|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
IP
|
$5.89
|
|
|
Service Code
|
NDC 60687054911
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$4.41 |
| Max. Negotiated Rate |
$5.88 |
| Rate for Payer: Aetna Commercial |
$5.30
|
| Rate for Payer: ASR ASR |
$5.71
|
| Rate for Payer: BCBS Trust/PPO |
$4.83
|
| Rate for Payer: BCN Commercial |
$4.83
|
| Rate for Payer: Cash Price |
$4.71
|
| Rate for Payer: Cofinity Commercial |
$5.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$4.71
|
| Rate for Payer: Healthscope Commercial |
$5.71
|
| Rate for Payer: Healthscope Whirlpool |
$5.88
|
| Rate for Payer: Mclaren Commercial |
$5.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$5.00
|
| Rate for Payer: Nomi Health Commercial |
$4.83
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$4.41
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$5.18
|
|
|
RANOLAZINE ER 500 MG TABLET,EXTENDED RELEASE,12 HR
|
Facility
|
OP
|
$176.54
|
|
|
Service Code
|
NDC 60687054921
|
| Hospital Charge Code |
70434
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$65.32 |
| Max. Negotiated Rate |
$176.54 |
| Rate for Payer: Aetna Commercial |
$158.89
|
| Rate for Payer: Aetna Medicare |
$65.32
|
| Rate for Payer: ASR ASR |
$171.25
|
| Rate for Payer: BCBS Complete |
$70.62
|
| Rate for Payer: BCBS Trust/PPO |
$145.56
|
| Rate for Payer: BCN Commercial |
$145.56
|
| Rate for Payer: Cash Price |
$141.24
|
| Rate for Payer: Cofinity Commercial |
$165.95
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$141.24
|
| Rate for Payer: Healthscope Commercial |
$171.25
|
| Rate for Payer: Healthscope Whirlpool |
$176.54
|
| Rate for Payer: Mclaren Commercial |
$158.89
|
| Rate for Payer: MI Amish Medical Board Commercial |
$141.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$150.06
|
| Rate for Payer: Nomi Health Commercial |
$144.77
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$132.41
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$154.69
|
| Rate for Payer: Priority Health Narrow Network |
$123.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$155.36
|
|
|
RECTAL RESECTION WITH CC
|
Facility
|
IP
|
$32,179.02
|
|
|
Service Code
|
MSDRG 333
|
| Min. Negotiated Rate |
$17,690.15 |
| Max. Negotiated Rate |
$32,179.02 |
| Rate for Payer: Aetna Medicare |
$18,621.21
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$23,276.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$23,276.51
|
| Rate for Payer: BCBS MAPPO |
$18,621.21
|
| Rate for Payer: BCN Medicare Advantage |
$18,621.21
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$18,621.21
|
| Rate for Payer: Humana Choice PPO Medicare |
$18,621.21
|
| Rate for Payer: Mclaren Medicare |
$18,621.21
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$19,552.27
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21,414.39
|
| Rate for Payer: Molina Medicare/Medicaid |
$20,483.33
|
| Rate for Payer: PACE Medicare |
$17,690.15
|
| Rate for Payer: PACE SWMI |
$18,621.21
|
| Rate for Payer: PHP Commercial |
$20,483.33
|
| Rate for Payer: PHP Medicare Advantage |
$18,621.21
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$32,179.02
|
| Rate for Payer: Priority Health Medicare |
$18,621.21
|
| Rate for Payer: Priority Health Narrow Network |
$25,743.21
|
| Rate for Payer: Railroad Medicare Medicare |
$18,621.21
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$18,621.21
|
| Rate for Payer: UHC Exchange |
$28,862.88
|
| Rate for Payer: UHCCP DNSP |
$18,621.21
|
| Rate for Payer: VA VA |
$18,621.21
|
|
|
RECTAL RESECTION WITH MCC
|
Facility
|
IP
|
$49,744.07
|
|
|
Service Code
|
MSDRG 332
|
| Min. Negotiated Rate |
$26,436.61 |
| Max. Negotiated Rate |
$49,744.07 |
| Rate for Payer: Aetna Medicare |
$27,828.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$34,785.01
|
| Rate for Payer: Amish Plain Church Group Commercial |
$34,785.01
|
| Rate for Payer: BCBS MAPPO |
$27,828.01
|
| Rate for Payer: BCN Medicare Advantage |
$27,828.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$27,828.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$27,828.01
|
| Rate for Payer: Mclaren Medicare |
$27,828.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$29,219.41
