|
HC Z DRILL BIT 2.5X180
|
Facility
IP
|
$604.45
|
|
| Hospital Charge Code |
41607596
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$453.34 |
| Max. Negotiated Rate |
$562.14 |
| Rate for Payer: Aetna Commercial |
$522.24
|
| Rate for Payer: Cash Price |
$374.76
|
| Rate for Payer: Cigna All Commercial |
$521.64
|
| Rate for Payer: CORVEL All Commercial |
$562.14
|
| Rate for Payer: Coventry All Commercial |
$531.92
|
| Rate for Payer: Encore All Commercial |
$556.40
|
| Rate for Payer: Frontpath All Commercial |
$556.09
|
| Rate for Payer: Humana ChoiceCare |
$522.06
|
| Rate for Payer: Lutheran Preferred All Commercial |
$544.00
|
| Rate for Payer: PHCS All Commercial |
$453.34
|
| Rate for Payer: PHP All Commercial |
$458.41
|
| Rate for Payer: Sagamore Health Network All Products |
$466.64
|
| Rate for Payer: Signature Care EPO |
$501.69
|
| Rate for Payer: Signature Care PPO |
$531.92
|
| Rate for Payer: United Healthcare Commercial |
$476.31
|
|
|
HC Z DRILL BIT 2.5X180
|
Facility
OP
|
$604.45
|
|
| Hospital Charge Code |
41607596
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$562.14 |
| Rate for Payer: Aetna Commercial |
$510.16
|
| Rate for Payer: Aetna Medicare |
$199.47
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$199.47
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$347.14
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$377.84
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$229.39
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$219.42
|
| Rate for Payer: Cash Price |
$374.76
|
| Rate for Payer: Cash Price |
$374.76
|
| Rate for Payer: Centivo All Commercial |
$308.27
|
| Rate for Payer: Cigna All Commercial |
$521.64
|
| Rate for Payer: CORVEL All Commercial |
$562.14
|
| Rate for Payer: Coventry All Commercial |
$531.92
|
| Rate for Payer: Encore All Commercial |
$556.40
|
| Rate for Payer: Frontpath All Commercial |
$556.09
|
| Rate for Payer: Humana ChoiceCare |
$522.06
|
| Rate for Payer: Humana Medicare |
$308.27
|
| Rate for Payer: Lucent All Commercial |
$308.27
|
| Rate for Payer: Lutheran Preferred All Commercial |
$544.00
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$453.34
|
| Rate for Payer: PHP All Commercial |
$458.41
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$235.74
|
| Rate for Payer: Sagamore Health Network All Products |
$466.64
|
| Rate for Payer: Signature Care EPO |
$501.69
|
| Rate for Payer: Signature Care PPO |
$531.92
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$513.78
|
| Rate for Payer: United Healthcare Commercial |
$476.31
|
| Rate for Payer: United Healthcare Medicare |
$199.47
|
|
|
HC Z DRILL BIT 2.5X220
|
Facility
OP
|
$466.06
|
|
| Hospital Charge Code |
41607682
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$433.44 |
| Rate for Payer: Aetna Commercial |
$393.35
|
| Rate for Payer: Aetna Medicare |
$153.80
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$153.80
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$267.66
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$291.33
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$176.87
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$169.18
|
| Rate for Payer: Cash Price |
$288.96
|
| Rate for Payer: Cash Price |
$288.96
|
| Rate for Payer: Centivo All Commercial |
$237.69
|
| Rate for Payer: Cigna All Commercial |
$402.21
|
| Rate for Payer: CORVEL All Commercial |
$433.44
|
| Rate for Payer: Coventry All Commercial |
$410.13
|
| Rate for Payer: Encore All Commercial |
$429.01
|
| Rate for Payer: Frontpath All Commercial |
$428.78
|
| Rate for Payer: Humana ChoiceCare |
$402.54
|
| Rate for Payer: Humana Medicare |
$237.69
|
| Rate for Payer: Lucent All Commercial |
$237.69
|
| Rate for Payer: Lutheran Preferred All Commercial |
$419.45
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$349.54
|
| Rate for Payer: PHP All Commercial |
$353.46
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$181.76
|
| Rate for Payer: Sagamore Health Network All Products |
$359.80
|
| Rate for Payer: Signature Care EPO |
$386.83
|
| Rate for Payer: Signature Care PPO |
$410.13
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$396.15
|
| Rate for Payer: United Healthcare Commercial |
$367.26
|
| Rate for Payer: United Healthcare Medicare |
