|
PILOCARPINE 2 % EYE DROPS
|
Facility
|
OP
|
$130.67
|
|
|
Service Code
|
NDC 61314020415
|
| Hospital Charge Code |
6280
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$48.35 |
| Max. Negotiated Rate |
$130.67 |
| Rate for Payer: Aetna Commercial |
$117.61
|
| Rate for Payer: Aetna Medicare |
$48.35
|
| Rate for Payer: ASR ASR |
$126.75
|
| Rate for Payer: BCBS Complete |
$52.27
|
| Rate for Payer: BCBS Trust/PPO |
$107.74
|
| Rate for Payer: BCN Commercial |
$107.74
|
| Rate for Payer: Cash Price |
$104.54
|
| Rate for Payer: Cofinity Commercial |
$122.83
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$104.54
|
| Rate for Payer: Healthscope Commercial |
$126.75
|
| Rate for Payer: Healthscope Whirlpool |
$130.67
|
| Rate for Payer: Mclaren Commercial |
$117.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$104.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$111.07
|
| Rate for Payer: Nomi Health Commercial |
$107.15
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$98.00
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$114.50
|
| Rate for Payer: Priority Health Narrow Network |
$91.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$114.99
|
|
|
PILOCARPINE 2 % EYE DROPS
|
Facility
|
IP
|
$107.42
|
|
|
Service Code
|
NDC 70069019101
|
| Hospital Charge Code |
6280
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$80.56 |
| Max. Negotiated Rate |
$107.42 |
| Rate for Payer: Aetna Commercial |
$96.67
|
| Rate for Payer: ASR ASR |
$104.19
|
| Rate for Payer: BCBS Trust/PPO |
$88.21
|
| Rate for Payer: BCN Commercial |
$88.21
|
| Rate for Payer: Cash Price |
$85.93
|
| Rate for Payer: Cofinity Commercial |
$100.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$85.93
|
| Rate for Payer: Healthscope Commercial |
$104.19
|
| Rate for Payer: Healthscope Whirlpool |
$107.42
|
| Rate for Payer: Mclaren Commercial |
$96.67
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$91.30
|
| Rate for Payer: Nomi Health Commercial |
$88.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$80.56
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$94.53
|
|
|
PILOCARPINE 5 MG TABLET
|
Facility
|
OP
|
$361.00
|
|
|
Service Code
|
NDC 574079201
|
| Hospital Charge Code |
12803
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$133.57 |
| Max. Negotiated Rate |
$361.00 |
| Rate for Payer: Aetna Commercial |
$324.90
|
| Rate for Payer: Aetna Medicare |
$133.57
|
| Rate for Payer: ASR ASR |
$350.17
|
| Rate for Payer: BCBS Complete |
$144.40
|
| Rate for Payer: BCBS Trust/PPO |
$297.64
|
| Rate for Payer: BCN Commercial |
$297.64
|
| Rate for Payer: Cash Price |
$288.80
|
| Rate for Payer: Cofinity Commercial |
$339.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.80
|
| Rate for Payer: Healthscope Commercial |
$350.17
|
| Rate for Payer: Healthscope Whirlpool |
$361.00
|
| Rate for Payer: Mclaren Commercial |
$324.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$288.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.85
|
| Rate for Payer: Nomi Health Commercial |
$296.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.75
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$316.31
|
| Rate for Payer: Priority Health Narrow Network |
$253.06
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$317.68
|
|
|
PILOCARPINE 5 MG TABLET
|
Facility
|
IP
|
$361.00
|
|
|
Service Code
|
NDC 574079201
|
| Hospital Charge Code |
12803
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$270.75 |
| Max. Negotiated Rate |
$361.00 |
| Rate for Payer: Aetna Commercial |
$324.90
|
| Rate for Payer: ASR ASR |
$350.17
|
| Rate for Payer: BCBS Trust/PPO |
$296.45
|
| Rate for Payer: BCN Commercial |
$296.45
|
| Rate for Payer: Cash Price |
$288.80
|
| Rate for Payer: Cofinity Commercial |
$339.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$288.80
|
| Rate for Payer: Healthscope Commercial |
$350.17
|
| Rate for Payer: Healthscope Whirlpool |
$361.00
|
| Rate for Payer: Mclaren Commercial |
$324.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$306.85
|
| Rate for Payer: Nomi Health Commercial |
$296.02
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$270.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$317.68
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
IP
|
$1,337.11
|
|
|
Service Code
|
NDC 64764015104
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,002.83 |
| Max. Negotiated Rate |
$1,337.11 |
| Rate for Payer: Aetna Commercial |
$1,203.40
|
| Rate for Payer: ASR ASR |
$1,296.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,098.03
|
| Rate for Payer: BCN Commercial |
$1,098.03
|
| Rate for Payer: Cash Price |
$1,069.68
|
| Rate for Payer: Cofinity Commercial |
$1,256.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,069.68
|
| Rate for Payer: Healthscope Commercial |
$1,296.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,337.11
|
| Rate for Payer: Mclaren Commercial |
$1,203.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,136.54
|
| Rate for Payer: Nomi Health Commercial |
$1,096.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,002.83
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,176.65
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
OP
|
$76.14
|
|
|
Service Code
|
NDC 57237021930
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$28.17 |
| Max. Negotiated Rate |
$76.14 |
| Rate for Payer: Aetna Commercial |
$68.53
|
| Rate for Payer: Aetna Medicare |
$28.17
|
| Rate for Payer: ASR ASR |
$73.86
|
| Rate for Payer: BCBS Complete |
$30.46
|
| Rate for Payer: BCBS Trust/PPO |
$62.78
|
| Rate for Payer: BCN Commercial |
$62.78
|
| Rate for Payer: Cash Price |
$60.91
|
| Rate for Payer: Cofinity Commercial |
$71.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.91
|
| Rate for Payer: Healthscope Commercial |
$73.86
|
| Rate for Payer: Healthscope Whirlpool |
$76.14
|
| Rate for Payer: Mclaren Commercial |
$68.53
|
| Rate for Payer: MI Amish Medical Board Commercial |
$60.91
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.72
|
| Rate for Payer: Nomi Health Commercial |
$62.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.10
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$66.71
|
