|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$103.00
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$41.20 |
| Max. Negotiated Rate |
$103.00 |
| Rate for Payer: Aetna Commercial |
$92.70
|
| Rate for Payer: Aetna Medicare |
$51.50
|
| Rate for Payer: ASR ASR |
$99.91
|
| Rate for Payer: ASR Commercial |
$99.91
|
| Rate for Payer: BCBS Complete |
$41.20
|
| Rate for Payer: BCBS Trust/PPO |
$84.35
|
| Rate for Payer: BCN Commercial |
$79.86
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$96.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.40
|
| Rate for Payer: Healthscope Commercial |
$103.00
|
| Rate for Payer: Healthscope Whirlpool |
$99.91
|
| Rate for Payer: Mclaren Commercial |
$92.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.55
|
| Rate for Payer: Nomi Health Commercial |
$84.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.95
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$90.25
|
| Rate for Payer: Priority Health Narrow Network |
$72.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$90.64
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$173.25
|
|
|
Service Code
|
NDC 61314063710
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$112.61 |
| Max. Negotiated Rate |
$173.25 |
| Rate for Payer: Aetna Commercial |
$155.93
|
| Rate for Payer: ASR ASR |
$168.05
|
| Rate for Payer: ASR Commercial |
$168.05
|
| Rate for Payer: BCBS Trust/PPO |
$141.18
|
| Rate for Payer: BCN Commercial |
$134.32
|
| Rate for Payer: Cash Price |
$138.60
|
| Rate for Payer: Cofinity Commercial |
$162.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.60
|
| Rate for Payer: Healthscope Commercial |
$173.25
|
| Rate for Payer: Healthscope Whirlpool |
$168.05
|
| Rate for Payer: Mclaren Commercial |
$155.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.26
|
| Rate for Payer: Nomi Health Commercial |
$142.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$152.46
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$143.22
|
|
|
Service Code
|
NDC 60758011905
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$93.09 |
| Max. Negotiated Rate |
$143.22 |
| Rate for Payer: Aetna Commercial |
$128.90
|
| Rate for Payer: ASR ASR |
$138.92
|
| Rate for Payer: ASR Commercial |
$138.92
|
| Rate for Payer: BCBS Trust/PPO |
$116.71
|
| Rate for Payer: BCN Commercial |
$111.04
|
| Rate for Payer: Cash Price |
$114.58
|
| Rate for Payer: Cofinity Commercial |
$134.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.58
|
| Rate for Payer: Healthscope Commercial |
$143.22
|
| Rate for Payer: Healthscope Whirlpool |
$138.92
|
| Rate for Payer: Mclaren Commercial |
$128.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.74
|
| Rate for Payer: Nomi Health Commercial |
$117.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.03
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$143.22
|
|
|
Service Code
|
NDC 60758011905
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$57.29 |
| Max. Negotiated Rate |
$143.22 |
| Rate for Payer: Aetna Commercial |
$128.90
|
| Rate for Payer: Aetna Medicare |
$71.61
|
| Rate for Payer: ASR ASR |
$138.92
|
| Rate for Payer: ASR Commercial |
$138.92
|
| Rate for Payer: BCBS Complete |
$57.29
|
| Rate for Payer: BCBS Trust/PPO |
$117.28
|
| Rate for Payer: BCN Commercial |
$111.04
|
| Rate for Payer: Cash Price |
$114.58
|
| Rate for Payer: Cofinity Commercial |
$134.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$114.58
|
| Rate for Payer: Healthscope Commercial |
$143.22
|
| Rate for Payer: Healthscope Whirlpool |
$138.92
|
| Rate for Payer: Mclaren Commercial |
$128.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$121.74
|
| Rate for Payer: Nomi Health Commercial |
$117.44
|
| Rate for Payer: Priority Health Cigna Priority Health |
$93.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$125.49
|
| Rate for Payer: Priority Health Narrow Network |
$100.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$126.03
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$845.84
|
|
|
Service Code
|
NDC 11980018010
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$338.34 |
| Max. Negotiated Rate |
$845.84 |
| Rate for Payer: Aetna Commercial |
$761.26
|
| Rate for Payer: Aetna Medicare |
$422.92
|
| Rate for Payer: ASR ASR |
$820.46
|
| Rate for Payer: ASR Commercial |
$820.46
|
| Rate for Payer: BCBS Complete |
$338.34
|
| Rate for Payer: BCBS Trust/PPO |
$692.66
|
| Rate for Payer: BCN Commercial |
$655.78
|
| Rate for Payer: Cash Price |
$676.68
|
| Rate for Payer: Cofinity Commercial |
$795.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$676.67
|
| Rate for Payer: Healthscope Commercial |
$845.84
|
| Rate for Payer: Healthscope Whirlpool |
$820.46
|
| Rate for Payer: Mclaren Commercial |
$761.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$718.96
|
| Rate for Payer: Nomi Health Commercial |
$693.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$549.80
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$741.13
|
| Rate for Payer: Priority Health Narrow Network |
$592.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$744.34
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$845.84
|
|
|
Service Code
|
NDC 11980018010
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$549.80 |
| Max. Negotiated Rate |
$845.84 |
| Rate for Payer: Aetna Commercial |
$761.26
|
| Rate for Payer: ASR ASR |
$820.46
|
| Rate for Payer: ASR Commercial |
$820.46
|
| Rate for Payer: BCBS Trust/PPO |
$689.28
|
| Rate for Payer: BCN Commercial |
$655.78
|
| Rate for Payer: Cash Price |
$676.68
|
| Rate for Payer: Cofinity Commercial |
$795.09
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$676.67
|
