|
HC Z DRILL BIT 1.3 MINI
|
Facility
OP
|
$346.43
|
|
| Hospital Charge Code |
41606328
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$114.32 |
| Max. Negotiated Rate |
$322.18 |
| Rate for Payer: Aetna Commercial |
$292.39
|
| Rate for Payer: Aetna Medicare |
$114.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$114.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$198.95
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$216.55
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$131.47
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$125.75
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Centivo All Commercial |
$176.68
|
| Rate for Payer: Cigna All Commercial |
$298.97
|
| Rate for Payer: CORVEL All Commercial |
$322.18
|
| Rate for Payer: Coventry All Commercial |
$304.86
|
| Rate for Payer: Encore All Commercial |
$318.89
|
| Rate for Payer: Frontpath All Commercial |
$318.72
|
| Rate for Payer: Humana ChoiceCare |
$299.21
|
| Rate for Payer: Humana Medicare |
$176.68
|
| Rate for Payer: Lucent All Commercial |
$176.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$311.79
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$259.82
|
| Rate for Payer: PHP All Commercial |
$262.73
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$135.11
|
| Rate for Payer: Sagamore Health Network All Products |
$267.44
|
| Rate for Payer: Signature Care EPO |
$287.54
|
| Rate for Payer: Signature Care PPO |
$304.86
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$294.47
|
| Rate for Payer: United Healthcare Commercial |
$272.99
|
| Rate for Payer: United Healthcare Medicare |
$114.32
|
|
|
HC Z DRILL BIT 1.3 MINI
|
Facility
IP
|
$346.43
|
|
| Hospital Charge Code |
41606328
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$259.82 |
| Max. Negotiated Rate |
$322.18 |
| Rate for Payer: Aetna Commercial |
$299.32
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Cigna All Commercial |
$298.97
|
| Rate for Payer: CORVEL All Commercial |
$322.18
|
| Rate for Payer: Coventry All Commercial |
$304.86
|
| Rate for Payer: Encore All Commercial |
$318.89
|
| Rate for Payer: Frontpath All Commercial |
$318.72
|
| Rate for Payer: Humana ChoiceCare |
$299.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$311.79
|
| Rate for Payer: PHCS All Commercial |
$259.82
|
| Rate for Payer: PHP All Commercial |
$262.73
|
| Rate for Payer: Sagamore Health Network All Products |
$267.44
|
| Rate for Payer: Signature Care EPO |
$287.54
|
| Rate for Payer: Signature Care PPO |
$304.86
|
| Rate for Payer: United Healthcare Commercial |
$272.99
|
|
|
HC Z DRILL BIT 1.5 85 QC
|
Facility
OP
|
$489.37
|
|
| Hospital Charge Code |
41604260
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$455.11 |
| Rate for Payer: Aetna Commercial |
$413.03
|
| Rate for Payer: Aetna Medicare |
$161.49
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$161.49
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$281.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$305.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$185.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$177.64
|
| Rate for Payer: Cash Price |
$303.41
|
| Rate for Payer: Cash Price |
$303.41
|
| Rate for Payer: Centivo All Commercial |
$249.58
|
| Rate for Payer: Cigna All Commercial |
$422.33
|
| Rate for Payer: CORVEL All Commercial |
$455.11
|
| Rate for Payer: Coventry All Commercial |
$430.65
|
| Rate for Payer: Encore All Commercial |
$450.47
|
| Rate for Payer: Frontpath All Commercial |
$450.22
|
| Rate for Payer: Humana ChoiceCare |
$422.67
|
| Rate for Payer: Humana Medicare |
$249.58
|
| Rate for Payer: Lucent All Commercial |
$249.58
|
| Rate for Payer: Lutheran Preferred All Commercial |
$440.43
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$367.03
|
| Rate for Payer: PHP All Commercial |
$371.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$190.85
|
| Rate for Payer: Sagamore Health Network All Products |
$377.79
|
| Rate for Payer: Signature Care EPO |
$406.18
|
