|
HC DS SCREW 3.5X60 CRTX
|
Facility
IP
|
$294.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603961
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$220.50 |
| Max. Negotiated Rate |
$273.42 |
| Rate for Payer: Aetna Commercial |
$254.02
|
| Rate for Payer: Cash Price |
$182.28
|
| Rate for Payer: Cigna All Commercial |
$253.72
|
| Rate for Payer: CORVEL All Commercial |
$273.42
|
| Rate for Payer: Coventry All Commercial |
$258.72
|
| Rate for Payer: Encore All Commercial |
$270.63
|
| Rate for Payer: Frontpath All Commercial |
$270.48
|
| Rate for Payer: Humana ChoiceCare |
$253.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$264.60
|
| Rate for Payer: PHCS All Commercial |
$220.50
|
| Rate for Payer: PHP All Commercial |
$222.97
|
| Rate for Payer: Sagamore Health Network All Products |
$226.97
|
| Rate for Payer: Signature Care EPO |
$244.02
|
| Rate for Payer: Signature Care PPO |
$258.72
|
| Rate for Payer: United Healthcare Commercial |
$231.67
|
|
|
HC DS SCREW 3.5X60 CRTX
|
Facility
OP
|
$294.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603961
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$97.02 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$248.14
|
| Rate for Payer: Aetna Medicare |
$97.02
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$97.02
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$168.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$183.78
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$111.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$106.72
|
| Rate for Payer: Cash Price |
$182.28
|
| Rate for Payer: Cash Price |
$182.28
|
| Rate for Payer: Centivo All Commercial |
$149.94
|
| Rate for Payer: Cigna All Commercial |
$253.72
|
| Rate for Payer: CORVEL All Commercial |
$273.42
|
| Rate for Payer: Coventry All Commercial |
$258.72
|
| Rate for Payer: Encore All Commercial |
$270.63
|
| Rate for Payer: Frontpath All Commercial |
$270.48
|
| Rate for Payer: Humana ChoiceCare |
$253.93
|
| Rate for Payer: Humana Medicare |
$149.94
|
| Rate for Payer: Lucent All Commercial |
$149.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$264.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$220.50
|
| Rate for Payer: PHP All Commercial |
$222.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$114.66
|
| Rate for Payer: Sagamore Health Network All Products |
$226.97
|
| Rate for Payer: Signature Care EPO |
$244.02
|
| Rate for Payer: Signature Care PPO |
$258.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$249.90
|
| Rate for Payer: United Healthcare Commercial |
$231.67
|
| Rate for Payer: United Healthcare Medicare |
$97.02
|
|
|
HC DS SCREW 3.5 X 60 LOCK ST
|
Facility
OP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606332
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$375.24 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$959.71
|
| Rate for Payer: Aetna Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$653.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$710.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$431.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$412.77
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Centivo All Commercial |
$579.92
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Humana Medicare |
$579.92
|
| Rate for Payer: Lucent All Commercial |
$579.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$443.47
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$966.54
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
| Rate for Payer: United Healthcare Medicare |
$375.24
|
|
|
HC DS SCREW 3.5 X 60 LOCK ST
|
Facility
IP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606332
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$852.82 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$982.45
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
|
|
HC DS SCREW 3.5X65 CRTX
|
Facility
IP
|
$294.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603962
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$220.50 |
| Max. Negotiated Rate |
$273.42 |
| Rate for Payer: Aetna Commercial |
$254.02
|
| Rate for Payer: Cash Price |
$182.28
|
| Rate for Payer: Cigna All Commercial |
$253.72
|
| Rate for Payer: CORVEL All Commercial |
$273.42
|
| Rate for Payer: Coventry All Commercial |
$258.72
|
| Rate for Payer: Encore All Commercial |
$270.63
|
| Rate for Payer: Frontpath All Commercial |
$270.48
|
| Rate for Payer: Humana ChoiceCare |
$253.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$264.60
|
| Rate for Payer: PHCS All Commercial |
$220.50
|
