|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$357.44
|
|
|
Service Code
|
NDC 16729002115
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$157.27 |
| Max. Negotiated Rate |
$321.70 |
| Rate for Payer: Aetna American Axle |
$232.34
|
| Rate for Payer: Aetna Commercial |
$303.82
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.34
|
| Rate for Payer: Cash Price |
$285.95
|
| Rate for Payer: Cofinity Advantage |
$250.21
|
| Rate for Payer: Cofinity Commercial |
$307.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.95
|
| Rate for Payer: Healthscope Commercial |
$321.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$250.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$268.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$268.08
|
| Rate for Payer: PHP Commercial |
$303.82
|
| Rate for Payer: Priority Health SBD |
$225.19
|
| Rate for Payer: UMR Bronson Commercial |
$157.27
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$268.08
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$361.67
|
|
|
Service Code
|
NDC 33342005510
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$159.13 |
| Max. Negotiated Rate |
$325.50 |
| Rate for Payer: Aetna American Axle |
$235.09
|
| Rate for Payer: Aetna Commercial |
$307.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$235.09
|
| Rate for Payer: Cash Price |
$289.34
|
| Rate for Payer: Cofinity Advantage |
$253.17
|
| Rate for Payer: Cofinity Commercial |
$311.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.34
|
| Rate for Payer: Healthscope Commercial |
$325.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$253.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$307.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$271.25
|
| Rate for Payer: PHP Commercial |
$307.42
|
| Rate for Payer: Priority Health SBD |
$227.85
|
| Rate for Payer: UMR Bronson Commercial |
$159.13
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.25
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$342.00
|
|
|
Service Code
|
NDC 00093727298
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$150.48 |
| Max. Negotiated Rate |
$307.80 |
| Rate for Payer: Aetna American Axle |
$222.30
|
| Rate for Payer: Aetna Commercial |
$290.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.30
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cofinity Advantage |
$239.40
|
| Rate for Payer: Cofinity Commercial |
$294.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$273.60
|
| Rate for Payer: Healthscope Commercial |
$307.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$239.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$256.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$256.50
|
| Rate for Payer: PHP Commercial |
$290.70
|
| Rate for Payer: Priority Health SBD |
$215.46
|
| Rate for Payer: UMR Bronson Commercial |
$150.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$256.50
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
OP
|
$357.44
|
|
|
Service Code
|
NDC 16729002115
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$132.25 |
| Max. Negotiated Rate |
$321.70 |
| Rate for Payer: Aetna American Axle |
$232.34
|
| Rate for Payer: Aetna Commercial |
$303.82
|
| Rate for Payer: Aetna Medicare |
$178.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$232.34
|
| Rate for Payer: BCBS Complete |
$142.98
|
| Rate for Payer: Cash Price |
$285.95
|
| Rate for Payer: Cofinity Advantage |
$250.21
|
| Rate for Payer: Cofinity Commercial |
$307.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$285.95
|
| Rate for Payer: Healthscope Commercial |
$321.70
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$250.21
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$268.08
|
| Rate for Payer: MI Amish Medical Board Commercial |
$285.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$303.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$268.08
|
| Rate for Payer: PHP Commercial |
$303.82
|
| Rate for Payer: Priority Health SBD |
$225.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$232.34
|
| Rate for Payer: UHC Core |
$186.23
|
| Rate for Payer: UHC Exchange |
$140.47
|
| Rate for Payer: UMR Bronson Commercial |
$132.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$268.08
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$264.38
|
|
|
Service Code
|
NDC 57237022090
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$116.33 |
| Max. Negotiated Rate |
$237.94 |
| Rate for Payer: Aetna American Axle |
$171.85
|
| Rate for Payer: Aetna Commercial |
$224.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$171.85
|
| Rate for Payer: Cash Price |
$211.50
|
| Rate for Payer: Cofinity Advantage |
$185.07
|
| Rate for Payer: Cofinity Commercial |
$227.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$237.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$224.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.28
|
| Rate for Payer: PHP Commercial |
$224.72
|
| Rate for Payer: Priority Health SBD |
$166.56
|
| Rate for Payer: UMR Bronson Commercial |
$116.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.28
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