| Rate for Payer: Priority Health Narrow Network |
$53.37
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$67.00
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
IP
|
$76.14
|
|
|
Service Code
|
NDC 57237021930
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$57.10 |
| Max. Negotiated Rate |
$76.14 |
| Rate for Payer: Aetna Commercial |
$68.53
|
| Rate for Payer: ASR ASR |
$73.86
|
| Rate for Payer: BCBS Trust/PPO |
$62.53
|
| Rate for Payer: BCN Commercial |
$62.53
|
| Rate for Payer: Cash Price |
$60.91
|
| Rate for Payer: Cofinity Commercial |
$71.57
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$60.91
|
| Rate for Payer: Healthscope Commercial |
$73.86
|
| Rate for Payer: Healthscope Whirlpool |
$76.14
|
| Rate for Payer: Mclaren Commercial |
$68.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$64.72
|
| Rate for Payer: Nomi Health Commercial |
$62.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$57.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$67.00
|
|
|
PIOGLITAZONE 15 MG TABLET
|
Facility
|
OP
|
$1,337.11
|
|
|
Service Code
|
NDC 64764015104
|
| Hospital Charge Code |
25528
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$494.73 |
| Max. Negotiated Rate |
$1,337.11 |
| Rate for Payer: Aetna Commercial |
$1,203.40
|
| Rate for Payer: Aetna Medicare |
$494.73
|
| Rate for Payer: ASR ASR |
$1,296.99
|
| Rate for Payer: BCBS Complete |
$534.84
|
| Rate for Payer: BCBS Trust/PPO |
$1,102.44
|
| Rate for Payer: BCN Commercial |
$1,102.44
|
| Rate for Payer: Cash Price |
$1,069.68
|
| Rate for Payer: Cofinity Commercial |
$1,256.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,069.68
|
| Rate for Payer: Healthscope Commercial |
$1,296.99
|
| Rate for Payer: Healthscope Whirlpool |
$1,337.11
|
| Rate for Payer: Mclaren Commercial |
$1,203.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,069.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,136.54
|
| Rate for Payer: Nomi Health Commercial |
$1,096.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,002.83
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,171.57
|
| Rate for Payer: Priority Health Narrow Network |
$937.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,176.65
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
OP
|
$135.36
|
|
|
Service Code
|
NDC 57237022030
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$50.08 |
| Max. Negotiated Rate |
$135.36 |
| Rate for Payer: Aetna Commercial |
$121.82
|
| Rate for Payer: Aetna Medicare |
$50.08
|
| Rate for Payer: ASR ASR |
$131.30
|
| Rate for Payer: BCBS Complete |
$54.14
|
| Rate for Payer: BCBS Trust/PPO |
$111.60
|
| Rate for Payer: BCN Commercial |
$111.60
|
| Rate for Payer: Cash Price |
$108.29
|
| Rate for Payer: Cofinity Commercial |
$127.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.29
|
| Rate for Payer: Healthscope Commercial |
$131.30
|
| Rate for Payer: Healthscope Whirlpool |
$135.36
|
| Rate for Payer: Mclaren Commercial |
$121.82
|
| Rate for Payer: MI Amish Medical Board Commercial |
$108.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.06
|
| Rate for Payer: Nomi Health Commercial |
$111.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$101.52
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$118.60
|
| Rate for Payer: Priority Health Narrow Network |
$94.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$119.12
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$264.38
|
|
|
Service Code
|
NDC 57237022090
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$198.28 |
| Max. Negotiated Rate |
$264.38 |
| Rate for Payer: Aetna Commercial |
$237.94
|
| Rate for Payer: ASR ASR |
$256.44
|
| Rate for Payer: BCBS Trust/PPO |
$217.10
|
| Rate for Payer: BCN Commercial |
$217.10
|
| Rate for Payer: Cash Price |
$211.50
|
| Rate for Payer: Cofinity Commercial |
$248.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$256.44
|
| Rate for Payer: Healthscope Whirlpool |
$264.38
|
| Rate for Payer: Mclaren Commercial |
$237.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$224.72
|
| Rate for Payer: Nomi Health Commercial |
$216.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$232.65
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$135.36
|
|
|
Service Code
|
NDC 57237022030
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$101.52 |
| Max. Negotiated Rate |
$135.36 |
| Rate for Payer: Aetna Commercial |
$121.82
|
| Rate for Payer: ASR ASR |
$131.30
|
| Rate for Payer: BCBS Trust/PPO |
$111.16
|
| Rate for Payer: BCN Commercial |
$111.16
|
| Rate for Payer: Cash Price |
$108.29
|
| Rate for Payer: Cofinity Commercial |
$127.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$108.29
|
| Rate for Payer: Healthscope Commercial |
$131.30
|
| Rate for Payer: Healthscope Whirlpool |
$135.36
|
| Rate for Payer: Mclaren Commercial |
$121.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$115.06
|
| Rate for Payer: Nomi Health Commercial |
$111.00
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$101.52
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$119.12
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
OP
|
$264.38
|
|
|
Service Code
|
NDC 57237022090
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$97.82 |
| Max. Negotiated Rate |
$264.38 |
| Rate for Payer: Aetna Commercial |
$237.94
|
| Rate for Payer: Aetna Medicare |
$97.82
|
| Rate for Payer: ASR ASR |
$256.44
|
| Rate for Payer: BCBS Complete |
$105.75
|
| Rate for Payer: BCBS Trust/PPO |
$217.98
|
| Rate for Payer: BCN Commercial |
$217.98
|
| Rate for Payer: Cash Price |
$211.50
|
| Rate for Payer: Cofinity Commercial |
$248.51
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$211.50
|
| Rate for Payer: Healthscope Commercial |
$256.44
|
| Rate for Payer: Healthscope Whirlpool |
$264.38
|
| Rate for Payer: Mclaren Commercial |
$237.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$211.50
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$224.72
|
| Rate for Payer: Nomi Health Commercial |
$216.79
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$198.28
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$231.65
|
| Rate for Payer: Priority Health Narrow Network |
$185.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$232.65
