|
METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR
|
Facility
|
IP
|
$4.52
|
|
|
Service Code
|
NDC 51079017001
|
| Hospital Charge Code |
30070
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$3.39 |
| Max. Negotiated Rate |
$4.52 |
| Rate for Payer: Aetna Commercial |
$4.07
|
| Rate for Payer: ASR ASR |
$4.39
|
| Rate for Payer: BCBS Trust/PPO |
$3.71
|
| Rate for Payer: BCN Commercial |
$3.71
|
| Rate for Payer: Cash Price |
$3.62
|
| Rate for Payer: Cofinity Commercial |
$4.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.62
|
| Rate for Payer: Healthscope Commercial |
$4.39
|
| Rate for Payer: Healthscope Whirlpool |
$4.52
|
| Rate for Payer: Mclaren Commercial |
$4.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.84
|
| Rate for Payer: Nomi Health Commercial |
$3.71
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$3.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.98
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
OP
|
$2.23
|
|
|
Service Code
|
NDC 62584026511
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.83 |
| Max. Negotiated Rate |
$2.23 |
| Rate for Payer: Aetna Commercial |
$2.01
|
| Rate for Payer: Aetna Medicare |
$0.83
|
| Rate for Payer: ASR ASR |
$2.17
|
| Rate for Payer: BCBS Complete |
$0.89
|
| Rate for Payer: BCBS Trust/PPO |
$1.84
|
| Rate for Payer: BCN Commercial |
$1.84
|
| Rate for Payer: Cash Price |
$1.79
|
| Rate for Payer: Cofinity Commercial |
$2.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.79
|
| Rate for Payer: Healthscope Commercial |
$2.17
|
| Rate for Payer: Healthscope Whirlpool |
$2.23
|
| Rate for Payer: Mclaren Commercial |
$2.01
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.90
|
| Rate for Payer: Nomi Health Commercial |
$1.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.67
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.96
|
| Rate for Payer: Priority Health Narrow Network |
$1.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.97
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
IP
|
$223.25
|
|
|
Service Code
|
NDC 62584026501
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$167.44 |
| Max. Negotiated Rate |
$223.25 |
| Rate for Payer: Aetna Commercial |
$200.93
|
| Rate for Payer: ASR ASR |
$216.55
|
| Rate for Payer: BCBS Trust/PPO |
$183.33
|
| Rate for Payer: BCN Commercial |
$183.33
|
| Rate for Payer: Cash Price |
$178.60
|
| Rate for Payer: Cofinity Commercial |
$209.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.60
|
| Rate for Payer: Healthscope Commercial |
$216.55
|
| Rate for Payer: Healthscope Whirlpool |
$223.25
|
| Rate for Payer: Mclaren Commercial |
$200.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.76
|
| Rate for Payer: Nomi Health Commercial |
$183.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$196.46
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
OP
|
$223.25
|
|
|
Service Code
|
NDC 62584026501
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$82.60 |
| Max. Negotiated Rate |
$223.25 |
| Rate for Payer: Aetna Commercial |
$200.93
|
| Rate for Payer: Aetna Medicare |
$82.60
|
| Rate for Payer: ASR ASR |
$216.55
|
| Rate for Payer: BCBS Complete |
$89.30
|
| Rate for Payer: BCBS Trust/PPO |
$184.07
|
| Rate for Payer: BCN Commercial |
$184.07
|
| Rate for Payer: Cash Price |
$178.60
|
| Rate for Payer: Cofinity Commercial |
$209.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$178.60
|
| Rate for Payer: Healthscope Commercial |
$216.55
|
| Rate for Payer: Healthscope Whirlpool |
$223.25
|
| Rate for Payer: Mclaren Commercial |
$200.93
|
| Rate for Payer: MI Amish Medical Board Commercial |
$178.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$189.76
|
| Rate for Payer: Nomi Health Commercial |
$183.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$167.44
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$195.61
|
| Rate for Payer: Priority Health Narrow Network |
