Code
|
NDC 09900000346
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$6.29 |
| Max. Negotiated Rate |
$12.87 |
| Rate for Payer: Aetna American Axle |
$9.29
|
| Rate for Payer: Aetna Commercial |
$12.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.29
|
| Rate for Payer: Cash Price |
$11.44
|
| Rate for Payer: Cofinity Advantage |
$10.01
|
| Rate for Payer: Cofinity Commercial |
$12.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$12.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.01
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$10.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.72
|
| Rate for Payer: PHP Commercial |
$12.15
|
| Rate for Payer: Priority Health SBD |
$9.01
|
| Rate for Payer: UMR Bronson Commercial |
$6.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$10.72
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$220.88
|
|
|
Service Code
|
NDC 54838055550
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$97.19 |
| Max. Negotiated Rate |
$198.79 |
| Rate for Payer: Aetna American Axle |
$143.57
|
| Rate for Payer: Aetna Commercial |
$187.75
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$143.57
|
| Rate for Payer: Cash Price |
$176.70
|
| Rate for Payer: Cofinity Advantage |
$154.62
|
| Rate for Payer: Cofinity Commercial |
$189.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.70
|
| Rate for Payer: Healthscope Commercial |
$198.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$154.62
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$165.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.66
|
| Rate for Payer: PHP Commercial |
$187.75
|
| Rate for Payer: Priority Health SBD |
$139.15
|
| Rate for Payer: UMR Bronson Commercial |
$97.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$165.66
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
IP
|
$119.99
|
|
|
Service Code
|
NDC 45963053830
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.80 |
| Max. Negotiated Rate |
$107.99 |
| Rate for Payer: Aetna American Axle |
$77.99
|
| Rate for Payer: Aetna Commercial |
$101.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.99
|
| Rate for Payer: Cash Price |
$95.99
|
| Rate for Payer: Cofinity Advantage |
$83.99
|
| Rate for Payer: Cofinity Commercial |
$103.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.99
|
| Rate for Payer: Healthscope Commercial |
$107.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.99
|
| Rate for Payer: PHP Commercial |
$101.99
|
| Rate for Payer: Priority Health SBD |
$75.59
|
| Rate for Payer: UMR Bronson Commercial |
$52.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.99
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
OP
|
$166.73
|
|
|
Service Code
|
NDC 50268062115
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$61.69 |
| Max. Negotiated Rate |
$150.06 |
| Rate for Payer: Aetna American Axle |
$108.37
|
| Rate for Payer: Aetna Commercial |
$141.72
|
| Rate for Payer: Aetna Medicare |
$83.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$108.37
|
| Rate for Payer: BCBS Complete |
$66.69
|
| Rate for Payer: Cash Price |
$133.38
|
| Rate for Payer: Cofinity Advantage |
$116.71
|
| Rate for Payer: Cofinity Commercial |
$143.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$133.38
|
| Rate for Payer: Healthscope Commercial |
$150.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$116.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$125.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$133.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$141.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$125.05
|
| Rate for Payer: PHP Commercial |
$141.72
|
| Rate for Payer: Priority Health SBD |
$105.04
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$108.37
|
| Rate for Payer: UHC Core |
$86.87
|
| Rate for Payer: UHC Exchange |
$65.52
|
| Rate for Payer: UMR Bronson Commercial |
$61.69
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$125.05
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
IP
|
$281.20
|
|
|
Service Code
|
NDC 00904655161
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$123.73 |
| Max. Negotiated Rate |
$253.08 |
| Rate for Payer: Aetna American Axle |
$182.78
|
| Rate for Payer: Aetna Commercial |
