|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$47.81
|
|
|
Service Code
|
NDC 904707341
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$35.86 |
| Max. Negotiated Rate |
$47.81 |
| Rate for Payer: Aetna Commercial |
$43.03
|
| Rate for Payer: ASR ASR |
$46.37
|
| Rate for Payer: BCBS Trust/PPO |
$39.26
|
| Rate for Payer: BCN Commercial |
$39.26
|
| Rate for Payer: Cash Price |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$44.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.25
|
| Rate for Payer: Healthscope Commercial |
$46.37
|
| Rate for Payer: Healthscope Whirlpool |
$47.81
|
| Rate for Payer: Mclaren Commercial |
$43.03
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.64
|
| Rate for Payer: Nomi Health Commercial |
$39.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.07
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$116.38
|
|
|
Service Code
|
NDC 65162069179
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$87.28 |
| Max. Negotiated Rate |
$116.38 |
| Rate for Payer: Aetna Commercial |
$104.74
|
| Rate for Payer: ASR ASR |
$112.88
|
| Rate for Payer: BCBS Trust/PPO |
$95.57
|
| Rate for Payer: BCN Commercial |
$95.57
|
| Rate for Payer: Cash Price |
$93.10
|
| Rate for Payer: Cofinity Commercial |
$109.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$93.10
|
| Rate for Payer: Healthscope Commercial |
$112.88
|
| Rate for Payer: Healthscope Whirlpool |
$116.38
|
| Rate for Payer: Mclaren Commercial |
$104.74
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.92
|
| Rate for Payer: Nomi Health Commercial |
$95.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$87.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$102.41
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$220.88
|
|
|
Service Code
|
NDC 54838055550
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$81.72 |
| Max. Negotiated Rate |
$220.88 |
| Rate for Payer: Aetna Commercial |
$198.79
|
| Rate for Payer: Aetna Medicare |
$81.72
|
| Rate for Payer: ASR ASR |
$214.25
|
| Rate for Payer: BCBS Complete |
$88.35
|
| Rate for Payer: BCBS Trust/PPO |
$182.11
|
| Rate for Payer: BCN Commercial |
$182.11
|
| Rate for Payer: Cash Price |
$176.70
|
| Rate for Payer: Cofinity Commercial |
$207.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.70
|
| Rate for Payer: Healthscope Commercial |
$214.25
|
| Rate for Payer: Healthscope Whirlpool |
$220.88
|
| Rate for Payer: Mclaren Commercial |
$198.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$176.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.74
|
| Rate for Payer: Nomi Health Commercial |
$181.12
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$165.66
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$193.53
|
| Rate for Payer: Priority Health Narrow Network |
$154.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$194.37
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$47.81
|
|
|
Service Code
|
NDC 904707341
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$17.69 |
| Max. Negotiated Rate |
$47.81 |
| Rate for Payer: Aetna Commercial |
$43.03
|
| Rate for Payer: Aetna Medicare |
$17.69
|
| Rate for Payer: ASR ASR |
$46.37
|
| Rate for Payer: BCBS Complete |
$19.12
|
| Rate for Payer: BCBS Trust/PPO |
$39.42
|
| Rate for Payer: BCN Commercial |
$39.42
|
| Rate for Payer: Cash Price |
$38.25
|
| Rate for Payer: Cofinity Commercial |
$44.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$38.25
|
| Rate for Payer: Healthscope Commercial |
$46.37
|
| Rate for Payer: Healthscope Whirlpool |
$47.81
|
| Rate for Payer: Mclaren Commercial |
$43.03
|
| Rate for Payer: MI Amish Medical Board Commercial |
$38.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$40.64
|
| Rate for Payer: Nomi Health Commercial |
$39.20
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$35.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$41.89
|
| Rate for Payer: Priority Health Narrow Network |
$33.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.07
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$53.35