$153.80
|
|
|
HC Z DRILL BIT 2.5X220
|
Facility
IP
|
$466.06
|
|
| Hospital Charge Code |
41607682
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$349.54 |
| Max. Negotiated Rate |
$433.44 |
| Rate for Payer: Aetna Commercial |
$402.68
|
| Rate for Payer: Cash Price |
$288.96
|
| Rate for Payer: Cigna All Commercial |
$402.21
|
| Rate for Payer: CORVEL All Commercial |
$433.44
|
| Rate for Payer: Coventry All Commercial |
$410.13
|
| Rate for Payer: Encore All Commercial |
$429.01
|
| Rate for Payer: Frontpath All Commercial |
$428.78
|
| Rate for Payer: Humana ChoiceCare |
$402.54
|
| Rate for Payer: Lutheran Preferred All Commercial |
$419.45
|
| Rate for Payer: PHCS All Commercial |
$349.54
|
| Rate for Payer: PHP All Commercial |
$353.46
|
| Rate for Payer: Sagamore Health Network All Products |
$359.80
|
| Rate for Payer: Signature Care EPO |
$386.83
|
| Rate for Payer: Signature Care PPO |
$410.13
|
| Rate for Payer: United Healthcare Commercial |
$367.26
|
|
|
HC Z DRILL BIT 2.7 0127
|
Facility
OP
|
$388.85
|
|
| Hospital Charge Code |
41606491
|
|
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 2.7 0127
|
Facility
IP
|
$388.85
|
|
| Hospital Charge Code |
41606491
|
|
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 2.7 100 QC
|
Facility
IP
|
$489.37
|
|
| Hospital Charge Code |
41604262
|
|
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 2.7 100 QC
|
Facility
OP
|
$489.37
|
|
| Hospital Charge Code |
41604262
|
|
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 2.7 CANN CALB
|
Facility
OP
|
$735.28
|
|
| Hospital Charge Code |
41603705
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$683.81 |
| Rate for Payer: Aetna Commercial |
$620.58
|
| Rate for Payer: Aetna Medicare |
$242.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$242.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$422.27
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$459.62
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$279.04
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$266.91
|
| Rate for Payer: Cash Price |
$455.87
|
| Rate for Payer: Cash Price |
$455.87
|
| Rate for Payer: Centivo All Commercial |
$374.99
|
| Rate for Payer: Cigna All Commercial |
$634.55
|
| Rate for Payer: CORVEL All Commercial |
$683.81
|
| Rate for Payer: Coventry All Commercial |
$647.05
|
| Rate for Payer: Encore All Commercial |
$676.83
|
| Rate for Payer: Frontpath All Commercial |
$676.46
|
| Rate for Payer: Humana ChoiceCare |
$635.06
|
| Rate for Payer: Humana Medicare |
$374.99
|
| Rate for Payer: Lucent All Commercial |
$374.99
|
| Rate for Payer: Lutheran Preferred All Commercial |
$661.75
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$551.46
|
| Rate for Payer: PHP All Commercial |
$557.64
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$286.76
|
| Rate for Payer: Sagamore Health Network All Products |
$567.64
|
| Rate for Payer: Signature Care EPO |
$610.28
|
| Rate for Payer: Signature Care PPO |
$647.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$624.99
|
| Rate for Payer: United Healthcare Commercial |
$579.40
|
| Rate for Payer: United Healthcare Medicare |
$242.64
|
|
|
HC Z DRILL BIT 2.7 CANN CALB
|
Facility
IP
|
$735.28
|
|
| Hospital Charge Code |
41603705
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$551.46 |
| Max. Negotiated Rate |
$683.81 |
| Rate for Payer: Aetna Commercial |
$635.28
|
| Rate for Payer: Cash Price |
$455.87
|
| Rate for Payer: Cigna All Commercial |
$634.55
|
| Rate for Payer: CORVEL All Commercial |
$683.81
|
| Rate for Payer: Coventry All Commercial |
$647.05
|
| Rate for Payer: Encore All Commercial |
$676.83
|
| Rate for Payer: Frontpath All Commercial |
$676.46
|
| Rate for Payer: Humana ChoiceCare |
$635.06
|
| Rate for Payer: Lutheran Preferred All Commercial |
$661.75
|
| Rate for Payer: PHCS All Commercial |
$551.46
|
| Rate for Payer: PHP All Commercial |
$557.64
|
| Rate for Payer: Sagamore Health Network All Products |
$567.64
|
| Rate for Payer: Signature Care EPO |
$610.28
|
| Rate for Payer: Signature Care PPO |
$647.05
|
| Rate for Payer: United Healthcare Commercial |
$579.40
|
|
|
HC Z DRILL BIT 2.7 CANN QC
|
Facility
IP
|
$1,845.61
|
|
| Hospital Charge Code |
41604383
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,384.21 |