$156.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$196.46
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
IP
|
$2.23
|
|
|
Service Code
|
NDC 62584026511
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.67 |
| Max. Negotiated Rate |
$2.23 |
| Rate for Payer: Aetna Commercial |
$2.01
|
| Rate for Payer: ASR ASR |
$2.17
|
| Rate for Payer: BCBS Trust/PPO |
$1.83
|
| Rate for Payer: BCN Commercial |
$1.83
|
| Rate for Payer: Cash Price |
$1.79
|
| Rate for Payer: Cofinity Commercial |
$2.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.79
|
| Rate for Payer: Healthscope Commercial |
$2.17
|
| Rate for Payer: Healthscope Whirlpool |
$2.23
|
| Rate for Payer: Mclaren Commercial |
$2.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.90
|
| Rate for Payer: Nomi Health Commercial |
$1.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.97
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
IP
|
$202.10
|
|
|
Service Code
|
NDC 51079025520
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$151.57 |
| Max. Negotiated Rate |
$202.10 |
| Rate for Payer: Aetna Commercial |
$181.89
|
| Rate for Payer: ASR ASR |
$196.04
|
| Rate for Payer: BCBS Trust/PPO |
$165.96
|
| Rate for Payer: BCN Commercial |
$165.96
|
| Rate for Payer: Cash Price |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$189.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$161.68
|
| Rate for Payer: Healthscope Commercial |
$196.04
|
| Rate for Payer: Healthscope Whirlpool |
$202.10
|
| Rate for Payer: Mclaren Commercial |
$181.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$171.78
|
| Rate for Payer: Nomi Health Commercial |
$165.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$151.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$177.85
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
IP
|
$2.02
|
|
|
Service Code
|
NDC 51079025501
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.52 |
| Max. Negotiated Rate |
$2.02 |
| Rate for Payer: Aetna Commercial |
$1.82
|
| Rate for Payer: ASR ASR |
$1.96
|
| Rate for Payer: BCBS Trust/PPO |
$1.66
|
| Rate for Payer: BCN Commercial |
$1.66
|
| Rate for Payer: Cash Price |
$1.62
|
| Rate for Payer: Cofinity Commercial |
$1.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.62
|
| Rate for Payer: Healthscope Commercial |
$1.96
|
| Rate for Payer: Healthscope Whirlpool |
$2.02
|
| Rate for Payer: Mclaren Commercial |
$1.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.72
|
| Rate for Payer: Nomi Health Commercial |
$1.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.78
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
OP
|
$2.02
|
|
|
Service Code
|
NDC 51079025501
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.75 |
| Max. Negotiated Rate |
$2.02 |
| Rate for Payer: Aetna Commercial |
$1.82
|
| Rate for Payer: Aetna Medicare |
$0.75
|
| Rate for Payer: ASR ASR |
$1.96
|
| Rate for Payer: BCBS Complete |
$0.81
|
| Rate for Payer: BCBS Trust/PPO |
$1.67
|
| Rate for Payer: BCN Commercial |
$1.67
|
| Rate for Payer: Cash Price |
$1.62
|
| Rate for Payer: Cofinity Commercial |
$1.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.62
|
| Rate for Payer: Healthscope Commercial |
$1.96
|
| Rate for Payer: Healthscope Whirlpool |
$2.02
|
| Rate for Payer: Mclaren Commercial |
$1.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.72
|
| Rate for Payer: Nomi Health Commercial |
$1.66
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.77
|
| Rate for Payer: Priority Health Narrow Network |
$1.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.78
|
|
|
METOPROLOL TARTRATE 25 MG TABLET
|
Facility
|
OP
|
$202.10
|
|
|
Service Code
|
NDC 51079025520
|
| Hospital Charge Code |
37637
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$74.78 |
| Max. Negotiated Rate |
$202.10 |
| Rate for Payer: Aetna Commercial |
$181.89
|
| Rate for Payer: Aetna Medicare |
$74.78
|
| Rate for Payer: ASR ASR |
