|
VANCOMYCIN 1 GRAM/200 ML IN DILUENT COMBINATION IV PIGGYBACK
|
Facility
|
IP
|
$56.07
|
|
|
Service Code
|
HCPCS J3372
|
| Hospital Charge Code |
189876
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$36.45 |
| Max. Negotiated Rate |
$56.07 |
| Rate for Payer: Aetna Commercial |
$50.46
|
| Rate for Payer: ASR ASR |
$54.39
|
| Rate for Payer: ASR Commercial |
$54.39
|
| Rate for Payer: BCBS Trust/PPO |
$45.69
|
| Rate for Payer: BCN Commercial |
$43.47
|
| Rate for Payer: Cash Price |
$44.86
|
| Rate for Payer: Cofinity Commercial |
$52.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$44.86
|
| Rate for Payer: Healthscope Commercial |
$56.07
|
| Rate for Payer: Healthscope Whirlpool |
$54.39
|
| Rate for Payer: Mclaren Commercial |
$50.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$47.66
|
| Rate for Payer: Nomi Health Commercial |
$45.98
|
| Rate for Payer: Priority Health Cigna Priority Health |
$36.45
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$49.34
|
|
|
VANCOMYCIN 25 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$576.00
|
|
|
Service Code
|
NDC 65628020405
|
| Hospital Charge Code |
186107
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$230.40 |
| Max. Negotiated Rate |
$576.00 |
| Rate for Payer: Aetna Commercial |
$518.40
|
| Rate for Payer: Aetna Medicare |
$288.00
|
| Rate for Payer: ASR ASR |
$558.72
|
| Rate for Payer: ASR Commercial |
$558.72
|
| Rate for Payer: BCBS Complete |
$230.40
|
| Rate for Payer: BCBS Trust/PPO |
$471.69
|
| Rate for Payer: BCN Commercial |
$446.57
|
| Rate for Payer: Cash Price |
$460.80
|
| Rate for Payer: Cofinity Commercial |
$541.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$460.80
|
| Rate for Payer: Healthscope Commercial |
$576.00
|
| Rate for Payer: Healthscope Whirlpool |
$558.72
|
| Rate for Payer: Mclaren Commercial |
$518.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$489.60
|
| Rate for Payer: Nomi Health Commercial |
$472.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$504.69
|
| Rate for Payer: Priority Health Narrow Network |
$403.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$506.88
|
|
|
VANCOMYCIN 25 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$576.00
|
|
|
Service Code
|
NDC 65628020405
|
| Hospital Charge Code |
186107
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$374.40 |
| Max. Negotiated Rate |
$576.00 |
| Rate for Payer: Aetna Commercial |
$518.40
|
| Rate for Payer: ASR ASR |
$558.72
|
| Rate for Payer: ASR Commercial |
$558.72
|
| Rate for Payer: BCBS Trust/PPO |
$469.38
|
| Rate for Payer: BCN Commercial |
$446.57
|
| Rate for Payer: Cash Price |
$460.80
|
| Rate for Payer: Cofinity Commercial |
$541.44
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$460.80
|
| Rate for Payer: Healthscope Commercial |
$576.00
|
| Rate for Payer: Healthscope Whirlpool |
$558.72
|
| Rate for Payer: Mclaren Commercial |
$518.40
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$489.60
|
| Rate for Payer: Nomi Health Commercial |
$472.32
|
| Rate for Payer: Priority Health Cigna Priority Health |
$374.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$506.88
|
|
|
VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK
|
Facility
|
IP
|
$112.14
|
|
|
Service Code
|
HCPCS J3372
|
| Hospital Charge Code |
190617
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$72.89 |
| Max. Negotiated Rate |
$112.14 |
| Rate for Payer: Aetna Commercial |
$100.93
|
| Rate for Payer: ASR ASR |
$108.78
|
| Rate for Payer: ASR Commercial |
$108.78
|
| Rate for Payer: BCBS Trust/PPO |
$91.38
|
| Rate for Payer: BCN Commercial |
$86.94
|
| Rate for Payer: Cash Price |
$89.71
|
| Rate for Payer: Cofinity Commercial |
$105.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.71
|
| Rate for Payer: Healthscope Commercial |
$112.14
|
| Rate for Payer: Healthscope Whirlpool |
$108.78
|
| Rate for Payer: Mclaren Commercial |
$100.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.32
|
| Rate for Payer: Nomi Health Commercial |
$91.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.89
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.68
|
|
|
VANCOMYCIN 2 GRAM/400 ML IN DILUENT COMBINATION IV PIGGYBACK
|
Facility
|
OP
|
$112.14
|
|
|
Service Code
|
HCPCS J3372
|
| Hospital Charge Code |
190617
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$44.86 |
| Max. Negotiated Rate |
$112.14 |
| Rate for Payer: Aetna Commercial |
$100.93
|
| Rate for Payer: Aetna Medicare |
$56.07
|
| Rate for Payer: ASR ASR |
$108.78
|
| Rate for Payer: ASR Commercial |
$108.78
|
| Rate for Payer: BCBS Complete |
$44.86
|
| Rate for Payer: BCBS Trust/PPO |
$91.83
|
| Rate for Payer: BCN Commercial |
$86.94
|
| Rate for Payer: Cash Price |
$89.71
|
| Rate for Payer: Cofinity Commercial |
$105.41
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$89.71
|
| Rate for Payer: Healthscope Commercial |
$112.14
|
| Rate for Payer: Healthscope Whirlpool |
$108.78
|
| Rate for Payer: Mclaren Commercial |
$100.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$95.32
|
| Rate for Payer: Nomi Health Commercial |
$91.95
|
| Rate for Payer: Priority Health Cigna Priority Health |
$72.89
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$98.26
|
| Rate for Payer: Priority Health Narrow Network |
$78.61
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$98.68
|
|
|
VANCOMYCIN 500 MG INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
OP
|
$26.16
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
301723
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.46 |
| Max. Negotiated Rate |
$26.16 |
| Rate for Payer: Aetna Commercial |
$23.54
|
| Rate for Payer: Aetna Medicare |
$13.08
|
| Rate for Payer: ASR ASR |
$25.38
|
| Rate for Payer: ASR Commercial |
$25.38
|
| Rate for Payer: BCBS Complete |
$10.46
|
| Rate for Payer: BCBS Trust/PPO |
$21.42
|
| Rate for Payer: BCN Commercial |
$20.28
|
| Rate for Payer: Cash Price |
$20.93
|
| Rate for Payer: Cofinity Commercial |
$24.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.93
|
| Rate for Payer: Healthscope Commercial |
$26.16
|
| Rate for Payer: Healthscope Whirlpool |
$25.38
|
| Rate for Payer: Mclaren Commercial |
$23.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.24
