|
HC Z DRILL BIT 2.9 SHORT
|
Facility
IP
|
$1,011.01
|
|
| Hospital Charge Code |
41606162
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$758.26 |
| Max. Negotiated Rate |
$940.24 |
| Rate for Payer: Aetna Commercial |
$873.51
|
| Rate for Payer: Cash Price |
$626.83
|
| 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: Lutheran Preferred All Commercial |
$909.91
|
| Rate for Payer: PHCS All Commercial |
$758.26
|
| Rate for Payer: PHP All Commercial |
$766.75
|
| 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: United Healthcare Commercial |
$796.68
|
|
|
HC Z DRILL BIT 2.9X70 CANN
|
Facility
OP
|
$999.90
|
|
| Hospital Charge Code |
41603887
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$929.91 |
| Rate for Payer: Aetna Commercial |
$843.92
|
| Rate for Payer: Aetna Medicare |
$329.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$329.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$574.24
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$625.04
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$379.46
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$362.96
|
| Rate for Payer: Cash Price |
$619.94
|
| Rate for Payer: Cash Price |
$619.94
|
| Rate for Payer: Centivo All Commercial |
$509.95
|
| Rate for Payer: Cigna All Commercial |
$862.91
|
| Rate for Payer: CORVEL All Commercial |
$929.91
|
| Rate for Payer: Coventry All Commercial |
$879.91
|
| Rate for Payer: Encore All Commercial |
$920.41
|
| Rate for Payer: Frontpath All Commercial |
$919.91
|
| Rate for Payer: Humana ChoiceCare |
$863.61
|
| Rate for Payer: Humana Medicare |
$509.95
|
| Rate for Payer: Lucent All Commercial |
$509.95
|
| Rate for Payer: Lutheran Preferred All Commercial |
$899.91
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$749.92
|
| Rate for Payer: PHP All Commercial |
$758.32
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$389.96
|
| Rate for Payer: Sagamore Health Network All Products |
$771.92
|
| Rate for Payer: Signature Care EPO |
$829.92
|
| Rate for Payer: Signature Care PPO |
$879.91
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$849.92
|
| Rate for Payer: United Healthcare Commercial |
$787.92
|
| Rate for Payer: United Healthcare Medicare |
$329.97
|
|
|
HC Z DRILL BIT 2.9X70 CANN
|
Facility
IP
|
$999.90
|
|
| Hospital Charge Code |
41603887
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$749.92 |
| Max. Negotiated Rate |
$929.91 |
| Rate for Payer: Aetna Commercial |
$863.91
|
| Rate for Payer: Cash Price |
$619.94
|
| Rate for Payer: Cigna All Commercial |
$862.91
|
| Rate for Payer: CORVEL All Commercial |
$929.91
|
| Rate for Payer: Coventry All Commercial |
$879.91
|
| Rate for Payer: Encore All Commercial |
$920.41
|
| Rate for Payer: Frontpath All Commercial |
$919.91
|
| Rate for Payer: Humana ChoiceCare |
$863.61
|
| Rate for Payer: Lutheran Preferred All Commercial |
$899.91
|
| Rate for Payer: PHCS All Commercial |
$749.92
|
| Rate for Payer: PHP All Commercial |
$758.32
|
| Rate for Payer: Sagamore Health Network All Products |
$771.92
|
| Rate for Payer: Signature Care EPO |
$829.92
|
| Rate for Payer: Signature Care PPO |
$879.91
|
| Rate for Payer: United Healthcare Commercial |
$787.92
|
|
|
HC Z DRILL BIT 3.2 9315
|
Facility
IP
|
$829.78
|
|
| Hospital Charge Code |
41607088
|
|
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 3.2 9315
|
Facility
OP
|
$829.78
|
|
| Hospital Charge Code |
41607088
|
|
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 3.2 CALB
|
Facility
IP
|
$802.95
|
|
| Hospital Charge Code |
41603752
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$602.21 |
| Max. Negotiated Rate |
$746.74 |
| Rate for Payer: Aetna Commercial |
$693.75
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Cigna All Commercial |
$692.95
|
| Rate for Payer: CORVEL All Commercial |
$746.74
|
