|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$293.99
|
|
|
Service Code
|
NDC 57237022090
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$129.36 |
| Max. Negotiated Rate |
$264.59 |
| Rate for Payer: Aetna American Axle |
$191.09
|
| Rate for Payer: Aetna Commercial |
$249.89
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.09
|
| Rate for Payer: Cash Price |
$235.19
|
| Rate for Payer: Cofinity Commercial |
$205.79
|
| Rate for Payer: Cofinity Commercial |
$252.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$205.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$235.19
|
| Rate for Payer: Healthscope Commercial |
$264.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$205.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$220.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$249.89
|
| Rate for Payer: PHP Commercial |
$249.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.09
|
| Rate for Payer: Priority Health SBD |
$185.21
|
| Rate for Payer: UMR Bronson Commercial |
$129.36
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$220.49
|
|
|
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 Commercial |
$253.17
|
| Rate for Payer: Cofinity Commercial |
$311.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$253.17
|
| 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: PHP Commercial |
$307.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.09
|
| Rate for Payer: Priority Health SBD |
$227.85
|
| 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 Commercial |
$239.40
|
| Rate for Payer: Cofinity Commercial |
$294.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$239.40
|
| 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: PHP Commercial |
$290.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.30
|
| Rate for Payer: Priority Health SBD |
$215.46
|
| Rate for Payer: UMR Bronson Commercial |
$126.54
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$256.50
|
|
|
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 Commercial |
$250.21
|
| Rate for Payer: Cofinity Commercial |
$307.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$250.21
|
| 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: PHP Commercial |
$303.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.34
|
| 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
|
OP
|
$293.99
|
|
|
Service Code
|
NDC 57237022090
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$108.78 |
| Max. Negotiated Rate |
$264.59 |
| Rate for Payer: Aetna American Axle |
$191.09
|
| Rate for Payer: Aetna Commercial |
$249.89
|
| Rate for Payer: Aetna Medicare |
$147.00
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$191.09
|
| Rate for Payer: BCBS Complete |
$117.60
|
| Rate for Payer: Cash Price |
$235.19
|
| Rate for Payer: Cofinity Commercial |
$205.79
|
| Rate for Payer: Cofinity Commercial |
$252.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$205.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$235.19
|
| Rate for Payer: Healthscope Commercial |
$264.59
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$205.79
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$220.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$249.89
|
| Rate for Payer: PHP Commercial |
$249.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$191.09
|
| Rate for Payer: Priority Health SBD |
$185.21
|
| Rate for Payer: UMR Bronson Commercial |
$108.78
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$220.49
|
|
|
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 Commercial |
$250.21
|
| Rate for Payer: Cofinity Commercial |
$307.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$250.21
|
| 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: PHP Commercial |
$303.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$232.34
|
| Rate for Payer: Priority Health SBD |
$225.19
|
| 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
|
$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 Commercial |
$253.17
|
| Rate for Payer: Cofinity Commercial |
$311.04
|
| Rate for Payer: Cofinity Medicare Advantage |
$253.17
|
| 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: PHP Commercial |
$307.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$235.09
|
| 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 Commercial |
$239.40
|
| Rate for Payer: Cofinity Commercial |
$294.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$239.40
|
| 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: PHP Commercial |
$290.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$222.30
|
| 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 45 MG TABLET
|
Facility
|
IP
|
$114.21
|
|
|
Service Code
|
NDC 57237022130
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$50.25 |
| Max. Negotiated Rate |
$102.79 |
| Rate for Payer: Aetna American Axle |
$74.24
|
| Rate for Payer: Aetna Commercial |
$97.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.24
|
| Rate for Payer: Cash Price |
$91.37
|
| Rate for Payer: Cofinity Commercial |
$79.95
|
| Rate for Payer: Cofinity Commercial |
