|
PR OPEN TREATMENT METATARSAL FRACTURE EACH
|
Professional
|
Both
|
$1,062.22
|
|
|
Service Code
|
CPT 28485
|
| Hospital Charge Code |
z28485
|
| Min. Negotiated Rate |
$480.61 |
| Max. Negotiated Rate |
$79,400.00 |
| Rate for Payer: Aetna Commercial |
$529.87
|
| Rate for Payer: Aetna Commercial |
$529.87
|
| Rate for Payer: Aetna Medicare |
$529.87
|
| Rate for Payer: Aetna Medicare |
$529.87
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$509.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$509.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$509.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$509.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$509.07
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$509.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$509.07
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$509.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$522.44
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$522.44
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$609.35
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$609.35
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$582.86
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$582.86
|
| Rate for Payer: Cash Price |
$658.58
|
| Rate for Payer: Cash Price |
$640.57
|
| Rate for Payer: Centivo All Commercial |
$821.30
|
| Rate for Payer: Centivo All Commercial |
$821.30
|
| Rate for Payer: Cigna All Commercial |
$529.87
|
| Rate for Payer: Cigna All Commercial |
$529.87
|
| Rate for Payer: CORVEL All Commercial |
$529.87
|
| Rate for Payer: CORVEL All Commercial |
$529.87
|
| Rate for Payer: Coventry All Commercial |
$635.84
|
| Rate for Payer: Coventry All Commercial |
$635.84
|
| Rate for Payer: Encore All Commercial |
$529.87
|
| Rate for Payer: Encore All Commercial |
$529.87
|
| Rate for Payer: Frontpath All Commercial |
$720.82
|
| Rate for Payer: Frontpath All Commercial |
$720.82
|
| Rate for Payer: Humana ChoiceCare |
$480.61
|
| Rate for Payer: Humana ChoiceCare |
$480.61
|
| Rate for Payer: Humana Medicare |
$529.87
|
| Rate for Payer: Humana Medicare |
$529.87
|
| Rate for Payer: Lucent All Commercial |
$741.82
|
| Rate for Payer: Lucent All Commercial |
$741.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$847.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$847.00
|
| Rate for Payer: Managed Health Services Medicaid |
$522.44
|
| Rate for Payer: Managed Health Services Medicaid |
$522.44
|
| Rate for Payer: MDWise Medicaid |
$522.44
|
| Rate for Payer: MDWise Medicaid |
$522.44
|
| Rate for Payer: PHCS All Commercial |
$529.87
|
| Rate for Payer: PHCS All Commercial |
$529.87
|
| Rate for Payer: PHP All Commercial |
$898.87
|
| Rate for Payer: PHP All Commercial |
$898.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$529.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$529.87
|
| Rate for Payer: Sagamore Health Network All Products |
$529.87
|
| Rate for Payer: Sagamore Health Network All Products |
$529.87
|
| Rate for Payer: Signature Care EPO |
$653.65
|
| Rate for Payer: Signature Care EPO |
$653.65
|
| Rate for Payer: Signature Care PPO |
$653.65
|
| Rate for Payer: Signature Care PPO |
$653.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$79,400.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$79,400.00
|
| Rate for Payer: United Healthcare Commercial |
$578.66
|
| Rate for Payer: United Healthcare Commercial |
$578.66
|
| Rate for Payer: United Healthcare Medicare |
$516.59
|
| Rate for Payer: United Healthcare Medicare |
$516.59
|
|
|
PR OPEN TREATMENT OF ULNAR SHAFT FRACTURE
|
Professional
|
Both
|
$1,169.48
|
|
|
Service Code
|
CPT 25545
|
| Hospital Charge Code |
z25545
|
| Min. Negotiated Rate |
$571.30 |
| Max. Negotiated Rate |
$87,800.00 |
| Rate for Payer: Aetna Commercial |
$584.07
|
| Rate for Payer: Aetna Commercial |
$584.07
|
| Rate for Payer: Aetna Medicare |
$584.07
|
| Rate for Payer: Aetna Medicare |
$584.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$856.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$856.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$856.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$856.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$856.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$856.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$856.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$856.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$575.19
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$575.19
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$671.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$671.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$642.48
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$642.48
|
| Rate for Payer: Cash Price |
$725.08
|
| Rate for Payer: Cash Price |
$708.41
|
| Rate for Payer: Centivo All Commercial |
$905.31
|
| Rate for Payer: Centivo All Commercial |
$905.31
|
| Rate for Payer: Cigna All Commercial |
$584.07
|
| Rate for Payer: Cigna All Commercial |
$584.07
|
| Rate for Payer: CORVEL All Commercial |
$584.07
|
| Rate for Payer: CORVEL All Commercial |
$584.07
|
| Rate for Payer: Coventry All Commercial |
$700.88
|
| Rate for Payer: Coventry All Commercial |
$700.88
|
| Rate for Payer: Encore All Commercial |
$584.07
|
| Rate for Payer: Encore All Commercial |
$584.07
|
| Rate for Payer: Frontpath All Commercial |
$808.50
|
| Rate for Payer: Frontpath All Commercial |
$808.50
|
| Rate for Payer: Humana ChoiceCare |
$721.01
|
| Rate for Payer: Humana ChoiceCare |
$721.01
|
| Rate for Payer: Humana Medicare |
$584.07
|
| Rate for Payer: Humana Medicare |
$584.07
|
| Rate for Payer: Lucent All Commercial |
$817.70
|
| Rate for Payer: Lucent All Commercial |
$817.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$937.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$937.00
|
| Rate for Payer: Managed Health Services Medicaid |
$575.19
|
| Rate for Payer: Managed Health Services Medicaid |
$575.19
|
| Rate for Payer: MDWise Medicaid |
$575.19
|
| Rate for Payer: MDWise Medicaid |
$575.19
|
| Rate for Payer: PHCS All Commercial |
$584.07
|
| Rate for Payer: PHCS All Commercial |
$584.07
|
| Rate for Payer: PHP All Commercial |
$994.07
|
| Rate for Payer: PHP All Commercial |
$994.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$584.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$584.07
|
| Rate for Payer: Sagamore Health Network All Products |
$584.07
|
| Rate for Payer: Sagamore Health Network All Products |
$584.07
|
| Rate for Payer: Signature Care EPO |
$965.60
|
| Rate for Payer: Signature Care EPO |
$965.60
|
| Rate for Payer: Signature Care PPO |
$965.60
|
| Rate for Payer: Signature Care PPO |
$965.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$87,800.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$87,800.00
|
| Rate for Payer: United Healthcare Commercial |
$669.76
|
| Rate for Payer: United Healthcare Commercial |
$669.76
|
| Rate for Payer: United Healthcare Medicare |
$571.30
|
| Rate for Payer: United Healthcare Medicare |
$571.30
|
|
|
PR OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE
|
Professional
|
Both
|
$1,348.52
|
|
|
Service Code
|
CPT 27769
|
| Hospital Charge Code |
z27769
|
| Min. Negotiated Rate |
$661.00 |
| Max. Negotiated Rate |
$1,054.57 |
| Rate for Payer: Aetna Commercial |
$680.37
|
| Rate for Payer: Aetna Commercial |
$680.37
|
| Rate for Payer: Aetna Medicare |
$680.37
|
| Rate for Payer: Aetna Medicare |
$680.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$663.26
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$663.26
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$782.43
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$782.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$748.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$748.41
|
| Rate for Payer: Cash Price |
$819.64
|
| Rate for Payer: Cash Price |
$836.08
|
| Rate for Payer: Centivo All Commercial |
$1,054.57
|
| Rate for Payer: Centivo All Commercial |
$1,054.57
|
| Rate for Payer: Cigna All Commercial |
$680.37
|
| Rate for Payer: Cigna All Commercial |
$680.37
|
| Rate for Payer: CORVEL All Commercial |
$680.37
|
| Rate for Payer: CORVEL All Commercial |
$680.37
|
| Rate for Payer: Coventry All Commercial |
$816.44
|
| Rate for Payer: Coventry All Commercial |
$816.44
|
| Rate for Payer: Encore All Commercial |
$680.37
|
| Rate for Payer: Encore All Commercial |
$680.37
|
| Rate for Payer: Frontpath All Commercial |
$946.37
|
| Rate for Payer: Frontpath All Commercial |
$946.37
|
| Rate for Payer: Humana ChoiceCare |
$662.54
|
| Rate for Payer: Humana ChoiceCare |
$662.54
|
| Rate for Payer: Humana Medicare |
$680.37
|
| Rate for Payer: Humana Medicare |
$680.37
|
| Rate for Payer: Lucent All Commercial |
$952.52
|
| Rate for Payer: Lucent All Commercial |
$952.52
|
| Rate for Payer: Managed Health Services Medicaid |
$663.26
|
| Rate for Payer: Managed Health Services Medicaid |
$663.26
|
| Rate for Payer: MDWise Medicaid |
$663.26
|
| Rate for Payer: MDWise Medicaid |
$663.26
|
| Rate for Payer: PHCS All Commercial |
$680.37
|
| Rate for Payer: PHCS All Commercial |
$680.37
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$680.37
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$680.37
|
| Rate for Payer: Sagamore Health Network All Products |
$680.37
|
| Rate for Payer: Sagamore Health Network All Products |
$680.37
|
| Rate for Payer: United Healthcare Commercial |
$752.38
|
| Rate for Payer: United Healthcare Commercial |
$752.38
|
| Rate for Payer: United Healthcare Medicare |
$661.00
|
| Rate for Payer: United Healthcare Medicare |
$661.00
|
|
|
PR OPEN TREATMENT PROX HUMERAL FRACTURE
|
Professional
|
Both
|
$1,636.44
|
|
|
Service Code
|
CPT 23615
|
| Hospital Charge Code |
z23615
|
| Min. Negotiated Rate |
$789.05 |
| Max. Negotiated Rate |
$123,200.00 |
| Rate for Payer: Aetna Commercial |
$822.96
|
| Rate for Payer: Aetna Commercial |
$822.96
|
| Rate for Payer: Aetna Medicare |
$822.96
|
| Rate for Payer: Aetna Medicare |
$822.96
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$959.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$959.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$959.10
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$959.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$959.10
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$959.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$959.10
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$959.10
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$804.87
