|
HC Z NAIL 10.5X125 LAG SCREW
|
Facility
|
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606522
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,924.13
|
| Rate for Payer: Aetna Medicare |
$729.53
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$706.73
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,309.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,425.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$838.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$802.48
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Centivo All Commercial |
$1,240.19
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Humana Medicare |
$729.53
|
| Rate for Payer: Lucent All Commercial |
$1,240.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$889.11
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,937.80
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
| Rate for Payer: United Healthcare Medicare |
$729.53
|
|
|
HC Z NAIL 10.5 X 95 LAG SCREW
|
Facility
|
IP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606949
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,709.83 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,969.72
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
|
|
HC Z NAIL 10.5 X 95 LAG SCREW
|
Facility
|
OP
|
$2,279.77
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606949
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$2,120.19 |
| Rate for Payer: Aetna Commercial |
$1,924.13
|
| Rate for Payer: Aetna Medicare |
$729.53
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$706.73
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,309.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,425.08
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$838.96
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$802.48
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Cash Price |
$1,367.86
|
| Rate for Payer: Centivo All Commercial |
$1,240.19
|
| Rate for Payer: Cigna All Commercial |
$1,967.44
|
| Rate for Payer: CORVEL All Commercial |
$2,120.19
|
| Rate for Payer: Coventry All Commercial |
$2,006.20
|
| Rate for Payer: Encore All Commercial |
$2,098.53
|
| Rate for Payer: Frontpath All Commercial |
$2,097.39
|
| Rate for Payer: Humana ChoiceCare |
$1,969.04
|
| Rate for Payer: Humana Medicare |
$729.53
|
| Rate for Payer: Lucent All Commercial |
$1,240.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,051.79
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$1,709.83
|
| Rate for Payer: PHP All Commercial |
$1,728.98
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$889.11
|
| Rate for Payer: Sagamore Health Network All Products |
$1,759.98
|
| Rate for Payer: Signature Care EPO |
$1,892.21
|
| Rate for Payer: Signature Care PPO |
$2,006.20
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,937.80
|
| Rate for Payer: United Healthcare Commercial |
$1,796.46
|
| Rate for Payer: United Healthcare Medicare |
$729.53
|
|
|
HC Z NAIL 11X180 HFN 130 DEG
|
Facility
|
IP
|
$5,719.43
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606244
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,289.57 |
| Max. Negotiated Rate |
$5,319.07 |
| Rate for Payer: Aetna Commercial |
$4,941.59
|
| Rate for Payer: Cash Price |
$3,431.66
|
| Rate for Payer: Cigna All Commercial |
$4,935.87
|
| Rate for Payer: CORVEL All Commercial |
$5,319.07
|
| Rate for Payer: Coventry All Commercial |
$5,033.10
|
| Rate for Payer: Encore All Commercial |
$5,264.74
|
| Rate for Payer: Frontpath All Commercial |
$5,261.88
|
| Rate for Payer: Humana ChoiceCare |
$4,939.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,147.49
|
| Rate for Payer: PHCS All Commercial |
$4,289.57
|
| Rate for Payer: PHP All Commercial |
$4,337.62
|
| Rate for Payer: Sagamore Health Network All Products |
$4,415.40
|
| Rate for Payer: Signature Care EPO |
$4,747.13
|
| Rate for Payer: Signature Care PPO |
$5,033.10
|
| Rate for Payer: United Healthcare Commercial |
$4,506.91
|
|
|
HC Z NAIL 11X180 HFN 130 DEG
|
Facility
|
OP
|
$5,719.43
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606244
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$5,319.07 |
| Rate for Payer: Aetna Commercial |
$4,827.20
|
| Rate for Payer: Aetna Medicare |
$1,830.22
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,773.02
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$3,284.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,575.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,104.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,013.24
|
| Rate for Payer: Cash Price |
$3,431.66
|
| Rate for Payer: Cash Price |
$3,431.66
|
| Rate for Payer: Centivo All Commercial |
$3,111.37
|
| Rate for Payer: Cigna All Commercial |
$4,935.87
|
| Rate for Payer: CORVEL All Commercial |
$5,319.07
|
| Rate for Payer: Coventry All Commercial |
$5,033.10
|
| Rate for Payer: Encore All Commercial |
$5,264.74
|
| Rate for Payer: Frontpath All Commercial |
$5,261.88
|
| Rate for Payer: Humana ChoiceCare |
$4,939.87
|
| Rate for Payer: Humana Medicare |
$1,830.22
|
| Rate for Payer: Lucent All Commercial |
$3,111.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,147.49
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$4,289.57
