|
VANCOMYCIN 500 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$33.27
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8443
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.62 |
| Max. Negotiated Rate |
$33.27 |
| Rate for Payer: Aetna Commercial |
$29.94
|
| Rate for Payer: Aetna Commercial |
$15.05
|
| Rate for Payer: Aetna Commercial |
$14.56
|
| Rate for Payer: Aetna Commercial |
$20.88
|
| Rate for Payer: Aetna Commercial |
$24.62
|
| Rate for Payer: Aetna Commercial |
$10.93
|
| Rate for Payer: Aetna Commercial |
$23.54
|
| Rate for Payer: Aetna Medicare |
$8.36
|
| Rate for Payer: Aetna Medicare |
$13.68
|
| Rate for Payer: Aetna Medicare |
$13.08
|
| Rate for Payer: Aetna Medicare |
$16.64
|
| Rate for Payer: Aetna Medicare |
$11.60
|
| Rate for Payer: Aetna Medicare |
$8.09
|
| Rate for Payer: Aetna Medicare |
$6.07
|
| Rate for Payer: ASR ASR |
$26.53
|
| Rate for Payer: ASR ASR |
$22.50
|
| Rate for Payer: ASR ASR |
$16.22
|
| Rate for Payer: ASR ASR |
$11.78
|
| Rate for Payer: ASR ASR |
$15.69
|
| Rate for Payer: ASR ASR |
$32.27
|
| Rate for Payer: ASR ASR |
$25.38
|
| Rate for Payer: ASR Commercial |
$11.78
|
| Rate for Payer: ASR Commercial |
$22.50
|
| Rate for Payer: ASR Commercial |
$15.69
|
| Rate for Payer: ASR Commercial |
$16.22
|
| Rate for Payer: ASR Commercial |
$32.27
|
| Rate for Payer: ASR Commercial |
$26.53
|
| Rate for Payer: ASR Commercial |
$25.38
|
| Rate for Payer: BCBS Complete |
$6.69
|
| Rate for Payer: BCBS Complete |
$6.47
|
| Rate for Payer: BCBS Complete |
$4.86
|
| Rate for Payer: BCBS Complete |
$13.31
|
| Rate for Payer: BCBS Complete |
$10.94
|
| Rate for Payer: BCBS Complete |
$10.46
|
| Rate for Payer: BCBS Complete |
$9.28
|
| Rate for Payer: BCBS Trust/PPO |
$13.69
|
| Rate for Payer: BCBS Trust/PPO |
$9.94
|
| Rate for Payer: BCBS Trust/PPO |
$27.24
|
| Rate for Payer: BCBS Trust/PPO |
$13.25
|
| Rate for Payer: BCBS Trust/PPO |
$22.40
|
| Rate for Payer: BCBS Trust/PPO |
$19.00
|
| Rate for Payer: BCBS Trust/PPO |
$21.42
|
| Rate for Payer: BCN Commercial |
$25.79
|
| Rate for Payer: BCN Commercial |
$12.54
|
| Rate for Payer: BCN Commercial |
$20.28
|
| Rate for Payer: BCN Commercial |
$9.41
|
| Rate for Payer: BCN Commercial |
$12.96
|
| Rate for Payer: BCN Commercial |
$17.99
|
| Rate for Payer: BCN Commercial |
$21.20
|
| Rate for Payer: Cash Price |
$18.56
|
| Rate for Payer: Cash Price |
$13.38
|
| Rate for Payer: Cash Price |
$9.71
|
| Rate for Payer: Cash Price |
$12.94
|
| Rate for Payer: Cash Price |
$12.94
|
| Rate for Payer: Cash Price |
$9.71
|
| Rate for Payer: Cash Price |
$13.38
|
| Rate for Payer: Cash Price |
$18.56
|
| Rate for Payer: Cash Price |
$20.93
|
| Rate for Payer: Cash Price |
$20.93
|
| Rate for Payer: Cash Price |
$21.88
|
| Rate for Payer: Cash Price |
$21.88
|
| Rate for Payer: Cash Price |
$26.62
|
| Rate for Payer: Cash Price |
$26.62
|
| Rate for Payer: Cofinity Commercial |
$15.21
|
| Rate for Payer: Cofinity Commercial |
$31.27
|
| Rate for Payer: Cofinity Commercial |
$15.72
|
| Rate for Payer: Cofinity Commercial |
$25.71
|
| Rate for Payer: Cofinity Commercial |
$11.41
|
| Rate for Payer: Cofinity Commercial |
$21.81
|
| Rate for Payer: Cofinity Commercial |
$24.59
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$9.71
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$21.88
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$26.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$12.94
|
| 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 |
$23.20
|
| Rate for Payer: Healthscope Commercial |
$12.14
|
| Rate for Payer: Healthscope Commercial |
$16.18
|
| Rate for Payer: Healthscope Commercial |
$27.35
|
| Rate for Payer: Healthscope Commercial |
$26.16
|
| Rate for Payer: Healthscope Commercial |
$16.72
|
| Rate for Payer: Healthscope Commercial |
$33.27
|
| Rate for Payer: Healthscope Whirlpool |