| Rate for Payer: PHP All Commercial |
$222.97
|
| Rate for Payer: Sagamore Health Network All Products |
$226.97
|
| Rate for Payer: Signature Care EPO |
$244.02
|
| Rate for Payer: Signature Care PPO |
$258.72
|
| Rate for Payer: United Healthcare Commercial |
$231.67
|
|
|
HC DS SCREW 3.5X65 CRTX
|
Facility
OP
|
$294.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603962
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$97.02 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$248.14
|
| Rate for Payer: Aetna Medicare |
$97.02
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$97.02
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$168.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$183.78
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$111.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$106.72
|
| Rate for Payer: Cash Price |
$182.28
|
| Rate for Payer: Cash Price |
$182.28
|
| Rate for Payer: Centivo All Commercial |
$149.94
|
| Rate for Payer: Cigna All Commercial |
$253.72
|
| Rate for Payer: CORVEL All Commercial |
$273.42
|
| Rate for Payer: Coventry All Commercial |
$258.72
|
| Rate for Payer: Encore All Commercial |
$270.63
|
| Rate for Payer: Frontpath All Commercial |
$270.48
|
| Rate for Payer: Humana ChoiceCare |
$253.93
|
| Rate for Payer: Humana Medicare |
$149.94
|
| Rate for Payer: Lucent All Commercial |
$149.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$264.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$220.50
|
| Rate for Payer: PHP All Commercial |
$222.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$114.66
|
| Rate for Payer: Sagamore Health Network All Products |
$226.97
|
| Rate for Payer: Signature Care EPO |
$244.02
|
| Rate for Payer: Signature Care PPO |
$258.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$249.90
|
| Rate for Payer: United Healthcare Commercial |
$231.67
|
| Rate for Payer: United Healthcare Medicare |
$97.02
|
|
|
HC DS SCREW 3.5 X 65 LOCK ST
|
Facility
OP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606333
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$375.24 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$959.71
|
| Rate for Payer: Aetna Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$653.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$710.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$431.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$412.77
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Centivo All Commercial |
$579.92
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Humana Medicare |
$579.92
|
| Rate for Payer: Lucent All Commercial |
$579.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$443.47
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$966.54
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
| Rate for Payer: United Healthcare Medicare |
$375.24
|
|
|
HC DS SCREW 3.5 X 65 LOCK ST
|
Facility
IP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606333
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$852.82 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$982.45
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
|
|
HC DS SCREW 3.5X65 STARDRIVE LOCK
|
Facility
OP
|
$1,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603972
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$353.10 |
| Max. Negotiated Rate |
$995.10 |
| Rate for Payer: Aetna Commercial |
$903.08
|
| Rate for Payer: Aetna Medicare |
$353.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$353.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$614.50
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$668.86
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$406.06
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$388.41
|
| Rate for Payer: Cash Price |
$663.40
|
| Rate for Payer: Cash Price |
$663.40
|
| Rate for Payer: Centivo All Commercial |
$545.70
|
| Rate for Payer: Cigna All Commercial |
$923.41
|
| Rate for Payer: CORVEL All Commercial |
$995.10
|
| Rate for Payer: Coventry All Commercial |
$941.60
|
| Rate for Payer: Encore All Commercial |
$984.94
|
| Rate for Payer: Frontpath All Commercial |
$984.40
|
| Rate for Payer: Humana ChoiceCare |
$924.16
|
| Rate for Payer: Humana Medicare |
$545.70
|
| Rate for Payer: Lucent All Commercial |
$545.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$963.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$802.50
|
| Rate for Payer: PHP All Commercial |
$811.49
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$417.30
|
| Rate for Payer: Sagamore Health Network All Products |
$826.04
|
