|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$47.81
|
|
|
Service Code
|
NDC 00904707341
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$19.12 |
| Max. Negotiated Rate |
$47.81 |
| Rate for Payer: Aetna Commercial |
$43.03
|
| Rate for Payer: Aetna Medicare |
$23.90
|
| Rate for Payer: ASR ASR |
$46.38
|
| Rate for Payer: ASR Commercial |
$46.38
|
| Rate for Payer: BCBS Complete |
$19.12
|
| Rate for Payer: BCBS Trust/PPO |
$39.15
|
| Rate for Payer: BCN Commercial |
$37.07
|
| 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 |
$47.81
|
| Rate for Payer: Healthscope Whirlpool |
$46.38
|
| 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: Priority Health Cigna Priority Health |
$31.08
|
| Rate for Payer: 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
|
$40.48
|
|
|
Service Code
|
NDC 60687025240
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.31 |
| Max. Negotiated Rate |
$40.48 |
| Rate for Payer: Aetna Commercial |
$36.43
|
| Rate for Payer: ASR ASR |
$39.27
|
| Rate for Payer: ASR Commercial |
$39.27
|
| Rate for Payer: BCBS Trust/PPO |
$32.99
|
| Rate for Payer: BCN Commercial |
$31.38
|
| Rate for Payer: Cash Price |
$32.38
|
| Rate for Payer: Cofinity Commercial |
$38.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$40.48
|
| Rate for Payer: Healthscope Whirlpool |
$39.27
|
| Rate for Payer: Mclaren Commercial |
$36.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.41
|
| Rate for Payer: Nomi Health Commercial |
$33.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.62
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$46.66
|
|
|
Service Code
|
NDC 68094076359
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$30.33 |
| Max. Negotiated Rate |
$46.66 |
| Rate for Payer: Aetna Commercial |
$41.99
|
| Rate for Payer: ASR ASR |
$45.26
|
| Rate for Payer: ASR Commercial |
$45.26
|
| Rate for Payer: BCBS Trust/PPO |
$38.02
|
| Rate for Payer: BCN Commercial |
$36.18
|
| Rate for Payer: Cash Price |
$37.33
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.33
|
| Rate for Payer: Healthscope Commercial |
$46.66
|
| Rate for Payer: Healthscope Whirlpool |
$45.26
|
| Rate for Payer: Mclaren Commercial |
$41.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.66
|
| Rate for Payer: Nomi Health Commercial |
$38.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.06
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$47.81
|
|
|
Service Code
|
NDC 00904707393
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$19.12 |
| Max. Negotiated Rate |
$47.81 |
| Rate for Payer: Aetna Commercial |
$43.03
|
| Rate for Payer: Aetna Medicare |
$23.90
|
| Rate for Payer: ASR ASR |
$46.38
|
| Rate for Payer: ASR Commercial |
$46.38
|
| Rate for Payer: BCBS Complete |
$19.12
|
| Rate for Payer: BCBS Trust/PPO |
$39.15
|
| Rate for Payer: BCN Commercial |
$37.07
|
| 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 |
$47.81
|
| Rate for Payer: Healthscope Whirlpool |
$46.38
|
| 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: Priority Health Cigna Priority Health |
$31.08
|
| Rate for Payer: 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
|
$40.48
|
|
|
Service Code
|
NDC 60687025286
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$26.31 |
| Max. Negotiated Rate |
$40.48 |
| Rate for Payer: Aetna Commercial |
$36.43
|
| Rate for Payer: ASR ASR |
$39.27
|
| Rate for Payer: ASR Commercial |
$39.27
|
| Rate for Payer: BCBS Trust/PPO |
$32.99
|
| Rate for Payer: BCN Commercial |
$31.38
|
| Rate for Payer: Cash Price |
$32.38
|
| Rate for Payer: Cofinity Commercial |
$38.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$40.48
|
| Rate for Payer: Healthscope Whirlpool |
$39.27
|
| Rate for Payer: Mclaren Commercial |
$36.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.41
|
| Rate for Payer: Nomi Health Commercial |
$33.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.62
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$40.48
|
|
|
Service Code
|
NDC 60687025240
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$40.48 |
| Rate for Payer: Aetna Commercial |
$36.43
|
| Rate for Payer: Aetna Medicare |
$20.24
|
| Rate for Payer: ASR ASR |
$39.27
|
| Rate for Payer: ASR Commercial |
$39.27
|
| Rate for Payer: BCBS Complete |
$16.19
|
| Rate for Payer: BCBS Trust/PPO |
$33.15
|
| Rate for Payer: BCN Commercial |
$31.38
|
| Rate for Payer: Cash Price |
$32.38
|
| Rate for Payer: Cofinity Commercial |
$38.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$40.48
|
| Rate for Payer: Healthscope Whirlpool |
$39.27
|
| Rate for Payer: Mclaren Commercial |
$36.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.41
|
| Rate for Payer: Nomi Health Commercial |
$33.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.47
|
| Rate for Payer: Priority Health Narrow Network |
$28.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.62
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$46.66
|
|
|
Service Code
|
NDC 68094076362
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$30.33 |
| Max. Negotiated Rate |
$46.66 |
| Rate for Payer: Aetna Commercial |
$41.99
|
| Rate for Payer: ASR ASR |
$45.26
|
| Rate for Payer: ASR Commercial |
$45.26
|
| Rate for Payer: BCBS Trust/PPO |
$38.02
|
| Rate for Payer: BCN Commercial |
$36.18
|
| Rate for Payer: Cash Price |
$37.33
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.33
|
| Rate for Payer: Healthscope Commercial |
$46.66
|