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$804.87
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$946.40
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$946.40
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$905.26
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$905.26
|
| Rate for Payer: Cash Price |
$1,014.59
|
| Rate for Payer: Cash Price |
$993.92
|
| Rate for Payer: Centivo All Commercial |
$1,275.59
|
| Rate for Payer: Centivo All Commercial |
$1,275.59
|
| Rate for Payer: Cigna All Commercial |
$822.96
|
| Rate for Payer: Cigna All Commercial |
$822.96
|
| Rate for Payer: CORVEL All Commercial |
$822.96
|
| Rate for Payer: CORVEL All Commercial |
$822.96
|
| Rate for Payer: Coventry All Commercial |
$987.55
|
| Rate for Payer: Coventry All Commercial |
$987.55
|
| Rate for Payer: Encore All Commercial |
$822.96
|
| Rate for Payer: Encore All Commercial |
$822.96
|
| Rate for Payer: Frontpath All Commercial |
$1,147.03
|
| Rate for Payer: Frontpath All Commercial |
$1,147.03
|
| Rate for Payer: Humana ChoiceCare |
$789.05
|
| Rate for Payer: Humana ChoiceCare |
$789.05
|
| Rate for Payer: Humana Medicare |
$822.96
|
| Rate for Payer: Humana Medicare |
$822.96
|
| Rate for Payer: Lucent All Commercial |
$1,152.14
|
| Rate for Payer: Lucent All Commercial |
$1,152.14
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,315.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,315.00
|
| Rate for Payer: Managed Health Services Medicaid |
$804.87
|
| Rate for Payer: Managed Health Services Medicaid |
$804.87
|
| Rate for Payer: MDWise Medicaid |
$804.87
|
| Rate for Payer: MDWise Medicaid |
$804.87
|
| Rate for Payer: PHCS All Commercial |
$822.96
|
| Rate for Payer: PHCS All Commercial |
$822.96
|
| Rate for Payer: PHP All Commercial |
$1,394.70
|
| Rate for Payer: PHP All Commercial |
$1,394.70
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$822.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$822.96
|
| Rate for Payer: Sagamore Health Network All Products |
$822.96
|
| Rate for Payer: Sagamore Health Network All Products |
$822.96
|
| Rate for Payer: Signature Care EPO |
$1,049.75
|
| Rate for Payer: Signature Care EPO |
$1,049.75
|
| Rate for Payer: Signature Care PPO |
$1,049.75
|
| Rate for Payer: Signature Care PPO |
$1,049.75
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$123,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$123,200.00
|
| Rate for Payer: United Healthcare Commercial |
$940.70
|
| Rate for Payer: United Healthcare Commercial |
$940.70
|
| Rate for Payer: United Healthcare Medicare |
$801.55
|
| Rate for Payer: United Healthcare Medicare |
$801.55
|
|
|
PR OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE
|
Professional
|
Both
|
$1,330.90
|
|
|
Service Code
|
CPT 27784
|
| Hospital Charge Code |
z27784
|
| Min. Negotiated Rate |
$590.09 |
| Max. Negotiated Rate |
$99,400.00 |
| Rate for Payer: Aetna Commercial |
$661.38
|
| Rate for Payer: Aetna Commercial |
$661.38
|
| Rate for Payer: Aetna Medicare |
$661.38
|
| Rate for Payer: Aetna Medicare |
$661.38
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$685.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$685.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$685.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$685.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$685.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$685.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$685.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$685.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$654.59
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$654.59
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$760.59
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$760.59
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$727.52
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$727.52
|
| Rate for Payer: Cash Price |
$825.16
|
| Rate for Payer: Cash Price |
$801.62
|
| Rate for Payer: Centivo All Commercial |
$1,025.14
|
| Rate for Payer: Centivo All Commercial |
$1,025.14
|
| Rate for Payer: Cigna All Commercial |
$661.38
|
| Rate for Payer: Cigna All Commercial |
$661.38
|
| Rate for Payer: CORVEL All Commercial |
$661.38
|
| Rate for Payer: CORVEL All Commercial |
$661.38
|
| Rate for Payer: Coventry All Commercial |
$793.66
|
| Rate for Payer: Coventry All Commercial |
$793.66
|
| Rate for Payer: Encore All Commercial |
$661.38
|
| Rate for Payer: Encore All Commercial |
$661.38
|
| Rate for Payer: Frontpath All Commercial |
$917.44
|
| Rate for Payer: Frontpath All Commercial |
$917.44
|
| Rate for Payer: Humana ChoiceCare |
$590.09
|
| Rate for Payer: Humana ChoiceCare |
$590.09
|
| Rate for Payer: Humana Medicare |
$661.38
|
| Rate for Payer: Humana Medicare |
$661.38
|
| Rate for Payer: Lucent All Commercial |
$925.93
|
| Rate for Payer: Lucent All Commercial |
$925.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,060.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,060.00
|
| Rate for Payer: Managed Health Services Medicaid |
$654.59
|
| Rate for Payer: Managed Health Services Medicaid |
$654.59
|
| Rate for Payer: MDWise Medicaid |
$654.59
|
| Rate for Payer: MDWise Medicaid |
$654.59
|
| Rate for Payer: PHCS All Commercial |
$661.38
|
| Rate for Payer: PHCS All Commercial |
$661.38
|
| Rate for Payer: PHP All Commercial |
$1,124.87
|
| Rate for Payer: PHP All Commercial |
$1,124.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$661.38
|
| Rate for Payer: Sagamore Health Network All Products |
$661.38
|
| Rate for Payer: Sagamore Health Network All Products |
$661.38
|
| Rate for Payer: Signature Care EPO |
$788.80
|
| Rate for Payer: Signature Care EPO |
$788.80
|
| Rate for Payer: Signature Care PPO |
$788.80
|
| Rate for Payer: Signature Care PPO |
$788.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$99,400.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$99,400.00
|
| Rate for Payer: United Healthcare Commercial |
$747.11
|
| Rate for Payer: United Healthcare Commercial |
$747.11
|
| Rate for Payer: United Healthcare Medicare |
$646.47
|
| Rate for Payer: United Healthcare Medicare |
$646.47
|
|
|
PR OPEN TREATMENT RADIAL SHAFT FRACTURE
|
Professional
|
Both
|
$1,252.80
|
|
|
Service Code
|
CPT 25515
|
| Hospital Charge Code |
z25515
|
| Min. Negotiated Rate |
$611.43 |
| Max. Negotiated Rate |
$1,063.89 |
| Rate for Payer: Aetna Commercial |
$625.92
|
| Rate for Payer: Aetna Commercial |
$625.92
|
| Rate for Payer: Aetna Medicare |
$625.92
|
| Rate for Payer: Aetna Medicare |
$625.92
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$616.17
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$616.17
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$719.81
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$719.81
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$688.51
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$688.51
|
| Rate for Payer: Cash Price |
$776.74
|
| Rate for Payer: Cash Price |
$758.17
|
| Rate for Payer: Centivo All Commercial |
$970.18
|
| Rate for Payer: Centivo All Commercial |
$970.18
|
| Rate for Payer: Cigna All Commercial |
$625.92
|
| Rate for Payer: Cigna All Commercial |
$625.92
|
| Rate for Payer: CORVEL All Commercial |
$625.92
|
| Rate for Payer: CORVEL All Commercial |
$625.92
|
| Rate for Payer: Coventry All Commercial |
$751.10
|
| Rate for Payer: Coventry All Commercial |
$751.10
|
| Rate for Payer: Encore All Commercial |
$625.92
|
| Rate for Payer: Encore All Commercial |
$625.92
|
| Rate for Payer: Frontpath All Commercial |
$867.88
|
| Rate for Payer: Frontpath All Commercial |
$867.88
|
| Rate for Payer: Humana ChoiceCare |
$726.47
|
| Rate for Payer: Humana ChoiceCare |
$726.47
|
| Rate for Payer: Humana Medicare |
$625.92
|
| Rate for Payer: Humana Medicare |
$625.92
|
| Rate for Payer: Lucent All Commercial |
$876.29
|
| Rate for Payer: Lucent All Commercial |
$876.29
|
| Rate for Payer: Managed Health Services Medicaid |
$616.17
|
| Rate for Payer: Managed Health Services Medicaid |
$616.17
|
| Rate for Payer: MDWise Medicaid |
$616.17
|
| Rate for Payer: MDWise Medicaid |
$616.17
|
| Rate for Payer: PHCS All Commercial |
$625.92
|
| Rate for Payer: PHCS All Commercial |
$625.92
|
| Rate for Payer: PHP All Commercial |
$1,063.89
|
| Rate for Payer: PHP All Commercial |
$1,063.89
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$625.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$625.92
|
| Rate for Payer: Sagamore Health Network All Products |
$625.92
|
| Rate for Payer: Sagamore Health Network All Products |
$625.92
|
| Rate for Payer: Signature Care EPO |
$971.55
|
| Rate for Payer: Signature Care EPO |
$971.55
|
| Rate for Payer: Signature Care PPO |
$971.55
|
| Rate for Payer: Signature Care PPO |
$971.55
|
| Rate for Payer: United Healthcare Commercial |
$716.79
|
| Rate for Payer: United Healthcare Commercial |
$716.79
|
| Rate for Payer: United Healthcare Medicare |
$611.43
|
| Rate for Payer: United Healthcare Medicare |
$611.43
|
|
|
PR OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA
|
Professional
|
Both
|
$1,383.98
|
|
|
Service Code
|
CPT 26746
|
| Hospital Charge Code |
z26746
|
| Min. Negotiated Rate |
$491.25 |
| Max. Negotiated Rate |
$104,200.00 |
| Rate for Payer: Aetna Commercial |
$694.52
|
| Rate for Payer: Aetna Commercial |
$694.52
|
| Rate for Payer: Aetna Medicare |
$694.52
|
| Rate for Payer: Aetna Medicare |
$694.52
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$584.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$584.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$584.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$584.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$584.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$584.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$584.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$584.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$680.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$680.70
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$798.70
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$798.70
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$763.97
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$763.97
|
| Rate for Payer: Cash Price |
$858.07
|
| Rate for Payer: Cash Price |
$840.35
|
| Rate for Payer: Centivo All Commercial |
$1,076.51
|
| Rate for Payer: Centivo All Commercial |
$1,076.51
|
| Rate for Payer: Cigna All Commercial |
$694.52
|
| Rate for Payer: Cigna All Commercial |