| Rate for Payer: Signature Care EPO |
$888.10
|
| Rate for Payer: Signature Care PPO |
$941.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$909.50
|
| Rate for Payer: United Healthcare Commercial |
$843.16
|
| Rate for Payer: United Healthcare Medicare |
$353.10
|
|
|
HC DS SCREW 3.5X65 STARDRIVE LOCK
|
Facility
IP
|
$1,070.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603972
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$802.50 |
| Max. Negotiated Rate |
$995.10 |
| Rate for Payer: Aetna Commercial |
$924.48
|
| Rate for Payer: Cash Price |
$663.40
|
| Rate for Payer: Cigna All Commercial |
$923.41
|
| Rate for Payer: CORVEL All Commercial |
$995.10
|
| Rate for Payer: Coventry All Commercial |
$941.60
|
| Rate for Payer: Encore All Commercial |
$984.94
|
| Rate for Payer: Frontpath All Commercial |
$984.40
|
| Rate for Payer: Humana ChoiceCare |
$924.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$963.00
|
| Rate for Payer: PHCS All Commercial |
$802.50
|
| Rate for Payer: PHP All Commercial |
$811.49
|
| Rate for Payer: Sagamore Health Network All Products |
$826.04
|
| Rate for Payer: Signature Care EPO |
$888.10
|
| Rate for Payer: Signature Care PPO |
$941.60
|
| Rate for Payer: United Healthcare Commercial |
$843.16
|
|
|
HC DS SCREW 3.5 X 85 LOCK ST
|
Facility
OP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606334
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$375.24 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$959.71
|
| Rate for Payer: Aetna Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$653.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$710.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$431.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$412.77
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Centivo All Commercial |
$579.92
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Humana Medicare |
$579.92
|
| Rate for Payer: Lucent All Commercial |
$579.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$443.47
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$966.54
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
| Rate for Payer: United Healthcare Medicare |
$375.24
|
|
|
HC DS SCREW 3.5 X 85 LOCK ST
|
Facility
IP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606334
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$852.82 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$982.45
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
|
|
HC DS SCREW 3.5 X 90 LOCK ST
|
Facility
IP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606335
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$852.82 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$982.45
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
|
|
HC DS SCREW 3.5 X 90 LOCK ST
|
Facility
OP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606335
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$375.24 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$959.71
|
| Rate for Payer: Aetna Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$653.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$710.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$431.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$412.77
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Centivo All Commercial |
$579.92
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Humana Medicare |
$579.92
|
| Rate for Payer: Lucent All Commercial |
$579.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$443.47
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$966.54
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
| Rate for Payer: United Healthcare Medicare |
$375.24
|
|
|
HC DS SCREW 3.5 X 95 LOCK ST
|
Facility
OP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606336
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$375.24 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$959.71
|
| Rate for Payer: Aetna Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$375.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$653.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$710.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$431.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$412.77
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Centivo All Commercial |
$579.92
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Humana Medicare |
$579.92
|
| Rate for Payer: Lucent All Commercial |
$579.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$443.47
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$966.54