$22.50
|
| Rate for Payer: Healthscope Whirlpool |
$16.22
|
| Rate for Payer: Healthscope Whirlpool |
$15.69
|
| 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 |
$11.78
|
| Rate for Payer: Mclaren Commercial |
$24.62
|
| Rate for Payer: Mclaren Commercial |
$20.88
|
| Rate for Payer: Mclaren Commercial |
$15.05
|
| Rate for Payer: Mclaren Commercial |
$29.94
|
| Rate for Payer: Mclaren Commercial |
$23.54
|
| Rate for Payer: Mclaren Commercial |
$14.56
|
| Rate for Payer: Mclaren Commercial |
$10.93
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$14.21
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$13.75
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$28.28
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$19.72
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$10.32
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$22.24
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$23.25
|
| Rate for Payer: Nomi Health Commercial |
$9.95
|
| 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: Nomi Health Commercial |
$27.28
|
| Rate for Payer: Nomi Health Commercial |
$22.43
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15.08
|
| 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 |
$10.87
|
| Rate for Payer: Priority Health Cigna Priority Health |
$21.63
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.78
|
| Rate for Payer: Priority Health Cigna Priority Health |
$17.00
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$10.68
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$23.02
|
| 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 |
$20.42
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$24.07
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$14.24
|
|
|
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
|
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 |
$67.04
|
| 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 5 GRAM INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$293.58
|
|
|
Service Code
|
HCPCS J3370
|
| Hospital Charge Code |
8444
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.62 |
| Max. Negotiated Rate |
$293.58 |
| Rate for Payer: Aetna Commercial |
$264.22
|
| Rate for Payer: Aetna Commercial |
$65.20
|
| Rate for Payer: Aetna Commercial |
$236.24
|
| Rate for Payer: Aetna Commercial |
$73.58
|
| Rate for Payer: Aetna Commercial |
$61.24
|
| Rate for Payer: Aetna Medicare |
$34.02
|
| Rate for Payer: Aetna Medicare |
$131.24
|
| Rate for Payer: Aetna Medicare |
$146.79
|
| Rate for Payer: Aetna Medicare |
$36.22
|
| Rate for Payer: Aetna Medicare |
$40.88
|
| 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 ASR |
$66.00
|
| Rate for Payer: ASR ASR |
$79.30
|
| Rate for Payer: ASR Commercial |
$254.62
|
| Rate for Payer: ASR Commercial |
$284.77
|
| Rate for Payer: ASR Commercial |
$79.30
|
| Rate for Payer: ASR Commercial |
$70.28
|
| Rate for Payer: ASR Commercial |
$66.00
|
| Rate for Payer: BCBS Complete |
$32.70
|
| Rate for Payer: BCBS Complete |
$105.00
|
| 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 Trust/PPO |
$59.33
|
| Rate for Payer: BCBS Trust/PPO |
$55.72
|
| Rate for Payer: BCBS Trust/PPO |
$214.95
|
| Rate for Payer: BCBS Trust/PPO |
$240.41
|
| Rate for Payer: BCBS Trust/PPO |
$66.95
|
| Rate for Payer: BCN Commercial |
$56.17
|
| Rate for Payer: BCN Commercial |
$203.51
|
| Rate for Payer: BCN Commercial |
$227.61
|
| Rate for Payer: BCN Commercial |
$52.75
|
| Rate for Payer: BCN Commercial |
$63.38
|
| 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 |
$209.99
|
| Rate for Payer: Cash Price |
$54.43
|
| Rate for Payer: Cash Price |
$54.43
|
| Rate for Payer: Cash Price |
$57.96
|
| Rate for Payer: Cash Price |
$209.99
|
| Rate for Payer: Cash Price |
$65.40
|
| Rate for Payer: Cash Price |
$234.87
|
| Rate for Payer: Cofinity Commercial |
$275.97
|