|
| Rate for Payer: MI Amish Medical Board Commercial |
$32,002.21
|
| Rate for Payer: Molina Medicare/Medicaid |
$30,610.81
|
| Rate for Payer: PACE Medicare |
$26,436.61
|
| Rate for Payer: PACE SWMI |
$27,828.01
|
| Rate for Payer: PHP Commercial |
$30,610.81
|
| Rate for Payer: PHP Medicare Advantage |
$27,828.01
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$49,744.07
|
| Rate for Payer: Priority Health Medicare |
$27,828.01
|
| Rate for Payer: Priority Health Narrow Network |
$39,795.26
|
| Rate for Payer: Railroad Medicare Medicare |
$27,828.01
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$27,828.01
|
| Rate for Payer: UHC Exchange |
$43,133.42
|
| Rate for Payer: UHCCP DNSP |
$27,828.01
|
| Rate for Payer: VA VA |
$27,828.01
|
|
|
RECTAL RESECTION WITHOUT CC/MCC
|
Facility
|
IP
|
$22,502.78
|
|
|
Service Code
|
MSDRG 334
|
| Min. Negotiated Rate |
$12,871.91 |
| Max. Negotiated Rate |
$22,502.78 |
| Rate for Payer: Aetna Medicare |
$13,549.38
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,936.72
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,936.72
|
| Rate for Payer: BCBS MAPPO |
$13,549.38
|
| Rate for Payer: BCN Medicare Advantage |
$13,549.38
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$13,549.38
|
| Rate for Payer: Humana Choice PPO Medicare |
$13,549.38
|
| Rate for Payer: Mclaren Medicare |
$13,549.38
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$14,226.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15,581.79
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,904.32
|
| Rate for Payer: PACE Medicare |
$12,871.91
|
| Rate for Payer: PACE SWMI |
$13,549.38
|
| Rate for Payer: PHP Commercial |
$14,904.32
|
| Rate for Payer: PHP Medicare Advantage |
$13,549.38
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22,502.78
|
| Rate for Payer: Priority Health Medicare |
$13,549.38
|
| Rate for Payer: Priority Health Narrow Network |
$18,002.22
|
| Rate for Payer: Railroad Medicare Medicare |
$13,549.38
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$13,549.38
|
| Rate for Payer: UHC Exchange |
$21,001.54
|
| Rate for Payer: UHCCP DNSP |
$13,549.38
|
| Rate for Payer: VA VA |
$13,549.38
|
|
|
RED BLOOD CELL DISORDERS WITH MCC
|
Facility
|
IP
|
$19,293.40
|
|
|
Service Code
|
MSDRG 811
|
| Min. Negotiated Rate |
$11,273.80 |
| Max. Negotiated Rate |
$19,293.40 |
| Rate for Payer: Aetna Medicare |
$11,867.16
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$14,833.95
|
| Rate for Payer: Amish Plain Church Group Commercial |
$14,833.95
|
| Rate for Payer: BCBS MAPPO |
$11,867.16
|
| Rate for Payer: BCN Medicare Advantage |
$11,867.16
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$11,867.16
|
| Rate for Payer: Humana Choice PPO Medicare |
$11,867.16
|
| Rate for Payer: Mclaren Medicare |
$11,867.16
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$12,460.52
|
| Rate for Payer: MI Amish Medical Board Commercial |
$13,647.23
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,053.88
|
| Rate for Payer: PACE Medicare |
$11,273.80
|
| Rate for Payer: PACE SWMI |
$11,867.16
|
| Rate for Payer: PHP Commercial |
$13,053.88
|
| Rate for Payer: PHP Medicare Advantage |
$11,867.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$19,293.40
|
| Rate for Payer: Priority Health Medicare |
$11,867.16
|
| Rate for Payer: Priority Health Narrow Network |
$15,434.72
|
| Rate for Payer: Railroad Medicare Medicare |
$11,867.16
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$11,867.16
|
| Rate for Payer: UHC Exchange |
$18,394.10
|
| Rate for Payer: UHCCP DNSP |
$11,867.16
|
| Rate for Payer: VA VA |
$11,867.16
|
|
|
RED BLOOD CELL DISORDERS WITHOUT MCC
|
Facility
|
IP
|
$12,968.29
|
|
|
Service Code
|
MSDRG 812
|
| Min. Negotiated Rate |
$7,948.31 |
| Max. Negotiated Rate |
$12,968.29 |
| Rate for Payer: Aetna Medicare |
$8,366.64
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,458.30
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,458.30
|
| Rate for Payer: BCBS MAPPO |
$8,366.64
|
| Rate for Payer: BCN Medicare Advantage |
$8,366.64
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,366.64
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,366.64
