|
METHOCARBAMOL 500 MG TABLET
|
Facility
|
OP
|
$224.20
|
|
|
Service Code
|
NDC 904705761
|
| Hospital Charge Code |
4971
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.95 |
| Max. Negotiated Rate |
$224.20 |
| Rate for Payer: Aetna Commercial |
$201.78
|
| Rate for Payer: Aetna Medicare |
$82.95
|
| Rate for Payer: ASR ASR |
$217.47
|
| Rate for Payer: BCBS Complete |
$89.68
|
| Rate for Payer: BCBS Trust/PPO |
$184.85
|
| Rate for Payer: BCN Commercial |
$184.85
|
| Rate for Payer: Cash Price |
$179.36
|
| Rate for Payer: Cofinity Commercial |
$210.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.36
|
| Rate for Payer: Healthscope Commercial |
$217.47
|
| Rate for Payer: Healthscope Whirlpool |
$224.20
|
| Rate for Payer: Mclaren Commercial |
$201.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$179.36
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.57
|
| Rate for Payer: Nomi Health Commercial |
$183.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$196.44
|
| Rate for Payer: Priority Health Narrow Network |
$157.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$197.30
|
|
|
METHOCARBAMOL 500 MG TABLET
|
Facility
|
OP
|
$204.25
|
|
|
Service Code
|
NDC 63739099110
|
| Hospital Charge Code |
4971
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$75.57 |
| Max. Negotiated Rate |
$204.25 |
| Rate for Payer: Aetna Commercial |
$183.82
|
| Rate for Payer: Aetna Medicare |
$75.57
|
| Rate for Payer: ASR ASR |
$198.12
|
| Rate for Payer: BCBS Complete |
$81.70
|
| Rate for Payer: BCBS Trust/PPO |
$168.40
|
| Rate for Payer: BCN Commercial |
$168.40
|
| Rate for Payer: Cash Price |
$163.40
|
| Rate for Payer: Cofinity Commercial |
$192.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$163.40
|
| Rate for Payer: Healthscope Commercial |
$198.12
|
| Rate for Payer: Healthscope Whirlpool |
$204.25
|
| Rate for Payer: Mclaren Commercial |
$183.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$163.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$173.61
|
| Rate for Payer: Nomi Health Commercial |
$167.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$153.19
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$178.96
|
| Rate for Payer: Priority Health Narrow Network |
$143.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$179.74
|
|
|
METHOCARBAMOL 500 MG TABLET
|
Facility
|
IP
|
$387.75
|
|
|
Service Code
|
NDC 70010075405
|
| Hospital Charge Code |
4971
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$290.81 |
| Max. Negotiated Rate |
$387.75 |
| Rate for Payer: Aetna Commercial |
$348.98
|
| Rate for Payer: ASR ASR |
$376.12
|
| Rate for Payer: BCBS Trust/PPO |
$318.42
|
| Rate for Payer: BCN Commercial |
$318.42
|
| Rate for Payer: Cash Price |
$310.20
|
| Rate for Payer: Cofinity Commercial |
$364.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$310.20
|
| Rate for Payer: Healthscope Commercial |
$376.12
|
| Rate for Payer: Healthscope Whirlpool |
$387.75
|
| Rate for Payer: Mclaren Commercial |
$348.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$329.59
|
| Rate for Payer: Nomi Health Commercial |
$317.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$290.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$341.22
|
|
|
METHOCARBAMOL 500 MG TABLET
|
Facility
|
IP
|
$224.20
|
|
|
Service Code
|
NDC 904705761
|
| Hospital Charge Code |
4971
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$168.15 |
| Max. Negotiated Rate |
$224.20 |
| Rate for Payer: Aetna Commercial |
$201.78
|
| Rate for Payer: ASR ASR |
$217.47
|
| Rate for Payer: BCBS Trust/PPO |
$184.11
|
| Rate for Payer: BCN Commercial |
$184.11
|
| Rate for Payer: Cash Price |
$179.36
|
| Rate for Payer: Cofinity Commercial |
$210.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$179.36
|
| Rate for Payer: Healthscope Commercial |
$217.47
|
| Rate for Payer: Healthscope Whirlpool |
$224.20
|
| Rate for Payer: Mclaren Commercial |
$201.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$190.57
|
| Rate for Payer: Nomi Health Commercial |
$183.84
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$168.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$197.30
|
|
|
METHOCARBAMOL 500 MG TABLET
|
Facility
|
OP
|
$247.00
|
|
|
Service Code
|
NDC 60687055901
|
| Hospital Charge Code |
4971
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$91.39 |
| Max. Negotiated Rate |
$247.00 |
| Rate for Payer: Aetna Commercial |
$222.30
|
| Rate for Payer: Aetna Medicare |
$91.39
|
| Rate for Payer: ASR ASR |
$239.59
|
| Rate for Payer: BCBS Complete |
$98.80
|
| Rate for Payer: BCBS Trust/PPO |
$203.65
|
| Rate for Payer: BCN Commercial |
$203.65
|
| Rate for Payer: Cash Price |
$197.60
|
| Rate for Payer: Cofinity Commercial |
$232.18
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$197.60
|
| Rate for Payer: Healthscope Commercial |
$239.59
|
| Rate for Payer: Healthscope Whirlpool |
$247.00
|
| Rate for Payer: Mclaren Commercial |
$222.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$197.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$209.95
|
| Rate for Payer: Nomi Health Commercial |
$202.54
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$185.25
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$216.42
|
| Rate for Payer: Priority Health Narrow Network |
$173.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$217.36
|
|