$239.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.78
|
| Rate for Payer: Cash Price |
$224.96
|
| Rate for Payer: Cofinity Advantage |
$196.84
|
| Rate for Payer: Cofinity Commercial |
$241.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.96
|
| Rate for Payer: Healthscope Commercial |
$253.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$196.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.90
|
| Rate for Payer: PHP Commercial |
$239.02
|
| Rate for Payer: Priority Health SBD |
$177.16
|
| Rate for Payer: UMR Bronson Commercial |
$123.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.90
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
OP
|
$71.21
|
|
|
Service Code
|
NDC 65862018730
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.35 |
| Max. Negotiated Rate |
$64.09 |
| Rate for Payer: Aetna American Axle |
$46.29
|
| Rate for Payer: Aetna Commercial |
$60.53
|
| Rate for Payer: Aetna Medicare |
$35.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.29
|
| Rate for Payer: BCBS Complete |
$28.48
|
| Rate for Payer: Cash Price |
$56.97
|
| Rate for Payer: Cofinity Advantage |
$49.85
|
| Rate for Payer: Cofinity Commercial |
$61.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.97
|
| Rate for Payer: Healthscope Commercial |
$64.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$56.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.41
|
| Rate for Payer: PHP Commercial |
$60.53
|
| Rate for Payer: Priority Health SBD |
$44.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$46.29
|
| Rate for Payer: UHC Core |
$37.10
|
| Rate for Payer: UHC Exchange |
$27.99
|
| Rate for Payer: UMR Bronson Commercial |
$26.35
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.41
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
OP
|
$119.99
|
|
|
Service Code
|
NDC 45963053830
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$44.40 |
| Max. Negotiated Rate |
$107.99 |
| Rate for Payer: Aetna American Axle |
$77.99
|
| Rate for Payer: Aetna Commercial |
$101.99
|
| Rate for Payer: Aetna Medicare |
$59.99
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$77.99
|
| Rate for Payer: BCBS Complete |
$48.00
|
| Rate for Payer: Cash Price |
$95.99
|
| Rate for Payer: Cofinity Advantage |
$83.99
|
| Rate for Payer: Cofinity Commercial |
$103.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$95.99
|
| Rate for Payer: Healthscope Commercial |
$107.99
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$83.99
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$89.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$95.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$101.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$89.99
|
| Rate for Payer: PHP Commercial |
$101.99
|
| Rate for Payer: Priority Health SBD |
$75.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$77.99
|
| Rate for Payer: UHC Core |
$62.51
|
| Rate for Payer: UHC Exchange |
$47.16
|
| Rate for Payer: UMR Bronson Commercial |
$44.40
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$89.99
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
OP
|
$3.34
|
|
|
Service Code
|
NDC 50268062111
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.24 |
| Max. Negotiated Rate |
$3.01 |
| Rate for Payer: Aetna American Axle |
$2.17
|
| Rate for Payer: Aetna Commercial |
$2.84
|
| Rate for Payer: Aetna Medicare |
$1.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$2.17
|
| Rate for Payer: BCBS Complete |
$1.34
|
| Rate for Payer: Cash Price |
$2.67
|
| Rate for Payer: Cofinity Advantage |
$2.34
|
| Rate for Payer: Cofinity Commercial |
$2.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.67
|
| Rate for Payer: Healthscope Commercial |
$3.01
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$2.34
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$2.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2.50
|
| Rate for Payer: PHP Commercial |
$2.84
|
| Rate for Payer: Priority Health SBD |
$2.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$2.17
|
| Rate for Payer: UHC Core |
$1.74
|
| Rate for Payer: UHC Exchange |
$1.31
|
| Rate for Payer: UMR Bronson Commercial |
$1.24
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$2.50
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
IP
|
$71.21
|
|
|