|
| Rate for Payer: Nomi Health Commercial |
$21.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.92
|
| Rate for Payer: Priority Health Narrow Network |
$18.34
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.02
|
|
|
VANCOMYCIN 500 MG INTRAVENOUS MINI-BAG PLUS COMPONENT CUSTOM
|
Facility
|
IP
|
$26.16
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
301723
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$17.00 |
| Max. Negotiated Rate |
$26.16 |
| Rate for Payer: Aetna Commercial |
$23.54
|
| Rate for Payer: ASR ASR |
$25.38
|
| Rate for Payer: ASR Commercial |
$25.38
|
| Rate for Payer: BCBS Trust/PPO |
$21.32
|
| Rate for Payer: BCN Commercial |
$20.28
|
| Rate for Payer: Cash Price |
$20.93
|
| Rate for Payer: Cofinity Commercial |
$24.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.93
|
| Rate for Payer: Healthscope Commercial |
$26.16
|
| Rate for Payer: Healthscope Whirlpool |
$25.38
|
| Rate for Payer: Mclaren Commercial |
$23.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.24
|
| Rate for Payer: Nomi Health Commercial |
$21.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.00
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.02
|
|
|
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$16.18
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8443
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$10.52 |
| Max. Negotiated Rate |
$16.18 |
| Rate for Payer: Aetna Commercial |
$14.56
|
| Rate for Payer: Aetna Commercial |
$20.88
|
| Rate for Payer: Aetna Commercial |
$15.05
|
| Rate for Payer: Aetna Commercial |
$23.54
|
| Rate for Payer: Aetna Commercial |
$29.94
|
| Rate for Payer: Aetna Commercial |
$10.93
|
| Rate for Payer: Aetna Commercial |
$24.61
|
| Rate for Payer: ASR ASR |
$22.50
|
| Rate for Payer: ASR ASR |
$16.22
|
| Rate for Payer: ASR ASR |
$32.27
|
| Rate for Payer: ASR ASR |
$25.38
|
| Rate for Payer: ASR ASR |
$15.69
|
| Rate for Payer: ASR ASR |
$11.78
|
| Rate for Payer: ASR ASR |
$26.53
|
| Rate for Payer: ASR Commercial |
$32.27
|
| Rate for Payer: ASR Commercial |
$26.53
|
| Rate for Payer: ASR Commercial |
$16.22
|
| Rate for Payer: ASR Commercial |
$25.38
|
| Rate for Payer: ASR Commercial |
$22.50
|
| Rate for Payer: ASR Commercial |
$15.69
|
| Rate for Payer: ASR Commercial |
$11.78
|
| Rate for Payer: BCBS Trust/PPO |
$22.29
|
| Rate for Payer: BCBS Trust/PPO |
$21.32
|
| Rate for Payer: BCBS Trust/PPO |
$9.89
|
| Rate for Payer: BCBS Trust/PPO |
$13.19
|
| Rate for Payer: BCBS Trust/PPO |
$18.91
|
| Rate for Payer: BCBS Trust/PPO |
$13.63
|
| Rate for Payer: BCBS Trust/PPO |
$27.11
|
| Rate for Payer: BCN Commercial |
$12.96
|
| Rate for Payer: BCN Commercial |
$25.79
|
| Rate for Payer: BCN Commercial |
$20.28
|
| Rate for Payer: BCN Commercial |
$9.41
|
| Rate for Payer: BCN Commercial |
$12.54
|
| Rate for Payer: BCN Commercial |
$21.20
|
| Rate for Payer: BCN Commercial |
$17.99
|
| Rate for Payer: Cash Price |
$21.88
|
| Rate for Payer: Cash Price |
$18.56
|
| Rate for Payer: Cash Price |
$9.71
|
| Rate for Payer: Cash Price |
$13.38
|
| Rate for Payer: Cash Price |
$20.93
|
| Rate for Payer: Cash Price |
$12.94
|
| Rate for Payer: Cash Price |
$26.62
|
| Rate for Payer: Cofinity Commercial |
$24.59
|
| Rate for Payer: Cofinity Commercial |
$15.72
|
| Rate for Payer: Cofinity Commercial |
$11.41
|
| Rate for Payer: Cofinity Commercial |
$21.81
|
| Rate for Payer: Cofinity Commercial |
$15.21
|
| Rate for Payer: Cofinity Commercial |
$25.71
|
| Rate for Payer: Cofinity Commercial |
$31.27
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.93
|
| Rate for Payer: Healthscope Commercial |
$26.16
|
| Rate for Payer: Healthscope Commercial |
$33.27
|
| Rate for Payer: Healthscope Commercial |
$16.72
|
| Rate for Payer: Healthscope Commercial |
$23.20
|
| Rate for Payer: Healthscope Commercial |
$27.35
|
| Rate for Payer: Healthscope Commercial |
$16.18
|
| Rate for Payer: Healthscope Commercial |
$12.14
|
| Rate for Payer: Healthscope Whirlpool |
$26.53
|
| Rate for Payer: Healthscope Whirlpool |
$25.38
|
| Rate for Payer: Healthscope Whirlpool |
$22.50
|
| Rate for Payer: Healthscope Whirlpool |
$15.69
|
| Rate for Payer: Healthscope Whirlpool |
$16.22
|
| Rate for Payer: Healthscope Whirlpool |
$11.78
|
| Rate for Payer: Healthscope Whirlpool |
$32.27
|
| Rate for Payer: Mclaren Commercial |
$23.54
|
| Rate for Payer: Mclaren Commercial |
$29.94
|
| Rate for Payer: Mclaren Commercial |
$10.93
|
| Rate for Payer: Mclaren Commercial |
$24.61
|
| Rate for Payer: Mclaren Commercial |
$15.05
|
| Rate for Payer: Mclaren Commercial |
$14.56
|
| Rate for Payer: Mclaren Commercial |
$20.88
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.25
|
| Rate for Payer: Nomi Health Commercial |
$9.95
|
| Rate for Payer: Nomi Health Commercial |
$22.43
|
| Rate for Payer: Nomi Health Commercial |
$27.28
|
| Rate for Payer: Nomi Health Commercial |
$19.02
|
| Rate for Payer: Nomi Health Commercial |
$13.71
|
| Rate for Payer: Nomi Health Commercial |
$13.27
|
| Rate for Payer: Nomi Health Commercial |
$21.45
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.52
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.78
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.71
|
|
|
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$33.27
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8443
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$13.31 |
| Max. Negotiated Rate |
$33.27 |
| Rate for Payer: Aetna Commercial |
$29.94
|
| Rate for Payer: Aetna Commercial |
$14.56
|
| Rate for Payer: Aetna Commercial |
$15.05
|
| Rate for Payer: Aetna Commercial |
$23.54
|
| Rate for Payer: Aetna Commercial |
$20.88
|
| Rate for Payer: Aetna Commercial |
$10.93
|
| Rate for Payer: Aetna Commercial |
$24.61
|
| Rate for Payer: Aetna Medicare |
$16.64
|
| Rate for Payer: Aetna Medicare |
$8.09
|
| Rate for Payer: Aetna Medicare |
$13.68
|
| Rate for Payer: Aetna Medicare |
$6.07
|
| Rate for Payer: Aetna Medicare |
$13.08
|
| Rate for Payer: Aetna Medicare |
$8.36
|
| Rate for Payer: Aetna Medicare |
$11.60
|
| Rate for Payer: ASR ASR |
$16.22
|
| Rate for Payer: ASR ASR |
$26.53
|
| Rate for Payer: ASR ASR |
$32.27
|
| Rate for Payer: ASR ASR |
$25.38
|