OP
|
$361.67
|
|
|
Service Code
|
NDC 33342005510
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$133.82 |
| Max. Negotiated Rate |
$325.50 |
| Rate for Payer: Aetna American Axle |
$235.09
|
| Rate for Payer: Aetna Commercial |
$307.42
|
| Rate for Payer: Aetna Medicare |
$180.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$235.09
|
| Rate for Payer: BCBS Complete |
$144.67
|
| Rate for Payer: Cash Price |
$289.34
|
| Rate for Payer: Cofinity Advantage |
$253.17
|
| Rate for Payer: Cofinity Commercial |
$311.04
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$289.34
|
| Rate for Payer: Healthscope Commercial |
$325.50
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$253.17
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$271.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$289.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$307.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$271.25
|
| Rate for Payer: PHP Commercial |
$307.42
|
| Rate for Payer: Priority Health SBD |
$227.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$235.09
|
| Rate for Payer: UHC Core |
$188.43
|
| Rate for Payer: UHC Exchange |
$142.14
|
| Rate for Payer: UMR Bronson Commercial |
$133.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$271.25
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
OP
|
$342.00
|
|
|
Service Code
|
NDC 00093727298
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$126.54 |
| Max. Negotiated Rate |
$307.80 |
| Rate for Payer: Aetna American Axle |
$222.30
|
| Rate for Payer: Aetna Commercial |
$290.70
|
| Rate for Payer: Aetna Medicare |
$171.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$222.30
|
| Rate for Payer: BCBS Complete |
$136.80
|
| Rate for Payer: Cash Price |
$273.60
|
| Rate for Payer: Cofinity Advantage |
$239.40
|
| Rate for Payer: Cofinity Commercial |
$294.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$273.60
|
| Rate for Payer: Healthscope Commercial |
$307.80
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$239.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$256.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$273.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$290.70
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$256.50
|
| Rate for Payer: PHP Commercial |
$290.70
|
| Rate for Payer: Priority Health SBD |
$215.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$222.30
|
| Rate for Payer: UHC Core |
$178.18
|
| Rate for Payer: UHC Exchange |
$134.41
|
| Rate for Payer: UMR Bronson Commercial |
$126.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$256.50
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
OP
|
$264.38
|
|
|
Service Code
|
NDC 57237022090
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$97.82 |
| Max. Negotiated Rate |
$237.94 |
| Rate for Payer: Aetna American Axle |
$171.85
|
| Rate for Payer: Aetna Commercial |
$224.72
|
| Rate for Payer: Aetna Medicare |
$132.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$171.85
|
| Rate for Payer: BCBS Complete |
$105.75
|
| Rate for Payer: Cash Price |
$211.50
|
| Rate for Payer: Cofinity Advantage |
$185.07
|
| Rate for Payer: Cofinity Commercial |
$227.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$237.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$211.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$224.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.28
|
| Rate for Payer: PHP Commercial |
$224.72
|
| Rate for Payer: Priority Health SBD |
$166.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.85
|
| Rate for Payer: UHC Core |
$137.74
|
| Rate for Payer: UHC Exchange |
$103.90
|
| Rate for Payer: UMR Bronson Commercial |
$97.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.28
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
IP
|
$125.49
|
|
|
Service Code
|
NDC 33342005607
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$55.22 |
| Max. Negotiated Rate |
$112.94 |
| Rate for Payer: Aetna American Axle |
$81.57
|
| Rate for Payer: Aetna Commercial |
$106.67
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.57
|
| Rate for Payer: Cash Price |
$100.39
|
| Rate for Payer: Cofinity Advantage |
$87.84
|
| Rate for Payer: Cofinity Commercial |
$107.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.39
|
| Rate for Payer: Healthscope Commercial |
$112.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$87.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.12
|
| Rate for Payer: PHP Commercial |
$106.67
|
| Rate for Payer: Priority Health SBD |
$79.06
|
| Rate for Payer: UMR Bronson Commercial |
$55.22
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.12
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
IP
|
$264.38
|
|
|
Service Code
|
NDC 57237022190
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$116.33 |
| Max. Negotiated Rate |
$237.94 |
| Rate for Payer: Aetna American Axle |
$171.85
|
| Rate for Payer: Aetna Commercial |
$224.72
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$171.85
|
| Rate for Payer: Cash Price |
$211.50
|
| Rate for Payer: Cofinity Advantage |
$185.07
|