|
|
|
Service Code
|
NDC 68094076362
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$40.02 |
| Max. Negotiated Rate |
$53.35 |
| Rate for Payer: Aetna Commercial |
$48.02
|
| Rate for Payer: ASR ASR |
$51.75
|
| Rate for Payer: BCBS Trust/PPO |
$43.81
|
| Rate for Payer: BCN Commercial |
$43.81
|
| Rate for Payer: Cash Price |
$42.68
|
| Rate for Payer: Cofinity Commercial |
$50.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$42.68
|
| Rate for Payer: Healthscope Commercial |
$51.75
|
| Rate for Payer: Healthscope Whirlpool |
$53.35
|
| Rate for Payer: Mclaren Commercial |
$48.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$45.35
|
| Rate for Payer: Nomi Health Commercial |
$43.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$40.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$46.95
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION (CODE)
|
Facility
|
IP
|
$10.24
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
163708
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.68 |
| Max. Negotiated Rate |
$10.24 |
| Rate for Payer: Aetna Commercial |
$9.21
|
| Rate for Payer: Aetna Commercial |
$9.71
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Commercial |
$12.55
|
| Rate for Payer: Aetna Commercial |
$8.60
|
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$9.93
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$10.46
|
| Rate for Payer: ASR ASR |
$13.53
|
| Rate for Payer: ASR ASR |
$9.26
|
| Rate for Payer: BCBS Trust/PPO |
$8.41
|
| Rate for Payer: BCBS Trust/PPO |
$11.46
|
| Rate for Payer: BCBS Trust/PPO |
$9.57
|
| Rate for Payer: BCBS Trust/PPO |
$7.84
|
| Rate for Payer: BCBS Trust/PPO |
$12.66
|
| Rate for Payer: BCBS Trust/PPO |
$8.86
|
| Rate for Payer: BCN Commercial |
$12.66
|
| Rate for Payer: BCN Commercial |
$8.41
|
| Rate for Payer: BCN Commercial |
$7.84
|
| Rate for Payer: BCN Commercial |
$9.57
|
| Rate for Payer: BCN Commercial |
$8.86
|
| Rate for Payer: BCN Commercial |
$11.46
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cofinity Commercial |
$10.14
|
| Rate for Payer: Cofinity Commercial |
$13.11
|
| Rate for Payer: Cofinity Commercial |
$9.62
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$14.50
|
| Rate for Payer: Cofinity Commercial |
$8.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Healthscope Commercial |
$9.93
|
| Rate for Payer: Healthscope Commercial |
$13.53
|
| Rate for Payer: Healthscope Commercial |
$10.46
|
| Rate for Payer: Healthscope Commercial |
$9.26
|
| Rate for Payer: Healthscope Commercial |
$11.30
|
| Rate for Payer: Healthscope Commercial |
$14.96
|
| Rate for Payer: Healthscope Whirlpool |
$11.65
|
| Rate for Payer: Healthscope Whirlpool |
$13.95
|
| Rate for Payer: Healthscope Whirlpool |
$10.79
|
| Rate for Payer: Healthscope Whirlpool |
$15.42
|
| Rate for Payer: Healthscope Whirlpool |
$10.24
|
| Rate for Payer: Healthscope Whirlpool |
$9.55
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$8.60
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$9.21
|
| Rate for Payer: Mclaren Commercial |
$9.71
|
| Rate for Payer: Mclaren Commercial |
$12.55
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Nomi Health Commercial |
$8.85
|
| Rate for Payer: Nomi Health Commercial |
$11.44
|
| Rate for Payer: Nomi Health Commercial |
$8.39
|
| Rate for Payer: Nomi Health Commercial |
$12.65
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION (CODE)
|
Facility
|
OP
|
$9.55
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
163708
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$9.55 |
| Rate for Payer: Aetna Commercial |
$8.60
|
| Rate for Payer: Aetna Commercial |
$9.71
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: Aetna Commercial |
$12.55
|
| Rate for Payer: Aetna Commercial |
$9.21
|
| Rate for Payer: Aetna Medicare |
$5.16
|
| Rate for Payer: Aetna Medicare |
$4.31
|
| Rate for Payer: Aetna Medicare |
$3.99
|
| Rate for Payer: Aetna Medicare |
$5.71
|
| Rate for Payer: Aetna Medicare |
$3.53
|
| Rate for Payer: Aetna Medicare |