| Rate for Payer: Coventry All Commercial |
$706.60
|
| Rate for Payer: Encore All Commercial |
$739.12
|
| Rate for Payer: Frontpath All Commercial |
$738.71
|
| Rate for Payer: Humana ChoiceCare |
$693.51
|
| Rate for Payer: Lutheran Preferred All Commercial |
$722.66
|
| Rate for Payer: PHCS All Commercial |
$602.21
|
| Rate for Payer: PHP All Commercial |
$608.96
|
| Rate for Payer: Sagamore Health Network All Products |
$619.88
|
| Rate for Payer: Signature Care EPO |
$666.45
|
| Rate for Payer: Signature Care PPO |
$706.60
|
| Rate for Payer: United Healthcare Commercial |
$632.72
|
|
|
HC Z DRILL BIT 3.2 CALB
|
Facility
OP
|
$802.95
|
|
| Hospital Charge Code |
41603752
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$746.74 |
| Rate for Payer: Aetna Commercial |
$677.69
|
| Rate for Payer: Aetna Medicare |
$264.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$264.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$461.13
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$501.92
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$304.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$291.47
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Centivo All Commercial |
$409.50
|
| Rate for Payer: Cigna All Commercial |
$692.95
|
| Rate for Payer: CORVEL All Commercial |
$746.74
|
| Rate for Payer: Coventry All Commercial |
$706.60
|
| Rate for Payer: Encore All Commercial |
$739.12
|
| Rate for Payer: Frontpath All Commercial |
$738.71
|
| Rate for Payer: Humana ChoiceCare |
$693.51
|
| Rate for Payer: Humana Medicare |
$409.50
|
| Rate for Payer: Lucent All Commercial |
$409.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$722.66
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$602.21
|
| Rate for Payer: PHP All Commercial |
$608.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$313.15
|
| Rate for Payer: Sagamore Health Network All Products |
$619.88
|
| Rate for Payer: Signature Care EPO |
$666.45
|
| Rate for Payer: Signature Care PPO |
$706.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$682.51
|
| Rate for Payer: United Healthcare Commercial |
$632.72
|
| Rate for Payer: United Healthcare Medicare |
$264.97
|
|
|
HC Z DRILL BIT 3.2 RVS
|
Facility
OP
|
$920.92
|
|
| Hospital Charge Code |
41605694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$856.46 |
| Rate for Payer: Aetna Commercial |
$777.26
|
| Rate for Payer: Aetna Medicare |
$303.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$303.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$528.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$575.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$349.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$334.29
|
| Rate for Payer: Cash Price |
$570.97
|
| Rate for Payer: Cash Price |
$570.97
|
| Rate for Payer: Centivo All Commercial |
$469.67
|
| Rate for Payer: Cigna All Commercial |
$794.75
|
| Rate for Payer: CORVEL All Commercial |
$856.46
|
| Rate for Payer: Coventry All Commercial |
$810.41
|
| Rate for Payer: Encore All Commercial |
$847.71
|
| Rate for Payer: Frontpath All Commercial |
$847.25
|
| Rate for Payer: Humana ChoiceCare |
$795.40
|
| Rate for Payer: Humana Medicare |
$469.67
|
| Rate for Payer: Lucent All Commercial |
$469.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$828.83
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$690.69
|
| Rate for Payer: PHP All Commercial |
$698.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$359.16
|
| Rate for Payer: Sagamore Health Network All Products |
$710.95
|
| Rate for Payer: Signature Care EPO |
$764.36
|
| Rate for Payer: Signature Care PPO |
$810.41
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$782.78
|
| Rate for Payer: United Healthcare Commercial |
$725.68
|
| Rate for Payer: United Healthcare Medicare |
$303.90
|
|
|