$98.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$79.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.37
|
| Rate for Payer: Healthscope Commercial |
$102.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.08
|
| Rate for Payer: PHP Commercial |
$97.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.24
|
| Rate for Payer: Priority Health SBD |
$71.95
|
| Rate for Payer: UMR Bronson Commercial |
$50.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.66
|
|
|
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 Commercial |
$262.05
|
| Rate for Payer: Cofinity Commercial |
$321.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$262.05
|
| 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: PHP Commercial |
$318.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$243.33
|
| Rate for Payer: Priority Health SBD |
$235.85
|
| 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
|
$308.79
|
|
|
Service Code
|
NDC 57237022190
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$135.87 |
| Max. Negotiated Rate |
$277.91 |
| Rate for Payer: Aetna American Axle |
$200.71
|
| Rate for Payer: Aetna Commercial |
$262.47
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.71
|
| Rate for Payer: Cash Price |
$247.03
|
| Rate for Payer: Cofinity Commercial |
$216.15
|
| Rate for Payer: Cofinity Commercial |
$265.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$216.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.03
|
| Rate for Payer: Healthscope Commercial |
$277.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$216.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.47
|
| Rate for Payer: PHP Commercial |
$262.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.71
|
| Rate for Payer: Priority Health SBD |
$194.54
|
| Rate for Payer: UMR Bronson Commercial |
$135.87
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.59
|
|
|
PIOGLITAZONE 45 MG TABLET
|
Facility
|
OP
|
$308.79
|
|
|
Service Code
|
NDC 57237022190
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$114.25 |
| Max. Negotiated Rate |
$277.91 |
| Rate for Payer: Aetna American Axle |
$200.71
|
| Rate for Payer: Aetna Commercial |
$262.47
|
| Rate for Payer: Aetna Medicare |
$154.40
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$200.71
|
| Rate for Payer: BCBS Complete |
$123.52
|
| Rate for Payer: Cash Price |
$247.03
|
| Rate for Payer: Cofinity Commercial |
$216.15
|
| Rate for Payer: Cofinity Commercial |
$265.56
|
| Rate for Payer: Cofinity Medicare Advantage |
$216.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$247.03
|
| Rate for Payer: Healthscope Commercial |
$277.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$216.15
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$231.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$262.47
|
| Rate for Payer: PHP Commercial |
$262.47
|
| Rate for Payer: Priority Health Cigna Priority Health |
$200.71
|
| Rate for Payer: Priority Health SBD |
$194.54
|
| Rate for Payer: UMR Bronson Commercial |
$114.25
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$231.59
|
|
|
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 Commercial |
$262.05
|
| Rate for Payer: Cofinity Commercial |
$321.95
|
| Rate for Payer: Cofinity Medicare Advantage |
$262.05
|
| 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: PHP Commercial |
$318.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$243.33
|
| 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
|
$114.21
|
|
|
Service Code
|
NDC 57237022130
|
| Hospital Charge Code |
25530
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$42.26 |
| Max. Negotiated Rate |
$102.79 |
| Rate for Payer: Aetna American Axle |
$74.24
|
| Rate for Payer: Aetna Commercial |
$97.08
|
| Rate for Payer: Aetna Medicare |
$57.10
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$74.24
|
| Rate for Payer: BCBS Complete |
$45.68
|
| Rate for Payer: Cash Price |
$91.37
|
| Rate for Payer: Cofinity Commercial |
$79.95
|
| Rate for Payer: Cofinity Commercial |
$98.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$79.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$91.37
|
| Rate for Payer: Healthscope Commercial |
$102.79
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$79.95
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$85.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$97.08
|
| Rate for Payer: PHP Commercial |
$97.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$74.24
|
| Rate for Payer: Priority Health SBD |
$71.95
|
| Rate for Payer: UMR Bronson Commercial |
$42.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$85.66
|
|
|
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 |
$2.96 |
| 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 |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cofinity Commercial |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.40
|
| 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: PHP Commercial |
$24.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.94
|
| Rate for Payer: Priority Health SBD |
$18.36
|
| 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 Commercial |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.40