$694.52
|
| Rate for Payer: CORVEL All Commercial |
$694.52
|
| Rate for Payer: CORVEL All Commercial |
$694.52
|
| Rate for Payer: Coventry All Commercial |
$833.42
|
| Rate for Payer: Coventry All Commercial |
$833.42
|
| Rate for Payer: Encore All Commercial |
$694.52
|
| Rate for Payer: Encore All Commercial |
$694.52
|
| Rate for Payer: Frontpath All Commercial |
$960.51
|
| Rate for Payer: Frontpath All Commercial |
$960.51
|
| Rate for Payer: Humana ChoiceCare |
$491.25
|
| Rate for Payer: Humana ChoiceCare |
$491.25
|
| Rate for Payer: Humana Medicare |
$694.52
|
| Rate for Payer: Humana Medicare |
$694.52
|
| Rate for Payer: Lucent All Commercial |
$972.33
|
| Rate for Payer: Lucent All Commercial |
$972.33
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,111.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,111.00
|
| Rate for Payer: Managed Health Services Medicaid |
$680.70
|
| Rate for Payer: Managed Health Services Medicaid |
$680.70
|
| Rate for Payer: MDWise Medicaid |
$680.70
|
| Rate for Payer: MDWise Medicaid |
$680.70
|
| Rate for Payer: PHCS All Commercial |
$694.52
|
| Rate for Payer: PHCS All Commercial |
$694.52
|
| Rate for Payer: PHP All Commercial |
$1,179.19
|
| Rate for Payer: PHP All Commercial |
$1,179.19
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$694.52
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$694.52
|
| Rate for Payer: Sagamore Health Network All Products |
$694.52
|
| Rate for Payer: Sagamore Health Network All Products |
$694.52
|
| Rate for Payer: Signature Care EPO |
$677.45
|
| Rate for Payer: Signature Care EPO |
$677.45
|
| Rate for Payer: Signature Care PPO |
$677.45
|
| Rate for Payer: Signature Care PPO |
$677.45
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$104,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$104,200.00
|
| Rate for Payer: United Healthcare Commercial |
$743.73
|
| Rate for Payer: United Healthcare Commercial |
$743.73
|
| Rate for Payer: United Healthcare Medicare |
$677.70
|
| Rate for Payer: United Healthcare Medicare |
$677.70
|
|
|
PR OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE
|
Professional
|
Both
|
$1,342.44
|
|
|
Service Code
|
CPT 25628
|
| Hospital Charge Code |
z25628
|
| Min. Negotiated Rate |
$656.96 |
| Max. Negotiated Rate |
$101,000.00 |
| Rate for Payer: Aetna Commercial |
$673.67
|
| Rate for Payer: Aetna Commercial |
$673.67
|
| Rate for Payer: Aetna Medicare |
$673.67
|
| Rate for Payer: Aetna Medicare |
$673.67
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$815.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$815.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$815.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$815.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$815.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$815.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$815.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$815.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$660.26
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$660.26
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$774.72
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$774.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$741.04
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$741.04
|
| Rate for Payer: Cash Price |
$832.31
|
| Rate for Payer: Cash Price |
$814.63
|
| Rate for Payer: Centivo All Commercial |
$1,044.19
|
| Rate for Payer: Centivo All Commercial |
$1,044.19
|
| Rate for Payer: Cigna All Commercial |
$673.67
|
| Rate for Payer: Cigna All Commercial |
$673.67
|
| Rate for Payer: CORVEL All Commercial |
$673.67
|
| Rate for Payer: CORVEL All Commercial |
$673.67
|
| Rate for Payer: Coventry All Commercial |
$808.40
|
| Rate for Payer: Coventry All Commercial |
$808.40
|
| Rate for Payer: Encore All Commercial |
$673.67
|
| Rate for Payer: Encore All Commercial |
$673.67
|
| Rate for Payer: Frontpath All Commercial |
$932.80
|
| Rate for Payer: Frontpath All Commercial |
$932.80
|
| Rate for Payer: Humana ChoiceCare |
$703.78
|
| Rate for Payer: Humana ChoiceCare |
$703.78
|
| Rate for Payer: Humana Medicare |
$673.67
|
| Rate for Payer: Humana Medicare |
$673.67
|
| Rate for Payer: Lucent All Commercial |
$943.14
|
| Rate for Payer: Lucent All Commercial |
$943.14
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,077.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,077.00
|
| Rate for Payer: Managed Health Services Medicaid |
$660.26
|
| Rate for Payer: Managed Health Services Medicaid |
$660.26
|
| Rate for Payer: MDWise Medicaid |
$660.26
|
| Rate for Payer: MDWise Medicaid |
$660.26
|
| Rate for Payer: PHCS All Commercial |
$673.67
|
| Rate for Payer: PHCS All Commercial |
$673.67
|
| Rate for Payer: PHP All Commercial |
$1,143.12
|
| Rate for Payer: PHP All Commercial |
$1,143.12
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$673.67
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$673.67
|
| Rate for Payer: Sagamore Health Network All Products |
$673.67
|
| Rate for Payer: Sagamore Health Network All Products |
$673.67
|
| Rate for Payer: Signature Care EPO |
$943.50
|
| Rate for Payer: Signature Care EPO |
$943.50
|
| Rate for Payer: Signature Care PPO |
$943.50
|
| Rate for Payer: Signature Care PPO |
$943.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$101,000.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$101,000.00
|
| Rate for Payer: United Healthcare Commercial |
$767.04
|
| Rate for Payer: United Healthcare Commercial |
$767.04
|
| Rate for Payer: United Healthcare Medicare |
$656.96
|
| Rate for Payer: United Healthcare Medicare |
$656.96
|
|
|
PR OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB
|
Professional
|
Both
|
$1,084.62
|
|
|
Service Code
|
CPT 26685
|
| Hospital Charge Code |
z26685
|
| Min. Negotiated Rate |
$526.88 |
| Max. Negotiated Rate |
$81,000.00 |
| Rate for Payer: Aetna Commercial |
$539.38
|
| Rate for Payer: Aetna Commercial |
$539.38
|
| Rate for Payer: Aetna Medicare |
$539.38
|
| Rate for Payer: Aetna Medicare |
$539.38
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$681.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$681.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$681.50
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$681.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$681.50
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$681.50
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$681.50
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$681.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$533.46
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$533.46
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$620.29
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$620.29
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$593.32
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$593.32
|
| Rate for Payer: Cash Price |
$672.46
|
| Rate for Payer: Cash Price |
$653.33
|
| Rate for Payer: Centivo All Commercial |
$836.04
|
| Rate for Payer: Centivo All Commercial |
$836.04
|
| Rate for Payer: Cigna All Commercial |
$539.38
|
| Rate for Payer: Cigna All Commercial |
$539.38
|
| Rate for Payer: CORVEL All Commercial |
$539.38
|
| Rate for Payer: CORVEL All Commercial |
$539.38
|
| Rate for Payer: Coventry All Commercial |
$647.26
|
| Rate for Payer: Coventry All Commercial |
$647.26
|
| Rate for Payer: Encore All Commercial |
$539.38
|
| Rate for Payer: Encore All Commercial |
$539.38
|
| Rate for Payer: Frontpath All Commercial |
$744.24
|
| Rate for Payer: Frontpath All Commercial |
$744.24
|
| Rate for Payer: Humana ChoiceCare |
$568.70
|
| Rate for Payer: Humana ChoiceCare |
$568.70
|
| Rate for Payer: Humana Medicare |
$539.38
|
| Rate for Payer: Humana Medicare |
$539.38
|
| Rate for Payer: Lucent All Commercial |
$755.13
|
| Rate for Payer: Lucent All Commercial |
$755.13
|
| Rate for Payer: Lutheran Preferred All Commercial |
$864.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$864.00
|
| Rate for Payer: Managed Health Services Medicaid |
$533.46
|
| Rate for Payer: Managed Health Services Medicaid |
$533.46
|
| Rate for Payer: MDWise Medicaid |
$533.46
|
| Rate for Payer: MDWise Medicaid |
$533.46
|
| Rate for Payer: PHCS All Commercial |
$539.38
|
| Rate for Payer: PHCS All Commercial |
$539.38
|
| Rate for Payer: PHP All Commercial |
$916.77
|
| Rate for Payer: PHP All Commercial |
$916.77
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$539.38
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$539.38
|
| Rate for Payer: Sagamore Health Network All Products |
$539.38
|
| Rate for Payer: Sagamore Health Network All Products |
$539.38
|
| Rate for Payer: Signature Care EPO |
$770.95
|
| Rate for Payer: Signature Care EPO |
$770.95
|
| Rate for Payer: Signature Care PPO |
$770.95
|
| Rate for Payer: Signature Care PPO |
$770.95
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$81,000.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$81,000.00
|
| Rate for Payer: United Healthcare Commercial |
$594.66
|
| Rate for Payer: United Healthcare Commercial |
$594.66
|
| Rate for Payer: United Healthcare Medicare |
$526.88
|
| Rate for Payer: United Healthcare Medicare |
$526.88
|
|
|
PR OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB
|
Professional
|
Both
|
$1,177.74
|
|
|
Service Code
|
CPT 26665
|
| Hospital Charge Code |
z26665
|
| Min. Negotiated Rate |
$575.38 |
| Max. Negotiated Rate |
$88,500.00 |
| Rate for Payer: Aetna Commercial |
$586.74
|
| Rate for Payer: Aetna Commercial |
$586.74
|
| Rate for Payer: Aetna Medicare |
$586.74
|
| Rate for Payer: Aetna Medicare |
$586.74
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$738.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$738.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$738.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$738.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$738.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$738.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$738.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$738.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$579.26
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$579.26
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$674.75
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$674.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$645.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$645.41
|
| Rate for Payer: Cash Price |
$730.20
|
| Rate for Payer: Cash Price |
$713.47
|
| Rate for Payer: Centivo All Commercial |