HC Z DRILL BIT 3.2 RVS
|
Facility
IP
|
$920.92
|
|
| Hospital Charge Code |
41605694
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$690.69 |
| Max. Negotiated Rate |
$856.46 |
| Rate for Payer: Aetna Commercial |
$795.67
|
| Rate for Payer: Cash Price |
$570.97
|
| Rate for Payer: Cigna All Commercial |
$794.75
|
| Rate for Payer: CORVEL All Commercial |
$856.46
|
| Rate for Payer: Coventry All Commercial |
$810.41
|
| Rate for Payer: Encore All Commercial |
$847.71
|
| Rate for Payer: Frontpath All Commercial |
$847.25
|
| Rate for Payer: Humana ChoiceCare |
$795.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$828.83
|
| Rate for Payer: PHCS All Commercial |
$690.69
|
| Rate for Payer: PHP All Commercial |
$698.43
|
| Rate for Payer: Sagamore Health Network All Products |
$710.95
|
| Rate for Payer: Signature Care EPO |
$764.36
|
| Rate for Payer: Signature Care PPO |
$810.41
|
| Rate for Payer: United Healthcare Commercial |
$725.68
|
|
|
HC Z DRILL BIT 3.2X145
|
Facility
OP
|
$489.37
|
|
| Hospital Charge Code |
41608090
|
|
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 3.2X145
|
Facility
IP
|
$489.37
|
|
| Hospital Charge Code |
41608090
|
|
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 3.2X15 RINGLOC QC
|
Facility
IP
|
$627.90
|
|
| Hospital Charge Code |
41603529
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$470.92 |
| Max. Negotiated Rate |
$583.95 |
| Rate for Payer: Aetna Commercial |
$542.51
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Cigna All Commercial |
$541.88
|
| Rate for Payer: CORVEL All Commercial |
$583.95
|
| Rate for Payer: Coventry All Commercial |
$552.55
|
| Rate for Payer: Encore All Commercial |
$577.98
|
| Rate for Payer: Frontpath All Commercial |
$577.67
|
| Rate for Payer: Humana ChoiceCare |
$542.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$565.11
|
| Rate for Payer: PHCS All Commercial |
$470.92
|
| Rate for Payer: PHP All Commercial |
$476.20
|
| Rate for Payer: Sagamore Health Network All Products |
$484.74
|
| Rate for Payer: Signature Care EPO |
$521.16
|
| Rate for Payer: Signature Care PPO |
$552.55
|
| Rate for Payer: United Healthcare Commercial |
$494.79
|
|
|
HC Z DRILL BIT 3.2X15 RINGLOC QC
|
Facility
OP
|
$627.90
|
|
| Hospital Charge Code |
41603529
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$583.95 |
| Rate for Payer: Aetna Commercial |
$529.95
|
| Rate for Payer: Aetna Medicare |
$207.21
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$207.21
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$360.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$392.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$238.29
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$227.93
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Centivo All Commercial |
$320.23
|
| Rate for Payer: Cigna All Commercial |
$541.88
|
| Rate for Payer: CORVEL All Commercial |
$583.95
|
| Rate for Payer: Coventry All Commercial |
$552.55
|
| Rate for Payer: Encore All Commercial |
$577.98
|
| Rate for Payer: Frontpath All Commercial |
$577.67
|
| Rate for Payer: Humana ChoiceCare |
$542.32
|
| Rate for Payer: Humana Medicare |
$320.23
|
| Rate for Payer: Lucent All Commercial |
$320.23
|
| Rate for Payer: Lutheran Preferred All Commercial |
$565.11
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$470.92
|
| Rate for Payer: PHP All Commercial |
$476.20
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$244.88
|
| Rate for Payer: Sagamore Health Network All Products |
$484.74
|
| Rate for Payer: Signature Care EPO |
$521.16
|
| Rate for Payer: Signature Care PPO |
$552.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$533.72
|
| Rate for Payer: United Healthcare Commercial |
$494.79
|
| Rate for Payer: United Healthcare Medicare |
$207.21
|
|
|
HC Z DRILL BIT 3.2X20 ACET QC
|
Facility
IP
|