|
| 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: PHP Commercial |
$24.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.94
|
| 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
|
IP
|
$17.06
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.51 |
| Max. Negotiated Rate |
$15.35 |
| Rate for Payer: Aetna American Axle |
$11.09
|
| Rate for Payer: Aetna American Axle |
$18.70
|
| Rate for Payer: Aetna American Axle |
$14.42
|
| Rate for Payer: Aetna American Axle |
$11.21
|
| Rate for Payer: Aetna American Axle |
$12.36
|
| Rate for Payer: Aetna American Axle |
$18.94
|
| Rate for Payer: Aetna Commercial |
$14.50
|
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: Aetna Commercial |
$18.85
|
| Rate for Payer: Aetna Commercial |
$24.77
|
| Rate for Payer: Aetna Commercial |
$24.45
|
| Rate for Payer: Aetna Commercial |
$16.17
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.09
|
| 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) |
$14.42
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.36
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.70
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cash Price |
$13.65
|
| Rate for Payer: Cash Price |
$15.22
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cofinity Commercial |
$24.74
|
| Rate for Payer: Cofinity Commercial |
$11.94
|
| Rate for Payer: Cofinity Commercial |
$19.07
|
| Rate for Payer: Cofinity Commercial |
$15.53
|
| Rate for Payer: Cofinity Commercial |
$13.31
|
| Rate for Payer: Cofinity Commercial |
$12.08
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Cofinity Commercial |
$16.36
|
| Rate for Payer: Cofinity Commercial |
$14.67
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Cofinity Commercial |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$20.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.40
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.74
|
| 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 |
$19.96
|
| Rate for Payer: Healthscope Commercial |
$26.23
|
| Rate for Payer: Healthscope Commercial |
$25.89
|
| Rate for Payer: Healthscope Commercial |
$15.52
|
| Rate for Payer: Healthscope Commercial |
$17.12
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.14
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.53
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$20.40
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.58
|
| 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 |
$12.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.17
|
| Rate for Payer: PHP Commercial |
$14.50
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: PHP Commercial |
$18.85
|
| Rate for Payer: PHP Commercial |
$24.45
|
| Rate for Payer: PHP Commercial |
$16.17
|
| Rate for Payer: PHP Commercial |
$24.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.21
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.94
|
| Rate for Payer: Priority Health SBD |
$18.13
|
| Rate for Payer: Priority Health SBD |
$13.97
|
| Rate for Payer: Priority Health SBD |
$10.75
|
| Rate for Payer: Priority Health SBD |
$10.87
|
| Rate for Payer: Priority Health SBD |
$11.98
|
| Rate for Payer: Priority Health SBD |
$18.36
|
| Rate for Payer: UMR Bronson Commercial |
$12.82
|
| Rate for Payer: UMR Bronson Commercial |
$7.59
|
| Rate for Payer: UMR Bronson Commercial |
$8.37
|
| Rate for Payer: UMR Bronson Commercial |
$12.66
|
| Rate for Payer: UMR Bronson Commercial |
$9.76
|
| Rate for Payer: UMR Bronson Commercial |
$7.51
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.26
|
| 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 |
$12.80
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$29.14
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.96 |
| Max. Negotiated Rate |
$26.23 |
| Rate for Payer: Aetna American Axle |
$18.94
|
| Rate for Payer: Aetna American Axle |
$11.21
|
| Rate for Payer: Aetna American Axle |
$11.09
|
| Rate for Payer: Aetna American Axle |
$12.36
|
| Rate for Payer: Aetna American Axle |
$14.42
|
| Rate for Payer: Aetna American Axle |
$18.70
|
| Rate for Payer: Aetna Commercial |
$16.17
|
| Rate for Payer: Aetna Commercial |
$24.45
|
| Rate for Payer: Aetna Commercial |
$14.66
|
| Rate for Payer: Aetna Commercial |
$14.50
|
| Rate for Payer: Aetna Commercial |
$24.77
|
| Rate for Payer: Aetna Commercial |
$18.85
|
| Rate for Payer: Aetna Medicare |
$14.57
|
| Rate for Payer: Aetna Medicare |
$11.09
|
| Rate for Payer: Aetna Medicare |
$8.62
|
| Rate for Payer: Aetna Medicare |
$14.38
|
| Rate for Payer: Aetna Medicare |
$9.51
|
| Rate for Payer: Aetna Medicare |
$8.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$18.94
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.09
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$12.36
|
| 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) |
$18.70
|
| Rate for Payer: BCBS Complete |
$11.51
|
| Rate for Payer: BCBS Complete |
$8.87
|
| Rate for Payer: BCBS Complete |
$6.82
|
| Rate for Payer: BCBS Complete |
$7.61
|
| Rate for Payer: BCBS Complete |
$6.90
|
| Rate for Payer: BCBS Complete |
$11.66