| Rate for Payer: Signature Care PPO |
$430.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$415.96
|
| Rate for Payer: United Healthcare Commercial |
$385.62
|
| Rate for Payer: United Healthcare Medicare |
$161.49
|
|
|
HC Z DRILL BIT 1.5 85 QC
|
Facility
IP
|
$489.37
|
|
| Hospital Charge Code |
41604260
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$367.03 |
| Max. Negotiated Rate |
$455.11 |
| Rate for Payer: Aetna Commercial |
$422.82
|
| Rate for Payer: Cash Price |
$303.41
|
| Rate for Payer: Cigna All Commercial |
$422.33
|
| Rate for Payer: CORVEL All Commercial |
$455.11
|
| Rate for Payer: Coventry All Commercial |
$430.65
|
| Rate for Payer: Encore All Commercial |
$450.47
|
| Rate for Payer: Frontpath All Commercial |
$450.22
|
| Rate for Payer: Humana ChoiceCare |
$422.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$440.43
|
| Rate for Payer: PHCS All Commercial |
$367.03
|
| Rate for Payer: PHP All Commercial |
$371.14
|
| Rate for Payer: Sagamore Health Network All Products |
$377.79
|
| Rate for Payer: Signature Care EPO |
$406.18
|
| Rate for Payer: Signature Care PPO |
$430.65
|
| Rate for Payer: United Healthcare Commercial |
$385.62
|
|
|
HC Z DRILL BIT 1.5 MINI QK
|
Facility
OP
|
$346.43
|
|
| Hospital Charge Code |
41608224
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$114.32 |
| Max. Negotiated Rate |
$322.18 |
| Rate for Payer: Aetna Commercial |
$292.39
|
| Rate for Payer: Aetna Medicare |
$114.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$114.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$198.95
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$216.55
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$131.47
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$125.75
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Centivo All Commercial |
$176.68
|
| Rate for Payer: Cigna All Commercial |
$298.97
|
| Rate for Payer: CORVEL All Commercial |
$322.18
|
| Rate for Payer: Coventry All Commercial |
$304.86
|
| Rate for Payer: Encore All Commercial |
$318.89
|
| Rate for Payer: Frontpath All Commercial |
$318.72
|
| Rate for Payer: Humana ChoiceCare |
$299.21
|
| Rate for Payer: Humana Medicare |
$176.68
|
| Rate for Payer: Lucent All Commercial |
$176.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$311.79
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$259.82
|
| Rate for Payer: PHP All Commercial |
$262.73
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$135.11
|
| Rate for Payer: Sagamore Health Network All Products |
$267.44
|
| Rate for Payer: Signature Care EPO |
$287.54
|
| Rate for Payer: Signature Care PPO |
$304.86
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$294.47
|
| Rate for Payer: United Healthcare Commercial |
$272.99
|
| Rate for Payer: United Healthcare Medicare |
$114.32
|
|
|
HC Z DRILL BIT 1.5 MINI QK
|
Facility
IP
|
$346.43
|
|
| Hospital Charge Code |
41608224
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$259.82 |
| Max. Negotiated Rate |
$322.18 |
| Rate for Payer: Aetna Commercial |
$299.32
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Cigna All Commercial |
$298.97
|
| Rate for Payer: CORVEL All Commercial |
$322.18
|
| Rate for Payer: Coventry All Commercial |
$304.86
|
| Rate for Payer: Encore All Commercial |
$318.89
|
| Rate for Payer: Frontpath All Commercial |
$318.72
|
| Rate for Payer: Humana ChoiceCare |
$299.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$311.79
|
| Rate for Payer: PHCS All Commercial |
$259.82
|
| Rate for Payer: PHP All Commercial |
$262.73
|
| Rate for Payer: Sagamore Health Network All Products |
$267.44
|
| Rate for Payer: Signature Care EPO |
$287.54
|
| Rate for Payer: Signature Care PPO |
$304.86
|
| Rate for Payer: United Healthcare Commercial |
$272.99
|
|
|
HC Z DRILL BIT 1.5 MM
|
Facility
IP
|
$616.00
|
|
| Hospital Charge Code |
41603417
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$462.00 |
| Max. Negotiated Rate |
$572.88 |
| Rate for Payer: Aetna Commercial |
$532.22
|
| Rate for Payer: Cash Price |