Service Code
|
NDC 65862018730
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$31.33 |
| Max. Negotiated Rate |
$64.09 |
| Rate for Payer: Aetna American Axle |
$46.29
|
| Rate for Payer: Aetna Commercial |
$60.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$46.29
|
| Rate for Payer: Cash Price |
$56.97
|
| Rate for Payer: Cofinity Advantage |
$49.85
|
| Rate for Payer: Cofinity Commercial |
$61.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$56.97
|
| Rate for Payer: Healthscope Commercial |
$64.09
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$49.85
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$53.41
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$60.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$53.41
|
| Rate for Payer: PHP Commercial |
$60.53
|
| Rate for Payer: Priority Health SBD |
$44.86
|
| Rate for Payer: UMR Bronson Commercial |
$31.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$53.41
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
IP
|
$82.08
|
|
|
Service Code
|
NDC 62756013001
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$36.12 |
| Max. Negotiated Rate |
$73.87 |
| Rate for Payer: Aetna American Axle |
$53.35
|
| Rate for Payer: Aetna Commercial |
$69.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.35
|
| Rate for Payer: Cash Price |
$65.66
|
| Rate for Payer: Cofinity Advantage |
$57.46
|
| Rate for Payer: Cofinity Commercial |
$70.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.66
|
| Rate for Payer: Healthscope Commercial |
$73.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.56
|
| Rate for Payer: PHP Commercial |
$69.77
|
| Rate for Payer: Priority Health SBD |
$51.71
|
| Rate for Payer: UMR Bronson Commercial |
$36.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.56
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
OP
|
$82.08
|
|
|
Service Code
|
NDC 62756013001
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$30.37 |
| Max. Negotiated Rate |
$73.87 |
| Rate for Payer: Aetna American Axle |
$53.35
|
| Rate for Payer: Aetna Commercial |
$69.77
|
| Rate for Payer: Aetna Medicare |
$41.04
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$53.35
|
| Rate for Payer: BCBS Complete |
$32.83
|
| Rate for Payer: Cash Price |
$65.66
|
| Rate for Payer: Cofinity Advantage |
$57.46
|
| Rate for Payer: Cofinity Commercial |
$70.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.66
|
| Rate for Payer: Healthscope Commercial |
$73.87
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$57.46
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$61.56
|
| Rate for Payer: MI Amish Medical Board Commercial |
$65.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$61.56
|
| Rate for Payer: PHP Commercial |
$69.77
|
| Rate for Payer: Priority Health SBD |
$51.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$53.35
|
| Rate for Payer: UHC Core |
$42.76
|
| Rate for Payer: UHC Exchange |
$32.26
|
| Rate for Payer: UMR Bronson Commercial |
$30.37
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$61.56
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
OP
|
$281.20
|
|
|
Service Code
|
NDC 00904655161
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$104.04 |
| Max. Negotiated Rate |
$253.08 |
| Rate for Payer: Aetna American Axle |
$182.78
|
| Rate for Payer: Aetna Commercial |
$239.02
|
| Rate for Payer: Aetna Medicare |
$140.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.78
|
| Rate for Payer: BCBS Complete |
$112.48
|
| Rate for Payer: Cash Price |
$224.96
|
| Rate for Payer: Cofinity Advantage |
$196.84
|
| Rate for Payer: Cofinity Commercial |
$241.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.96
|
| Rate for Payer: Healthscope Commercial |
$253.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$196.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$224.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.90
|
| Rate for Payer: PHP Commercial |
$239.02
|
| Rate for Payer: Priority Health SBD |
$177.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.78
|
| Rate for Payer: UHC Core |
$146.51
|
| Rate for Payer: UHC Exchange |
$110.51
|
| Rate for Payer: UMR Bronson Commercial |
$104.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.90
|
|
|
ONDANSETRON HCL 4 MG TABLET
|