$196.04
|
| Rate for Payer: BCBS Complete |
$80.84
|
| Rate for Payer: BCBS Trust/PPO |
$166.63
|
| Rate for Payer: BCN Commercial |
$166.63
|
| Rate for Payer: Cash Price |
$161.68
|
| Rate for Payer: Cofinity Commercial |
$189.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$161.68
|
| Rate for Payer: Healthscope Commercial |
$196.04
|
| Rate for Payer: Healthscope Whirlpool |
$202.10
|
| Rate for Payer: Mclaren Commercial |
$181.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$161.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$171.78
|
| Rate for Payer: Nomi Health Commercial |
$165.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$151.57
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$177.08
|
| Rate for Payer: Priority Health Narrow Network |
$141.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$177.85
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
IP
|
$1.86
|
|
|
Service Code
|
NDC 51079080101
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.39 |
| Max. Negotiated Rate |
$1.86 |
| Rate for Payer: Aetna Commercial |
$1.67
|
| Rate for Payer: ASR ASR |
$1.80
|
| Rate for Payer: BCBS Trust/PPO |
$1.52
|
| Rate for Payer: BCN Commercial |
$1.52
|
| Rate for Payer: Cash Price |
$1.49
|
| Rate for Payer: Cofinity Commercial |
$1.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.49
|
| Rate for Payer: Healthscope Commercial |
$1.80
|
| Rate for Payer: Healthscope Whirlpool |
$1.86
|
| Rate for Payer: Mclaren Commercial |
$1.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.58
|
| Rate for Payer: Nomi Health Commercial |
$1.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.63
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
IP
|
$61.10
|
|
|
Service Code
|
NDC 62332011331
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$45.83 |
| Max. Negotiated Rate |
$61.10 |
| Rate for Payer: Aetna Commercial |
$54.99
|
| Rate for Payer: ASR ASR |
$59.27
|
| Rate for Payer: BCBS Trust/PPO |
$50.18
|
| Rate for Payer: BCN Commercial |
$50.18
|
| Rate for Payer: Cash Price |
$48.88
|
| Rate for Payer: Cofinity Commercial |
$57.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.88
|
| Rate for Payer: Healthscope Commercial |
$59.27
|
| Rate for Payer: Healthscope Whirlpool |
$61.10
|
| Rate for Payer: Mclaren Commercial |
$54.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.94
|
| Rate for Payer: Nomi Health Commercial |
$50.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.77
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
IP
|
$211.50
|
|
|
Service Code
|
NDC 62584026601
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$158.62 |
| Max. Negotiated Rate |
$211.50 |
| Rate for Payer: Aetna Commercial |
$190.35
|
| Rate for Payer: ASR ASR |
$205.16
|
| Rate for Payer: BCBS Trust/PPO |
$173.68
|
| Rate for Payer: BCN Commercial |
$173.68
|
| Rate for Payer: Cash Price |
$169.20
|
| Rate for Payer: Cofinity Commercial |
$198.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$205.16
|
| Rate for Payer: Healthscope Whirlpool |
$211.50
|
| Rate for Payer: Mclaren Commercial |
$190.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.78
|
| Rate for Payer: Nomi Health Commercial |
$173.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$186.12
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
OP
|
$2.12
|
|
|
Service Code
|
NDC 62584026611
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.78 |
| Max. Negotiated Rate |
$2.12 |
| Rate for Payer: Aetna Commercial |
$1.90
|
| Rate for Payer: Aetna Medicare |
$0.78
|
| Rate for Payer: ASR ASR |
$2.05
|
| Rate for Payer: BCBS Complete |
$0.85
|
| Rate for Payer: BCBS Trust/PPO |
$1.74
|
| Rate for Payer: BCN Commercial |
$1.74
|
| Rate for Payer: Cash Price |
$1.69
|
| Rate for Payer: Cofinity Commercial |
$1.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.69
|
| Rate for Payer: Healthscope Commercial |
$2.05
|
| Rate for Payer: Healthscope Whirlpool |