| Rate for Payer: Cofinity Commercial |
$227.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$237.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$224.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.28
|
| Rate for Payer: PHP Commercial |
$224.72
|
| Rate for Payer: Priority Health SBD |
$166.56
|
| Rate for Payer: UMR Bronson Commercial |
$116.33
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.28
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
OP
|
$374.36
|
|
|
Service Code
|
NDC 16729002215
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$138.51 |
| Max. Negotiated Rate |
$336.92 |
| Rate for Payer: Aetna American Axle |
$243.33
|
| Rate for Payer: Aetna Commercial |
$318.21
|
| Rate for Payer: Aetna Medicare |
$187.18
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.33
|
| Rate for Payer: BCBS Complete |
$149.74
|
| Rate for Payer: Cash Price |
$299.49
|
| Rate for Payer: Cofinity Advantage |
$262.05
|
| Rate for Payer: Cofinity Commercial |
$321.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.49
|
| Rate for Payer: Healthscope Commercial |
$336.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.77
|
| Rate for Payer: MI Amish Medical Board Commercial |
$299.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$280.77
|
| Rate for Payer: PHP Commercial |
$318.21
|
| Rate for Payer: Priority Health SBD |
$235.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$243.33
|
| Rate for Payer: UHC Core |
$195.04
|
| Rate for Payer: UHC Exchange |
$147.12
|
| Rate for Payer: UMR Bronson Commercial |
$138.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.77
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
IP
|
$98.00
|
|
|
Service Code
|
NDC 57237022130
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$43.12 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna American Axle |
$63.70
|
| Rate for Payer: Aetna Commercial |
$83.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.70
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cofinity Advantage |
$68.60
|
| Rate for Payer: Cofinity Commercial |
$84.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.40
|
| Rate for Payer: Healthscope Commercial |
$88.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.50
|
| Rate for Payer: PHP Commercial |
$83.30
|
| Rate for Payer: Priority Health SBD |
$61.74
|
| Rate for Payer: UMR Bronson Commercial |
$43.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.50
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
IP
|
$374.36
|
|
|
Service Code
|
NDC 16729002215
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$164.72 |
| Max. Negotiated Rate |
$336.92 |
| Rate for Payer: Aetna American Axle |
$243.33
|
| Rate for Payer: Aetna Commercial |
$318.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$243.33
|
| Rate for Payer: Cash Price |
$299.49
|
| Rate for Payer: Cofinity Advantage |
$262.05
|
| Rate for Payer: Cofinity Commercial |
$321.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$299.49
|
| Rate for Payer: Healthscope Commercial |
$336.92
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$262.05
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$280.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$318.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$280.77
|
| Rate for Payer: PHP Commercial |
$318.21
|
| Rate for Payer: Priority Health SBD |
$235.85
|
| Rate for Payer: UMR Bronson Commercial |
$164.72
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$280.77
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
OP
|
$125.49
|
|
|
Service Code
|
NDC 33342005607
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.43 |
| Max. Negotiated Rate |
$112.94 |
| Rate for Payer: Aetna American Axle |
$81.57
|
| Rate for Payer: Aetna Commercial |
$106.67
|
| Rate for Payer: Aetna Medicare |
$62.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$81.57
|
| Rate for Payer: BCBS Complete |
$50.20
|
| Rate for Payer: Cash Price |
$100.39
|
| Rate for Payer: Cofinity Advantage |
$87.84
|
| Rate for Payer: Cofinity Commercial |
$107.92
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$100.39
|
| Rate for Payer: Healthscope Commercial |
$112.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$87.84
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$94.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$100.39
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$106.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$94.12
|
| Rate for Payer: PHP Commercial |
$106.67
|
| Rate for Payer: Priority Health SBD |
$79.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$81.57
|
| Rate for Payer: UHC Core |
$65.38
|
| Rate for Payer: UHC Exchange |
$49.32
|
| Rate for Payer: UMR Bronson Commercial |
$46.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$94.12
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
OP
|
$264.38
|
|
|
Service Code
|
NDC 57237022190
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$97.82 |
| Max. Negotiated Rate |
$237.94 |
| Rate for Payer: Aetna American Axle |
$171.85
|
| Rate for Payer: Aetna Commercial |
$224.72
|
| Rate for Payer: Aetna Medicare |
