|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$22.87
|
|
|
Service Code
|
NDC 143925110
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.46 |
| Max. Negotiated Rate |
$22.87 |
| Rate for Payer: Aetna Commercial |
$20.58
|
| Rate for Payer: Aetna Medicare |
$8.46
|
| Rate for Payer: ASR ASR |
$22.18
|
| Rate for Payer: BCBS Complete |
$9.15
|
| Rate for Payer: BCBS Trust/PPO |
$18.85
|
| Rate for Payer: BCN Commercial |
$18.85
|
| Rate for Payer: Cash Price |
$18.29
|
| Rate for Payer: Cofinity Commercial |
$21.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.29
|
| Rate for Payer: Healthscope Commercial |
$22.18
|
| Rate for Payer: Healthscope Whirlpool |
$22.87
|
| Rate for Payer: Mclaren Commercial |
$20.58
|
| Rate for Payer: MI Amish Medical Board Commercial |
$18.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.44
|
| Rate for Payer: Nomi Health Commercial |
$18.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.15
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$20.04
|
| Rate for Payer: Priority Health Narrow Network |
$16.03
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.12
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$29.73
|
|
|
Service Code
|
NDC 72611075701
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$29.73 |
| Rate for Payer: Aetna Commercial |
$26.75
|
| Rate for Payer: Aetna Medicare |
$11.00
|
| Rate for Payer: ASR ASR |
$28.83
|
| Rate for Payer: BCBS Complete |
$11.89
|
| Rate for Payer: BCBS Trust/PPO |
$24.51
|
| Rate for Payer: BCN Commercial |
$24.51
|
| Rate for Payer: Cash Price |
$23.78
|
| Rate for Payer: Cofinity Commercial |
$27.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.78
|
| Rate for Payer: Healthscope Commercial |
$28.83
|
| Rate for Payer: Healthscope Whirlpool |
$29.73
|
| Rate for Payer: Mclaren Commercial |
$26.75
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.78
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$25.27
|
| Rate for Payer: Nomi Health Commercial |
$24.38
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$22.29
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$26.05
|
| Rate for Payer: Priority Health Narrow Network |
$20.84
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$26.16
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$19.11
|
|
|
Service Code
|
NDC 409955805
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.07 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: Aetna Medicare |
$7.07
|
| Rate for Payer: ASR ASR |
$18.54
|
| Rate for Payer: BCBS Complete |
$7.65
|
| Rate for Payer: BCBS Trust/PPO |
$15.76
|
| Rate for Payer: BCN Commercial |
$15.76
|
| Rate for Payer: Cash Price |
$15.29
|
| Rate for Payer: Cofinity Commercial |
$17.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.29
|
| Rate for Payer: Healthscope Commercial |
$18.54
|
| Rate for Payer: Healthscope Whirlpool |
$19.11
|
| Rate for Payer: Mclaren Commercial |
$17.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.25
|
| Rate for Payer: Nomi Health Commercial |
$15.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$16.75
|
| Rate for Payer: Priority Health Narrow Network |
$13.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.82
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$22.78
|
|
|
Service Code
|
NDC 39822420005
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$17.09 |
| Max. Negotiated Rate |
$22.78 |
| Rate for Payer: Aetna Commercial |
$20.51
|
| Rate for Payer: ASR ASR |
$22.10
|
| Rate for Payer: BCBS Trust/PPO |
$18.71
|
| Rate for Payer: BCN Commercial |
$18.71
|
| Rate for Payer: Cash Price |
$18.23
|
| Rate for Payer: Cofinity Commercial |
$21.42
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.23
|
| Rate for Payer: Healthscope Commercial |
$22.10
|
| Rate for Payer: Healthscope Whirlpool |
$22.78
|
| Rate for Payer: Mclaren Commercial |
$20.51
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.37
|
| Rate for Payer: Nomi Health Commercial |
$18.68
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.05
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.09
|
|
|
Service Code
|
NDC 39822420002
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.07 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Trust/PPO |
$19.78
|
| Rate for Payer: BCN Commercial |
$19.78
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24.65
|
|
|
Service Code
|
NDC 409955849
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.12 |
| Max. Negotiated Rate |
$24.65 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: Aetna Medicare |
$9.12
|
| Rate for Payer: ASR ASR |
$23.91
|
| Rate for Payer: BCBS Complete |
$9.86
|
| Rate for Payer: BCBS Trust/PPO |
$20.32
|
| Rate for Payer: BCN Commercial |
$20.32
|
| Rate for Payer: Cash Price |
$19.72
|
| Rate for Payer: Cofinity Commercial |
$23.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.72
|
| Rate for Payer: Healthscope Commercial |
$23.91
|
| Rate for Payer: Healthscope Whirlpool |
$24.65
|
| Rate for Payer: Mclaren Commercial |
$22.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.95
|