|
| Rate for Payer: Mclaren Medicare |
$8,366.64
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,784.97
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,621.64
|
| Rate for Payer: Molina Medicare/Medicaid |
$9,203.30
|
| Rate for Payer: PACE Medicare |
$7,948.31
|
| Rate for Payer: PACE SWMI |
$8,366.64
|
| Rate for Payer: PHP Commercial |
$9,203.30
|
| Rate for Payer: PHP Medicare Advantage |
$8,366.64
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,614.97
|
| Rate for Payer: Priority Health Medicare |
$8,366.64
|
| Rate for Payer: Priority Health Narrow Network |
$10,091.97
|
| Rate for Payer: Railroad Medicare Medicare |
$8,366.64
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,366.64
|
| Rate for Payer: UHC Exchange |
$12,968.29
|
| Rate for Payer: UHCCP DNSP |
$8,366.64
|
| Rate for Payer: VA VA |
$8,366.64
|
|
|
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE
|
Facility
|
IP
|
$958.88
|
|
|
Service Code
|
HCPCS J2785
|
| Hospital Charge Code |
91408
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$719.16 |
| Max. Negotiated Rate |
$958.88 |
| Rate for Payer: Aetna Commercial |
$862.99
|
| Rate for Payer: Aetna Commercial |
$52.78
|
| Rate for Payer: Aetna Commercial |
$83.70
|
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Commercial |
$25.78
|
| Rate for Payer: ASR ASR |
$56.88
|
| Rate for Payer: ASR ASR |
$27.78
|
| Rate for Payer: ASR ASR |
$930.11
|
| Rate for Payer: ASR ASR |
$32.55
|
| Rate for Payer: ASR ASR |
$90.21
|
| Rate for Payer: BCBS Trust/PPO |
$787.43
|
| Rate for Payer: BCBS Trust/PPO |
$27.56
|
| Rate for Payer: BCBS Trust/PPO |
$23.52
|
| Rate for Payer: BCBS Trust/PPO |
$76.37
|
| Rate for Payer: BCBS Trust/PPO |
$48.16
|
| Rate for Payer: BCN Commercial |
$48.16
|
| Rate for Payer: BCN Commercial |
$27.56
|
| Rate for Payer: BCN Commercial |
$76.37
|
| Rate for Payer: BCN Commercial |
$787.43
|
| Rate for Payer: BCN Commercial |
$23.52
|
| Rate for Payer: Cash Price |
$22.91
|
| Rate for Payer: Cash Price |
$46.91
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cash Price |
$767.10
|
| Rate for Payer: Cofinity Commercial |
$31.55
|
| Rate for Payer: Cofinity Commercial |
$87.42
|
| Rate for Payer: Cofinity Commercial |
$26.92
|
| Rate for Payer: Cofinity Commercial |
$55.12
|
| Rate for Payer: Cofinity Commercial |
$901.35
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.85
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$767.10
|
| Rate for Payer: Healthscope Commercial |
$56.88
|
| Rate for Payer: Healthscope Commercial |
$32.55
|
| Rate for Payer: Healthscope Commercial |
$90.21
|
| Rate for Payer: Healthscope Commercial |
$27.78
|
| Rate for Payer: Healthscope Commercial |
$930.11
|
| Rate for Payer: Healthscope Whirlpool |
$93.00
|
| Rate for Payer: Healthscope Whirlpool |
$958.88
|
| Rate for Payer: Healthscope Whirlpool |
$28.64
|
| Rate for Payer: Healthscope Whirlpool |
$33.56
|
| Rate for Payer: Healthscope Whirlpool |
$58.64
|
| Rate for Payer: Mclaren Commercial |
$30.20
|
| Rate for Payer: Mclaren Commercial |
$83.70
|
| Rate for Payer: Mclaren Commercial |
$25.78
|
| Rate for Payer: Mclaren Commercial |
$862.99
|
| Rate for Payer: Mclaren Commercial |
$52.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$815.05
|
| Rate for Payer: Nomi Health Commercial |
$76.26
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Nomi Health Commercial |
$27.52
|
| Rate for Payer: Nomi Health Commercial |
$23.48
|
| Rate for Payer: Nomi Health Commercial |
$786.28
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$719.16
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$843.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$81.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.60
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.20
|
|
|
REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE
|
Facility
|
OP
|
$58.64
|
|
|
Service Code
|
HCPCS J2785
|
| Hospital Charge Code |
91408
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2.22 |
| Max. Negotiated Rate |
$58.64 |
| Rate for Payer: Aetna Commercial |
$52.78
|
| Rate for Payer: Aetna Commercial |
$862.99
|
| Rate for Payer: Aetna Commercial |
$30.20
|