| Rate for Payer: Healthscope Whirlpool |
$45.26
|
| Rate for Payer: Mclaren Commercial |
$41.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.66
|
| Rate for Payer: Nomi Health Commercial |
$38.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.06
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$46.66
|
|
|
Service Code
|
NDC 68094076362
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$18.66 |
| Max. Negotiated Rate |
$46.66 |
| Rate for Payer: Aetna Commercial |
$41.99
|
| Rate for Payer: Aetna Medicare |
$23.33
|
| Rate for Payer: ASR ASR |
$45.26
|
| Rate for Payer: ASR Commercial |
$45.26
|
| Rate for Payer: BCBS Complete |
$18.66
|
| Rate for Payer: BCBS Trust/PPO |
$38.21
|
| Rate for Payer: BCN Commercial |
$36.18
|
| Rate for Payer: Cash Price |
$37.33
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.33
|
| Rate for Payer: Healthscope Commercial |
$46.66
|
| Rate for Payer: Healthscope Whirlpool |
$45.26
|
| Rate for Payer: Mclaren Commercial |
$41.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.66
|
| Rate for Payer: Nomi Health Commercial |
$38.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.88
|
| Rate for Payer: Priority Health Narrow Network |
$32.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.06
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$220.88
|
|
|
Service Code
|
NDC 54838055550
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$143.57 |
| Max. Negotiated Rate |
$220.88 |
| Rate for Payer: Aetna Commercial |
$198.79
|
| Rate for Payer: ASR ASR |
$214.25
|
| Rate for Payer: ASR Commercial |
$214.25
|
| Rate for Payer: BCBS Trust/PPO |
$180.00
|
| Rate for Payer: BCN Commercial |
$171.25
|
| Rate for Payer: Cash Price |
$176.70
|
| Rate for Payer: Cofinity Commercial |
$207.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.70
|
| Rate for Payer: Healthscope Commercial |
$220.88
|
| Rate for Payer: Healthscope Whirlpool |
$214.25
|
| Rate for Payer: Mclaren Commercial |
$198.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.75
|
| Rate for Payer: Nomi Health Commercial |
$181.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$194.37
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$14.30
|
|
|
Service Code
|
NDC 09900000346
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$9.30 |
| Max. Negotiated Rate |
$14.30 |
| Rate for Payer: Aetna Commercial |
$12.87
|
| Rate for Payer: ASR ASR |
$13.87
|
| Rate for Payer: ASR Commercial |
$13.87
|
| Rate for Payer: BCBS Trust/PPO |
$11.65
|
| Rate for Payer: BCN Commercial |
$11.09
|
| Rate for Payer: Cash Price |
$11.44
|
| Rate for Payer: Cofinity Commercial |
$13.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$14.30
|
| Rate for Payer: Healthscope Whirlpool |
$13.87
|
| Rate for Payer: Mclaren Commercial |
$12.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.16
|
| Rate for Payer: Nomi Health Commercial |
$11.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.30
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.58
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$40.48
|
|
|
Service Code
|
NDC 60687025286
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$16.19 |
| Max. Negotiated Rate |
$40.48 |
| Rate for Payer: Aetna Commercial |
$36.43
|
| Rate for Payer: Aetna Medicare |
$20.24
|
| Rate for Payer: ASR ASR |
$39.27
|
| Rate for Payer: ASR Commercial |
$39.27
|
| Rate for Payer: BCBS Complete |
$16.19
|
| Rate for Payer: BCBS Trust/PPO |
$33.15
|
| Rate for Payer: BCN Commercial |
$31.38
|
| Rate for Payer: Cash Price |
$32.38
|
| Rate for Payer: Cofinity Commercial |
$38.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.38
|
| Rate for Payer: Healthscope Commercial |
$40.48
|
| Rate for Payer: Healthscope Whirlpool |
$39.27
|
| Rate for Payer: Mclaren Commercial |
$36.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.41
|
| Rate for Payer: Nomi Health Commercial |
$33.19
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.31
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.47
|
| Rate for Payer: Priority Health Narrow Network |
$28.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.62
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$46.66
|
|
|
Service Code
|
NDC 68094076359
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$18.66 |
| Max. Negotiated Rate |
$46.66 |
| Rate for Payer: Aetna Commercial |
$41.99
|
| Rate for Payer: Aetna Medicare |
$23.33
|
| Rate for Payer: ASR ASR |
$45.26
|
| Rate for Payer: ASR Commercial |
$45.26
|
| Rate for Payer: BCBS Complete |
$18.66
|
| Rate for Payer: BCBS Trust/PPO |
$38.21
|
| Rate for Payer: BCN Commercial |
$36.18
|
| Rate for Payer: Cash Price |
$37.33
|
| Rate for Payer: Cofinity Commercial |
$43.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.33
|
| Rate for Payer: Healthscope Commercial |
$46.66
|
| Rate for Payer: Healthscope Whirlpool |
$45.26
|
| Rate for Payer: Mclaren Commercial |
$41.99
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.66
|
| Rate for Payer: Nomi Health Commercial |
$38.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.88
|
| Rate for Payer: Priority Health Narrow Network |
$32.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.06
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$47.81
|
|
|
Service Code
|
NDC 00904707393
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$31.08 |
| Max. Negotiated Rate |
$47.81 |
| Rate for Payer: Aetna Commercial |
$43.03
|
| Rate for Payer: ASR ASR |
$46.38