|
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION
|
Facility
|
IP
|
$68.08
|
|
|
Service Code
|
HCPCS J2210
|
| Hospital Charge Code |
10571
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$51.06 |
| Max. Negotiated Rate |
$68.08 |
| Rate for Payer: Aetna Commercial |
$61.27
|
| Rate for Payer: ASR ASR |
$66.03
|
| Rate for Payer: BCBS Trust/PPO |
$55.90
|
| Rate for Payer: BCN Commercial |
$55.90
|
| Rate for Payer: Cash Price |
$54.46
|
| Rate for Payer: Cofinity Commercial |
$63.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.46
|
| Rate for Payer: Healthscope Commercial |
$66.03
|
| Rate for Payer: Healthscope Whirlpool |
$68.08
|
| Rate for Payer: Mclaren Commercial |
$61.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.87
|
| Rate for Payer: Nomi Health Commercial |
$55.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.91
|
|
|
METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION
|
Facility
|
OP
|
$68.08
|
|
|
Service Code
|
HCPCS J2210
|
| Hospital Charge Code |
10571
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.74 |
| Max. Negotiated Rate |
$68.08 |
| Rate for Payer: Aetna Commercial |
$61.27
|
| Rate for Payer: Aetna Medicare |
$25.19
|
| Rate for Payer: ASR ASR |
$66.03
|
| Rate for Payer: BCBS Complete |
$27.23
|
| Rate for Payer: BCBS Trust/PPO |
$56.13
|
| Rate for Payer: BCN Commercial |
$56.13
|
| Rate for Payer: Cash Price |
$54.46
|
| Rate for Payer: Cash Price |
$54.46
|
| Rate for Payer: Cofinity Commercial |
$63.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.46
|
| Rate for Payer: Healthscope Commercial |
$66.03
|
| Rate for Payer: Healthscope Whirlpool |
$68.08
|
| Rate for Payer: Mclaren Commercial |
$61.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$54.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.87
|
| Rate for Payer: Nomi Health Commercial |
$55.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$51.06
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.17
|
| Rate for Payer: Priority Health Narrow Network |
$17.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.91
|
|
|
METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION
|
Facility
|
IP
|
$616.53
|
|
|
Service Code
|
HCPCS J2212
|
| Hospital Charge Code |
91651
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$462.40 |
| Max. Negotiated Rate |
$616.53 |
| Rate for Payer: Aetna Commercial |
$554.88
|
| Rate for Payer: ASR ASR |
$598.03
|
| Rate for Payer: BCBS Trust/PPO |
$506.29
|
| Rate for Payer: BCN Commercial |
$506.29
|
| Rate for Payer: Cash Price |
$493.22
|
| Rate for Payer: Cofinity Commercial |
$579.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.22
|
| Rate for Payer: Healthscope Commercial |
$598.03
|
| Rate for Payer: Healthscope Whirlpool |
$616.53
|
| Rate for Payer: Mclaren Commercial |
$554.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$524.05
|
| Rate for Payer: Nomi Health Commercial |
$505.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$462.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$542.55
|
|
|
METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION
|
Facility
|
OP
|
$616.53
|
|
|
Service Code
|
HCPCS J2212
|
| Hospital Charge Code |
91651
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.27 |
| Max. Negotiated Rate |
$616.53 |
| Rate for Payer: Aetna Commercial |
$554.88
|
| Rate for Payer: Aetna Medicare |
$228.12
|
| Rate for Payer: ASR ASR |
$598.03
|
| Rate for Payer: BCBS Complete |
$246.61
|
| Rate for Payer: BCBS Trust/PPO |
$508.33
|
| Rate for Payer: BCN Commercial |
$508.33
|
| Rate for Payer: Cash Price |
$493.22
|
| Rate for Payer: Cash Price |
$493.22
|
| Rate for Payer: Cofinity Commercial |
$579.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$493.22
|
| Rate for Payer: Healthscope Commercial |
$598.03
|
| Rate for Payer: Healthscope Whirlpool |
$616.53
|
| Rate for Payer: Mclaren Commercial |
$554.88
|
| Rate for Payer: MI Amish Medical Board Commercial |
$493.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$524.05
|
| Rate for Payer: Nomi Health Commercial |
$505.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$462.40
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.59
|
| Rate for Payer: Priority Health Narrow Network |
$1.27
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$542.55
|
|
|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
OP
|
$7.04
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.11 |
| Max. Negotiated Rate |
$7.04 |
| Rate for Payer: Aetna Commercial |
$6.33
|
| Rate for Payer: Aetna Commercial |
$344.74
|
| Rate for Payer: Aetna Commercial |
$633.31
|
| Rate for Payer: Aetna Commercial |
$459.22
|
| Rate for Payer: Aetna Commercial |
$575.86
|
| Rate for Payer: Aetna Commercial |
$254.79
|
| Rate for Payer: Aetna Medicare |
$236.74
|
| Rate for Payer: Aetna Medicare |
$188.79
|
| Rate for Payer: Aetna Medicare |
$141.72
|
| Rate for Payer: Aetna Medicare |
$260.36
|
| Rate for Payer: Aetna Medicare |
$2.60
|
| Rate for Payer: Aetna Medicare |
$104.75
|
| Rate for Payer: ASR ASR |
$371.55
|
| Rate for Payer: ASR ASR |
$6.83
|
| Rate for Payer: ASR ASR |
$682.57
|
| Rate for Payer: ASR ASR |
$274.61
|
| Rate for Payer: ASR ASR |
$494.93
|
| Rate for Payer: ASR ASR |
$620.64
|
| Rate for Payer: BCBS Complete |
$153.22
|
| Rate for Payer: BCBS Complete |
$113.24
|
| Rate for Payer: BCBS Complete |