| Rate for Payer: Cofinity Commercial |
$68.10
|
| Rate for Payer: Cofinity Commercial |
$76.84
|
| Rate for Payer: Cofinity Commercial |
$246.74
|
| Rate for Payer: Cofinity Commercial |
$63.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$234.86
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$209.99
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$65.40
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.96
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$54.43
|
| Rate for Payer: Healthscope Commercial |
$72.45
|
| Rate for Payer: Healthscope Commercial |
$68.04
|
| Rate for Payer: Healthscope Commercial |
$293.58
|
| Rate for Payer: Healthscope Commercial |
$81.75
|
| Rate for Payer: Healthscope Commercial |
$262.49
|
| Rate for Payer: Healthscope Whirlpool |
$79.30
|
| Rate for Payer: Healthscope Whirlpool |
$284.77
|
| Rate for Payer: Healthscope Whirlpool |
$254.62
|
| Rate for Payer: Healthscope Whirlpool |
$70.28
|
| Rate for Payer: Healthscope Whirlpool |
$66.00
|
| Rate for Payer: Mclaren Commercial |
$65.20
|
| Rate for Payer: Mclaren Commercial |
$236.24
|
| Rate for Payer: Mclaren Commercial |
$264.22
|
| Rate for Payer: Mclaren Commercial |
$61.24
|
| Rate for Payer: Mclaren Commercial |
$73.58
|
| 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 |
$249.54
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$69.49
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$57.83
|
| Rate for Payer: Nomi Health Commercial |
$215.24
|
| Rate for Payer: Nomi Health Commercial |
$240.74
|
| Rate for Payer: Nomi Health Commercial |
$67.04
|
| Rate for Payer: Nomi Health Commercial |
$59.41
|
| Rate for Payer: Nomi Health Commercial |
$55.79
|
| Rate for Payer: Priority Health Cigna Priority Health |
$47.09
|
| 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 |
$170.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$53.14
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.02
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$230.99
|
| 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 |
$71.94
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$59.88
|
|
|
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 |
$5.43 |
| 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: 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 |
$6.79
|
| Rate for Payer: Priority Health Narrow Network |
$5.43
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$37.00
|
|
|
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 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 |
$26.06 |
| 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 |
$34.08
|
| Rate for Payer: Nomi Health Commercial |
$32.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.06
|
| 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 |
$1.62 |
| 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: 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 |
$2.02
|
| Rate for Payer: Priority Health Narrow Network |
$1.62
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$27.20
|
|
|
VANCOMYCIN 750 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$40.10
|
|
|
Service Code
|
HCPCS J3371
|
| Hospital Charge Code |
97371
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$5.24 |
| 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: 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 |
$34.08
|
| Rate for Payer: Nomi Health Commercial |
$32.88
|
| Rate for Payer: Priority Health Cigna Priority Health |
$26.06
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$6.55
|
| Rate for Payer: Priority Health Narrow Network |
$5.24
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$35.29
|
|
|
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 |
$90.49
|
| Rate for Payer: ASR ASR |
$90.48
|
| 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 |
$90.48
|
| 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 |