$132.19
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$171.85
|
| Rate for Payer: BCBS Complete |
$105.75
|
| Rate for Payer: Cash Price |
$211.50
|
| Rate for Payer: Cofinity Advantage |
$185.07
|
| Rate for Payer: Cofinity Commercial |
$227.37
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$237.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$185.07
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$198.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$211.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$224.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.28
|
| Rate for Payer: PHP Commercial |
$224.72
|
| Rate for Payer: Priority Health SBD |
$166.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$171.85
|
| Rate for Payer: UHC Core |
$137.74
|
| Rate for Payer: UHC Exchange |
$103.90
|
| Rate for Payer: UMR Bronson Commercial |
$97.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$198.28
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
OP
|
$98.00
|
|
|
Service Code
|
NDC 57237022130
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$36.26 |
| Max. Negotiated Rate |
$88.20 |
| Rate for Payer: Aetna American Axle |
$63.70
|
| Rate for Payer: Aetna Commercial |
$83.30
|
| Rate for Payer: Aetna Medicare |
$49.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$63.70
|
| Rate for Payer: BCBS Complete |
$39.20
|
| Rate for Payer: Cash Price |
$78.40
|
| Rate for Payer: Cofinity Advantage |
$68.60
|
| Rate for Payer: Cofinity Commercial |
$84.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.40
|
| Rate for Payer: Healthscope Commercial |
$88.20
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$68.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$73.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$78.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$73.50
|
| Rate for Payer: PHP Commercial |
$83.30
|
| Rate for Payer: Priority Health SBD |
$61.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$63.70
|
| Rate for Payer: UHC Core |
$51.06
|
| Rate for Payer: UHC Exchange |
$38.51
|
| Rate for Payer: UMR Bronson Commercial |
$36.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$73.50
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$29.14
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$26.23 |
| Rate for Payer: Aetna American Axle |
$18.94
|
| Rate for Payer: Aetna Commercial |
$24.77
|
| Rate for Payer: Aetna Medicare |
$14.57
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.94
|
| Rate for Payer: BCBS Complete |
$11.66
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cofinity Advantage |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$26.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.86
|
| Rate for Payer: PHP Commercial |
$24.77
|
| Rate for Payer: Priority Health SBD |
$18.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UMR Bronson Commercial |
$10.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.86
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$29.14
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.82 |
| Max. Negotiated Rate |
$26.23 |
| Rate for Payer: Aetna American Axle |
$18.94
|
| Rate for Payer: Aetna Commercial |
$24.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.94
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cofinity Advantage |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$26.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.86
|
| Rate for Payer: PHP Commercial |
$24.77
|
| Rate for Payer: Priority Health SBD |
$18.36
|
| Rate for Payer: UMR Bronson Commercial |
$12.82
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.86
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$17.25
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$15.53 |
| Rate for Payer: Aetna American Axle |
$11.21
|
| Rate for Payer: Aetna American Axle |
$16.88
|
| Rate for Payer: Aetna American Axle |
$18.70
|
| Rate for Payer: Aetna American Axle |
$10.15
|
| Rate for Payer: Aetna American Axle |
$18.94
|
| Rate for Payer: Aetna American Axle |
$14.42
|
| Rate for Payer: Aetna Commercial |
$24.77
|
| Rate for Payer: Aetna Commercial |
$24.45
|
| Rate for Payer: Aetna Commercial |
$18.85
|
| Rate for Payer: Aetna Commercial |
$13.28
|
| Rate for Payer: Aetna Commercial |
$22.07
|
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: Aetna Medicare |
$7.81
|
| Rate for Payer: Aetna Medicare |
$8.62
|
| Rate for Payer: Aetna Medicare |
$11.09
|
| Rate for Payer: Aetna Medicare |
$14.57
|
| Rate for Payer: Aetna Medicare |
$14.38
|
| Rate for Payer: Aetna Medicare |
$12.98
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.15
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.88
|
| Rate for Payer: BCBS Complete |
$8.87
|
| Rate for Payer: BCBS Complete |
$6.90
|
| Rate for Payer: BCBS Complete |
$6.25
|
| Rate for Payer: BCBS Complete |
$10.39
|
| Rate for Payer: BCBS Complete |
$11.51
|
| Rate for Payer: BCBS Complete |
$11.66
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$12.50
|
| Rate for Payer: Cash Price |
$12.50
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$20.78