$909.45
|
| Rate for Payer: Centivo All Commercial |
$909.45
|
| Rate for Payer: Cigna All Commercial |
$586.74
|
| Rate for Payer: Cigna All Commercial |
$586.74
|
| Rate for Payer: CORVEL All Commercial |
$586.74
|
| Rate for Payer: CORVEL All Commercial |
$586.74
|
| Rate for Payer: Coventry All Commercial |
$704.09
|
| Rate for Payer: Coventry All Commercial |
$704.09
|
| Rate for Payer: Encore All Commercial |
$586.74
|
| Rate for Payer: Encore All Commercial |
$586.74
|
| Rate for Payer: Frontpath All Commercial |
$804.74
|
| Rate for Payer: Frontpath All Commercial |
$804.74
|
| Rate for Payer: Humana ChoiceCare |
$610.73
|
| Rate for Payer: Humana ChoiceCare |
$610.73
|
| Rate for Payer: Humana Medicare |
$586.74
|
| Rate for Payer: Humana Medicare |
$586.74
|
| Rate for Payer: Lucent All Commercial |
$821.44
|
| Rate for Payer: Lucent All Commercial |
$821.44
|
| Rate for Payer: Lutheran Preferred All Commercial |
$944.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$944.00
|
| Rate for Payer: Managed Health Services Medicaid |
$579.26
|
| Rate for Payer: Managed Health Services Medicaid |
$579.26
|
| Rate for Payer: MDWise Medicaid |
$579.26
|
| Rate for Payer: MDWise Medicaid |
$579.26
|
| Rate for Payer: PHCS All Commercial |
$586.74
|
| Rate for Payer: PHCS All Commercial |
$586.74
|
| Rate for Payer: PHP All Commercial |
$1,001.16
|
| Rate for Payer: PHP All Commercial |
$1,001.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$586.74
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$586.74
|
| Rate for Payer: Sagamore Health Network All Products |
$586.74
|
| Rate for Payer: Sagamore Health Network All Products |
$586.74
|
| Rate for Payer: Signature Care EPO |
$836.40
|
| Rate for Payer: Signature Care EPO |
$836.40
|
| Rate for Payer: Signature Care PPO |
$836.40
|
| Rate for Payer: Signature Care PPO |
$836.40
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$88,500.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$88,500.00
|
| Rate for Payer: United Healthcare Commercial |
$644.48
|
| Rate for Payer: United Healthcare Commercial |
$644.48
|
| Rate for Payer: United Healthcare Medicare |
$575.38
|
| Rate for Payer: United Healthcare Medicare |
$575.38
|
|
|
PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS
|
Professional
|
Both
|
$1,202.62
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
z27792
|
| Min. Negotiated Rate |
$588.48 |
| Max. Negotiated Rate |
$90,500.00 |
| Rate for Payer: Aetna Commercial |
$604.05
|
| Rate for Payer: Aetna Commercial |
$604.05
|
| Rate for Payer: Aetna Medicare |
$604.05
|
| Rate for Payer: Aetna Medicare |
$604.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$752.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$752.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$752.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$752.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$752.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$752.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$752.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$752.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$591.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$591.50
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$694.66
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$694.66
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$664.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$664.46
|
| Rate for Payer: Cash Price |
$745.62
|
| Rate for Payer: Cash Price |
$729.72
|
| Rate for Payer: Centivo All Commercial |
$936.28
|
| Rate for Payer: Centivo All Commercial |
$936.28
|
| Rate for Payer: Cigna All Commercial |
$604.05
|
| Rate for Payer: Cigna All Commercial |
$604.05
|
| Rate for Payer: CORVEL All Commercial |
$604.05
|
| Rate for Payer: CORVEL All Commercial |
$604.05
|
| Rate for Payer: Coventry All Commercial |
$724.86
|
| Rate for Payer: Coventry All Commercial |
$724.86
|
| Rate for Payer: Encore All Commercial |
$604.05
|
| Rate for Payer: Encore All Commercial |
$604.05
|
| Rate for Payer: Frontpath All Commercial |
$836.55
|
| Rate for Payer: Frontpath All Commercial |
$836.55
|
| Rate for Payer: Humana ChoiceCare |
$635.20
|
| Rate for Payer: Humana ChoiceCare |
$635.20
|
| Rate for Payer: Humana Medicare |
$604.05
|
| Rate for Payer: Humana Medicare |
$604.05
|
| Rate for Payer: Lucent All Commercial |
$845.67
|
| Rate for Payer: Lucent All Commercial |
$845.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$965.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$965.00
|
| Rate for Payer: Managed Health Services Medicaid |
$591.50
|
| Rate for Payer: Managed Health Services Medicaid |
$591.50
|
| Rate for Payer: MDWise Medicaid |
$591.50
|
| Rate for Payer: MDWise Medicaid |
$591.50
|
| Rate for Payer: PHCS All Commercial |
$604.05
|
| Rate for Payer: PHCS All Commercial |
$604.05
|
| Rate for Payer: PHP All Commercial |
$1,023.96
|
| Rate for Payer: PHP All Commercial |
$1,023.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$604.05
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$604.05
|
| Rate for Payer: Sagamore Health Network All Products |
$604.05
|
| Rate for Payer: Sagamore Health Network All Products |
$604.05
|
| Rate for Payer: Signature Care EPO |
$848.30
|
| Rate for Payer: Signature Care EPO |
$848.30
|
| Rate for Payer: Signature Care PPO |
$848.30
|
| Rate for Payer: Signature Care PPO |
$848.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$90,500.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$90,500.00
|
| Rate for Payer: United Healthcare Commercial |
$755.06
|
| Rate for Payer: United Healthcare Commercial |
$755.06
|
| Rate for Payer: United Healthcare Medicare |
$588.48
|
| Rate for Payer: United Healthcare Medicare |
$588.48
|
|
|
PR OPEN TX DISTAL PHALANGEAL FRACTURE EACH
|
Professional
|
Both
|
$947.76
|
|
|
Service Code
|
CPT 26765
|
| Hospital Charge Code |
z26765
|
| Min. Negotiated Rate |
$368.21 |
| Max. Negotiated Rate |
$71,000.00 |
| Rate for Payer: Aetna Commercial |
$470.43
|
| Rate for Payer: Aetna Commercial |
$470.43
|
| Rate for Payer: Aetna Medicare |
$470.43
|
| Rate for Payer: Aetna Medicare |
$470.43
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$472.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$472.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$472.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$472.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$472.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$472.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$472.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$472.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$466.14
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$466.14
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$540.99
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$540.99
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$517.47
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$517.47
|
| Rate for Payer: Cash Price |
$587.61
|
| Rate for Payer: Cash Price |
$572.37
|
| Rate for Payer: Centivo All Commercial |
$729.17
|
| Rate for Payer: Centivo All Commercial |
$729.17
|
| Rate for Payer: Cigna All Commercial |
$470.43
|
| Rate for Payer: Cigna All Commercial |
$470.43
|
| Rate for Payer: CORVEL All Commercial |
$470.43
|
| Rate for Payer: CORVEL All Commercial |
$470.43
|
| Rate for Payer: Coventry All Commercial |
$564.52
|
| Rate for Payer: Coventry All Commercial |
$564.52
|
| Rate for Payer: Encore All Commercial |
$470.43
|
| Rate for Payer: Encore All Commercial |
$470.43
|
| Rate for Payer: Frontpath All Commercial |
$647.10
|
| Rate for Payer: Frontpath All Commercial |
$647.10
|
| Rate for Payer: Humana ChoiceCare |
$368.21
|
| Rate for Payer: Humana ChoiceCare |
$368.21
|
| Rate for Payer: Humana Medicare |
$470.43
|
| Rate for Payer: Humana Medicare |
$470.43
|
| Rate for Payer: Lucent All Commercial |
$658.60
|
| Rate for Payer: Lucent All Commercial |
$658.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$757.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$757.00
|
| Rate for Payer: Managed Health Services Medicaid |
$466.14
|
| Rate for Payer: Managed Health Services Medicaid |
$466.14
|
| Rate for Payer: MDWise Medicaid |
$466.14
|
| Rate for Payer: MDWise Medicaid |
$466.14
|
| Rate for Payer: PHCS All Commercial |
$470.43
|
| Rate for Payer: PHCS All Commercial |
$470.43
|
| Rate for Payer: PHP All Commercial |
$803.17
|
| Rate for Payer: PHP All Commercial |
$803.17
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$470.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$470.43
|
| Rate for Payer: Sagamore Health Network All Products |
$470.43
|
| Rate for Payer: Sagamore Health Network All Products |
$470.43
|
| Rate for Payer: Signature Care EPO |
$514.25
|
| Rate for Payer: Signature Care EPO |
$514.25
|
| Rate for Payer: Signature Care PPO |
$514.25
|
| Rate for Payer: Signature Care PPO |
$514.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$71,000.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$71,000.00
|
| Rate for Payer: United Healthcare Commercial |
$491.66
|
| Rate for Payer: United Healthcare Commercial |
$491.66
|
| Rate for Payer: United Healthcare Medicare |
$461.59
|
| Rate for Payer: United Healthcare Medicare |
$461.59
|
|
|
PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION
|
Professional
|
Both
|
$1,316.48
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
z27829
|
| Min. Negotiated Rate |
$526.29 |
| Max. Negotiated Rate |
$99,300.00 |
| Rate for Payer: Aetna Commercial |
$664.66
|
| Rate for Payer: Aetna Commercial |
$664.66
|
| Rate for Payer: Aetna Medicare |
$664.66
|
| Rate for Payer: Aetna Medicare |
$664.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,027.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,027.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,027.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,027.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,027.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,027.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,027.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,027.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$647.49
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$647.49
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$764.36
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$764.36
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$731.13
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$731.13
|