$79.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.30
|
| 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: UHC All Payor (Choice/PPO) + Core |
$82.09
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.10
|
|
|
VASOPRESSIN 20 UNIT/ML INJECTION (CODE)
|
Facility
|
OP
|
$93.29
|
|
|
Service Code
|
HCPCS J2598
|
| Hospital Charge Code |
163709
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.18 |
| Max. Negotiated Rate |
$93.29 |
| Rate for Payer: Aetna Commercial |
$83.96
|
| Rate for Payer: Aetna Commercial |
$83.95
|
| Rate for Payer: Aetna Medicare |
$46.64
|
| Rate for Payer: Aetna Medicare |
$46.64
|
| Rate for Payer: ASR ASR |
$90.49
|
| Rate for Payer: ASR ASR |
$90.48
|
| Rate for Payer: ASR Commercial |
$90.48
|
| Rate for Payer: ASR Commercial |
$90.49
|
| Rate for Payer: BCBS Complete |
$37.32
|
| Rate for Payer: BCBS Complete |
$37.31
|
| Rate for Payer: BCBS Trust/PPO |
$76.40
|
| Rate for Payer: BCBS Trust/PPO |
$76.39
|
| Rate for Payer: BCN Commercial |
$72.32
|
| Rate for Payer: BCN Commercial |
$72.33
|
| Rate for Payer: Cash Price |
$74.62
|
| Rate for Payer: Cash Price |
$74.62
|
| Rate for Payer: Cash Price |
$74.63
|
| 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 |
$74.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.62
|
| Rate for Payer: Healthscope Commercial |
$93.29
|
| Rate for Payer: Healthscope Commercial |
$93.28
|
| 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 |
$60.64
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1.47
|
| Rate for Payer: Priority Health Narrow Network |
$1.18
|
| Rate for Payer: Priority Health Narrow Network |
$1.18
|
| 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
|
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 20 UNIT/ML INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$97.67
|
|
|
Service Code
|
HCPCS J2598
|
| Hospital Charge Code |
173104
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$1.18 |
| Max. Negotiated Rate |
$97.67 |
| Rate for Payer: Aetna Commercial |
$87.90
|
| Rate for Payer: Aetna Commercial |
$83.96
|
| Rate for Payer: Aetna Commercial |
$108.15
|
| Rate for Payer: Aetna Commercial |
$83.95
|
| Rate for Payer: Aetna Medicare |
$46.64
|
| Rate for Payer: Aetna Medicare |
$60.08
|
| Rate for Payer: Aetna Medicare |
$46.64
|
| Rate for Payer: Aetna Medicare |
$48.84
|
| Rate for Payer: ASR ASR |
$116.56
|
| Rate for Payer: ASR ASR |
$90.48
|
| Rate for Payer: ASR ASR |
$90.49
|
| Rate for Payer: ASR ASR |
$94.74
|
| Rate for Payer: ASR Commercial |
$116.56
|
| Rate for Payer: ASR Commercial |
$90.49
|
| Rate for Payer: ASR Commercial |
$94.74
|
| Rate for Payer: ASR Commercial |
$90.48
|
| Rate for Payer: BCBS Complete |
$37.32
|
| Rate for Payer: BCBS Complete |
$39.07
|
| Rate for Payer: BCBS Complete |
$48.07
|
| Rate for Payer: BCBS Complete |
$37.31
|
| Rate for Payer: BCBS Trust/PPO |
$79.98
|
| Rate for Payer: BCBS Trust/PPO |
$76.39
|
| Rate for Payer: BCBS Trust/PPO |
$98.41
|
| Rate for Payer: BCBS Trust/PPO |
$76.40
|
| Rate for Payer: BCN Commercial |
$93.17
|
| Rate for Payer: BCN Commercial |
$75.72
|
| 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 |
$78.14
|
| Rate for Payer: Cash Price |
$96.13
|
| Rate for Payer: Cash Price |
$74.62
|
| 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 |
$87.68
|
| Rate for Payer: Cofinity Commercial |
$112.96
|
| Rate for Payer: Cofinity Commercial |
$87.69
|
| Rate for Payer: Cofinity Commercial |
$91.81
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$78.14
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$74.63
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$96.14
|
| Rate for Payer: Healthscope Commercial |
$97.67
|
| Rate for Payer: Healthscope Commercial |
$93.28
|
| Rate for Payer: Healthscope Commercial |
$120.17
|
| Rate for Payer: Healthscope Commercial |
$93.29
|
