CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION at Central Georgia Rehabilitation LLC

Macon, GA

Payers reporting HCPCS J0613 at Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Anthem hmo/ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Anthem hmo/ppo fee schedule · both	$0	$0	—	—	—	$0 – $0
3	Aetna hmo fee schedule · both	$0	$0	—	—	—	$0 – $0
4	Aetna pos fee schedule · both	$0	$0	—	—	—	$0 – $0
5	Aetna ppo fee schedule · both	$0	$0	—	—	—	$0 – $0
6	Humana hmo/pos fee schedule · both	$0	$0	—	—	—	$0 – $0
7	Humana ppo fee schedule · both	$0	$0	—	—	—	$0 – $0
8	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$55	$55	$17	31%	—	$38 – $71
9	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$73	$73	$23	31%	—	$50 – $95
10	Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges	$80	$80	$25	31%	—	$55 – $104
11	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$93	$93	$29	31%	—	$64 – $121
12	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$107	$107	$33	31%	—	$74 – $140
13	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$107	$107	$33	31%	—	$74 – $140
14	Aetna pos percent of total billed charges · outpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
15	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
16	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
17	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
18	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
19	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$120	$120	$37	31%	—	$83 – $157
20	Humana ppo percent of total billed charges · outpatientfrom % of charges	$125	$125	$39	31%	—	$86 – $163
21	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$125	$125	$39	31%	—	$87 – $164
22	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$145	$145	$45	31%	—	$101 – $190
23	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$145	$145	$45	31%	—	$101 – $190
24	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$169	$169	$52	31%	—	$117 – $221
25	Beechstreet commercial percent of total billed charges · outpatientfrom % of charges	$169	$169	$52	31%	—	$117 – $221

CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION at Central Georgia Rehabilitation LLC

Macon, GA

Payers reporting HCPCS J0613 at Central Georgia Rehabilitation LLC

Filter by billing methodology

Filter by billing class

#
1	Anthem hmo/ppo fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Anthem hmo/ppo fee schedule · both	$0	$0	—	—	—	$0 – $0
3	Aetna hmo fee schedule · both	$0	$0	—	—	—	$0 – $0
4	Aetna pos fee schedule · both	$0	$0	—	—	—	$0 – $0
5	Aetna ppo fee schedule · both	$0	$0	—	—	—	$0 – $0
6	Humana hmo/pos fee schedule · both	$0	$0	—	—	—	$0 – $0
7	Humana ppo fee schedule · both	$0	$0	—	—	—	$0 – $0
8	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$55	$55	$17	31%	—	$38 – $71
9	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$73	$73	$23	31%	—	$50 – $95
10	Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges	$80	$80	$25	31%	—	$55 – $104
11	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$93	$93	$29	31%	—	$64 – $121
12	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$107	$107	$33	31%	—	$74 – $140
13	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$107	$107	$33	31%	—	$74 – $140
14	Aetna pos percent of total billed charges · outpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
15	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
16	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
17	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
18	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$118	$118	$36	31%	—	$82 – $155
19	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$120	$120	$37	31%	—	$83 – $157
20	Humana ppo percent of total billed charges · outpatientfrom % of charges	$125	$125	$39	31%	—	$86 – $163
21	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$125	$125	$39	31%	—	$87 – $164
22	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$145	$145	$45	31%	—	$101 – $190
23	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$145	$145	$45	31%	—	$101 – $190
24	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$169	$169	$52	31%	—	$117 – $221
25	Beechstreet commercial percent of total billed charges · outpatientfrom % of charges	$169	$169	$52	31%	—	$117 – $221