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$15.22
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cash Price |
$13.65
|
| Rate for Payer: Cash Price |
$13.80
|
| Rate for Payer: Cash Price |
$15.22
|
| Rate for Payer: Cash Price |
$23.02
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cash Price |
$17.74
|
| Rate for Payer: Cash Price |
$13.65
|
| Rate for Payer: Cofinity Commercial |
$13.31
|
| Rate for Payer: Cofinity Commercial |
$20.40
|
| Rate for Payer: Cofinity Commercial |
$12.08
|
| Rate for Payer: Cofinity Commercial |
$14.67
|
| Rate for Payer: Cofinity Commercial |
$11.94
|
| Rate for Payer: Cofinity Commercial |
$14.84
|
| Rate for Payer: Cofinity Commercial |
$24.74
|
| Rate for Payer: Cofinity Commercial |
$20.14
|
| Rate for Payer: Cofinity Commercial |
$19.07
|
| Rate for Payer: Cofinity Commercial |
$15.53
|
| Rate for Payer: Cofinity Commercial |
$16.36
|
| Rate for Payer: Cofinity Commercial |
$25.06
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.14
|
| Rate for Payer: Cofinity Medicare Advantage |
$13.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$11.94
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.08
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.53
|
| Rate for Payer: Cofinity Medicare Advantage |
$20.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.22
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.65
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.02
|
| 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 |
$26.23
|
| Rate for Payer: Healthscope Commercial |
$19.96
|
| Rate for Payer: Healthscope Commercial |
$17.12
|
| Rate for Payer: Healthscope Commercial |
$15.52
|
| Rate for Payer: Healthscope Commercial |
$15.35
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$11.94
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.08
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$13.31
|
| 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: Kalamazoo County Sherrif's Dept Commercial |
$20.14
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.86
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$14.26
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.94
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$21.58
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$12.80
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$16.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.50
|
| 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 |
$24.45
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.85
|
| Rate for Payer: PHP Commercial |
$16.17
|
| Rate for Payer: PHP Commercial |
$18.85
|
| Rate for Payer: PHP Commercial |
$14.66
|
| Rate for Payer: PHP Commercial |
$14.50
|
| Rate for Payer: PHP Commercial |
$24.45
|
| Rate for Payer: PHP Commercial |
$24.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.36
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.94
|
| Rate for Payer: Priority Health Cigna Priority Health |
$18.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.21
|
| Rate for Payer: Priority Health SBD |
$18.13
|
| Rate for Payer: Priority Health SBD |
$10.87
|
| Rate for Payer: Priority Health SBD |
$11.98
|
| Rate for Payer: Priority Health SBD |
$13.97
|
| Rate for Payer: Priority Health SBD |
$10.75
|
| Rate for Payer: Priority Health SBD |
$18.36
|
| Rate for Payer: UMR Bronson Commercial |
$10.64
|
| Rate for Payer: UMR Bronson Commercial |
$10.78
|
| Rate for Payer: UMR Bronson Commercial |
$7.04
|
| Rate for Payer: UMR Bronson Commercial |
$6.31
|
| Rate for Payer: UMR Bronson Commercial |
$6.38
|
| Rate for Payer: UMR Bronson Commercial |
$8.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.80
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.86
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$12.94
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$14.26
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$21.58
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$16.64
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$21.19
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.96 |
| Max. Negotiated Rate |
$19.07 |
| Rate for Payer: Aetna American Axle |
$13.77
|
| Rate for Payer: Aetna Commercial |
$18.01
|
| Rate for Payer: Aetna Medicare |
$10.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.77
|
| Rate for Payer: BCBS Complete |
$8.48
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cofinity Commercial |
$14.83
|
| Rate for Payer: Cofinity Commercial |
$18.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.95
|
| Rate for Payer: Healthscope Commercial |
$19.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.01
|
| Rate for Payer: PHP Commercial |
$18.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.77
|
| Rate for Payer: Priority Health SBD |
$13.35
|
| Rate for Payer: UMR Bronson Commercial |
$7.84
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.89
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$21.19
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$9.32 |
| Max. Negotiated Rate |
$19.07 |
| Rate for Payer: Aetna American Axle |
$13.77
|
| Rate for Payer: Aetna Commercial |