$3.79
|
| Rate for Payer: ASR ASR |
$10.46
|
| Rate for Payer: ASR ASR |
$9.26
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$9.93
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$13.53
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS Complete |
$4.09
|
| Rate for Payer: BCBS Complete |
$6.17
|
| Rate for Payer: BCBS Complete |
$5.58
|
| Rate for Payer: BCBS Complete |
$3.82
|
| Rate for Payer: BCBS Complete |
$4.66
|
| Rate for Payer: BCBS Trust/PPO |
$12.72
|
| Rate for Payer: BCBS Trust/PPO |
$11.50
|
| Rate for Payer: BCBS Trust/PPO |
$9.61
|
| Rate for Payer: BCBS Trust/PPO |
$8.44
|
| Rate for Payer: BCBS Trust/PPO |
$8.89
|
| Rate for Payer: BCBS Trust/PPO |
$7.87
|
| Rate for Payer: BCN Commercial |
$7.87
|
| Rate for Payer: BCN Commercial |
$8.89
|
| Rate for Payer: BCN Commercial |
$8.44
|
| Rate for Payer: BCN Commercial |
$9.61
|
| Rate for Payer: BCN Commercial |
$12.72
|
| Rate for Payer: BCN Commercial |
$11.50
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cofinity Commercial |
$9.62
|
| Rate for Payer: Cofinity Commercial |
$8.98
|
| Rate for Payer: Cofinity Commercial |
$10.14
|
| Rate for Payer: Cofinity Commercial |
$14.50
|
| Rate for Payer: Cofinity Commercial |
$13.11
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Healthscope Commercial |
$11.30
|
| Rate for Payer: Healthscope Commercial |
$13.53
|
| Rate for Payer: Healthscope Commercial |
$9.93
|
| Rate for Payer: Healthscope Commercial |
$10.46
|
| Rate for Payer: Healthscope Commercial |
$14.96
|
| Rate for Payer: Healthscope Commercial |
$9.26
|
| Rate for Payer: Healthscope Whirlpool |
$13.95
|
| Rate for Payer: Healthscope Whirlpool |
$10.79
|
| Rate for Payer: Healthscope Whirlpool |
$10.24
|
| Rate for Payer: Healthscope Whirlpool |
$11.65
|
| Rate for Payer: Healthscope Whirlpool |
$15.42
|
| Rate for Payer: Healthscope Whirlpool |
$9.55
|
| Rate for Payer: Mclaren Commercial |
$9.71
|
| Rate for Payer: Mclaren Commercial |
$8.60
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$9.21
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$12.55
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Nomi Health Commercial |
$8.39
|
| Rate for Payer: Nomi Health Commercial |
$12.65
|
| Rate for Payer: Nomi Health Commercial |
$11.44
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$8.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.46
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.40
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
|
Facility
|
IP
|
$10.80
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
105614
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.10 |
| Max. Negotiated Rate |
$10.80 |
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna Commercial |
$9.68
|
| Rate for Payer: Aetna Commercial |
$9.21
|
| Rate for Payer: Aetna Commercial |
$8.60
|
| Rate for Payer: Aetna Commercial |
$13.68
|
| Rate for Payer: Aetna Commercial |
$12.55
|
| Rate for Payer: Aetna Commercial |
$11.70
|
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Commercial |
$5.04
|
| Rate for Payer: Aetna Commercial |
$7.65
|
| Rate for Payer: Aetna Commercial |
$9.71
|
| Rate for Payer: ASR ASR |
$5.43
|
| Rate for Payer: ASR ASR |
$13.53
|
| Rate for Payer: ASR ASR |
$9.93
|
| Rate for Payer: ASR ASR |
$10.46
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$9.26
|
| Rate for Payer: ASR ASR |
$8.24
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$10.43
|
| Rate for Payer: ASR ASR |
$10.48
|
| Rate for Payer: ASR ASR |
$14.74
|
| Rate for Payer: ASR ASR |
$12.61
|
| Rate for Payer: BCBS Trust/PPO |
$8.83
|
| Rate for Payer: BCBS Trust/PPO |
$8.87
|
| Rate for Payer: BCBS Trust/PPO |
$8.86
|
| Rate for Payer: BCBS Trust/PPO |
$11.46
|
| Rate for Payer: BCBS Trust/PPO |
$12.66
|
| Rate for Payer: BCBS Trust/PPO |
$12.48
|
| Rate for Payer: BCBS Trust/PPO |
$10.68
|
| Rate for Payer: BCBS Trust/PPO |
$4.60
|
| Rate for Payer: BCBS Trust/PPO |
$6.98
|
| Rate for Payer: BCBS Trust/PPO |
$7.84
|
| Rate for Payer: BCBS Trust/PPO |
$9.57
|
| Rate for Payer: BCBS Trust/PPO |