| Rate for Payer: Nomi Health Commercial |
$20.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.60
|
| Rate for Payer: Priority Health Narrow Network |
$17.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.69
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$28.97
|
|
|
Service Code
|
NDC 67457022899
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$21.73 |
| Max. Negotiated Rate |
$28.97 |
| Rate for Payer: Aetna Commercial |
$26.07
|
| Rate for Payer: ASR ASR |
$28.10
|
| Rate for Payer: BCBS Trust/PPO |
$23.79
|
| Rate for Payer: BCN Commercial |
$23.79
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$28.97
|
| Rate for Payer: Mclaren Commercial |
$26.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.62
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.49
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$19.11
|
|
|
Service Code
|
NDC 409955805
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$14.33 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: ASR ASR |
$18.54
|
| Rate for Payer: BCBS Trust/PPO |
$15.70
|
| Rate for Payer: BCN Commercial |
$15.70
|
| Rate for Payer: Cash Price |
$15.29
|
| Rate for Payer: Cofinity Commercial |
$17.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.29
|
| Rate for Payer: Healthscope Commercial |
$18.54
|
| Rate for Payer: Healthscope Whirlpool |
$19.11
|
| Rate for Payer: Mclaren Commercial |
$17.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.25
|
| Rate for Payer: Nomi Health Commercial |
$15.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.82
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$25.14
|
|
|
Service Code
|
NDC 781322092
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.30 |
| Max. Negotiated Rate |
$25.14 |
| Rate for Payer: Aetna Commercial |
$22.63
|
| Rate for Payer: Aetna Medicare |
$9.30
|
| Rate for Payer: ASR ASR |
$24.39
|
| Rate for Payer: BCBS Complete |
$10.06
|
| Rate for Payer: BCBS Trust/PPO |
$20.73
|
| Rate for Payer: BCN Commercial |
$20.73
|
| Rate for Payer: Cash Price |
$20.11
|
| Rate for Payer: Cofinity Commercial |
$23.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.11
|
| Rate for Payer: Healthscope Commercial |
$24.39
|
| Rate for Payer: Healthscope Whirlpool |
$25.14
|
| Rate for Payer: Mclaren Commercial |
$22.63
|
| Rate for Payer: MI Amish Medical Board Commercial |
$20.11
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$21.37
|
| Rate for Payer: Nomi Health Commercial |
$20.62
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.86
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$22.03
|
| Rate for Payer: Priority Health Narrow Network |
$17.63
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$22.13
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.09
|
|
|
Service Code
|
NDC 25021066205
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.07 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Trust/PPO |
$19.78
|
| Rate for Payer: BCN Commercial |
$19.78
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$22.87
|
|
|
Service Code
|
NDC 143925101
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$17.15 |
| Max. Negotiated Rate |
$22.87 |
| Rate for Payer: Aetna Commercial |
$20.58
|
| Rate for Payer: ASR ASR |
$22.18
|
| Rate for Payer: BCBS Trust/PPO |
$18.78
|
| Rate for Payer: BCN Commercial |
$18.78
|
| Rate for Payer: Cash Price |
$18.29
|
| Rate for Payer: Cofinity Commercial |
$21.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.29
|
| Rate for Payer: Healthscope Commercial |
$22.18
|
| Rate for Payer: Healthscope Whirlpool |
$22.87
|
| Rate for Payer: Mclaren Commercial |
$20.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.44
|
| Rate for Payer: Nomi Health Commercial |
$18.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$17.15
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.12
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.65
|
|
|
Service Code
|
NDC 409955849
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.49 |
| Max. Negotiated Rate |
$24.65 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: ASR ASR |
$23.91
|
| Rate for Payer: BCBS Trust/PPO |
$20.24
|
| Rate for Payer: BCN Commercial |
$20.24
|
| Rate for Payer: Cash Price |
$19.72
|
| Rate for Payer: Cofinity Commercial |
$23.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.72
|
| Rate for Payer: Healthscope Commercial |
$23.91
|
| Rate for Payer: Healthscope Whirlpool |
$24.65
|
| Rate for Payer: Mclaren Commercial |
$22.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.95
|
| Rate for Payer: Nomi Health Commercial |
$20.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.69
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24.65
|
|
|
Service Code
|
NDC 409955869
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.12 |
| Max. Negotiated Rate |
$24.65 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: Aetna Medicare |
$9.12
|
| Rate for Payer: ASR ASR |
$23.91
|
| Rate for Payer: BCBS Complete |
$9.86
|
| Rate for Payer: BCBS Trust/PPO |
$20.32
|
| Rate for Payer: BCN Commercial |
$20.32
|
| Rate for Payer: Cash Price |