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$20.78
|
| Rate for Payer: Cofinity Advantage |
$18.18
|
| Rate for Payer: Cofinity Advantage |
$15.53
|
| Rate for Payer: Cofinity Advantage |
$20.40
|
| Rate for Payer: Cofinity Advantage |
$10.93
|
| Rate for Payer: Cofinity Advantage |
$12.07
|
| Rate for Payer: Cofinity Advantage |
$20.14
|
| Rate for Payer: Cofinity Commercial |
$24.74
|
| Rate for Payer: Cofinity Commercial |
$13.43
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Cofinity Commercial |
$19.07
|
| Rate for Payer: Cofinity Commercial |
$22.33
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.02
|
| Rate for Payer: Healthscope Commercial |
$14.06
|
| Rate for Payer: Healthscope Commercial |
$25.89
|
| Rate for Payer: Healthscope Commercial |
$19.96
|
| Rate for Payer: Healthscope Commercial |
$23.37
|
| Rate for Payer: Healthscope Commercial |
$26.23
|
| Rate for Payer: Healthscope Commercial |
$15.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.71
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.74
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.50
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.64
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: PHP Commercial |
$18.85
|
| Rate for Payer: PHP Commercial |
$22.07
|
| Rate for Payer: PHP Commercial |
$13.28
|
| Rate for Payer: PHP Commercial |
$24.45
|
| Rate for Payer: PHP Commercial |
$24.77
|
| Rate for Payer: Priority Health SBD |
$16.36
|
| Rate for Payer: Priority Health SBD |
$9.84
|
| Rate for Payer: Priority Health SBD |
$10.87
|
| Rate for Payer: Priority Health SBD |
$18.36
|
| Rate for Payer: Priority Health SBD |
$13.97
|
| Rate for Payer: Priority Health SBD |
$18.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UMR Bronson Commercial |
$9.61
|
| Rate for Payer: UMR Bronson Commercial |
$10.64
|
| Rate for Payer: UMR Bronson Commercial |
$6.38
|
| Rate for Payer: UMR Bronson Commercial |
$5.78
|
| Rate for Payer: UMR Bronson Commercial |
$10.78
|
| Rate for Payer: UMR Bronson Commercial |
$8.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$29.14
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.82 |
| Max. Negotiated Rate |
$26.23 |
| Rate for Payer: Aetna American Axle |
$18.94
|
| Rate for Payer: Aetna American Axle |
$18.70
|
| Rate for Payer: Aetna American Axle |
$16.88
|
| Rate for Payer: Aetna American Axle |
$10.15
|
| Rate for Payer: Aetna American Axle |
$14.42
|
| Rate for Payer: Aetna American Axle |
$11.21
|
| Rate for Payer: Aetna Commercial |
$24.77
|
| Rate for Payer: Aetna Commercial |
$18.85
|
| Rate for Payer: Aetna Commercial |
$22.07
|
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: Aetna Commercial |
$24.45
|
| Rate for Payer: Aetna Commercial |
$13.28
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$16.88
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.21
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$10.15
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$20.78
|
| Rate for Payer: Cash Price |
$12.50
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cofinity Advantage |
$18.18
|
| Rate for Payer: Cofinity Advantage |
$12.07
|
| Rate for Payer: Cofinity Advantage |
$10.93
|
| Rate for Payer: Cofinity Advantage |
$20.14
|
| Rate for Payer: Cofinity Advantage |
$15.53
|
| Rate for Payer: Cofinity Advantage |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Cofinity Commercial |
$22.33
|
| Rate for Payer: Cofinity Commercial |
$24.74
|
| Rate for Payer: Cofinity Commercial |
$13.43
|
| Rate for Payer: Cofinity Commercial |
$19.07
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.78
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.50
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$25.89
|
| Rate for Payer: Healthscope Commercial |
$14.06
|
| Rate for Payer: Healthscope Commercial |
$23.37
|
| Rate for Payer: Healthscope Commercial |
$15.53
|
| Rate for Payer: Healthscope Commercial |
$19.96
|
| Rate for Payer: Healthscope Commercial |
$26.23
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$18.18
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.40
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.93
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.64
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$19.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.94
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.58
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.86
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.64
|
| Rate for Payer: PHP Commercial |
$18.85
|
| Rate for Payer: PHP Commercial |
$24.77
|
| Rate for Payer: PHP Commercial |
$24.45
|
| Rate for Payer: PHP Commercial |
$22.07
|
| Rate for Payer: PHP Commercial |
$13.28
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: Priority Health SBD |
$18.13
|
| Rate for Payer: Priority Health SBD |
$10.87
|
| Rate for Payer: Priority Health SBD |
$9.84
|
| Rate for Payer: Priority Health SBD |
$13.97
|
| Rate for Payer: Priority Health SBD |
$16.36
|
| Rate for Payer: Priority Health SBD |
$18.36
|
| Rate for Payer: UMR Bronson Commercial |
$12.66
|
| Rate for Payer: UMR Bronson Commercial |