| Rate for Payer: Cash Price |
$816.22
|
| Rate for Payer: Cash Price |
$800.87
|
| Rate for Payer: Centivo All Commercial |
$1,030.22
|
| Rate for Payer: Centivo All Commercial |
$1,030.22
|
| Rate for Payer: Cigna All Commercial |
$664.66
|
| Rate for Payer: Cigna All Commercial |
$664.66
|
| Rate for Payer: CORVEL All Commercial |
$664.66
|
| Rate for Payer: CORVEL All Commercial |
$664.66
|
| Rate for Payer: Coventry All Commercial |
$797.59
|
| Rate for Payer: Coventry All Commercial |
$797.59
|
| Rate for Payer: Encore All Commercial |
$664.66
|
| Rate for Payer: Encore All Commercial |
$664.66
|
| Rate for Payer: Frontpath All Commercial |
$917.01
|
| Rate for Payer: Frontpath All Commercial |
$917.01
|
| Rate for Payer: Humana ChoiceCare |
$526.29
|
| Rate for Payer: Humana ChoiceCare |
$526.29
|
| Rate for Payer: Humana Medicare |
$664.66
|
| Rate for Payer: Humana Medicare |
$664.66
|
| Rate for Payer: Lucent All Commercial |
$930.52
|
| Rate for Payer: Lucent All Commercial |
$930.52
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,059.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,059.00
|
| Rate for Payer: Managed Health Services Medicaid |
$647.49
|
| Rate for Payer: Managed Health Services Medicaid |
$647.49
|
| Rate for Payer: MDWise Medicaid |
$647.49
|
| Rate for Payer: MDWise Medicaid |
$647.49
|
| Rate for Payer: PHCS All Commercial |
$664.66
|
| Rate for Payer: PHCS All Commercial |
$664.66
|
| Rate for Payer: PHP All Commercial |
$1,123.79
|
| Rate for Payer: PHP All Commercial |
$1,123.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$664.66
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$664.66
|
| Rate for Payer: Sagamore Health Network All Products |
$664.66
|
| Rate for Payer: Sagamore Health Network All Products |
$664.66
|
| Rate for Payer: Signature Care EPO |
$705.50
|
| Rate for Payer: Signature Care EPO |
$705.50
|
| Rate for Payer: Signature Care PPO |
$705.50
|
| Rate for Payer: Signature Care PPO |
$705.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$99,300.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$99,300.00
|
| Rate for Payer: United Healthcare Commercial |
$706.54
|
| Rate for Payer: United Healthcare Commercial |
$706.54
|
| Rate for Payer: United Healthcare Medicare |
$645.86
|
| Rate for Payer: United Healthcare Medicare |
$645.86
|
|
|
PR OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE
|
Professional
|
Both
|
$1,774.40
|
|
|
Service Code
|
CPT 27514
|
| Hospital Charge Code |
z27514
|
| Min. Negotiated Rate |
$872.02 |
| Max. Negotiated Rate |
$134,100.00 |
| Rate for Payer: Aetna Commercial |
$899.07
|
| Rate for Payer: Aetna Commercial |
$899.07
|
| Rate for Payer: Aetna Medicare |
$899.07
|
| Rate for Payer: Aetna Medicare |
$899.07
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,607.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,607.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,607.30
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,607.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,607.30
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,607.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,607.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,607.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$872.72
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$872.72
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,033.93
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,033.93
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$988.98
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$988.98
|
| Rate for Payer: Cash Price |
$1,100.13
|
| Rate for Payer: Cash Price |
$1,081.30
|
| Rate for Payer: Centivo All Commercial |
$1,393.56
|
| Rate for Payer: Centivo All Commercial |
$1,393.56
|
| Rate for Payer: Cigna All Commercial |
$899.07
|
| Rate for Payer: Cigna All Commercial |
$899.07
|
| Rate for Payer: CORVEL All Commercial |
$899.07
|
| Rate for Payer: CORVEL All Commercial |
$899.07
|
| Rate for Payer: Coventry All Commercial |
$1,078.88
|
| Rate for Payer: Coventry All Commercial |
$1,078.88
|
| Rate for Payer: Encore All Commercial |
$899.07
|
| Rate for Payer: Encore All Commercial |
$899.07
|
| Rate for Payer: Frontpath All Commercial |
$1,259.34
|
| Rate for Payer: Frontpath All Commercial |
$1,259.34
|
| Rate for Payer: Humana ChoiceCare |
$1,340.71
|
| Rate for Payer: Humana ChoiceCare |
$1,340.71
|
| Rate for Payer: Humana Medicare |
$899.07
|
| Rate for Payer: Humana Medicare |
$899.07
|
| Rate for Payer: Lucent All Commercial |
$1,258.70
|
| Rate for Payer: Lucent All Commercial |
$1,258.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,430.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,430.00
|
| Rate for Payer: Managed Health Services Medicaid |
$872.72
|
| Rate for Payer: Managed Health Services Medicaid |
$872.72
|
| Rate for Payer: MDWise Medicaid |
$872.72
|
| Rate for Payer: MDWise Medicaid |
$872.72
|
| Rate for Payer: PHCS All Commercial |
$899.07
|
| Rate for Payer: PHCS All Commercial |
$899.07
|
| Rate for Payer: PHP All Commercial |
$1,517.32
|
| Rate for Payer: PHP All Commercial |
$1,517.32
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$899.07
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$899.07
|
| Rate for Payer: Sagamore Health Network All Products |
$899.07
|
| Rate for Payer: Sagamore Health Network All Products |
$899.07
|
| Rate for Payer: Signature Care EPO |
$1,528.42
|
| Rate for Payer: Signature Care EPO |
$1,528.42
|
| Rate for Payer: Signature Care PPO |
$1,528.42
|
| Rate for Payer: Signature Care PPO |
$1,528.42
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$134,100.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$134,100.00
|
| Rate for Payer: United Healthcare Commercial |
$1,128.43
|
| Rate for Payer: United Healthcare Commercial |
$1,128.43
|
| Rate for Payer: United Healthcare Medicare |
$872.02
|
| Rate for Payer: United Healthcare Medicare |
$872.02
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W EXTENSION
|
Professional
|
Both
|
$2,262.00
|
|
|
Service Code
|
CPT 27513
|
| Hospital Charge Code |
z27513
|
| Min. Negotiated Rate |
$1,112.54 |
| Max. Negotiated Rate |
$171,200.00 |
| Rate for Payer: Aetna Commercial |
$1,148.79
|
| Rate for Payer: Aetna Commercial |
$1,148.79
|
| Rate for Payer: Aetna Medicare |
$1,148.79
|
| Rate for Payer: Aetna Medicare |
$1,148.79
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,665.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,665.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,665.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,665.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,665.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,665.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,665.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,665.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$1,112.54
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$1,112.54
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,321.11
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,321.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,263.67
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,263.67
|
| Rate for Payer: Cash Price |
$1,402.44
|
| Rate for Payer: Cash Price |
$1,380.26
|
| Rate for Payer: Centivo All Commercial |
$1,780.62
|
| Rate for Payer: Centivo All Commercial |
$1,780.62
|
| Rate for Payer: Cigna All Commercial |
$1,148.79
|
| Rate for Payer: Cigna All Commercial |
$1,148.79
|
| Rate for Payer: CORVEL All Commercial |
$1,148.79
|
| Rate for Payer: CORVEL All Commercial |
$1,148.79
|
| Rate for Payer: Coventry All Commercial |
$1,378.55
|
| Rate for Payer: Coventry All Commercial |
$1,378.55
|
| Rate for Payer: Encore All Commercial |
$1,148.79
|
| Rate for Payer: Encore All Commercial |
$1,148.79
|
| Rate for Payer: Frontpath All Commercial |
$1,612.79
|
| Rate for Payer: Frontpath All Commercial |
$1,612.79
|
| Rate for Payer: Humana ChoiceCare |
$1,391.02
|
| Rate for Payer: Humana ChoiceCare |
$1,391.02
|
| Rate for Payer: Humana Medicare |
$1,148.79
|
| Rate for Payer: Humana Medicare |
$1,148.79
|
| Rate for Payer: Lucent All Commercial |
$1,608.31
|
| Rate for Payer: Lucent All Commercial |
$1,608.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,826.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,826.00
|
| Rate for Payer: Managed Health Services Medicaid |
$1,112.54
|
| Rate for Payer: Managed Health Services Medicaid |
$1,112.54
|
| Rate for Payer: MDWise Medicaid |
$1,112.54
|
| Rate for Payer: MDWise Medicaid |
$1,112.54
|
| Rate for Payer: PHCS All Commercial |
$1,148.79
|
| Rate for Payer: PHCS All Commercial |
$1,148.79
|
| Rate for Payer: PHP All Commercial |
$1,936.82
|
| Rate for Payer: PHP All Commercial |
$1,936.82
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,148.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$1,148.79
|
| Rate for Payer: Sagamore Health Network All Products |
$1,148.79
|
| Rate for Payer: Sagamore Health Network All Products |
$1,148.79
|
| Rate for Payer: Signature Care EPO |
$1,860.65
|
| Rate for Payer: Signature Care EPO |
$1,860.65
|
| Rate for Payer: Signature Care PPO |
$1,860.65
|
| Rate for Payer: Signature Care PPO |
$1,860.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$171,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$171,200.00
|
| Rate for Payer: United Healthcare Commercial |
$1,408.76
|
| Rate for Payer: United Healthcare Commercial |
$1,408.76
|
| Rate for Payer: United Healthcare Medicare |
$1,113.11
|
| Rate for Payer: United Healthcare Medicare |
$1,113.11
|
|
|
PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O EXTENSION
|
Professional
|
Both
|
$1,829.12
|
|
|
Service Code
|
CPT 27511
|
| Hospital Charge Code |
z27511
|
| Min. Negotiated Rate |
$899.06 |
| Max. Negotiated Rate |
$138,200.00 |
| Rate for Payer: Aetna Commercial |
$926.27
|
| Rate for Payer: Aetna Commercial |
$926.27
|
| Rate for Payer: Aetna Medicare |
$926.27
|
| Rate for Payer: Aetna Medicare |
$926.27
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,365.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,365.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,365.70
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,365.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,365.70
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,365.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,365.70
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,365.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$899.64
