|
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
|
|
|
HC Z DRILL BIT 2.0 STND
|
Facility
OP
|
$998.70
|
|
| Hospital Charge Code |
41603907
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$928.79 |
| Rate for Payer: Aetna Commercial |
$842.90
|
| Rate for Payer: Aetna Medicare |
$329.57
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$329.57
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$573.55
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$624.29
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$379.01
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$362.53
|
| Rate for Payer: Cash Price |
$619.19
|
| Rate for Payer: Cash Price |
$619.19
|
| Rate for Payer: Centivo All Commercial |
$509.34
|
| Rate for Payer: Cigna All Commercial |
$861.88
|
| Rate for Payer: CORVEL All Commercial |
$928.79
|
| Rate for Payer: Coventry All Commercial |
$878.86
|
| Rate for Payer: Encore All Commercial |
$919.30
|
| Rate for Payer: Frontpath All Commercial |
$918.80
|
| Rate for Payer: Humana ChoiceCare |
$862.58
|
| Rate for Payer: Humana Medicare |
$509.34
|
| Rate for Payer: Lucent All Commercial |
$509.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$898.83
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$749.02
|
| Rate for Payer: PHP All Commercial |
$757.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$389.49
|
| Rate for Payer: Sagamore Health Network All Products |
$771.00
|
| Rate for Payer: Signature Care EPO |
$828.92
|
| Rate for Payer: Signature Care PPO |
$878.86
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$848.90
|
| Rate for Payer: United Healthcare Commercial |
$786.98
|
| Rate for Payer: United Healthcare Medicare |
$329.57
|
|
|
HC Z DRILL BIT 2.0 STND
|
Facility
IP
|
$998.70
|
|
| Hospital Charge Code |
41603907
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$749.02 |
| Max. Negotiated Rate |
$928.79 |
| Rate for Payer: Aetna Commercial |
$862.88
|
| Rate for Payer: Cash Price |
$619.19
|
| Rate for Payer: Cigna All Commercial |
$861.88
|
| Rate for Payer: CORVEL All Commercial |
$928.79
|
| Rate for Payer: Coventry All Commercial |
$878.86
|
| Rate for Payer: Encore All Commercial |
$919.30
|
| Rate for Payer: Frontpath All Commercial |
$918.80
|
| Rate for Payer: Humana ChoiceCare |
$862.58
|
| Rate for Payer: Lutheran Preferred All Commercial |
$898.83
|
| Rate for Payer: PHCS All Commercial |
$749.02
|
| Rate for Payer: PHP All Commercial |
$757.41
|
| Rate for Payer: Sagamore Health Network All Products |
$771.00
|
| Rate for Payer: Signature Care EPO |
$828.92
|
| Rate for Payer: Signature Care PPO |
$878.86
|
| Rate for Payer: United Healthcare Commercial |
$786.98
|
|
|
HC Z DRILL BIT 2.0X65 CANN AO
|
Facility
IP
|
$603.47
|
|
| Hospital Charge Code |
41606954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$452.60 |
| Max. Negotiated Rate |
$561.23 |
| Rate for Payer: Aetna Commercial |
$521.40
|
| Rate for Payer: Cash Price |
$374.15
|
| Rate for Payer: Cigna All Commercial |
$520.79
|
| Rate for Payer: CORVEL All Commercial |
$561.23
|
| Rate for Payer: Coventry All Commercial |
$531.05
|
| Rate for Payer: Encore All Commercial |
$555.49
|
| Rate for Payer: Frontpath All Commercial |
$555.19
|
| Rate for Payer: Humana ChoiceCare |
$521.22
|
| Rate for Payer: Lutheran Preferred All Commercial |
$543.12
|
| Rate for Payer: PHCS All Commercial |
$452.60
|
| Rate for Payer: PHP All Commercial |
$457.67
|
| Rate for Payer: Sagamore Health Network All Products |
$465.88
|
| Rate for Payer: Signature Care EPO |
$500.88
|
| Rate for Payer: Signature Care PPO |
$531.05
|
| Rate for Payer: United Healthcare Commercial |
$475.53
|
|
|
HC Z DRILL BIT 2.0X65 CANN AO
|
Facility
OP
|
$603.47
|
|
| Hospital Charge Code |
41606954
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$561.23 |
| Rate for Payer: Aetna Commercial |