| Rate for Payer: ASR ASR |
$15.69
|
| Rate for Payer: ASR ASR |
$22.50
|
| Rate for Payer: ASR ASR |
$11.78
|
| Rate for Payer: ASR Commercial |
$16.22
|
| Rate for Payer: ASR Commercial |
$11.78
|
| Rate for Payer: ASR Commercial |
$25.38
|
| Rate for Payer: ASR Commercial |
$32.27
|
| Rate for Payer: ASR Commercial |
$26.53
|
| Rate for Payer: ASR Commercial |
$15.69
|
| Rate for Payer: ASR Commercial |
$22.50
|
| Rate for Payer: BCBS Complete |
$9.28
|
| Rate for Payer: BCBS Complete |
$4.86
|
| Rate for Payer: BCBS Complete |
$10.46
|
| Rate for Payer: BCBS Complete |
$6.69
|
| Rate for Payer: BCBS Complete |
$6.47
|
| Rate for Payer: BCBS Complete |
$13.31
|
| Rate for Payer: BCBS Complete |
$10.94
|
| Rate for Payer: BCBS Trust/PPO |
$22.40
|
| Rate for Payer: BCBS Trust/PPO |
$19.00
|
| Rate for Payer: BCBS Trust/PPO |
$9.94
|
| Rate for Payer: BCBS Trust/PPO |
$13.25
|
| Rate for Payer: BCBS Trust/PPO |
$13.69
|
| Rate for Payer: BCBS Trust/PPO |
$21.42
|
| Rate for Payer: BCBS Trust/PPO |
$27.24
|
| Rate for Payer: BCN Commercial |
$21.20
|
| Rate for Payer: BCN Commercial |
$20.28
|
| Rate for Payer: BCN Commercial |
$25.79
|
| Rate for Payer: BCN Commercial |
$17.99
|
| Rate for Payer: BCN Commercial |
$12.54
|
| Rate for Payer: BCN Commercial |
$9.41
|
| Rate for Payer: BCN Commercial |
$12.96
|
| Rate for Payer: Cash Price |
$9.71
|
| Rate for Payer: Cash Price |
$18.56
|
| Rate for Payer: Cash Price |
$21.88
|
| Rate for Payer: Cash Price |
$20.93
|
| Rate for Payer: Cash Price |
$12.94
|
| Rate for Payer: Cash Price |
$13.38
|
| Rate for Payer: Cash Price |
$26.62
|
| Rate for Payer: Cofinity Commercial |
$31.27
|
| Rate for Payer: Cofinity Commercial |
$24.59
|
| Rate for Payer: Cofinity Commercial |
$25.71
|
| Rate for Payer: Cofinity Commercial |
$11.41
|
| Rate for Payer: Cofinity Commercial |
$15.21
|
| Rate for Payer: Cofinity Commercial |
$21.81
|
| Rate for Payer: Cofinity Commercial |
$15.72
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$18.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$13.38
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.94
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$20.93
|
| Rate for Payer: Healthscope Commercial |
$12.14
|
| Rate for Payer: Healthscope Commercial |
$33.27
|
| Rate for Payer: Healthscope Commercial |
$27.35
|
| Rate for Payer: Healthscope Commercial |
$23.20
|
| Rate for Payer: Healthscope Commercial |
$16.18
|
| Rate for Payer: Healthscope Commercial |
$26.16
|
| Rate for Payer: Healthscope Commercial |
$16.72
|
| Rate for Payer: Healthscope Whirlpool |
$16.22
|
| Rate for Payer: Healthscope Whirlpool |
$11.78
|
| Rate for Payer: Healthscope Whirlpool |
$22.50
|
| Rate for Payer: Healthscope Whirlpool |
$25.38
|
| Rate for Payer: Healthscope Whirlpool |
$26.53
|
| Rate for Payer: Healthscope Whirlpool |
$32.27
|
| Rate for Payer: Healthscope Whirlpool |
$15.69
|
| Rate for Payer: Mclaren Commercial |
$15.05
|
| Rate for Payer: Mclaren Commercial |
$23.54
|
| Rate for Payer: Mclaren Commercial |
$24.61
|
| Rate for Payer: Mclaren Commercial |
$29.94
|
| Rate for Payer: Mclaren Commercial |
$20.88
|
| Rate for Payer: Mclaren Commercial |
$10.93
|
| Rate for Payer: Mclaren Commercial |
$14.56
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.25
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.28
|
| Rate for Payer: Nomi Health Commercial |
$13.71
|
| Rate for Payer: Nomi Health Commercial |
$22.43
|
| Rate for Payer: Nomi Health Commercial |
$21.45
|
| Rate for Payer: Nomi Health Commercial |
$27.28
|
| Rate for Payer: Nomi Health Commercial |
$13.27
|
| Rate for Payer: Nomi Health Commercial |
$9.95
|
| Rate for Payer: Nomi Health Commercial |
$19.02
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.00
|
| Rate for Payer: Priority Health Cigna Priority Health |
$7.89
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$10.52
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$29.15
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$23.96
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$20.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.65
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$22.92
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$10.64
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$14.18
|
| Rate for Payer: Priority Health Narrow Network |
$11.34
|
| Rate for Payer: Priority Health Narrow Network |
$16.26
|
| Rate for Payer: Priority Health Narrow Network |
$11.72
|
| Rate for Payer: Priority Health Narrow Network |
$8.51
|
| Rate for Payer: Priority Health Narrow Network |
$19.17
|
| Rate for Payer: Priority Health Narrow Network |
$18.34
|
| Rate for Payer: Priority Health Narrow Network |
$23.32
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.02
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$20.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$29.28
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.71
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.68
|
|
|
VANCOMYCIN 50 MG/ML ORAL SOLUTION
|
Facility
|
IP
|
$609.84
|
|
|
Service Code
|
NDC 65628020605
|
| Hospital Charge Code |
11630
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$396.40 |
| Max. Negotiated Rate |
$609.84 |
| Rate for Payer: Aetna Commercial |
$548.86
|
| Rate for Payer: ASR ASR |
$591.54
|
| Rate for Payer: ASR Commercial |
$591.54
|
| Rate for Payer: BCBS Trust/PPO |
$496.96
|
| Rate for Payer: BCN Commercial |
$472.81
|
| Rate for Payer: Cash Price |
$487.87
|
| Rate for Payer: Cofinity Commercial |
$573.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.87
|
| Rate for Payer: Healthscope Commercial |
$609.84
|
| Rate for Payer: Healthscope Whirlpool |
$591.54
|
| Rate for Payer: Mclaren Commercial |
$548.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$518.36
|
| Rate for Payer: Nomi Health Commercial |
$500.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$396.40
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$536.66
|
|
|
VANCOMYCIN 50 MG/ML ORAL SOLUTION
|
Facility
|
OP
|
$609.84
|
|
|
Service Code
|
NDC 65628020605
|
| Hospital Charge Code |
11630
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$243.94 |
| Max. Negotiated Rate |
$609.84 |