|
| Rate for Payer: ASR Commercial |
$46.38
|
| Rate for Payer: BCBS Trust/PPO |
$38.96
|
| Rate for Payer: BCN Commercial |
$37.07
|
| 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 |
$47.81
|
| Rate for Payer: Healthscope Whirlpool |
$46.38
|
| 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: Priority Health Cigna Priority Health |
$31.08
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$42.07
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$14.30
|
|
|
Service Code
|
NDC 09900000346
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$5.72 |
| Max. Negotiated Rate |
$14.30 |
| Rate for Payer: Aetna Commercial |
$12.87
|
| Rate for Payer: Aetna Medicare |
$7.15
|
| Rate for Payer: ASR ASR |
$13.87
|
| Rate for Payer: ASR Commercial |
$13.87
|
| Rate for Payer: BCBS Complete |
$5.72
|
| Rate for Payer: BCBS Trust/PPO |
$11.71
|
| Rate for Payer: BCN Commercial |
$11.09
|
| Rate for Payer: Cash Price |
$11.44
|
| Rate for Payer: Cofinity Commercial |
$13.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$11.44
|
| Rate for Payer: Healthscope Commercial |
$14.30
|
| Rate for Payer: Healthscope Whirlpool |
$13.87
|
| Rate for Payer: Mclaren Commercial |
$12.87
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.16
|
| Rate for Payer: Nomi Health Commercial |
$11.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.53
|
| Rate for Payer: Priority Health Narrow Network |
$10.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$12.58
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$115.42
|
|
|
Service Code
|
NDC 65162069179
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$75.02 |
| Max. Negotiated Rate |
$115.42 |
| Rate for Payer: Aetna Commercial |
$103.88
|
| Rate for Payer: ASR ASR |
$111.96
|
| Rate for Payer: ASR Commercial |
$111.96
|
| Rate for Payer: BCBS Trust/PPO |
$94.06
|
| Rate for Payer: BCN Commercial |
$89.49
|
| Rate for Payer: Cash Price |
$92.34
|
| Rate for Payer: Cofinity Commercial |
$108.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.34
|
| Rate for Payer: Healthscope Commercial |
$115.42
|
| Rate for Payer: Healthscope Whirlpool |
$111.96
|
| Rate for Payer: Mclaren Commercial |
$103.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.11
|
| Rate for Payer: Nomi Health Commercial |
$94.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$101.57
|
|
|
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 |
$88.35 |
| Max. Negotiated Rate |
$220.88 |
| Rate for Payer: Aetna Commercial |
$198.79
|
| Rate for Payer: Aetna Medicare |
$110.44
|
| Rate for Payer: ASR ASR |
$214.25
|
| Rate for Payer: ASR Commercial |
$214.25
|
| Rate for Payer: BCBS Complete |
$88.35
|
| Rate for Payer: BCBS Trust/PPO |
$180.88
|
| Rate for Payer: BCN Commercial |
$171.25
|
| Rate for Payer: Cash Price |
$176.70
|
| Rate for Payer: Cofinity Commercial |
$207.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$176.70
|
| Rate for Payer: Healthscope Commercial |
$220.88
|
| Rate for Payer: Healthscope Whirlpool |
$214.25
|
| Rate for Payer: Mclaren Commercial |
$198.79
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$187.75
|
| Rate for Payer: Nomi Health Commercial |
$181.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$143.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$193.54
|
| Rate for Payer: Priority Health Narrow Network |
$154.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$194.37
|
|
|
ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$115.42
|
|
|
Service Code
|
NDC 65162069179
|
| Hospital Charge Code |
18877
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$46.17 |
| Max. Negotiated Rate |
$115.42 |
| Rate for Payer: Aetna Commercial |
$103.88
|
| Rate for Payer: Aetna Medicare |
$57.71
|
| Rate for Payer: ASR ASR |
$111.96
|
| Rate for Payer: ASR Commercial |
$111.96
|
| Rate for Payer: BCBS Complete |
$46.17
|
| Rate for Payer: BCBS Trust/PPO |
$94.52
|
| Rate for Payer: BCN Commercial |
$89.49
|
| Rate for Payer: Cash Price |
$92.34
|
| Rate for Payer: Cofinity Commercial |
$108.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$92.34
|
| Rate for Payer: Healthscope Commercial |
$115.42
|
| Rate for Payer: Healthscope Whirlpool |
$111.96
|
| Rate for Payer: Mclaren Commercial |
$103.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$98.11
|
| Rate for Payer: Nomi Health Commercial |
$94.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$75.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$101.13
|
| Rate for Payer: Priority Health Narrow Network |
$80.91
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$101.57
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION (CODE)
|
Facility
|
IP
|
$11.65
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
163708
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.57 |
| Max. Negotiated Rate |
$11.65 |
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: Aetna Commercial |
$15.75
|
| Rate for Payer: Aetna Commercial |
$8.37
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Commercial |
$9.40
|
| Rate for Payer: ASR ASR |
$9.02
|
| Rate for Payer: ASR ASR |
$16.98
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$10.14
|
| Rate for Payer: ASR Commercial |
$14.96
|
| Rate for Payer: ASR Commercial |
$9.02
|
| Rate for Payer: ASR Commercial |
$16.98
|
| Rate for Payer: ASR Commercial |
$11.30
|
| Rate for Payer: ASR Commercial |
$10.14
|
| Rate for Payer: BCBS Trust/PPO |
$7.58
|