$281.47
|
| Rate for Payer: BCBS Complete |
$255.94
|
| Rate for Payer: BCBS Complete |
$2.81
|
| Rate for Payer: BCBS Complete |
$204.10
|
| Rate for Payer: BCBS Trust/PPO |
$580.18
|
| Rate for Payer: BCBS Trust/PPO |
$527.55
|
| Rate for Payer: BCBS Trust/PPO |
$420.69
|
| Rate for Payer: BCBS Trust/PPO |
$233.42
|
| Rate for Payer: BCBS Trust/PPO |
$315.82
|
| Rate for Payer: BCBS Trust/PPO |
$5.80
|
| Rate for Payer: BCN Commercial |
$5.80
|
| Rate for Payer: BCN Commercial |
$315.82
|
| Rate for Payer: BCN Commercial |
$233.42
|
| Rate for Payer: BCN Commercial |
$420.69
|
| Rate for Payer: BCN Commercial |
$580.18
|
| Rate for Payer: BCN Commercial |
$527.55
|
| Rate for Payer: Cash Price |
$562.94
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$306.43
|
| Rate for Payer: Cash Price |
$306.43
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$562.94
|
| Rate for Payer: Cash Price |
$5.63
|
| Rate for Payer: Cash Price |
$5.63
|
| Rate for Payer: Cofinity Commercial |
$266.11
|
| Rate for Payer: Cofinity Commercial |
$6.61
|
| Rate for Payer: Cofinity Commercial |
$360.06
|
| Rate for Payer: Cofinity Commercial |
$661.46
|
| Rate for Payer: Cofinity Commercial |
$601.45
|
| Rate for Payer: Cofinity Commercial |
$479.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$562.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.19
|
| Rate for Payer: Healthscope Commercial |
$494.93
|
| Rate for Payer: Healthscope Commercial |
$620.64
|
| Rate for Payer: Healthscope Commercial |
$274.61
|
| Rate for Payer: Healthscope Commercial |
$371.55
|
| Rate for Payer: Healthscope Commercial |
$682.57
|
| Rate for Payer: Healthscope Commercial |
$6.83
|
| Rate for Payer: Healthscope Whirlpool |
$639.84
|
| Rate for Payer: Healthscope Whirlpool |
$383.04
|
| Rate for Payer: Healthscope Whirlpool |
$283.10
|
| Rate for Payer: Healthscope Whirlpool |
$510.24
|
| Rate for Payer: Healthscope Whirlpool |
$703.68
|
| Rate for Payer: Healthscope Whirlpool |
$7.04
|
| Rate for Payer: Mclaren Commercial |
$344.74
|
| Rate for Payer: Mclaren Commercial |
$6.33
|
| Rate for Payer: Mclaren Commercial |
$633.31
|
| Rate for Payer: Mclaren Commercial |
$254.79
|
| Rate for Payer: Mclaren Commercial |
$459.22
|
| Rate for Payer: Mclaren Commercial |
$575.86
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$511.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$226.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$408.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$306.43
|
| Rate for Payer: MI Amish Medical Board Commercial |
$562.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$598.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.63
|
| Rate for Payer: Nomi Health Commercial |
$232.14
|
| Rate for Payer: Nomi Health Commercial |
$577.02
|
| Rate for Payer: Nomi Health Commercial |
$524.67
|
| Rate for Payer: Nomi Health Commercial |
$418.40
|
| Rate for Payer: Nomi Health Commercial |
$5.77
|
| Rate for Payer: Nomi Health Commercial |
$314.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$527.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.88
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.14
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.14
|
| Rate for Payer: Priority Health Narrow Network |
$0.11
|
| Rate for Payer: Priority Health Narrow Network |
$0.11
|
| Rate for Payer: Priority Health Narrow Network |
$0.11
|
| Rate for Payer: Priority Health Narrow Network |
$0.11
|
| Rate for Payer: Priority Health Narrow Network |
$0.11
|
| Rate for Payer: Priority Health Narrow Network |
$0.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$563.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$619.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$337.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$449.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.19
|
|
|
METHYLPREDNISOLONE 4 MG TABLET
|
Facility
|
IP
|
$283.10
|
|
|
Service Code
|
HCPCS J7509
|
| Hospital Charge Code |
4993
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$212.32 |
| Max. Negotiated Rate |
$283.10 |
| Rate for Payer: Aetna Commercial |
$254.79
|
| Rate for Payer: Aetna Commercial |
$344.74
|
| Rate for Payer: Aetna Commercial |
$633.31
|
| Rate for Payer: Aetna Commercial |
$575.86
|
| Rate for Payer: Aetna Commercial |
$6.33
|
| Rate for Payer: Aetna Commercial |
$459.22
|
| Rate for Payer: ASR ASR |
$494.93
|
| Rate for Payer: ASR ASR |
$274.61
|
| Rate for Payer: ASR ASR |
$682.57
|
| Rate for Payer: ASR ASR |
$371.55
|
| Rate for Payer: ASR ASR |
$620.64
|
| Rate for Payer: ASR ASR |
$6.83
|
| Rate for Payer: BCBS Trust/PPO |
$232.48
|
| Rate for Payer: BCBS Trust/PPO |
$525.44
|
| Rate for Payer: BCBS Trust/PPO |
$419.01
|
| Rate for Payer: BCBS Trust/PPO |
$5.78
|
| Rate for Payer: BCBS Trust/PPO |
$577.86
|
| Rate for Payer: BCBS Trust/PPO |
$314.55
|
| Rate for Payer: BCN Commercial |
$577.86
|
| Rate for Payer: BCN Commercial |
$232.48
|
| Rate for Payer: BCN Commercial |
$5.78
|
| Rate for Payer: BCN Commercial |
$419.01
|
| Rate for Payer: BCN Commercial |
$314.55
|
| Rate for Payer: BCN Commercial |
$525.44
|
| Rate for Payer: Cash Price |
$562.94
|
| Rate for Payer: Cash Price |
$226.48
|
| Rate for Payer: Cash Price |
$408.19
|
| Rate for Payer: Cash Price |
$511.87
|
| Rate for Payer: Cash Price |
$306.43
|
| Rate for Payer: Cash Price |
$5.63