| Rate for Payer: Aetna Commercial |
$548.86
|
| Rate for Payer: Aetna Medicare |
$304.92
|
| Rate for Payer: ASR ASR |
$591.54
|
| Rate for Payer: ASR Commercial |
$591.54
|
| Rate for Payer: BCBS Complete |
$243.94
|
| Rate for Payer: BCBS Trust/PPO |
$499.40
|
| Rate for Payer: BCN Commercial |
$472.81
|
| Rate for Payer: Cash Price |
$487.87
|
| Rate for Payer: Cofinity Commercial |
$573.25
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$487.87
|
| Rate for Payer: Healthscope Commercial |
$609.84
|
| Rate for Payer: Healthscope Whirlpool |
$591.54
|
| Rate for Payer: Mclaren Commercial |
$548.86
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$518.36
|
| Rate for Payer: Nomi Health Commercial |
$500.07
|
| Rate for Payer: Priority Health Cigna Priority Health |
$396.40
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$534.34
|
| Rate for Payer: Priority Health Narrow Network |
$427.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$536.66
|
|
|
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$262.49
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8444
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$105.00 |
| Max. Negotiated Rate |
$262.49 |
| Rate for Payer: Aetna Commercial |
$236.24
|
| Rate for Payer: Aetna Commercial |
$65.20
|
| Rate for Payer: Aetna Commercial |
$73.58
|
| Rate for Payer: Aetna Commercial |
$264.22
|
| Rate for Payer: Aetna Commercial |
$61.24
|
| Rate for Payer: Aetna Medicare |
$146.79
|
| Rate for Payer: Aetna Medicare |
$34.02
|
| Rate for Payer: Aetna Medicare |
$131.25
|
| Rate for Payer: Aetna Medicare |
$40.88
|
| Rate for Payer: Aetna Medicare |
$36.23
|
| Rate for Payer: ASR ASR |
$79.30
|
| Rate for Payer: ASR ASR |
$66.00
|
| Rate for Payer: ASR ASR |
$254.62
|
| Rate for Payer: ASR ASR |
$70.28
|
| Rate for Payer: ASR ASR |
$284.77
|
| Rate for Payer: ASR Commercial |
$79.30
|
| Rate for Payer: ASR Commercial |
$284.77
|
| Rate for Payer: ASR Commercial |
$66.00
|
| Rate for Payer: ASR Commercial |
$70.28
|
| Rate for Payer: ASR Commercial |
$254.62
|
| Rate for Payer: BCBS Complete |
$32.70
|
| Rate for Payer: BCBS Complete |
$117.43
|
| Rate for Payer: BCBS Complete |
$27.22
|
| Rate for Payer: BCBS Complete |
$28.98
|
| Rate for Payer: BCBS Complete |
$105.00
|
| Rate for Payer: BCBS Trust/PPO |
$59.33
|
| Rate for Payer: BCBS Trust/PPO |
$214.95
|
| Rate for Payer: BCBS Trust/PPO |
$240.41
|
| Rate for Payer: BCBS Trust/PPO |
$55.72
|
| Rate for Payer: BCBS Trust/PPO |
$66.95
|
| Rate for Payer: BCN Commercial |
$63.38
|
| Rate for Payer: BCN Commercial |
$56.17
|
| Rate for Payer: BCN Commercial |
$227.61
|
| Rate for Payer: BCN Commercial |
$203.51
|
| Rate for Payer: BCN Commercial |
$52.75
|
| Rate for Payer: Cash Price |
$65.40
|
| Rate for Payer: Cash Price |
$234.87
|
| Rate for Payer: Cash Price |
$57.96
|
| Rate for Payer: Cash Price |
$54.43
|
| Rate for Payer: Cash Price |
$209.99
|
| Rate for Payer: Cofinity Commercial |
$76.84
|
| Rate for Payer: Cofinity Commercial |
$68.10
|
| Rate for Payer: Cofinity Commercial |
$63.96
|
| Rate for Payer: Cofinity Commercial |
$275.97
|
| Rate for Payer: Cofinity Commercial |
$246.74
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.96
|
| Rate for Payer: Healthscope Commercial |
$68.04
|
| Rate for Payer: Healthscope Commercial |
$72.45
|
| Rate for Payer: Healthscope Commercial |
$81.75
|
| Rate for Payer: Healthscope Commercial |
$262.49
|
| Rate for Payer: Healthscope Commercial |
$293.58
|
| Rate for Payer: Healthscope Whirlpool |
$70.28
|
| Rate for Payer: Healthscope Whirlpool |
$66.00
|
| Rate for Payer: Healthscope Whirlpool |
$284.77
|
| Rate for Payer: Healthscope Whirlpool |
$254.62
|
| Rate for Payer: Healthscope Whirlpool |
$79.30
|
| Rate for Payer: Mclaren Commercial |
$73.58
|
| Rate for Payer: Mclaren Commercial |
$61.24
|
| Rate for Payer: Mclaren Commercial |
$264.22
|
| Rate for Payer: Mclaren Commercial |
$65.20
|
| Rate for Payer: Mclaren Commercial |
$236.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$249.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.83
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.49
|
| Rate for Payer: Nomi Health Commercial |
$59.41
|
| Rate for Payer: Nomi Health Commercial |
$55.79
|
| Rate for Payer: Nomi Health Commercial |
$215.24
|
| Rate for Payer: Nomi Health Commercial |
$240.74
|
| Rate for Payer: Nomi Health Commercial |
$67.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.09
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$190.83
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$257.23
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$229.99
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$59.62
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$63.48
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$71.63
|
| Rate for Payer: Priority Health Narrow Network |
$57.31
|
| Rate for Payer: Priority Health Narrow Network |
$50.79
|
| Rate for Payer: Priority Health Narrow Network |
$205.80
|
| Rate for Payer: Priority Health Narrow Network |
$184.01
|
| Rate for Payer: Priority Health Narrow Network |
$47.70
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$71.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$258.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.76
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$230.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.88
|
|
|
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$293.58
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8444
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$190.83 |
| Max. Negotiated Rate |
$293.58 |
| Rate for Payer: Aetna Commercial |
$264.22
|
| Rate for Payer: Aetna Commercial |
$65.20
|
| Rate for Payer: Aetna Commercial |
$73.58
|
| Rate for Payer: Aetna Commercial |
$61.24
|
| Rate for Payer: Aetna Commercial |
$236.24
|
| Rate for Payer: ASR ASR |
$79.30
|
| Rate for Payer: ASR ASR |
$70.28
|
| Rate for Payer: ASR ASR |
$66.00
|
| Rate for Payer: ASR ASR |
$284.77
|
| Rate for Payer: ASR ASR |
$254.62
|
| Rate for Payer: ASR Commercial |
$66.00
|
| Rate for Payer: ASR Commercial |
$79.30
|
| Rate for Payer: ASR Commercial |
$70.28
|
| Rate for Payer: ASR Commercial |
$284.77
|
| Rate for Payer: ASR Commercial |