| Max. Negotiated Rate |
$1,716.42 |
| Rate for Payer: Aetna Commercial |
$1,594.61
|
| Rate for Payer: Cash Price |
$1,144.28
|
| Rate for Payer: Cigna All Commercial |
$1,592.76
|
| Rate for Payer: CORVEL All Commercial |
$1,716.42
|
| Rate for Payer: Coventry All Commercial |
$1,624.14
|
| Rate for Payer: Encore All Commercial |
$1,698.88
|
| Rate for Payer: Frontpath All Commercial |
$1,697.96
|
| Rate for Payer: Humana ChoiceCare |
$1,594.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,661.05
|
| Rate for Payer: PHCS All Commercial |
$1,384.21
|
| Rate for Payer: PHP All Commercial |
$1,399.71
|
| Rate for Payer: Sagamore Health Network All Products |
$1,424.81
|
| Rate for Payer: Signature Care EPO |
$1,531.86
|
| Rate for Payer: Signature Care PPO |
$1,624.14
|
| Rate for Payer: United Healthcare Commercial |
$1,454.34
|
|
|
HC Z DRILL BIT 2.7 CANN QC
|
Facility
OP
|
$1,845.61
|
|
| Hospital Charge Code |
41604383
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$1,716.42 |
| Rate for Payer: Aetna Commercial |
$1,557.69
|
| Rate for Payer: Aetna Medicare |
$609.05
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$609.05
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,059.93
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,153.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$700.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$669.96
|
| Rate for Payer: Cash Price |
$1,144.28
|
| Rate for Payer: Cash Price |
$1,144.28
|
| Rate for Payer: Centivo All Commercial |
$941.26
|
| Rate for Payer: Cigna All Commercial |
$1,592.76
|
| Rate for Payer: CORVEL All Commercial |
$1,716.42
|
| Rate for Payer: Coventry All Commercial |
$1,624.14
|
| Rate for Payer: Encore All Commercial |
$1,698.88
|
| Rate for Payer: Frontpath All Commercial |
$1,697.96
|
| Rate for Payer: Humana ChoiceCare |
$1,594.05
|
| Rate for Payer: Humana Medicare |
$941.26
|
| Rate for Payer: Lucent All Commercial |
$941.26
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,661.05
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,384.21
|
| Rate for Payer: PHP All Commercial |
$1,399.71
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$719.79
|
| Rate for Payer: Sagamore Health Network All Products |
$1,424.81
|
| Rate for Payer: Signature Care EPO |
$1,531.86
|
| Rate for Payer: Signature Care PPO |
$1,624.14
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,568.77
|
| Rate for Payer: United Healthcare Commercial |
$1,454.34
|
| Rate for Payer: United Healthcare Medicare |
$609.05
|
|
|
HC Z DRILL BIT 2.7 DVR
|
Facility
OP
|
$579.74
|
|
| Hospital Charge Code |
41606487
|
|
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 2.7 DVR
|
Facility
IP
|
$579.74
|
|
| Hospital Charge Code |
41606487
|
|
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 2.7 RVS
|
Facility
IP
|
$867.10
|
|
| Hospital Charge Code |
41605695
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$650.32 |
| Max. Negotiated Rate |
$806.40 |
| Rate for Payer: Aetna Commercial |
$749.17
|
| Rate for Payer: Cash Price |
$537.60
|
| Rate for Payer: Cigna All Commercial |
$748.31
|
| Rate for Payer: CORVEL All Commercial |
$806.40
|
| Rate for Payer: Coventry All Commercial |
$763.05
|
| Rate for Payer: Encore All Commercial |
$798.17
|
| Rate for Payer: Frontpath All Commercial |
$797.73
|
| Rate for Payer: Humana ChoiceCare |
$748.91
|
| Rate for Payer: Lutheran Preferred All Commercial |
$780.39
|
| Rate for Payer: PHCS All Commercial |
$650.32
|
| Rate for Payer: PHP All Commercial |
$657.61
|
| Rate for Payer: Sagamore Health Network All Products |
$669.40
|
| Rate for Payer: Signature Care EPO |
$719.69
|
| Rate for Payer: Signature Care PPO |
$763.05
|
| Rate for Payer: United Healthcare Commercial |
$683.27
|
|
|
HC Z DRILL BIT 2.7 RVS
|
Facility
OP
|
$867.10
|
|
| Hospital Charge Code |
41605695
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$806.40 |
| Rate for Payer: Aetna Commercial |
$731.83
|
| Rate for Payer: Aetna Medicare |
$286.14
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$286.14
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$497.98
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$542.02
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$329.06
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$314.76