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
| Rate for Payer: United Healthcare Medicare |
$375.24
|
|
|
HC DS SCREW 3.5 X 95 LOCK ST
|
Facility
IP
|
$1,137.10
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606336
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$852.82 |
| Max. Negotiated Rate |
$1,057.50 |
| Rate for Payer: Aetna Commercial |
$982.45
|
| Rate for Payer: Cash Price |
$705.00
|
| Rate for Payer: Cigna All Commercial |
$981.32
|
| Rate for Payer: CORVEL All Commercial |
$1,057.50
|
| Rate for Payer: Coventry All Commercial |
$1,000.65
|
| Rate for Payer: Encore All Commercial |
$1,046.70
|
| Rate for Payer: Frontpath All Commercial |
$1,046.13
|
| Rate for Payer: Humana ChoiceCare |
$982.11
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,023.39
|
| Rate for Payer: PHCS All Commercial |
$852.82
|
| Rate for Payer: PHP All Commercial |
$862.38
|
| Rate for Payer: Sagamore Health Network All Products |
$877.84
|
| Rate for Payer: Signature Care EPO |
$943.79
|
| Rate for Payer: Signature Care PPO |
$1,000.65
|
| Rate for Payer: United Healthcare Commercial |
$896.03
|
|
|
HC DS SCREW 5.0X38 STARDRIVE LOCK
|
Facility
OP
|
$1,644.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606222
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$1,528.92 |
| Rate for Payer: Aetna Commercial |
$1,387.54
|
| Rate for Payer: Aetna Medicare |
$542.52
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$542.52
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$944.15
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,027.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$623.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$596.77
|
| Rate for Payer: Cash Price |
$1,019.28
|
| Rate for Payer: Cash Price |
$1,019.28
|
| Rate for Payer: Centivo All Commercial |
$838.44
|
| Rate for Payer: Cigna All Commercial |
$1,418.77
|
| Rate for Payer: CORVEL All Commercial |
$1,528.92
|
| Rate for Payer: Coventry All Commercial |
$1,446.72
|
| Rate for Payer: Encore All Commercial |
$1,513.30
|
| Rate for Payer: Frontpath All Commercial |
$1,512.48
|
| Rate for Payer: Humana ChoiceCare |
$1,419.92
|
| Rate for Payer: Humana Medicare |
$838.44
|
| Rate for Payer: Lucent All Commercial |
$838.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,479.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,233.00
|
| Rate for Payer: PHP All Commercial |
$1,246.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$641.16
|
| Rate for Payer: Sagamore Health Network All Products |
$1,269.17
|
| Rate for Payer: Signature Care EPO |
$1,364.52
|
| Rate for Payer: Signature Care PPO |
$1,446.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,397.40
|
| Rate for Payer: United Healthcare Commercial |
$1,295.47
|
| Rate for Payer: United Healthcare Medicare |
$542.52
|
|
|
HC DS SCREW 5.0X38 STARDRIVE LOCK
|
Facility
IP
|
$1,644.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606222
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,233.00 |
| Max. Negotiated Rate |
$1,528.92 |
| Rate for Payer: Aetna Commercial |
$1,420.42
|
| Rate for Payer: Cash Price |
$1,019.28
|
| Rate for Payer: Cigna All Commercial |
$1,418.77
|
| Rate for Payer: CORVEL All Commercial |
$1,528.92
|
| Rate for Payer: Coventry All Commercial |
$1,446.72
|
| Rate for Payer: Encore All Commercial |
$1,513.30
|
| Rate for Payer: Frontpath All Commercial |
$1,512.48
|
| Rate for Payer: Humana ChoiceCare |
$1,419.92
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,479.60
|
| Rate for Payer: PHCS All Commercial |
$1,233.00
|
| Rate for Payer: PHP All Commercial |
$1,246.81
|
| Rate for Payer: Sagamore Health Network All Products |
$1,269.17
|
| Rate for Payer: Signature Care EPO |
$1,364.52
|
| Rate for Payer: Signature Care PPO |
$1,446.72
|
| Rate for Payer: United Healthcare Commercial |
$1,295.47
|
|
|
HC DS SCREW 5.0X40 STARDRIVE LOCK
|
Facility
OP
|
$2,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607688
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$2,250.60 |
| Rate for Payer: Aetna Commercial |
$2,042.48
|
| Rate for Payer: Aetna Medicare |
$798.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$798.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,389.81
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,512.74
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$918.39
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$878.46
|
| Rate for Payer: Cash Price |
$1,500.40
|
| Rate for Payer: Cash Price |
$1,500.40
|
| Rate for Payer: Centivo All Commercial |
$1,234.20
|
| Rate for Payer: Cigna All Commercial |
$2,088.46