| Rate for Payer: Healthscope Whirlpool |
$90.48
|
| Rate for Payer: Healthscope Whirlpool |
$116.56
|
| Rate for Payer: Healthscope Whirlpool |
$90.49
|
| Rate for Payer: Healthscope Whirlpool |
$94.74
|
| Rate for Payer: Mclaren Commercial |
$83.96
|
| Rate for Payer: Mclaren Commercial |
$87.90
|
| Rate for Payer: Mclaren Commercial |
$108.15
|
| Rate for Payer: Mclaren Commercial |
$83.95
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.30
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$79.29
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$102.14
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$83.02
|
| Rate for Payer: Nomi Health Commercial |
$76.49
|
| Rate for Payer: Nomi Health Commercial |
$76.50
|
| 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 |
$63.49
|
| Rate for Payer: Priority Health Cigna Priority Health |
$60.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1.47
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$1.47
|
| Rate for Payer: Priority Health Narrow Network |
$1.18
|
| Rate for Payer: Priority Health Narrow Network |
$1.18
|
| Rate for Payer: Priority Health Narrow Network |
$1.18
|
| Rate for Payer: Priority Health Narrow Network |
$1.18
|
| 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 |
$105.75
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$82.09
|
|
|
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 |
$1.95 |
| Max. Negotiated Rate |
$500.58 |
| Rate for Payer: Aetna Commercial |
$450.52
|
| Rate for Payer: Aetna Commercial |
$346.19
|
| Rate for Payer: Aetna Medicare |
$3.63
|
| Rate for Payer: Aetna Medicare |
$3.63
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.54
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$4.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.54
|
| Rate for Payer: Amish Plain Church Group Commercial |
$4.54
|
| 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 |
$2.04
|
| Rate for Payer: BCBS Complete |
$2.04
|
| Rate for Payer: BCBS MAPPO |
$3.63
|
| Rate for Payer: BCBS MAPPO |
$3.63
|
| Rate for Payer: BCBS Trust/PPO |
$409.92
|
| Rate for Payer: BCBS Trust/PPO |
$315.00
|
| Rate for Payer: BCN Commercial |
$298.23
|
| Rate for Payer: BCN Commercial |
$388.10
|
| Rate for Payer: BCN Medicare Advantage |
$3.63
|
| Rate for Payer: BCN Medicare Advantage |
$3.63
|
| Rate for Payer: Cash Price |
$400.46
|
| Rate for Payer: Cash Price |
$307.72
|
| Rate for Payer: Cash Price |
$400.46
|
| Rate for Payer: Cash Price |
$307.72
|
| Rate for Payer: Cofinity Commercial |
$361.58
|
| Rate for Payer: Cofinity Commercial |
$470.55
|
| 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 |
$3.63
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$3.63
|
| Rate for Payer: Healthscope Commercial |
$384.66
|
| Rate for Payer: Healthscope Commercial |
$500.58
|
| Rate for Payer: Healthscope Whirlpool |
$373.12
|
| Rate for Payer: Healthscope Whirlpool |
$485.56
|
| Rate for Payer: Humana Choice PPO Medicare |
$3.63
|
| Rate for Payer: Humana Choice PPO Medicare |
$3.63
|
| Rate for Payer: Mclaren Commercial |
$346.19
|
| Rate for Payer: Mclaren Commercial |
$450.52
|
| Rate for Payer: Mclaren Medicaid |
$1.95
|
| Rate for Payer: Mclaren Medicaid |
$1.95
|
| Rate for Payer: Mclaren Medicare |
$3.63
|
| Rate for Payer: Mclaren Medicare |
$3.63
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.81
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$3.81
|
| Rate for Payer: Meridian Medicaid |
$2.04
|
| Rate for Payer: Meridian Medicaid |
$2.04
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.17
|
| Rate for Payer: MI Amish Medical Board Commercial |
$4.17
|
| 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: PACE Medicare |
$3.45
|
| Rate for Payer: PACE Medicare |
$3.45
|
| Rate for Payer: PACE SWMI |
$3.63
|
| Rate for Payer: PACE SWMI |
$3.63
|
| Rate for Payer: PHP Commercial |
$3.99
|