|
| Rate for Payer: Cofinity Commercial |
$360.06
|
| Rate for Payer: Cofinity Commercial |
$601.45
|
| Rate for Payer: Cofinity Commercial |
$266.11
|
| Rate for Payer: Cofinity Commercial |
$479.63
|
| Rate for Payer: Cofinity Commercial |
$661.46
|
| Rate for Payer: Cofinity Commercial |
$6.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$511.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$226.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$306.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$408.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$562.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.63
|
| Rate for Payer: Healthscope Commercial |
$274.61
|
| Rate for Payer: Healthscope Commercial |
$620.64
|
| Rate for Payer: Healthscope Commercial |
$371.55
|
| Rate for Payer: Healthscope Commercial |
$6.83
|
| Rate for Payer: Healthscope Commercial |
$494.93
|
| Rate for Payer: Healthscope Commercial |
$682.57
|
| Rate for Payer: Healthscope Whirlpool |
$510.24
|
| Rate for Payer: Healthscope Whirlpool |
$639.84
|
| Rate for Payer: Healthscope Whirlpool |
$383.04
|
| Rate for Payer: Healthscope Whirlpool |
$703.68
|
| Rate for Payer: Healthscope Whirlpool |
$283.10
|
| Rate for Payer: Healthscope Whirlpool |
$7.04
|
| Rate for Payer: Mclaren Commercial |
$633.31
|
| Rate for Payer: Mclaren Commercial |
$6.33
|
| Rate for Payer: Mclaren Commercial |
$459.22
|
| Rate for Payer: Mclaren Commercial |
$254.79
|
| Rate for Payer: Mclaren Commercial |
$344.74
|
| Rate for Payer: Mclaren Commercial |
$575.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$433.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.98
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$543.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$325.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$240.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$598.13
|
| Rate for Payer: Nomi Health Commercial |
$314.09
|
| Rate for Payer: Nomi Health Commercial |
$524.67
|
| Rate for Payer: Nomi Health Commercial |
$232.14
|
| Rate for Payer: Nomi Health Commercial |
$577.02
|
| Rate for Payer: Nomi Health Commercial |
$5.77
|
| Rate for Payer: Nomi Health Commercial |
$418.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$212.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$479.88
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$382.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$5.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$287.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$527.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$6.19
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$449.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$563.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$337.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$249.13
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$619.24
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
OP
|
$85.57
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.10 |
| Max. Negotiated Rate |
$85.57 |
| Rate for Payer: Aetna Commercial |
$77.01
|
| Rate for Payer: Aetna Commercial |
$53.30
|
| Rate for Payer: Aetna Commercial |
$53.31
|
| Rate for Payer: Aetna Commercial |
$24.31
|
| Rate for Payer: Aetna Medicare |
$9.99
|
| Rate for Payer: Aetna Medicare |
$31.66
|
| Rate for Payer: Aetna Medicare |
$21.92
|
| Rate for Payer: Aetna Medicare |
$21.91
|
| Rate for Payer: ASR ASR |
$57.45
|
| Rate for Payer: ASR ASR |
$57.44
|
| Rate for Payer: ASR ASR |
$26.20
|
| Rate for Payer: ASR ASR |
$83.00
|
| Rate for Payer: BCBS Complete |
$23.69
|
| Rate for Payer: BCBS Complete |
$10.80
|
| Rate for Payer: BCBS Complete |
$34.23
|
| Rate for Payer: BCBS Complete |
$23.69
|
| Rate for Payer: BCBS Trust/PPO |
$48.83
|
| Rate for Payer: BCBS Trust/PPO |
$70.55
|
| Rate for Payer: BCBS Trust/PPO |
$48.84
|
| Rate for Payer: BCBS Trust/PPO |
$22.27
|
| Rate for Payer: BCN Commercial |
$70.55
|
| Rate for Payer: BCN Commercial |
$48.84
|
| Rate for Payer: BCN Commercial |
$22.27
|
| Rate for Payer: BCN Commercial |
$48.83
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cofinity Commercial |
$80.44
|
| Rate for Payer: Cofinity Commercial |
$25.39
|
| Rate for Payer: Cofinity Commercial |
$55.68
|
| Rate for Payer: Cofinity Commercial |
$55.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Healthscope Commercial |
$83.00
|
| Rate for Payer: Healthscope Commercial |
$26.20
|
| Rate for Payer: Healthscope Commercial |
$57.44
|
| Rate for Payer: Healthscope Commercial |
$57.45
|
| Rate for Payer: Healthscope Whirlpool |
$27.01
|
| Rate for Payer: Healthscope Whirlpool |
$59.23
|
| Rate for Payer: Healthscope Whirlpool |
$85.57
|
| Rate for Payer: Healthscope Whirlpool |
$59.22
|
| Rate for Payer: Mclaren Commercial |
$53.31
|
| Rate for Payer: Mclaren Commercial |
$53.30
|
| Rate for Payer: Mclaren Commercial |
$24.31
|
| Rate for Payer: Mclaren Commercial |
$77.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$68.46
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$47.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.73
|
| Rate for Payer: Nomi Health Commercial |
$22.15
|
| Rate for Payer: Nomi Health Commercial |
$48.57
|
| Rate for Payer: Nomi Health Commercial |
$70.17
|
| Rate for Payer: Nomi Health Commercial |
$48.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.18
