calcium gluconate 1 gram/100 mL Soln 100 mL BAG at Allina Health Systems

River Falls, WI

Payers reporting HCPCS J0613 at Allina Health Systems

Negotiated rates from the hospital’s own file: 6 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Bcbs Mn bc pmap (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	$3	12%	—	$23 – $29
6	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	$4	12%	—	$30 – $39
7	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$57	$57	$7	12%	—	$50 – $64
8	Medica medica medicare (r) facility · fee schedule · outpatient	$57	$57	$7	12%	—	$50 – $64
9	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	$7	12%	—	$51 – $65
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$78	$78	$9	12%	—	$69 – $88
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	$10	12%	—	$70 – $89
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$85	$85	$10	12%	—	$75 – $95
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$86	$86	$10	12%	—	$75 – $96
14	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$108	$108	$13	12%	—	$95 – $120
15	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$108	$108	$13	12%	—	$95 – $120
16	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$108	$108	$13	12%	—	$95 – $121
17	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$13	12%	—	$96 – $123

calcium gluconate 1 gram/100 mL Soln 100 mL BAG at Allina Health Systems

River Falls, WI

Payers reporting HCPCS J0613 at Allina Health Systems

Filter by billing methodology

Filter by billing class

#
1	Bcbs Mn bc pmap (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	$3	12%	—	$23 – $29
6	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	$4	12%	—	$30 – $39
7	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$57	$57	$7	12%	—	$50 – $64
8	Medica medica medicare (r) facility · fee schedule · outpatient	$57	$57	$7	12%	—	$50 – $64
9	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	$7	12%	—	$51 – $65
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$78	$78	$9	12%	—	$69 – $88
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$79	$79	$10	12%	—	$70 – $89
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$85	$85	$10	12%	—	$75 – $95
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$86	$86	$10	12%	—	$75 – $96
14	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$108	$108	$13	12%	—	$95 – $120
15	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$108	$108	$13	12%	—	$95 – $120
16	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$108	$108	$13	12%	—	$95 – $121
17	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$13	12%	—	$96 – $123