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
IP
|
$2,043.29
|
|
|
Service Code
|
NDC 64764030114
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1,532.47 |
| Max. Negotiated Rate |
$2,043.29 |
| Rate for Payer: Aetna Commercial |
$1,838.96
|
| Rate for Payer: ASR ASR |
$1,981.99
|
| Rate for Payer: BCBS Trust/PPO |
$1,677.95
|
| Rate for Payer: BCN Commercial |
$1,677.95
|
| Rate for Payer: Cash Price |
$1,634.63
|
| Rate for Payer: Cofinity Commercial |
$1,920.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,634.63
|
| Rate for Payer: Healthscope Commercial |
$1,981.99
|
| Rate for Payer: Healthscope Whirlpool |
$2,043.29
|
| Rate for Payer: Mclaren Commercial |
$1,838.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,736.79
|
| Rate for Payer: Nomi Health Commercial |
$1,675.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,532.47
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,798.09
|
|
|
PIOGLITAZONE 30 MG TABLET
|
Facility
|
OP
|
$2,043.29
|
|
|
Service Code
|
NDC 64764030114
|
| Hospital Charge Code |
25529
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$756.02 |
| Max. Negotiated Rate |
$2,043.29 |
| Rate for Payer: Aetna Commercial |
$1,838.96
|
| Rate for Payer: Aetna Medicare |
$756.02
|
| Rate for Payer: ASR ASR |
$1,981.99
|
| Rate for Payer: BCBS Complete |
$817.32
|
| Rate for Payer: BCBS Trust/PPO |
$1,684.69
|
| Rate for Payer: BCN Commercial |
$1,684.69
|
| Rate for Payer: Cash Price |
$1,634.63
|
| Rate for Payer: Cofinity Commercial |
$1,920.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,634.63
|
| Rate for Payer: Healthscope Commercial |
$1,981.99
|
| Rate for Payer: Healthscope Whirlpool |
$2,043.29
|
| Rate for Payer: Mclaren Commercial |
$1,838.96
|
| Rate for Payer: MI Amish Medical Board Commercial |
$1,634.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,736.79
|
| Rate for Payer: Nomi Health Commercial |
$1,675.50
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,532.47
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1,790.33
|
| Rate for Payer: Priority Health Narrow Network |
$1,432.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,798.09
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$29.14
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$21.85 |
| Max. Negotiated Rate |
$29.14 |
| Rate for Payer: Aetna Commercial |
$26.22
|
| Rate for Payer: ASR ASR |
$28.26
|
| Rate for Payer: BCBS Trust/PPO |
$23.93
|
| Rate for Payer: BCN Commercial |
$23.93
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cofinity Commercial |
$27.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$28.26
|
| Rate for Payer: Healthscope Whirlpool |
$29.14
|
| Rate for Payer: Mclaren Commercial |
$26.22
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.76
|
| Rate for Payer: Nomi Health Commercial |
$23.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.64
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$29.14
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301719
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$29.14 |
| Rate for Payer: Aetna Commercial |
$26.22
|
| Rate for Payer: Aetna Medicare |
$10.78
|
| Rate for Payer: ASR ASR |
$28.26
|
| Rate for Payer: BCBS Complete |
$11.65
|
| Rate for Payer: BCBS Trust/PPO |
$24.02
|
| Rate for Payer: BCN Commercial |
$24.02
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cofinity Commercial |
$27.39
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Healthscope Commercial |
$28.26
|
| Rate for Payer: Healthscope Whirlpool |
$29.14
|
| Rate for Payer: Mclaren Commercial |
$26.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.76
|
| Rate for Payer: Nomi Health Commercial |
$23.89
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.85
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.64
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.04
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.03 |
| Max. Negotiated Rate |
$24.04 |
| Rate for Payer: Aetna Commercial |
$21.64
|
| Rate for Payer: Aetna Commercial |
$26.22
|
| Rate for Payer: Aetna Commercial |
$18.50
|
| Rate for Payer: Aetna Commercial |
$19.19
|
| Rate for Payer: Aetna Commercial |
$15.52
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Commercial |
$20.57
|
| Rate for Payer: Aetna Commercial |
$18.46
|
| Rate for Payer: ASR ASR |
$19.89
|
| Rate for Payer: ASR ASR |
$23.32
|
| Rate for Payer: ASR ASR |
$20.69
|
| Rate for Payer: ASR ASR |
$28.26
|
| Rate for Payer: ASR ASR |
$16.72
|
| Rate for Payer: ASR ASR |
$19.94
|
| Rate for Payer: ASR ASR |
$15.46
|
| Rate for Payer: ASR ASR |
$22.17
|
| Rate for Payer: BCBS Trust/PPO |
$13.08
|
| Rate for Payer: BCBS Trust/PPO |
$14.16
|
| Rate for Payer: BCBS Trust/PPO |
$17.51
|
| Rate for Payer: BCBS Trust/PPO |
$23.93
|
| Rate for Payer: BCBS Trust/PPO |
$19.74
|
| Rate for Payer: BCBS Trust/PPO |
$18.77
|
| Rate for Payer: BCBS Trust/PPO |
$16.84
|
| Rate for Payer: BCBS Trust/PPO |
$16.88
|
| Rate for Payer: BCN Commercial |
$14.16
|
| Rate for Payer: BCN Commercial |
$16.84
|
| Rate for Payer: BCN Commercial |
$23.93
|
| Rate for Payer: BCN Commercial |
$16.88
|
| Rate for Payer: BCN Commercial |
$17.51
|
| Rate for Payer: BCN Commercial |
$13.08
|
| Rate for Payer: BCN Commercial |
$18.77
|
| Rate for Payer: BCN Commercial |
$19.74
|
| Rate for Payer: Cash Price |
$17.06
|
| Rate for Payer: Cash Price |
$12.75
|
| Rate for Payer: Cash Price |
$16.40
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$13.79
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$19.24
|
| Rate for Payer: Cofinity Commercial |
$21.48
|
| Rate for Payer: Cofinity Commercial |
$19.28
|
| Rate for Payer: Cofinity Commercial |
$14.98
|
| Rate for Payer: Cofinity Commercial |
$19.33
|
| Rate for Payer: Cofinity Commercial |
$16.21
|
| Rate for Payer: Cofinity Commercial |
$27.39
|
| Rate for Payer: Cofinity Commercial |
$20.05
|
| Rate for Payer: Cofinity Commercial |
$22.60
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.40
|
| Rate for Payer: Healthscope Commercial |
$20.69
|
| Rate for Payer: Healthscope Commercial |
$16.72
|
| Rate for Payer: Healthscope Commercial |
$19.89
|
| Rate for Payer: Healthscope Commercial |
$28.26
|