$18.01
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.77
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cofinity Commercial |
$14.83
|
| Rate for Payer: Cofinity Commercial |
$18.22
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.95
|
| Rate for Payer: Healthscope Commercial |
$19.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.83
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.01
|
| Rate for Payer: PHP Commercial |
$18.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.77
|
| Rate for Payer: Priority Health SBD |
$13.35
|
| Rate for Payer: UMR Bronson Commercial |
$9.32
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.89
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$21.19
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.96 |
| Max. Negotiated Rate |
$19.07 |
| Rate for Payer: Aetna American Axle |
$13.77
|
| Rate for Payer: Aetna American Axle |
$15.25
|
| Rate for Payer: Aetna American Axle |
$14.76
|
| Rate for Payer: Aetna American Axle |
$11.43
|
| Rate for Payer: Aetna American Axle |
$17.74
|
| Rate for Payer: Aetna Commercial |
$18.01
|
| Rate for Payer: Aetna Commercial |
$14.94
|
| Rate for Payer: Aetna Commercial |
$23.20
|
| Rate for Payer: Aetna Commercial |
$19.30
|
| Rate for Payer: Aetna Commercial |
$19.94
|
| Rate for Payer: Aetna Medicare |
$11.35
|
| Rate for Payer: Aetna Medicare |
$11.73
|
| Rate for Payer: Aetna Medicare |
$10.60
|
| Rate for Payer: Aetna Medicare |
$8.79
|
| Rate for Payer: Aetna Medicare |
$13.65
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.77
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.76
|
| Rate for Payer: BCBS Complete |
$8.48
|
| Rate for Payer: BCBS Complete |
$7.03
|
| Rate for Payer: BCBS Complete |
$9.38
|
| Rate for Payer: BCBS Complete |
$10.92
|
| Rate for Payer: BCBS Complete |
$9.08
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cash Price |
$18.16
|
| Rate for Payer: Cash Price |
$14.06
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cash Price |
$14.06
|
| Rate for Payer: Cash Price |
$18.16
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$18.77
|
| Rate for Payer: Cash Price |
$18.77
|
| Rate for Payer: Cofinity Commercial |
$14.83
|
| Rate for Payer: Cofinity Commercial |
$23.48
|
| Rate for Payer: Cofinity Commercial |
$12.31
|
| Rate for Payer: Cofinity Commercial |
$19.52
|
| Rate for Payer: Cofinity Commercial |
$15.89
|
| Rate for Payer: Cofinity Commercial |
$19.11
|
| Rate for Payer: Cofinity Commercial |
$20.18
|
| Rate for Payer: Cofinity Commercial |
$16.42
|
| Rate for Payer: Cofinity Commercial |
$18.22
|
| Rate for Payer: Cofinity Commercial |
$15.12
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.89
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.77
|
| Rate for Payer: Healthscope Commercial |
$21.11
|
| Rate for Payer: Healthscope Commercial |
$15.82
|
| Rate for Payer: Healthscope Commercial |
$19.07
|
| Rate for Payer: Healthscope Commercial |
$20.43
|
| Rate for Payer: Healthscope Commercial |
$24.57
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.48
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.94
|
| Rate for Payer: PHP Commercial |
$23.20
|
| Rate for Payer: PHP Commercial |
$19.94
|
| Rate for Payer: PHP Commercial |
$18.01
|
| Rate for Payer: PHP Commercial |
$14.94
|
| Rate for Payer: PHP Commercial |
$19.30
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.77
|
| Rate for Payer: Priority Health SBD |
$13.35
|
| Rate for Payer: Priority Health SBD |
$17.20
|
| Rate for Payer: Priority Health SBD |
$14.78
|
| Rate for Payer: Priority Health SBD |
$11.08
|
| Rate for Payer: Priority Health SBD |
$14.30
|
| Rate for Payer: UMR Bronson Commercial |
$6.50
|
| Rate for Payer: UMR Bronson Commercial |
$8.40
|
| Rate for Payer: UMR Bronson Commercial |
$7.84
|
| Rate for Payer: UMR Bronson Commercial |
$8.68
|
| Rate for Payer: UMR Bronson Commercial |
$10.10
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.60
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.18
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.46
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.32 |
| Max. Negotiated Rate |
$21.11 |
| Rate for Payer: Aetna American Axle |
$15.25
|
| Rate for Payer: Aetna American Axle |
$11.43
|
| Rate for Payer: Aetna American Axle |
$13.77
|
| Rate for Payer: Aetna American Axle |
$17.74
|
| Rate for Payer: Aetna American Axle |
$14.76
|
| Rate for Payer: Aetna Commercial |
$19.94
|
| Rate for Payer: Aetna Commercial |
$18.01
|
| Rate for Payer: Aetna Commercial |
$14.94
|
| Rate for Payer: Aetna Commercial |
$23.20
|
| Rate for Payer: Aetna Commercial |
$19.30
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$15.25
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$14.76
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$17.74
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.43
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.77
|
| Rate for Payer: Cash Price |
$18.77
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$16.95
|
| Rate for Payer: Cash Price |
$18.16
|
| Rate for Payer: Cash Price |
$14.06