$381.92
|
| Rate for Payer: Cigna All Commercial |
$531.61
|
| Rate for Payer: CORVEL All Commercial |
$572.88
|
| Rate for Payer: Coventry All Commercial |
$542.08
|
| Rate for Payer: Encore All Commercial |
$567.03
|
| Rate for Payer: Frontpath All Commercial |
$566.72
|
| Rate for Payer: Humana ChoiceCare |
$532.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$554.40
|
| Rate for Payer: PHCS All Commercial |
$462.00
|
| Rate for Payer: PHP All Commercial |
$467.17
|
| Rate for Payer: Sagamore Health Network All Products |
$475.55
|
| Rate for Payer: Signature Care EPO |
$511.28
|
| Rate for Payer: Signature Care PPO |
$542.08
|
| Rate for Payer: United Healthcare Commercial |
$485.41
|
|
|
HC Z DRILL BIT 1.5 MM
|
Facility
OP
|
$616.00
|
|
| Hospital Charge Code |
41603417
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$572.88 |
| Rate for Payer: Aetna Commercial |
$519.90
|
| Rate for Payer: Aetna Medicare |
$203.28
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$203.28
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$353.77
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$385.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$233.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$223.61
|
| Rate for Payer: Cash Price |
$381.92
|
| Rate for Payer: Cash Price |
$381.92
|
| Rate for Payer: Centivo All Commercial |
$314.16
|
| Rate for Payer: Cigna All Commercial |
$531.61
|
| Rate for Payer: CORVEL All Commercial |
$572.88
|
| Rate for Payer: Coventry All Commercial |
$542.08
|
| Rate for Payer: Encore All Commercial |
$567.03
|
| Rate for Payer: Frontpath All Commercial |
$566.72
|
| Rate for Payer: Humana ChoiceCare |
$532.04
|
| Rate for Payer: Humana Medicare |
$314.16
|
| Rate for Payer: Lucent All Commercial |
$314.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$554.40
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$462.00
|
| Rate for Payer: PHP All Commercial |
$467.17
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$240.24
|
| Rate for Payer: Sagamore Health Network All Products |
$475.55
|
| Rate for Payer: Signature Care EPO |
$511.28
|
| Rate for Payer: Signature Care PPO |
$542.08
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$523.60
|
| Rate for Payer: United Healthcare Commercial |
$485.41
|
| Rate for Payer: United Healthcare Medicare |
$203.28
|
|
|
HC Z DRILL BIT 1.5 MM CANN AO
|
Facility
IP
|
$862.15
|
|
| Hospital Charge Code |
41606088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$646.61 |
| Max. Negotiated Rate |
$801.80 |
| Rate for Payer: Aetna Commercial |
$744.90
|
| Rate for Payer: Cash Price |
$534.53
|
| Rate for Payer: Cigna All Commercial |
$744.04
|
| Rate for Payer: CORVEL All Commercial |
$801.80
|
| Rate for Payer: Coventry All Commercial |
$758.69
|
| Rate for Payer: Encore All Commercial |
$793.61
|
| Rate for Payer: Frontpath All Commercial |
$793.18
|
| Rate for Payer: Humana ChoiceCare |
$744.64
|
| Rate for Payer: Lutheran Preferred All Commercial |
$775.94
|
| Rate for Payer: PHCS All Commercial |
$646.61
|
| Rate for Payer: PHP All Commercial |
$653.85
|
| Rate for Payer: Sagamore Health Network All Products |
$665.58
|
| Rate for Payer: Signature Care EPO |
$715.58
|
| Rate for Payer: Signature Care PPO |
$758.69
|
| Rate for Payer: United Healthcare Commercial |
$679.37
|
|
|
HC Z DRILL BIT 1.5 MM CANN AO
|
Facility
OP
|
$862.15
|
|
| Hospital Charge Code |
41606088
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$801.80 |
| Rate for Payer: Aetna Commercial |
$727.65
|
| Rate for Payer: Aetna Medicare |
$284.51
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$284.51
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$495.13
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$538.93
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$327.19
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$312.96
|
| Rate for Payer: Cash Price |
$534.53
|
| Rate for Payer: Cash Price |
$534.53
|
| Rate for Payer: Centivo All Commercial |
$439.70
|