| Rate for Payer: BCBS Trust/PPO |
$8.52
|
| Rate for Payer: BCBS Trust/PPO |
$9.49
|
| Rate for Payer: BCBS Trust/PPO |
$14.26
|
| Rate for Payer: BCBS Trust/PPO |
$12.57
|
| Rate for Payer: BCN Commercial |
$9.03
|
| Rate for Payer: BCN Commercial |
$7.21
|
| Rate for Payer: BCN Commercial |
$8.10
|
| Rate for Payer: BCN Commercial |
$11.96
|
| Rate for Payer: BCN Commercial |
$13.57
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$14.00
|
| Rate for Payer: Cash Price |
$7.44
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$14.49
|
| Rate for Payer: Cofinity Commercial |
$9.82
|
| Rate for Payer: Cofinity Commercial |
$16.45
|
| Rate for Payer: Cofinity Commercial |
$8.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Healthscope Commercial |
$15.42
|
| Rate for Payer: Healthscope Commercial |
$17.50
|
| Rate for Payer: Healthscope Commercial |
$11.65
|
| Rate for Payer: Healthscope Commercial |
$10.45
|
| Rate for Payer: Healthscope Commercial |
$9.30
|
| Rate for Payer: Healthscope Whirlpool |
$9.02
|
| Rate for Payer: Healthscope Whirlpool |
$10.14
|
| Rate for Payer: Healthscope Whirlpool |
$14.96
|
| Rate for Payer: Healthscope Whirlpool |
$11.30
|
| Rate for Payer: Healthscope Whirlpool |
$16.98
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$9.40
|
| Rate for Payer: Mclaren Commercial |
$15.75
|
| Rate for Payer: Mclaren Commercial |
$8.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Nomi Health Commercial |
$12.64
|
| Rate for Payer: Nomi Health Commercial |
$8.57
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$7.63
|
| Rate for Payer: Nomi Health Commercial |
$14.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.40
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION (CODE)
|
Facility
|
OP
|
$11.65
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
163708
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$11.65 |
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: Aetna Commercial |
$15.75
|
| Rate for Payer: Aetna Commercial |
$9.40
|
| Rate for Payer: Aetna Commercial |
$8.37
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Medicare |
$7.71
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Aetna Medicare |
$5.82
|
| Rate for Payer: Aetna Medicare |
$8.75
|
| Rate for Payer: Aetna Medicare |
$4.65
|
| Rate for Payer: ASR ASR |
$10.14
|
| Rate for Payer: ASR ASR |
$16.98
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$9.02
|
| Rate for Payer: ASR Commercial |
$10.14
|
| Rate for Payer: ASR Commercial |
$11.30
|
| Rate for Payer: ASR Commercial |
$9.02
|
| Rate for Payer: ASR Commercial |
$16.98
|
| Rate for Payer: ASR Commercial |
$14.96
|
| Rate for Payer: BCBS Complete |
$3.72
|
| Rate for Payer: BCBS Complete |
$4.18
|
| Rate for Payer: BCBS Complete |
$4.66
|
| Rate for Payer: BCBS Complete |
$6.17
|
| Rate for Payer: BCBS Complete |
$7.00
|
| Rate for Payer: BCBS Trust/PPO |
$14.33
|
| Rate for Payer: BCBS Trust/PPO |
$12.63
|
| Rate for Payer: BCBS Trust/PPO |
$8.56
|
| Rate for Payer: BCBS Trust/PPO |
$9.54
|
| Rate for Payer: BCBS Trust/PPO |
$7.62
|
| Rate for Payer: BCN Commercial |
$13.57
|
| Rate for Payer: BCN Commercial |
$8.10
|
| Rate for Payer: BCN Commercial |
$9.03
|
| Rate for Payer: BCN Commercial |
$11.96
|
| Rate for Payer: BCN Commercial |
$7.21
|
| Rate for Payer: Cash Price |
$7.44
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$14.00
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$14.00
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cash Price |
$7.44
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$16.45
|
| Rate for Payer: Cofinity Commercial |
$8.74
|
| Rate for Payer: Cofinity Commercial |
$9.82
|
| Rate for Payer: Cofinity Commercial |
$14.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Healthscope Commercial |
$17.50
|
| Rate for Payer: Healthscope Commercial |
$15.42
|
| Rate for Payer: Healthscope Commercial |
$11.65
|
| Rate for Payer: Healthscope Commercial |
$9.30
|
| Rate for Payer: Healthscope Commercial |
$10.45
|
| Rate for Payer: Healthscope Whirlpool |
$9.02
|
| Rate for Payer: Healthscope Whirlpool |
$11.30
|
| Rate for Payer: Healthscope Whirlpool |
$10.14
|
| Rate for Payer: Healthscope Whirlpool |
$16.98
|
| Rate for Payer: Healthscope Whirlpool |
$14.96
|
| Rate for Payer: Mclaren Commercial |
$15.75
|
| Rate for Payer: Mclaren Commercial |
$9.40
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$8.37
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Nomi Health Commercial |
$8.57
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$7.63
|
| Rate for Payer: Nomi Health Commercial |
$14.35
|
| Rate for Payer: Nomi Health Commercial |
$12.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
|
Facility
|
OP
|
$10.70
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
105614
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.07 |
| Max. Negotiated Rate |
$10.70 |
| Rate for Payer: Aetna Commercial |
$9.63
|
| Rate for Payer: Aetna Commercial |
$15.75
|
| Rate for Payer: Aetna Commercial |
$8.37
|
| Rate for Payer: Aetna Commercial |
$15.55
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Commercial |
$13.68
|
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: Aetna Commercial |
$8.78
|
| Rate for Payer: Aetna Commercial |
$9.68
|
| Rate for Payer: Aetna Commercial |
$9.40
|
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna Medicare |
$7.71
|
| Rate for Payer: Aetna Medicare |
$4.88
|
| Rate for Payer: Aetna Medicare |