$254.62
|
| Rate for Payer: BCBS Trust/PPO |
$66.62
|
| Rate for Payer: BCBS Trust/PPO |
$213.90
|
| Rate for Payer: BCBS Trust/PPO |
$239.24
|
| Rate for Payer: BCBS Trust/PPO |
$59.04
|
| Rate for Payer: BCBS Trust/PPO |
$55.45
|
| Rate for Payer: BCN Commercial |
$227.61
|
| Rate for Payer: BCN Commercial |
$63.38
|
| Rate for Payer: BCN Commercial |
$203.51
|
| Rate for Payer: BCN Commercial |
$52.75
|
| Rate for Payer: BCN Commercial |
$56.17
|
| Rate for Payer: Cash Price |
$234.87
|
| Rate for Payer: Cash Price |
$54.43
|
| Rate for Payer: Cash Price |
$57.96
|
| Rate for Payer: Cash Price |
$65.40
|
| Rate for Payer: Cash Price |
$209.99
|
| Rate for Payer: Cofinity Commercial |
$275.97
|
| Rate for Payer: Cofinity Commercial |
$63.96
|
| Rate for Payer: Cofinity Commercial |
$246.74
|
| Rate for Payer: Cofinity Commercial |
$68.10
|
| Rate for Payer: Cofinity Commercial |
$76.84
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.43
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.86
|
| Rate for Payer: Healthscope Commercial |
$68.04
|
| Rate for Payer: Healthscope Commercial |
$72.45
|
| Rate for Payer: Healthscope Commercial |
$293.58
|
| Rate for Payer: Healthscope Commercial |
$262.49
|
| Rate for Payer: Healthscope Commercial |
$81.75
|
| Rate for Payer: Healthscope Whirlpool |
$79.30
|
| Rate for Payer: Healthscope Whirlpool |
$254.62
|
| Rate for Payer: Healthscope Whirlpool |
$66.00
|
| Rate for Payer: Healthscope Whirlpool |
$284.77
|
| Rate for Payer: Healthscope Whirlpool |
$70.28
|
| Rate for Payer: Mclaren Commercial |
$264.22
|
| Rate for Payer: Mclaren Commercial |
$61.24
|
| Rate for Payer: Mclaren Commercial |
$236.24
|
| Rate for Payer: Mclaren Commercial |
$65.20
|
| Rate for Payer: Mclaren Commercial |
$73.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.58
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$249.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$223.12
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.83
|
| Rate for Payer: Nomi Health Commercial |
$55.79
|
| Rate for Payer: Nomi Health Commercial |
$215.24
|
| Rate for Payer: Nomi Health Commercial |
$240.74
|
| Rate for Payer: Nomi Health Commercial |
$67.03
|
| Rate for Payer: Nomi Health Commercial |
$59.41
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.14
|
| Rate for Payer: Priority Health Cigna Priority Health |
$170.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$44.23
|
| Rate for Payer: Priority Health Cigna Priority Health |
$190.83
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$230.99
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.88
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$258.35
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$71.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.76
|
|
|
VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK
|
Facility
|
IP
|
$42.05
|
|
|
Service Code
|
HCPCS J3372
|
| Hospital Charge Code |
194728
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$27.33 |
| Max. Negotiated Rate |
$42.05 |
| Rate for Payer: Aetna Commercial |
$37.84
|
| Rate for Payer: ASR ASR |
$40.79
|
| Rate for Payer: ASR Commercial |
$40.79
|
| Rate for Payer: BCBS Trust/PPO |
$34.27
|
| Rate for Payer: BCN Commercial |
$32.60
|
| Rate for Payer: Cash Price |
$33.64
|
| Rate for Payer: Cofinity Commercial |
$39.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.64
|
| Rate for Payer: Healthscope Commercial |
$42.05
|
| Rate for Payer: Healthscope Whirlpool |
$40.79
|
| Rate for Payer: Mclaren Commercial |
$37.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.74
|
| Rate for Payer: Nomi Health Commercial |
$34.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.33
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.00
|
|
|
VANCOMYCIN 750 MG/150 ML IN DILUENT COMBINATION IV PIGGYBACK
|
Facility
|
OP
|
$42.05
|
|
|
Service Code
|
HCPCS J3372
|
| Hospital Charge Code |
194728
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.82 |
| Max. Negotiated Rate |
$42.05 |
| Rate for Payer: Aetna Commercial |
$37.84
|
| Rate for Payer: Aetna Medicare |
$21.02
|
| Rate for Payer: ASR ASR |
$40.79
|
| Rate for Payer: ASR Commercial |
$40.79
|
| Rate for Payer: BCBS Complete |
$16.82
|
| Rate for Payer: BCBS Trust/PPO |
$34.43
|
| Rate for Payer: BCN Commercial |
$32.60
|
| Rate for Payer: Cash Price |
$33.64
|
| Rate for Payer: Cofinity Commercial |
$39.53
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$33.64
|
| Rate for Payer: Healthscope Commercial |
$42.05
|
| Rate for Payer: Healthscope Whirlpool |
$40.79
|
| Rate for Payer: Mclaren Commercial |
$37.84
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$35.74
|
| Rate for Payer: Nomi Health Commercial |
$34.48
|
| Rate for Payer: Priority Health Cigna Priority Health |
$27.33
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$36.84
|
| Rate for Payer: Priority Health Narrow Network |
$29.48
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.00
|
|
|
VANCOMYCIN 750 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$40.10
|
|
|
Service Code
|
HCPCS J3371
|
| Hospital Charge Code |
97371
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$16.04 |
| Max. Negotiated Rate |
$40.10 |
| Rate for Payer: Aetna Commercial |
$36.09
|
| Rate for Payer: Aetna Medicare |
$20.05
|
| Rate for Payer: ASR ASR |
$38.90
|
| Rate for Payer: ASR Commercial |
$38.90
|
| Rate for Payer: BCBS Complete |
$16.04
|
| Rate for Payer: BCBS Trust/PPO |
$32.84
|
| Rate for Payer: BCN Commercial |
$31.09
|
| Rate for Payer: Cash Price |
$32.08
|
| Rate for Payer: Cofinity Commercial |
$37.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.08
|
| Rate for Payer: Healthscope Commercial |
$40.10
|
| Rate for Payer: Healthscope Whirlpool |
$38.90
|
| Rate for Payer: Mclaren Commercial |
$36.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.09
|
| Rate for Payer: Nomi Health Commercial |
$32.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.07
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$35.14
|
| Rate for Payer: Priority Health Narrow Network |
$28.11
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.29
|
|
|
VANCOMYCIN 750 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$30.91