| Rate for Payer: Cigna All Commercial |
$744.04
|
| Rate for Payer: CORVEL All Commercial |
$801.80
|
| Rate for Payer: Coventry All Commercial |
$758.69
|
| Rate for Payer: Encore All Commercial |
$793.61
|
| Rate for Payer: Frontpath All Commercial |
$793.18
|
| Rate for Payer: Humana ChoiceCare |
$744.64
|
| Rate for Payer: Humana Medicare |
$439.70
|
| Rate for Payer: Lucent All Commercial |
$439.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$775.94
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$646.61
|
| Rate for Payer: PHP All Commercial |
$653.85
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$336.24
|
| Rate for Payer: Sagamore Health Network All Products |
$665.58
|
| Rate for Payer: Signature Care EPO |
$715.58
|
| Rate for Payer: Signature Care PPO |
$758.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$732.83
|
| Rate for Payer: United Healthcare Commercial |
$679.37
|
| Rate for Payer: United Healthcare Medicare |
$284.51
|
|
|
HC Z DRILL BIT 1.8X45 AO
|
Facility
IP
|
$992.67
|
|
| Hospital Charge Code |
41603608
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$744.50 |
| Max. Negotiated Rate |
$923.18 |
| Rate for Payer: Aetna Commercial |
$857.67
|
| Rate for Payer: Cash Price |
$615.46
|
| Rate for Payer: Cigna All Commercial |
$856.67
|
| Rate for Payer: CORVEL All Commercial |
$923.18
|
| Rate for Payer: Coventry All Commercial |
$873.55
|
| Rate for Payer: Encore All Commercial |
$913.75
|
| Rate for Payer: Frontpath All Commercial |
$913.26
|
| Rate for Payer: Humana ChoiceCare |
$857.37
|
| Rate for Payer: Lutheran Preferred All Commercial |
$893.40
|
| Rate for Payer: PHCS All Commercial |
$744.50
|
| Rate for Payer: PHP All Commercial |
$752.84
|
| Rate for Payer: Sagamore Health Network All Products |
$766.34
|
| Rate for Payer: Signature Care EPO |
$823.92
|
| Rate for Payer: Signature Care PPO |
$873.55
|
| Rate for Payer: United Healthcare Commercial |
$782.22
|
|
|
HC Z DRILL BIT 1.8X45 AO
|
Facility
OP
|
$992.67
|
|
| Hospital Charge Code |
41603608
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$923.18 |
| Rate for Payer: Aetna Commercial |
$837.81
|
| Rate for Payer: Aetna Medicare |
$327.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$327.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$570.09
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$620.52
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$376.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$360.34
|
| Rate for Payer: Cash Price |
$615.46
|
| Rate for Payer: Cash Price |
$615.46
|
| Rate for Payer: Centivo All Commercial |
$506.26
|
| Rate for Payer: Cigna All Commercial |
$856.67
|
| Rate for Payer: CORVEL All Commercial |
$923.18
|
| Rate for Payer: Coventry All Commercial |
$873.55
|
| Rate for Payer: Encore All Commercial |
$913.75
|
| Rate for Payer: Frontpath All Commercial |
$913.26
|
| Rate for Payer: Humana ChoiceCare |
$857.37
|
| Rate for Payer: Humana Medicare |
$506.26
|
| Rate for Payer: Lucent All Commercial |
$506.26
|
| Rate for Payer: Lutheran Preferred All Commercial |
$893.40
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$744.50
|
| Rate for Payer: PHP All Commercial |
$752.84
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$387.14
|
| Rate for Payer: Sagamore Health Network All Products |
$766.34
|
| Rate for Payer: Signature Care EPO |
$823.92
|
| Rate for Payer: Signature Care PPO |
$873.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$843.77
|
| Rate for Payer: United Healthcare Commercial |
$782.22
|
| Rate for Payer: United Healthcare Medicare |
$327.58
|
|
|
HC Z DRILL BIT 2.0 100 QC
|
Facility
OP
|
$489.37
|
|
| Hospital Charge Code |
41604261
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$455.11 |
| Rate for Payer: Aetna Commercial |
$413.03
|
| Rate for Payer: Aetna Medicare |
$161.49
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$161.49
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$281.05