$8.41
|
| Rate for Payer: BCN Commercial |
$10.68
|
| Rate for Payer: BCN Commercial |
$11.46
|
| Rate for Payer: BCN Commercial |
$8.86
|
| Rate for Payer: BCN Commercial |
$8.83
|
| Rate for Payer: BCN Commercial |
$8.87
|
| Rate for Payer: BCN Commercial |
$9.57
|
| Rate for Payer: BCN Commercial |
$8.41
|
| Rate for Payer: BCN Commercial |
$7.84
|
| Rate for Payer: BCN Commercial |
$6.98
|
| Rate for Payer: BCN Commercial |
$4.60
|
| Rate for Payer: BCN Commercial |
$12.66
|
| Rate for Payer: BCN Commercial |
$12.48
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$12.16
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$6.80
|
| Rate for Payer: Cash Price |
$4.48
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$8.60
|
| Rate for Payer: Cofinity Commercial |
$7.99
|
| Rate for Payer: Cofinity Commercial |
$5.26
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$14.50
|
| Rate for Payer: Cofinity Commercial |
$13.11
|
| Rate for Payer: Cofinity Commercial |
$10.14
|
| Rate for Payer: Cofinity Commercial |
$9.62
|
| Rate for Payer: Cofinity Commercial |
$10.15
|
| Rate for Payer: Cofinity Commercial |
$10.11
|
| Rate for Payer: Cofinity Commercial |
$12.22
|
| Rate for Payer: Cofinity Commercial |
$14.28
|
| Rate for Payer: Cofinity Commercial |
$8.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.64
|
| Rate for Payer: Healthscope Commercial |
$14.74
|
| Rate for Payer: Healthscope Commercial |
$10.46
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$10.48
|
| Rate for Payer: Healthscope Commercial |
$9.93
|
| Rate for Payer: Healthscope Commercial |
$11.30
|
| Rate for Payer: Healthscope Commercial |
$12.61
|
| Rate for Payer: Healthscope Commercial |
$13.53
|
| Rate for Payer: Healthscope Commercial |
$14.96
|
| Rate for Payer: Healthscope Commercial |
$5.43
|
| Rate for Payer: Healthscope Commercial |
$8.24
|
| Rate for Payer: Healthscope Commercial |
$9.26
|
| Rate for Payer: Healthscope Whirlpool |
$10.79
|
| Rate for Payer: Healthscope Whirlpool |
$8.50
|
| Rate for Payer: Healthscope Whirlpool |
$10.80
|
| Rate for Payer: Healthscope Whirlpool |
$10.75
|
| Rate for Payer: Healthscope Whirlpool |
$13.95
|
| Rate for Payer: Healthscope Whirlpool |
$5.60
|
| Rate for Payer: Healthscope Whirlpool |
$15.42
|
| Rate for Payer: Healthscope Whirlpool |
$10.24
|
| Rate for Payer: Healthscope Whirlpool |
$9.55
|
| Rate for Payer: Healthscope Whirlpool |
$11.65
|
| Rate for Payer: Healthscope Whirlpool |
$15.20
|
| Rate for Payer: Healthscope Whirlpool |
$13.00
|
| Rate for Payer: Mclaren Commercial |
$11.70
|
| Rate for Payer: Mclaren Commercial |
$5.04
|
| Rate for Payer: Mclaren Commercial |
$8.60
|
| Rate for Payer: Mclaren Commercial |
$13.68
|
| Rate for Payer: Mclaren Commercial |
$12.55
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$9.71
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$9.21
|
| Rate for Payer: Mclaren Commercial |
$7.65
|
| Rate for Payer: Mclaren Commercial |
$9.68
|
| Rate for Payer: Mclaren Commercial |
$9.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Nomi Health Commercial |
$8.81
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Nomi Health Commercial |
$12.46
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$12.65
|
| Rate for Payer: Nomi Health Commercial |
$8.39
|
| Rate for Payer: Nomi Health Commercial |
$8.86
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$4.59
|
| Rate for Payer: Nomi Health Commercial |
$8.85
|
| Rate for Payer: Nomi Health Commercial |
$6.97
|
| Rate for Payer: Nomi Health Commercial |
$11.44
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.46
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
|
Facility
|
OP
|
$10.75
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
105614
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.08 |
| Max. Negotiated Rate |
$10.75 |
| Rate for Payer: Aetna Commercial |
$9.68
|
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: Aetna Commercial |
$13.68
|
| Rate for Payer: Aetna Commercial |
$11.70
|
