|
HC SN PL SCREW 3.5X36 NON-LOCK
|
Facility
|
IP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601732
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$101.17 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
|
|
HC SN PL SCREW 3.5X36 NON-LOCK
|
Facility
|
OP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601732
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$35.90 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$91.81
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$62.47
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$68.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$41.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$39.49
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Centivo All Commercial |
$55.48
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Humana Medicare |
$55.48
|
| Rate for Payer: Lucent All Commercial |
$55.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$42.42
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$92.46
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
| Rate for Payer: United Healthcare Medicare |
$35.90
|
|
|
HC SN PL SCREW 3.5X38 LOCK
|
Facility
|
IP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$420.58 |
| Max. Negotiated Rate |
$521.52 |
| Rate for Payer: Aetna Commercial |
$484.51
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
|
|
HC SN PL SCREW 3.5X38 LOCK
|
Facility
|
OP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601673
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.05 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$473.29
|
| Rate for Payer: Aetna Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$322.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$350.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$212.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$203.56
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Centivo All Commercial |
$285.99
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Humana Medicare |
$285.99
|
| Rate for Payer: Lucent All Commercial |
$285.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$218.70
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$476.65
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
| Rate for Payer: United Healthcare Medicare |
$185.05
|
|
|
HC SN PL SCREW 3.5X38 NON-LOCK
|
Facility
|
OP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601733
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$35.90 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$91.81
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$62.47
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$68.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$41.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$39.49
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Centivo All Commercial |
$55.48
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Humana Medicare |
$55.48
|
| Rate for Payer: Lucent All Commercial |
$55.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$42.42
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$92.46
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
| Rate for Payer: United Healthcare Medicare |
$35.90
|
|
|
HC SN PL SCREW 3.5X38 NON-LOCK
|
Facility
|
IP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601733
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$101.17 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
|
|
HC SN PL SCREW 3.5X40 LOCK
|
Facility
|
OP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601756
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.05 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$473.29
|
| Rate for Payer: Aetna Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$322.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$350.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$212.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$203.56
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Centivo All Commercial |
$285.99
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Humana Medicare |
$285.99
|
| Rate for Payer: Lucent All Commercial |
$285.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$218.70
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$476.65
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
| Rate for Payer: United Healthcare Medicare |
$185.05
|
|
|
HC SN PL SCREW 3.5X40 LOCK
|
Facility
|
IP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601756
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$420.58 |
| Max. Negotiated Rate |
$521.52 |
| Rate for Payer: Aetna Commercial |
$484.51
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
|
|
HC SN PL SCREW 3.5X40 NON-LOCK
|
Facility
|
OP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601734
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$35.90 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$91.81
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$62.47
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$68.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$41.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$39.49
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Centivo All Commercial |
$55.48
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Humana Medicare |
$55.48
|
| Rate for Payer: Lucent All Commercial |
$55.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$42.42
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$92.46
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
| Rate for Payer: United Healthcare Medicare |
$35.90
|
|
|
HC SN PL SCREW 3.5X40 NON-LOCK
|
Facility
|
IP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601734
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$101.17 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
|
|
HC SN PL SCREW 3.5X42 LOCK
|
Facility
|
OP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601757
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.05 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$473.29
|
| Rate for Payer: Aetna Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$322.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$350.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$212.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$203.56
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Centivo All Commercial |
$285.99
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Humana Medicare |
$285.99
|
| Rate for Payer: Lucent All Commercial |
$285.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$218.70
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$476.65
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
| Rate for Payer: United Healthcare Medicare |
$185.05
|
|
|
HC SN PL SCREW 3.5X42 LOCK
|
Facility
|
IP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601757
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$420.58 |
| Max. Negotiated Rate |
$521.52 |
| Rate for Payer: Aetna Commercial |
$484.51
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
|
|
HC SN PL SCREW 3.5X42 NON-LOCK
|
Facility
|
OP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601735
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$35.90 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$91.81
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$62.47
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$68.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$41.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$39.49
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Centivo All Commercial |
$55.48
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Humana Medicare |
$55.48
|
| Rate for Payer: Lucent All Commercial |
$55.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$42.42
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$92.46
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
| Rate for Payer: United Healthcare Medicare |
$35.90
|
|
|
HC SN PL SCREW 3.5X42 NON-LOCK
|