|
| Rate for Payer: Cofinity Commercial |
$19.11
|
| Rate for Payer: Cofinity Commercial |
$12.31
|
| Rate for Payer: Cofinity Commercial |
$20.18
|
| Rate for Payer: Cofinity Commercial |
$16.42
|
| Rate for Payer: Cofinity Commercial |
$15.89
|
| Rate for Payer: Cofinity Commercial |
$14.83
|
| Rate for Payer: Cofinity Commercial |
$18.22
|
| Rate for Payer: Cofinity Commercial |
$19.52
|
| Rate for Payer: Cofinity Commercial |
$15.12
|
| Rate for Payer: Cofinity Commercial |
$23.48
|
| Rate for Payer: Cofinity Medicare Advantage |
$16.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.31
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.83
|
| Rate for Payer: Cofinity Medicare Advantage |
$19.11
|
| Rate for Payer: Cofinity Medicare Advantage |
$15.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.77
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.16
|
| Rate for Payer: Healthscope Commercial |
$19.07
|
| Rate for Payer: Healthscope Commercial |
$21.11
|
| Rate for Payer: Healthscope Commercial |
$20.43
|
| Rate for Payer: Healthscope Commercial |
$24.57
|
| Rate for Payer: Healthscope Commercial |
$15.82
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$16.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.31
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$15.89
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.83
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$19.11
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.02
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.89
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.18
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$17.60
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$20.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.94
|
| Rate for Payer: PHP Commercial |
$14.94
|
| Rate for Payer: PHP Commercial |
$23.20
|
| Rate for Payer: PHP Commercial |
$19.30
|
| Rate for Payer: PHP Commercial |
$19.94
|
| Rate for Payer: PHP Commercial |
$18.01
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.77
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.76
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.74
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.43
|
| Rate for Payer: Priority Health SBD |
$17.20
|
| Rate for Payer: Priority Health SBD |
$14.30
|
| Rate for Payer: Priority Health SBD |
$13.35
|
| Rate for Payer: Priority Health SBD |
$11.08
|
| Rate for Payer: Priority Health SBD |
$14.78
|
| Rate for Payer: UMR Bronson Commercial |
$7.74
|
| Rate for Payer: UMR Bronson Commercial |
$9.32
|
| Rate for Payer: UMR Bronson Commercial |
$10.32
|
| Rate for Payer: UMR Bronson Commercial |
$12.01
|
| Rate for Payer: UMR Bronson Commercial |
$9.99
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.18
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.02
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.89
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$20.48
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$17.60
|
|
|
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$179.00
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
12587
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$78.76 |
| Max. Negotiated Rate |
$161.10 |
| Rate for Payer: Aetna American Axle |
$116.35
|
| Rate for Payer: Aetna American Axle |
$80.70
|
| Rate for Payer: Aetna American Axle |
$106.85
|
| Rate for Payer: Aetna American Axle |
$119.12
|
| Rate for Payer: Aetna American Axle |
$115.53
|
| Rate for Payer: Aetna Commercial |
$152.15
|
| Rate for Payer: Aetna Commercial |
$139.73
|
| Rate for Payer: Aetna Commercial |
$105.54
|
| Rate for Payer: Aetna Commercial |
$155.77
|
| Rate for Payer: Aetna Commercial |
$151.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.12
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.85
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Cash Price |
$146.61
|
| Rate for Payer: Cash Price |
$131.51
|
| Rate for Payer: Cash Price |
$142.19
|
| Rate for Payer: Cash Price |
$99.33
|
| Rate for Payer: Cofinity Commercial |
$128.28
|
| Rate for Payer: Cofinity Commercial |
$106.78
|
| Rate for Payer: Cofinity Commercial |
$153.94
|
| Rate for Payer: Cofinity Commercial |
$125.30
|
| Rate for Payer: Cofinity Commercial |
$124.42
|
| Rate for Payer: Cofinity Commercial |
$115.07
|
| Rate for Payer: Cofinity Commercial |
$141.38
|
| Rate for Payer: Cofinity Commercial |
$152.86
|
| Rate for Payer: Cofinity Commercial |
$86.91
|
| Rate for Payer: Cofinity Commercial |
$157.60
|
| Rate for Payer: Cofinity Medicare Advantage |
$125.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$86.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$115.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$128.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$124.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$143.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$99.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$146.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$142.19
|
| Rate for Payer: Healthscope Commercial |
$147.95
|
| Rate for Payer: Healthscope Commercial |