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
97371
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$20.09 |
| Max. Negotiated Rate |
$30.91 |
| Rate for Payer: Aetna Commercial |
$27.82
|
| Rate for Payer: ASR ASR |
$29.98
|
| Rate for Payer: ASR Commercial |
$29.98
|
| Rate for Payer: BCBS Trust/PPO |
$25.19
|
| Rate for Payer: BCN Commercial |
$23.96
|
| Rate for Payer: Cash Price |
$24.73
|
| Rate for Payer: Cofinity Commercial |
$29.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.73
|
| Rate for Payer: Healthscope Commercial |
$30.91
|
| Rate for Payer: Healthscope Whirlpool |
$29.98
|
| Rate for Payer: Mclaren Commercial |
$27.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.27
|
| Rate for Payer: Nomi Health Commercial |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.20
|
|
|
VANCOMYCIN 750 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$40.10
|
|
|
Service Code
|
HCPCS J3371
|
| Hospital Charge Code |
97371
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$26.07 |
| Max. Negotiated Rate |
$40.10 |
| Rate for Payer: Aetna Commercial |
$36.09
|
| Rate for Payer: ASR ASR |
$38.90
|
| Rate for Payer: ASR Commercial |
$38.90
|
| Rate for Payer: BCBS Trust/PPO |
$32.68
|
| Rate for Payer: BCN Commercial |
$31.09
|
| Rate for Payer: Cash Price |
$32.08
|
| Rate for Payer: Cofinity Commercial |
$37.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$32.08
|
| Rate for Payer: Healthscope Commercial |
$40.10
|
| Rate for Payer: Healthscope Whirlpool |
$38.90
|
| Rate for Payer: Mclaren Commercial |
$36.09
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$34.09
|
| Rate for Payer: Nomi Health Commercial |
$32.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.29
|
|
|
VANCOMYCIN 750 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$30.91
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
97371
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$12.36 |
| Max. Negotiated Rate |
$30.91 |
| Rate for Payer: Aetna Commercial |
$27.82
|
| Rate for Payer: Aetna Medicare |
$15.46
|
| Rate for Payer: ASR ASR |
$29.98
|
| Rate for Payer: ASR Commercial |
$29.98
|
| Rate for Payer: BCBS Complete |
$12.36
|
| Rate for Payer: BCBS Trust/PPO |
$25.31
|
| Rate for Payer: BCN Commercial |
$23.96
|
| Rate for Payer: Cash Price |
$24.73
|
| Rate for Payer: Cofinity Commercial |
$29.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$24.73
|
| Rate for Payer: Healthscope Commercial |
$30.91
|
| Rate for Payer: Healthscope Whirlpool |
$29.98
|
| Rate for Payer: Mclaren Commercial |
$27.82
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$26.27
|
| Rate for Payer: Nomi Health Commercial |
$25.35
|
| Rate for Payer: Priority Health Cigna Priority Health |
$20.09
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$27.08
|
| Rate for Payer: Priority Health Narrow Network |
$21.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.20
|
|
|
VASOPRESSIN 20 UNIT/ML INJECTION (CODE)
|
Facility
|
OP
|
$93.28
|
|
|
Service Code
|
HCPCS J2598
|
| Hospital Charge Code |
163709
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$37.31 |
| Max. Negotiated Rate |
$93.28 |
| Rate for Payer: Aetna Commercial |
$83.95
|
| Rate for Payer: Aetna Commercial |
$83.96
|
| Rate for Payer: Aetna Medicare |
$46.64
|
| Rate for Payer: Aetna Medicare |
$46.65
|
| Rate for Payer: ASR ASR |
$90.48
|
| Rate for Payer: ASR ASR |
$90.49
|
| Rate for Payer: ASR Commercial |
$90.49
|
| Rate for Payer: ASR Commercial |
$90.48
|
| Rate for Payer: BCBS Complete |
$37.31
|
| Rate for Payer: BCBS Complete |
$37.32
|
| Rate for Payer: BCBS Trust/PPO |
$76.39
|
| Rate for Payer: BCBS Trust/PPO |
$76.40
|
| Rate for Payer: BCN Commercial |
$72.33
|
| Rate for Payer: BCN Commercial |
$72.32
|
| Rate for Payer: Cash Price |
$74.62
|
| Rate for Payer: Cash Price |
$74.63
|
| Rate for Payer: Cofinity Commercial |
$87.68
|
| Rate for Payer: Cofinity Commercial |
$87.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.63
|
| Rate for Payer: Healthscope Commercial |
$93.28
|
| Rate for Payer: Healthscope Commercial |
$93.29
|
| Rate for Payer: Healthscope Whirlpool |
$90.48
|
| Rate for Payer: Healthscope Whirlpool |
$90.49
|
| Rate for Payer: Mclaren Commercial |
$83.95
|
| Rate for Payer: Mclaren Commercial |
$83.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.29
|
| Rate for Payer: Nomi Health Commercial |
$76.49
|
| Rate for Payer: Nomi Health Commercial |
$76.50
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.74
|
| Rate for Payer: Priority Health Narrow Network |
$65.40
|
| Rate for Payer: Priority Health Narrow Network |
$65.39
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.09
|
|
|
VASOPRESSIN 20 UNIT/ML INJECTION (CODE)
|
Facility
|
IP
|
$93.29
|
|
|
Service Code
|
HCPCS J2598
|
| Hospital Charge Code |
163709
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$60.64 |
| Max. Negotiated Rate |
$93.29 |
| Rate for Payer: Aetna Commercial |
$83.96
|
| Rate for Payer: Aetna Commercial |
$83.95
|
| Rate for Payer: ASR ASR |
$90.48
|
| Rate for Payer: ASR ASR |
$90.49
|
| Rate for Payer: ASR Commercial |
$90.48
|
| Rate for Payer: ASR Commercial |
$90.49
|
| Rate for Payer: BCBS Trust/PPO |
$76.01
|
| Rate for Payer: BCBS Trust/PPO |
$76.02
|
| Rate for Payer: BCN Commercial |
$72.33
|
| Rate for Payer: BCN Commercial |
$72.32
|
| Rate for Payer: Cash Price |
$74.63
|
| Rate for Payer: Cash Price |
$74.62
|
| Rate for Payer: Cofinity Commercial |
$87.68
|
| Rate for Payer: Cofinity Commercial |
$87.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.63
|
| Rate for Payer: Healthscope Commercial |
$93.28
|
| Rate for Payer: Healthscope Commercial |
$93.29
|
| Rate for Payer: Healthscope Whirlpool |
$90.49
|
| Rate for Payer: Healthscope Whirlpool |
$90.48
|
| Rate for Payer: Mclaren Commercial |
$83.95
|
| Rate for Payer: Mclaren Commercial |
$83.96
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.29
|
| Rate for Payer: Nomi Health Commercial |
$76.50
|
| Rate for Payer: Nomi Health Commercial |
$76.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.64
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.10
|
|
|
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$93.28
|
|
|
Service Code
|