$627.90
|
|
| Hospital Charge Code |
41603486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$470.92 |
| Max. Negotiated Rate |
$583.95 |
| Rate for Payer: Aetna Commercial |
$542.51
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Cigna All Commercial |
$541.88
|
| Rate for Payer: CORVEL All Commercial |
$583.95
|
| Rate for Payer: Coventry All Commercial |
$552.55
|
| Rate for Payer: Encore All Commercial |
$577.98
|
| Rate for Payer: Frontpath All Commercial |
$577.67
|
| Rate for Payer: Humana ChoiceCare |
$542.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$565.11
|
| Rate for Payer: PHCS All Commercial |
$470.92
|
| Rate for Payer: PHP All Commercial |
$476.20
|
| Rate for Payer: Sagamore Health Network All Products |
$484.74
|
| Rate for Payer: Signature Care EPO |
$521.16
|
| Rate for Payer: Signature Care PPO |
$552.55
|
| Rate for Payer: United Healthcare Commercial |
$494.79
|
|
|
HC Z DRILL BIT 3.2X20 ACET QC
|
Facility
OP
|
$627.90
|
|
| Hospital Charge Code |
41603486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$583.95 |
| Rate for Payer: Aetna Commercial |
$529.95
|
| Rate for Payer: Aetna Medicare |
$207.21
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$207.21
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$360.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$392.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$238.29
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$227.93
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Centivo All Commercial |
$320.23
|
| Rate for Payer: Cigna All Commercial |
$541.88
|
| Rate for Payer: CORVEL All Commercial |
$583.95
|
| Rate for Payer: Coventry All Commercial |
$552.55
|
| Rate for Payer: Encore All Commercial |
$577.98
|
| Rate for Payer: Frontpath All Commercial |
$577.67
|
| Rate for Payer: Humana ChoiceCare |
$542.32
|
| Rate for Payer: Humana Medicare |
$320.23
|
| Rate for Payer: Lucent All Commercial |
$320.23
|
| Rate for Payer: Lutheran Preferred All Commercial |
$565.11
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$470.92
|
| Rate for Payer: PHP All Commercial |
$476.20
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$244.88
|
| Rate for Payer: Sagamore Health Network All Products |
$484.74
|
| Rate for Payer: Signature Care EPO |
$521.16
|
| Rate for Payer: Signature Care PPO |
$552.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$533.72
|
| Rate for Payer: United Healthcare Commercial |
$494.79
|
| Rate for Payer: United Healthcare Medicare |
$207.21
|
|
|
HC Z DRILL BIT 3.2X30 MOD FLEX
|
Facility
IP
|
$920.92
|
|
| Hospital Charge Code |
41605481
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$690.69 |
| Max. Negotiated Rate |
$856.46 |
| Rate for Payer: Aetna Commercial |
$795.67
|
| Rate for Payer: Cash Price |
$570.97
|
| Rate for Payer: Cigna All Commercial |
$794.75
|
| Rate for Payer: CORVEL All Commercial |
$856.46
|
| Rate for Payer: Coventry All Commercial |
$810.41
|
| Rate for Payer: Encore All Commercial |
$847.71
|
| Rate for Payer: Frontpath All Commercial |
$847.25
|
| Rate for Payer: Humana ChoiceCare |
$795.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$828.83
|
| Rate for Payer: PHCS All Commercial |
$690.69
|
| Rate for Payer: PHP All Commercial |
$698.43
|
| Rate for Payer: Sagamore Health Network All Products |
$710.95
|
| Rate for Payer: Signature Care EPO |
$764.36
|
| Rate for Payer: Signature Care PPO |
$810.41
|
| Rate for Payer: United Healthcare Commercial |
$725.68
|
|
|
HC Z DRILL BIT 3.2X30 MOD FLEX
|
Facility
OP
|
$920.92
|
|
| Hospital Charge Code |
41605481
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$856.46 |
| Rate for Payer: Aetna Commercial |
$777.26
|
| Rate for Payer: Aetna Medicare |
$303.90
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$303.90
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$528.88