| Rate for Payer: Healthscope Commercial |
$845.84
|
| Rate for Payer: Healthscope Whirlpool |
$820.46
|
| Rate for Payer: Mclaren Commercial |
$761.26
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$718.96
|
| Rate for Payer: Nomi Health Commercial |
$693.59
|
| Rate for Payer: Priority Health Cigna Priority Health |
$549.80
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$744.34
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
IP
|
$103.00
|
|
|
Service Code
|
NDC 61314063705
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$66.95 |
| Max. Negotiated Rate |
$103.00 |
| Rate for Payer: Aetna Commercial |
$92.70
|
| Rate for Payer: ASR ASR |
$99.91
|
| Rate for Payer: ASR Commercial |
$99.91
|
| Rate for Payer: BCBS Trust/PPO |
$83.93
|
| Rate for Payer: BCN Commercial |
$79.86
|
| Rate for Payer: Cash Price |
$82.40
|
| Rate for Payer: Cofinity Commercial |
$96.82
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$82.40
|
| Rate for Payer: Healthscope Commercial |
$103.00
|
| Rate for Payer: Healthscope Whirlpool |
$99.91
|
| Rate for Payer: Mclaren Commercial |
$92.70
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$87.55
|
| Rate for Payer: Nomi Health Commercial |
$84.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$66.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$90.64
|
|
|
PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION
|
Facility
|
OP
|
$173.25
|
|
|
Service Code
|
NDC 61314063710
|
| Hospital Charge Code |
6487
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$69.30 |
| Max. Negotiated Rate |
$173.25 |
| Rate for Payer: Aetna Commercial |
$155.93
|
| Rate for Payer: Aetna Medicare |
$86.62
|
| Rate for Payer: ASR ASR |
$168.05
|
| Rate for Payer: ASR Commercial |
$168.05
|
| Rate for Payer: BCBS Complete |
$69.30
|
| Rate for Payer: BCBS Trust/PPO |
$141.87
|
| Rate for Payer: BCN Commercial |
$134.32
|
| Rate for Payer: Cash Price |
$138.60
|
| Rate for Payer: Cofinity Commercial |
$162.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$138.60
|
| Rate for Payer: Healthscope Commercial |
$173.25
|
| Rate for Payer: Healthscope Whirlpool |
$168.05
|
| Rate for Payer: Mclaren Commercial |
$155.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.26
|
| Rate for Payer: Nomi Health Commercial |
$142.06
|
| Rate for Payer: Priority Health Cigna Priority Health |
$112.61
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$151.80
|
| Rate for Payer: Priority Health Narrow Network |
$121.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$152.46
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
OP
|
$19.15
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.66 |
| Max. Negotiated Rate |
$19.15 |
| Rate for Payer: Aetna Commercial |
$17.23
|
| Rate for Payer: Aetna Commercial |
$726.82
|
| Rate for Payer: Aetna Medicare |
$9.57
|
| Rate for Payer: Aetna Medicare |
$403.79
|
| Rate for Payer: ASR ASR |
$18.58
|
| Rate for Payer: ASR ASR |
$783.35
|
| Rate for Payer: ASR Commercial |
$783.35
|
| Rate for Payer: ASR Commercial |
$18.58
|
| Rate for Payer: BCBS Complete |
$7.66
|
| Rate for Payer: BCBS Complete |
$323.03
|
| Rate for Payer: BCBS Trust/PPO |
$15.68
|
| Rate for Payer: BCBS Trust/PPO |
$661.33
|
| Rate for Payer: BCN Commercial |
$626.12
|
| Rate for Payer: BCN Commercial |
$14.85
|
| Rate for Payer: Cash Price |
$15.32
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cofinity Commercial |
$18.00
|
| Rate for Payer: Cofinity Commercial |
$759.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$646.06
|
| Rate for Payer: Healthscope Commercial |
$19.15
|
| Rate for Payer: Healthscope Commercial |
$807.58
|
| Rate for Payer: Healthscope Whirlpool |
$18.58
|
| Rate for Payer: Healthscope Whirlpool |
$783.35
|
| Rate for Payer: Mclaren Commercial |
$17.23
|
| Rate for Payer: Mclaren Commercial |
$726.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$686.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.28
|
| Rate for Payer: Nomi Health Commercial |
$15.70
|
| Rate for Payer: Nomi Health Commercial |
$662.22
|
| Rate for Payer: Priority Health Cigna Priority Health |
$524.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.45
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$16.78
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$707.60
|
| Rate for Payer: Priority Health Narrow Network |
$566.11
|
| Rate for Payer: Priority Health Narrow Network |
$13.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$710.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.85
|
|
|
PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION
|
Facility
|
IP
|
$807.58
|
|
|
Service Code
|
HCPCS J7510
|
| Hospital Charge Code |
29302
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$524.93 |
| Max. Negotiated Rate |
$807.58 |
| Rate for Payer: Aetna Commercial |
$726.82
|
| Rate for Payer: Aetna Commercial |
$17.23
|
| Rate for Payer: ASR ASR |
$18.58
|
| Rate for Payer: ASR ASR |
$783.35
|
| Rate for Payer: ASR Commercial |
$18.58
|
| Rate for Payer: ASR Commercial |
$783.35
|
| Rate for Payer: BCBS Trust/PPO |
$15.61
|
| Rate for Payer: BCBS Trust/PPO |
$658.10
|
| Rate for Payer: BCN Commercial |
$626.12
|
| Rate for Payer: BCN Commercial |
$14.85
|
| Rate for Payer: Cash Price |
$646.06
|
| Rate for Payer: Cash Price |
$15.32
|
| Rate for Payer: Cofinity Commercial |
$18.00
|
| Rate for Payer: Cofinity Commercial |
$759.13
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$646.06
|
| Rate for Payer: Healthscope Commercial |
$19.15
|
| Rate for Payer: Healthscope Commercial |
$807.58
|
| Rate for Payer: Healthscope Whirlpool |
$783.35
|
| Rate for Payer: Healthscope Whirlpool |
$18.58
|
| Rate for Payer: Mclaren Commercial |