$4.65
|
| Rate for Payer: Aetna Medicare |
$5.82
|
| Rate for Payer: Aetna Medicare |
$5.40
|
| Rate for Payer: Aetna Medicare |
$7.60
|
| Rate for Payer: Aetna Medicare |
$8.64
|
| Rate for Payer: Aetna Medicare |
$8.75
|
| Rate for Payer: Aetna Medicare |
$5.38
|
| Rate for Payer: Aetna Medicare |
$5.22
|
| Rate for Payer: Aetna Medicare |
$5.35
|
| Rate for Payer: ASR ASR |
$9.46
|
| Rate for Payer: ASR ASR |
$14.74
|
| Rate for Payer: ASR ASR |
$10.14
|
| Rate for Payer: ASR ASR |
$10.43
|
| Rate for Payer: ASR ASR |
$16.98
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$10.48
|
| Rate for Payer: ASR ASR |
$9.02
|
| Rate for Payer: ASR ASR |
$16.76
|
| Rate for Payer: ASR ASR |
$10.38
|
| Rate for Payer: ASR Commercial |
$16.98
|
| Rate for Payer: ASR Commercial |
$11.30
|
| Rate for Payer: ASR Commercial |
$10.38
|
| Rate for Payer: ASR Commercial |
$10.14
|
| Rate for Payer: ASR Commercial |
$10.43
|
| Rate for Payer: ASR Commercial |
$9.46
|
| Rate for Payer: ASR Commercial |
$9.02
|
| Rate for Payer: ASR Commercial |
$16.76
|
| Rate for Payer: ASR Commercial |
$14.96
|
| Rate for Payer: ASR Commercial |
$10.48
|
| Rate for Payer: ASR Commercial |
$14.74
|
| Rate for Payer: BCBS Complete |
$3.90
|
| Rate for Payer: BCBS Complete |
$7.00
|
| Rate for Payer: BCBS Complete |
$6.91
|
| Rate for Payer: BCBS Complete |
$6.08
|
| Rate for Payer: BCBS Complete |
$6.17
|
| Rate for Payer: BCBS Complete |
$4.30
|
| Rate for Payer: BCBS Complete |
$4.28
|
| Rate for Payer: BCBS Complete |
$4.18
|
| Rate for Payer: BCBS Complete |
$4.32
|
| Rate for Payer: BCBS Complete |
$4.66
|
| Rate for Payer: BCBS Complete |
$3.72
|
| Rate for Payer: BCBS Trust/PPO |
$9.54
|
| Rate for Payer: BCBS Trust/PPO |
$14.33
|
| Rate for Payer: BCBS Trust/PPO |
$7.62
|
| Rate for Payer: BCBS Trust/PPO |
$7.98
|
| Rate for Payer: BCBS Trust/PPO |
$8.80
|
| Rate for Payer: BCBS Trust/PPO |
$8.76
|
| Rate for Payer: BCBS Trust/PPO |
$12.63
|
| Rate for Payer: BCBS Trust/PPO |
$8.56
|
| Rate for Payer: BCBS Trust/PPO |
$14.15
|
| Rate for Payer: BCBS Trust/PPO |
$8.84
|
| Rate for Payer: BCBS Trust/PPO |
$12.45
|
| Rate for Payer: BCN Commercial |
$8.37
|
| Rate for Payer: BCN Commercial |
$11.96
|
| Rate for Payer: BCN Commercial |
$7.21
|
| Rate for Payer: BCN Commercial |
$9.03
|
| Rate for Payer: BCN Commercial |
$11.78
|
| Rate for Payer: BCN Commercial |
$13.57
|
| Rate for Payer: BCN Commercial |
$7.56
|
| Rate for Payer: BCN Commercial |
$8.33
|
| Rate for Payer: BCN Commercial |
$8.30
|
| Rate for Payer: BCN Commercial |
$13.40
|
| Rate for Payer: BCN Commercial |
$8.10
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cash Price |
$8.60
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cash Price |
$8.56
|
| Rate for Payer: Cash Price |
$8.56
|
| Rate for Payer: Cash Price |
$8.60
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$12.16
|
| Rate for Payer: Cash Price |
$12.16
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$13.83
|
| Rate for Payer: Cash Price |
$13.83
|
| Rate for Payer: Cash Price |
$14.00
|
| Rate for Payer: Cash Price |
$14.00
|
| Rate for Payer: Cash Price |
$7.44
|
| Rate for Payer: Cash Price |
$7.44
|
| Rate for Payer: Cash Price |
$7.80
|
| Rate for Payer: Cash Price |
$7.80
|
| Rate for Payer: Cofinity Commercial |
$10.06
|
| Rate for Payer: Cofinity Commercial |
$14.29
|
| Rate for Payer: Cofinity Commercial |
$14.49
|
| Rate for Payer: Cofinity Commercial |
$10.10
|
| Rate for Payer: Cofinity Commercial |
$16.24
|
| Rate for Payer: Cofinity Commercial |
$9.16
|
| Rate for Payer: Cofinity Commercial |
$16.45
|
| Rate for Payer: Cofinity Commercial |
$9.82
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$8.74
|
| Rate for Payer: Cofinity Commercial |
$10.15
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.00
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.64
|
| 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 |
$13.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.36
|
| Rate for Payer: Healthscope Commercial |
$15.20
|
| Rate for Payer: Healthscope Commercial |
$10.75
|
| Rate for Payer: Healthscope Commercial |
$10.80
|
| Rate for Payer: Healthscope Commercial |
$11.65
|
| Rate for Payer: Healthscope Commercial |
$15.42
|
| Rate for Payer: Healthscope Commercial |
$17.50
|
| Rate for Payer: Healthscope Commercial |
$10.45
|
| Rate for Payer: Healthscope Commercial |
$17.28
|
| Rate for Payer: Healthscope Commercial |
$9.30
|
| Rate for Payer: Healthscope Commercial |
$10.70
|
| Rate for Payer: Healthscope Commercial |
$9.75
|
| Rate for Payer: Healthscope Whirlpool |
$16.76
|
| Rate for Payer: Healthscope Whirlpool |
$9.02
|
| Rate for Payer: Healthscope Whirlpool |
$14.74
|
| Rate for Payer: Healthscope Whirlpool |
$11.30
|
| Rate for Payer: Healthscope Whirlpool |
$14.96
|
| Rate for Payer: Healthscope Whirlpool |
$10.14
|
| Rate for Payer: Healthscope Whirlpool |
$9.46
|
| Rate for Payer: Healthscope Whirlpool |
$10.48
|
| Rate for Payer: Healthscope Whirlpool |
$16.98
|
| Rate for Payer: Healthscope Whirlpool |
$10.43
|
| Rate for Payer: Healthscope Whirlpool |
$10.38
|
| Rate for Payer: Mclaren Commercial |
$9.72
|
| Rate for Payer: Mclaren Commercial |
$15.55
|
| Rate for Payer: Mclaren Commercial |
$13.68
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$15.75
|
| Rate for Payer: Mclaren Commercial |
$9.40
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$9.63
|