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$305.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$185.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$177.64
|
| Rate for Payer: Cash Price |
$303.41
|
| Rate for Payer: Cash Price |
$303.41
|
| Rate for Payer: Centivo All Commercial |
$249.58
|
| Rate for Payer: Cigna All Commercial |
$422.33
|
| Rate for Payer: CORVEL All Commercial |
$455.11
|
| Rate for Payer: Coventry All Commercial |
$430.65
|
| Rate for Payer: Encore All Commercial |
$450.47
|
| Rate for Payer: Frontpath All Commercial |
$450.22
|
| Rate for Payer: Humana ChoiceCare |
$422.67
|
| Rate for Payer: Humana Medicare |
$249.58
|
| Rate for Payer: Lucent All Commercial |
$249.58
|
| Rate for Payer: Lutheran Preferred All Commercial |
$440.43
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$367.03
|
| Rate for Payer: PHP All Commercial |
$371.14
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$190.85
|
| Rate for Payer: Sagamore Health Network All Products |
$377.79
|
| Rate for Payer: Signature Care EPO |
$406.18
|
| Rate for Payer: Signature Care PPO |
$430.65
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$415.96
|
| Rate for Payer: United Healthcare Commercial |
$385.62
|
| Rate for Payer: United Healthcare Medicare |
$161.49
|
|
|
HC Z DRILL BIT 2.0 100 QC
|
Facility
IP
|
$489.37
|
|
| Hospital Charge Code |
41604261
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$367.03 |
| Max. Negotiated Rate |
$455.11 |
| Rate for Payer: Aetna Commercial |
$422.82
|
| Rate for Payer: Cash Price |
$303.41
|
| Rate for Payer: Cigna All Commercial |
$422.33
|
| Rate for Payer: CORVEL All Commercial |
$455.11
|
| Rate for Payer: Coventry All Commercial |
$430.65
|
| Rate for Payer: Encore All Commercial |
$450.47
|
| Rate for Payer: Frontpath All Commercial |
$450.22
|
| Rate for Payer: Humana ChoiceCare |
$422.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$440.43
|
| Rate for Payer: PHCS All Commercial |
$367.03
|
| Rate for Payer: PHP All Commercial |
$371.14
|
| Rate for Payer: Sagamore Health Network All Products |
$377.79
|
| Rate for Payer: Signature Care EPO |
$406.18
|
| Rate for Payer: Signature Care PPO |
$430.65
|
| Rate for Payer: United Healthcare Commercial |
$385.62
|
|
|
HC Z DRILL BIT 2.0/2.5
|
Facility
OP
|
$466.62
|
|
| Hospital Charge Code |
41607765
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$433.96 |
| Rate for Payer: Aetna Commercial |
$393.83
|
| Rate for Payer: Aetna Medicare |
$153.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$153.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$267.98
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$291.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$177.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$169.38
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Centivo All Commercial |
$237.98
|
| Rate for Payer: Cigna All Commercial |
$402.69
|
| Rate for Payer: CORVEL All Commercial |
$433.96
|
| Rate for Payer: Coventry All Commercial |
$410.63
|
| Rate for Payer: Encore All Commercial |
$429.52
|
| Rate for Payer: Frontpath All Commercial |
$429.29
|
| Rate for Payer: Humana ChoiceCare |
$403.02
|
| Rate for Payer: Humana Medicare |
$237.98
|
| Rate for Payer: Lucent All Commercial |
$237.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$419.96
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$349.96
|
| Rate for Payer: PHP All Commercial |
$353.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$181.98
|
| Rate for Payer: Sagamore Health Network All Products |
$360.23
|
| Rate for Payer: Signature Care EPO |
$387.29
|
| Rate for Payer: Signature Care PPO |
$410.63
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$396.63
|
| Rate for Payer: United Healthcare Commercial |
$367.70
|
| Rate for Payer: United Healthcare Medicare |
$153.98
|
|
|
HC Z DRILL BIT 2.0/2.5
|
Facility
IP
|
$466.62
|
|
| Hospital Charge Code |
41607765
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$433.96 |
| Rate for Payer: Aetna Commercial |
$403.16
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cigna All Commercial |