| Rate for Payer: Aetna Commercial |
$9.71
|
| Rate for Payer: Aetna Commercial |
$8.60
|
| Rate for Payer: Aetna Commercial |
$5.04
|
| Rate for Payer: Aetna Commercial |
$7.65
|
| Rate for Payer: Aetna Commercial |
$12.55
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna Commercial |
$9.21
|
| Rate for Payer: Aetna Medicare |
$3.15
|
| Rate for Payer: Aetna Medicare |
$2.07
|
| Rate for Payer: Aetna Medicare |
$3.99
|
| Rate for Payer: Aetna Medicare |
$3.98
|
| Rate for Payer: Aetna Medicare |
$4.00
|
| Rate for Payer: Aetna Medicare |
$5.16
|
| Rate for Payer: Aetna Medicare |
$5.62
|
| Rate for Payer: Aetna Medicare |
$3.79
|
| Rate for Payer: Aetna Medicare |
$4.31
|
| Rate for Payer: Aetna Medicare |
$5.71
|
| Rate for Payer: Aetna Medicare |
$3.53
|
| Rate for Payer: Aetna Medicare |
$4.81
|
| Rate for Payer: ASR ASR |
$10.48
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$14.74
|
| Rate for Payer: ASR ASR |
$10.46
|
| Rate for Payer: ASR ASR |
$9.93
|
| Rate for Payer: ASR ASR |
$8.24
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$10.43
|
| Rate for Payer: ASR ASR |
$9.26
|
| Rate for Payer: ASR ASR |
$12.61
|
| Rate for Payer: ASR ASR |
$5.43
|
| Rate for Payer: ASR ASR |
$13.53
|
| Rate for Payer: BCBS Complete |
$4.66
|
| Rate for Payer: BCBS Complete |
$3.82
|
| Rate for Payer: BCBS Complete |
$6.17
|
| Rate for Payer: BCBS Complete |
$4.09
|
| Rate for Payer: BCBS Complete |
$5.58
|
| Rate for Payer: BCBS Complete |
$6.08
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS Complete |
$4.30
|
| Rate for Payer: BCBS Complete |
$3.40
|
| Rate for Payer: BCBS Complete |
$2.24
|
| Rate for Payer: BCBS Complete |
$5.20
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS Trust/PPO |
$10.72
|
| Rate for Payer: BCBS Trust/PPO |
$8.89
|
| Rate for Payer: BCBS Trust/PPO |
$8.44
|
| Rate for Payer: BCBS Trust/PPO |
$8.86
|
| Rate for Payer: BCBS Trust/PPO |
$7.87
|
| Rate for Payer: BCBS Trust/PPO |
$7.01
|
| Rate for Payer: BCBS Trust/PPO |
$4.62
|
| Rate for Payer: BCBS Trust/PPO |
$12.72
|
| Rate for Payer: BCBS Trust/PPO |
$8.90
|
| Rate for Payer: BCBS Trust/PPO |
$12.53
|
| Rate for Payer: BCBS Trust/PPO |
$9.61
|
| Rate for Payer: BCBS Trust/PPO |
$11.50
|
| Rate for Payer: BCN Commercial |
$7.87
|
| Rate for Payer: BCN Commercial |
$4.62
|
| Rate for Payer: BCN Commercial |
$8.86
|
| Rate for Payer: BCN Commercial |
$8.89
|
| Rate for Payer: BCN Commercial |
$10.72
|
| Rate for Payer: BCN Commercial |
$8.90
|
| Rate for Payer: BCN Commercial |
$12.53
|
| Rate for Payer: BCN Commercial |
$11.50
|
| Rate for Payer: BCN Commercial |
$7.01
|
| Rate for Payer: BCN Commercial |
$9.61
|
| Rate for Payer: BCN Commercial |
$8.44
|
| Rate for Payer: BCN Commercial |
$12.72
|
| Rate for Payer: Cash Price |
$4.48
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$6.80
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$7.64
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$12.16
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$8.60
|
| Rate for Payer: Cash Price |
$8.60
|
| Rate for Payer: Cash Price |
$8.19
|
| Rate for Payer: Cash Price |
$12.16
|
| Rate for Payer: Cash Price |
$11.16
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cash Price |
$10.40
|
| Rate for Payer: Cash Price |
$4.48
|
| Rate for Payer: Cash Price |
$6.80
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$8.63
|
| Rate for Payer: Cofinity Commercial |
$10.14
|
| Rate for Payer: Cofinity Commercial |
$10.11
|
| Rate for Payer: Cofinity Commercial |
$10.15
|
| Rate for Payer: Cofinity Commercial |
$13.11
|
| Rate for Payer: Cofinity Commercial |
$7.99
|
| Rate for Payer: Cofinity Commercial |
$12.22
|
| Rate for Payer: Cofinity Commercial |
$9.62
|
| Rate for Payer: Cofinity Commercial |
$14.28
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$14.50
|
| Rate for Payer: Cofinity Commercial |
$5.26
|
| Rate for Payer: Cofinity Commercial |
$8.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$10.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$6.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.64