|
| Rate for Payer: PHP All Commercial |
$4,337.62
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,230.58
|
| Rate for Payer: Sagamore Health Network All Products |
$4,415.40
|
| Rate for Payer: Signature Care EPO |
$4,747.13
|
| Rate for Payer: Signature Care PPO |
$5,033.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,861.52
|
| Rate for Payer: United Healthcare Commercial |
$4,506.91
|
| Rate for Payer: United Healthcare Medicare |
$1,830.22
|
|
|
HC Z NAIL 11X180 HFN 130 DEG
|
Facility
|
OP
|
$5,719.43
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606521
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$5,319.07 |
| Rate for Payer: Aetna Commercial |
$4,827.20
|
| Rate for Payer: Aetna Medicare |
$1,830.22
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,773.02
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$3,284.67
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,575.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,104.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,013.24
|
| Rate for Payer: Cash Price |
$3,431.66
|
| Rate for Payer: Cash Price |
$3,431.66
|
| Rate for Payer: Centivo All Commercial |
$3,111.37
|
| Rate for Payer: Cigna All Commercial |
$4,935.87
|
| Rate for Payer: CORVEL All Commercial |
$5,319.07
|
| Rate for Payer: Coventry All Commercial |
$5,033.10
|
| Rate for Payer: Encore All Commercial |
$5,264.74
|
| Rate for Payer: Frontpath All Commercial |
$5,261.88
|
| Rate for Payer: Humana ChoiceCare |
$4,939.87
|
| Rate for Payer: Humana Medicare |
$1,830.22
|
| Rate for Payer: Lucent All Commercial |
$3,111.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,147.49
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$4,289.57
|
| Rate for Payer: PHP All Commercial |
$4,337.62
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,230.58
|
| Rate for Payer: Sagamore Health Network All Products |
$4,415.40
|
| Rate for Payer: Signature Care EPO |
$4,747.13
|
| Rate for Payer: Signature Care PPO |
$5,033.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,861.52
|
| Rate for Payer: United Healthcare Commercial |
$4,506.91
|
| Rate for Payer: United Healthcare Medicare |
$1,830.22
|
|
|
HC Z NAIL 11X180 HFN 130 DEG
|
Facility
|
IP
|
$5,719.43
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606521
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,289.57 |
| Max. Negotiated Rate |
$5,319.07 |
| Rate for Payer: Aetna Commercial |
$4,941.59
|
| Rate for Payer: Cash Price |
$3,431.66
|
| Rate for Payer: Cigna All Commercial |
$4,935.87
|
| Rate for Payer: CORVEL All Commercial |
$5,319.07
|
| Rate for Payer: Coventry All Commercial |
$5,033.10
|
| Rate for Payer: Encore All Commercial |
$5,264.74
|
| Rate for Payer: Frontpath All Commercial |
$5,261.88
|
| Rate for Payer: Humana ChoiceCare |
$4,939.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,147.49
|
| Rate for Payer: PHCS All Commercial |
$4,289.57
|
| Rate for Payer: PHP All Commercial |
$4,337.62
|
| Rate for Payer: Sagamore Health Network All Products |
$4,415.40
|
| Rate for Payer: Signature Care EPO |
$4,747.13
|
| Rate for Payer: Signature Care PPO |
$5,033.10
|
| Rate for Payer: United Healthcare Commercial |
$4,506.91
|
|
|
HC Z NAIL 11X360 HFN 130 DEG
|
Facility
|
IP
|
$8,097.37
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607732
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,073.03 |
| Max. Negotiated Rate |
$7,530.55 |
| Rate for Payer: Aetna Commercial |
$6,996.13
|
| Rate for Payer: Cash Price |
$4,858.42
|
| Rate for Payer: Cigna All Commercial |
$6,988.03
|
| Rate for Payer: CORVEL All Commercial |
$7,530.55
|
| Rate for Payer: Coventry All Commercial |
$7,125.69
|
| Rate for Payer: Encore All Commercial |
$7,453.63
|
| Rate for Payer: Frontpath All Commercial |
$7,449.58
|
| Rate for Payer: Humana ChoiceCare |
$6,993.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,287.63
|
| Rate for Payer: PHCS All Commercial |
$6,073.03
|
| Rate for Payer: PHP All Commercial |
$6,141.05
|
| Rate for Payer: Sagamore Health Network All Products |
$6,251.17
|
| Rate for Payer: Signature Care EPO |
$6,720.82
|
| Rate for Payer: Signature Care PPO |
$7,125.69
|
| Rate for Payer: United Healthcare Commercial |
$6,380.73
|
|
|
HC Z NAIL 11X360 HFN 130 DEG
|
Facility
|
OP
|
$8,097.37
|
|
|
Service Code
|
CPT C1776
|
| Hospital Charge Code |
41607732
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$7,530.55 |
| Rate for Payer: Aetna Commercial |
$6,834.18
|
| Rate for Payer: Aetna Medicare |
$2,591.16
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,510.18
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$4,650.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,061.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,979.83
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,850.27
|
| Rate for Payer: Cash Price |
$4,858.42
|
| Rate for Payer: Cash Price |
$4,858.42
|
| Rate for Payer: Centivo All Commercial |
$4,404.97
|
| Rate for Payer: Cigna All Commercial |
$6,988.03
|
| Rate for Payer: CORVEL All Commercial |
$7,530.55
|
| Rate for Payer: Coventry All Commercial |
$7,125.69
|
| Rate for Payer: Encore All Commercial |
$7,453.63
|