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$899.64
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,065.21
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,065.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,018.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,018.90
|
| Rate for Payer: Cash Price |
$1,134.05
|
| Rate for Payer: Cash Price |
$1,114.83
|
| Rate for Payer: Centivo All Commercial |
$1,435.72
|
| Rate for Payer: Centivo All Commercial |
$1,435.72
|
| Rate for Payer: Cigna All Commercial |
$926.27
|
| Rate for Payer: Cigna All Commercial |
$926.27
|
| Rate for Payer: CORVEL All Commercial |
$926.27
|
| Rate for Payer: CORVEL All Commercial |
$926.27
|
| Rate for Payer: Coventry All Commercial |
$1,111.52
|
| Rate for Payer: Coventry All Commercial |
$1,111.52
|
| Rate for Payer: Encore All Commercial |
$926.27
|
| Rate for Payer: Encore All Commercial |
$926.27
|
| Rate for Payer: Frontpath All Commercial |
$1,297.39
|
| Rate for Payer: Frontpath All Commercial |
$1,297.39
|
| Rate for Payer: Humana ChoiceCare |
$1,083.93
|
| Rate for Payer: Humana ChoiceCare |
$1,083.93
|
| Rate for Payer: Humana Medicare |
$926.27
|
| Rate for Payer: Humana Medicare |
$926.27
|
| Rate for Payer: Lucent All Commercial |
$1,296.78
|
| Rate for Payer: Lucent All Commercial |
$1,296.78
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,474.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,474.00
|
| Rate for Payer: Managed Health Services Medicaid |
$899.64
|
| Rate for Payer: Managed Health Services Medicaid |
$899.64
|
| Rate for Payer: MDWise Medicaid |
$899.64
|
| Rate for Payer: MDWise Medicaid |
$899.64
|
| Rate for Payer: PHCS All Commercial |
$926.27
|
| Rate for Payer: PHCS All Commercial |
$926.27
|
| Rate for Payer: PHP All Commercial |
$1,564.36
|
| Rate for Payer: PHP All Commercial |
$1,564.36
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$926.27
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$926.27
|
| Rate for Payer: Sagamore Health Network All Products |
$926.27
|
| Rate for Payer: Sagamore Health Network All Products |
$926.27
|
| Rate for Payer: Signature Care EPO |
$1,451.80
|
| Rate for Payer: Signature Care EPO |
$1,451.80
|
| Rate for Payer: Signature Care PPO |
$1,451.80
|
| Rate for Payer: Signature Care PPO |
$1,451.80
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$138,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$138,200.00
|
| Rate for Payer: United Healthcare Commercial |
$1,119.10
|
| Rate for Payer: United Healthcare Commercial |
$1,119.10
|
| Rate for Payer: United Healthcare Medicare |
$899.06
|
| Rate for Payer: United Healthcare Medicare |
$899.06
|
|
|
PR OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES
|
Professional
|
Both
|
$1,216.80
|
|
|
Service Code
|
CPT 28505
|
| Hospital Charge Code |
z28505
|
| Min. Negotiated Rate |
$254.70 |
| Max. Negotiated Rate |
$70,000.00 |
| Rate for Payer: Aetna Commercial |
$470.06
|
| Rate for Payer: Aetna Commercial |
$470.06
|
| Rate for Payer: Aetna Medicare |
$470.06
|
| Rate for Payer: Aetna Medicare |
$470.06
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$517.72
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$517.72
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$517.72
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$517.72
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$517.72
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$517.72
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$517.72
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$517.72
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$254.70
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$254.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$598.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$598.47
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$540.57
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$540.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$517.07
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$517.07
|
| Rate for Payer: Cash Price |
$738.20
|
| Rate for Payer: Cash Price |
$754.42
|
| Rate for Payer: Centivo All Commercial |
$728.59
|
| Rate for Payer: Centivo All Commercial |
$728.59
|
| Rate for Payer: Cigna All Commercial |
$470.06
|
| Rate for Payer: Cigna All Commercial |
$470.06
|
| Rate for Payer: CORVEL All Commercial |
$470.06
|
| Rate for Payer: CORVEL All Commercial |
$470.06
|
| Rate for Payer: Coventry All Commercial |
$564.07
|
| Rate for Payer: Coventry All Commercial |
$564.07
|
| Rate for Payer: Encore All Commercial |
$470.06
|
| Rate for Payer: Encore All Commercial |
$470.06
|
| Rate for Payer: Frontpath All Commercial |
$641.38
|
| Rate for Payer: Frontpath All Commercial |
$641.38
|
| Rate for Payer: Humana ChoiceCare |
$331.21
|
| Rate for Payer: Humana ChoiceCare |
$331.21
|
| Rate for Payer: Humana Medicare |
$470.06
|
| Rate for Payer: Humana Medicare |
$470.06
|
| Rate for Payer: Lucent All Commercial |
$658.08
|
| Rate for Payer: Lucent All Commercial |
$658.08
|
| Rate for Payer: Lutheran Preferred All Commercial |
$746.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$746.00
|
| Rate for Payer: Managed Health Services Medicaid |
$598.47
|
| Rate for Payer: Managed Health Services Medicaid |
$598.47
|
| Rate for Payer: MDWise Medicaid |
$598.47
|
| Rate for Payer: MDWise Medicaid |
$598.47
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$254.70
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$254.70
|
| Rate for Payer: PHCS All Commercial |
$470.06
|
| Rate for Payer: PHCS All Commercial |
$470.06
|
| Rate for Payer: PHP All Commercial |
$791.65
|
| Rate for Payer: PHP All Commercial |
$791.65
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$470.06
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$470.06
|
| Rate for Payer: Sagamore Health Network All Products |
$470.06
|
| Rate for Payer: Sagamore Health Network All Products |
$470.06
|
| Rate for Payer: Signature Care EPO |
$756.50
|
| Rate for Payer: Signature Care EPO |
$756.50
|
| Rate for Payer: Signature Care PPO |
$756.50
|
| Rate for Payer: Signature Care PPO |
$756.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$70,000.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$70,000.00
|
| Rate for Payer: United Healthcare Commercial |
$533.71
|
| Rate for Payer: United Healthcare Commercial |
$533.71
|
| Rate for Payer: United Healthcare Medicare |
$595.32
|
| Rate for Payer: United Healthcare Medicare |
$595.32
|
|
|
PR OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE
|
Professional
|
Both
|
$1,063.04
|
|
|
Service Code
|
CPT 28525
|
| Hospital Charge Code |
z28525
|
| Min. Negotiated Rate |
$206.95 |
| Max. Negotiated Rate |
$591.19 |
| Rate for Payer: Aetna Commercial |
$381.41
|
| Rate for Payer: Aetna Medicare |
$381.41
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$206.95
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$522.85
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$438.62
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$419.55
|
| Rate for Payer: Cash Price |
$659.08
|
| Rate for Payer: Centivo All Commercial |
$591.19
|
| Rate for Payer: Cigna All Commercial |
$381.41
|
| Rate for Payer: CORVEL All Commercial |
$381.41
|
| Rate for Payer: Coventry All Commercial |
$457.69
|
| Rate for Payer: Encore All Commercial |
$381.41
|
| Rate for Payer: Frontpath All Commercial |
$518.95
|
| Rate for Payer: Humana ChoiceCare |
$290.34
|
| Rate for Payer: Humana Medicare |
$381.41
|
| Rate for Payer: Lucent All Commercial |
$533.97
|
| Rate for Payer: Managed Health Services Medicaid |
$522.85
|
| Rate for Payer: MDWise Medicaid |
$522.85
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$206.95
|
| Rate for Payer: PHCS All Commercial |
$381.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$381.41
|
| Rate for Payer: Sagamore Health Network All Products |
$381.41
|
| Rate for Payer: United Healthcare Commercial |
$423.28
|
| Rate for Payer: United Healthcare Medicare |
$517.38
|
|
|
PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN
|
Professional
|
Both
|
$1,718.48
|
|
|
Service Code
|
CPT 24545
|
| Hospital Charge Code |
z24545
|
| Min. Negotiated Rate |
$825.45 |
| Max. Negotiated Rate |
$1,463.42 |
| Rate for Payer: Aetna Commercial |
$864.46
|
| Rate for Payer: Aetna Commercial |
$864.46
|
| Rate for Payer: Aetna Medicare |
$864.46
|
| Rate for Payer: Aetna Medicare |
$864.46
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$845.22
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$845.22
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$994.13
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$994.13
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$950.91
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$950.91
|
| Rate for Payer: Cash Price |
$1,065.46
|
| Rate for Payer: Cash Price |
$1,042.89
|
| Rate for Payer: Centivo All Commercial |
$1,339.91
|
| Rate for Payer: Centivo All Commercial |
$1,339.91
|
| Rate for Payer: Cigna All Commercial |
$864.46
|
| Rate for Payer: Cigna All Commercial |
$864.46
|
| Rate for Payer: CORVEL All Commercial |
$864.46
|
| Rate for Payer: CORVEL All Commercial |
$864.46
|
| Rate for Payer: Coventry All Commercial |
$1,037.35
|
| Rate for Payer: Coventry All Commercial |
$1,037.35
|
| Rate for Payer: Encore All Commercial |
$864.46
|
| Rate for Payer: Encore All Commercial |
$864.46
|
| Rate for Payer: Frontpath All Commercial |
$1,205.96
|
| Rate for Payer: Frontpath All Commercial |
$1,205.96
|
| Rate for Payer: Humana ChoiceCare |
$825.45
|
| Rate for Payer: Humana ChoiceCare |
$825.45
|
| Rate for Payer: Humana Medicare |
$864.46
|
| Rate for Payer: Humana Medicare |
$864.46
|
| Rate for Payer: Lucent All Commercial |
$1,210.24
|
| Rate for Payer: Lucent All Commercial |
$1,210.24
|
| Rate for Payer: Managed Health Services Medicaid |
$845.22
|
| Rate for Payer: Managed Health Services Medicaid |
$845.22
|
| Rate for Payer: MDWise Medicaid |
$845.22
|
| Rate for Payer: MDWise Medicaid |
$845.22
|
| Rate for Payer: PHCS All Commercial |
$864.46
|
| Rate for Payer: PHCS All Commercial |
$864.46
|
| Rate for Payer: PHP All Commercial |
$1,463.42
|
| Rate for Payer: PHP All Commercial |
$1,463.42
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$864.46
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$864.46
|
| Rate for Payer: Sagamore Health Network All Products |
$864.46
|
| Rate for Payer: Sagamore Health Network All Products |
$864.46
|
| Rate for Payer: Signature Care EPO |
$1,104.15
|
| Rate for Payer: Signature Care EPO |