|
| Rate for Payer: CORVEL All Commercial |
$2,250.60
|
| Rate for Payer: Coventry All Commercial |
$2,129.60
|
| Rate for Payer: Encore All Commercial |
$2,227.61
|
| Rate for Payer: Frontpath All Commercial |
$2,226.40
|
| Rate for Payer: Humana ChoiceCare |
$2,090.15
|
| Rate for Payer: Humana Medicare |
$1,234.20
|
| Rate for Payer: Lucent All Commercial |
$1,234.20
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,178.00
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,815.00
|
| Rate for Payer: PHP All Commercial |
$1,835.33
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$943.80
|
| Rate for Payer: Sagamore Health Network All Products |
$1,868.24
|
| Rate for Payer: Signature Care EPO |
$2,008.60
|
| Rate for Payer: Signature Care PPO |
$2,129.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,057.00
|
| Rate for Payer: United Healthcare Commercial |
$1,906.96
|
| Rate for Payer: United Healthcare Medicare |
$798.60
|
|
|
HC DS SCREW 5.0X40 STARDRIVE LOCK
|
Facility
IP
|
$2,420.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607688
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,815.00 |
| Max. Negotiated Rate |
$2,250.60 |
| Rate for Payer: Aetna Commercial |
$2,090.88
|
| Rate for Payer: Cash Price |
$1,500.40
|
| Rate for Payer: Cigna All Commercial |
$2,088.46
|
| Rate for Payer: CORVEL All Commercial |
$2,250.60
|
| Rate for Payer: Coventry All Commercial |
$2,129.60
|
| Rate for Payer: Encore All Commercial |
$2,227.61
|
| Rate for Payer: Frontpath All Commercial |
$2,226.40
|
| Rate for Payer: Humana ChoiceCare |
$2,090.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,178.00
|
| Rate for Payer: PHCS All Commercial |
$1,815.00
|
| Rate for Payer: PHP All Commercial |
$1,835.33
|
| Rate for Payer: Sagamore Health Network All Products |
$1,868.24
|
| Rate for Payer: Signature Care EPO |
$2,008.60
|
| Rate for Payer: Signature Care PPO |
$2,129.60
|
| Rate for Payer: United Healthcare Commercial |
$1,906.96
|
|
|
HC DS SCREW 5X28 LOCK
|
Facility
OP
|
$1,272.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607109
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$419.76 |
| Max. Negotiated Rate |
$1,182.96 |
| Rate for Payer: Aetna Commercial |
$1,073.57
|
| Rate for Payer: Aetna Medicare |
$419.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$419.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$730.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$795.13
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$482.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$461.74
|
| Rate for Payer: Cash Price |
$788.64
|
| Rate for Payer: Cash Price |
$788.64
|
| Rate for Payer: Centivo All Commercial |
$648.72
|
| Rate for Payer: Cigna All Commercial |
$1,097.74
|
| Rate for Payer: CORVEL All Commercial |
$1,182.96
|
| Rate for Payer: Coventry All Commercial |
$1,119.36
|
| Rate for Payer: Encore All Commercial |
$1,170.88
|
| Rate for Payer: Frontpath All Commercial |
$1,170.24
|
| Rate for Payer: Humana ChoiceCare |
$1,098.63
|
| Rate for Payer: Humana Medicare |
$648.72
|
| Rate for Payer: Lucent All Commercial |
$648.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,144.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$954.00
|
| Rate for Payer: PHP All Commercial |
$964.68
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$496.08
|
| Rate for Payer: Sagamore Health Network All Products |
$981.98
|
| Rate for Payer: Signature Care EPO |
$1,055.76
|
| Rate for Payer: Signature Care PPO |
$1,119.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,081.20
|
| Rate for Payer: United Healthcare Commercial |
$1,002.34
|
| Rate for Payer: United Healthcare Medicare |
$419.76
|
|
|
HC DS SCREW 5X28 LOCK
|
Facility
IP
|
$1,272.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607109
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$954.00 |
| Max. Negotiated Rate |
$1,182.96 |
| Rate for Payer: Aetna Commercial |
$1,099.01
|
| Rate for Payer: Cash Price |
$788.64
|
| Rate for Payer: Cigna All Commercial |
$1,097.74
|
| Rate for Payer: CORVEL All Commercial |
$1,182.96
|
| Rate for Payer: Coventry All Commercial |
$1,119.36
|
| Rate for Payer: Encore All Commercial |
$1,170.88
|
| Rate for Payer: Frontpath All Commercial |
$1,170.24
|
| Rate for Payer: Humana ChoiceCare |
$1,098.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,144.80
|
| Rate for Payer: PHCS All Commercial |
$954.00
|
| Rate for Payer: PHP All Commercial |
$964.68
|
| Rate for Payer: Sagamore Health Network All Products |
$981.98
|
| Rate for Payer: Signature Care EPO |
$1,055.76