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.42
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.12
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.12
|
| Rate for Payer: Priority Health Narrow Network |
$0.10
|
| Rate for Payer: Priority Health Narrow Network |
$0.10
|
| Rate for Payer: Priority Health Narrow Network |
$0.10
|
| Rate for Payer: Priority Health Narrow Network |
$0.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$75.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.11
|
|
|
METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION
|
Facility
|
IP
|
$59.23
|
|
|
Service Code
|
HCPCS J1010
|
| Hospital Charge Code |
4996
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$44.42 |
| Max. Negotiated Rate |
$59.23 |
| Rate for Payer: Aetna Commercial |
$53.31
|
| Rate for Payer: Aetna Commercial |
$53.30
|
| Rate for Payer: Aetna Commercial |
$77.01
|
| Rate for Payer: Aetna Commercial |
$24.31
|
| Rate for Payer: ASR ASR |
$83.00
|
| Rate for Payer: ASR ASR |
$57.45
|
| Rate for Payer: ASR ASR |
$57.44
|
| Rate for Payer: ASR ASR |
$26.20
|
| Rate for Payer: BCBS Trust/PPO |
$48.64
|
| Rate for Payer: BCBS Trust/PPO |
$22.18
|
| Rate for Payer: BCBS Trust/PPO |
$48.63
|
| Rate for Payer: BCBS Trust/PPO |
$70.27
|
| Rate for Payer: BCN Commercial |
$22.18
|
| Rate for Payer: BCN Commercial |
$70.27
|
| Rate for Payer: BCN Commercial |
$48.63
|
| Rate for Payer: BCN Commercial |
$48.64
|
| Rate for Payer: Cash Price |
$68.46
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$47.38
|
| Rate for Payer: Cash Price |
$21.61
|
| Rate for Payer: Cofinity Commercial |
$55.68
|
| Rate for Payer: Cofinity Commercial |
$25.39
|
| Rate for Payer: Cofinity Commercial |
$80.44
|
| Rate for Payer: Cofinity Commercial |
$55.67
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$68.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$47.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.61
|
| Rate for Payer: Healthscope Commercial |
$57.45
|
| Rate for Payer: Healthscope Commercial |
$26.20
|
| Rate for Payer: Healthscope Commercial |
$57.44
|
| Rate for Payer: Healthscope Commercial |
$83.00
|
| Rate for Payer: Healthscope Whirlpool |
$59.23
|
| Rate for Payer: Healthscope Whirlpool |
$85.57
|
| Rate for Payer: Healthscope Whirlpool |
$27.01
|
| Rate for Payer: Healthscope Whirlpool |
$59.22
|
| Rate for Payer: Mclaren Commercial |
$24.31
|
| Rate for Payer: Mclaren Commercial |
$77.01
|
| Rate for Payer: Mclaren Commercial |
$53.30
|
| Rate for Payer: Mclaren Commercial |
$53.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$72.73
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$50.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.96
|
| Rate for Payer: Nomi Health Commercial |
$48.56
|
| Rate for Payer: Nomi Health Commercial |
$70.17
|
| Rate for Payer: Nomi Health Commercial |
$48.57
|
| Rate for Payer: Nomi Health Commercial |
$22.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$44.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.26
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$64.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$52.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$75.30
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$141.60
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$106.20 |
| Max. Negotiated Rate |
$141.60 |
| Rate for Payer: Aetna Commercial |
$127.44
|
| Rate for Payer: Aetna Commercial |
$50.30
|
| Rate for Payer: Aetna Commercial |
$171.53
|
| Rate for Payer: ASR ASR |
$54.22
|
| Rate for Payer: ASR ASR |
$137.35
|
| Rate for Payer: ASR ASR |
$184.88
|
| Rate for Payer: BCBS Trust/PPO |
$45.90
|
| Rate for Payer: BCBS Trust/PPO |
$116.28
|
| Rate for Payer: BCBS Trust/PPO |
$156.52
|
| Rate for Payer: BCN Commercial |
$156.52
|
| Rate for Payer: BCN Commercial |
$116.28
|
| Rate for Payer: BCN Commercial |
$45.90
|
| Rate for Payer: Cash Price |
$44.71
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cofinity Commercial |
$133.10
|
| Rate for Payer: Cofinity Commercial |
$179.16
|
| Rate for Payer: Cofinity Commercial |
$52.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.48
|
| Rate for Payer: Healthscope Commercial |
$184.88
|
| Rate for Payer: Healthscope Commercial |
$137.35
|
| Rate for Payer: Healthscope Commercial |
$54.22
|
| Rate for Payer: Healthscope Whirlpool |
$190.59
|
| Rate for Payer: Healthscope Whirlpool |
$55.89
|
| Rate for Payer: Healthscope Whirlpool |
$141.60
|
| Rate for Payer: Mclaren Commercial |
$171.53
|
| Rate for Payer: Mclaren Commercial |
$127.44
|
| Rate for Payer: Mclaren Commercial |
$50.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Nomi Health Commercial |
$156.29
|
| Rate for Payer: Nomi Health Commercial |
$116.11
|
| Rate for Payer: Nomi Health Commercial |
$45.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$167.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$124.61
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 1,000 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$141.60
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10577
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$141.60 |
| Rate for Payer: Aetna Commercial |
$127.44
|
| Rate for Payer: Aetna Commercial |
$171.53
|
| Rate for Payer: Aetna Commercial |
$50.30
|
| Rate for Payer: Aetna Medicare |