$17.23
|
| Rate for Payer: Mclaren Commercial |
$726.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$686.44
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.28
|
| Rate for Payer: Nomi Health Commercial |
$662.22
|
| Rate for Payer: Nomi Health Commercial |
$15.70
|
| Rate for Payer: Priority Health Cigna Priority Health |
$12.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$524.93
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$710.67
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
IP
|
$3.85
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.50 |
| Max. Negotiated Rate |
$3.85 |
| Rate for Payer: Aetna Commercial |
$3.46
|
| Rate for Payer: Aetna Commercial |
$249.57
|
| Rate for Payer: Aetna Commercial |
$156.51
|
| Rate for Payer: Aetna Commercial |
$342.63
|
| Rate for Payer: Aetna Commercial |
$42.08
|
| Rate for Payer: Aetna Commercial |
$346.86
|
| Rate for Payer: ASR ASR |
$373.84
|
| Rate for Payer: ASR ASR |
$369.28
|
| Rate for Payer: ASR ASR |
$45.36
|
| Rate for Payer: ASR ASR |
$3.73
|
| Rate for Payer: ASR ASR |
$268.98
|
| Rate for Payer: ASR ASR |
$168.68
|
| Rate for Payer: ASR Commercial |
$45.36
|
| Rate for Payer: ASR Commercial |
$369.28
|
| Rate for Payer: ASR Commercial |
$373.84
|
| Rate for Payer: ASR Commercial |
$3.73
|
| Rate for Payer: ASR Commercial |
$268.98
|
| Rate for Payer: ASR Commercial |
$168.68
|
| Rate for Payer: BCBS Trust/PPO |
$225.97
|
| Rate for Payer: BCBS Trust/PPO |
$141.71
|
| Rate for Payer: BCBS Trust/PPO |
$314.06
|
| Rate for Payer: BCBS Trust/PPO |
$38.10
|
| Rate for Payer: BCBS Trust/PPO |
$3.14
|
| Rate for Payer: BCBS Trust/PPO |
$310.23
|
| Rate for Payer: BCN Commercial |
$2.98
|
| Rate for Payer: BCN Commercial |
$134.82
|
| Rate for Payer: BCN Commercial |
$214.99
|
| Rate for Payer: BCN Commercial |
$298.80
|
| Rate for Payer: BCN Commercial |
$295.16
|
| Rate for Payer: BCN Commercial |
$36.25
|
| Rate for Payer: Cash Price |
$221.84
|
| Rate for Payer: Cash Price |
$37.41
|
| Rate for Payer: Cash Price |
$3.08
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cofinity Commercial |
$362.28
|
| Rate for Payer: Cofinity Commercial |
$357.86
|
| Rate for Payer: Cofinity Commercial |
$163.47
|
| Rate for Payer: Cofinity Commercial |
$3.62
|
| Rate for Payer: Cofinity Commercial |
$260.66
|
| Rate for Payer: Cofinity Commercial |
$43.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.41
|
| Rate for Payer: Healthscope Commercial |
$173.90
|
| Rate for Payer: Healthscope Commercial |
$46.76
|
| Rate for Payer: Healthscope Commercial |
$380.70
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Healthscope Commercial |
$277.30
|
| Rate for Payer: Healthscope Commercial |
$385.40
|
| Rate for Payer: Healthscope Whirlpool |
$3.73
|
| Rate for Payer: Healthscope Whirlpool |
$168.68
|
| Rate for Payer: Healthscope Whirlpool |
$268.98
|
| Rate for Payer: Healthscope Whirlpool |
$373.84
|
| Rate for Payer: Healthscope Whirlpool |
$369.28
|
| Rate for Payer: Healthscope Whirlpool |
$45.36
|
| Rate for Payer: Mclaren Commercial |
$342.63
|
| Rate for Payer: Mclaren Commercial |
$346.86
|
| Rate for Payer: Mclaren Commercial |
$3.46
|
| Rate for Payer: Mclaren Commercial |
$156.51
|
| Rate for Payer: Mclaren Commercial |
$42.08
|
| Rate for Payer: Mclaren Commercial |
$249.57
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.71
|
| Rate for Payer: Nomi Health Commercial |
$227.39
|
| Rate for Payer: Nomi Health Commercial |
$312.17
|
| Rate for Payer: Nomi Health Commercial |
$3.16
|
| Rate for Payer: Nomi Health Commercial |
$142.60
|
| Rate for Payer: Nomi Health Commercial |
$316.03
|
| Rate for Payer: Nomi Health Commercial |
$38.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.46
|
| Rate for Payer: Priority Health Cigna Priority Health |
$180.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$339.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$244.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.02
|
|
|
PREDNISONE 10 MG TABLET
|
Facility
|
OP
|
$3.85
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6494
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.54 |
| Max. Negotiated Rate |
$3.85 |
| Rate for Payer: Aetna Commercial |
$3.46
|
| Rate for Payer: Aetna Commercial |
$249.57
|
| Rate for Payer: Aetna Commercial |
$156.51
|
| Rate for Payer: Aetna Commercial |
$346.86
|
| Rate for Payer: Aetna Commercial |
$342.63
|
| Rate for Payer: Aetna Commercial |
$42.08
|
| Rate for Payer: Aetna Medicare |
$23.38
|
| Rate for Payer: Aetna Medicare |
$1.93
|
| Rate for Payer: Aetna Medicare |
$138.65
|
| Rate for Payer: Aetna Medicare |
$86.95
|
| Rate for Payer: Aetna Medicare |
$192.70
|
| Rate for Payer: Aetna Medicare |
$190.35
|
| Rate for Payer: ASR ASR |
$369.28
|
| Rate for Payer: ASR ASR |
$168.68
|
| Rate for Payer: ASR ASR |
$373.84
|
| Rate for Payer: ASR ASR |
$45.36
|
| Rate for Payer: ASR ASR |
$3.73
|
| Rate for Payer: ASR ASR |
$268.98
|
| Rate for Payer: ASR Commercial |
$373.84
|
| Rate for Payer: ASR Commercial |
$268.98
|
| Rate for Payer: ASR Commercial |
$369.28
|
| Rate for Payer: ASR Commercial |
$3.73
|
| Rate for Payer: ASR Commercial |
$168.68
|
| Rate for Payer: ASR Commercial |
$45.36
|
| Rate for Payer: BCBS Complete |
$18.70
|
| Rate for Payer: BCBS Complete |
$69.56
|
| Rate for Payer: BCBS Complete |
$1.54
|
| Rate for Payer: BCBS Complete |
$152.28
|
| Rate for Payer: BCBS Complete |
$110.92
|
| Rate for Payer: BCBS Complete |
$154.16
|
| Rate for Payer: BCBS Trust/PPO |
$227.08
|
| Rate for Payer: BCBS Trust/PPO |
$3.15
|
| Rate for Payer: BCBS Trust/PPO |
$38.29
|
| Rate for Payer: BCBS Trust/PPO |
$311.76
|
| Rate for Payer: BCBS Trust/PPO |