| Rate for Payer: Aetna Commercial |
$25.78
|
| Rate for Payer: Aetna Commercial |
$83.70
|
| Rate for Payer: Aetna Medicare |
$354.79
|
| Rate for Payer: Aetna Medicare |
$10.60
|
| Rate for Payer: Aetna Medicare |
$34.41
|
| Rate for Payer: Aetna Medicare |
$21.70
|
| Rate for Payer: Aetna Medicare |
$12.42
|
| Rate for Payer: ASR ASR |
$56.88
|
| Rate for Payer: ASR ASR |
$930.11
|
| Rate for Payer: ASR ASR |
$90.21
|
| Rate for Payer: ASR ASR |
$32.55
|
| Rate for Payer: ASR ASR |
$27.78
|
| Rate for Payer: BCBS Complete |
$37.20
|
| Rate for Payer: BCBS Complete |
$11.46
|
| Rate for Payer: BCBS Complete |
$383.55
|
| Rate for Payer: BCBS Complete |
$23.46
|
| Rate for Payer: BCBS Complete |
$13.42
|
| Rate for Payer: BCBS Trust/PPO |
$23.61
|
| Rate for Payer: BCBS Trust/PPO |
$27.67
|
| Rate for Payer: BCBS Trust/PPO |
$76.68
|
| Rate for Payer: BCBS Trust/PPO |
$790.60
|
| Rate for Payer: BCBS Trust/PPO |
$48.35
|
| Rate for Payer: BCN Commercial |
$76.68
|
| Rate for Payer: BCN Commercial |
$27.67
|
| Rate for Payer: BCN Commercial |
$23.61
|
| Rate for Payer: BCN Commercial |
$790.60
|
| Rate for Payer: BCN Commercial |
$48.35
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$46.91
|
| Rate for Payer: Cash Price |
$22.91
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cash Price |
$26.85
|
| Rate for Payer: Cash Price |
$22.91
|
| Rate for Payer: Cash Price |
$46.91
|
| Rate for Payer: Cash Price |
$74.40
|
| Rate for Payer: Cash Price |
$767.10
|
| Rate for Payer: Cash Price |
$767.10
|
| Rate for Payer: Cofinity Commercial |
$26.92
|
| Rate for Payer: Cofinity Commercial |
$901.35
|
| Rate for Payer: Cofinity Commercial |
$31.55
|
| Rate for Payer: Cofinity Commercial |
$55.12
|
| Rate for Payer: Cofinity Commercial |
$87.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$22.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$767.10
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$46.91
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.85
|
| Rate for Payer: Healthscope Commercial |
$27.78
|
| Rate for Payer: Healthscope Commercial |
$32.55
|
| Rate for Payer: Healthscope Commercial |
$930.11
|
| Rate for Payer: Healthscope Commercial |
$56.88
|
| Rate for Payer: Healthscope Commercial |
$90.21
|
| Rate for Payer: Healthscope Whirlpool |
$58.64
|
| Rate for Payer: Healthscope Whirlpool |
$28.64
|
| Rate for Payer: Healthscope Whirlpool |
$33.56
|
| Rate for Payer: Healthscope Whirlpool |
$958.88
|
| Rate for Payer: Healthscope Whirlpool |
$93.00
|
| Rate for Payer: Mclaren Commercial |
$30.20
|
| Rate for Payer: Mclaren Commercial |
$25.78
|
| Rate for Payer: Mclaren Commercial |
$862.99
|
| Rate for Payer: Mclaren Commercial |
$83.70
|
| Rate for Payer: Mclaren Commercial |
$52.78
|
| Rate for Payer: MI Amish Medical Board Commercial |
$74.40
|
| Rate for Payer: MI Amish Medical Board Commercial |
$46.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$26.85
|
| Rate for Payer: MI Amish Medical Board Commercial |
$22.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$767.10
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.53
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.34
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$815.05
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$49.84
|
| Rate for Payer: Nomi Health Commercial |
$27.52
|
| Rate for Payer: Nomi Health Commercial |
$23.48
|
| Rate for Payer: Nomi Health Commercial |
$786.28
|
| Rate for Payer: Nomi Health Commercial |
$76.26
|
| Rate for Payer: Nomi Health Commercial |
$48.08
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$69.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.48
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$43.98
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$25.17
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$719.16
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2.78
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$2.78
|
| Rate for Payer: Priority Health Narrow Network |
$2.22
|
| Rate for Payer: Priority Health Narrow Network |
$2.22
|
| Rate for Payer: Priority Health Narrow Network |
$2.22
|
| Rate for Payer: Priority Health Narrow Network |