$402.69
|
| Rate for Payer: CORVEL All Commercial |
$433.96
|
| Rate for Payer: Coventry All Commercial |
$410.63
|
| Rate for Payer: Encore All Commercial |
$429.52
|
| Rate for Payer: Frontpath All Commercial |
$429.29
|
| Rate for Payer: Humana ChoiceCare |
$403.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$419.96
|
| Rate for Payer: PHCS All Commercial |
$349.96
|
| Rate for Payer: PHP All Commercial |
$353.88
|
| Rate for Payer: Sagamore Health Network All Products |
$360.23
|
| Rate for Payer: Signature Care EPO |
$387.29
|
| Rate for Payer: Signature Care PPO |
$410.63
|
| Rate for Payer: United Healthcare Commercial |
$367.70
|
|
|
HC Z DRILL BIT 2.0 9382
|
Facility
OP
|
$829.78
|
|
| Hospital Charge Code |
41606895
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$771.70 |
| Rate for Payer: Aetna Commercial |
$700.33
|
| Rate for Payer: Aetna Medicare |
$273.83
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$273.83
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$476.54
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$518.70
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$314.90
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$301.21
|
| Rate for Payer: Cash Price |
$514.46
|
| Rate for Payer: Cash Price |
$514.46
|
| Rate for Payer: Centivo All Commercial |
$423.19
|
| Rate for Payer: Cigna All Commercial |
$716.10
|
| Rate for Payer: CORVEL All Commercial |
$771.70
|
| Rate for Payer: Coventry All Commercial |
$730.21
|
| Rate for Payer: Encore All Commercial |
$763.81
|
| Rate for Payer: Frontpath All Commercial |
$763.40
|
| Rate for Payer: Humana ChoiceCare |
$716.68
|
| Rate for Payer: Humana Medicare |
$423.19
|
| Rate for Payer: Lucent All Commercial |
$423.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$746.80
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$622.34
|
| Rate for Payer: PHP All Commercial |
$629.31
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$323.61
|
| Rate for Payer: Sagamore Health Network All Products |
$640.59
|
| Rate for Payer: Signature Care EPO |
$688.72
|
| Rate for Payer: Signature Care PPO |
$730.21
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$705.31
|
| Rate for Payer: United Healthcare Commercial |
$653.87
|
| Rate for Payer: United Healthcare Medicare |
$273.83
|
|
|
HC Z DRILL BIT 2.0 9382
|
Facility
IP
|
$829.78
|
|
| Hospital Charge Code |
41606895
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$622.34 |
| Max. Negotiated Rate |
$771.70 |
| Rate for Payer: Aetna Commercial |
$716.93
|
| Rate for Payer: Cash Price |
$514.46
|
| Rate for Payer: Cigna All Commercial |
$716.10
|
| Rate for Payer: CORVEL All Commercial |
$771.70
|
| Rate for Payer: Coventry All Commercial |
$730.21
|
| Rate for Payer: Encore All Commercial |
$763.81
|
| Rate for Payer: Frontpath All Commercial |
$763.40
|
| Rate for Payer: Humana ChoiceCare |
$716.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$746.80
|
| Rate for Payer: PHCS All Commercial |
$622.34
|
| Rate for Payer: PHP All Commercial |
$629.31
|
| Rate for Payer: Sagamore Health Network All Products |
$640.59
|
| Rate for Payer: Signature Care EPO |
$688.72
|
| Rate for Payer: Signature Care PPO |
$730.21
|
| Rate for Payer: United Healthcare Commercial |
$653.87
|
|
|
HC Z DRILL BIT 2.0 FAST
|
Facility
OP
|
$699.93
|
|
| Hospital Charge Code |
41606744
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$650.93 |
| Rate for Payer: Aetna Commercial |
$590.74
|
| Rate for Payer: Aetna Medicare |
$230.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$230.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$401.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$437.53
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$265.62
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$254.07
|
| Rate for Payer: Cash Price |
$433.96
|
| Rate for Payer: Cash Price |
$433.96
|
| Rate for Payer: Centivo All Commercial |
$356.96
|
| Rate for Payer: Cigna All Commercial |
$604.04
|
| Rate for Payer: CORVEL All Commercial |