$19.72
|
| Rate for Payer: Cofinity Commercial |
$23.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.72
|
| Rate for Payer: Healthscope Commercial |
$23.91
|
| Rate for Payer: Healthscope Whirlpool |
$24.65
|
| Rate for Payer: Mclaren Commercial |
$22.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.95
|
| Rate for Payer: Nomi Health Commercial |
$20.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.60
|
| Rate for Payer: Priority Health Narrow Network |
$17.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.69
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24.65
|
|
|
Service Code
|
NDC 409955869
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.49 |
| Max. Negotiated Rate |
$24.65 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: ASR ASR |
$23.91
|
| Rate for Payer: BCBS Trust/PPO |
$20.24
|
| Rate for Payer: BCN Commercial |
$20.24
|
| Rate for Payer: Cash Price |
$19.72
|
| Rate for Payer: Cofinity Commercial |
$23.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.72
|
| Rate for Payer: Healthscope Commercial |
$23.91
|
| Rate for Payer: Healthscope Whirlpool |
$24.65
|
| Rate for Payer: Mclaren Commercial |
$22.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.95
|
| Rate for Payer: Nomi Health Commercial |
$20.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.69
|
|
|
ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$26.57
|
|
|
Service Code
|
NDC 781322095
|
| Hospital Charge Code |
12734
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.83 |
| Max. Negotiated Rate |
$26.57 |
| Rate for Payer: Aetna Commercial |
$23.91
|
| Rate for Payer: Aetna Medicare |
$9.83
|
| Rate for Payer: ASR ASR |
$25.77
|
| Rate for Payer: BCBS Complete |
$10.63
|
| Rate for Payer: BCBS Trust/PPO |
$21.90
|
| Rate for Payer: BCN Commercial |
$21.90
|
| Rate for Payer: Cash Price |
$21.25
|
| Rate for Payer: Cofinity Commercial |
$24.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.25
|
| Rate for Payer: Healthscope Commercial |
$25.77
|
| Rate for Payer: Healthscope Whirlpool |
$26.57
|
| Rate for Payer: Mclaren Commercial |
$23.91
|
| Rate for Payer: MI Amish Medical Board Commercial |
$21.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.58
|
| Rate for Payer: Nomi Health Commercial |
$21.78
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$19.92
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$23.28
|
| Rate for Payer: Priority Health Narrow Network |
$18.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.38
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
IP
|
$28.97
|
|
|
Service Code
|
NDC 67457022810
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$21.73 |
| Max. Negotiated Rate |
$28.97 |
| Rate for Payer: Aetna Commercial |
$26.07
|
| Rate for Payer: ASR ASR |
$28.10
|
| Rate for Payer: BCBS Trust/PPO |
$23.79
|
| Rate for Payer: BCN Commercial |
$23.79
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$28.97
|
| Rate for Payer: Mclaren Commercial |
$26.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.62
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.49
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
OP
|
$24.09
|
|
|
Service Code
|
NDC 25021066205
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.91 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna Medicare |
$8.91
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Complete |
$9.63
|
| Rate for Payer: BCBS Trust/PPO |
$19.86
|
| Rate for Payer: BCN Commercial |
$19.86
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.11
|
| Rate for Payer: Priority Health Narrow Network |
$16.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
OP
|
$24.65
|
|
|
Service Code
|
NDC 409955849
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$9.12 |
| Max. Negotiated Rate |
$24.65 |
| Rate for Payer: Aetna Commercial |
$22.18
|
| Rate for Payer: Aetna Medicare |
$9.12
|
| Rate for Payer: ASR ASR |
$23.91
|
| Rate for Payer: BCBS Complete |
$9.86
|
| Rate for Payer: BCBS Trust/PPO |
$20.32
|
| Rate for Payer: BCN Commercial |
$20.32
|
| Rate for Payer: Cash Price |
$19.72
|
| Rate for Payer: Cofinity Commercial |
$23.17
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.72
|
| Rate for Payer: Healthscope Commercial |
$23.91
|
| Rate for Payer: Healthscope Whirlpool |
$24.65
|
| Rate for Payer: Mclaren Commercial |
$22.18
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.95
|
| Rate for Payer: Nomi Health Commercial |
$20.21
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.49
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.60
|
| Rate for Payer: Priority Health Narrow Network |
$17.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.69
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
OP
|
$19.11
|
|
|
Service Code
|
NDC 409955805
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$7.07 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: Aetna Medicare |
$7.07
|
| Rate for Payer: ASR ASR |
$18.54
|
| Rate for Payer: BCBS Complete |
$7.65
|
| Rate for Payer: BCBS Trust/PPO |
$15.76
|
| Rate for Payer: BCN Commercial |
$15.76
|