|
| Rate for Payer: Healthscope Commercial |
$13.53
|
| Rate for Payer: Healthscope Commercial |
$10.46
|
| Rate for Payer: Healthscope Commercial |
$5.43
|
| Rate for Payer: Healthscope Commercial |
$9.26
|
| Rate for Payer: Healthscope Commercial |
$10.43
|
| Rate for Payer: Healthscope Commercial |
$8.24
|
| Rate for Payer: Healthscope Commercial |
$11.30
|
| Rate for Payer: Healthscope Commercial |
$9.93
|
| Rate for Payer: Healthscope Commercial |
$10.48
|
| Rate for Payer: Healthscope Commercial |
$14.96
|
| Rate for Payer: Healthscope Commercial |
$14.74
|
| Rate for Payer: Healthscope Commercial |
$12.61
|
| Rate for Payer: Healthscope Whirlpool |
$15.42
|
| Rate for Payer: Healthscope Whirlpool |
$10.80
|
| Rate for Payer: Healthscope Whirlpool |
$10.79
|
| Rate for Payer: Healthscope Whirlpool |
$10.75
|
| Rate for Payer: Healthscope Whirlpool |
$13.95
|
| Rate for Payer: Healthscope Whirlpool |
$9.55
|
| Rate for Payer: Healthscope Whirlpool |
$10.24
|
| Rate for Payer: Healthscope Whirlpool |
$8.50
|
| Rate for Payer: Healthscope Whirlpool |
$11.65
|
| Rate for Payer: Healthscope Whirlpool |
$13.00
|
| Rate for Payer: Healthscope Whirlpool |
$5.60
|
| Rate for Payer: Healthscope Whirlpool |
$15.20
|
| Rate for Payer: Mclaren Commercial |
$9.71
|
| Rate for Payer: Mclaren Commercial |
$9.68
|
| Rate for Payer: Mclaren Commercial |
$9.72
|
| Rate for Payer: Mclaren Commercial |
$5.04
|
| Rate for Payer: Mclaren Commercial |
$13.68
|
| Rate for Payer: Mclaren Commercial |
$12.55
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$9.21
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$7.65
|
| Rate for Payer: Mclaren Commercial |
$8.60
|
| Rate for Payer: Mclaren Commercial |
$11.70
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.60
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9.32
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.16
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.64
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.34
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$8.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$6.80
|
| Rate for Payer: MI Amish Medical Board Commercial |
$10.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$11.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$4.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.17
|
| Rate for Payer: Nomi Health Commercial |
$8.39
|
| Rate for Payer: Nomi Health Commercial |
$10.66
|
| Rate for Payer: Nomi Health Commercial |
$12.65
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$11.44
|
| Rate for Payer: Nomi Health Commercial |
$12.46
|
| Rate for Payer: Nomi Health Commercial |
$7.83
|
| Rate for Payer: Nomi Health Commercial |
$8.86
|
| Rate for Payer: Nomi Health Commercial |
$6.97
|
| Rate for Payer: Nomi Health Commercial |
$4.59
|
| Rate for Payer: Nomi Health Commercial |
$8.85
|
| Rate for Payer: Nomi Health Commercial |
$8.81
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.10
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$6.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$9.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.57
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$10.46
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.74
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$7.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.09
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$8.06
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.20
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$0.10
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: Priority Health Narrow Network |
$0.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$4.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$11.44
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$7.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$26,377.21
|
|
|
Service Code
|
APR-DRG 0213
|
| Min. Negotiated Rate |
$23,848.16 |
| Max. Negotiated Rate |
$26,377.21 |
| Rate for Payer: BCBS Complete |