$315.60
|
| Rate for Payer: BCBS Trust/PPO |
$142.41
|
| Rate for Payer: BCN Commercial |
$2.98
|
| Rate for Payer: BCN Commercial |
$214.99
|
| Rate for Payer: BCN Commercial |
$134.82
|
| Rate for Payer: BCN Commercial |
$295.16
|
| Rate for Payer: BCN Commercial |
$36.25
|
| Rate for Payer: BCN Commercial |
$298.80
|
| Rate for Payer: Cash Price |
$3.08
|
| Rate for Payer: Cash Price |
$308.32
|
| Rate for Payer: Cash Price |
$221.84
|
| Rate for Payer: Cash Price |
$304.56
|
| Rate for Payer: Cash Price |
$139.12
|
| Rate for Payer: Cash Price |
$37.41
|
| Rate for Payer: Cofinity Commercial |
$362.28
|
| Rate for Payer: Cofinity Commercial |
$3.62
|
| Rate for Payer: Cofinity Commercial |
$357.86
|
| Rate for Payer: Cofinity Commercial |
$260.66
|
| Rate for Payer: Cofinity Commercial |
$163.47
|
| Rate for Payer: Cofinity Commercial |
$43.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$308.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$221.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$139.12
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$304.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.08
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$37.41
|
| Rate for Payer: Healthscope Commercial |
$277.30
|
| Rate for Payer: Healthscope Commercial |
$380.70
|
| Rate for Payer: Healthscope Commercial |
$173.90
|
| Rate for Payer: Healthscope Commercial |
$3.85
|
| Rate for Payer: Healthscope Commercial |
$46.76
|
| Rate for Payer: Healthscope Commercial |
$385.40
|
| Rate for Payer: Healthscope Whirlpool |
$3.73
|
| Rate for Payer: Healthscope Whirlpool |
$369.28
|
| Rate for Payer: Healthscope Whirlpool |
$268.98
|
| Rate for Payer: Healthscope Whirlpool |
$168.68
|
| Rate for Payer: Healthscope Whirlpool |
$45.36
|
| Rate for Payer: Healthscope Whirlpool |
$373.84
|
| Rate for Payer: Mclaren Commercial |
$249.57
|
| Rate for Payer: Mclaren Commercial |
$42.08
|
| Rate for Payer: Mclaren Commercial |
$346.86
|
| Rate for Payer: Mclaren Commercial |
$3.46
|
| Rate for Payer: Mclaren Commercial |
$156.51
|
| Rate for Payer: Mclaren Commercial |
$342.63
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$147.81
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$235.71
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$39.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$327.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$323.60
|
| Rate for Payer: Nomi Health Commercial |
$142.60
|
| Rate for Payer: Nomi Health Commercial |
$3.16
|
| Rate for Payer: Nomi Health Commercial |
$312.17
|
| Rate for Payer: Nomi Health Commercial |
$227.39
|
| Rate for Payer: Nomi Health Commercial |
$316.03
|
| Rate for Payer: Nomi Health Commercial |
$38.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$113.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.51
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$180.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$30.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$247.46
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$242.97
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$337.69
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$333.57
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$152.37
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$40.97
|
| Rate for Payer: Priority Health Narrow Network |
$32.78
|
| Rate for Payer: Priority Health Narrow Network |
$121.90
|
| Rate for Payer: Priority Health Narrow Network |
$194.39
|
| Rate for Payer: Priority Health Narrow Network |
$266.87
|
| Rate for Payer: Priority Health Narrow Network |
$2.70
|
| Rate for Payer: Priority Health Narrow Network |
$270.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$339.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$41.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$153.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$335.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$244.02
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
IP
|
$441.80
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$287.17 |
| Max. Negotiated Rate |
$441.80 |
| Rate for Payer: Aetna Commercial |
$397.62
|
| Rate for Payer: Aetna Commercial |
$176.99
|
| Rate for Payer: ASR ASR |
$190.75
|
| Rate for Payer: ASR ASR |
$428.55
|
| Rate for Payer: ASR Commercial |
$190.75
|
| Rate for Payer: ASR Commercial |
$428.55
|
| Rate for Payer: BCBS Trust/PPO |
$160.25
|
| Rate for Payer: BCBS Trust/PPO |
$360.02
|
| Rate for Payer: BCN Commercial |
$342.53
|
| Rate for Payer: BCN Commercial |
$152.46
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cofinity Commercial |
$184.85
|
| Rate for Payer: Cofinity Commercial |
$415.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Healthscope Commercial |
$196.65
|
| Rate for Payer: Healthscope Commercial |
$441.80
|
| Rate for Payer: Healthscope Whirlpool |
$428.55
|
| Rate for Payer: Healthscope Whirlpool |
$190.75
|
| Rate for Payer: Mclaren Commercial |
$176.99
|
| Rate for Payer: Mclaren Commercial |
$397.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Nomi Health Commercial |
$362.28
|
| Rate for Payer: Nomi Health Commercial |
$161.25
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.82
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.17
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$173.05
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$388.78
|
|
|
PREDNISONE 1 MG TABLET
|
Facility
|
OP
|
$196.65
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6493
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$78.66 |
| Max. Negotiated Rate |
$196.65 |
| Rate for Payer: Aetna Commercial |
$176.99
|