$650.93
|
| Rate for Payer: Coventry All Commercial |
$615.94
|
| Rate for Payer: Encore All Commercial |
$644.29
|
| Rate for Payer: Frontpath All Commercial |
$643.94
|
| Rate for Payer: Humana ChoiceCare |
$604.53
|
| Rate for Payer: Humana Medicare |
$356.96
|
| Rate for Payer: Lucent All Commercial |
$356.96
|
| Rate for Payer: Lutheran Preferred All Commercial |
$629.94
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$524.95
|
| Rate for Payer: PHP All Commercial |
$530.83
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$272.97
|
| Rate for Payer: Sagamore Health Network All Products |
$540.35
|
| Rate for Payer: Signature Care EPO |
$580.94
|
| Rate for Payer: Signature Care PPO |
$615.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$594.94
|
| Rate for Payer: United Healthcare Commercial |
$551.54
|
| Rate for Payer: United Healthcare Medicare |
$230.98
|
|
|
HC Z DRILL BIT 2.0 FAST
|
Facility
IP
|
$699.93
|
|
| Hospital Charge Code |
41606744
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$524.95 |
| Max. Negotiated Rate |
$650.93 |
| Rate for Payer: Aetna Commercial |
$604.74
|
| Rate for Payer: Cash Price |
$433.96
|
| Rate for Payer: Cigna All Commercial |
$604.04
|
| Rate for Payer: CORVEL All Commercial |
$650.93
|
| Rate for Payer: Coventry All Commercial |
$615.94
|
| Rate for Payer: Encore All Commercial |
$644.29
|
| Rate for Payer: Frontpath All Commercial |
$643.94
|
| Rate for Payer: Humana ChoiceCare |
$604.53
|
| Rate for Payer: Lutheran Preferred All Commercial |
$629.94
|
| Rate for Payer: PHCS All Commercial |
$524.95
|
| Rate for Payer: PHP All Commercial |
$530.83
|
| Rate for Payer: Sagamore Health Network All Products |
$540.35
|
| Rate for Payer: Signature Care EPO |
$580.94
|
| Rate for Payer: Signature Care PPO |
$615.94
|
| Rate for Payer: United Healthcare Commercial |
$551.54
|
|
|
HC Z DRILL BIT 2.0 FAST MINI
|
Facility
OP
|
$346.43
|
|
| Hospital Charge Code |
41607752
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$114.32 |
| Max. Negotiated Rate |
$322.18 |
| Rate for Payer: Aetna Commercial |
$292.39
|
| Rate for Payer: Aetna Medicare |
$114.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$114.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$198.95
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$216.55
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$131.47
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$125.75
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Centivo All Commercial |
$176.68
|
| Rate for Payer: Cigna All Commercial |
$298.97
|
| Rate for Payer: CORVEL All Commercial |
$322.18
|
| Rate for Payer: Coventry All Commercial |
$304.86
|
| Rate for Payer: Encore All Commercial |
$318.89
|
| Rate for Payer: Frontpath All Commercial |
$318.72
|
| Rate for Payer: Humana ChoiceCare |
$299.21
|
| Rate for Payer: Humana Medicare |
$176.68
|
| Rate for Payer: Lucent All Commercial |
$176.68
|
| Rate for Payer: Lutheran Preferred All Commercial |
$311.79
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$259.82
|
| Rate for Payer: PHP All Commercial |
$262.73
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$135.11
|
| Rate for Payer: Sagamore Health Network All Products |
$267.44
|
| Rate for Payer: Signature Care EPO |
$287.54
|
| Rate for Payer: Signature Care PPO |
$304.86
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$294.47
|
| Rate for Payer: United Healthcare Commercial |
$272.99
|
| Rate for Payer: United Healthcare Medicare |
$114.32
|
|
|
HC Z DRILL BIT 2.0 FAST MINI
|
Facility
IP
|
$346.43
|
|
| Hospital Charge Code |
41607752
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$259.82 |
| Max. Negotiated Rate |
$322.18 |
| Rate for Payer: Aetna Commercial |
$299.32
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Cigna All Commercial |
$298.97
|
| Rate for Payer: CORVEL All Commercial |
$322.18
|
| Rate for Payer: Coventry All Commercial |
$304.86
|
| Rate for Payer: Encore All Commercial |
$318.89
|
| Rate for Payer: Frontpath All Commercial |