| Rate for Payer: Mclaren Commercial |
$8.37
|
| Rate for Payer: Mclaren Commercial |
$8.78
|
| Rate for Payer: Mclaren Commercial |
$9.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Nomi Health Commercial |
$12.64
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$12.46
|
| Rate for Payer: Nomi Health Commercial |
$8.00
|
| Rate for Payer: Nomi Health Commercial |
$14.17
|
| Rate for Payer: Nomi Health Commercial |
$8.82
|
| Rate for Payer: Nomi Health Commercial |
$8.57
|
| Rate for Payer: Nomi Health Commercial |
$8.77
|
| Rate for Payer: Nomi Health Commercial |
$14.35
|
| Rate for Payer: Nomi Health Commercial |
$7.63
|
| Rate for Payer: Nomi Health Commercial |
$8.86
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$0.09
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: Priority Health Narrow Network |
$0.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.58
|
|
|
ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION
|
Facility
|
IP
|
$11.65
|
|
|
Service Code
|
HCPCS J2405
|
| Hospital Charge Code |
105614
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.57 |
| Max. Negotiated Rate |
$11.65 |
| Rate for Payer: Aetna Commercial |
$10.48
|
| Rate for Payer: Aetna Commercial |
$9.72
|
| Rate for Payer: Aetna Commercial |
$9.63
|
| Rate for Payer: Aetna Commercial |
$9.40
|
| Rate for Payer: Aetna Commercial |
$9.68
|
| Rate for Payer: Aetna Commercial |
$13.88
|
| Rate for Payer: Aetna Commercial |
$15.55
|
| Rate for Payer: Aetna Commercial |
$15.75
|
| Rate for Payer: Aetna Commercial |
$13.68
|
| Rate for Payer: Aetna Commercial |
$8.37
|
| Rate for Payer: Aetna Commercial |
$8.78
|
| Rate for Payer: ASR ASR |
$10.48
|
| Rate for Payer: ASR ASR |
$9.46
|
| Rate for Payer: ASR ASR |
$10.43
|
| Rate for Payer: ASR ASR |
$11.30
|
| Rate for Payer: ASR ASR |
$14.96
|
| Rate for Payer: ASR ASR |
$14.74
|
| Rate for Payer: ASR ASR |
$9.02
|
| Rate for Payer: ASR ASR |
$16.76
|
| Rate for Payer: ASR ASR |
$10.38
|
| Rate for Payer: ASR ASR |
$10.14
|
| Rate for Payer: ASR ASR |
$16.98
|
| Rate for Payer: ASR Commercial |
$10.43
|
| Rate for Payer: ASR Commercial |
$10.48
|
| Rate for Payer: ASR Commercial |
$10.38
|
| Rate for Payer: ASR Commercial |
$10.14
|
| Rate for Payer: ASR Commercial |
$14.96
|
| Rate for Payer: ASR Commercial |
$16.76
|
| Rate for Payer: ASR Commercial |
$9.02
|
| Rate for Payer: ASR Commercial |
$16.98
|
| Rate for Payer: ASR Commercial |
$9.46
|
| Rate for Payer: ASR Commercial |
$14.74
|
| Rate for Payer: ASR Commercial |
$11.30
|
| Rate for Payer: BCBS Trust/PPO |
$14.26
|
| Rate for Payer: BCBS Trust/PPO |
$14.08
|
| Rate for Payer: BCBS Trust/PPO |
$9.49
|
| Rate for Payer: BCBS Trust/PPO |
$8.52
|
| Rate for Payer: BCBS Trust/PPO |
$8.72
|
| Rate for Payer: BCBS Trust/PPO |
$8.80
|
| Rate for Payer: BCBS Trust/PPO |
$8.76
|
| Rate for Payer: BCBS Trust/PPO |
$7.95
|
| Rate for Payer: BCBS Trust/PPO |
$7.58
|
| Rate for Payer: BCBS Trust/PPO |
$12.39
|
| Rate for Payer: BCBS Trust/PPO |
$12.57
|
| Rate for Payer: BCN Commercial |
$9.03
|
| Rate for Payer: BCN Commercial |
$11.78
|
| Rate for Payer: BCN Commercial |
$8.37
|
| Rate for Payer: BCN Commercial |
$8.10
|
| Rate for Payer: BCN Commercial |
$13.57
|
| Rate for Payer: BCN Commercial |
$8.30
|
| Rate for Payer: BCN Commercial |
$8.33
|
| Rate for Payer: BCN Commercial |
$11.96
|
| Rate for Payer: BCN Commercial |
$7.21
|
| Rate for Payer: BCN Commercial |
$7.56
|
| Rate for Payer: BCN Commercial |
$13.40
|
| Rate for Payer: Cash Price |
$7.80
|
| Rate for Payer: Cash Price |
$12.16
|
| Rate for Payer: Cash Price |
$12.34
|
| Rate for Payer: Cash Price |
$8.60
|
| Rate for Payer: Cash Price |
$8.64
|
| Rate for Payer: Cash Price |
$7.44
|
| Rate for Payer: Cash Price |
$14.00
|
| Rate for Payer: Cash Price |
$9.32
|
| Rate for Payer: Cash Price |
$8.56
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cash Price |
$13.83
|
| Rate for Payer: Cofinity Commercial |
$16.24
|
| Rate for Payer: Cofinity Commercial |
$9.16
|
| Rate for Payer: Cofinity Commercial |
$10.06
|
| Rate for Payer: Cofinity Commercial |
$8.74
|
| Rate for Payer: Cofinity Commercial |
$14.49
|
| Rate for Payer: Cofinity Commercial |
$10.15
|
| Rate for Payer: Cofinity Commercial |
$9.82
|
| Rate for Payer: Cofinity Commercial |
$10.10
|
| Rate for Payer: Cofinity Commercial |
$10.95
|
| Rate for Payer: Cofinity Commercial |
$16.45
|
| Rate for Payer: Cofinity Commercial |
$14.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.16
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$7.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.36
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$8.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.00
|
| Rate for Payer: Healthscope Commercial |
$17.28
|
| Rate for Payer: Healthscope Commercial |
$17.50
|
| Rate for Payer: Healthscope Commercial |
$10.75
|
| Rate for Payer: Healthscope Commercial |
$15.20
|
| Rate for Payer: Healthscope Commercial |
$9.30
|
| Rate for Payer: Healthscope Commercial |
$11.65
|
| Rate for Payer: Healthscope Commercial |
$15.42
|
| Rate for Payer: Healthscope Commercial |
$9.75
|
| Rate for Payer: Healthscope Commercial |
$10.45
|
| Rate for Payer: Healthscope Commercial |
$10.70
|
| Rate for Payer: Healthscope Commercial |
$10.80
|
| Rate for Payer: Healthscope Whirlpool |
$9.02
|
| Rate for Payer: Healthscope Whirlpool |
$10.14
|
| Rate for Payer: Healthscope Whirlpool |
$10.43
|
| Rate for Payer: Healthscope Whirlpool |