$70.52
|
| Rate for Payer: Aetna Medicare |
$52.39
|
| Rate for Payer: Aetna Medicare |
$20.68
|
| Rate for Payer: ASR ASR |
$54.22
|
| Rate for Payer: ASR ASR |
$137.35
|
| Rate for Payer: ASR ASR |
$184.88
|
| Rate for Payer: BCBS Complete |
$56.64
|
| Rate for Payer: BCBS Complete |
$22.36
|
| Rate for Payer: BCBS Complete |
$76.24
|
| Rate for Payer: BCBS Trust/PPO |
$116.75
|
| Rate for Payer: BCBS Trust/PPO |
$157.14
|
| Rate for Payer: BCBS Trust/PPO |
$46.08
|
| Rate for Payer: BCN Commercial |
$116.75
|
| Rate for Payer: BCN Commercial |
$157.14
|
| Rate for Payer: BCN Commercial |
$46.08
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cash Price |
$152.48
|
| Rate for Payer: Cash Price |
$44.71
|
| Rate for Payer: Cash Price |
$44.71
|
| Rate for Payer: Cash Price |
$113.28
|
| Rate for Payer: Cofinity Commercial |
$179.16
|
| Rate for Payer: Cofinity Commercial |
$133.10
|
| Rate for Payer: Cofinity Commercial |
$52.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$113.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$152.48
|
| Rate for Payer: Healthscope Commercial |
$54.22
|
| Rate for Payer: Healthscope Commercial |
$137.35
|
| Rate for Payer: Healthscope Commercial |
$184.88
|
| Rate for Payer: Healthscope Whirlpool |
$190.59
|
| Rate for Payer: Healthscope Whirlpool |
$141.60
|
| Rate for Payer: Healthscope Whirlpool |
$55.89
|
| Rate for Payer: Mclaren Commercial |
$50.30
|
| Rate for Payer: Mclaren Commercial |
$171.53
|
| Rate for Payer: Mclaren Commercial |
$127.44
|
| Rate for Payer: MI Amish Medical Board Commercial |
$44.71
|
| Rate for Payer: MI Amish Medical Board Commercial |
$152.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$113.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$162.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$120.36
|
| Rate for Payer: Nomi Health Commercial |
$45.83
|
| Rate for Payer: Nomi Health Commercial |
$116.11
|
| Rate for Payer: Nomi Health Commercial |
$156.29
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$41.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$106.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$142.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$167.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$124.61
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$17.89
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$17.89 |
| Rate for Payer: Aetna Commercial |
$16.10
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: Aetna Medicare |
$7.98
|
| Rate for Payer: Aetna Medicare |
$6.62
|
| Rate for Payer: Aetna Medicare |
$17.82
|
| Rate for Payer: ASR ASR |
$46.73
|
| Rate for Payer: ASR ASR |
$17.36
|
| Rate for Payer: ASR ASR |
$20.93
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS Complete |
$19.27
|
| Rate for Payer: BCBS Complete |
$8.63
|
| Rate for Payer: BCBS Trust/PPO |
$14.75
|
| Rate for Payer: BCBS Trust/PPO |
$17.79
|
| Rate for Payer: BCBS Trust/PPO |
$39.72
|
| Rate for Payer: BCN Commercial |
$14.75
|
| Rate for Payer: BCN Commercial |
$17.79
|
| Rate for Payer: BCN Commercial |
$39.72
|
| Rate for Payer: Cash Price |
$17.26
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cash Price |
$17.26
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cofinity Commercial |
$20.28
|
| Rate for Payer: Cofinity Commercial |
$16.82
|
| Rate for Payer: Cofinity Commercial |
$45.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.26
|
| Rate for Payer: Healthscope Commercial |
$46.73
|
| Rate for Payer: Healthscope Commercial |
$17.36
|
| Rate for Payer: Healthscope Commercial |
$20.93
|
| Rate for Payer: Healthscope Whirlpool |
$21.58
|
| Rate for Payer: Healthscope Whirlpool |
$17.89
|
| Rate for Payer: Healthscope Whirlpool |
$48.17
|
| Rate for Payer: Mclaren Commercial |
$43.35
|
| Rate for Payer: Mclaren Commercial |
$19.42
|
| Rate for Payer: Mclaren Commercial |
$16.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.54
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.26
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.21
|
| Rate for Payer: Nomi Health Commercial |
$39.50
|
| Rate for Payer: Nomi Health Commercial |
$14.67
|
| Rate for Payer: Nomi Health Commercial |
$17.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.18
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.75
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 125 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$17.89
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10578
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$17.89 |
| Rate for Payer: Aetna Commercial |
$16.10
|
| Rate for Payer: Aetna Commercial |
$43.35
|
| Rate for Payer: Aetna Commercial |
$19.42
|
| Rate for Payer: ASR ASR |
$46.73
|
| Rate for Payer: ASR ASR |
$17.36
|
| Rate for Payer: ASR ASR |
$20.93
|
| Rate for Payer: BCBS Trust/PPO |
$39.56
|
| Rate for Payer: BCBS Trust/PPO |
$14.69
|
| Rate for Payer: BCBS Trust/PPO |
$17.72
|
| Rate for Payer: BCN Commercial |
$17.72
|
| Rate for Payer: BCN Commercial |
$14.69
|
| Rate for Payer: BCN Commercial |
$39.56
|
| Rate for Payer: Cash Price |
$38.54
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cash Price |
$17.26
|
| Rate for Payer: Cofinity Commercial |
$16.82
|
| Rate for Payer: Cofinity Commercial |
$20.28
|
| Rate for Payer: Cofinity Commercial |
$45.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.54