| Rate for Payer: Aetna Commercial |
$397.62
|
| Rate for Payer: Aetna Medicare |
$98.33
|
| Rate for Payer: Aetna Medicare |
$220.90
|
| Rate for Payer: ASR ASR |
$190.75
|
| Rate for Payer: ASR ASR |
$428.55
|
| Rate for Payer: ASR Commercial |
$428.55
|
| Rate for Payer: ASR Commercial |
$190.75
|
| Rate for Payer: BCBS Complete |
$78.66
|
| Rate for Payer: BCBS Complete |
$176.72
|
| Rate for Payer: BCBS Trust/PPO |
$161.04
|
| Rate for Payer: BCBS Trust/PPO |
$361.79
|
| Rate for Payer: BCN Commercial |
$342.53
|
| Rate for Payer: BCN Commercial |
$152.46
|
| Rate for Payer: Cash Price |
$157.32
|
| Rate for Payer: Cash Price |
$353.44
|
| Rate for Payer: Cofinity Commercial |
$184.85
|
| Rate for Payer: Cofinity Commercial |
$415.29
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$157.32
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$353.44
|
| Rate for Payer: Healthscope Commercial |
$196.65
|
| Rate for Payer: Healthscope Commercial |
$441.80
|
| Rate for Payer: Healthscope Whirlpool |
$190.75
|
| Rate for Payer: Healthscope Whirlpool |
$428.55
|
| Rate for Payer: Mclaren Commercial |
$176.99
|
| Rate for Payer: Mclaren Commercial |
$397.62
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$375.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$167.15
|
| Rate for Payer: Nomi Health Commercial |
$161.25
|
| Rate for Payer: Nomi Health Commercial |
$362.28
|
| Rate for Payer: Priority Health Cigna Priority Health |
$287.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$127.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$172.30
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$387.11
|
| Rate for Payer: Priority Health Narrow Network |
$309.70
|
| Rate for Payer: Priority Health Narrow Network |
$137.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$388.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$173.05
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
OP
|
$20.14
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$8.06 |
| Max. Negotiated Rate |
$20.14 |
| Rate for Payer: Aetna Commercial |
$18.13
|
| Rate for Payer: Aetna Commercial |
$353.20
|
| Rate for Payer: Aetna Commercial |
$408.19
|
| Rate for Payer: Aetna Commercial |
$268.61
|
| Rate for Payer: Aetna Commercial |
$3.53
|
| Rate for Payer: Aetna Medicare |
$149.22
|
| Rate for Payer: Aetna Medicare |
$1.96
|
| Rate for Payer: Aetna Medicare |
$10.07
|
| Rate for Payer: Aetna Medicare |
$226.78
|
| Rate for Payer: Aetna Medicare |
$196.22
|
| Rate for Payer: ASR ASR |
$439.94
|
| Rate for Payer: ASR ASR |
$3.80
|
| Rate for Payer: ASR ASR |
$19.54
|
| Rate for Payer: ASR ASR |
$380.68
|
| Rate for Payer: ASR ASR |
$289.50
|
| Rate for Payer: ASR Commercial |
$439.94
|
| Rate for Payer: ASR Commercial |
$289.50
|
| Rate for Payer: ASR Commercial |
$3.80
|
| Rate for Payer: ASR Commercial |
$380.68
|
| Rate for Payer: ASR Commercial |
$19.54
|
| Rate for Payer: BCBS Complete |
$181.42
|
| Rate for Payer: BCBS Complete |
$119.38
|
| Rate for Payer: BCBS Complete |
$1.57
|
| Rate for Payer: BCBS Complete |
$156.98
|
| Rate for Payer: BCBS Complete |
$8.06
|
| Rate for Payer: BCBS Trust/PPO |
$321.38
|
| Rate for Payer: BCBS Trust/PPO |
$16.49
|
| Rate for Payer: BCBS Trust/PPO |
$244.40
|
| Rate for Payer: BCBS Trust/PPO |
$3.21
|
| Rate for Payer: BCBS Trust/PPO |
$371.41
|
| Rate for Payer: BCN Commercial |
$351.64
|
| Rate for Payer: BCN Commercial |
$304.27
|
| Rate for Payer: BCN Commercial |
$231.39
|
| Rate for Payer: BCN Commercial |
$15.61
|
| Rate for Payer: BCN Commercial |
$3.04
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cofinity Commercial |
$426.34
|
| Rate for Payer: Cofinity Commercial |
$368.90
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Cofinity Commercial |
$280.54
|
| Rate for Payer: Cofinity Commercial |
$18.93
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$313.96
|
| Rate for Payer: Healthscope Commercial |
$3.92
|
| Rate for Payer: Healthscope Commercial |
$392.45
|
| Rate for Payer: Healthscope Commercial |
$453.55
|
| Rate for Payer: Healthscope Commercial |
$20.14
|
| Rate for Payer: Healthscope Commercial |
$298.45
|
| Rate for Payer: Healthscope Whirlpool |
$380.68
|
| Rate for Payer: Healthscope Whirlpool |
$3.80
|
| Rate for Payer: Healthscope Whirlpool |
$289.50
|
| Rate for Payer: Healthscope Whirlpool |
$19.54
|
| Rate for Payer: Healthscope Whirlpool |
$439.94
|
| Rate for Payer: Mclaren Commercial |
$408.19
|
| Rate for Payer: Mclaren Commercial |
$3.53
|
| Rate for Payer: Mclaren Commercial |
$268.61
|
| Rate for Payer: Mclaren Commercial |
$353.20
|
| Rate for Payer: Mclaren Commercial |
$18.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.33
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$333.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Nomi Health Commercial |
$321.81
|
| Rate for Payer: Nomi Health Commercial |
$3.21
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: Nomi Health Commercial |
$371.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$261.50
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$17.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.43
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$343.86
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$397.40
|
| Rate for Payer: Priority Health Narrow Network |
$317.94
|
| Rate for Payer: Priority Health Narrow Network |
$275.11
|
| Rate for Payer: Priority Health Narrow Network |
$209.21
|
| Rate for Payer: Priority Health Narrow Network |
$14.12
|
| Rate for Payer: Priority Health Narrow Network |
$2.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$399.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$262.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$345.36