$10.38
|
| Rate for Payer: Healthscope Whirlpool |
$10.48
|
| Rate for Payer: Healthscope Whirlpool |
$11.30
|
| Rate for Payer: Healthscope Whirlpool |
$14.74
|
| Rate for Payer: Healthscope Whirlpool |
$14.96
|
| Rate for Payer: Healthscope Whirlpool |
$16.76
|
| Rate for Payer: Healthscope Whirlpool |
$16.98
|
| Rate for Payer: Healthscope Whirlpool |
$9.46
|
| Rate for Payer: Mclaren Commercial |
$8.78
|
| Rate for Payer: Mclaren Commercial |
$13.68
|
| Rate for Payer: Mclaren Commercial |
$10.48
|
| Rate for Payer: Mclaren Commercial |
$9.63
|
| Rate for Payer: Mclaren Commercial |
$9.68
|
| Rate for Payer: Mclaren Commercial |
$15.55
|
| Rate for Payer: Mclaren Commercial |
$13.88
|
| Rate for Payer: Mclaren Commercial |
$9.40
|
| Rate for Payer: Mclaren Commercial |
$9.72
|
| Rate for Payer: Mclaren Commercial |
$8.37
|
| Rate for Payer: Mclaren Commercial |
$15.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$12.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$7.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$9.10
|
| 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 |
$8.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$8.29
|
| Rate for Payer: Nomi Health Commercial |
$8.86
|
| Rate for Payer: Nomi Health Commercial |
$8.82
|
| Rate for Payer: Nomi Health Commercial |
$14.17
|
| Rate for Payer: Nomi Health Commercial |
$12.64
|
| Rate for Payer: Nomi Health Commercial |
$7.63
|
| Rate for Payer: Nomi Health Commercial |
$14.35
|
| Rate for Payer: Nomi Health Commercial |
$8.77
|
| Rate for Payer: Nomi Health Commercial |
$12.46
|
| Rate for Payer: Nomi Health Commercial |
$8.00
|
| Rate for Payer: Nomi Health Commercial |
$9.55
|
| Rate for Payer: Nomi Health Commercial |
$8.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$9.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.38
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.96
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.04
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.57
|
| Rate for Payer: Priority Health Cigna Priority Health |
$6.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.21
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$9.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.18
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$8.58
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.57
|
|
|
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION
|
Facility
|
OP
|
$61.59
|
|
|
Service Code
|
HCPCS J2360
|
| Hospital Charge Code |
5886
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.23 |
| Max. Negotiated Rate |
$61.59 |
| Rate for Payer: Aetna Commercial |
$55.43
|
| Rate for Payer: Aetna Commercial |
$55.11
|
| Rate for Payer: Aetna Commercial |
$39.64
|
| Rate for Payer: Aetna Commercial |
$40.97
|
| Rate for Payer: Aetna Medicare |
$30.62
|
| Rate for Payer: Aetna Medicare |
$22.02
|
| Rate for Payer: Aetna Medicare |
$22.76
|
| Rate for Payer: Aetna Medicare |
$30.80
|
| Rate for Payer: ASR ASR |
$42.73
|
| Rate for Payer: ASR ASR |
$44.15
|
| Rate for Payer: ASR ASR |
$59.39
|
| Rate for Payer: ASR ASR |
$59.74
|
| Rate for Payer: ASR Commercial |
$42.73
|
| Rate for Payer: ASR Commercial |
$59.39
|
| Rate for Payer: ASR Commercial |
$59.74
|
| Rate for Payer: ASR Commercial |
$44.15
|
| Rate for Payer: BCBS Complete |
$24.49
|
| Rate for Payer: BCBS Complete |
$24.64
|
| Rate for Payer: BCBS Complete |
$17.62
|
| Rate for Payer: BCBS Complete |
$18.21
|
| Rate for Payer: BCBS Trust/PPO |
$50.44
|
| Rate for Payer: BCBS Trust/PPO |
$37.28
|
| Rate for Payer: BCBS Trust/PPO |
$36.07
|
| Rate for Payer: BCBS Trust/PPO |
$50.14
|
| Rate for Payer: BCN Commercial |
$34.15
|
| Rate for Payer: BCN Commercial |
$47.75
|
| Rate for Payer: BCN Commercial |
$35.29
|
| Rate for Payer: BCN Commercial |
$47.47
|
| Rate for Payer: Cash Price |
$48.99
|
| Rate for Payer: Cash Price |
$49.27
|
| Rate for Payer: Cash Price |
$35.24
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Cash Price |
$35.24
|
| Rate for Payer: Cash Price |
$48.99
|
| Rate for Payer: Cash Price |
$49.27
|
| Rate for Payer: Cofinity Commercial |
$42.79
|
| Rate for Payer: Cofinity Commercial |
$41.41
|
| Rate for Payer: Cofinity Commercial |
$57.56
|
| Rate for Payer: Cofinity Commercial |
$57.89
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.24
|
| Rate for Payer: Healthscope Commercial |
$61.59
|
| Rate for Payer: Healthscope Commercial |
$45.52
|
| Rate for Payer: Healthscope Commercial |
$44.05
|
| Rate for Payer: Healthscope Commercial |
$61.23
|
| Rate for Payer: Healthscope Whirlpool |
$44.15
|
| Rate for Payer: Healthscope Whirlpool |
$42.73
|
| Rate for Payer: Healthscope Whirlpool |
$59.39
|
| Rate for Payer: Healthscope Whirlpool |
$59.74
|
| Rate for Payer: Mclaren Commercial |
$55.11
|
| Rate for Payer: Mclaren Commercial |
$55.43
|
| Rate for Payer: Mclaren Commercial |
$39.64
|
| Rate for Payer: Mclaren Commercial |
$40.97
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.35
|
| Rate for Payer: Nomi Health Commercial |
$37.33
|
| Rate for Payer: Nomi Health Commercial |
$50.21
|
| Rate for Payer: Nomi Health Commercial |
$50.50
|
| Rate for Payer: Nomi Health Commercial |
$36.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.59
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.79
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$12.79
|
| Rate for Payer: Priority Health Narrow Network |