$26,377.21
|
| Rate for Payer: Mclaren Medicaid |
$25,121.16
|
| Rate for Payer: Meridian Medicaid |
$26,377.21
|
| Rate for Payer: PHP Medicaid |
$23,848.16
|
| Rate for Payer: Priority Health Choice Medicaid |
$25,121.16
|
| Rate for Payer: UHC Medicaid |
$25,121.16
|
| Rate for Payer: UHCCP Medicaid |
$25,121.16
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$29,712.85
|
|
|
Service Code
|
APR-DRG 0214
|
| Min. Negotiated Rate |
$26,863.97 |
| Max. Negotiated Rate |
$29,712.85 |
| Rate for Payer: BCBS Complete |
$29,712.85
|
| Rate for Payer: Mclaren Medicaid |
$28,297.96
|
| Rate for Payer: Meridian Medicaid |
$29,712.85
|
| Rate for Payer: PHP Medicaid |
$26,863.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$28,297.96
|
| Rate for Payer: UHC Medicaid |
$28,297.96
|
| Rate for Payer: UHCCP Medicaid |
$28,297.96
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$13,295.69
|
|
|
Service Code
|
APR-DRG 0211
|
| Min. Negotiated Rate |
$12,020.89 |
| Max. Negotiated Rate |
$13,295.69 |
| Rate for Payer: BCBS Complete |
$13,295.69
|
| Rate for Payer: Mclaren Medicaid |
$12,662.56
|
| Rate for Payer: Meridian Medicaid |
$13,295.69
|
| Rate for Payer: PHP Medicaid |
$12,020.89
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,662.56
|
| Rate for Payer: UHC Medicaid |
$12,662.56
|
| Rate for Payer: UHCCP Medicaid |
$12,662.56
|
|
|
OPEN CRANIOTOMY EXCEPT TRAUMA
|
Facility
|
IP
|
$20,297.75
|
|
|
Service Code
|
APR-DRG 0212
|
| Min. Negotiated Rate |
$18,351.60 |
| Max. Negotiated Rate |
$20,297.75 |
| Rate for Payer: BCBS Complete |
$20,297.75
|
| Rate for Payer: Mclaren Medicaid |
$19,331.19
|
| Rate for Payer: Meridian Medicaid |
$20,297.75
|
| Rate for Payer: PHP Medicaid |
$18,351.60
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,331.19
|
| Rate for Payer: UHC Medicaid |
$19,331.19
|
| Rate for Payer: UHCCP Medicaid |
$19,331.19
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$23,616.50
|
|
|
Service Code
|
APR-DRG 0203
|
| Min. Negotiated Rate |
$21,352.14 |
| Max. Negotiated Rate |
$23,616.50 |
| Rate for Payer: BCBS Complete |
$23,616.50
|
| Rate for Payer: Mclaren Medicaid |
$22,491.90
|
| Rate for Payer: Meridian Medicaid |
$23,616.50
|
| Rate for Payer: PHP Medicaid |
$21,352.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$22,491.90
|
| Rate for Payer: UHC Medicaid |
$22,491.90
|
| Rate for Payer: UHCCP Medicaid |
$22,491.90
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$9,525.73
|
|
|
Service Code
|
APR-DRG 0201
|
| Min. Negotiated Rate |
$8,612.40 |
| Max. Negotiated Rate |
$9,525.73 |
| Rate for Payer: BCBS Complete |
$9,525.73
|
| Rate for Payer: Mclaren Medicaid |
$9,072.12
|
| Rate for Payer: Meridian Medicaid |
$9,525.73
|
| Rate for Payer: PHP Medicaid |
$8,612.40
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,072.12
|
| Rate for Payer: UHC Medicaid |
$9,072.12
|
| Rate for Payer: UHCCP Medicaid |
$9,072.12
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$14,661.88
|
|
|
Service Code
|
APR-DRG 0202
|
| Min. Negotiated Rate |
$13,256.09 |
| Max. Negotiated Rate |
$14,661.88 |
| Rate for Payer: BCBS Complete |
$14,661.88
|
| Rate for Payer: Mclaren Medicaid |
$13,963.69
|
| Rate for Payer: Meridian Medicaid |
$14,661.88
|
| Rate for Payer: PHP Medicaid |
$13,256.09
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,963.69
|
| Rate for Payer: UHC Medicaid |
$13,963.69
|
| Rate for Payer: UHCCP Medicaid |
$13,963.69
|
|
|
OPEN CRANIOTOMY FOR TRAUMA
|
Facility
|
IP
|
$36,649.52
|
|
|
Service Code
|
APR-DRG 0204
|
| Min. Negotiated Rate |
$33,135.55 |
| Max. Negotiated Rate |
$36,649.52 |
| Rate for Payer: BCBS Complete |
$36,649.52
|
| Rate for Payer: Mclaren Medicaid |
$34,904.31
|
| Rate for Payer: Meridian Medicaid |
$36,649.52
|
| Rate for Payer: PHP Medicaid |
$33,135.55
|
| Rate for Payer: Priority Health Choice Medicaid |
$34,904.31
|
| Rate for Payer: UHC Medicaid |
$34,904.31
|
| Rate for Payer: UHCCP Medicaid |
$34,904.31
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$9,294.12
|
|
|
Service Code
|
APR-DRG 0242