$509.33
|
| Rate for Payer: Aetna Medicare |
$199.15
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$199.15
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$346.57
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$377.23
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$229.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$219.06
|
| Rate for Payer: Cash Price |
$374.15
|
| Rate for Payer: Cash Price |
$374.15
|
| Rate for Payer: Centivo All Commercial |
$307.77
|
| Rate for Payer: Cigna All Commercial |
$520.79
|
| Rate for Payer: CORVEL All Commercial |
$561.23
|
| Rate for Payer: Coventry All Commercial |
$531.05
|
| Rate for Payer: Encore All Commercial |
$555.49
|
| Rate for Payer: Frontpath All Commercial |
$555.19
|
| Rate for Payer: Humana ChoiceCare |
$521.22
|
| Rate for Payer: Humana Medicare |
$307.77
|
| Rate for Payer: Lucent All Commercial |
$307.77
|
| Rate for Payer: Lutheran Preferred All Commercial |
$543.12
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$452.60
|
| Rate for Payer: PHP All Commercial |
$457.67
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$235.35
|
| Rate for Payer: Sagamore Health Network All Products |
$465.88
|
| Rate for Payer: Signature Care EPO |
$500.88
|
| Rate for Payer: Signature Care PPO |
$531.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$512.95
|
| Rate for Payer: United Healthcare Commercial |
$475.53
|
| Rate for Payer: United Healthcare Medicare |
$199.15
|
|
|
HC Z DRILL BIT 2.2 0122
|
Facility
IP
|
$388.85
|
|
| Hospital Charge Code |
41606490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z DRILL BIT 2.2 0122
|
Facility
OP
|
$388.85
|
|
| Hospital Charge Code |
41606490
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$147.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$141.15
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Centivo All Commercial |
$198.31
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$198.31
|
| Rate for Payer: Lucent All Commercial |
$198.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$128.32
|
|
|
HC Z DRILL BIT 2.2 DVR 0022
|
Facility
OP
|
$579.74
|
|
| Hospital Charge Code |
41606486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$539.16 |
| Rate for Payer: Aetna Commercial |
$489.30
|
| Rate for Payer: Aetna Medicare |
$191.31
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$191.31
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$332.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$362.40
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$220.01
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$210.45
|
| Rate for Payer: Cash Price |
$359.44
|
| Rate for Payer: Cash Price |
$359.44
|
| Rate for Payer: Centivo All Commercial |
$295.67
|
| Rate for Payer: Cigna All Commercial |
$500.32
|
| Rate for Payer: CORVEL All Commercial |
$539.16
|
| Rate for Payer: Coventry All Commercial |
$510.17
|
| Rate for Payer: Encore All Commercial |
$533.65
|
| Rate for Payer: Frontpath All Commercial |
$533.36
|
| Rate for Payer: Humana ChoiceCare |
$500.72
|
| Rate for Payer: Humana Medicare |
$295.67
|
| Rate for Payer: Lucent All Commercial |
$295.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$521.77
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$434.80
|
| Rate for Payer: PHP All Commercial |
$439.67
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$226.10
|
| Rate for Payer: Sagamore Health Network All Products |
$447.56
|
| Rate for Payer: Signature Care EPO |
$481.18
|
| Rate for Payer: Signature Care PPO |
$510.17
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$492.78
|
| Rate for Payer: United Healthcare Commercial |
$456.84
|
| Rate for Payer: United Healthcare Medicare |
$191.31
|
|
|
HC Z DRILL BIT 2.2 DVR 0022
|
Facility
IP
|
$579.74
|
|
| Hospital Charge Code |