| Rate for Payer: PHP Commercial |
$3.99
|
| Rate for Payer: PHP Medicaid |
$1.95
|
| Rate for Payer: PHP Medicaid |
$1.95
|
| Rate for Payer: PHP Medicare Advantage |
$3.63
|
| Rate for Payer: PHP Medicare Advantage |
$3.63
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.95
|
| Rate for Payer: Priority Health Choice Medicaid |
$1.95
|
| 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 |
$3.63
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$3.63
|
| Rate for Payer: Priority Health Medicare |
$3.63
|
| Rate for Payer: Priority Health Medicare |
$3.63
|
| Rate for Payer: Priority Health Narrow Network |
$2.90
|
| Rate for Payer: Priority Health Narrow Network |
$2.90
|
| Rate for Payer: Railroad Medicare Medicare |
$3.63
|
| Rate for Payer: Railroad Medicare Medicare |
$3.63
|
| 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 |
$3.63
|
| Rate for Payer: UHC Dual Complete DSNP |
$3.63
|
| Rate for Payer: UHC Exchange |
$5.63
|
| Rate for Payer: UHC Exchange |
$5.63
|
| Rate for Payer: UHC Medicare Advantage |
$3.63
|
| Rate for Payer: UHC Medicare Advantage |
$3.63
|
| Rate for Payer: UHCCP DNSP |
$3.63
|
| Rate for Payer: UHCCP DNSP |
$3.63
|
| Rate for Payer: UHCCP Medicaid |
$1.95
|
| Rate for Payer: UHCCP Medicaid |
$1.95
|
| Rate for Payer: VA VA |
$3.63
|
| Rate for Payer: VA VA |
$3.63
|
|
|
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
|
|
|
VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$71.87
|
|
|
Service Code
|
NDC 41616093240
|
| Hospital Charge Code |
11635
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$28.75 |
| Max. Negotiated Rate |
$71.87 |
| Rate for Payer: Aetna Commercial |
$64.68
|
| Rate for Payer: Aetna Medicare |
$35.94
|
| Rate for Payer: ASR ASR |
$69.71
|
| Rate for Payer: ASR Commercial |
$69.71
|
| Rate for Payer: BCBS Complete |
$28.75
|
| Rate for Payer: BCBS Trust/PPO |
$58.85
|
| Rate for Payer: BCN Commercial |
$55.72
|
| Rate for Payer: Cash Price |
$57.49
|
| Rate for Payer: Cofinity Commercial |
$67.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.50
|
| Rate for Payer: Healthscope Commercial |
$71.87
|
| Rate for Payer: Healthscope Whirlpool |
$69.71
|
| Rate for Payer: Mclaren Commercial |
$64.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.09
|
| Rate for Payer: Nomi Health Commercial |
$58.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.97
|
| Rate for Payer: Priority Health Narrow Network |
$50.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.25
|
|
|
VECURONIUM BROMIDE 20 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$71.87
|
|
|
Service Code
|
NDC 41616093240
|
| Hospital Charge Code |
11635
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$46.72 |
| Max. Negotiated Rate |
$71.87 |
| Rate for Payer: Aetna Commercial |
$64.68
|
| Rate for Payer: ASR ASR |
$69.71
|
| Rate for Payer: ASR Commercial |
$69.71
|
| Rate for Payer: BCBS Trust/PPO |
$58.57
|
| Rate for Payer: BCN Commercial |
$55.72
|
| Rate for Payer: Cash Price |
$57.49
|
| Rate for Payer: Cofinity Commercial |
$67.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.50
|
| Rate for Payer: Healthscope Commercial |
$71.87
|
| Rate for Payer: Healthscope Whirlpool |
$69.71
|
| Rate for Payer: Mclaren Commercial |
$64.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.09
|
| Rate for Payer: Nomi Health Commercial |
$58.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.25
|
|
|
VECURONIUM BROMIDE 20 MG IV SOLUTION FOR DRIP
|
Facility
|
IP
|
$71.87
|
|
|
Service Code
|
NDC 41616093240
|
| Hospital Charge Code |
500307
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$46.72 |
| Max. Negotiated Rate |
$71.87 |
| Rate for Payer: Aetna Commercial |
$64.68
|
| Rate for Payer: ASR ASR |
$69.71
|
| Rate for Payer: ASR Commercial |
$69.71
|
| Rate for Payer: BCBS Trust/PPO |
$58.57
|
| Rate for Payer: BCN Commercial |
$55.72
|
| Rate for Payer: Cash Price |