$2.22
|
| Rate for Payer: Priority Health Narrow Network |
$2.22
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.20
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.53
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$81.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$843.81
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$51.60
|
|
|
REHABILITATION
|
Facility
|
IP
|
$9,084.86
|
|
|
Service Code
|
APR-DRG 8601
|
| Min. Negotiated Rate |
$8,213.80 |
| Max. Negotiated Rate |
$9,084.86 |
| Rate for Payer: BCBS Complete |
$9,084.86
|
| Rate for Payer: Mclaren Medicaid |
$8,652.25
|
| Rate for Payer: Meridian Medicaid |
$9,084.86
|
| Rate for Payer: PHP Medicaid |
$8,213.80
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,652.25
|
| Rate for Payer: UHC Medicaid |
$8,652.25
|
| Rate for Payer: UHCCP Medicaid |
$8,652.25
|
|
|
REHABILITATION
|
Facility
|
IP
|
$13,539.28
|
|
|
Service Code
|
APR-DRG 8604
|
| Min. Negotiated Rate |
$12,241.13 |
| Max. Negotiated Rate |
$13,539.28 |
| Rate for Payer: BCBS Complete |
$13,539.28
|
| Rate for Payer: Mclaren Medicaid |
$12,894.56
|
| Rate for Payer: Meridian Medicaid |
$13,539.28
|
| Rate for Payer: PHP Medicaid |
$12,241.13
|
| Rate for Payer: Priority Health Choice Medicaid |
$12,894.56
|
| Rate for Payer: UHC Medicaid |
$12,894.56
|
| Rate for Payer: UHCCP Medicaid |
$12,894.56
|
|
|
REHABILITATION
|
Facility
|
IP
|
$11,526.78
|
|
|
Service Code
|
APR-DRG 8603
|
| Min. Negotiated Rate |
$10,421.59 |
| Max. Negotiated Rate |
$11,526.78 |
| Rate for Payer: BCBS Complete |
$11,526.78
|
| Rate for Payer: Mclaren Medicaid |
$10,977.89
|
| Rate for Payer: Meridian Medicaid |
$11,526.78
|
| Rate for Payer: PHP Medicaid |
$10,421.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,977.89
|
| Rate for Payer: UHC Medicaid |
$10,977.89
|
| Rate for Payer: UHCCP Medicaid |
$10,977.89
|
|
|
REHABILITATION
|
Facility
|
IP
|
$11,479.37
|
|
|
Service Code
|
APR-DRG 8602
|
| Min. Negotiated Rate |
$10,378.73 |
| Max. Negotiated Rate |
$11,479.37 |
| Rate for Payer: BCBS Complete |
$11,479.37
|
| Rate for Payer: Mclaren Medicaid |
$10,932.74
|
| Rate for Payer: Meridian Medicaid |
$11,479.37
|
| Rate for Payer: PHP Medicaid |
$10,378.73
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,932.74
|
| Rate for Payer: UHC Medicaid |
$10,932.74
|
| Rate for Payer: UHCCP Medicaid |
$10,932.74
|
|
|
REHABILITATION WITH CC/MCC
|
Facility
|
IP
|
$21,275.91
|
|
|
Service Code
|
MSDRG 945
|
| Min. Negotiated Rate |
$12,260.99 |
| Max. Negotiated Rate |
$21,275.91 |
| Rate for Payer: Aetna Medicare |
$12,906.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$16,132.89
|
| Rate for Payer: Amish Plain Church Group Commercial |
$16,132.89
|
| Rate for Payer: BCBS MAPPO |
$12,906.31
|
| Rate for Payer: BCN Medicare Advantage |
$12,906.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,906.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,906.31
|
| Rate for Payer: Mclaren Medicare |
$12,906.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,551.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,842.26
|
| Rate for Payer: Molina Medicare/Medicaid |
$14,196.94
|
| Rate for Payer: PACE Medicare |
$12,260.99
|
| Rate for Payer: PACE SWMI |
$12,906.31
|
| Rate for Payer: PHP Commercial |
$14,196.94
|
| Rate for Payer: PHP Medicare Advantage |
$12,906.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21,275.91
|
| Rate for Payer: Priority Health Medicare |
$12,906.31
|
| Rate for Payer: Priority Health Narrow Network |
$17,020.72
|
| Rate for Payer: Railroad Medicare Medicare |
$12,906.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,906.31
|
| Rate for Payer: UHC Exchange |
$20,004.78
|
| Rate for Payer: UHCCP DNSP |
$12,906.31
|
| Rate for Payer: VA VA |
$12,906.31
|
|
|
REHABILITATION WITHOUT CC/MCC
|
Facility
|
IP
|
$15,755.66
|
|
|
Service Code
|
MSDRG 946
|
| Min. Negotiated Rate |
$9,512.20 |
| Max. Negotiated Rate |
$15,755.66 |
| Rate for Payer: Aetna Medicare |
$10,012.84
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$12,516.05
|
| Rate for Payer: Amish Plain Church Group Commercial |
$12,516.05
|
| Rate for Payer: BCBS MAPPO |
$10,012.84
|