| Rate for Payer: Healthscope Commercial |
$23.32
|
| Rate for Payer: Healthscope Commercial |
$22.17
|
| Rate for Payer: Healthscope Commercial |
$15.46
|
| Rate for Payer: Healthscope Commercial |
$19.94
|
| Rate for Payer: Healthscope Whirlpool |
$20.51
|
| Rate for Payer: Healthscope Whirlpool |
$20.56
|
| Rate for Payer: Healthscope Whirlpool |
$17.24
|
| Rate for Payer: Healthscope Whirlpool |
$21.32
|
| Rate for Payer: Healthscope Whirlpool |
$15.93
|
| Rate for Payer: Healthscope Whirlpool |
$22.85
|
| Rate for Payer: Healthscope Whirlpool |
$24.04
|
| Rate for Payer: Healthscope Whirlpool |
$29.14
|
| Rate for Payer: Mclaren Commercial |
$19.19
|
| Rate for Payer: Mclaren Commercial |
$26.22
|
| Rate for Payer: Mclaren Commercial |
$14.34
|
| Rate for Payer: Mclaren Commercial |
$15.52
|
| Rate for Payer: Mclaren Commercial |
$18.50
|
| Rate for Payer: Mclaren Commercial |
$21.64
|
| Rate for Payer: Mclaren Commercial |
$18.46
|
| Rate for Payer: Mclaren Commercial |
$20.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.76
|
| Rate for Payer: Nomi Health Commercial |
$17.49
|
| Rate for Payer: Nomi Health Commercial |
$23.89
|
| Rate for Payer: Nomi Health Commercial |
$18.74
|
| Rate for Payer: Nomi Health Commercial |
$13.07
|
| Rate for Payer: Nomi Health Commercial |
$16.86
|
| Rate for Payer: Nomi Health Commercial |
$14.14
|
| Rate for Payer: Nomi Health Commercial |
$16.81
|
| Rate for Payer: Nomi Health Commercial |
$19.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.11
|
|
|
PIPERACILLIN-TAZOBACTAM 2.25 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$21.33
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18304
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$21.32 |
| Rate for Payer: Aetna Commercial |
$19.19
|
| Rate for Payer: Aetna Commercial |
$20.57
|
| Rate for Payer: Aetna Commercial |
$14.34
|
| Rate for Payer: Aetna Commercial |
$15.52
|
| Rate for Payer: Aetna Commercial |
$26.22
|
| Rate for Payer: Aetna Commercial |
$21.64
|
| Rate for Payer: Aetna Commercial |
$18.46
|
| Rate for Payer: Aetna Commercial |
$18.50
|
| Rate for Payer: Aetna Medicare |
$7.61
|
| Rate for Payer: Aetna Medicare |
$7.89
|
| Rate for Payer: Aetna Medicare |
$6.38
|
| Rate for Payer: Aetna Medicare |
$8.46
|
| Rate for Payer: Aetna Medicare |
$8.90
|
| Rate for Payer: Aetna Medicare |
$10.78
|
| Rate for Payer: Aetna Medicare |
$7.59
|
| Rate for Payer: Aetna Medicare |
$5.90
|
| Rate for Payer: ASR ASR |
$20.69
|
| Rate for Payer: ASR ASR |
$19.94
|
| Rate for Payer: ASR ASR |
$16.72
|
| Rate for Payer: ASR ASR |
$15.46
|
| Rate for Payer: ASR ASR |
$19.89
|
| Rate for Payer: ASR ASR |
$28.26
|
| Rate for Payer: ASR ASR |
$23.32
|
| Rate for Payer: ASR ASR |
$22.17
|
| Rate for Payer: BCBS Complete |
$8.20
|
| Rate for Payer: BCBS Complete |
$8.22
|
| Rate for Payer: BCBS Complete |
$8.53
|
| Rate for Payer: BCBS Complete |
$9.62
|
| Rate for Payer: BCBS Complete |
$11.65
|
| Rate for Payer: BCBS Complete |
$6.90
|
| Rate for Payer: BCBS Complete |
$9.14
|
| Rate for Payer: BCBS Complete |
$6.37
|
| Rate for Payer: BCBS Trust/PPO |
$14.22
|
| Rate for Payer: BCBS Trust/PPO |
$13.14
|
| Rate for Payer: BCBS Trust/PPO |
$16.91
|
| Rate for Payer: BCBS Trust/PPO |
$24.02
|
| Rate for Payer: BCBS Trust/PPO |
$19.82
|
| Rate for Payer: BCBS Trust/PPO |
$17.58
|
| Rate for Payer: BCBS Trust/PPO |
$18.84
|
| Rate for Payer: BCBS Trust/PPO |
$16.95
|
| Rate for Payer: BCN Commercial |
$13.14
|
| Rate for Payer: BCN Commercial |
$17.58
|
| Rate for Payer: BCN Commercial |
$24.02
|
| Rate for Payer: BCN Commercial |
$16.91
|
| Rate for Payer: BCN Commercial |
$16.95
|
| Rate for Payer: BCN Commercial |
$14.22
|
| Rate for Payer: BCN Commercial |
$19.82
|
| Rate for Payer: BCN Commercial |
$18.84
|
| Rate for Payer: Cash Price |
$16.40
|
| Rate for Payer: Cash Price |
$12.75
|
| Rate for Payer: Cash Price |
$13.79
|
| Rate for Payer: Cash Price |
$13.79
|
| Rate for Payer: Cash Price |
$12.75
|
| Rate for Payer: Cash Price |
$16.40
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$16.45
|
| Rate for Payer: Cash Price |
$17.06
|
| Rate for Payer: Cash Price |
$17.06
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$18.28
|
| Rate for Payer: Cash Price |
$19.24
|
| Rate for Payer: Cash Price |
$19.24
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cash Price |
$23.31
|
| Rate for Payer: Cofinity Commercial |
$19.28
|
| Rate for Payer: Cofinity Commercial |
$19.33
|
| Rate for Payer: Cofinity Commercial |
$21.48
|
| Rate for Payer: Cofinity Commercial |
$27.39
|
| Rate for Payer: Cofinity Commercial |
$22.60
|
| Rate for Payer: Cofinity Commercial |
$20.05
|
| Rate for Payer: Cofinity Commercial |
$16.21
|
| Rate for Payer: Cofinity Commercial |
$14.98
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.24
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.31
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.75
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.79
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.06
|
| Rate for Payer: Healthscope Commercial |
$19.94
|
| Rate for Payer: Healthscope Commercial |
$28.26
|
| Rate for Payer: Healthscope Commercial |
$23.32
|
| Rate for Payer: Healthscope Commercial |
$19.89
|
| Rate for Payer: Healthscope Commercial |
$16.72
|
| Rate for Payer: Healthscope Commercial |
$15.46
|
| Rate for Payer: Healthscope Commercial |
$22.17
|
| Rate for Payer: Healthscope Commercial |
$20.69
|
| Rate for Payer: Healthscope Whirlpool |
$15.93
|
| Rate for Payer: Healthscope Whirlpool |
$29.14
|
| Rate for Payer: Healthscope Whirlpool |
$20.56
|
| Rate for Payer: Healthscope Whirlpool |
$21.32
|
| Rate for Payer: Healthscope Whirlpool |
$22.85
|
| Rate for Payer: Healthscope Whirlpool |
$17.24
|
| Rate for Payer: Healthscope Whirlpool |
$24.04
|
| Rate for Payer: Healthscope Whirlpool |
$20.51
|
| Rate for Payer: Mclaren Commercial |
$18.46
|
| Rate for Payer: Mclaren Commercial |
$18.50
|
| Rate for Payer: Mclaren Commercial |
$20.57
|
| Rate for Payer: Mclaren Commercial |
$21.64
|
| Rate for Payer: Mclaren Commercial |
$14.34
|
| Rate for Payer: Mclaren Commercial |
$15.52
|
| Rate for Payer: Mclaren Commercial |
$19.19
|
| Rate for Payer: Mclaren Commercial |