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.45
|
|
|
PREDNISONE 20 MG TABLET
|
Facility
|
IP
|
$298.45
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6496
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$193.99 |
| Max. Negotiated Rate |
$298.45 |
| Rate for Payer: Aetna Commercial |
$268.61
|
| Rate for Payer: Aetna Commercial |
$353.20
|
| Rate for Payer: Aetna Commercial |
$408.19
|
| Rate for Payer: Aetna Commercial |
$3.53
|
| Rate for Payer: Aetna Commercial |
$18.13
|
| Rate for Payer: ASR ASR |
$439.94
|
| Rate for Payer: ASR ASR |
$380.68
|
| Rate for Payer: ASR ASR |
$3.80
|
| Rate for Payer: ASR ASR |
$289.50
|
| Rate for Payer: ASR ASR |
$19.54
|
| Rate for Payer: ASR Commercial |
$3.80
|
| Rate for Payer: ASR Commercial |
$439.94
|
| Rate for Payer: ASR Commercial |
$380.68
|
| Rate for Payer: ASR Commercial |
$289.50
|
| Rate for Payer: ASR Commercial |
$19.54
|
| Rate for Payer: BCBS Trust/PPO |
$369.60
|
| Rate for Payer: BCBS Trust/PPO |
$16.41
|
| Rate for Payer: BCBS Trust/PPO |
$243.21
|
| Rate for Payer: BCBS Trust/PPO |
$319.81
|
| Rate for Payer: BCBS Trust/PPO |
$3.19
|
| Rate for Payer: BCN Commercial |
$231.39
|
| Rate for Payer: BCN Commercial |
$351.64
|
| Rate for Payer: BCN Commercial |
$15.61
|
| Rate for Payer: BCN Commercial |
$3.04
|
| Rate for Payer: BCN Commercial |
$304.27
|
| Rate for Payer: Cash Price |
$238.76
|
| Rate for Payer: Cash Price |
$3.14
|
| Rate for Payer: Cash Price |
$313.96
|
| Rate for Payer: Cash Price |
$362.84
|
| Rate for Payer: Cash Price |
$16.11
|
| Rate for Payer: Cofinity Commercial |
$280.54
|
| Rate for Payer: Cofinity Commercial |
$3.68
|
| Rate for Payer: Cofinity Commercial |
$18.93
|
| Rate for Payer: Cofinity Commercial |
$368.90
|
| Rate for Payer: Cofinity Commercial |
$426.34
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$313.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$362.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$3.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$16.11
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$238.76
|
| Rate for Payer: Healthscope Commercial |
$3.92
|
| Rate for Payer: Healthscope Commercial |
$392.45
|
| Rate for Payer: Healthscope Commercial |
$298.45
|
| Rate for Payer: Healthscope Commercial |
$20.14
|
| Rate for Payer: Healthscope Commercial |
$453.55
|
| Rate for Payer: Healthscope Whirlpool |
$439.94
|
| Rate for Payer: Healthscope Whirlpool |
$19.54
|
| Rate for Payer: Healthscope Whirlpool |
$3.80
|
| Rate for Payer: Healthscope Whirlpool |
$289.50
|
| Rate for Payer: Healthscope Whirlpool |
$380.68
|
| Rate for Payer: Mclaren Commercial |
$268.61
|
| Rate for Payer: Mclaren Commercial |
$3.53
|
| Rate for Payer: Mclaren Commercial |
$18.13
|
| Rate for Payer: Mclaren Commercial |
$353.20
|
| Rate for Payer: Mclaren Commercial |
$408.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$333.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$253.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$385.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$17.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.33
|
| Rate for Payer: Nomi Health Commercial |
$3.21
|
| Rate for Payer: Nomi Health Commercial |
$16.51
|
| Rate for Payer: Nomi Health Commercial |
$244.73
|
| Rate for Payer: Nomi Health Commercial |
$371.91
|
| Rate for Payer: Nomi Health Commercial |
$321.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$294.81
|
| Rate for Payer: Priority Health Cigna Priority Health |
$13.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.55
|
| Rate for Payer: Priority Health Cigna Priority Health |
$193.99
|
| Rate for Payer: Priority Health Cigna Priority Health |
$255.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$17.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$262.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$399.12
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$345.36
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
IP
|
$296.40
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$192.66 |
| Max. Negotiated Rate |
$296.40 |
| Rate for Payer: Aetna Commercial |
$266.76
|
| Rate for Payer: ASR ASR |
$287.51
|
| Rate for Payer: ASR Commercial |
$287.51
|
| Rate for Payer: BCBS Trust/PPO |
$241.54
|
| Rate for Payer: BCN Commercial |
$229.80
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cofinity Commercial |
$278.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Healthscope Commercial |
$296.40
|
| Rate for Payer: Healthscope Whirlpool |
$287.51
|
| Rate for Payer: Mclaren Commercial |
$266.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Nomi Health Commercial |
$243.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$260.83
|
|
|
PREDNISONE 50 MG TABLET
|
Facility
|
OP
|
$296.40
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6498
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$118.56 |
| Max. Negotiated Rate |
$296.40 |
| Rate for Payer: Aetna Commercial |
$266.76
|
| Rate for Payer: Aetna Medicare |
$148.20
|
| Rate for Payer: ASR ASR |
$287.51
|
| Rate for Payer: ASR Commercial |
$287.51
|
| Rate for Payer: BCBS Complete |
$118.56
|
| Rate for Payer: BCBS Trust/PPO |
$242.72
|
| Rate for Payer: BCN Commercial |
$229.80
|
| Rate for Payer: Cash Price |
$237.12
|
| Rate for Payer: Cofinity Commercial |
$278.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$237.12
|
| Rate for Payer: Healthscope Commercial |
$296.40
|
| Rate for Payer: Healthscope Whirlpool |
$287.51
|
| Rate for Payer: Mclaren Commercial |
$266.76
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$251.94
|
| Rate for Payer: Nomi Health Commercial |