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.26
|
| Rate for Payer: Healthscope Commercial |
$20.93
|
| Rate for Payer: Healthscope Commercial |
$17.36
|
| Rate for Payer: Healthscope Commercial |
$46.73
|
| Rate for Payer: Healthscope Whirlpool |
$21.58
|
| Rate for Payer: Healthscope Whirlpool |
$48.17
|
| Rate for Payer: Healthscope Whirlpool |
$17.89
|
| Rate for Payer: Mclaren Commercial |
$19.42
|
| Rate for Payer: Mclaren Commercial |
$16.10
|
| Rate for Payer: Mclaren Commercial |
$43.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.21
|
| Rate for Payer: Nomi Health Commercial |
$17.69
|
| Rate for Payer: Nomi Health Commercial |
$14.67
|
| Rate for Payer: Nomi Health Commercial |
$39.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$36.13
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.75
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
IP
|
$17.21
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.90 |
| Max. Negotiated Rate |
$17.20 |
| Rate for Payer: Aetna Commercial |
$15.48
|
| Rate for Payer: Aetna Commercial |
$22.61
|
| Rate for Payer: ASR ASR |
$24.37
|
| Rate for Payer: ASR ASR |
$16.69
|
| Rate for Payer: BCBS Trust/PPO |
$20.63
|
| Rate for Payer: BCBS Trust/PPO |
$14.13
|
| Rate for Payer: BCN Commercial |
$20.63
|
| Rate for Payer: BCN Commercial |
$14.13
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$16.17
|
| Rate for Payer: Cofinity Commercial |
$23.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.76
|
| Rate for Payer: Healthscope Commercial |
$16.69
|
| Rate for Payer: Healthscope Commercial |
$24.37
|
| Rate for Payer: Healthscope Whirlpool |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$17.20
|
| Rate for Payer: Mclaren Commercial |
$22.61
|
| Rate for Payer: Mclaren Commercial |
$15.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.62
|
| Rate for Payer: Nomi Health Commercial |
$20.60
|
| Rate for Payer: Nomi Health Commercial |
$14.11
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.11
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 40 MG SOLUTION FOR INJECTION
|
Facility
|
OP
|
$25.12
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10580
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$25.12 |
| Rate for Payer: Aetna Commercial |
$22.61
|
| Rate for Payer: Aetna Commercial |
$15.48
|
| Rate for Payer: Aetna Medicare |
$6.37
|
| Rate for Payer: Aetna Medicare |
$9.29
|
| Rate for Payer: ASR ASR |
$24.37
|
| Rate for Payer: ASR ASR |
$16.69
|
| Rate for Payer: BCBS Complete |
$6.88
|
| Rate for Payer: BCBS Complete |
$10.05
|
| Rate for Payer: BCBS Trust/PPO |
$20.71
|
| Rate for Payer: BCBS Trust/PPO |
$14.19
|
| Rate for Payer: BCN Commercial |
$14.19
|
| Rate for Payer: BCN Commercial |
$20.71
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$13.76
|
| Rate for Payer: Cash Price |
$20.10
|
| Rate for Payer: Cash Price |
$13.76
|
| Rate for Payer: Cofinity Commercial |
$16.17
|
| Rate for Payer: Cofinity Commercial |
$23.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.76
|
| Rate for Payer: Healthscope Commercial |
$24.37
|
| Rate for Payer: Healthscope Commercial |
$16.69
|
| Rate for Payer: Healthscope Whirlpool |
$25.12
|
| Rate for Payer: Healthscope Whirlpool |
$17.20
|
| Rate for Payer: Mclaren Commercial |
$22.61
|
| Rate for Payer: Mclaren Commercial |
$15.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.35
|
| Rate for Payer: Nomi Health Commercial |
$14.11
|
| Rate for Payer: Nomi Health Commercial |
$20.60
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.90
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.14
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.11
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$62.26
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$62.26 |
| Rate for Payer: Aetna Commercial |
$56.03
|
| Rate for Payer: Aetna Commercial |
$94.60
|
| Rate for Payer: Aetna Medicare |
$38.89
|
| Rate for Payer: Aetna Medicare |
$23.03
|
| Rate for Payer: ASR ASR |
$60.39
|
| Rate for Payer: ASR ASR |
$101.96
|
| Rate for Payer: BCBS Complete |
$42.04
|
| Rate for Payer: BCBS Complete |
$24.90
|
| Rate for Payer: BCBS Trust/PPO |
$51.33
|
| Rate for Payer: BCBS Trust/PPO |
$86.66
|
| Rate for Payer: BCN Commercial |
$86.66
|
| Rate for Payer: BCN Commercial |
$51.33
|
| Rate for Payer: Cash Price |
$49.80
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cash Price |
$49.80
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cofinity Commercial |
$98.80
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Healthscope Commercial |
$60.39
|
| Rate for Payer: Healthscope Commercial |
$101.96
|
| Rate for Payer: Healthscope Whirlpool |
$62.26
|
| Rate for Payer: Healthscope Whirlpool |
$105.11
|
| Rate for Payer: Mclaren Commercial |
$56.03
|
| Rate for Payer: Mclaren Commercial |
$94.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$49.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$84.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.92
|
| Rate for Payer: Nomi Health Commercial |
$86.19
|
| Rate for Payer: Nomi Health Commercial |
$51.05
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.69
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.79
|
|
|
METHYLPREDNISOLONE SODIUM SUCCINATE 500 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$105.11
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