|
| Rate for Payer: Cash Price |
$537.60
|
| Rate for Payer: Cash Price |
$537.60
|
| Rate for Payer: Centivo All Commercial |
$442.22
|
| Rate for Payer: Cigna All Commercial |
$748.31
|
| Rate for Payer: CORVEL All Commercial |
$806.40
|
| Rate for Payer: Coventry All Commercial |
$763.05
|
| Rate for Payer: Encore All Commercial |
$798.17
|
| Rate for Payer: Frontpath All Commercial |
$797.73
|
| Rate for Payer: Humana ChoiceCare |
$748.91
|
| Rate for Payer: Humana Medicare |
$442.22
|
| Rate for Payer: Lucent All Commercial |
$442.22
|
| Rate for Payer: Lutheran Preferred All Commercial |
$780.39
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$650.32
|
| Rate for Payer: PHP All Commercial |
$657.61
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$338.17
|
| Rate for Payer: Sagamore Health Network All Products |
$669.40
|
| Rate for Payer: Signature Care EPO |
$719.69
|
| Rate for Payer: Signature Care PPO |
$763.05
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$737.04
|
| Rate for Payer: United Healthcare Commercial |
$683.27
|
| Rate for Payer: United Healthcare Medicare |
$286.14
|
|
|
HC Z DRILL BIT 2.7 SHORT
|
Facility
IP
|
$346.43
|
|
| Hospital Charge Code |
41607398
|
|
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 2.7 SHORT
|
Facility
OP
|
$346.43
|
|
| Hospital Charge Code |
41607398
|
|
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 2.7 STND
|
Facility
IP
|
$862.26
|
|
| Hospital Charge Code |
41603908
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$646.70 |
| Max. Negotiated Rate |
$801.90 |
| Rate for Payer: Aetna Commercial |
$744.99
|
| Rate for Payer: Cash Price |
$534.60
|
| Rate for Payer: Cigna All Commercial |
$744.13
|
| Rate for Payer: CORVEL All Commercial |
$801.90
|
| Rate for Payer: Coventry All Commercial |
$758.79
|
| Rate for Payer: Encore All Commercial |
$793.71
|
| Rate for Payer: Frontpath All Commercial |
$793.28
|
| Rate for Payer: Humana ChoiceCare |
$744.73
|
| Rate for Payer: Lutheran Preferred All Commercial |
$776.03
|
| Rate for Payer: PHCS All Commercial |
$646.70
|
| Rate for Payer: PHP All Commercial |
$653.94
|
| Rate for Payer: Sagamore Health Network All Products |
$665.66
|
| Rate for Payer: Signature Care EPO |
$715.68
|
| Rate for Payer: Signature Care PPO |
$758.79
|
| Rate for Payer: United Healthcare Commercial |
$679.46
|
|
|
HC Z DRILL BIT 2.7 STND
|
Facility
OP
|
$862.26
|
|
| Hospital Charge Code |
41603908
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$801.90 |
| Rate for Payer: Aetna Commercial |
$727.75
|
| Rate for Payer: Aetna Medicare |
$284.55
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$284.55
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$495.20
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$539.00
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$327.23
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$313.00
|
| Rate for Payer: Cash Price |
$534.60
|
| Rate for Payer: Cash Price |
$534.60
|
| Rate for Payer: Centivo All Commercial |
$439.75
|
| Rate for Payer: Cigna All Commercial |
$744.13
|
| Rate for Payer: CORVEL All Commercial |
$801.90
|
| Rate for Payer: Coventry All Commercial |
$758.79
|
| Rate for Payer: Encore All Commercial |
$793.71
|
| Rate for Payer: Frontpath All Commercial |
$793.28
|
| Rate for Payer: Humana ChoiceCare |
$744.73
|
| Rate for Payer: Humana Medicare |
$439.75
|
| Rate for Payer: Lucent All Commercial |
$439.75
|
| Rate for Payer: Lutheran Preferred All Commercial |
$776.03
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$646.70
|
| Rate for Payer: PHP All Commercial |
$653.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$336.28
|
| Rate for Payer: Sagamore Health Network All Products |
$665.66
|
| Rate for Payer: Signature Care EPO |
$715.68
|
| Rate for Payer: Signature Care PPO |
$758.79
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$732.92
|
| Rate for Payer: United Healthcare Commercial |
$679.46
|
| Rate for Payer: United Healthcare Medicare |
$284.55
|
|
|
HC Z DRILL BIT 2.7X145
|
Facility
OP
|
$544.39
|
|
| Hospital Charge Code |
41607399
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$506.28 |
| Rate for Payer: Aetna Commercial |
$459.47
|
| Rate for Payer: Aetna Medicare |