$9.76
|
| Rate for Payer: UMR Bronson Commercial |
$11.43
|
| Rate for Payer: UMR Bronson Commercial |
$7.59
|
| Rate for Payer: UMR Bronson Commercial |
$12.82
|
| Rate for Payer: UMR Bronson Commercial |
$6.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$19.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.71
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.64
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$15.04
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$13.54 |
| Rate for Payer: Aetna American Axle |
$9.78
|
| Rate for Payer: Aetna Commercial |
$12.78
|
| Rate for Payer: Aetna Medicare |
$7.52
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.78
|
| Rate for Payer: BCBS Complete |
$6.02
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cofinity Advantage |
$10.53
|
| Rate for Payer: Cofinity Commercial |
$12.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.03
|
| Rate for Payer: Healthscope Commercial |
$13.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.28
|
| Rate for Payer: PHP Commercial |
$12.78
|
| Rate for Payer: Priority Health SBD |
$9.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UMR Bronson Commercial |
$5.56
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.28
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$15.04
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$6.62 |
| Max. Negotiated Rate |
$13.54 |
| Rate for Payer: Aetna American Axle |
$9.78
|
| Rate for Payer: Aetna Commercial |
$12.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.78
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cofinity Advantage |
$10.53
|
| Rate for Payer: Cofinity Commercial |
$12.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.03
|
| Rate for Payer: Healthscope Commercial |
$13.54
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.28
|
| Rate for Payer: PHP Commercial |
$12.78
|
| Rate for Payer: Priority Health SBD |
$9.48
|
| Rate for Payer: UMR Bronson Commercial |
$6.62
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.28
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$15.04
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$13.54 |
| Rate for Payer: Aetna American Axle |
$9.78
|
| Rate for Payer: Aetna American Axle |
$15.11
|
| Rate for Payer: Aetna American Axle |
$12.85
|
| Rate for Payer: Aetna American Axle |
$11.90
|
| Rate for Payer: Aetna American Axle |
$17.75
|
| Rate for Payer: Aetna Commercial |
$12.78
|
| Rate for Payer: Aetna Commercial |
$15.56
|
| Rate for Payer: Aetna Commercial |
$23.20
|
| Rate for Payer: Aetna Commercial |
$19.76
|
| Rate for Payer: Aetna Commercial |
$16.80
|
| Rate for Payer: Aetna Medicare |
$13.65
|
| Rate for Payer: Aetna Medicare |
$9.15
|
| Rate for Payer: Aetna Medicare |
$7.52
|
| Rate for Payer: Aetna Medicare |
$9.88
|
| Rate for Payer: Aetna Medicare |
$11.62
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.75
|
| Rate for Payer: BCBS Complete |
$9.30
|
| Rate for Payer: BCBS Complete |
$6.02
|
| Rate for Payer: BCBS Complete |
$7.32
|
| Rate for Payer: BCBS Complete |
$7.91
|
| Rate for Payer: BCBS Complete |
$10.92
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$18.60
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$14.65
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cash Price |
$15.82
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cash Price |
$15.82
|
| Rate for Payer: Cash Price |
$18.60
|
| Rate for Payer: Cash Price |
$14.65
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cofinity Advantage |
$16.27
|
| Rate for Payer: Cofinity Advantage |
$12.82
|
| Rate for Payer: Cofinity Advantage |
$13.84
|
| Rate for Payer: Cofinity Advantage |
$19.11
|
| Rate for Payer: Cofinity Advantage |
$10.53
|
| Rate for Payer: Cofinity Commercial |
$20.00
|
| Rate for Payer: Cofinity Commercial |
$12.93
|
| Rate for Payer: Cofinity Commercial |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$17.00
|
| Rate for Payer: Cofinity Commercial |
$23.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.82
|
| Rate for Payer: Healthscope Commercial |
$17.79
|
| Rate for Payer: Healthscope Commercial |
$24.57
|
| Rate for Payer: Healthscope Commercial |
$20.93
|
| Rate for Payer: Healthscope Commercial |
$13.54
|
| Rate for Payer: Healthscope Commercial |
$16.48
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.27
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.28
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.65
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.48
|
| Rate for Payer: PHP Commercial |
$15.56
|
| Rate for Payer: PHP Commercial |
$16.80
|
| Rate for Payer: PHP Commercial |
$23.20
|
| Rate for Payer: PHP Commercial |
$19.76
|
| Rate for Payer: PHP Commercial |
$12.78
|
| Rate for Payer: Priority Health SBD |
$12.46
|
| Rate for Payer: Priority Health SBD |
$9.48
|
| Rate for Payer: Priority Health SBD |
$14.65
|
| Rate for Payer: Priority Health SBD |
$17.20
|
| Rate for Payer: Priority Health SBD |
$11.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UMR Bronson Commercial |
$5.56
|
| Rate for Payer: UMR Bronson Commercial |
$8.60
|