Facility
|
OP
|
$281.20
|
|
|
Service Code
|
NDC 904655161
|
| Hospital Charge Code |
10778
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$104.04 |
| Max. Negotiated Rate |
$253.08 |
| Rate for Payer: Aetna American Axle |
$182.78
|
| Rate for Payer: Aetna Commercial |
$239.02
|
| Rate for Payer: Aetna Medicare |
$140.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$182.78
|
| Rate for Payer: BCBS Complete |
$112.48
|
| Rate for Payer: Cash Price |
$224.96
|
| Rate for Payer: Cofinity Advantage |
$196.84
|
| Rate for Payer: Cofinity Commercial |
$241.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$224.96
|
| Rate for Payer: Healthscope Commercial |
$253.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$196.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$210.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$224.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$239.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$210.90
|
| Rate for Payer: PHP Commercial |
$239.02
|
| Rate for Payer: Priority Health SBD |
$177.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$182.78
|
| Rate for Payer: UHC Core |
$146.51
|
| Rate for Payer: UHC Exchange |
$110.51
|
| Rate for Payer: UMR Bronson Commercial |
$104.04
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$210.90
|
|
|
ONDANSETRON HCL 8 MG TABLET
|
Facility
|
IP
|
$141.36
|
|
|
Service Code
|
NDC 45963053930
|
| Hospital Charge Code |
10779
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$62.20 |
| Max. Negotiated Rate |
$127.22 |
| Rate for Payer: Aetna American Axle |
$91.88
|
| Rate for Payer: Aetna Commercial |
$120.16
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.88
|
| Rate for Payer: Cash Price |
$113.09
|
| Rate for Payer: Cofinity Advantage |
$98.95
|
| Rate for Payer: Cofinity Commercial |
$121.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.09
|
| Rate for Payer: Healthscope Commercial |
$127.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.02
|
| Rate for Payer: PHP Commercial |
$120.16
|
| Rate for Payer: Priority Health SBD |
$89.06
|
| Rate for Payer: UMR Bronson Commercial |
$62.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.02
|
|
|
ONDANSETRON HCL 8 MG TABLET
|
Facility
|
IP
|
$141.65
|
|
|
Service Code
|
NDC 63304045930
|
| Hospital Charge Code |
10779
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$62.33 |
| Max. Negotiated Rate |
$127.48 |
| Rate for Payer: Aetna American Axle |
$92.07
|
| Rate for Payer: Aetna Commercial |
$120.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.07
|
| Rate for Payer: Cash Price |
$113.32
|
| Rate for Payer: Cofinity Advantage |
$99.16
|
| Rate for Payer: Cofinity Commercial |
$121.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.32
|
| Rate for Payer: Healthscope Commercial |
$127.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.24
|
| Rate for Payer: PHP Commercial |
$120.40
|
| Rate for Payer: Priority Health SBD |
$89.24
|
| Rate for Payer: UMR Bronson Commercial |
$62.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.24
|
|
|
ONDANSETRON HCL 8 MG TABLET
|
Facility
|
OP
|
$141.36
|
|
|
Service Code
|
NDC 45963053930
|
| Hospital Charge Code |
10779
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.30 |
| Max. Negotiated Rate |
$127.22 |
| Rate for Payer: Aetna American Axle |
$91.88
|
| Rate for Payer: Aetna Commercial |
$120.16
|
| Rate for Payer: Aetna Medicare |
$70.68
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$91.88
|
| Rate for Payer: BCBS Complete |
$56.54
|
| Rate for Payer: Cash Price |
$113.09
|
| Rate for Payer: Cofinity Advantage |
$98.95
|
| Rate for Payer: Cofinity Commercial |
$121.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.09
|
| Rate for Payer: Healthscope Commercial |
$127.22
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$98.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.02
|
| Rate for Payer: PHP Commercial |
$120.16
|
| Rate for Payer: Priority Health SBD |
$89.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$91.88
|
| Rate for Payer: UHC Core |
$73.65
|
| Rate for Payer: UHC Exchange |
$55.55
|
| Rate for Payer: UMR Bronson Commercial |
$52.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.02
|
|
|
ONDANSETRON HCL 8 MG TABLET
|
Facility
|
OP
|
$141.65