| Rate for Payer: Frontpath All Commercial |
$7,449.58
|
| Rate for Payer: Humana ChoiceCare |
$6,993.70
|
| Rate for Payer: Humana Medicare |
$2,591.16
|
| Rate for Payer: Lucent All Commercial |
$4,404.97
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,287.63
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$6,073.03
|
| Rate for Payer: PHP All Commercial |
$6,141.05
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,157.97
|
| Rate for Payer: Sagamore Health Network All Products |
$6,251.17
|
| Rate for Payer: Signature Care EPO |
$6,720.82
|
| Rate for Payer: Signature Care PPO |
$7,125.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$6,882.76
|
| Rate for Payer: United Healthcare Commercial |
$6,380.73
|
| Rate for Payer: United Healthcare Medicare |
$2,591.16
|
|
|
HC Z NAIL 5.0X25 CORT SCREW FA
|
Facility
|
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603020
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$298.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.12
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Centivo All Commercial |
$507.09
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$298.29
|
| Rate for Payer: Lucent All Commercial |
$507.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$298.29
|
|
|
HC Z NAIL 5.0X25 CORT SCREW FA
|
Facility
|
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603020
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X30 CORT SCREW FA
|
Facility
|
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603022
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X30 CORT SCREW FA
|
Facility
|
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603022
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$298.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.12
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Centivo All Commercial |
$507.09
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$298.29
|
| Rate for Payer: Lucent All Commercial |
$507.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$298.29
|
|
|
HC Z NAIL 5.0X40 CORT SCREW FA
|
Facility
|
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603025
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X40 CORT SCREW FA
|
Facility
|
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603025
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$298.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.12
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Centivo All Commercial |
$507.09
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$298.29
|
| Rate for Payer: Lucent All Commercial |
$507.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$298.29
|
|
|
HC Z NAIL 5.0X50 CORT SCREW FA
|
Facility
|
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X50 CORT SCREW FA
|
Facility
|
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603029
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$298.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.12
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Centivo All Commercial |
$507.09
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$298.29
|
| Rate for Payer: Lucent All Commercial |
$507.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$298.29
|
|
|
HC Z NAIL 5.0X55 CORT SCREW FA
|
Facility
|
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603031
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X55 CORT SCREW FA
|
Facility
|
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603031
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$298.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$288.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$343.03
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$328.12
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Cash Price |
$559.29
|
| Rate for Payer: Centivo All Commercial |
$507.09
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$298.29
|
| Rate for Payer: Lucent All Commercial |
$507.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.93
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$298.29
|
|
|
HC Z NAIL 5X40 CORT SCREW
|
Facility
|
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606523
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$771.46
|
| Rate for Payer: Aetna Medicare |
$292.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$283.36
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$524.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$571.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$336.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$321.75
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Centivo All Commercial |
$497.24
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Humana Medicare |
$292.50
|
| Rate for Payer: Lucent All Commercial |
$497.24
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$356.48
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$776.94
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
| Rate for Payer: United Healthcare Medicare |
$292.50
|
|
|
HC Z NAIL 5X40 CORT SCREW
|
Facility
|
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606523
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$685.54 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$789.74