| Rate for Payer: UMR Bronson Commercial |
$7.31
|
| Rate for Payer: UMR Bronson Commercial |
$10.10
|
| Rate for Payer: UMR Bronson Commercial |
$6.77
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.73
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.28
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.25
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.23 |
| Max. Negotiated Rate |
$20.93 |
| Rate for Payer: Aetna American Axle |
$15.11
|
| Rate for Payer: Aetna American Axle |
$12.85
|
| Rate for Payer: Aetna American Axle |
$17.75
|
| Rate for Payer: Aetna American Axle |
$11.90
|
| Rate for Payer: Aetna American Axle |
$9.78
|
| Rate for Payer: Aetna Commercial |
$12.78
|
| Rate for Payer: Aetna Commercial |
$16.80
|
| Rate for Payer: Aetna Commercial |
$19.76
|
| Rate for Payer: Aetna Commercial |
$23.20
|
| Rate for Payer: Aetna Commercial |
$15.56
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.11
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.90
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$9.78
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.75
|
| Rate for Payer: Cash Price |
$15.82
|
| Rate for Payer: Cash Price |
$14.65
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$18.60
|
| Rate for Payer: Cash Price |
$12.03
|
| Rate for Payer: Cofinity Advantage |
$10.53
|
| Rate for Payer: Cofinity Advantage |
$19.11
|
| Rate for Payer: Cofinity Advantage |
$12.82
|
| Rate for Payer: Cofinity Advantage |
$16.27
|
| Rate for Payer: Cofinity Advantage |
$13.84
|
| Rate for Payer: Cofinity Commercial |
$23.48
|
| Rate for Payer: Cofinity Commercial |
$12.93
|
| Rate for Payer: Cofinity Commercial |
$15.75
|
| Rate for Payer: Cofinity Commercial |
$17.00
|
| Rate for Payer: Cofinity Commercial |
$20.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.03
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Healthscope Commercial |
$13.54
|
| Rate for Payer: Healthscope Commercial |
$16.48
|
| Rate for Payer: Healthscope Commercial |
$17.79
|
| Rate for Payer: Healthscope Commercial |
$20.93
|
| Rate for Payer: Healthscope Commercial |
$24.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.11
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$10.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.84
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.27
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$11.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.73
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.44
|
| Rate for Payer: PHP Commercial |
$16.80
|
| Rate for Payer: PHP Commercial |
$12.78
|
| Rate for Payer: PHP Commercial |
$19.76
|
| Rate for Payer: PHP Commercial |
$23.20
|
| Rate for Payer: PHP Commercial |
$15.56
|
| Rate for Payer: Priority Health SBD |
$14.65
|
| Rate for Payer: Priority Health SBD |
$17.20
|
| Rate for Payer: Priority Health SBD |
$11.54
|
| Rate for Payer: Priority Health SBD |
$9.48
|
| Rate for Payer: Priority Health SBD |
$12.46
|
| Rate for Payer: UMR Bronson Commercial |
$8.06
|
| Rate for Payer: UMR Bronson Commercial |
$12.01
|
| Rate for Payer: UMR Bronson Commercial |
$8.70
|
| Rate for Payer: UMR Bronson Commercial |
$6.62
|
| Rate for Payer: UMR Bronson Commercial |
$10.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.83
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$11.28
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.73
|
|
|
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$205.91
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
12587
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.80 |
| Max. Negotiated Rate |
$185.32 |
| Rate for Payer: Aetna American Axle |
$133.84
|
| Rate for Payer: Aetna American Axle |
$106.85
|
| Rate for Payer: Aetna American Axle |
$116.35
|
| Rate for Payer: Aetna American Axle |
$119.12
|
| Rate for Payer: Aetna American Axle |
$115.53
|
| Rate for Payer: Aetna American Axle |
$253.53
|
| Rate for Payer: Aetna American Axle |
$145.93
|
| Rate for Payer: Aetna Commercial |
$331.53
|
| Rate for Payer: Aetna Commercial |
$139.73
|
| Rate for Payer: Aetna Commercial |
$155.77
|
| Rate for Payer: Aetna Commercial |
$152.15
|
| Rate for Payer: Aetna Commercial |
$175.02
|
| Rate for Payer: Aetna Commercial |
$151.08
|
| Rate for Payer: Aetna Commercial |
$190.83
|
| Rate for Payer: Aetna Medicare |
$82.19
|
| Rate for Payer: Aetna Medicare |
$195.02
|
| Rate for Payer: Aetna Medicare |
$102.95
|
| Rate for Payer: Aetna Medicare |
$112.25
|
| Rate for Payer: Aetna Medicare |
$91.63
|
| Rate for Payer: Aetna Medicare |
$88.87
|
| Rate for Payer: Aetna Medicare |
$89.50
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$253.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$133.84
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$145.93
|
| Rate for Payer: BCBS Complete |
$71.10
|
| Rate for Payer: BCBS Complete |
$156.02
|
| Rate for Payer: BCBS Complete |
$73.30
|
| Rate for Payer: BCBS Complete |
$82.36
|
| Rate for Payer: BCBS Complete |
$89.80
|
| Rate for Payer: BCBS Complete |
$65.76
|
| Rate for Payer: BCBS Complete |
$71.60