$57.49
|
| Rate for Payer: Cofinity Commercial |
$67.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.50
|
| Rate for Payer: Healthscope Commercial |
$71.87
|
| Rate for Payer: Healthscope Whirlpool |
$69.71
|
| Rate for Payer: Mclaren Commercial |
$64.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.09
|
| Rate for Payer: Nomi Health Commercial |
$58.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.72
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.25
|
|
|
VECURONIUM BROMIDE 20 MG IV SOLUTION FOR DRIP
|
Facility
|
OP
|
$71.87
|
|
|
Service Code
|
NDC 41616093240
|
| Hospital Charge Code |
500307
|
|
Hospital Revenue Code
|
250
|
| Min. Negotiated Rate |
$28.75 |
| Max. Negotiated Rate |
$71.87 |
| Rate for Payer: Aetna Commercial |
$64.68
|
| Rate for Payer: Aetna Medicare |
$35.94
|
| Rate for Payer: ASR ASR |
$69.71
|
| Rate for Payer: ASR Commercial |
$69.71
|
| Rate for Payer: BCBS Complete |
$28.75
|
| Rate for Payer: BCBS Trust/PPO |
$58.85
|
| Rate for Payer: BCN Commercial |
$55.72
|
| Rate for Payer: Cash Price |
$57.49
|
| Rate for Payer: Cofinity Commercial |
$67.56
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$57.50
|
| Rate for Payer: Healthscope Commercial |
$71.87
|
| Rate for Payer: Healthscope Whirlpool |
$69.71
|
| Rate for Payer: Mclaren Commercial |
$64.68
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$61.09
|
| Rate for Payer: Nomi Health Commercial |
$58.93
|
| Rate for Payer: Priority Health Cigna Priority Health |
$46.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$62.97
|
| Rate for Payer: Priority Health Narrow Network |
$50.38
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$63.25
|
|
|
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
|
Facility
|
IP
|
$24,335.77
|
|
|
Service Code
|
HCPCS J3380
|
| Hospital Charge Code |
170876
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$15,818.25 |
| Max. Negotiated Rate |
$24,335.77 |
| Rate for Payer: Aetna Commercial |
$21,902.19
|
| Rate for Payer: ASR ASR |
$23,605.70
|
| Rate for Payer: ASR Commercial |
$23,605.70
|
| Rate for Payer: BCBS Trust/PPO |
$19,831.22
|
| Rate for Payer: BCN Commercial |
$18,867.52
|
| Rate for Payer: Cash Price |
$19,468.61
|
| Rate for Payer: Cofinity Commercial |
$22,875.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19,468.62
|
| Rate for Payer: Healthscope Commercial |
$24,335.77
|
| Rate for Payer: Healthscope Whirlpool |
$23,605.70
|
| Rate for Payer: Mclaren Commercial |
$21,902.19
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,685.40
|
| Rate for Payer: Nomi Health Commercial |
$19,955.33
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15,818.25
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21,415.48
|
|
|
VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION
|
Facility
|
OP
|
$24,335.77
|
|
|
Service Code
|
HCPCS J3380
|
| Hospital Charge Code |
170876
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$11.62 |
| Max. Negotiated Rate |
$24,335.77 |
| Rate for Payer: Aetna Commercial |
$21,902.19
|
| Rate for Payer: Aetna Medicare |
$21.67
|
| Rate for Payer: Allen County Amish Medical Aid Commercial |
$27.09
|
| Rate for Payer: Amish Plain Church Group Commercial |
$27.09
|
| Rate for Payer: ASR ASR |
$23,605.70
|
| Rate for Payer: ASR Commercial |
$23,605.70
|
| Rate for Payer: BCBS Complete |
$12.20
|
| Rate for Payer: BCBS MAPPO |
$21.67
|
| Rate for Payer: BCBS Trust/PPO |
$19,928.56
|
| Rate for Payer: BCN Commercial |
$18,867.52
|
| Rate for Payer: BCN Medicare Advantage |
$21.67
|
| Rate for Payer: Cash Price |
$19,468.61
|
| Rate for Payer: Cash Price |
$19,468.61
|
| Rate for Payer: Cofinity Commercial |
$22,875.62
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$19,468.62
|
| Rate for Payer: Health Alliance Plan Medicare Advantage |
$21.67
|
| Rate for Payer: Healthscope Commercial |
$24,335.77