$10.23
|
| Rate for Payer: Priority Health Narrow Network |
$10.23
|
| Rate for Payer: Priority Health Narrow Network |
$10.23
|
| Rate for Payer: Priority Health Narrow Network |
$10.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.06
|
|
|
ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLUTION
|
Facility
|
IP
|
$61.23
|
|
|
Service Code
|
HCPCS J2360
|
| Hospital Charge Code |
5886
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$39.80 |
| Max. Negotiated Rate |
$61.23 |
| Rate for Payer: Aetna Commercial |
$55.11
|
| Rate for Payer: Aetna Commercial |
$40.97
|
| Rate for Payer: Aetna Commercial |
$55.43
|
| Rate for Payer: Aetna Commercial |
$39.64
|
| Rate for Payer: ASR ASR |
$42.73
|
| Rate for Payer: ASR ASR |
$59.39
|
| Rate for Payer: ASR ASR |
$44.15
|
| Rate for Payer: ASR ASR |
$59.74
|
| Rate for Payer: ASR Commercial |
$59.39
|
| Rate for Payer: ASR Commercial |
$59.74
|
| Rate for Payer: ASR Commercial |
$44.15
|
| Rate for Payer: ASR Commercial |
$42.73
|
| Rate for Payer: BCBS Trust/PPO |
$50.19
|
| Rate for Payer: BCBS Trust/PPO |
$35.90
|
| Rate for Payer: BCBS Trust/PPO |
$37.09
|
| Rate for Payer: BCBS Trust/PPO |
$49.90
|
| Rate for Payer: BCN Commercial |
$47.75
|
| Rate for Payer: BCN Commercial |
$34.15
|
| Rate for Payer: BCN Commercial |
$47.47
|
| Rate for Payer: BCN Commercial |
$35.29
|
| Rate for Payer: Cash Price |
$36.42
|
| Rate for Payer: Cash Price |
$35.24
|
| Rate for Payer: Cash Price |
$49.27
|
| Rate for Payer: Cash Price |
$48.99
|
| Rate for Payer: Cofinity Commercial |
$57.56
|
| Rate for Payer: Cofinity Commercial |
$42.79
|
| Rate for Payer: Cofinity Commercial |
$57.89
|
| Rate for Payer: Cofinity Commercial |
$41.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$49.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$35.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$36.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$48.98
|
| Rate for Payer: Healthscope Commercial |
$45.52
|
| Rate for Payer: Healthscope Commercial |
$44.05
|
| Rate for Payer: Healthscope Commercial |
$61.23
|
| Rate for Payer: Healthscope Commercial |
$61.59
|
| Rate for Payer: Healthscope Whirlpool |
$59.74
|
| Rate for Payer: Healthscope Whirlpool |
$44.15
|
| Rate for Payer: Healthscope Whirlpool |
$59.39
|
| Rate for Payer: Healthscope Whirlpool |
$42.73
|
| Rate for Payer: Mclaren Commercial |
$55.11
|
| Rate for Payer: Mclaren Commercial |
$55.43
|
| Rate for Payer: Mclaren Commercial |
$40.97
|
| Rate for Payer: Mclaren Commercial |
$39.64
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$38.69
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$52.35
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$37.44
|
| Rate for Payer: Nomi Health Commercial |
$36.12
|
| Rate for Payer: Nomi Health Commercial |
$50.50
|
| Rate for Payer: Nomi Health Commercial |
$50.21
|
| Rate for Payer: Nomi Health Commercial |
$37.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$29.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$39.80
|
| Rate for Payer: Priority Health Cigna Priority Health |
$40.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$40.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$54.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$53.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.76
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
IP
|
$39.17
|
|
|
Service Code
|
NDC 68180067511
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$25.46 |
| Max. Negotiated Rate |
$39.17 |
| Rate for Payer: Aetna Commercial |
$35.25
|
| Rate for Payer: ASR ASR |
$37.99
|
| Rate for Payer: ASR Commercial |
$37.99
|
| Rate for Payer: BCBS Trust/PPO |
$31.92
|
| Rate for Payer: BCN Commercial |
$30.37
|
| Rate for Payer: Cash Price |
$31.33
|
| Rate for Payer: Cofinity Commercial |
$36.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$31.34
|
| Rate for Payer: Healthscope Commercial |
$39.17
|
| Rate for Payer: Healthscope Whirlpool |
$37.99
|
| Rate for Payer: Mclaren Commercial |
$35.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$33.29
|
| Rate for Payer: Nomi Health Commercial |
$32.12
|
| Rate for Payer: Priority Health Cigna Priority Health |
$25.46
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$34.47
|
|
|
OSELTAMIVIR 30 MG CAPSULE
|
Facility
|
OP
|
$322.05
|
|
|
Service Code
|
NDC 47781046813
|
| Hospital Charge Code |
88704
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$128.82 |
| Max. Negotiated Rate |
$322.05 |
| Rate for Payer: Aetna Commercial |
$289.84
|
| Rate for Payer: Aetna Medicare |
$161.02
|
| Rate for Payer: ASR ASR |
$312.39
|
| Rate for Payer: ASR Commercial |
$312.39
|
| Rate for Payer: BCBS Complete |
$128.82
|
| Rate for Payer: BCBS Trust/PPO |
$263.73
|
| Rate for Payer: BCN Commercial |
$249.69
|
| Rate for Payer: Cash Price |
$257.64
|
| Rate for Payer: Cofinity Commercial |
$302.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$257.64
|
| Rate for Payer: Healthscope Commercial |
$322.05
|
| Rate for Payer: Healthscope Whirlpool |
$312.39
|
| Rate for Payer: Mclaren Commercial |
$289.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$273.74
|
| Rate for Payer: Nomi Health Commercial |
$264.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$209.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$282.18
|
| Rate for Payer: Priority Health Narrow Network |
$225.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$283.40
|
|