$161.10
|
| Rate for Payer: Healthscope Commercial |
$159.97
|
| Rate for Payer: Healthscope Commercial |
$164.93
|
| Rate for Payer: Healthscope Commercial |
$111.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$125.30
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$124.42
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$115.07
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$128.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$133.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$134.25
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$137.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$151.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$155.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.54
|
| Rate for Payer: PHP Commercial |
$105.54
|
| Rate for Payer: PHP Commercial |
$155.77
|
| Rate for Payer: PHP Commercial |
$151.08
|
| Rate for Payer: PHP Commercial |
$152.15
|
| Rate for Payer: PHP Commercial |
$139.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.85
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$115.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.70
|
| Rate for Payer: Priority Health SBD |
$115.45
|
| Rate for Payer: Priority Health SBD |
$111.98
|
| Rate for Payer: Priority Health SBD |
$103.57
|
| Rate for Payer: Priority Health SBD |
$78.22
|
| Rate for Payer: Priority Health SBD |
$112.77
|
| Rate for Payer: UMR Bronson Commercial |
$54.63
|
| Rate for Payer: UMR Bronson Commercial |
$72.33
|
| Rate for Payer: UMR Bronson Commercial |
$78.76
|
| Rate for Payer: UMR Bronson Commercial |
$80.63
|
| Rate for Payer: UMR Bronson Commercial |
$78.21
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$133.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$137.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$134.25
|
|
|
PIPERACILLIN-TAZOBACTAM 40.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$390.04
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
12587
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.96 |
| Max. Negotiated Rate |
$351.04 |
| Rate for Payer: Aetna American Axle |
$253.53
|
| Rate for Payer: Aetna American Axle |
$106.85
|
| Rate for Payer: Aetna American Axle |
$80.70
|
| Rate for Payer: Aetna American Axle |
$115.53
|
| Rate for Payer: Aetna American Axle |
$116.35
|
| Rate for Payer: Aetna American Axle |
$119.12
|
| Rate for Payer: Aetna Commercial |
$151.08
|
| Rate for Payer: Aetna Commercial |
$155.77
|
| Rate for Payer: Aetna Commercial |
$139.73
|
| Rate for Payer: Aetna Commercial |
$105.54
|
| Rate for Payer: Aetna Commercial |
$331.53
|
| Rate for Payer: Aetna Commercial |
$152.15
|
| Rate for Payer: Aetna Medicare |
$195.02
|
| Rate for Payer: Aetna Medicare |
$89.50
|
| Rate for Payer: Aetna Medicare |
$82.20
|
| Rate for Payer: Aetna Medicare |
$91.63
|
| Rate for Payer: Aetna Medicare |
$88.87
|
| Rate for Payer: Aetna Medicare |
$62.08
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$253.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$80.70
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$115.53
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$106.85
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$116.35
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$119.12
|
| Rate for Payer: BCBS Complete |
$73.30
|
| Rate for Payer: BCBS Complete |
$71.60
|
| Rate for Payer: BCBS Complete |
$49.66
|
| Rate for Payer: BCBS Complete |
$71.10
|
| Rate for Payer: BCBS Complete |
$65.76
|
| Rate for Payer: BCBS Complete |
$156.02
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: Cash Price |
$312.03
|
| Rate for Payer: Cash Price |
$142.19
|
| Rate for Payer: Cash Price |
$146.61
|
| Rate for Payer: Cash Price |
$131.51
|
| Rate for Payer: Cash Price |
$99.33
|
| Rate for Payer: Cash Price |
$131.51
|
| Rate for Payer: Cash Price |
$142.19
|
| Rate for Payer: Cash Price |
$146.61
|
| Rate for Payer: Cash Price |
$312.03
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Cash Price |
$143.20
|
| Rate for Payer: Cash Price |
$99.33
|
| Rate for Payer: Cofinity Commercial |
$124.42
|
| Rate for Payer: Cofinity Commercial |
$273.03
|
| Rate for Payer: Cofinity Commercial |
$115.07
|
| Rate for Payer: Cofinity Commercial |
$86.91
|
| Rate for Payer: Cofinity Commercial |
$106.78
|
| Rate for Payer: Cofinity Commercial |
$141.38
|
| Rate for Payer: Cofinity Commercial |
$157.60
|
| Rate for Payer: Cofinity Commercial |
$128.28
|
| Rate for Payer: Cofinity Commercial |
$153.94
|
| Rate for Payer: Cofinity Commercial |
$125.30
|
| Rate for Payer: Cofinity Commercial |
$152.86
|
| Rate for Payer: Cofinity Commercial |
$335.43
|
| Rate for Payer: Cofinity Medicare Advantage |
$128.28
|
| Rate for Payer: Cofinity Medicare Advantage |
$124.42
|
| Rate for Payer: Cofinity Medicare Advantage |
$86.91
|
| Rate for Payer: Cofinity Medicare Advantage |
$115.07
|
| Rate for Payer: Cofinity Medicare Advantage |
$125.30
|
| Rate for Payer: Cofinity Medicare Advantage |
$273.03
|
| 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 |
$99.33
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$146.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$312.03