$2.12
|
| Rate for Payer: Mclaren Commercial |
$1.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.80
|
| Rate for Payer: Nomi Health Commercial |
$1.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.59
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.85
|
| Rate for Payer: Priority Health Narrow Network |
$1.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.86
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
IP
|
$164.50
|
|
|
Service Code
|
NDC 904711861
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$123.38 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$148.05
|
| Rate for Payer: ASR ASR |
$159.56
|
| Rate for Payer: BCBS Trust/PPO |
$135.09
|
| Rate for Payer: BCN Commercial |
$135.09
|
| Rate for Payer: Cash Price |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$154.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.60
|
| Rate for Payer: Healthscope Commercial |
$159.56
|
| Rate for Payer: Healthscope Whirlpool |
$164.50
|
| Rate for Payer: Mclaren Commercial |
$148.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.82
|
| Rate for Payer: Nomi Health Commercial |
$134.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$144.76
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
OP
|
$164.50
|
|
|
Service Code
|
NDC 904711861
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$60.87 |
| Max. Negotiated Rate |
$164.50 |
| Rate for Payer: Aetna Commercial |
$148.05
|
| Rate for Payer: Aetna Medicare |
$60.87
|
| Rate for Payer: ASR ASR |
$159.56
|
| Rate for Payer: BCBS Complete |
$65.80
|
| Rate for Payer: BCBS Trust/PPO |
$135.63
|
| Rate for Payer: BCN Commercial |
$135.63
|
| Rate for Payer: Cash Price |
$131.60
|
| Rate for Payer: Cofinity Commercial |
$154.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$131.60
|
| Rate for Payer: Healthscope Commercial |
$159.56
|
| Rate for Payer: Healthscope Whirlpool |
$164.50
|
| Rate for Payer: Mclaren Commercial |
$148.05
|
| Rate for Payer: MI Amish Medical Board Commercial |
$131.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$139.82
|
| Rate for Payer: Nomi Health Commercial |
$134.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$123.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$144.13
|
| Rate for Payer: Priority Health Narrow Network |
$115.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$144.76
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
OP
|
$108.10
|
|
|
Service Code
|
NDC 378003201
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$40.00 |
| Max. Negotiated Rate |
$108.10 |
| Rate for Payer: Aetna Commercial |
$97.29
|
| Rate for Payer: Aetna Medicare |
$40.00
|
| Rate for Payer: ASR ASR |
$104.86
|
| Rate for Payer: BCBS Complete |
$43.24
|
| Rate for Payer: BCBS Trust/PPO |
$89.13
|
| Rate for Payer: BCN Commercial |
$89.13
|
| Rate for Payer: Cash Price |
$86.48
|
| Rate for Payer: Cofinity Commercial |
$101.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.48
|
| Rate for Payer: Healthscope Commercial |
$104.86
|
| Rate for Payer: Healthscope Whirlpool |
$108.10
|
| Rate for Payer: Mclaren Commercial |
$97.29
|
| Rate for Payer: MI Amish Medical Board Commercial |
$86.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.89
|
| Rate for Payer: Nomi Health Commercial |
$88.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$94.72
|
| Rate for Payer: Priority Health Narrow Network |
$75.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$95.13
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
IP
|
$2.12
|
|
|
Service Code
|
NDC 62584026611
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.59 |
| Max. Negotiated Rate |
$2.12 |
| Rate for Payer: Aetna Commercial |
$1.90
|
| Rate for Payer: ASR ASR |
$2.05
|
| Rate for Payer: BCBS Trust/PPO |
$1.74
|
| Rate for Payer: BCN Commercial |
$1.74
|
| Rate for Payer: Cash Price |
$1.69
|
| Rate for Payer: Cofinity Commercial |