$179.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$179.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$312.64
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$340.30
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$206.60
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$197.61
|
| Rate for Payer: Cash Price |
$337.52
|
| Rate for Payer: Cash Price |
$337.52
|
| Rate for Payer: Centivo All Commercial |
$277.64
|
| Rate for Payer: Cigna All Commercial |
$469.81
|
| Rate for Payer: CORVEL All Commercial |
$506.28
|
| Rate for Payer: Coventry All Commercial |
$479.06
|
| Rate for Payer: Encore All Commercial |
$501.11
|
| Rate for Payer: Frontpath All Commercial |
$500.84
|
| Rate for Payer: Humana ChoiceCare |
$470.19
|
| Rate for Payer: Humana Medicare |
$277.64
|
| Rate for Payer: Lucent All Commercial |
$277.64
|
| Rate for Payer: Lutheran Preferred All Commercial |
$489.95
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$408.29
|
| Rate for Payer: PHP All Commercial |
$412.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$212.31
|
| Rate for Payer: Sagamore Health Network All Products |
$420.27
|
| Rate for Payer: Signature Care EPO |
$451.84
|
| Rate for Payer: Signature Care PPO |
$479.06
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$462.73
|
| Rate for Payer: United Healthcare Commercial |
$428.98
|
| Rate for Payer: United Healthcare Medicare |
$179.65
|
|
|
HC Z DRILL BIT 2.7X145
|
Facility
IP
|
$544.39
|
|
| Hospital Charge Code |
41607399
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$408.29 |
| Max. Negotiated Rate |
$506.28 |
| Rate for Payer: Aetna Commercial |
$470.35
|
| Rate for Payer: Cash Price |
$337.52
|
| Rate for Payer: Cigna All Commercial |
$469.81
|
| Rate for Payer: CORVEL All Commercial |
$506.28
|
| Rate for Payer: Coventry All Commercial |
$479.06
|
| Rate for Payer: Encore All Commercial |
$501.11
|
| Rate for Payer: Frontpath All Commercial |
$500.84
|
| Rate for Payer: Humana ChoiceCare |
$470.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$489.95
|
| Rate for Payer: PHCS All Commercial |
$408.29
|
| Rate for Payer: PHP All Commercial |
$412.87
|
| Rate for Payer: Sagamore Health Network All Products |
$420.27
|
| Rate for Payer: Signature Care EPO |
$451.84
|
| Rate for Payer: Signature Care PPO |
$479.06
|
| Rate for Payer: United Healthcare Commercial |
$428.98
|
|
|
HC Z DRILL BIT 2.9 NS
|
Facility
OP
|
$657.51
|
|
| Hospital Charge Code |
41606494
|
|
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 2.9 NS
|
Facility
IP
|
$657.51
|
|
| Hospital Charge Code |
41606494
|
|
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 2.9 SHORT
|
Facility
OP
|
$1,011.01
|
|
| Hospital Charge Code |
41606162
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$940.24 |
| Rate for Payer: Aetna Commercial |
$853.29
|
| Rate for Payer: Aetna Medicare |
$333.63
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$333.63
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$580.62
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$631.98
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$383.68
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$367.00
|
| Rate for Payer: Cash Price |
$626.83
|
| Rate for Payer: Cash Price |
$626.83
|
| Rate for Payer: Centivo All Commercial |
$515.62
|
| Rate for Payer: Cigna All Commercial |
$872.50
|
| Rate for Payer: CORVEL All Commercial |
$940.24
|
| Rate for Payer: Coventry All Commercial |
$889.69
|
| Rate for Payer: Encore All Commercial |
$930.63
|
| Rate for Payer: Frontpath All Commercial |
$930.13
|
| Rate for Payer: Humana ChoiceCare |
$873.21
|
| Rate for Payer: Humana Medicare |
$515.62
|
| Rate for Payer: Lucent All Commercial |
$515.62
|
| Rate for Payer: Lutheran Preferred All Commercial |
$909.91
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$758.26
|
| Rate for Payer: PHP All Commercial |
$766.75
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$394.29
|
| Rate for Payer: Sagamore Health Network All Products |
$780.50
|
| Rate for Payer: Signature Care EPO |
$839.14
|
| Rate for Payer: Signature Care PPO |
$889.69
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$859.36
|
| Rate for Payer: United Healthcare Commercial |
$796.68
|
| Rate for Payer: United Healthcare Medicare |
$333.63
|
|