$243.05
|
| Rate for Payer: Priority Health Cigna Priority Health |
$192.66
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$259.71
|
| Rate for Payer: Priority Health Narrow Network |
$207.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$260.83
|
|
|
PREDNISONE 5 MG/5 ML ORAL SOLUTION
|
Facility
|
IP
|
$22.56
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6492
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$14.66 |
| Max. Negotiated Rate |
$22.56 |
| Rate for Payer: Aetna Commercial |
$20.30
|
| Rate for Payer: Aetna Commercial |
$16.25
|
| Rate for Payer: Aetna Commercial |
$293.42
|
| Rate for Payer: ASR ASR |
$17.51
|
| Rate for Payer: ASR ASR |
$21.88
|
| Rate for Payer: ASR ASR |
$316.24
|
| Rate for Payer: ASR Commercial |
$21.88
|
| Rate for Payer: ASR Commercial |
$17.51
|
| Rate for Payer: ASR Commercial |
$316.24
|
| Rate for Payer: BCBS Trust/PPO |
$265.67
|
| Rate for Payer: BCBS Trust/PPO |
$14.71
|
| Rate for Payer: BCBS Trust/PPO |
$18.38
|
| Rate for Payer: BCN Commercial |
$13.99
|
| Rate for Payer: BCN Commercial |
$252.76
|
| Rate for Payer: BCN Commercial |
$17.49
|
| Rate for Payer: Cash Price |
$18.05
|
| Rate for Payer: Cash Price |
$14.44
|
| Rate for Payer: Cash Price |
$260.81
|
| Rate for Payer: Cofinity Commercial |
$306.46
|
| Rate for Payer: Cofinity Commercial |
$16.97
|
| Rate for Payer: Cofinity Commercial |
$21.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.82
|
| Rate for Payer: Healthscope Commercial |
$18.05
|
| Rate for Payer: Healthscope Commercial |
$22.56
|
| Rate for Payer: Healthscope Commercial |
$326.02
|
| Rate for Payer: Healthscope Whirlpool |
$21.88
|
| Rate for Payer: Healthscope Whirlpool |
$17.51
|
| Rate for Payer: Healthscope Whirlpool |
$316.24
|
| Rate for Payer: Mclaren Commercial |
$20.30
|
| Rate for Payer: Mclaren Commercial |
$16.25
|
| Rate for Payer: Mclaren Commercial |
$293.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$277.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.34
|
| Rate for Payer: Nomi Health Commercial |
$18.50
|
| Rate for Payer: Nomi Health Commercial |
$14.80
|
| Rate for Payer: Nomi Health Commercial |
$267.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.73
|
| Rate for Payer: Priority Health Cigna Priority Health |
$211.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.66
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$286.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.88
|
|
|
PREDNISONE 5 MG/5 ML ORAL SOLUTION
|
Facility
|
OP
|
$18.05
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6492
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$7.22 |
| Max. Negotiated Rate |
$18.05 |
| Rate for Payer: Aetna Commercial |
$16.25
|
| Rate for Payer: Aetna Commercial |
$20.30
|
| Rate for Payer: Aetna Commercial |
$293.42
|
| Rate for Payer: Aetna Medicare |
$11.28
|
| Rate for Payer: Aetna Medicare |
$163.01
|
| Rate for Payer: Aetna Medicare |
$9.03
|
| Rate for Payer: ASR ASR |
$21.88
|
| Rate for Payer: ASR ASR |
$17.51
|
| Rate for Payer: ASR ASR |
$316.24
|
| Rate for Payer: ASR Commercial |
$316.24
|
| Rate for Payer: ASR Commercial |
$21.88
|
| Rate for Payer: ASR Commercial |
$17.51
|
| Rate for Payer: BCBS Complete |
$7.22
|
| Rate for Payer: BCBS Complete |
$9.02
|
| Rate for Payer: BCBS Complete |
$130.41
|
| Rate for Payer: BCBS Trust/PPO |
$14.78
|
| Rate for Payer: BCBS Trust/PPO |
$18.47
|
| Rate for Payer: BCBS Trust/PPO |
$266.98
|
| Rate for Payer: BCN Commercial |
$252.76
|
| Rate for Payer: BCN Commercial |
$13.99
|
| Rate for Payer: BCN Commercial |
$17.49
|
| Rate for Payer: Cash Price |
$18.05
|
| Rate for Payer: Cash Price |
$14.44
|
| Rate for Payer: Cash Price |
$260.81
|
| Rate for Payer: Cofinity Commercial |
$306.46
|
| Rate for Payer: Cofinity Commercial |
$16.97
|
| Rate for Payer: Cofinity Commercial |
$21.21
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.05
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$14.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$260.82
|
| Rate for Payer: Healthscope Commercial |
$18.05
|
| Rate for Payer: Healthscope Commercial |
$22.56
|
| Rate for Payer: Healthscope Commercial |
$326.02
|
| Rate for Payer: Healthscope Whirlpool |
$21.88
|
| Rate for Payer: Healthscope Whirlpool |
$17.51
|
| Rate for Payer: Healthscope Whirlpool |
$316.24
|
| Rate for Payer: Mclaren Commercial |
$16.25
|
| Rate for Payer: Mclaren Commercial |
$20.30
|
| Rate for Payer: Mclaren Commercial |
$293.42
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$15.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$277.12
|
| Rate for Payer: Nomi Health Commercial |
$14.80
|
| Rate for Payer: Nomi Health Commercial |
$18.50
|
| Rate for Payer: Nomi Health Commercial |
$267.34
|
| Rate for Payer: Priority Health Cigna Priority Health |
$211.91
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.66
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$19.77
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$15.82
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$285.66
|
| Rate for Payer: Priority Health Narrow Network |
$228.54
|
| Rate for Payer: Priority Health Narrow Network |
$12.65
|
| Rate for Payer: Priority Health Narrow Network |
$15.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$15.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$19.85
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$286.90
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
IP
|
$3.67
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.39 |
| Max. Negotiated Rate |
$3.67 |
| Rate for Payer: Aetna Commercial |
$3.30
|
| Rate for Payer: Aetna Commercial |
$329.94
|
| Rate for Payer: Aetna Commercial |