Facility
|
IP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601735
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$101.17 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
|
|
HC SN PL SCREW 3.5X44 LOCK
|
Facility
|
OP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601758
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.05 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$473.29
|
| Rate for Payer: Aetna Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$322.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$350.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$212.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$203.56
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Centivo All Commercial |
$285.99
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Humana Medicare |
$285.99
|
| Rate for Payer: Lucent All Commercial |
$285.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$218.70
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$476.65
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
| Rate for Payer: United Healthcare Medicare |
$185.05
|
|
|
HC SN PL SCREW 3.5X44 LOCK
|
Facility
|
IP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601758
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$420.58 |
| Max. Negotiated Rate |
$521.52 |
| Rate for Payer: Aetna Commercial |
$484.51
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
|
|
HC SN PL SCREW 3.5X44 NON-LOCK
|
Facility
|
IP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601736
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$101.17 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
|
|
HC SN PL SCREW 3.5X44 NON-LOCK
|
Facility
|
OP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601736
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$35.90 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$91.81
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$62.47
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$68.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$41.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$39.49
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Centivo All Commercial |
$55.48
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Humana Medicare |
$55.48
|
| Rate for Payer: Lucent All Commercial |
$55.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$42.42
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$92.46
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
| Rate for Payer: United Healthcare Medicare |
$35.90
|
|
|
HC SN PL SCREW 3.5X46 LOCK
|
Facility
|
OP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601759
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.05 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$473.29
|
| Rate for Payer: Aetna Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$322.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$350.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$212.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$203.56
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Centivo All Commercial |
$285.99
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Humana Medicare |
$285.99
|
| Rate for Payer: Lucent All Commercial |
$285.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$218.70
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$476.65
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
| Rate for Payer: United Healthcare Medicare |
$185.05
|
|
|
HC SN PL SCREW 3.5X46 LOCK
|
Facility
|
IP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601759
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$420.58 |
| Max. Negotiated Rate |
$521.52 |
| Rate for Payer: Aetna Commercial |
$484.51
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
|
|
HC SN PL SCREW 3.5X46 NON-LOCK
|
Facility
|
OP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601737
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$35.90 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$91.81
|
| Rate for Payer: Aetna Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$35.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$62.47
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$68.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$41.28
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$39.49
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Centivo All Commercial |
$55.48
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Humana Medicare |
$55.48
|
| Rate for Payer: Lucent All Commercial |
$55.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$42.42
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$92.46
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
| Rate for Payer: United Healthcare Medicare |
$35.90
|
|
|
HC SN PL SCREW 3.5X46 NON-LOCK
|
Facility
|
IP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601737
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$101.17 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
|
|
HC SN PL SCREW 3.5X48 LOCK
|
Facility
|
OP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601760
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$185.05 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$473.29
|
| Rate for Payer: Aetna Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$185.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$322.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$350.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$212.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$203.56
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Centivo All Commercial |
$285.99
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Humana Medicare |
$285.99
|
| Rate for Payer: Lucent All Commercial |
$285.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$218.70
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$476.65
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
| Rate for Payer: United Healthcare Medicare |
$185.05
|
|
|
HC SN PL SCREW 3.5X48 LOCK
|
Facility
|
IP
|
$560.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601760
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$420.58 |
| Max. Negotiated Rate |
$521.52 |
| Rate for Payer: Aetna Commercial |
$484.51
|
| Rate for Payer: Cash Price |
$347.68
|
| Rate for Payer: Cigna All Commercial |
$483.94
|
| Rate for Payer: CORVEL All Commercial |
$521.52
|
| Rate for Payer: Coventry All Commercial |
$493.48
|
| Rate for Payer: Encore All Commercial |
$516.19
|
| Rate for Payer: Frontpath All Commercial |
$515.91
|
| Rate for Payer: Humana ChoiceCare |
$484.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$504.69
|
| Rate for Payer: PHCS All Commercial |
$420.58
|
| Rate for Payer: PHP All Commercial |
$425.29
|
| Rate for Payer: Sagamore Health Network All Products |
$432.91
|
| Rate for Payer: Signature Care EPO |
$465.44
|
| Rate for Payer: Signature Care PPO |
$493.48
|
| Rate for Payer: United Healthcare Commercial |
$441.89
|
|
|
HC SN PL SCREW 3.5X48 NON-LOCK
|
Facility
|
IP
|
$108.78
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41601738
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$81.58 |
| Max. Negotiated Rate |
$101.17 |
| Rate for Payer: Aetna Commercial |
$93.99
|
| Rate for Payer: Cash Price |
$67.44
|
| Rate for Payer: Cigna All Commercial |
$93.88
|
| Rate for Payer: CORVEL All Commercial |
$101.17
|
| Rate for Payer: Coventry All Commercial |
$95.73
|
| Rate for Payer: Encore All Commercial |
$100.13
|
| Rate for Payer: Frontpath All Commercial |
$100.08
|
| Rate for Payer: Humana ChoiceCare |
$93.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$97.90
|
| Rate for Payer: PHCS All Commercial |
$81.58
|
| Rate for Payer: PHP All Commercial |
$82.50
|
| Rate for Payer: Sagamore Health Network All Products |
$83.98
|
| Rate for Payer: Signature Care EPO |
$90.29
|
| Rate for Payer: Signature Care PPO |
$95.73
|
| Rate for Payer: United Healthcare Commercial |
$85.72
|
|