41606486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$434.80 |
| Max. Negotiated Rate |
$539.16 |
| Rate for Payer: Aetna Commercial |
$500.90
|
| Rate for Payer: Cash Price |
$359.44
|
| Rate for Payer: Cigna All Commercial |
$500.32
|
| Rate for Payer: CORVEL All Commercial |
$539.16
|
| Rate for Payer: Coventry All Commercial |
$510.17
|
| Rate for Payer: Encore All Commercial |
$533.65
|
| Rate for Payer: Frontpath All Commercial |
$533.36
|
| Rate for Payer: Humana ChoiceCare |
$500.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$521.77
|
| Rate for Payer: PHCS All Commercial |
$434.80
|
| Rate for Payer: PHP All Commercial |
$439.67
|
| Rate for Payer: Sagamore Health Network All Products |
$447.56
|
| Rate for Payer: Signature Care EPO |
$481.18
|
| Rate for Payer: Signature Care PPO |
$510.17
|
| Rate for Payer: United Healthcare Commercial |
$456.84
|
|
|
HC Z DRILL BIT 2.2MM
|
Facility
IP
|
$657.51
|
|
| Hospital Charge Code |
41605896
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$493.13 |
| Max. Negotiated Rate |
$611.48 |
| Rate for Payer: Aetna Commercial |
$568.09
|
| Rate for Payer: Cash Price |
$407.66
|
| Rate for Payer: Cigna All Commercial |
$567.43
|
| Rate for Payer: CORVEL All Commercial |
$611.48
|
| Rate for Payer: Coventry All Commercial |
$578.61
|
| Rate for Payer: Encore All Commercial |
$605.24
|
| Rate for Payer: Frontpath All Commercial |
$604.91
|
| Rate for Payer: Humana ChoiceCare |
$567.89
|
| Rate for Payer: Lutheran Preferred All Commercial |
$591.76
|
| Rate for Payer: PHCS All Commercial |
$493.13
|
| Rate for Payer: PHP All Commercial |
$498.66
|
| Rate for Payer: Sagamore Health Network All Products |
$507.60
|
| Rate for Payer: Signature Care EPO |
$545.73
|
| Rate for Payer: Signature Care PPO |
$578.61
|
| Rate for Payer: United Healthcare Commercial |
$518.12
|
|
|
HC Z DRILL BIT 2.2MM
|
Facility
OP
|
$657.51
|
|
| Hospital Charge Code |
41605896
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$611.48 |
| Rate for Payer: Aetna Commercial |
$554.94
|
| Rate for Payer: Aetna Medicare |
$216.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$216.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$377.61
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$411.01
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$249.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$238.68
|
| Rate for Payer: Cash Price |
$407.66
|
| Rate for Payer: Cash Price |
$407.66
|
| Rate for Payer: Centivo All Commercial |
$335.33
|
| Rate for Payer: Cigna All Commercial |
$567.43
|
| Rate for Payer: CORVEL All Commercial |
$611.48
|
| Rate for Payer: Coventry All Commercial |
$578.61
|
| Rate for Payer: Encore All Commercial |
$605.24
|
| Rate for Payer: Frontpath All Commercial |
$604.91
|
| Rate for Payer: Humana ChoiceCare |
$567.89
|
| Rate for Payer: Humana Medicare |
$335.33
|
| Rate for Payer: Lucent All Commercial |
$335.33
|
| Rate for Payer: Lutheran Preferred All Commercial |
$591.76
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$493.13
|
| Rate for Payer: PHP All Commercial |
$498.66
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$256.43
|
| Rate for Payer: Sagamore Health Network All Products |
$507.60
|
| Rate for Payer: Signature Care EPO |
$545.73
|
| Rate for Payer: Signature Care PPO |
$578.61
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$558.88
|
| Rate for Payer: United Healthcare Commercial |
$518.12
|
| Rate for Payer: United Healthcare Medicare |
$216.98
|
|
|
HC Z DRILL BIT 2.2X135
|
Facility
IP
|
$346.43
|
|
| Hospital Charge Code |
41607820
|
|
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 2.2X135
|
Facility
OP
|
$346.43
|
|
| Hospital Charge Code |
41607820
|
|
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 2.4X45 AO
|
Facility
OP
|
$992.67
|
|
| Hospital Charge Code |
41604331
|
|