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCBS Trust/PPO |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: BCN Commercial |
$3.53
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Cash Price |
$312.03
|
| Rate for Payer: Cash Price |
$131.51
|
| Rate for Payer: Cash Price |
$164.73
|
| Rate for Payer: Cash Price |
$146.61
|
| Rate for Payer: Cash Price |
$146.61
|
| Rate for Payer: Cash Price |
$179.61
|
| Rate for Payer: Cash Price |
$131.51
|
| Rate for Payer: Cash Price |
$312.03
|
| Rate for Payer: Cash Price |
$142.19
|
| Rate for Payer: Cash Price |
$179.61
|
| Rate for Payer: Cash Price |
$164.73
|
| Rate for Payer: Cash Price |
$142.19
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Cofinity Advantage |
$128.28
|
| Rate for Payer: Cofinity Advantage |
$125.30
|
| Rate for Payer: Cofinity Advantage |
$124.42
|
| Rate for Payer: Cofinity Advantage |
$115.07
|
| Rate for Payer: Cofinity Advantage |
$144.14
|
| Rate for Payer: Cofinity Advantage |
$157.16
|
| Rate for Payer: Cofinity Advantage |
$273.03
|
| Rate for Payer: Cofinity Commercial |
$177.08
|
| Rate for Payer: Cofinity Commercial |
$193.08
|
| Rate for Payer: Cofinity Commercial |
$335.43
|
| Rate for Payer: Cofinity Commercial |
$141.38
|
| Rate for Payer: Cofinity Commercial |
$152.86
|
| Rate for Payer: Cofinity Commercial |
$153.94
|
| Rate for Payer: Cofinity Commercial |
$157.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$142.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$164.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$146.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.03
|
| Rate for Payer: Healthscope Commercial |
$164.93
|
| Rate for Payer: Healthscope Commercial |
$202.06
|
| Rate for Payer: Healthscope Commercial |
$351.04
|
| Rate for Payer: Healthscope Commercial |
$185.32
|
| Rate for Payer: Healthscope Commercial |
$159.97
|
| Rate for Payer: Healthscope Commercial |
$147.95
|
| Rate for Payer: Healthscope Commercial |
$161.10
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$128.28
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$273.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$124.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$125.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$115.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$144.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$157.16
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$168.38
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$134.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$137.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$292.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$133.31
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$154.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$143.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$142.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$131.51
|
| Rate for Payer: MI Amish Medical Board Commercial |
$312.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$146.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$179.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$164.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$155.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$175.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$151.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$292.53
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$154.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$134.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$137.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$133.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.29
|
| Rate for Payer: PHP Commercial |
$155.77
|
| Rate for Payer: PHP Commercial |
$152.15
|
| Rate for Payer: PHP Commercial |
$139.73
|
| Rate for Payer: PHP Commercial |
$151.08
|
| Rate for Payer: PHP Commercial |
$175.02
|
| Rate for Payer: PHP Commercial |
$190.83
|
| Rate for Payer: PHP Commercial |
$331.53
|
| Rate for Payer: Priority Health SBD |
$141.44
|
| Rate for Payer: Priority Health SBD |
$112.77
|
| Rate for Payer: Priority Health SBD |
$129.72
|
| Rate for Payer: Priority Health SBD |
$245.73
|
| Rate for Payer: Priority Health SBD |
$111.98
|
| Rate for Payer: Priority Health SBD |
$103.57
|
| Rate for Payer: Priority Health SBD |
$115.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Core |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UHC Exchange |
$1.80
|
| Rate for Payer: UMR Bronson Commercial |
$66.23
|
| Rate for Payer: UMR Bronson Commercial |
$67.81
|
| Rate for Payer: UMR Bronson Commercial |
$65.76
|
| Rate for Payer: UMR Bronson Commercial |
$60.82
|
| Rate for Payer: UMR Bronson Commercial |
$144.31
|
| Rate for Payer: UMR Bronson Commercial |
$83.07
|
| Rate for Payer: UMR Bronson Commercial |
$76.19
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$154.43
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$292.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$168.38
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$134.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$133.31
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$137.44
|
|