|
| Min. Negotiated Rate |
$8,403.00 |
| Max. Negotiated Rate |
$9,294.12 |
| Rate for Payer: BCBS Complete |
$9,294.12
|
| Rate for Payer: Mclaren Medicaid |
$8,851.55
|
| Rate for Payer: Meridian Medicaid |
$9,294.12
|
| Rate for Payer: PHP Medicaid |
$8,403.00
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,851.55
|
| Rate for Payer: UHC Medicaid |
$8,851.55
|
| Rate for Payer: UHCCP Medicaid |
$8,851.55
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$13,195.96
|
|
|
Service Code
|
APR-DRG 0243
|
| Min. Negotiated Rate |
$11,930.73 |
| Max. Negotiated Rate |
$13,195.96 |
| Rate for Payer: BCBS Complete |
$13,195.96
|
| Rate for Payer: Mclaren Medicaid |
$12,567.58
|
| Rate for Payer: Meridian Medicaid |
$13,195.96
|
| Rate for Payer: PHP Medicaid |
$11,930.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,567.58
|
| Rate for Payer: UHC Medicaid |
$12,567.58
|
| Rate for Payer: UHCCP Medicaid |
$12,567.58
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$20,152.25
|
|
|
Service Code
|
APR-DRG 0244
|
| Min. Negotiated Rate |
$18,220.05 |
| Max. Negotiated Rate |
$20,152.25 |
| Rate for Payer: BCBS Complete |
$20,152.25
|
| Rate for Payer: Mclaren Medicaid |
$19,192.62
|
| Rate for Payer: Meridian Medicaid |
$20,152.25
|
| Rate for Payer: PHP Medicaid |
$18,220.05
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,192.62
|
| Rate for Payer: UHC Medicaid |
$19,192.62
|
| Rate for Payer: UHCCP Medicaid |
$19,192.62
|
|
|
OPEN EXTRACRANIAL VASCULAR PROCEDURES
|
Facility
|
IP
|
$5,700.18
|
|
|
Service Code
|
APR-DRG 0241
|
| Min. Negotiated Rate |
$5,153.64 |
| Max. Negotiated Rate |
$5,700.18 |
| Rate for Payer: BCBS Complete |
$5,700.18
|
| Rate for Payer: Mclaren Medicaid |
$5,428.74
|
| Rate for Payer: Meridian Medicaid |
$5,700.18
|
| Rate for Payer: PHP Medicaid |
$5,153.64
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,428.74
|
| Rate for Payer: UHC Medicaid |
$5,428.74
|
| Rate for Payer: UHCCP Medicaid |
$5,428.74
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$12,850.47
|
|
|
Service Code
|
APR-DRG 7734
|
| Min. Negotiated Rate |
$11,618.36 |
| Max. Negotiated Rate |
$12,850.47 |
| Rate for Payer: BCBS Complete |
$12,850.47
|
| Rate for Payer: Mclaren Medicaid |
$12,238.54
|
| Rate for Payer: Meridian Medicaid |
$12,850.47
|
| Rate for Payer: PHP Medicaid |
$11,618.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,238.54
|
| Rate for Payer: UHC Medicaid |
$12,238.54
|
| Rate for Payer: UHCCP Medicaid |
$12,238.54
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,465.88
|
|
|
Service Code
|
APR-DRG 7732
|
| Min. Negotiated Rate |
$3,133.57 |
| Max. Negotiated Rate |
$3,465.88 |
| Rate for Payer: BCBS Complete |
$3,465.88
|
| Rate for Payer: Mclaren Medicaid |
$3,300.84
|
| Rate for Payer: Meridian Medicaid |
$3,465.88
|
| Rate for Payer: PHP Medicaid |
$3,133.57
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,300.84
|
| Rate for Payer: UHC Medicaid |
$3,300.84
|
| Rate for Payer: UHCCP Medicaid |
$3,300.84
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,347.61
|
|
|
Service Code
|
APR-DRG 7733
|
| Min. Negotiated Rate |
$3,930.76 |
| Max. Negotiated Rate |
$4,347.61 |
| Rate for Payer: BCBS Complete |
$4,347.61
|
| Rate for Payer: Mclaren Medicaid |
$4,140.58
|
| Rate for Payer: Meridian Medicaid |
$4,347.61
|
| Rate for Payer: PHP Medicaid |
$3,930.76
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,140.58
|
| Rate for Payer: UHC Medicaid |
$4,140.58
|
| Rate for Payer: UHCCP Medicaid |
$4,140.58
|
|
|
OPIOID ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$1,962.91
|
|
|
Service Code
|
APR-DRG 7731
|
| Min. Negotiated Rate |
$1,774.71 |
| Max. Negotiated Rate |
$1,962.91 |
| Rate for Payer: BCBS Complete |
$1,962.91
|
| Rate for Payer: Mclaren Medicaid |
$1,869.44
|
| Rate for Payer: Meridian Medicaid |
$1,962.91
|
| Rate for Payer: PHP Medicaid |
$1,774.71
|
| Rate for Payer: Priority Health Choice Medicaid |
$1,869.44
|
| Rate for Payer: UHC Medicaid |
$1,869.44
|
| Rate for Payer: UHCCP Medicaid |
$1,869.44
|
|