|
|
|
Service Code
|
NDC 63304045930
|
| Hospital Charge Code |
10779
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$52.41 |
| Max. Negotiated Rate |
$127.48 |
| Rate for Payer: Aetna American Axle |
$92.07
|
| Rate for Payer: Aetna Commercial |
$120.40
|
| Rate for Payer: Aetna Medicare |
$70.83
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$92.07
|
| Rate for Payer: BCBS Complete |
$56.66
|
| Rate for Payer: Cash Price |
$113.32
|
| Rate for Payer: Cofinity Advantage |
$99.16
|
| Rate for Payer: Cofinity Commercial |
$121.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.32
|
| Rate for Payer: Healthscope Commercial |
$127.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$99.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$106.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.24
|
| Rate for Payer: PHP Commercial |
$120.40
|
| Rate for Payer: Priority Health SBD |
$89.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$92.07
|
| Rate for Payer: UHC Core |
$73.80
|
| Rate for Payer: UHC Exchange |
$55.67
|
| Rate for Payer: UMR Bronson Commercial |
$52.41
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$106.24
|
|
|
ONDANSETRON HCL 8 MG TABLET
|
Facility
|
IP
|
$109.28
|
|
|
Service Code
|
NDC 65862018830
|
| Hospital Charge Code |
10779
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$48.08 |
| Max. Negotiated Rate |
$98.35 |
| Rate for Payer: Aetna American Axle |
$71.03
|
| Rate for Payer: Aetna Commercial |
$92.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.03
|
| Rate for Payer: Cash Price |
$87.42
|
| Rate for Payer: Cofinity Advantage |
$76.50
|
| Rate for Payer: Cofinity Commercial |
$93.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.42
|
| Rate for Payer: Healthscope Commercial |
$98.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.96
|
| Rate for Payer: PHP Commercial |
$92.89
|
| Rate for Payer: Priority Health SBD |
$68.85
|
| Rate for Payer: UMR Bronson Commercial |
$48.08
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.96
|
|
|
ONDANSETRON HCL 8 MG TABLET
|
Facility
|
OP
|
$109.28
|
|
|
Service Code
|
NDC 65862018830
|
| Hospital Charge Code |
10779
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$40.43 |
| Max. Negotiated Rate |
$98.35 |
| Rate for Payer: Aetna American Axle |
$71.03
|
| Rate for Payer: Aetna Commercial |
$92.89
|
| Rate for Payer: Aetna Medicare |
$54.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$71.03
|
| Rate for Payer: BCBS Complete |
$43.71
|
| Rate for Payer: Cash Price |
$87.42
|
| Rate for Payer: Cofinity Advantage |
$76.50
|
| Rate for Payer: Cofinity Commercial |
$93.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$87.42
|
| Rate for Payer: Healthscope Commercial |
$98.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$76.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$81.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$87.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$92.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.96
|
| Rate for Payer: PHP Commercial |
$92.89
|
| Rate for Payer: Priority Health SBD |
$68.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$71.03
|
| Rate for Payer: UHC Core |
$56.93
|
| Rate for Payer: UHC Exchange |
$42.95
|
| Rate for Payer: UMR Bronson Commercial |
$40.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$81.96
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION (CODE)
|
Facility
|
IP
|
$10.24
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
163708
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$4.51 |
| Max. Negotiated Rate |
$9.22 |
| Rate for Payer: Aetna American Axle |
$6.66
|
| Rate for Payer: Aetna American Axle |
$6.21
|
| Rate for Payer: Aetna Commercial |
$8.70
|
| Rate for Payer: Aetna Commercial |
$8.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.21
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cofinity Advantage |
$6.68
|
| Rate for Payer: Cofinity Advantage |
$7.17
|
| Rate for Payer: Cofinity Commercial |
$8.21
|
| Rate for Payer: Cofinity Commercial |
$8.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Healthscope Commercial |
$9.22
|
| Rate for Payer: Healthscope Commercial |
$8.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: PHP Commercial |
$8.70
|