HCPCS J2598
|
| Hospital Charge Code |
173104
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$37.31 |
| Max. Negotiated Rate |
$93.28 |
| Rate for Payer: Aetna Commercial |
$83.95
|
| Rate for Payer: Aetna Commercial |
$87.90
|
| Rate for Payer: Aetna Commercial |
$108.15
|
| Rate for Payer: Aetna Commercial |
$83.96
|
| Rate for Payer: Aetna Medicare |
$48.84
|
| Rate for Payer: Aetna Medicare |
$46.64
|
| Rate for Payer: Aetna Medicare |
$46.65
|
| Rate for Payer: Aetna Medicare |
$60.09
|
| Rate for Payer: ASR ASR |
$90.49
|
| Rate for Payer: ASR ASR |
$116.56
|
| Rate for Payer: ASR ASR |
$94.74
|
| Rate for Payer: ASR ASR |
$90.48
|
| Rate for Payer: ASR Commercial |
$90.48
|
| Rate for Payer: ASR Commercial |
$90.49
|
| Rate for Payer: ASR Commercial |
$94.74
|
| Rate for Payer: ASR Commercial |
$116.56
|
| Rate for Payer: BCBS Complete |
$48.07
|
| Rate for Payer: BCBS Complete |
$39.07
|
| Rate for Payer: BCBS Complete |
$37.32
|
| Rate for Payer: BCBS Complete |
$37.31
|
| Rate for Payer: BCBS Trust/PPO |
$76.39
|
| Rate for Payer: BCBS Trust/PPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$98.41
|
| Rate for Payer: BCBS Trust/PPO |
$76.40
|
| Rate for Payer: BCN Commercial |
$75.72
|
| Rate for Payer: BCN Commercial |
$72.32
|
| Rate for Payer: BCN Commercial |
$93.17
|
| Rate for Payer: BCN Commercial |
$72.33
|
| Rate for Payer: Cash Price |
$74.62
|
| Rate for Payer: Cash Price |
$96.13
|
| Rate for Payer: Cash Price |
$74.63
|
| Rate for Payer: Cash Price |
$78.14
|
| Rate for Payer: Cofinity Commercial |
$112.96
|
| Rate for Payer: Cofinity Commercial |
$87.68
|
| Rate for Payer: Cofinity Commercial |
$87.69
|
| Rate for Payer: Cofinity Commercial |
$91.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.62
|
| Rate for Payer: Healthscope Commercial |
$93.29
|
| Rate for Payer: Healthscope Commercial |
$120.17
|
| Rate for Payer: Healthscope Commercial |
$93.28
|
| Rate for Payer: Healthscope Commercial |
$97.67
|
| Rate for Payer: Healthscope Whirlpool |
$94.74
|
| Rate for Payer: Healthscope Whirlpool |
$90.49
|
| Rate for Payer: Healthscope Whirlpool |
$90.48
|
| Rate for Payer: Healthscope Whirlpool |
$116.56
|
| Rate for Payer: Mclaren Commercial |
$108.15
|
| Rate for Payer: Mclaren Commercial |
$83.95
|
| Rate for Payer: Mclaren Commercial |
$83.96
|
| Rate for Payer: Mclaren Commercial |
$87.90
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.30
|
| Rate for Payer: Nomi Health Commercial |
$76.50
|
| Rate for Payer: Nomi Health Commercial |
$76.49
|
| Rate for Payer: Nomi Health Commercial |
$80.09
|
| Rate for Payer: Nomi Health Commercial |
$98.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.11
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.74
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$85.58
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$81.73
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$105.29
|
| Rate for Payer: Priority Health Narrow Network |
$65.40
|
| Rate for Payer: Priority Health Narrow Network |
$65.39
|
| Rate for Payer: Priority Health Narrow Network |
$68.47
|
| Rate for Payer: Priority Health Narrow Network |
$84.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$105.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.10
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$85.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.09
|
|
|
VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$120.17
|
|
|
Service Code
|
HCPCS J2598
|
| Hospital Charge Code |
173104
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$78.11 |
| Max. Negotiated Rate |
$120.17 |
| Rate for Payer: Aetna Commercial |
$108.15
|
| Rate for Payer: Aetna Commercial |
$87.90
|
| Rate for Payer: Aetna Commercial |
$83.95
|
| Rate for Payer: Aetna Commercial |
$83.96
|
| Rate for Payer: ASR ASR |
$90.49
|
| Rate for Payer: ASR ASR |
$90.48
|
| Rate for Payer: ASR ASR |
$116.56
|
| Rate for Payer: ASR ASR |
$94.74
|
| Rate for Payer: ASR Commercial |
$90.49
|
| Rate for Payer: ASR Commercial |
$90.48
|
| Rate for Payer: ASR Commercial |
$116.56
|
| Rate for Payer: ASR Commercial |
$94.74
|
| Rate for Payer: BCBS Trust/PPO |
$97.93
|
| Rate for Payer: BCBS Trust/PPO |
$79.59
|
| Rate for Payer: BCBS Trust/PPO |
$76.01
|
| Rate for Payer: BCBS Trust/PPO |
$76.02
|
| Rate for Payer: BCN Commercial |
$75.72
|
| Rate for Payer: BCN Commercial |
$93.17
|
| Rate for Payer: BCN Commercial |
$72.32
|
| Rate for Payer: BCN Commercial |
$72.33
|
| Rate for Payer: Cash Price |
$74.63
|
| Rate for Payer: Cash Price |
$96.13
|
| Rate for Payer: Cash Price |
$74.62
|
| Rate for Payer: Cash Price |
$78.14
|
| Rate for Payer: Cofinity Commercial |
$91.81
|
| Rate for Payer: Cofinity Commercial |
$112.96
|
| Rate for Payer: Cofinity Commercial |
$87.68
|
| Rate for Payer: Cofinity Commercial |
$87.69
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.62
|
| Rate for Payer: Healthscope Commercial |
$120.17
|
| Rate for Payer: Healthscope Commercial |
$93.28
|
| Rate for Payer: Healthscope Commercial |
$93.29
|
| Rate for Payer: Healthscope Commercial |
$97.67
|
| Rate for Payer: Healthscope Whirlpool |
$90.49
|
| Rate for Payer: Healthscope Whirlpool |
$116.56
|
| Rate for Payer: Healthscope Whirlpool |
$94.74
|
| Rate for Payer: Healthscope Whirlpool |
$90.48
|
| Rate for Payer: Mclaren Commercial |
$108.15
|
| Rate for Payer: Mclaren Commercial |
$83.96
|
| Rate for Payer: Mclaren Commercial |
$87.90
|
| Rate for Payer: Mclaren Commercial |
$83.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.02
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.30
|
| Rate for Payer: Nomi Health Commercial |
$76.50
|
| Rate for Payer: Nomi Health Commercial |
$76.49
|
| Rate for Payer: Nomi Health Commercial |
$80.09
|
| Rate for Payer: Nomi Health Commercial |
$98.54
|
| Rate for Payer: Priority Health Cigna Priority Health |
$78.11
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$63.49
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$105.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$85.95
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.10
|
|
|
VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV
|
Facility
|
IP
|
$384.66
|
|
|
Service Code
|
HCPCS J2601