$1,104.15
|
| Rate for Payer: Signature Care PPO |
$1,104.15
|
| Rate for Payer: Signature Care PPO |
$1,104.15
|
| Rate for Payer: United Healthcare Commercial |
$989.31
|
| Rate for Payer: United Healthcare Commercial |
$989.31
|
| Rate for Payer: United Healthcare Medicare |
$841.04
|
| Rate for Payer: United Healthcare Medicare |
$841.04
|
|
|
PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W XTN
|
Professional
|
Both
|
$1,916.28
|
|
|
Service Code
|
CPT 24546
|
| Hospital Charge Code |
z24546
|
| Min. Negotiated Rate |
$939.06 |
| Max. Negotiated Rate |
$144,400.00 |
| Rate for Payer: Aetna Commercial |
$964.79
|
| Rate for Payer: Aetna Commercial |
$964.79
|
| Rate for Payer: Aetna Medicare |
$964.79
|
| Rate for Payer: Aetna Medicare |
$964.79
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,356.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,356.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,356.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,356.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,356.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,356.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,356.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,356.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$942.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$942.50
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,109.51
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$1,109.51
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,061.27
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,061.27
|
| Rate for Payer: Cash Price |
$1,188.09
|
| Rate for Payer: Cash Price |
$1,164.43
|
| Rate for Payer: Centivo All Commercial |
$1,495.42
|
| Rate for Payer: Centivo All Commercial |
$1,495.42
|
| Rate for Payer: Cigna All Commercial |
$964.79
|
| Rate for Payer: Cigna All Commercial |
$964.79
|
| Rate for Payer: CORVEL All Commercial |
$964.79
|
| Rate for Payer: CORVEL All Commercial |
$964.79
|
| Rate for Payer: Coventry All Commercial |
$1,157.75
|
| Rate for Payer: Coventry All Commercial |
$1,157.75
|
| Rate for Payer: Encore All Commercial |
$964.79
|
| Rate for Payer: Encore All Commercial |
$964.79
|
| Rate for Payer: Frontpath All Commercial |
$1,346.63
|
| Rate for Payer: Frontpath All Commercial |
$1,346.63
|
| Rate for Payer: Humana ChoiceCare |
$1,185.03
|
| Rate for Payer: Humana ChoiceCare |
$1,185.03
|
| Rate for Payer: Humana Medicare |
$964.79
|
| Rate for Payer: Humana Medicare |
$964.79
|
| Rate for Payer: Lucent All Commercial |
$1,350.71
|
| Rate for Payer: Lucent All Commercial |
$1,350.71
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,540.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,540.00
|
| Rate for Payer: Managed Health Services Medicaid |
$942.50
|
| Rate for Payer: Managed Health Services Medicaid |
$942.50
|
| Rate for Payer: MDWise Medicaid |
$942.50
|
| Rate for Payer: MDWise Medicaid |
$942.50
|
| Rate for Payer: PHCS All Commercial |
$964.79
|
| Rate for Payer: PHCS All Commercial |
$964.79
|
| Rate for Payer: PHP All Commercial |
$1,633.97
|
| Rate for Payer: PHP All Commercial |
$1,633.97
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$964.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$964.79
|
| Rate for Payer: Sagamore Health Network All Products |
$964.79
|
| Rate for Payer: Sagamore Health Network All Products |
$964.79
|
| Rate for Payer: Signature Care EPO |
$1,586.10
|
| Rate for Payer: Signature Care EPO |
$1,586.10
|
| Rate for Payer: Signature Care PPO |
$1,586.10
|
| Rate for Payer: Signature Care PPO |
$1,586.10
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$144,400.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$144,400.00
|
| Rate for Payer: United Healthcare Commercial |
$1,148.63
|
| Rate for Payer: United Healthcare Commercial |
$1,148.63
|
| Rate for Payer: United Healthcare Medicare |
$939.06
|
| Rate for Payer: United Healthcare Medicare |
$939.06
|
|
|
PR OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE
|
Professional
|
Both
|
$1,507.28
|
|
|
Service Code
|
CPT 27540
|
| Hospital Charge Code |
z27540
|
| Min. Negotiated Rate |
$739.63 |
| Max. Negotiated Rate |
$113,700.00 |
| Rate for Payer: Aetna Commercial |
$758.37
|
| Rate for Payer: Aetna Commercial |
$758.37
|
| Rate for Payer: Aetna Medicare |
$758.37
|
| Rate for Payer: Aetna Medicare |
$758.37
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,178.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,178.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,178.60
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,178.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,178.60
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,178.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,178.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,178.60
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$741.34
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$741.34
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$872.13
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$872.13
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$834.21
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$834.21
|
| Rate for Payer: Cash Price |
$934.51
|
| Rate for Payer: Cash Price |
$917.14
|
| Rate for Payer: Centivo All Commercial |
$1,175.47
|
| Rate for Payer: Centivo All Commercial |
$1,175.47
|
| Rate for Payer: Cigna All Commercial |
$758.37
|
| Rate for Payer: Cigna All Commercial |
$758.37
|
| Rate for Payer: CORVEL All Commercial |
$758.37
|
| Rate for Payer: CORVEL All Commercial |
$758.37
|
| Rate for Payer: Coventry All Commercial |
$910.04
|
| Rate for Payer: Coventry All Commercial |
$910.04
|
| Rate for Payer: Encore All Commercial |
$758.37
|
| Rate for Payer: Encore All Commercial |
$758.37
|
| Rate for Payer: Frontpath All Commercial |
$1,057.45
|
| Rate for Payer: Frontpath All Commercial |
$1,057.45
|
| Rate for Payer: Humana ChoiceCare |
$991.60
|
| Rate for Payer: Humana ChoiceCare |
$991.60
|
| Rate for Payer: Humana Medicare |
$758.37
|
| Rate for Payer: Humana Medicare |
$758.37
|
| Rate for Payer: Lucent All Commercial |
$1,061.72
|
| Rate for Payer: Lucent All Commercial |
$1,061.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,213.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,213.00
|
| Rate for Payer: Managed Health Services Medicaid |
$741.34
|
| Rate for Payer: Managed Health Services Medicaid |
$741.34
|
| Rate for Payer: MDWise Medicaid |
$741.34
|
| Rate for Payer: MDWise Medicaid |
$741.34
|
| Rate for Payer: PHCS All Commercial |
$758.37
|
| Rate for Payer: PHCS All Commercial |
$758.37
|
| Rate for Payer: PHP All Commercial |
$1,286.96
|
| Rate for Payer: PHP All Commercial |
$1,286.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$758.37
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$758.37
|
| Rate for Payer: Sagamore Health Network All Products |
$758.37
|
| Rate for Payer: Sagamore Health Network All Products |
$758.37
|
| Rate for Payer: Signature Care EPO |
$1,289.23
|
| Rate for Payer: Signature Care EPO |
$1,289.23
|
| Rate for Payer: Signature Care PPO |
$1,289.23
|
| Rate for Payer: Signature Care PPO |
$1,289.23
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$113,700.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$113,700.00
|
| Rate for Payer: United Healthcare Commercial |
$902.41
|
| Rate for Payer: United Healthcare Commercial |
$902.41
|
| Rate for Payer: United Healthcare Medicare |
$739.63
|
| Rate for Payer: United Healthcare Medicare |
$739.63
|
|
|
PR OPEN TX INTERPHALANGEAL JOINT DISLOCATION 1
|
Professional
|
Both
|
$1,028.22
|
|
|
Service Code
|
CPT 26785
|
| Hospital Charge Code |
z26785
|
| Min. Negotiated Rate |
$375.89 |
| Max. Negotiated Rate |
$77,200.00 |
| Rate for Payer: Aetna Commercial |
$511.54
|
| Rate for Payer: Aetna Commercial |
$511.54
|
| Rate for Payer: Aetna Medicare |
$511.54
|
| Rate for Payer: Aetna Medicare |
$511.54
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$435.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$435.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$435.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$435.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$435.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$435.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$435.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$435.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$505.72
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$505.72
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$588.27
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$588.27
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$562.69
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$562.69
|
| Rate for Payer: Cash Price |
$637.50
|
| Rate for Payer: Cash Price |
$623.17
|
| Rate for Payer: Centivo All Commercial |
$792.89
|
| Rate for Payer: Centivo All Commercial |
$792.89
|
| Rate for Payer: Cigna All Commercial |
$511.54
|
| Rate for Payer: Cigna All Commercial |
$511.54
|
| Rate for Payer: CORVEL All Commercial |
$511.54
|
| Rate for Payer: CORVEL All Commercial |
$511.54
|
| Rate for Payer: Coventry All Commercial |
$613.85
|
| Rate for Payer: Coventry All Commercial |
$613.85
|
| Rate for Payer: Encore All Commercial |
$511.54
|
| Rate for Payer: Encore All Commercial |
$511.54
|
| Rate for Payer: Frontpath All Commercial |
$705.03
|
| Rate for Payer: Frontpath All Commercial |
$705.03
|
| Rate for Payer: Humana ChoiceCare |
$375.89
|
| Rate for Payer: Humana ChoiceCare |
$375.89
|
| Rate for Payer: Humana Medicare |
$511.54
|
| Rate for Payer: Humana Medicare |
$511.54
|
| Rate for Payer: Lucent All Commercial |
$716.16
|
| Rate for Payer: Lucent All Commercial |
$716.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$824.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$824.00
|
| Rate for Payer: Managed Health Services Medicaid |
$505.72
|
| Rate for Payer: Managed Health Services Medicaid |
$505.72
|
| Rate for Payer: MDWise Medicaid |
$505.72
|
| Rate for Payer: MDWise Medicaid |
$505.72
|
| Rate for Payer: PHCS All Commercial |
$511.54
|
| Rate for Payer: PHCS All Commercial |
$511.54
|
| Rate for Payer: PHP All Commercial |
$874.45
|
| Rate for Payer: PHP All Commercial |
$874.45
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$511.54
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$511.54
|
| Rate for Payer: Sagamore Health Network All Products |
$511.54
|
| Rate for Payer: Sagamore Health Network All Products |