| Rate for Payer: PHP Commercial |
$8.12
|
| Rate for Payer: Priority Health SBD |
$6.02
|
| Rate for Payer: Priority Health SBD |
$6.45
|
| Rate for Payer: UMR Bronson Commercial |
$4.51
|
| Rate for Payer: UMR Bronson Commercial |
$4.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.16
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION (CODE)
|
Facility
|
OP
|
$10.24
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
163708
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$9.22 |
| Rate for Payer: Aetna American Axle |
$6.66
|
| Rate for Payer: Aetna American Axle |
$6.21
|
| Rate for Payer: Aetna Commercial |
$8.70
|
| Rate for Payer: Aetna Commercial |
$8.12
|
| Rate for Payer: Aetna Medicare |
$5.12
|
| Rate for Payer: Aetna Medicare |
$4.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.21
|
| Rate for Payer: BCBS Complete |
$3.82
|
| Rate for Payer: BCBS Complete |
$4.10
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cofinity Advantage |
$7.17
|
| Rate for Payer: Cofinity Advantage |
$6.68
|
| Rate for Payer: Cofinity Commercial |
$8.81
|
| Rate for Payer: Cofinity Commercial |
$8.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Healthscope Commercial |
$9.22
|
| Rate for Payer: Healthscope Commercial |
$8.60
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.68
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: PHP Commercial |
$8.70
|
| Rate for Payer: PHP Commercial |
$8.12
|
| Rate for Payer: Priority Health SBD |
$6.45
|
| Rate for Payer: Priority Health SBD |
$6.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UMR Bronson Commercial |
$3.79
|
| Rate for Payer: UMR Bronson Commercial |
$3.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.16
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
|
Facility
|
OP
|
$10.80
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
105614
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.15 |
| Max. Negotiated Rate |
$9.72 |
| Rate for Payer: Aetna American Axle |
$7.02
|
| Rate for Payer: Aetna American Axle |
$7.57
|
| Rate for Payer: Aetna American Axle |
$10.03
|
| Rate for Payer: Aetna American Axle |
$8.45
|
| Rate for Payer: Aetna American Axle |
$7.01
|
| Rate for Payer: Aetna American Axle |
$6.66
|
| Rate for Payer: Aetna American Axle |
$6.21
|
| Rate for Payer: Aetna American Axle |
$5.53
|
| Rate for Payer: Aetna American Axle |
$3.64
|
| Rate for Payer: Aetna Commercial |
$11.05
|
| Rate for Payer: Aetna Commercial |
$9.17
|
| Rate for Payer: Aetna Commercial |
$9.18
|
| Rate for Payer: Aetna Commercial |
$8.70
|
| Rate for Payer: Aetna Commercial |
$9.90
|
| Rate for Payer: Aetna Commercial |
$13.12
|
| Rate for Payer: Aetna Commercial |
$4.76
|
| Rate for Payer: Aetna Commercial |
$7.22
|
| Rate for Payer: Aetna Commercial |
$8.12
|
| Rate for Payer: Aetna Medicare |
$5.40
|
| Rate for Payer: Aetna Medicare |
$5.39
|
| Rate for Payer: Aetna Medicare |
$2.80
|
| Rate for Payer: Aetna Medicare |
$5.12
|
| Rate for Payer: Aetna Medicare |
$4.78
|
| Rate for Payer: Aetna Medicare |
$6.50
|
| Rate for Payer: Aetna Medicare |
$5.83
|
| Rate for Payer: Aetna Medicare |
$4.25
|
| Rate for Payer: Aetna Medicare |
$7.71
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.66
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.02
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$6.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$5.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$3.64
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.03
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$8.45
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$7.57
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS Complete |
$6.17
|
| Rate for Payer: BCBS Complete |
$4.66
|
| Rate for Payer: BCBS Complete |
$2.24
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS Complete |
$3.82
|
| Rate for Payer: BCBS Complete |
$3.40
|
| Rate for Payer: BCBS Complete |
$4.10
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCBS Trust/PPO |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: BCN Commercial |
$0.29
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$4.48
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$4.48
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$6.80