|
| Rate for Payer: Healthscope Whirlpool |
$23,605.70
|
| Rate for Payer: Humana Choice PPO Medicare |
$21.67
|
| Rate for Payer: Mclaren Commercial |
$21,902.19
|
| Rate for Payer: Mclaren Medicaid |
$11.62
|
| Rate for Payer: Mclaren Medicare |
$21.67
|
| Rate for Payer: Meridian Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage |
$22.75
|
| Rate for Payer: Meridian Medicaid |
$12.20
|
| Rate for Payer: MI Amish Medical Board Commercial |
$24.92
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$20,685.40
|
| Rate for Payer: Nomi Health Commercial |
$19,955.33
|
| Rate for Payer: PACE Medicare |
$20.59
|
| Rate for Payer: PACE SWMI |
$21.67
|
| Rate for Payer: PHP Commercial |
$23.84
|
| Rate for Payer: PHP Medicaid |
$11.62
|
| Rate for Payer: PHP Medicare Advantage |
$21.67
|
| Rate for Payer: Priority Health Choice Medicaid |
$11.62
|
| Rate for Payer: Priority Health Cigna Priority Health |
$15,818.25
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$21.96
|
| Rate for Payer: Priority Health Medicare |
$21.67
|
| Rate for Payer: Priority Health Narrow Network |
$17.57
|
| Rate for Payer: Railroad Medicare Medicare |
$21.67
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$21,415.48
|
| Rate for Payer: UHC Dual Complete DSNP |
$21.67
|
| Rate for Payer: UHC Exchange |
$33.59
|
| Rate for Payer: UHC Medicare Advantage |
$21.67
|
| Rate for Payer: UHCCP DNSP |
$21.67
|
| Rate for Payer: UHCCP Medicaid |
$11.62
|
| Rate for Payer: VA VA |
$21.67
|
|
|
VENLAFAXINE 37.5 MG TABLET
|
Facility
|
OP
|
$2.65
|
|
|
Service Code
|
NDC 51079048001
|
| Hospital Charge Code |
12207
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$1.06 |
| Max. Negotiated Rate |
$2.65 |
| Rate for Payer: Aetna Commercial |
$2.38
|
| Rate for Payer: Aetna Medicare |
$1.32
|
| Rate for Payer: ASR ASR |
$2.57
|
| Rate for Payer: ASR Commercial |
$2.57
|
| Rate for Payer: BCBS Complete |
$1.06
|
| Rate for Payer: BCBS Trust/PPO |
$2.17
|
| Rate for Payer: BCN Commercial |
$2.05
|
| Rate for Payer: Cash Price |
$2.12
|
| Rate for Payer: Cofinity Commercial |
$2.49
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$2.12
|
| Rate for Payer: Healthscope Commercial |
$2.65
|
| Rate for Payer: Healthscope Whirlpool |
$2.57
|
| Rate for Payer: Mclaren Commercial |
$2.38
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$2.25
|
| Rate for Payer: Nomi Health Commercial |
$2.17
|
| Rate for Payer: Priority Health Cigna Priority Health |
$1.72
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$2.32
|
| Rate for Payer: Priority Health Narrow Network |
$1.86
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$2.33
|
|
|
VENLAFAXINE 37.5 MG TABLET
|
Facility
|
OP
|
$264.96
|
|
|
Service Code
|
NDC 51079048020
|
| Hospital Charge Code |
12207
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$105.98 |
| Max. Negotiated Rate |
$264.96 |
| Rate for Payer: Aetna Commercial |
$238.46
|
| Rate for Payer: Aetna Medicare |
$132.48
|
| Rate for Payer: ASR ASR |
$257.01
|
| Rate for Payer: ASR Commercial |
$257.01
|
| Rate for Payer: BCBS Complete |
$105.98
|
| Rate for Payer: BCBS Trust/PPO |
$216.98
|
| Rate for Payer: BCN Commercial |
$205.42
|
| Rate for Payer: Cash Price |
$211.97
|
| Rate for Payer: Cofinity Commercial |
$249.06
|
| Rate for Payer: Encore Health Key Benefits Commercial |
$211.97
|
| Rate for Payer: Healthscope Commercial |
$264.96
|
| Rate for Payer: Healthscope Whirlpool |
$257.01
|
| Rate for Payer: Mclaren Commercial |
$238.46
|
| Rate for Payer: Multiplan/Beech St/PHCS Commercial |
$225.22
|
| Rate for Payer: Nomi Health Commercial |
$217.27
|
| Rate for Payer: Priority Health Cigna Priority Health |
$172.22
|
| Rate for Payer: Priority Health HMO/PPO/Tiered Network |
$232.16
|
| Rate for Payer: Priority Health Narrow Network |
$185.74
|
| Rate for Payer: UHC All Payor (Choice/PPO) + Core |
$233.16
|
|