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 2.4X45 AO
|
Facility
IP
|
$992.67
|
|
| Hospital Charge Code |
41604331
|
|
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 2.5
|
Facility
IP
|
$699.93
|
|
| Hospital Charge Code |
41603886
|
|
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 2.5
|
Facility
OP
|
$699.93
|
|
| Hospital Charge Code |
41603886
|
|
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 2.5 110 QC
|
Facility
OP
|
$489.37
|
|
| Hospital Charge Code |
41603997
|
|
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 2.5 110 QC
|
Facility
IP
|
$489.37
|
|
| Hospital Charge Code |
41603997
|
|
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 2.5 CANN PF
|
Facility
OP
|
$1,023.80
|
|
| Hospital Charge Code |
41604545
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$952.13 |
| Rate for Payer: Aetna Commercial |
$864.09
|
| Rate for Payer: Aetna Medicare |
$337.85
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$337.85
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$587.97
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$639.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$388.53
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$371.64
|
| Rate for Payer: Cash Price |
$634.76
|
| Rate for Payer: Cash Price |
$634.76
|
| Rate for Payer: Centivo All Commercial |
$522.14
|
| Rate for Payer: Cigna All Commercial |
$883.54
|
| Rate for Payer: CORVEL All Commercial |
$952.13
|
| Rate for Payer: Coventry All Commercial |
$900.94
|
| Rate for Payer: Encore All Commercial |
$942.41
|
| Rate for Payer: Frontpath All Commercial |
$941.90
|
| Rate for Payer: Humana ChoiceCare |
$884.26
|
| Rate for Payer: Humana Medicare |
$522.14
|
| Rate for Payer: Lucent All Commercial |
$522.14
|
| Rate for Payer: Lutheran Preferred All Commercial |
$921.42
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$767.85
|
| Rate for Payer: PHP All Commercial |
$776.45
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$399.28
|
| Rate for Payer: Sagamore Health Network All Products |
$790.37
|
| Rate for Payer: Signature Care EPO |
$849.75
|
| Rate for Payer: Signature Care PPO |
$900.94
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$870.23
|
| Rate for Payer: United Healthcare Commercial |
$806.75
|
| Rate for Payer: United Healthcare Medicare |
$337.85
|
|
|
HC Z DRILL BIT 2.5 CANN PF
|
Facility
IP
|
$1,023.80
|
|
| Hospital Charge Code |
41604545
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$767.85 |
| Max. Negotiated Rate |
$952.13 |
| Rate for Payer: Aetna Commercial |
$884.56
|
| Rate for Payer: Cash Price |
$634.76
|
| Rate for Payer: Cigna All Commercial |
$883.54
|
| Rate for Payer: CORVEL All Commercial |
$952.13
|
| Rate for Payer: Coventry All Commercial |
$900.94
|
| Rate for Payer: Encore All Commercial |
$942.41
|
| Rate for Payer: Frontpath All Commercial |
$941.90
|
| Rate for Payer: Humana ChoiceCare |
$884.26
|
| Rate for Payer: Lutheran Preferred All Commercial |
$921.42
|
| Rate for Payer: PHCS All Commercial |
$767.85
|
| Rate for Payer: PHP All Commercial |
$776.45
|
| Rate for Payer: Sagamore Health Network All Products |
$790.37
|
| Rate for Payer: Signature Care EPO |
$849.75
|
| Rate for Payer: Signature Care PPO |
$900.94
|
| Rate for Payer: United Healthcare Commercial |
$806.75
|
|
|
HC Z DRILL BIT 2.5 MINI
|
Facility
OP
|
$346.43
|
|
| Hospital Charge Code |
41606517
|
|
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 2.5 MINI
|
Facility
IP
|
$346.43
|
|
| Hospital Charge Code |
41606517
|
|
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 B IT 2.5X100
|
Facility
OP
|
$699.93
|
|
| Hospital Charge Code |
41608049
|
|
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 B IT 2.5X100
|
Facility
IP
|
$699.93
|
|
| Hospital Charge Code |
41608049
|
|
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
|
|