|
| Rate for Payer: Cash Price |
$548.43
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
|
|
HC Z NAIL 7X220 AFFIX PROX HUM L
|
Facility
|
OP
|
$5,925.42
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608274
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$5,510.64 |
| Rate for Payer: Aetna Commercial |
$5,001.05
|
| Rate for Payer: Aetna Medicare |
$1,896.13
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,836.88
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$3,402.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,703.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,180.55
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$2,085.75
|
| Rate for Payer: Cash Price |
$3,555.25
|
| Rate for Payer: Cash Price |
$3,555.25
|
| Rate for Payer: Centivo All Commercial |
$3,223.43
|
| Rate for Payer: Cigna All Commercial |
$5,113.64
|
| Rate for Payer: CORVEL All Commercial |
$5,510.64
|
| Rate for Payer: Coventry All Commercial |
$5,214.37
|
| Rate for Payer: Encore All Commercial |
$5,454.35
|
| Rate for Payer: Frontpath All Commercial |
$5,451.39
|
| Rate for Payer: Humana ChoiceCare |
$5,117.79
|
| Rate for Payer: Humana Medicare |
$1,896.13
|
| Rate for Payer: Lucent All Commercial |
$3,223.43
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,332.88
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$4,444.06
|
| Rate for Payer: PHP All Commercial |
$4,493.84
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,310.91
|
| Rate for Payer: Sagamore Health Network All Products |
$4,574.42
|
| Rate for Payer: Signature Care EPO |
$4,918.10
|
| Rate for Payer: Signature Care PPO |
$5,214.37
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$5,036.61
|
| Rate for Payer: United Healthcare Commercial |
$4,669.23
|
| Rate for Payer: United Healthcare Medicare |
$1,896.13
|
|
|
HC Z NAIL 7X220 AFFIX PROX HUM L
|
Facility
|
IP
|
$5,925.42
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41608274
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,444.06 |
| Max. Negotiated Rate |
$5,510.64 |
| Rate for Payer: Aetna Commercial |
$5,119.56
|
| Rate for Payer: Cash Price |
$3,555.25
|
| Rate for Payer: Cigna All Commercial |
$5,113.64
|
| Rate for Payer: CORVEL All Commercial |
$5,510.64
|
| Rate for Payer: Coventry All Commercial |
$5,214.37
|
| Rate for Payer: Encore All Commercial |
$5,454.35
|
| Rate for Payer: Frontpath All Commercial |
$5,451.39
|
| Rate for Payer: Humana ChoiceCare |
$5,117.79
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,332.88
|
| Rate for Payer: PHCS All Commercial |
$4,444.06
|
| Rate for Payer: PHP All Commercial |
$4,493.84
|
| Rate for Payer: Sagamore Health Network All Products |
$4,574.42
|
| Rate for Payer: Signature Care EPO |
$4,918.10
|
| Rate for Payer: Signature Care PPO |
$5,214.37
|
| Rate for Payer: United Healthcare Commercial |
$4,669.23
|
|
|
HC Z NAIL TIB UNIV 9.3X34
|
Facility
|
OP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$134.40 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,753.91
|
| Rate for Payer: Aetna Medicare |
$1,802.43
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$134.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,746.11
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$3,234.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,520.94
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$134.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,072.80
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,982.68
|
| Rate for Payer: Cash Price |
$3,379.56
|
| Rate for Payer: Cash Price |
$3,379.56
|
| Rate for Payer: Centivo All Commercial |
$3,064.13
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Humana Medicare |
$1,802.43
|
| Rate for Payer: Lucent All Commercial |
$3,064.13
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: Managed Health Services Medicaid |
$134.40
|
| Rate for Payer: MDWise Medicaid |
$134.40
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,196.71
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,787.71
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
| Rate for Payer: United Healthcare Medicare |
$1,802.43
|
|
|
HC Z NAIL TIB UNIV 9.3X34
|
Facility
|
IP
|
$5,632.60
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603904
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,224.45 |
| Max. Negotiated Rate |
$5,238.32 |
| Rate for Payer: Aetna Commercial |
$4,866.57
|
| Rate for Payer: Cash Price |
$3,379.56
|
| Rate for Payer: Cigna All Commercial |
$4,860.93
|
| Rate for Payer: CORVEL All Commercial |
$5,238.32
|
| Rate for Payer: Coventry All Commercial |
$4,956.69
|
| Rate for Payer: Encore All Commercial |
$5,184.81
|
| Rate for Payer: Frontpath All Commercial |
$5,181.99
|
| Rate for Payer: Humana ChoiceCare |
$4,864.88
|
| Rate for Payer: Lutheran Preferred All Commercial |
$5,069.34
|
| Rate for Payer: PHCS All Commercial |
$4,224.45
|
| Rate for Payer: PHP All Commercial |
$4,271.76
|
| Rate for Payer: Sagamore Health Network All Products |
$4,348.37
|
| Rate for Payer: Signature Care EPO |
$4,675.06
|
| Rate for Payer: Signature Care PPO |
$4,956.69
|
| Rate for Payer: United Healthcare Commercial |
$4,438.49
|
|