$511.54
|
| Rate for Payer: Signature Care EPO |
$518.50
|
| Rate for Payer: Signature Care EPO |
$518.50
|
| Rate for Payer: Signature Care PPO |
$518.50
|
| Rate for Payer: Signature Care PPO |
$518.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$77,200.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$77,200.00
|
| Rate for Payer: United Healthcare Commercial |
$537.15
|
| Rate for Payer: United Healthcare Commercial |
$537.15
|
| Rate for Payer: United Healthcare Medicare |
$502.56
|
| Rate for Payer: United Healthcare Medicare |
$502.56
|
|
|
PR OPEN TX METACARPAL FRACTURE SINGLE EA BONE
|
Professional
|
Both
|
$1,079.60
|
|
|
Service Code
|
CPT 26615
|
| Hospital Charge Code |
z26615
|
| Min. Negotiated Rate |
$459.06 |
| Max. Negotiated Rate |
$81,000.00 |
| Rate for Payer: Aetna Commercial |
$538.59
|
| Rate for Payer: Aetna Commercial |
$538.59
|
| Rate for Payer: Aetna Medicare |
$538.59
|
| Rate for Payer: Aetna Medicare |
$538.59
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$554.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$554.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$554.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$554.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$554.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$554.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$554.80
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$554.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$530.99
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$530.99
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$619.38
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$619.38
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$592.45
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$592.45
|
| Rate for Payer: Cash Price |
$669.35
|
| Rate for Payer: Cash Price |
$653.53
|
| Rate for Payer: Centivo All Commercial |
$834.81
|
| Rate for Payer: Centivo All Commercial |
$834.81
|
| Rate for Payer: Cigna All Commercial |
$538.59
|
| Rate for Payer: Cigna All Commercial |
$538.59
|
| Rate for Payer: CORVEL All Commercial |
$538.59
|
| Rate for Payer: CORVEL All Commercial |
$538.59
|
| Rate for Payer: Coventry All Commercial |
$646.31
|
| Rate for Payer: Coventry All Commercial |
$646.31
|
| Rate for Payer: Encore All Commercial |
$538.59
|
| Rate for Payer: Encore All Commercial |
$538.59
|
| Rate for Payer: Frontpath All Commercial |
$742.92
|
| Rate for Payer: Frontpath All Commercial |
$742.92
|
| Rate for Payer: Humana ChoiceCare |
$459.06
|
| Rate for Payer: Humana ChoiceCare |
$459.06
|
| Rate for Payer: Humana Medicare |
$538.59
|
| Rate for Payer: Humana Medicare |
$538.59
|
| Rate for Payer: Lucent All Commercial |
$754.03
|
| Rate for Payer: Lucent All Commercial |
$754.03
|
| Rate for Payer: Lutheran Preferred All Commercial |
$864.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$864.00
|
| Rate for Payer: Managed Health Services Medicaid |
$530.99
|
| Rate for Payer: Managed Health Services Medicaid |
$530.99
|
| Rate for Payer: MDWise Medicaid |
$530.99
|
| Rate for Payer: MDWise Medicaid |
$530.99
|
| Rate for Payer: PHCS All Commercial |
$538.59
|
| Rate for Payer: PHCS All Commercial |
$538.59
|
| Rate for Payer: PHP All Commercial |
$917.05
|
| Rate for Payer: PHP All Commercial |
$917.05
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$538.59
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$538.59
|
| Rate for Payer: Sagamore Health Network All Products |
$538.59
|
| Rate for Payer: Sagamore Health Network All Products |
$538.59
|
| Rate for Payer: Signature Care EPO |
$627.30
|
| Rate for Payer: Signature Care EPO |
$627.30
|
| Rate for Payer: Signature Care PPO |
$627.30
|
| Rate for Payer: Signature Care PPO |
$627.30
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$81,000.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$81,000.00
|
| Rate for Payer: United Healthcare Commercial |
$580.18
|
| Rate for Payer: United Healthcare Commercial |
$580.18
|
| Rate for Payer: United Healthcare Medicare |
$527.04
|
| Rate for Payer: United Healthcare Medicare |
$527.04
|
|
|
PR OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION
|
Professional
|
Both
|
$1,219.16
|
|
|
Service Code
|
CPT 28645
|
| Hospital Charge Code |
z28645
|
| Min. Negotiated Rate |
$247.26 |
| Max. Negotiated Rate |
$709.47 |
| Rate for Payer: Aetna Commercial |
$457.72
|
| Rate for Payer: Aetna Commercial |
$457.72
|
| Rate for Payer: Aetna Medicare |
$457.72
|
| Rate for Payer: Aetna Medicare |
$457.72
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$247.26
|
| Rate for Payer: Buckeye Health Medicaid OOS |
$247.26
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$599.63
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$599.63
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$526.38
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$526.38
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$503.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$503.49
|
| Rate for Payer: Cash Price |
$734.97
|
| Rate for Payer: Cash Price |
$755.88
|
| Rate for Payer: Centivo All Commercial |
$709.47
|
| Rate for Payer: Centivo All Commercial |
$709.47
|
| Rate for Payer: Cigna All Commercial |
$457.72
|
| Rate for Payer: Cigna All Commercial |
$457.72
|
| Rate for Payer: CORVEL All Commercial |
$457.72
|
| Rate for Payer: CORVEL All Commercial |
$457.72
|
| Rate for Payer: Coventry All Commercial |
$549.26
|
| Rate for Payer: Coventry All Commercial |
$549.26
|
| Rate for Payer: Encore All Commercial |
$457.72
|
| Rate for Payer: Encore All Commercial |
$457.72
|
| Rate for Payer: Frontpath All Commercial |
$623.16
|
| Rate for Payer: Frontpath All Commercial |
$623.16
|
| Rate for Payer: Humana ChoiceCare |
$324.39
|
| Rate for Payer: Humana ChoiceCare |
$324.39
|
| Rate for Payer: Humana Medicare |
$457.72
|
| Rate for Payer: Humana Medicare |
$457.72
|
| Rate for Payer: Lucent All Commercial |
$640.81
|
| Rate for Payer: Lucent All Commercial |
$640.81
|
| Rate for Payer: Managed Health Services Medicaid |
$599.63
|
| Rate for Payer: Managed Health Services Medicaid |
$599.63
|
| Rate for Payer: MDWise Medicaid |
$599.63
|
| Rate for Payer: MDWise Medicaid |
$599.63
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$247.26
|
| Rate for Payer: Molina Healthcare of OH Medicare |
$247.26
|
| Rate for Payer: PHCS All Commercial |
$457.72
|
| Rate for Payer: PHCS All Commercial |
$457.72
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$457.72
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$457.72
|
| Rate for Payer: Sagamore Health Network All Products |
$457.72
|
| Rate for Payer: Sagamore Health Network All Products |
$457.72
|
| Rate for Payer: United Healthcare Commercial |
$521.56
|
| Rate for Payer: United Healthcare Commercial |
$521.56
|
| Rate for Payer: United Healthcare Medicare |
$592.72
|
| Rate for Payer: United Healthcare Medicare |
$592.72
|
|
|
PR OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW
|
Professional
|
Both
|
$1,260.16
|
|
|
Service Code
|
CPT 24635
|
| Hospital Charge Code |
z24635
|
| Min. Negotiated Rate |
$616.72 |
| Max. Negotiated Rate |
$94,800.00 |
| Rate for Payer: Aetna Commercial |
$630.44
|
| Rate for Payer: Aetna Commercial |
$630.44
|
| Rate for Payer: Aetna Medicare |
$630.44
|
| Rate for Payer: Aetna Medicare |
$630.44
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,416.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicaid |
$1,416.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,416.40
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,416.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,416.40
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Pathway |
$1,416.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,416.40
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,416.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$619.80
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP |
$619.80
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$725.01
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$725.01
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$693.48
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$693.48
|
| Rate for Payer: Cash Price |
$781.30
|
| Rate for Payer: Cash Price |
$764.73
|
| Rate for Payer: Centivo All Commercial |
$977.18
|
| Rate for Payer: Centivo All Commercial |
$977.18
|
| Rate for Payer: Cigna All Commercial |
$630.44
|
| Rate for Payer: Cigna All Commercial |
$630.44
|
| Rate for Payer: CORVEL All Commercial |
$630.44
|
| Rate for Payer: CORVEL All Commercial |
$630.44
|
| Rate for Payer: Coventry All Commercial |
$756.53
|
| Rate for Payer: Coventry All Commercial |
$756.53
|
| Rate for Payer: Encore All Commercial |
$630.44
|
| Rate for Payer: Encore All Commercial |
$630.44
|
| Rate for Payer: Frontpath All Commercial |
$874.12
|
| Rate for Payer: Frontpath All Commercial |
$874.12
|
| Rate for Payer: Humana ChoiceCare |
$1,175.70
|
| Rate for Payer: Humana ChoiceCare |
$1,175.70
|
| Rate for Payer: Humana Medicare |
$630.44
|
| Rate for Payer: Humana Medicare |
$630.44
|
| Rate for Payer: Lucent All Commercial |
$882.62
|
| Rate for Payer: Lucent All Commercial |
$882.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,011.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,011.00
|
| Rate for Payer: Managed Health Services Medicaid |
$619.80
|
| Rate for Payer: Managed Health Services Medicaid |
$619.80
|
| Rate for Payer: MDWise Medicaid |
$619.80
|
| Rate for Payer: MDWise Medicaid |
$619.80
|
| Rate for Payer: PHCS All Commercial |
$630.44
|
| Rate for Payer: PHCS All Commercial |
$630.44
|
| Rate for Payer: PHP All Commercial |
$1,073.09
|
| Rate for Payer: PHP All Commercial |
$1,073.09
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$630.44
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$630.44
|
| Rate for Payer: Sagamore Health Network All Products |
$630.44
|
| Rate for Payer: Sagamore Health Network All Products |
$630.44
|
| Rate for Payer: Signature Care EPO |
$1,071.75
|
| Rate for Payer: Signature Care EPO |
$1,071.75
|
| Rate for Payer: Signature Care PPO |
$1,071.75
|
| Rate for Payer: Signature Care PPO |
$1,071.75
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$94,800.00
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$94,800.00
|
| Rate for Payer: United Healthcare Commercial |
$806.45
|
| Rate for Payer: United Healthcare Commercial |
$806.45
|
| Rate for Payer: United Healthcare Medicare |
$616.72
|
| Rate for Payer: United Healthcare Medicare |
$616.72
|
|