$1.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.69
|
| Rate for Payer: Healthscope Commercial |
$2.05
|
| Rate for Payer: Healthscope Whirlpool |
$2.12
|
| Rate for Payer: Mclaren Commercial |
$1.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.80
|
| Rate for Payer: Nomi Health Commercial |
$1.73
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.59
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.86
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
IP
|
$108.10
|
|
|
Service Code
|
NDC 378003201
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$81.08 |
| Max. Negotiated Rate |
$108.10 |
| Rate for Payer: Aetna Commercial |
$97.29
|
| Rate for Payer: ASR ASR |
$104.86
|
| Rate for Payer: BCBS Trust/PPO |
$88.77
|
| Rate for Payer: BCN Commercial |
$88.77
|
| Rate for Payer: Cash Price |
$86.48
|
| Rate for Payer: Cofinity Commercial |
$101.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$86.48
|
| Rate for Payer: Healthscope Commercial |
$104.86
|
| Rate for Payer: Healthscope Whirlpool |
$108.10
|
| Rate for Payer: Mclaren Commercial |
$97.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.89
|
| Rate for Payer: Nomi Health Commercial |
$88.64
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$81.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$95.13
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
OP
|
$211.50
|
|
|
Service Code
|
NDC 62584026601
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$78.25 |
| Max. Negotiated Rate |
$211.50 |
| Rate for Payer: Aetna Commercial |
$190.35
|
| Rate for Payer: Aetna Medicare |
$78.25
|
| Rate for Payer: ASR ASR |
$205.16
|
| Rate for Payer: BCBS Complete |
$84.60
|
| Rate for Payer: BCBS Trust/PPO |
$174.38
|
| Rate for Payer: BCN Commercial |
$174.38
|
| Rate for Payer: Cash Price |
$169.20
|
| Rate for Payer: Cofinity Commercial |
$198.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$169.20
|
| Rate for Payer: Healthscope Commercial |
$205.16
|
| Rate for Payer: Healthscope Whirlpool |
$211.50
|
| Rate for Payer: Mclaren Commercial |
$190.35
|
| Rate for Payer: MI Amish Medical Board Commercial |
$169.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$179.78
|
| Rate for Payer: Nomi Health Commercial |
$173.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$158.62
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$185.32
|
| Rate for Payer: Priority Health Narrow Network |
$148.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$186.12
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
OP
|
$1.86
|
|
|
Service Code
|
NDC 51079080101
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.69 |
| Max. Negotiated Rate |
$1.86 |
| Rate for Payer: Aetna Commercial |
$1.67
|
| Rate for Payer: Aetna Medicare |
$0.69
|
| Rate for Payer: ASR ASR |
$1.80
|
| Rate for Payer: BCBS Complete |
$0.74
|
| Rate for Payer: BCBS Trust/PPO |
$1.53
|
| Rate for Payer: BCN Commercial |
$1.53
|
| Rate for Payer: Cash Price |
$1.49
|
| Rate for Payer: Cofinity Commercial |
$1.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1.49
|
| Rate for Payer: Healthscope Commercial |
$1.80
|
| Rate for Payer: Healthscope Whirlpool |
$1.86
|
| Rate for Payer: Mclaren Commercial |
$1.67
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1.58
|
| Rate for Payer: Nomi Health Commercial |
$1.52
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1.39
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.63
|
| Rate for Payer: Priority Health Narrow Network |
$1.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1.63
|
|
|
METOPROLOL TARTRATE 50 MG TABLET
|
Facility
|
OP
|
$61.10
|
|
|
Service Code
|
NDC 62332011331
|
| Hospital Charge Code |
5009
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$22.61 |
| Max. Negotiated Rate |
$61.10 |
| Rate for Payer: Aetna Commercial |
$54.99
|
| Rate for Payer: Aetna Medicare |
$22.61
|
| Rate for Payer: ASR ASR |
$59.27
|
| Rate for Payer: BCBS Complete |
$24.44
|