| Rate for Payer: BCN Medicare Advantage |
$10,012.84
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$10,012.84
|
| Rate for Payer: Humana Choice PPO Medicare |
$10,012.84
|
| Rate for Payer: Mclaren Medicare |
$10,012.84
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$10,513.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$11,514.77
|
| Rate for Payer: Molina Medicare/Medicaid |
$11,014.12
|
| Rate for Payer: PACE Medicare |
$9,512.20
|
| Rate for Payer: PACE SWMI |
$10,012.84
|
| Rate for Payer: PHP Commercial |
$11,014.12
|
| Rate for Payer: PHP Medicare Advantage |
$10,012.84
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$15,755.66
|
| Rate for Payer: Priority Health Medicare |
$10,012.84
|
| Rate for Payer: Priority Health Narrow Network |
$12,604.52
|
| Rate for Payer: Railroad Medicare Medicare |
$10,012.84
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$10,012.84
|
| Rate for Payer: UHC Exchange |
$15,519.90
|
| Rate for Payer: UHCCP DNSP |
$10,012.84
|
| Rate for Payer: VA VA |
$10,012.84
|
|
|
REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION
|
Facility
|
IP
|
$2,267.62
|
|
|
Service Code
|
HCPCS J0248
|
| Hospital Charge Code |
300469
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1,700.71 |
| Max. Negotiated Rate |
$2,267.62 |
| Rate for Payer: Aetna Commercial |
$2,040.85
|
| Rate for Payer: ASR ASR |
$2,199.59
|
| Rate for Payer: BCBS Trust/PPO |
$1,862.17
|
| Rate for Payer: BCN Commercial |
$1,862.17
|
| Rate for Payer: Cash Price |
$1,814.09
|
| Rate for Payer: Cofinity Commercial |
$2,131.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,814.09
|
| Rate for Payer: Healthscope Commercial |
$2,199.59
|
| Rate for Payer: Healthscope Whirlpool |
$2,267.62
|
| Rate for Payer: Mclaren Commercial |
$2,040.85
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,927.47
|
| Rate for Payer: Nomi Health Commercial |
$1,859.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,700.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,995.50
|
|
|
REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION
|
Facility
|
OP
|
$2,267.62
|
|
|
Service Code
|
HCPCS J0248
|
| Hospital Charge Code |
300469
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.61 |
| Max. Negotiated Rate |
$2,267.62 |
| Rate for Payer: Aetna Commercial |
$2,040.85
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.62
|
| Rate for Payer: ASR ASR |
$2,199.59
|
| Rate for Payer: BCBS Complete |
$3.79
|
| Rate for Payer: BCBS MAPPO |
$6.90
|
| Rate for Payer: BCBS Trust/PPO |
$1,869.65
|
| Rate for Payer: BCN Commercial |
$1,869.65
|
| Rate for Payer: BCN Medicare Advantage |
$6.90
|
| Rate for Payer: Cash Price |
$1,814.09
|
| Rate for Payer: Cash Price |
$1,814.09
|
| Rate for Payer: Cofinity Commercial |
$2,131.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$1,814.09
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.90
|
| Rate for Payer: Healthscope Commercial |
$2,199.59
|
| Rate for Payer: Healthscope Whirlpool |
$2,267.62
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.90
|
| Rate for Payer: Mclaren Commercial |
$2,040.85
|
| Rate for Payer: Mclaren Medicaid |
$6.90
|
| Rate for Payer: Mclaren Medicare |
$6.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.25
|
| Rate for Payer: Meridian Medicaid |
$3.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$1,927.47
|
| Rate for Payer: Nomi Health Commercial |
$1,859.45
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$1,700.71
|
| Rate for Payer: PACE Medicare |
$6.55
|
| Rate for Payer: PACE SWMI |
$6.90
|
| Rate for Payer: PHP Commercial |
$7.59
|
| Rate for Payer: PHP Medicaid |
$3.70
|
| Rate for Payer: PHP Medicare Advantage |
$6.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7.16
|
| Rate for Payer: Priority Health Medicare |
$6.90
|
| Rate for Payer: Priority Health Narrow Network |
$5.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$1,995.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.90
|
| Rate for Payer: UHC Exchange |
$10.70
|
| Rate for Payer: UHC Medicaid |
$3.61
|
| Rate for Payer: UHCCP DNSP |
$6.90
|
| Rate for Payer: UHCCP Medicaid |
$3.61
|
| Rate for Payer: VA VA |
$6.90
|
|
|
REMDESIVIR 200 MG/250 ML INFUSION (IV PREMIX)