$26.22
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.24
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.45
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.06
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.66
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.48
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.43
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.54
|
| Rate for Payer: Nomi Health Commercial |
$13.07
|
| Rate for Payer: Nomi Health Commercial |
$23.89
|
| Rate for Payer: Nomi Health Commercial |
$16.81
|
| Rate for Payer: Nomi Health Commercial |
$16.86
|
| Rate for Payer: Nomi Health Commercial |
$14.14
|
| Rate for Payer: Nomi Health Commercial |
$18.74
|
| Rate for Payer: Nomi Health Commercial |
$19.72
|
| Rate for Payer: Nomi Health Commercial |
$17.49
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.14
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.99
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.03
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.85
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.42
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$12.93
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.16
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.77
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.11
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$35.38
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$35.38 |
| Rate for Payer: Aetna Commercial |
$31.84
|
| Rate for Payer: Aetna Medicare |
$13.09
|
| Rate for Payer: ASR ASR |
$34.32
|
| Rate for Payer: BCBS Complete |
$14.15
|
| Rate for Payer: BCBS Trust/PPO |
$29.17
|
| Rate for Payer: BCN Commercial |
$29.17
|
| Rate for Payer: Cash Price |
$28.31
|
| Rate for Payer: Cash Price |
$28.31
|
| Rate for Payer: Cofinity Commercial |
$33.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.31
|
| Rate for Payer: Healthscope Commercial |
$34.32
|
| Rate for Payer: Healthscope Whirlpool |
$35.38
|
| Rate for Payer: Mclaren Commercial |
$31.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$28.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.07
|
| Rate for Payer: Nomi Health Commercial |
$29.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.54
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.14
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$35.38
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301717
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$26.54 |
| Max. Negotiated Rate |
$35.38 |
| Rate for Payer: Aetna Commercial |
$31.84
|
| Rate for Payer: ASR ASR |
$34.32
|
| Rate for Payer: BCBS Trust/PPO |
$29.06
|
| Rate for Payer: BCN Commercial |
$29.06
|
| Rate for Payer: Cash Price |
$28.31
|
| Rate for Payer: Cofinity Commercial |
$33.26
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$28.31
|
| Rate for Payer: Healthscope Commercial |
$34.32
|
| Rate for Payer: Healthscope Whirlpool |
$35.38
|
| Rate for Payer: Mclaren Commercial |
$31.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$30.07
|
| Rate for Payer: Nomi Health Commercial |
$29.01
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$26.54
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$31.14
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$23.24
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.43 |
| Max. Negotiated Rate |
$23.24 |
| Rate for Payer: Aetna Commercial |
$20.92
|
| Rate for Payer: Aetna Commercial |
$20.13
|
| Rate for Payer: Aetna Commercial |
$24.94
|
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna Commercial |
$23.18
|
| Rate for Payer: Aetna Commercial |
$13.81
|
| Rate for Payer: Aetna Commercial |
$19.14
|
| Rate for Payer: Aetna Commercial |
$17.79
|
| Rate for Payer: Aetna Commercial |
$24.57
|
| Rate for Payer: ASR ASR |
$26.48
|
| Rate for Payer: ASR ASR |
$22.55
|
| Rate for Payer: ASR ASR |
$19.17
|
| Rate for Payer: ASR ASR |
$24.99
|
| Rate for Payer: ASR ASR |
$21.70
|
| Rate for Payer: ASR ASR |
$18.69
|
| Rate for Payer: ASR ASR |
$20.63
|
| Rate for Payer: ASR ASR |
$26.88
|
| Rate for Payer: ASR ASR |
$14.89
|
| Rate for Payer: BCBS Trust/PPO |
$12.60
|
| Rate for Payer: BCBS Trust/PPO |
$22.76
|
| Rate for Payer: BCBS Trust/PPO |
$18.37
|
| Rate for Payer: BCBS Trust/PPO |
$15.82
|
| Rate for Payer: BCBS Trust/PPO |
$17.47
|
| Rate for Payer: BCBS Trust/PPO |
$16.23
|
| Rate for Payer: BCBS Trust/PPO |
$21.15
|
| Rate for Payer: BCBS Trust/PPO |
$19.09
|
| Rate for Payer: BCBS Trust/PPO |
$22.42
|
| Rate for Payer: BCN Commercial |
$15.82
|
| Rate for Payer: BCN Commercial |
$16.23
|
| Rate for Payer: BCN Commercial |
$22.76
|
| Rate for Payer: BCN Commercial |
$22.42
|
| Rate for Payer: BCN Commercial |
$21.15
|
| Rate for Payer: BCN Commercial |
$19.09
|
| Rate for Payer: BCN Commercial |
$12.60
|
| Rate for Payer: BCN Commercial |
$18.37
|
| Rate for Payer: BCN Commercial |
$17.47
|
| Rate for Payer: Cash Price |
$15.81
|
| Rate for Payer: Cash Price |
$15.42
|
| Rate for Payer: Cash Price |
$18.59
|
| Rate for Payer: Cash Price |
$17.02
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$22.17
|
| Rate for Payer: Cash Price |
$17.90
|
| Rate for Payer: Cash Price |
$12.28
|
| Rate for Payer: Cash Price |
$20.61
|
| Rate for Payer: Cofinity Commercial |
$19.99
|
| Rate for Payer: Cofinity Commercial |
$18.58
|
| Rate for Payer: Cofinity Commercial |
$21.03
|
| Rate for Payer: Cofinity Commercial |
$24.21
|
| Rate for Payer: Cofinity Commercial |
$21.85
|
| Rate for Payer: Cofinity Commercial |
$26.05
|
| Rate for Payer: Cofinity Commercial |
$25.66
|
| Rate for Payer: Cofinity Commercial |
$18.11
|
| Rate for Payer: Cofinity Commercial |
$14.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.59
|
| Rate for Payer: Healthscope Commercial |
$26.88
|
| Rate for Payer: Healthscope Commercial |
$21.70
|
| Rate for Payer: Healthscope Commercial |
$14.89
|
| Rate for Payer: Healthscope Commercial |
$20.63
|
| Rate for Payer: Healthscope Commercial |
$19.17
|
| Rate for Payer: Healthscope Commercial |
$22.55
|
| Rate for Payer: Healthscope Commercial |
$24.99
|
| Rate for Payer: Healthscope Commercial |
$18.69
|
| Rate for Payer: Healthscope Commercial |
$26.48