| Rate for Payer: BCBS Trust/PPO |
$50.38
|
| Rate for Payer: BCN Commercial |
$50.38
|
| Rate for Payer: Cash Price |
$48.88
|
| Rate for Payer: Cofinity Commercial |
$57.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.88
|
| Rate for Payer: Healthscope Commercial |
$59.27
|
| Rate for Payer: Healthscope Whirlpool |
$61.10
|
| Rate for Payer: Mclaren Commercial |
$54.99
|
| Rate for Payer: MI Amish Medical Board Commercial |
$48.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$51.94
|
| Rate for Payer: Nomi Health Commercial |
$50.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$45.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$53.54
|
| Rate for Payer: Priority Health Narrow Network |
$42.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.77
|
|
|
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$14.25
|
|
|
Service Code
|
HCPCS J0616
|
| Hospital Charge Code |
5007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.10 |
| Max. Negotiated Rate |
$14.25 |
| Rate for Payer: Aetna Commercial |
$12.82
|
| Rate for Payer: Aetna Commercial |
$21.86
|
| Rate for Payer: Aetna Commercial |
$12.71
|
| Rate for Payer: Aetna Commercial |
$12.60
|
| Rate for Payer: Aetna Commercial |
$13.62
|
| Rate for Payer: Aetna Medicare |
$8.99
|
| Rate for Payer: Aetna Medicare |
$5.18
|
| Rate for Payer: Aetna Medicare |
$5.60
|
| Rate for Payer: Aetna Medicare |
$5.27
|
| Rate for Payer: Aetna Medicare |
$5.23
|
| Rate for Payer: ASR ASR |
$13.82
|
| Rate for Payer: ASR ASR |
$23.56
|
| Rate for Payer: ASR ASR |
$14.68
|
| Rate for Payer: ASR ASR |
$13.70
|
| Rate for Payer: ASR ASR |
$13.58
|
| Rate for Payer: BCBS Complete |
$6.05
|
| Rate for Payer: BCBS Complete |
$5.60
|
| Rate for Payer: BCBS Complete |
$9.72
|
| Rate for Payer: BCBS Complete |
$5.70
|
| Rate for Payer: BCBS Complete |
$5.65
|
| Rate for Payer: BCBS Trust/PPO |
$11.54
|
| Rate for Payer: BCBS Trust/PPO |
$11.65
|
| Rate for Payer: BCBS Trust/PPO |
$12.48
|
| Rate for Payer: BCBS Trust/PPO |
$20.03
|
| Rate for Payer: BCBS Trust/PPO |
$11.75
|
| Rate for Payer: BCN Commercial |
$12.48
|
| Rate for Payer: BCN Commercial |
$11.65
|
| Rate for Payer: BCN Commercial |
$11.54
|
| Rate for Payer: BCN Commercial |
$20.03
|
| Rate for Payer: BCN Commercial |
$11.75
|
| Rate for Payer: Cash Price |
$12.11
|
| Rate for Payer: Cash Price |
$11.40
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.30
|
| Rate for Payer: Cash Price |
$11.30
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.40
|
| Rate for Payer: Cash Price |
$12.11
|
| Rate for Payer: Cash Price |
$19.43
|
| Rate for Payer: Cash Price |
$19.43
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Cofinity Commercial |
$22.83
|
| Rate for Payer: Cofinity Commercial |
$13.28
|
| Rate for Payer: Cofinity Commercial |
$13.39
|
| Rate for Payer: Cofinity Commercial |
$14.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.30
|
| Rate for Payer: Healthscope Commercial |
$13.58
|
| Rate for Payer: Healthscope Commercial |
$13.70
|
| Rate for Payer: Healthscope Commercial |
$23.56
|
| Rate for Payer: Healthscope Commercial |
$13.82
|
| Rate for Payer: Healthscope Commercial |
$14.68
|
| Rate for Payer: Healthscope Whirlpool |
$14.25
|
| Rate for Payer: Healthscope Whirlpool |
$14.00
|
| Rate for Payer: Healthscope Whirlpool |
$14.12
|
| Rate for Payer: Healthscope Whirlpool |
$24.29
|
| Rate for Payer: Healthscope Whirlpool |
$15.13
|
| Rate for Payer: Mclaren Commercial |
$12.71
|
| Rate for Payer: Mclaren Commercial |
$12.60
|
| Rate for Payer: Mclaren Commercial |
$21.86
|
| Rate for Payer: Mclaren Commercial |
$13.62
|
| Rate for Payer: Mclaren Commercial |
$12.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.11
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.30
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.11
|
| Rate for Payer: Nomi Health Commercial |
$11.58
|
| Rate for Payer: Nomi Health Commercial |
$11.48