|
Facility
|
OP
|
$3,520.00
|
|
|
Service Code
|
HCPCS J0248
|
| Hospital Charge Code |
300873
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$3.61 |
| Max. Negotiated Rate |
$3,520.00 |
| Rate for Payer: Aetna Commercial |
$3,168.00
|
| Rate for Payer: Aetna Medicare |
$6.90
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$8.62
|
| Rate for Payer: Amish Plain Church Group Commercial |
$8.62
|
| Rate for Payer: ASR ASR |
$3,414.40
|
| Rate for Payer: BCBS Complete |
$3.79
|
| Rate for Payer: BCBS MAPPO |
$6.90
|
| Rate for Payer: BCBS Trust/PPO |
$2,902.24
|
| Rate for Payer: BCN Commercial |
$2,902.24
|
| Rate for Payer: BCN Medicare Advantage |
$6.90
|
| Rate for Payer: Cash Price |
$2,816.00
|
| Rate for Payer: Cash Price |
$2,816.00
|
| Rate for Payer: Cofinity Commercial |
$3,308.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,816.00
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$6.90
|
| Rate for Payer: Healthscope Commercial |
$3,414.40
|
| Rate for Payer: Healthscope Whirlpool |
$3,520.00
|
| Rate for Payer: Humana Choice PPO Medicare |
$6.90
|
| Rate for Payer: Mclaren Commercial |
$3,168.00
|
| Rate for Payer: Mclaren Medicaid |
$6.90
|
| Rate for Payer: Mclaren Medicare |
$6.90
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$7.25
|
| Rate for Payer: Meridian Medicaid |
$3.79
|
| Rate for Payer: MI Amish Medical Board Commercial |
$7.93
|
| Rate for Payer: Molina Medicare/Medicaid |
$7.59
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,992.00
|
| Rate for Payer: Nomi Health Commercial |
$2,886.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,640.00
|
| Rate for Payer: PACE Medicare |
$6.55
|
| Rate for Payer: PACE SWMI |
$6.90
|
| Rate for Payer: PHP Commercial |
$7.59
|
| Rate for Payer: PHP Medicaid |
$3.70
|
| Rate for Payer: PHP Medicare Advantage |
$6.90
|
| Rate for Payer: Priority Health Choice Medicaid |
$3.61
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$7.16
|
| Rate for Payer: Priority Health Medicare |
$6.90
|
| Rate for Payer: Priority Health Narrow Network |
$5.73
|
| Rate for Payer: Railroad Medicare Medicare |
$6.90
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,097.60
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$6.90
|
| Rate for Payer: UHC Exchange |
$10.70
|
| Rate for Payer: UHC Medicaid |
$3.61
|
| Rate for Payer: UHCCP DNSP |
$6.90
|
| Rate for Payer: UHCCP Medicaid |
$3.61
|
| Rate for Payer: VA VA |
$6.90
|
|
|
REMDESIVIR 200 MG/250 ML INFUSION (IV PREMIX)
|
Facility
|
IP
|
$3,520.00
|
|
|
Service Code
|
HCPCS J0248
|
| Hospital Charge Code |
300873
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$2,640.00 |
| Max. Negotiated Rate |
$3,520.00 |
| Rate for Payer: Aetna Commercial |
$3,168.00
|
| Rate for Payer: ASR ASR |
$3,414.40
|
| Rate for Payer: BCBS Trust/PPO |
$2,890.62
|
| Rate for Payer: BCN Commercial |
$2,890.62
|
| Rate for Payer: Cash Price |
$2,816.00
|
| Rate for Payer: Cofinity Commercial |
$3,308.80
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2,816.00
|
| Rate for Payer: Healthscope Commercial |
$3,414.40
|
| Rate for Payer: Healthscope Whirlpool |
$3,520.00
|
| Rate for Payer: Mclaren Commercial |
$3,168.00
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2,992.00
|
| Rate for Payer: Nomi Health Commercial |
$2,886.40
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$2,640.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$3,097.60
|
|
|
RENAL DIALYSIS ACCESS PROCEDURES
|
Facility
|
IP
|
$9,855.42
|
|
|
Service Code
|
APR-DRG 4442
|
| Min. Negotiated Rate |
$8,910.48 |
| Max. Negotiated Rate |
$9,855.42 |
| Rate for Payer: BCBS Complete |
$9,855.42
|
| Rate for Payer: Mclaren Medicaid |
$9,386.11
|
| Rate for Payer: Meridian Medicaid |
$9,855.42
|
| Rate for Payer: PHP Medicaid |
$8,910.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,386.11
|
| Rate for Payer: UHC Medicaid |
$9,386.11
|
| Rate for Payer: UHCCP Medicaid |
$9,386.11
|
|
|
RENAL DIALYSIS ACCESS PROCEDURES
|
Facility
|
IP
|
$20,120.64
|
|
|
Service Code
|
APR-DRG 4444
|
| Min. Negotiated Rate |
$18,191.47 |
| Max. Negotiated Rate |
$20,120.64 |
| Rate for Payer: BCBS Complete |
$20,120.64
|