|
| Rate for Payer: Healthscope Whirlpool |
$21.27
|
| Rate for Payer: Healthscope Whirlpool |
$27.71
|
| Rate for Payer: Healthscope Whirlpool |
$15.35
|
| Rate for Payer: Healthscope Whirlpool |
$22.37
|
| Rate for Payer: Healthscope Whirlpool |
$25.76
|
| Rate for Payer: Healthscope Whirlpool |
$19.77
|
| Rate for Payer: Healthscope Whirlpool |
$19.27
|
| Rate for Payer: Healthscope Whirlpool |
$27.30
|
| Rate for Payer: Healthscope Whirlpool |
$23.24
|
| Rate for Payer: Mclaren Commercial |
$19.14
|
| Rate for Payer: Mclaren Commercial |
$17.79
|
| Rate for Payer: Mclaren Commercial |
$13.81
|
| Rate for Payer: Mclaren Commercial |
$17.34
|
| Rate for Payer: Mclaren Commercial |
$20.13
|
| Rate for Payer: Mclaren Commercial |
$20.92
|
| Rate for Payer: Mclaren Commercial |
$23.18
|
| Rate for Payer: Mclaren Commercial |
$24.57
|
| Rate for Payer: Mclaren Commercial |
$24.94
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.55
|
| Rate for Payer: Nomi Health Commercial |
$18.34
|
| Rate for Payer: Nomi Health Commercial |
$22.39
|
| Rate for Payer: Nomi Health Commercial |
$21.12
|
| Rate for Payer: Nomi Health Commercial |
$16.21
|
| Rate for Payer: Nomi Health Commercial |
$15.80
|
| Rate for Payer: Nomi Health Commercial |
$12.59
|
| Rate for Payer: Nomi Health Commercial |
$17.44
|
| Rate for Payer: Nomi Health Commercial |
$19.06
|
| Rate for Payer: Nomi Health Commercial |
$22.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.02
|
|
|
PIPERACILLIN-TAZOBACTAM 3.375 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$15.35
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18303
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$15.35 |
| Rate for Payer: Aetna Commercial |
$13.81
|
| Rate for Payer: Aetna Commercial |
$19.14
|
| Rate for Payer: Aetna Commercial |
$17.79
|
| Rate for Payer: Aetna Commercial |
$20.13
|
| Rate for Payer: Aetna Commercial |
$17.34
|
| Rate for Payer: Aetna Commercial |
$20.92
|
| Rate for Payer: Aetna Commercial |
$23.18
|
| Rate for Payer: Aetna Commercial |
$24.57
|
| Rate for Payer: Aetna Commercial |
$24.94
|
| Rate for Payer: Aetna Medicare |
$8.28
|
| Rate for Payer: Aetna Medicare |
$10.25
|
| Rate for Payer: Aetna Medicare |
$9.53
|
| Rate for Payer: Aetna Medicare |
$10.10
|
| Rate for Payer: Aetna Medicare |
$5.68
|
| Rate for Payer: Aetna Medicare |
$7.87
|
| Rate for Payer: Aetna Medicare |
$7.31
|
| Rate for Payer: Aetna Medicare |
$7.13
|
| Rate for Payer: Aetna Medicare |
$8.60
|
| Rate for Payer: ASR ASR |
$18.69
|
| Rate for Payer: ASR ASR |
$19.17
|
| Rate for Payer: ASR ASR |
$21.70
|
| Rate for Payer: ASR ASR |
$24.99
|
| Rate for Payer: ASR ASR |
$20.63
|
| Rate for Payer: ASR ASR |
$22.55
|
| Rate for Payer: ASR ASR |
$26.48
|
| Rate for Payer: ASR ASR |
$26.88
|
| Rate for Payer: ASR ASR |
$14.89
|
| Rate for Payer: BCBS Complete |
$8.95
|
| Rate for Payer: BCBS Complete |
$7.71
|
| Rate for Payer: BCBS Complete |
$7.91
|
| Rate for Payer: BCBS Complete |
$6.14
|
| Rate for Payer: BCBS Complete |
$11.08
|
| Rate for Payer: BCBS Complete |
$10.92
|
| Rate for Payer: BCBS Complete |
$10.30
|
| Rate for Payer: BCBS Complete |
$9.30
|
| Rate for Payer: BCBS Complete |
$8.51
|
| Rate for Payer: BCBS Trust/PPO |
$21.24
|
| Rate for Payer: BCBS Trust/PPO |
$19.16
|
| Rate for Payer: BCBS Trust/PPO |
$15.89
|
| Rate for Payer: BCBS Trust/PPO |
$12.65
|
| Rate for Payer: BCBS Trust/PPO |
$22.51
|
| Rate for Payer: BCBS Trust/PPO |
$16.30
|
| Rate for Payer: BCBS Trust/PPO |
$18.44
|
| Rate for Payer: BCBS Trust/PPO |
$22.85
|
| Rate for Payer: BCBS Trust/PPO |
$17.54
|
| Rate for Payer: BCN Commercial |
$22.85
|
| Rate for Payer: BCN Commercial |
$19.16
|
| Rate for Payer: BCN Commercial |
$18.44
|
| Rate for Payer: BCN Commercial |
$17.54
|
| Rate for Payer: BCN Commercial |
$12.65
|
| Rate for Payer: BCN Commercial |
$16.30
|
| Rate for Payer: BCN Commercial |
$15.89
|
| Rate for Payer: BCN Commercial |
$22.51
|
| Rate for Payer: BCN Commercial |
$21.24
|
| Rate for Payer: Cash Price |
$17.02
|
| Rate for Payer: Cash Price |
$22.17
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$12.28
|
| Rate for Payer: Cash Price |
$15.42
|
| Rate for Payer: Cash Price |
$15.42
|
| Rate for Payer: Cash Price |
$21.84
|
| Rate for Payer: Cash Price |
$20.61
|
| Rate for Payer: Cash Price |
$17.02
|
| Rate for Payer: Cash Price |
$12.28
|
| Rate for Payer: Cash Price |
$15.81
|
| Rate for Payer: Cash Price |
$20.61
|
| Rate for Payer: Cash Price |
$18.59
|
| Rate for Payer: Cash Price |
$17.90
|
| Rate for Payer: Cash Price |
$18.59
|
| Rate for Payer: Cash Price |
$17.90
|
| Rate for Payer: Cash Price |
$22.17
|
| Rate for Payer: Cash Price |
$15.81
|
| Rate for Payer: Cofinity Commercial |
$21.03
|
| Rate for Payer: Cofinity Commercial |
$18.11
|
| Rate for Payer: Cofinity Commercial |
$18.58
|
| Rate for Payer: Cofinity Commercial |
$14.43
|
| Rate for Payer: Cofinity Commercial |
$19.99
|
| Rate for Payer: Cofinity Commercial |
$21.85
|
| Rate for Payer: Cofinity Commercial |
$24.21
|
| Rate for Payer: Cofinity Commercial |
$25.66
|
| Rate for Payer: Cofinity Commercial |
$26.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.90
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.61
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$17.02
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.59
|
| Rate for Payer: Healthscope Commercial |
$20.63
|
| Rate for Payer: Healthscope Commercial |
$26.88
|
| Rate for Payer: Healthscope Commercial |
$22.55
|
| Rate for Payer: Healthscope Commercial |
$14.89
|
| Rate for Payer: Healthscope Commercial |
$21.70
|
| Rate for Payer: Healthscope Commercial |
$18.69
|
| Rate for Payer: Healthscope Commercial |
$19.17
|
| Rate for Payer: Healthscope Commercial |
$26.48
|
| Rate for Payer: Healthscope Commercial |
$24.99
|
| Rate for Payer: Healthscope Whirlpool |
$25.76
|
| Rate for Payer: Healthscope Whirlpool |
$21.27
|
| Rate for Payer: Healthscope Whirlpool |
$15.35
|
| Rate for Payer: Healthscope Whirlpool |
$22.37
|
| Rate for Payer: Healthscope Whirlpool |
$27.30
|
| Rate for Payer: Healthscope Whirlpool |
$27.71
|
| Rate for Payer: Healthscope Whirlpool |
$19.77
|
| Rate for Payer: Healthscope Whirlpool |