| Rate for Payer: Cash Price |
$15.29
|
| Rate for Payer: Cofinity Commercial |
$17.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.29
|
| Rate for Payer: Healthscope Commercial |
$18.54
|
| Rate for Payer: Healthscope Whirlpool |
$19.11
|
| Rate for Payer: Mclaren Commercial |
$17.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$15.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.25
|
| Rate for Payer: Nomi Health Commercial |
$15.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.33
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$16.75
|
| Rate for Payer: Priority Health Narrow Network |
$13.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.82
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
OP
|
$28.97
|
|
|
Service Code
|
NDC 67457022810
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$10.72 |
| Max. Negotiated Rate |
$28.97 |
| Rate for Payer: Aetna Commercial |
$26.07
|
| Rate for Payer: Aetna Medicare |
$10.72
|
| Rate for Payer: ASR ASR |
$28.10
|
| Rate for Payer: BCBS Complete |
$11.59
|
| Rate for Payer: BCBS Trust/PPO |
$23.89
|
| Rate for Payer: BCN Commercial |
$23.89
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$28.97
|
| Rate for Payer: Mclaren Commercial |
$26.07
|
| Rate for Payer: MI Amish Medical Board Commercial |
$23.18
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.62
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$25.38
|
| Rate for Payer: Priority Health Narrow Network |
$20.31
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.49
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
IP
|
$24.09
|
|
|
Service Code
|
NDC 39822420001
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.07 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Trust/PPO |
$19.78
|
| Rate for Payer: BCN Commercial |
$19.78
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
IP
|
$19.11
|
|
|
Service Code
|
NDC 409955805
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$14.33 |
| Max. Negotiated Rate |
$19.11 |
| Rate for Payer: Aetna Commercial |
$17.20
|
| Rate for Payer: ASR ASR |
$18.54
|
| Rate for Payer: BCBS Trust/PPO |
$15.70
|
| Rate for Payer: BCN Commercial |
$15.70
|
| Rate for Payer: Cash Price |
$15.29
|
| Rate for Payer: Cofinity Commercial |
$17.97
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$15.29
|
| Rate for Payer: Healthscope Commercial |
$18.54
|
| Rate for Payer: Healthscope Whirlpool |
$19.11
|
| Rate for Payer: Mclaren Commercial |
$17.20
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$16.25
|
| Rate for Payer: Nomi Health Commercial |
$15.67
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$14.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$16.82
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
IP
|
$24.09
|
|
|
Service Code
|
NDC 25021066205
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$18.07 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Trust/PPO |
$19.78
|
| Rate for Payer: BCN Commercial |
$19.78
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
IP
|
$28.97
|
|
|
Service Code
|
NDC 67457022899
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$21.73 |
| Max. Negotiated Rate |
$28.97 |
| Rate for Payer: Aetna Commercial |
$26.07
|
| Rate for Payer: ASR ASR |
$28.10
|
| Rate for Payer: BCBS Trust/PPO |
$23.79
|
| Rate for Payer: BCN Commercial |
$23.79
|
| Rate for Payer: Cash Price |
$23.18
|
| Rate for Payer: Cofinity Commercial |
$27.23
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$23.18
|
| Rate for Payer: Healthscope Commercial |
$28.10
|
| Rate for Payer: Healthscope Whirlpool |
$28.97
|
| Rate for Payer: Mclaren Commercial |
$26.07
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$24.62
|
| Rate for Payer: Nomi Health Commercial |
$23.76
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$21.73
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$25.49
|
|
|
ROCURONIUM 10 MG/ML IV (CODE)
|
Facility
|
OP
|
$24.09
|
|
|
Service Code
|
NDC 39822420002
|
| Hospital Charge Code |
163721
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$8.91 |
| Max. Negotiated Rate |
$24.09 |
| Rate for Payer: Aetna Commercial |
$21.68
|
| Rate for Payer: Aetna Medicare |
$8.91
|
| Rate for Payer: ASR ASR |
$23.36
|
| Rate for Payer: BCBS Complete |
$9.63
|
| Rate for Payer: BCBS Trust/PPO |
$19.86
|
| Rate for Payer: BCN Commercial |
$19.86
|
| Rate for Payer: Cash Price |
$19.27
|
| Rate for Payer: Cofinity Commercial |
$22.64
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19.27
|
| Rate for Payer: Healthscope Commercial |
$23.36
|
| Rate for Payer: Healthscope Whirlpool |
$24.09
|
| Rate for Payer: Mclaren Commercial |
$21.68
|
| Rate for Payer: MI Amish Medical Board Commercial |
$19.27
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20.47
|
| Rate for Payer: Nomi Health Commercial |
$19.75
|
| Rate for Payer: Opus (Opus Packaging Group) HMA |
$18.07
|
| Rate for Payer: Priority Health Cigna Priority Health/HMO/PPO/Tiered Network |
$21.11
|
| Rate for Payer: Priority Health Narrow Network |
$16.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21.20
|
|