| Rate for Payer: Mclaren Medicaid |
$19,162.52
|
| Rate for Payer: Meridian Medicaid |
$20,120.64
|
| Rate for Payer: PHP Medicaid |
$18,191.47
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,162.52
|
| Rate for Payer: UHC Medicaid |
$19,162.52
|
| Rate for Payer: UHCCP Medicaid |
$19,162.52
|
|
|
RENAL DIALYSIS ACCESS PROCEDURES
|
Facility
|
IP
|
$6,762.28
|
|
|
Service Code
|
APR-DRG 4441
|
| Min. Negotiated Rate |
$6,113.91 |
| Max. Negotiated Rate |
$6,762.28 |
| Rate for Payer: BCBS Complete |
$6,762.28
|
| Rate for Payer: Mclaren Medicaid |
$6,440.27
|
| Rate for Payer: Meridian Medicaid |
$6,762.28
|
| Rate for Payer: PHP Medicaid |
$6,113.91
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,440.27
|
| Rate for Payer: UHC Medicaid |
$6,440.27
|
| Rate for Payer: UHCCP Medicaid |
$6,440.27
|
|
|
RENAL DIALYSIS ACCESS PROCEDURES
|
Facility
|
IP
|
$11,825.42
|
|
|
Service Code
|
APR-DRG 4443
|
| Min. Negotiated Rate |
$10,691.59 |
| Max. Negotiated Rate |
$11,825.42 |
| Rate for Payer: BCBS Complete |
$11,825.42
|
| Rate for Payer: Mclaren Medicaid |
$11,262.30
|
| Rate for Payer: Meridian Medicaid |
$11,825.42
|
| Rate for Payer: PHP Medicaid |
$10,691.59
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,262.30
|
| Rate for Payer: UHC Medicaid |
$11,262.30
|
| Rate for Payer: UHCCP Medicaid |
$11,262.30
|
|
|
RENAL FAILURE WITH CC
|
Facility
|
IP
|
$12,495.03
|
|
|
Service Code
|
MSDRG 683
|
| Min. Negotiated Rate |
$7,658.24 |
| Max. Negotiated Rate |
$12,495.03 |
| Rate for Payer: Aetna Medicare |
$8,061.31
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$10,076.64
|
| Rate for Payer: Amish Plain Church Group Commercial |
$10,076.64
|
| Rate for Payer: BCBS MAPPO |
$8,061.31
|
| Rate for Payer: BCN Medicare Advantage |
$8,061.31
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$8,061.31
|
| Rate for Payer: Humana Choice PPO Medicare |
$8,061.31
|
| Rate for Payer: Mclaren Medicare |
$8,061.31
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$8,464.38
|
| Rate for Payer: MI Amish Medical Board Commercial |
$9,270.51
|
| Rate for Payer: Molina Medicare/Medicaid |
$8,867.44
|
| Rate for Payer: PACE Medicare |
$7,658.24
|
| Rate for Payer: PACE SWMI |
$8,061.31
|
| Rate for Payer: PHP Commercial |
$8,867.44
|
| Rate for Payer: PHP Medicare Advantage |
$8,061.31
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$12,032.44
|
| Rate for Payer: Priority Health Medicare |
$8,061.31
|
| Rate for Payer: Priority Health Narrow Network |
$9,625.95
|
| Rate for Payer: Railroad Medicare Medicare |
$8,061.31
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$8,061.31
|
| Rate for Payer: UHC Exchange |
$12,495.03
|
| Rate for Payer: UHCCP DNSP |
$8,061.31
|
| Rate for Payer: VA VA |
$8,061.31
|
|
|
RENAL FAILURE WITH MCC
|
Facility
|
IP
|
$20,347.16
|
|
|
Service Code
|
MSDRG 682
|
| Min. Negotiated Rate |
$11,798.52 |
| Max. Negotiated Rate |
$20,347.16 |
| Rate for Payer: Aetna Medicare |
$12,419.50
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$15,524.38
|
| Rate for Payer: Amish Plain Church Group Commercial |
$15,524.38
|
| Rate for Payer: BCBS MAPPO |
$12,419.50
|
| Rate for Payer: BCN Medicare Advantage |
$12,419.50
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$12,419.50
|
| Rate for Payer: Humana Choice PPO Medicare |
$12,419.50
|
| Rate for Payer: Mclaren Medicare |
$12,419.50
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$13,040.48
|
| Rate for Payer: MI Amish Medical Board Commercial |
$14,282.42
|
| Rate for Payer: Molina Medicare/Medicaid |
$13,661.45
|
| Rate for Payer: PACE Medicare |
$11,798.52
|
| Rate for Payer: PACE SWMI |
$12,419.50
|
| Rate for Payer: PHP Commercial |
$13,661.45
|
| Rate for Payer: PHP Medicare Advantage |
$12,419.50
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20,347.16
|
| Rate for Payer: Priority Health Medicare |
$12,419.50
|
| Rate for Payer: Priority Health Narrow Network |
$16,277.73
|
| Rate for Payer: Railroad Medicare Medicare |
$12,419.50
|
| Rate for Payer: UHC Dual Complete DSNP/Medicare Advantage |
$12,419.50
|
| Rate for Payer: UHC Exchange |
$19,250.22
|
| Rate for Payer: UHCCP DNSP |
$12,419.50
|
| Rate for Payer: VA VA |
$12,419.50
|
|