$19.27
|
| Rate for Payer: Healthscope Whirlpool |
$23.24
|
| Rate for Payer: Mclaren Commercial |
$20.92
|
| Rate for Payer: Mclaren Commercial |
$17.34
|
| Rate for Payer: Mclaren Commercial |
$23.18
|
| Rate for Payer: Mclaren Commercial |
$13.81
|
| Rate for Payer: Mclaren Commercial |
$19.14
|
| Rate for Payer: Mclaren Commercial |
$24.57
|
| Rate for Payer: Mclaren Commercial |
$17.79
|
| Rate for Payer: Mclaren Commercial |
$20.13
|
| Rate for Payer: Mclaren Commercial |
$24.94
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.42
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.81
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.90
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.59
|
| Rate for Payer: MI Amish Medical Board Commercial |
$17.02
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.84
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.61
|
| Rate for Payer: MI Amish Medical Board Commercial |
$12.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$18.08
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.80
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.55
|
| Rate for Payer: Nomi Health Commercial |
$16.21
|
| Rate for Payer: Nomi Health Commercial |
$12.59
|
| Rate for Payer: Nomi Health Commercial |
$22.72
|
| Rate for Payer: Nomi Health Commercial |
$22.39
|
| Rate for Payer: Nomi Health Commercial |
$19.06
|
| Rate for Payer: Nomi Health Commercial |
$17.44
|
| Rate for Payer: Nomi Health Commercial |
$21.12
|
| Rate for Payer: Nomi Health Commercial |
$18.34
|
| Rate for Payer: Nomi Health Commercial |
$15.80
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.43
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$16.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$11.51
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.82
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.32
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$20.47
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.95
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$18.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.69
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.96
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$13.51
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.38
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$26.09
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$26.09 |
| Rate for Payer: Aetna Commercial |
$23.48
|
| Rate for Payer: Aetna Commercial |
$21.90
|
| Rate for Payer: Aetna Commercial |
$18.36
|
| Rate for Payer: Aetna Commercial |
$23.84
|
| Rate for Payer: Aetna Commercial |
$25.29
|
| Rate for Payer: Aetna Commercial |
$25.57
|
| Rate for Payer: Aetna Commercial |
$15.88
|
| Rate for Payer: Aetna Medicare |
$9.00
|
| Rate for Payer: Aetna Medicare |
$6.53
|
| Rate for Payer: Aetna Medicare |
$10.40
|
| Rate for Payer: Aetna Medicare |
$9.80
|
| Rate for Payer: Aetna Medicare |
$10.51
|
| Rate for Payer: Aetna Medicare |
$9.65
|
| Rate for Payer: Aetna Medicare |
$7.55
|
| Rate for Payer: ASR ASR |
$25.30
|
| Rate for Payer: ASR ASR |
$19.79
|
| Rate for Payer: ASR ASR |
$17.12
|
| Rate for Payer: ASR ASR |
$23.60
|
| Rate for Payer: ASR ASR |
$27.26
|
| Rate for Payer: ASR ASR |
$27.56
|
| Rate for Payer: ASR ASR |
$25.69
|
| Rate for Payer: BCBS Complete |
$7.06
|
| Rate for Payer: BCBS Complete |
$11.24
|
| Rate for Payer: BCBS Complete |
$11.36
|
| Rate for Payer: BCBS Complete |
$10.59
|
| Rate for Payer: BCBS Complete |
$8.16
|
| Rate for Payer: BCBS Complete |
$9.73
|
| Rate for Payer: BCBS Complete |
$10.43
|
| Rate for Payer: BCBS Trust/PPO |
$21.84
|
| Rate for Payer: BCBS Trust/PPO |
$21.51
|
| Rate for Payer: BCBS Trust/PPO |
$20.06
|
| Rate for Payer: BCBS Trust/PPO |
$14.55
|
| Rate for Payer: BCBS Trust/PPO |
$16.82
|
| Rate for Payer: BCBS Trust/PPO |
$23.42
|
| Rate for Payer: BCBS Trust/PPO |
$23.17
|
| Rate for Payer: BCN Commercial |
$23.17
|
| Rate for Payer: BCN Commercial |
$21.84
|
| Rate for Payer: BCN Commercial |
$16.82
|
| Rate for Payer: BCN Commercial |
$14.55
|
| Rate for Payer: BCN Commercial |
$21.51
|
| Rate for Payer: BCN Commercial |
$20.06
|
| Rate for Payer: BCN Commercial |
$23.42
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cash Price |
$22.73
|
| Rate for Payer: Cash Price |
$21.19
|
| Rate for Payer: Cash Price |
$14.12
|
| Rate for Payer: Cash Price |
$19.47
|
| Rate for Payer: Cash Price |
$21.19
|
| Rate for Payer: Cash Price |
$22.48
|
| Rate for Payer: Cash Price |
$20.87
|
| Rate for Payer: Cash Price |
$22.73
|
| Rate for Payer: Cash Price |
$22.48
|
| Rate for Payer: Cash Price |
$20.87
|
| Rate for Payer: Cash Price |
$19.47
|
| Rate for Payer: Cash Price |
$14.12
|
| Rate for Payer: Cofinity Commercial |
$24.52
|
| Rate for Payer: Cofinity Commercial |
$19.18
|
| Rate for Payer: Cofinity Commercial |
$22.87
|
| Rate for Payer: Cofinity Commercial |
$16.59
|
| Rate for Payer: Cofinity Commercial |
$24.90
|
| Rate for Payer: Cofinity Commercial |
$26.42
|
| Rate for Payer: Cofinity Commercial |
$26.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.48
|
| Rate for Payer: Healthscope Commercial |
$27.26
|
| Rate for Payer: Healthscope Commercial |
$23.60
|
| Rate for Payer: Healthscope Commercial |
$19.79
|
| Rate for Payer: Healthscope Commercial |
$17.12
|
| Rate for Payer: Healthscope Commercial |
$27.56
|
| Rate for Payer: Healthscope Commercial |
$25.69
|
| Rate for Payer: Healthscope Commercial |
$25.30
|
| Rate for Payer: Healthscope Whirlpool |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$26.09
|
| Rate for Payer: Healthscope Whirlpool |
$20.40
|
| Rate for Payer: Healthscope Whirlpool |
$28.41
|
| Rate for Payer: Healthscope Whirlpool |
$17.65
|
| Rate for Payer: Healthscope Whirlpool |
$26.49
|
| Rate for Payer: Healthscope Whirlpool |
$24.33
|
| Rate for Payer: Mclaren Commercial |
$15.88
|
| Rate for Payer: Mclaren Commercial |
$21.90
|
| Rate for Payer: Mclaren Commercial |
$18.36
|
| Rate for Payer: Mclaren Commercial |
$23.84
|
| Rate for Payer: Mclaren Commercial |
$23.48
|
| Rate for Payer: Mclaren Commercial |
$25.29
|
| Rate for Payer: Mclaren Commercial |
$25.57
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.47