$39.13
|
| Rate for Payer: ASR ASR |
$355.60
|
| Rate for Payer: ASR ASR |
$3.56
|
| Rate for Payer: ASR ASR |
$42.18
|
| Rate for Payer: ASR Commercial |
$3.56
|
| Rate for Payer: ASR Commercial |
$355.60
|
| Rate for Payer: ASR Commercial |
$42.18
|
| Rate for Payer: BCBS Trust/PPO |
$35.43
|
| Rate for Payer: BCBS Trust/PPO |
$298.74
|
| Rate for Payer: BCBS Trust/PPO |
$2.99
|
| Rate for Payer: BCN Commercial |
$284.22
|
| Rate for Payer: BCN Commercial |
$33.71
|
| Rate for Payer: BCN Commercial |
$2.85
|
| Rate for Payer: Cash Price |
$2.93
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cofinity Commercial |
$40.87
|
| Rate for Payer: Cofinity Commercial |
$344.60
|
| Rate for Payer: Cofinity Commercial |
$3.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Healthscope Commercial |
$366.60
|
| Rate for Payer: Healthscope Commercial |
$3.67
|
| Rate for Payer: Healthscope Commercial |
$43.48
|
| Rate for Payer: Healthscope Whirlpool |
$3.56
|
| Rate for Payer: Healthscope Whirlpool |
$355.60
|
| Rate for Payer: Healthscope Whirlpool |
$42.18
|
| Rate for Payer: Mclaren Commercial |
$3.30
|
| Rate for Payer: Mclaren Commercial |
$329.94
|
| Rate for Payer: Mclaren Commercial |
$39.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Nomi Health Commercial |
$3.01
|
| Rate for Payer: Nomi Health Commercial |
$300.61
|
| Rate for Payer: Nomi Health Commercial |
$35.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.29
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.26
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.61
|
|
|
PREDNISONE 5 MG TABLET
|
Facility
|
OP
|
$366.60
|
|
|
Service Code
|
HCPCS J7512
|
| Hospital Charge Code |
6497
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$146.64 |
| Max. Negotiated Rate |
$366.60 |
| Rate for Payer: Aetna Commercial |
$329.94
|
| Rate for Payer: Aetna Commercial |
$3.30
|
| Rate for Payer: Aetna Commercial |
$39.13
|
| Rate for Payer: Aetna Medicare |
$1.83
|
| Rate for Payer: Aetna Medicare |
$21.74
|
| Rate for Payer: Aetna Medicare |
$183.30
|
| Rate for Payer: ASR ASR |
$3.56
|
| Rate for Payer: ASR ASR |
$355.60
|
| Rate for Payer: ASR ASR |
$42.18
|
| Rate for Payer: ASR Commercial |
$42.18
|
| Rate for Payer: ASR Commercial |
$3.56
|
| Rate for Payer: ASR Commercial |
$355.60
|
| Rate for Payer: BCBS Complete |
$146.64
|
| Rate for Payer: BCBS Complete |
$1.47
|
| Rate for Payer: BCBS Complete |
$17.39
|
| Rate for Payer: BCBS Trust/PPO |
$300.21
|
| Rate for Payer: BCBS Trust/PPO |
$3.01
|
| Rate for Payer: BCBS Trust/PPO |
$35.61
|
| Rate for Payer: BCN Commercial |
$33.71
|
| Rate for Payer: BCN Commercial |
$284.22
|
| Rate for Payer: BCN Commercial |
$2.85
|
| Rate for Payer: Cash Price |
$2.93
|
| Rate for Payer: Cash Price |
$293.28
|
| Rate for Payer: Cash Price |
$34.78
|
| Rate for Payer: Cofinity Commercial |
$40.87
|
| Rate for Payer: Cofinity Commercial |
$344.60
|
| Rate for Payer: Cofinity Commercial |
$3.45
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$293.28
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$34.78
|
| Rate for Payer: Healthscope Commercial |
$366.60
|
| Rate for Payer: Healthscope Commercial |
$3.67
|
| Rate for Payer: Healthscope Commercial |
$43.48
|
| Rate for Payer: Healthscope Whirlpool |
$3.56
|
| Rate for Payer: Healthscope Whirlpool |
$355.60
|
| Rate for Payer: Healthscope Whirlpool |
$42.18
|
| Rate for Payer: Mclaren Commercial |
$329.94
|
| Rate for Payer: Mclaren Commercial |
$3.30
|
| Rate for Payer: Mclaren Commercial |
$39.13
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$3.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$311.61
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$36.96
|
| Rate for Payer: Nomi Health Commercial |
$300.61
|
| Rate for Payer: Nomi Health Commercial |
$3.01
|
| Rate for Payer: Nomi Health Commercial |
$35.65
|
| Rate for Payer: Priority Health Cigna Priority Health |
$28.26
|
| Rate for Payer: Priority Health Cigna Priority Health |
$2.39
|
| Rate for Payer: Priority Health Cigna Priority Health |
$238.29
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$321.21
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$38.10
|
| Rate for Payer: Priority Health Narrow Network |
$30.48
|
| Rate for Payer: Priority Health Narrow Network |
$256.99
|
| Rate for Payer: Priority Health Narrow Network |
$2.57
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$322.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3.23
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$38.26
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 2-4 PTS
|
Professional
|
Both
|
$23.00
|
|
|
Service Code
|
HCPCS 98961
|
| Min. Negotiated Rate |
$9.20 |
| Max. Negotiated Rate |
$14.95 |
| Rate for Payer: Aetna Medicare |
$11.50
|
| Rate for Payer: BCBS Complete |
$9.20
|
| Rate for Payer: Cash Price |
$18.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$14.95
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP 5-8 PTS
|
Professional
|
Both
|
$17.00
|
|
|
Service Code
|
HCPCS 98962
|
| Min. Negotiated Rate |
$6.80 |
| Max. Negotiated Rate |
$11.05 |
| Rate for Payer: Aetna Medicare |
$8.50
|
| Rate for Payer: BCBS Complete |
$6.80
|
| Rate for Payer: Cash Price |
$13.60
|
| Rate for Payer: Priority Health Cigna Priority Health |
$11.05
|
|
|
PR EDUCATION&TRAINING PT SELF-MGMT NQHP INDIV PT
|
Professional
|
Both
|
$48.00
|
|
|
Service Code
|
HCPCS 98960
|
| Min. Negotiated Rate |
$19.20 |
| Max. Negotiated Rate |
$31.20 |
| Rate for Payer: Aetna Medicare |
$24.00
|
| Rate for Payer: BCBS Complete |
$19.20
|
| Rate for Payer: Cash Price |
$38.40
|
| Rate for Payer: Priority Health Cigna Priority Health |
$31.20
|
|