|
| Rate for Payer: Nomi Health Commercial |
$19.92
|
| Rate for Payer: Nomi Health Commercial |
$12.41
|
| Rate for Payer: Nomi Health Commercial |
$11.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.22
|
| 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 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: Priority Health Narrow Network |
$0.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.54
|
|
|
METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.29
|
|
|
Service Code
|
HCPCS J0616
|
| Hospital Charge Code |
5007
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.22 |
| Max. Negotiated Rate |
$24.29 |
| Rate for Payer: Aetna Commercial |
$21.86
|
| Rate for Payer: Aetna Commercial |
$12.82
|
| Rate for Payer: Aetna Commercial |
$13.62
|
| Rate for Payer: Aetna Commercial |
$12.71
|
| Rate for Payer: Aetna Commercial |
$12.60
|
| Rate for Payer: ASR ASR |
$13.82
|
| Rate for Payer: ASR ASR |
$13.58
|
| Rate for Payer: ASR ASR |
$23.56
|
| Rate for Payer: ASR ASR |
$13.70
|
| Rate for Payer: ASR ASR |
$14.68
|
| Rate for Payer: BCBS Trust/PPO |
$19.95
|
| Rate for Payer: BCBS Trust/PPO |
$11.60
|
| Rate for Payer: BCBS Trust/PPO |
$11.50
|
| Rate for Payer: BCBS Trust/PPO |
$12.43
|
| Rate for Payer: BCBS Trust/PPO |
$11.70
|
| Rate for Payer: BCN Commercial |
$11.70
|
| Rate for Payer: BCN Commercial |
$11.60
|
| Rate for Payer: BCN Commercial |
$12.43
|
| Rate for Payer: BCN Commercial |
$19.95
|
| Rate for Payer: BCN Commercial |
$11.50
|
| Rate for Payer: Cash Price |
$11.20
|
| Rate for Payer: Cash Price |
$11.40
|
| Rate for Payer: Cash Price |
$12.11
|
| Rate for Payer: Cash Price |
$11.30
|
| Rate for Payer: Cash Price |
$19.43
|
| Rate for Payer: Cofinity Commercial |
$13.28
|
| Rate for Payer: Cofinity Commercial |
$14.23
|
| Rate for Payer: Cofinity Commercial |
$13.16
|
| Rate for Payer: Cofinity Commercial |
$13.39
|
| Rate for Payer: Cofinity Commercial |
$22.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.20
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.30
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.43
|
| Rate for Payer: Healthscope Commercial |
$13.82
|
| Rate for Payer: Healthscope Commercial |
$13.70
|
| Rate for Payer: Healthscope Commercial |
$14.68
|
| Rate for Payer: Healthscope Commercial |
$13.58
|
| Rate for Payer: Healthscope Commercial |
$23.56
|
| Rate for Payer: Healthscope Whirlpool |
$15.13
|
| Rate for Payer: Healthscope Whirlpool |
$24.29
|
| Rate for Payer: Healthscope Whirlpool |
$14.00
|
| Rate for Payer: Healthscope Whirlpool |
$14.12
|
| Rate for Payer: Healthscope Whirlpool |
$14.25
|
| Rate for Payer: Mclaren Commercial |
$12.71
|
| Rate for Payer: Mclaren Commercial |
$13.62
|
| Rate for Payer: Mclaren Commercial |
$12.60
|
| Rate for Payer: Mclaren Commercial |
$21.86
|
| Rate for Payer: Mclaren Commercial |
$12.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.01
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.64
|
| Rate for Payer: Nomi Health Commercial |
$12.41
|
| Rate for Payer: Nomi Health Commercial |
$11.69
|
| Rate for Payer: Nomi Health Commercial |
$11.58
|
| Rate for Payer: Nomi Health Commercial |
$11.48
|
| Rate for Payer: Nomi Health Commercial |
$19.92
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.59
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.35
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.69
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.22
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.32
|
|
|
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
|
Facility
|
IP
|
$10.00
|
|
|
Service Code
|
HCPCS J1836
|
| Hospital Charge Code |
5018
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.50 |
| Max. Negotiated Rate |
$10.00 |
| Rate for Payer: Aetna Commercial |
$9.00
|
| Rate for Payer: Aetna Commercial |
$5.76
|
| Rate for Payer: Aetna Commercial |
$11.52
|
| Rate for Payer: ASR ASR |
$6.21
|