$318.72
|
| Rate for Payer: Humana ChoiceCare |
$299.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$311.79
|
| Rate for Payer: PHCS All Commercial |
$259.82
|
| Rate for Payer: PHP All Commercial |
$262.73
|
| Rate for Payer: Sagamore Health Network All Products |
$267.44
|
| Rate for Payer: Signature Care EPO |
$287.54
|
| Rate for Payer: Signature Care PPO |
$304.86
|
| Rate for Payer: United Healthcare Commercial |
$272.99
|
|
|
HC Z DRILL BIT 2.0 MM
|
Facility
IP
|
$616.00
|
|
| Hospital Charge Code |
41603418
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$462.00 |
| Max. Negotiated Rate |
$572.88 |
| Rate for Payer: Aetna Commercial |
$532.22
|
| Rate for Payer: Cash Price |
$381.92
|
| Rate for Payer: Cigna All Commercial |
$531.61
|
| Rate for Payer: CORVEL All Commercial |
$572.88
|
| Rate for Payer: Coventry All Commercial |
$542.08
|
| Rate for Payer: Encore All Commercial |
$567.03
|
| Rate for Payer: Frontpath All Commercial |
$566.72
|
| Rate for Payer: Humana ChoiceCare |
$532.04
|
| Rate for Payer: Lutheran Preferred All Commercial |
$554.40
|
| Rate for Payer: PHCS All Commercial |
$462.00
|
| Rate for Payer: PHP All Commercial |
$467.17
|
| Rate for Payer: Sagamore Health Network All Products |
$475.55
|
| Rate for Payer: Signature Care EPO |
$511.28
|
| Rate for Payer: Signature Care PPO |
$542.08
|
| Rate for Payer: United Healthcare Commercial |
$485.41
|
|
|
HC Z DRILL BIT 2.0 MM
|
Facility
OP
|
$616.00
|
|
| Hospital Charge Code |
41603418
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$572.88 |
| Rate for Payer: Aetna Commercial |
$519.90
|
| Rate for Payer: Aetna Medicare |
$203.28
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$203.28
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$353.77
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$385.06
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$233.77
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$223.61
|
| Rate for Payer: Cash Price |
$381.92
|
| Rate for Payer: Cash Price |
$381.92
|
| Rate for Payer: Centivo All Commercial |
$314.16
|
| Rate for Payer: Cigna All Commercial |
$531.61
|
| Rate for Payer: CORVEL All Commercial |
$572.88
|
| Rate for Payer: Coventry All Commercial |
$542.08
|
| Rate for Payer: Encore All Commercial |
$567.03
|
| Rate for Payer: Frontpath All Commercial |
$566.72
|
| Rate for Payer: Humana ChoiceCare |
$532.04
|
| Rate for Payer: Humana Medicare |
$314.16
|
| Rate for Payer: Lucent All Commercial |
$314.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$554.40
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$462.00
|
| Rate for Payer: PHP All Commercial |
$467.17
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$240.24
|
| Rate for Payer: Sagamore Health Network All Products |
$475.55
|
| Rate for Payer: Signature Care EPO |
$511.28
|
| Rate for Payer: Signature Care PPO |
$542.08
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$523.60
|
| Rate for Payer: United Healthcare Commercial |
$485.41
|
| Rate for Payer: United Healthcare Medicare |
$203.28
|
|
|
HC Z DRILL BIT 2.0MM FAST
|
Facility
IP
|
$346.43
|
|
| Hospital Charge Code |
41605895
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$259.82 |
| Max. Negotiated Rate |
$322.18 |
| Rate for Payer: Aetna Commercial |
$299.32
|
| Rate for Payer: Cash Price |
$214.79
|
| Rate for Payer: Cigna All Commercial |
$298.97
|
| Rate for Payer: CORVEL All Commercial |
$322.18
|
| Rate for Payer: Coventry All Commercial |
$304.86
|
| Rate for Payer: Encore All Commercial |
$318.89
|
| Rate for Payer: Frontpath All Commercial |
$318.72
|
| Rate for Payer: Humana ChoiceCare |
$299.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$311.79
|
| Rate for Payer: PHCS All Commercial |
$259.82
|
| Rate for Payer: PHP All Commercial |
$262.73
|
| Rate for Payer: Sagamore Health Network All Products |
$267.44
|
| Rate for Payer: Signature Care EPO |
$287.54
|
| Rate for Payer: Signature Care PPO |
$304.86
|
| Rate for Payer: United Healthcare Commercial |
$272.99
|
|