10581
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$78.83 |
| Max. Negotiated Rate |
$105.11 |
| Rate for Payer: Aetna Commercial |
$94.60
|
| Rate for Payer: Aetna Commercial |
$56.03
|
| Rate for Payer: ASR ASR |
$60.39
|
| Rate for Payer: ASR ASR |
$101.96
|
| Rate for Payer: BCBS Trust/PPO |
$51.12
|
| Rate for Payer: BCBS Trust/PPO |
$86.32
|
| Rate for Payer: BCN Commercial |
$51.12
|
| Rate for Payer: BCN Commercial |
$86.32
|
| Rate for Payer: Cash Price |
$49.80
|
| Rate for Payer: Cash Price |
$84.09
|
| Rate for Payer: Cofinity Commercial |
$98.80
|
| Rate for Payer: Cofinity Commercial |
$58.52
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$84.09
|
| Rate for Payer: Healthscope Commercial |
$101.96
|
| Rate for Payer: Healthscope Commercial |
$60.39
|
| Rate for Payer: Healthscope Whirlpool |
$62.26
|
| Rate for Payer: Healthscope Whirlpool |
$105.11
|
| Rate for Payer: Mclaren Commercial |
$56.03
|
| Rate for Payer: Mclaren Commercial |
$94.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$89.34
|
| Rate for Payer: Nomi Health Commercial |
$51.05
|
| Rate for Payer: Nomi Health Commercial |
$86.19
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$78.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$46.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$92.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.79
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOL (CODE)
|
Facility
|
OP
|
$35.31
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
163731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$35.31 |
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: Aetna Medicare |
$13.06
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: BCBS Complete |
$14.12
|
| Rate for Payer: BCBS Trust/PPO |
$29.11
|
| Rate for Payer: BCN Commercial |
$29.11
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Healthscope Commercial |
$34.25
|
| Rate for Payer: Healthscope Whirlpool |
$35.31
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOL (CODE)
|
Facility
|
IP
|
$35.31
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
163731
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$26.48 |
| Max. Negotiated Rate |
$35.31 |
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: BCBS Trust/PPO |
$28.99
|
| Rate for Payer: BCN Commercial |
$28.99
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Healthscope Commercial |
$34.25
|
| Rate for Payer: Healthscope Whirlpool |
$35.31
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
OP
|
$35.31
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119451
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.22 |
| Max. Negotiated Rate |
$35.31 |
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: Aetna Commercial |
$16.10
|
| Rate for Payer: Aetna Medicare |
$6.62
|
| Rate for Payer: Aetna Medicare |
$13.06
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: ASR ASR |
$17.36
|
| Rate for Payer: BCBS Complete |
$7.16
|
| Rate for Payer: BCBS Complete |
$14.12
|
| Rate for Payer: BCBS Trust/PPO |
$29.11
|
| Rate for Payer: BCBS Trust/PPO |
$14.75
|
| Rate for Payer: BCN Commercial |
$14.75
|
| Rate for Payer: BCN Commercial |
$29.11
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cofinity Commercial |
$16.82
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.32
|
| Rate for Payer: Healthscope Commercial |
$34.25
|
| Rate for Payer: Healthscope Commercial |
$17.36
|
| Rate for Payer: Healthscope Whirlpool |
$35.31
|
| Rate for Payer: Healthscope Whirlpool |
$17.89
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: Mclaren Commercial |
$16.10
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.25
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Nomi Health Commercial |
$14.67
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.48
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.27
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: Priority Health Narrow Network |
$0.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
|
|
METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION
|
Facility
|
IP
|
$17.89
|
|
|
Service Code
|
HCPCS J2919
|
| Hospital Charge Code |
119451
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.42 |
| Max. Negotiated Rate |
$17.89 |
| Rate for Payer: Aetna Commercial |
$16.10
|
| Rate for Payer: Aetna Commercial |
$31.78
|
| Rate for Payer: ASR ASR |
$34.25
|
| Rate for Payer: ASR ASR |
$17.36
|
| Rate for Payer: BCBS Trust/PPO |
$28.99
|
| Rate for Payer: BCBS Trust/PPO |
$14.69
|
| Rate for Payer: BCN Commercial |
$28.99
|
| Rate for Payer: BCN Commercial |
$14.69
|
| Rate for Payer: Cash Price |
$28.25
|
| Rate for Payer: Cash Price |
$14.32
|
| Rate for Payer: Cofinity Commercial |
$16.82
|
| Rate for Payer: Cofinity Commercial |
$33.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.32
|
| Rate for Payer: Healthscope Commercial |
$17.36
|
| Rate for Payer: Healthscope Commercial |
$34.25
|
| Rate for Payer: Healthscope Whirlpool |
$35.31
|
| Rate for Payer: Healthscope Whirlpool |
$17.89
|
| Rate for Payer: Mclaren Commercial |
$31.78
|
| Rate for Payer: Mclaren Commercial |
$16.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.21
|
| Rate for Payer: Nomi Health Commercial |
$28.95
|
| Rate for Payer: Nomi Health Commercial |
$14.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.07
|
|