| Rate for Payer: ASR ASR |
$9.70
|
| Rate for Payer: ASR ASR |
$12.42
|
| Rate for Payer: BCBS Trust/PPO |
$5.26
|
| Rate for Payer: BCBS Trust/PPO |
$8.21
|
| Rate for Payer: BCBS Trust/PPO |
$10.51
|
| Rate for Payer: BCN Commercial |
$10.51
|
| Rate for Payer: BCN Commercial |
$8.21
|
| Rate for Payer: BCN Commercial |
$5.26
|
| Rate for Payer: Cash Price |
$5.12
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$10.24
|
| Rate for Payer: Cofinity Commercial |
$9.40
|
| Rate for Payer: Cofinity Commercial |
$12.03
|
| Rate for Payer: Cofinity Commercial |
$6.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.24
|
| Rate for Payer: Healthscope Commercial |
$12.42
|
| Rate for Payer: Healthscope Commercial |
$9.70
|
| Rate for Payer: Healthscope Commercial |
$6.21
|
| Rate for Payer: Healthscope Whirlpool |
$12.80
|
| Rate for Payer: Healthscope Whirlpool |
$6.40
|
| Rate for Payer: Healthscope Whirlpool |
$10.00
|
| Rate for Payer: Mclaren Commercial |
$11.52
|
| Rate for Payer: Mclaren Commercial |
$9.00
|
| Rate for Payer: Mclaren Commercial |
$5.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.50
|
| Rate for Payer: Nomi Health Commercial |
$10.50
|
| Rate for Payer: Nomi Health Commercial |
$8.20
|
| Rate for Payer: Nomi Health Commercial |
$5.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.80
|
|
|
METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK
|
Facility
|
OP
|
$10.00
|
|
|
Service Code
|
HCPCS J1836
|
| Hospital Charge Code |
5018
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.02 |
| Max. Negotiated Rate |
$10.00 |
| Rate for Payer: Aetna Commercial |
$9.00
|
| Rate for Payer: Aetna Commercial |
$11.52
|
| Rate for Payer: Aetna Commercial |
$5.76
|
| Rate for Payer: Aetna Medicare |
$4.74
|
| Rate for Payer: Aetna Medicare |
$3.70
|
| Rate for Payer: Aetna Medicare |
$2.37
|
| Rate for Payer: ASR ASR |
$6.21
|
| Rate for Payer: ASR ASR |
$9.70
|
| Rate for Payer: ASR ASR |
$12.42
|
| Rate for Payer: BCBS Complete |
$4.00
|
| Rate for Payer: BCBS Complete |
$2.56
|
| Rate for Payer: BCBS Complete |
$5.12
|
| Rate for Payer: BCBS Trust/PPO |
$8.24
|
| Rate for Payer: BCBS Trust/PPO |
$10.55
|
| Rate for Payer: BCBS Trust/PPO |
$5.28
|
| Rate for Payer: BCN Commercial |
$8.24
|
| Rate for Payer: BCN Commercial |
$10.55
|
| Rate for Payer: BCN Commercial |
$5.28
|
| Rate for Payer: Cash Price |
$10.24
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cash Price |
$10.24
|
| Rate for Payer: Cash Price |
$5.12
|
| Rate for Payer: Cash Price |
$5.12
|
| Rate for Payer: Cash Price |
$8.00
|
| Rate for Payer: Cofinity Commercial |
$12.03
|
| Rate for Payer: Cofinity Commercial |
$9.40
|
| Rate for Payer: Cofinity Commercial |
$6.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$5.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.24
|
| Rate for Payer: Healthscope Commercial |
$6.21
|
| Rate for Payer: Healthscope Commercial |
$9.70
|
| Rate for Payer: Healthscope Commercial |
$12.42
|
| Rate for Payer: Healthscope Whirlpool |
$12.80
|
| Rate for Payer: Healthscope Whirlpool |
$10.00
|
| Rate for Payer: Healthscope Whirlpool |
$6.40
|
| Rate for Payer: Mclaren Commercial |
$5.76
|
| Rate for Payer: Mclaren Commercial |
$11.52
|
| Rate for Payer: Mclaren Commercial |
$9.00
|
| Rate for Payer: MI Amish Medical Board Commercial |
$5.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.50
|
| Rate for Payer: Nomi Health Commercial |
$5.25
|
| Rate for Payer: Nomi Health Commercial |
$8.20
|
| Rate for Payer: Nomi Health Commercial |
$10.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.60
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.03
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.03
|
| Rate for Payer: Priority Health Narrow Network |
$0.02
|
| Rate for Payer: Priority Health Narrow Network |
$0.02
|
| Rate for Payer: Priority Health Narrow Network |
$0.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.80
|
|