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.73
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14.12
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.87
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.19
|
| Rate for Payer: MI Amish Medical Board Commercial |
$16.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.89
|
| Rate for Payer: Nomi Health Commercial |
$16.73
|
| Rate for Payer: Nomi Health Commercial |
$19.95
|
| Rate for Payer: Nomi Health Commercial |
$23.30
|
| Rate for Payer: Nomi Health Commercial |
$21.39
|
| Rate for Payer: Nomi Health Commercial |
$14.47
|
| Rate for Payer: Nomi Health Commercial |
$23.04
|
| Rate for Payer: Nomi Health Commercial |
$21.72
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.87
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.08
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$1.13
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: Priority Health Narrow Network |
$0.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.53
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$20.40
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
18302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15.30 |
| Max. Negotiated Rate |
$20.40 |
| Rate for Payer: Aetna Commercial |
$18.36
|
| Rate for Payer: Aetna Commercial |
$15.88
|
| Rate for Payer: Aetna Commercial |
$21.90
|
| Rate for Payer: Aetna Commercial |
$23.84
|
| Rate for Payer: Aetna Commercial |
$25.57
|
| Rate for Payer: Aetna Commercial |
$23.48
|
| Rate for Payer: Aetna Commercial |
$25.29
|
| Rate for Payer: ASR ASR |
$25.69
|
| Rate for Payer: ASR ASR |
$23.60
|
| Rate for Payer: ASR ASR |
$27.56
|
| Rate for Payer: ASR ASR |
$17.12
|
| Rate for Payer: ASR ASR |
$19.79
|
| Rate for Payer: ASR ASR |
$25.30
|
| Rate for Payer: ASR ASR |
$27.26
|
| Rate for Payer: BCBS Trust/PPO |
$23.33
|
| Rate for Payer: BCBS Trust/PPO |
$23.08
|
| Rate for Payer: BCBS Trust/PPO |
$21.75
|
| Rate for Payer: BCBS Trust/PPO |
$16.75
|
| Rate for Payer: BCBS Trust/PPO |
$14.49
|
| Rate for Payer: BCBS Trust/PPO |
$21.42
|
| Rate for Payer: BCBS Trust/PPO |
$19.98
|
| Rate for Payer: BCN Commercial |
$23.08
|
| Rate for Payer: BCN Commercial |
$19.98
|
| Rate for Payer: BCN Commercial |
$16.75
|
| Rate for Payer: BCN Commercial |
$21.42
|
| Rate for Payer: BCN Commercial |
$21.75
|
| Rate for Payer: BCN Commercial |
$14.49
|
| Rate for Payer: BCN Commercial |
$23.33
|
| Rate for Payer: Cash Price |
$16.32
|
| Rate for Payer: Cash Price |
$21.19
|
| Rate for Payer: Cash Price |
$19.47
|
| Rate for Payer: Cash Price |
$14.12
|
| Rate for Payer: Cash Price |
$22.73
|
| Rate for Payer: Cash Price |
$22.48
|
| Rate for Payer: Cash Price |
$20.87
|
| Rate for Payer: Cofinity Commercial |
$26.42
|
| Rate for Payer: Cofinity Commercial |
$19.18
|
| Rate for Payer: Cofinity Commercial |
$24.52
|
| Rate for Payer: Cofinity Commercial |
$24.90
|
| Rate for Payer: Cofinity Commercial |
$22.87
|
| Rate for Payer: Cofinity Commercial |
$16.59
|
| Rate for Payer: Cofinity Commercial |
$26.70
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.47
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.19
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.48
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.73
|
| Rate for Payer: Healthscope Commercial |
$19.79
|
| Rate for Payer: Healthscope Commercial |
$23.60
|
| Rate for Payer: Healthscope Commercial |
$25.30
|
| Rate for Payer: Healthscope Commercial |
$17.12
|
| Rate for Payer: Healthscope Commercial |
$25.69
|
| Rate for Payer: Healthscope Commercial |
$27.26
|
| Rate for Payer: Healthscope Commercial |
$27.56
|
| Rate for Payer: Healthscope Whirlpool |
$26.49
|
| Rate for Payer: Healthscope Whirlpool |
$17.65
|
| Rate for Payer: Healthscope Whirlpool |
$20.40
|
| Rate for Payer: Healthscope Whirlpool |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$24.33
|
| Rate for Payer: Healthscope Whirlpool |
$28.41
|
| Rate for Payer: Healthscope Whirlpool |
$26.09
|
| Rate for Payer: Mclaren Commercial |
$15.88
|
| Rate for Payer: Mclaren Commercial |
$23.48
|
| Rate for Payer: Mclaren Commercial |
$18.36
|
| Rate for Payer: Mclaren Commercial |
$23.84
|
| Rate for Payer: Mclaren Commercial |
$25.29
|
| Rate for Payer: Mclaren Commercial |
$21.90
|
| Rate for Payer: Mclaren Commercial |
$25.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.89
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.15
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.17
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.68
|
| Rate for Payer: Nomi Health Commercial |
$14.47
|
| Rate for Payer: Nomi Health Commercial |
$21.72
|
| Rate for Payer: Nomi Health Commercial |
$19.95
|
| Rate for Payer: Nomi Health Commercial |
$23.04
|
| Rate for Payer: Nomi Health Commercial |
$23.30
|
| Rate for Payer: Nomi Health Commercial |
$16.73
|
| Rate for Payer: Nomi Health Commercial |
$21.39
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$13.24
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$15.30
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.56
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.31
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.25
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.87
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.31
|
|
|
PIPERACILLIN-TAZOBACTAM 4.5 GRAM MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$24.33
|
|
|
Service Code
|
HCPCS J2543
|
| Hospital Charge Code |
301718
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$18.25 |
| Max. Negotiated Rate |
$24.33 |
| Rate for Payer: Aetna Commercial |
$21.90
|
| Rate for Payer: ASR ASR |
$23.60
|
| Rate for Payer: BCBS Trust/PPO |
$19.98
|
| Rate for Payer: BCN Commercial |
$19.98
|
| Rate for Payer: Cash Price |
$19.47
|
| Rate for Payer: Cofinity Commercial |
$22.87
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.47
|
| Rate for Payer: Healthscope Commercial |
$23.60
|
| Rate for Payer: Healthscope Whirlpool |
$24.33
|
| Rate for Payer: Mclaren Commercial |
$21.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.68
|
| Rate for Payer: Nomi Health Commercial |
$19.95
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.41
|
|