|
| Hospital Charge Code |
184045
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$250.03 |
| Max. Negotiated Rate |
$384.66 |
| Rate for Payer: Aetna Commercial |
$346.19
|
| Rate for Payer: Aetna Commercial |
$450.52
|
| Rate for Payer: ASR ASR |
$485.56
|
| Rate for Payer: ASR ASR |
$373.12
|
| Rate for Payer: ASR Commercial |
$485.56
|
| Rate for Payer: ASR Commercial |
$373.12
|
| Rate for Payer: BCBS Trust/PPO |
$407.92
|
| Rate for Payer: BCBS Trust/PPO |
$313.46
|
| Rate for Payer: BCN Commercial |
$388.10
|
| Rate for Payer: BCN Commercial |
$298.23
|
| Rate for Payer: Cash Price |
$307.72
|
| Rate for Payer: Cash Price |
$400.46
|
| Rate for Payer: Cofinity Commercial |
$470.55
|
| Rate for Payer: Cofinity Commercial |
$361.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$307.73
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.46
|
| Rate for Payer: Healthscope Commercial |
$384.66
|
| Rate for Payer: Healthscope Commercial |
$500.58
|
| Rate for Payer: Healthscope Whirlpool |
$485.56
|
| Rate for Payer: Healthscope Whirlpool |
$373.12
|
| Rate for Payer: Mclaren Commercial |
$346.19
|
| Rate for Payer: Mclaren Commercial |
$450.52
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$425.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$326.96
|
| Rate for Payer: Nomi Health Commercial |
$410.48
|
| Rate for Payer: Nomi Health Commercial |
$315.42
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$325.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$338.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$440.51
|
|
|
VASOPRESSIN 40 UNIT/100 ML (0.4 UNIT/ML) IN 0.9 % SODIUM CHLORIDE IV
|
Facility
|
OP
|
$500.58
|
|
|
Service Code
|
HCPCS J2601
|
| Hospital Charge Code |
184045
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.08 |
| Max. Negotiated Rate |
$500.58 |
| Rate for Payer: Aetna Commercial |
$450.52
|
| Rate for Payer: Aetna Commercial |
$346.19
|
| Rate for Payer: Aetna Medicare |
$2.01
|
| Rate for Payer: Aetna Medicare |
$2.01
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.51
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$2.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.51
|
| Rate for Payer: Amish Plain Church Group Commercial |
$2.51
|
| Rate for Payer: ASR ASR |
$485.56
|
| Rate for Payer: ASR ASR |
$373.12
|
| Rate for Payer: ASR Commercial |
$373.12
|
| Rate for Payer: ASR Commercial |
$485.56
|
| Rate for Payer: BCBS Complete |
$1.13
|
| Rate for Payer: BCBS Complete |
$1.13
|
| Rate for Payer: BCBS MAPPO |
$2.01
|
| Rate for Payer: BCBS MAPPO |
$2.01
|
| Rate for Payer: BCBS Trust/PPO |
$315.00
|
| Rate for Payer: BCBS Trust/PPO |
$409.92
|
| Rate for Payer: BCN Commercial |
$298.23
|
| Rate for Payer: BCN Commercial |
$388.10
|
| Rate for Payer: BCN Medicare Advantage |
$2.01
|
| Rate for Payer: BCN Medicare Advantage |
$2.01
|
| Rate for Payer: Cash Price |
$400.46
|
| Rate for Payer: Cash Price |
$400.46
|
| Rate for Payer: Cash Price |
$307.72
|
| Rate for Payer: Cash Price |
$307.72
|
| Rate for Payer: Cofinity Commercial |
$470.55
|
| Rate for Payer: Cofinity Commercial |
$361.58
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$400.46
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$307.73
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.01
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$2.01
|
| Rate for Payer: Healthscope Commercial |
$500.58
|
| Rate for Payer: Healthscope Commercial |
$384.66
|
| Rate for Payer: Healthscope Whirlpool |
$373.12
|
| Rate for Payer: Healthscope Whirlpool |
$485.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$2.01
|
| Rate for Payer: Humana Choice PPO Medicare |
$2.01
|
| Rate for Payer: Mclaren Commercial |
$346.19
|
| Rate for Payer: Mclaren Commercial |
$450.52
|
| Rate for Payer: Mclaren Medicaid |
$1.08
|
| Rate for Payer: Mclaren Medicaid |
$1.08
|
| Rate for Payer: Mclaren Medicare |
$2.01
|
| Rate for Payer: Mclaren Medicare |
$2.01
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.11
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$2.11
|
| Rate for Payer: Meridian Medicaid |
$1.13
|
| Rate for Payer: Meridian Medicaid |
$1.13
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.31
|
| Rate for Payer: MI Amish Medical Board Commercial |
$2.31
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$425.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$326.96
|
| Rate for Payer: Nomi Health Commercial |
$315.42
|
| Rate for Payer: Nomi Health Commercial |
$410.48
|
| Rate for Payer: PACE Medicare |
$1.91
|
| Rate for Payer: PACE Medicare |
$1.91
|
| Rate for Payer: PACE SWMI |
$2.01
|
| Rate for Payer: PACE SWMI |
$2.01
|
| Rate for Payer: PHP Commercial |
$2.21
|
| Rate for Payer: PHP Commercial |
$2.21
|
| Rate for Payer: PHP Medicaid |
$1.08
|
| Rate for Payer: PHP Medicaid |
$1.08
|
| Rate for Payer: PHP Medicare Advantage |
$2.01
|
| Rate for Payer: PHP Medicare Advantage |
$2.01
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.08
|
| Rate for Payer: Priority Health Cigna Priority Health |
$250.03
|
| Rate for Payer: Priority Health Cigna Priority Health |
$325.38
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$337.04
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$438.61
|
| Rate for Payer: Priority Health Medicare |
$2.01
|
| Rate for Payer: Priority Health Medicare |
$2.01
|
| Rate for Payer: Priority Health Narrow Network |
$350.91
|
| Rate for Payer: Priority Health Narrow Network |
$269.65
|
| Rate for Payer: Railroad Medicare Medicare |
$2.01
|
| Rate for Payer: Railroad Medicare Medicare |
$2.01
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$338.50
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$440.51
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.01
|
| Rate for Payer: UHC Dual Complete DSNP |
$2.01
|
| Rate for Payer: UHC Exchange |
$3.12
|
| Rate for Payer: UHC Exchange |
$3.12
|
| Rate for Payer: UHC Medicare Advantage |
$2.01
|
| Rate for Payer: UHC Medicare Advantage |
$2.01
|
| Rate for Payer: UHCCP DNSP |
$2.01
|
| Rate for Payer: UHCCP DNSP |
$2.01
|
| Rate for Payer: UHCCP Medicaid |
$1.08
|
| Rate for Payer: UHCCP Medicaid |
$1.08
|
| Rate for Payer: VA VA |
$2.01
|
| Rate for Payer: VA VA |
$2.01
|
|