|
| Rate for Payer: Signature Care PPO |
$1,119.36
|
| Rate for Payer: United Healthcare Commercial |
$1,002.34
|
|
|
HC DS SCREW 5X32 LOCK
|
Facility
OP
|
$1,272.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607110
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$419.76 |
| Max. Negotiated Rate |
$1,182.96 |
| Rate for Payer: Aetna Commercial |
$1,073.57
|
| Rate for Payer: Aetna Medicare |
$419.76
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$419.76
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$730.51
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$795.13
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$482.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$461.74
|
| Rate for Payer: Cash Price |
$788.64
|
| Rate for Payer: Cash Price |
$788.64
|
| Rate for Payer: Centivo All Commercial |
$648.72
|
| Rate for Payer: Cigna All Commercial |
$1,097.74
|
| Rate for Payer: CORVEL All Commercial |
$1,182.96
|
| Rate for Payer: Coventry All Commercial |
$1,119.36
|
| Rate for Payer: Encore All Commercial |
$1,170.88
|
| Rate for Payer: Frontpath All Commercial |
$1,170.24
|
| Rate for Payer: Humana ChoiceCare |
$1,098.63
|
| Rate for Payer: Humana Medicare |
$648.72
|
| Rate for Payer: Lucent All Commercial |
$648.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,144.80
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$954.00
|
| Rate for Payer: PHP All Commercial |
$964.68
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$496.08
|
| Rate for Payer: Sagamore Health Network All Products |
$981.98
|
| Rate for Payer: Signature Care EPO |
$1,055.76
|
| Rate for Payer: Signature Care PPO |
$1,119.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,081.20
|
| Rate for Payer: United Healthcare Commercial |
$1,002.34
|
| Rate for Payer: United Healthcare Medicare |
$419.76
|
|
|
HC DS SCREW 5X32 LOCK
|
Facility
IP
|
$1,272.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607110
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$954.00 |
| Max. Negotiated Rate |
$1,182.96 |
| Rate for Payer: Aetna Commercial |
$1,099.01
|
| Rate for Payer: Cash Price |
$788.64
|
| Rate for Payer: Cigna All Commercial |
$1,097.74
|
| Rate for Payer: CORVEL All Commercial |
$1,182.96
|
| Rate for Payer: Coventry All Commercial |
$1,119.36
|
| Rate for Payer: Encore All Commercial |
$1,170.88
|
| Rate for Payer: Frontpath All Commercial |
$1,170.24
|
| Rate for Payer: Humana ChoiceCare |
$1,098.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,144.80
|
| Rate for Payer: PHCS All Commercial |
$954.00
|
| Rate for Payer: PHP All Commercial |
$964.68
|
| Rate for Payer: Sagamore Health Network All Products |
$981.98
|
| Rate for Payer: Signature Care EPO |
$1,055.76
|
| Rate for Payer: Signature Care PPO |
$1,119.36
|
| Rate for Payer: United Healthcare Commercial |
$1,002.34
|
|
|
HC DS SCREW 5X55 LOCK CORE
|
Facility
OP
|
$1,444.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41607111
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$476.52 |
| Max. Negotiated Rate |
$1,342.92 |
| Rate for Payer: Aetna Commercial |
$1,218.74
|
| Rate for Payer: Aetna Medicare |
$476.52
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$476.52
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$829.29
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$902.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$548.00
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$524.17
|
| Rate for Payer: Cash Price |
$895.28
|
| Rate for Payer: Cash Price |
$895.28
|
| Rate for Payer: Centivo All Commercial |
$736.44
|
| Rate for Payer: Cigna All Commercial |
$1,246.17
|
| Rate for Payer: CORVEL All Commercial |
$1,342.92
|
| Rate for Payer: Coventry All Commercial |
$1,270.72
|
| Rate for Payer: Encore All Commercial |
$1,329.20
|
| Rate for Payer: Frontpath All Commercial |
$1,328.48
|
| Rate for Payer: Humana ChoiceCare |
$1,247.18
|
| Rate for Payer: Humana Medicare |
$736.44
|
| Rate for Payer: Lucent All Commercial |
$736.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,299.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$1,083.00
|
| Rate for Payer: PHP All Commercial |
$1,095.13
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$563.16
|
| Rate for Payer: Sagamore Health Network All Products |
$1,114.77
|
| Rate for Payer: Signature Care EPO |
$1,198.52
|
| Rate for Payer: Signature Care PPO |
$1,270.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,227.40
|
| Rate for Payer: United Healthcare Commercial |
$1,137.87
|
| Rate for Payer: United Healthcare Medicare |
$476.52
|
|