|
| Rate for Payer: Healthscope Commercial |
$164.93
|
| Rate for Payer: Healthscope Commercial |
$351.04
|
| Rate for Payer: Healthscope Commercial |
$161.10
|
| Rate for Payer: Healthscope Commercial |
$159.97
|
| Rate for Payer: Healthscope Commercial |
$147.95
|
| Rate for Payer: Healthscope Commercial |
$111.74
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$86.91
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$115.07
|
| 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 |
$273.03
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$128.28
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$292.53
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$133.30
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$123.29
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$137.44
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$93.12
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$134.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$151.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$105.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$331.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$155.77
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$152.15
|
| Rate for Payer: PHP Commercial |
$151.08
|
| Rate for Payer: PHP Commercial |
$152.15
|
| Rate for Payer: PHP Commercial |
$139.73
|
| Rate for Payer: PHP Commercial |
$105.54
|
| Rate for Payer: PHP Commercial |
$155.77
|
| Rate for Payer: PHP Commercial |
$331.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$115.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$253.53
|
| Rate for Payer: Priority Health Cigna Priority Health |
$119.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$116.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$80.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$106.85
|
| Rate for Payer: Priority Health SBD |
$115.45
|
| Rate for Payer: Priority Health SBD |
$103.57
|
| Rate for Payer: Priority Health SBD |
$111.98
|
| Rate for Payer: Priority Health SBD |
$112.77
|
| Rate for Payer: Priority Health SBD |
$78.22
|
| Rate for Payer: Priority Health SBD |
$245.73
|
| Rate for Payer: UMR Bronson Commercial |
$67.81
|
| Rate for Payer: UMR Bronson Commercial |
$144.31
|
| Rate for Payer: UMR Bronson Commercial |
$65.76
|
| Rate for Payer: UMR Bronson Commercial |
$45.94
|
| Rate for Payer: UMR Bronson Commercial |
$60.82
|
| Rate for Payer: UMR Bronson Commercial |
$66.23
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$93.12
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$292.53
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$123.29
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$133.30
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$137.44
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$134.25
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$17.84
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.96 |
| Max. Negotiated Rate |
$16.06 |
| Rate for Payer: Aetna American Axle |
$11.60
|
| Rate for Payer: Aetna American Axle |
$13.43
|
| Rate for Payer: Aetna Commercial |
$17.56
|
| Rate for Payer: Aetna Commercial |
$15.16
|
| Rate for Payer: Aetna Medicare |
$8.92
|
| Rate for Payer: Aetna Medicare |
$10.33
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$11.60
|
| Rate for Payer: Aetna New Business (MI Preferred) |
$13.43
|
| Rate for Payer: BCBS Complete |
$8.26
|
| Rate for Payer: BCBS Complete |
$7.14
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCBS Trust/PPO |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: BCN Commercial |
$2.96
|
| Rate for Payer: Cash Price |
$16.53
|
| Rate for Payer: Cash Price |
$16.53
|
| Rate for Payer: Cash Price |
$14.27
|
| Rate for Payer: Cash Price |
$14.27
|
| Rate for Payer: Cofinity Commercial |
$17.77
|
| Rate for Payer: Cofinity Commercial |
$12.49
|
| Rate for Payer: Cofinity Commercial |
$14.46
|
| Rate for Payer: Cofinity Commercial |
$15.34
|
| Rate for Payer: Cofinity Medicare Advantage |
$12.49
|
| Rate for Payer: Cofinity Medicare Advantage |
$14.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.27
|
| Rate for Payer: Healthscope Commercial |
$18.59
|
| Rate for Payer: Healthscope Commercial |
$16.06
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$14.46
|
| Rate for Payer: Kalamazoo County Sherrif's Dept Commercial |
$12.49
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$15.50
|
| Rate for Payer: Lakeland Regional Health Systems Commercial |
$13.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.16
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.56
|
| Rate for Payer: PHP Commercial |
$15.16
|
| Rate for Payer: PHP Commercial |
$17.56
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.43
|
| Rate for Payer: Priority Health SBD |
$13.02
|
| Rate for Payer: Priority Health SBD |
$11.24
|
| Rate for Payer: UMR Bronson Commercial |
$6.60
|
| Rate for Payer: UMR Bronson Commercial |
$7.64
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$15.50
|
| Rate for Payer: Van Buren County Sheriff Dept. Commercial |
$13.38
|
|