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$6.80
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cofinity Advantage |
$7.55
|
| Rate for Payer: Cofinity Advantage |
$7.56
|
| Rate for Payer: Cofinity Advantage |
$7.17
|
| Rate for Payer: Cofinity Advantage |
$8.15
|
| Rate for Payer: Cofinity Advantage |
$9.10
|
| Rate for Payer: Cofinity Advantage |
$10.80
|
| Rate for Payer: Cofinity Advantage |
$3.92
|
| Rate for Payer: Cofinity Advantage |
$5.95
|
| Rate for Payer: Cofinity Advantage |
$6.68
|
| Rate for Payer: Cofinity Commercial |
$9.28
|
| Rate for Payer: Cofinity Commercial |
$7.31
|
| Rate for Payer: Cofinity Commercial |
$4.82
|
| Rate for Payer: Cofinity Commercial |
$8.81
|
| Rate for Payer: Cofinity Commercial |
$11.18
|
| Rate for Payer: Cofinity Commercial |
$9.29
|
| Rate for Payer: Cofinity Commercial |
$8.21
|
| Rate for Payer: Cofinity Commercial |
$10.02
|
| Rate for Payer: Cofinity Commercial |
$13.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.64
|
| Rate for Payer: Healthscope Commercial |
$9.72
|
| Rate for Payer: Healthscope Commercial |
$9.71
|
| Rate for Payer: Healthscope Commercial |
$9.22
|
| Rate for Payer: Healthscope Commercial |
$8.60
|
| Rate for Payer: Healthscope Commercial |
$10.48
|
| Rate for Payer: Healthscope Commercial |
$7.65
|
| Rate for Payer: Healthscope Commercial |
$5.04
|
| Rate for Payer: Healthscope Commercial |
$13.89
|
| Rate for Payer: Healthscope Commercial |
$11.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$3.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$9.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.56
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$5.95
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$6.68
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.17
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$8.15
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$7.55
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.09
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$4.20
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.10
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$9.75
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$8.74
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$6.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.57
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$7.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.38
|
| Rate for Payer: PHP Commercial |
$9.18
|
| Rate for Payer: PHP Commercial |
$9.90
|
| Rate for Payer: PHP Commercial |
$11.05
|
| Rate for Payer: PHP Commercial |
$8.12
|
| Rate for Payer: PHP Commercial |
$13.12
|
| Rate for Payer: PHP Commercial |
$8.70
|
| Rate for Payer: PHP Commercial |
$9.17
|
| Rate for Payer: PHP Commercial |
$4.76
|
| Rate for Payer: PHP Commercial |
$7.22
|
| Rate for Payer: Priority Health SBD |
$8.19
|
| Rate for Payer: Priority Health SBD |
$3.53
|
| Rate for Payer: Priority Health SBD |
$6.80
|
| Rate for Payer: Priority Health SBD |
$6.80
|
| Rate for Payer: Priority Health SBD |
$9.72
|
| Rate for Payer: Priority Health SBD |
$6.02
|
| Rate for Payer: Priority Health SBD |
$6.45
|
| Rate for Payer: Priority Health SBD |
$7.34
|
| Rate for Payer: Priority Health SBD |
$5.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Core |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UHC Exchange |
$0.15
|
| Rate for Payer: UMR Bronson Commercial |
$5.71
|
| Rate for Payer: UMR Bronson Commercial |
$4.00
|
| Rate for Payer: UMR Bronson Commercial |
$4.81
|
| Rate for Payer: UMR Bronson Commercial |
$2.07
|
| Rate for Payer: UMR Bronson Commercial |
$3.15
|
| Rate for Payer: UMR Bronson Commercial |
$3.53
|
| Rate for Payer: UMR Bronson Commercial |
$3.79
|
| Rate for Payer: UMR Bronson Commercial |
$3.99
|
| Rate for Payer: UMR Bronson Commercial |
$4.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$6.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.68
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$9.75
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$7.16
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$4.20
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.57
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.74
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$8.09
|
|