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$575.67
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$349.49
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$334.29
|
| Rate for Payer: Cash Price |
$570.97
|
| Rate for Payer: Cash Price |
$570.97
|
| Rate for Payer: Centivo All Commercial |
$469.67
|
| Rate for Payer: Cigna All Commercial |
$794.75
|
| Rate for Payer: CORVEL All Commercial |
$856.46
|
| Rate for Payer: Coventry All Commercial |
$810.41
|
| Rate for Payer: Encore All Commercial |
$847.71
|
| Rate for Payer: Frontpath All Commercial |
$847.25
|
| Rate for Payer: Humana ChoiceCare |
$795.40
|
| Rate for Payer: Humana Medicare |
$469.67
|
| Rate for Payer: Lucent All Commercial |
$469.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$828.83
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$690.69
|
| Rate for Payer: PHP All Commercial |
$698.43
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$359.16
|
| Rate for Payer: Sagamore Health Network All Products |
$710.95
|
| Rate for Payer: Signature Care EPO |
$764.36
|
| Rate for Payer: Signature Care PPO |
$810.41
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$782.78
|
| Rate for Payer: United Healthcare Commercial |
$725.68
|
| Rate for Payer: United Healthcare Medicare |
$303.90
|
|
|
HC Z DRILL BIT 3.2X40 ACET QC
|
Facility
OP
|
$627.90
|
|
| Hospital Charge Code |
41606606
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$583.95 |
| Rate for Payer: Aetna Commercial |
$529.95
|
| Rate for Payer: Aetna Medicare |
$207.21
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$207.21
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$360.60
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$392.50
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$238.29
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$227.93
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Centivo All Commercial |
$320.23
|
| Rate for Payer: Cigna All Commercial |
$541.88
|
| Rate for Payer: CORVEL All Commercial |
$583.95
|
| Rate for Payer: Coventry All Commercial |
$552.55
|
| Rate for Payer: Encore All Commercial |
$577.98
|
| Rate for Payer: Frontpath All Commercial |
$577.67
|
| Rate for Payer: Humana ChoiceCare |
$542.32
|
| Rate for Payer: Humana Medicare |
$320.23
|
| Rate for Payer: Lucent All Commercial |
$320.23
|
| Rate for Payer: Lutheran Preferred All Commercial |
$565.11
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$470.92
|
| Rate for Payer: PHP All Commercial |
$476.20
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$244.88
|
| Rate for Payer: Sagamore Health Network All Products |
$484.74
|
| Rate for Payer: Signature Care EPO |
$521.16
|
| Rate for Payer: Signature Care PPO |
$552.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$533.72
|
| Rate for Payer: United Healthcare Commercial |
$494.79
|
| Rate for Payer: United Healthcare Medicare |
$207.21
|
|
|
HC Z DRILL BIT 3.2X40 ACET QC
|
Facility
IP
|
$627.90
|
|
| Hospital Charge Code |
41606606
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$470.92 |
| Max. Negotiated Rate |
$583.95 |
| Rate for Payer: Aetna Commercial |
$542.51
|
| Rate for Payer: Cash Price |
$389.30
|
| Rate for Payer: Cigna All Commercial |
$541.88
|
| Rate for Payer: CORVEL All Commercial |
$583.95
|
| Rate for Payer: Coventry All Commercial |
$552.55
|
| Rate for Payer: Encore All Commercial |
$577.98
|
| Rate for Payer: Frontpath All Commercial |
$577.67
|
| Rate for Payer: Humana ChoiceCare |
$542.32
|
| Rate for Payer: Lutheran Preferred All Commercial |
$565.11
|
| Rate for Payer: PHCS All Commercial |
$470.92
|
| Rate for Payer: PHP All Commercial |
$476.20
|
| Rate for Payer: Sagamore Health Network All Products |
$484.74
|
| Rate for Payer: Signature Care EPO |
$521.16
|
| Rate for Payer: Signature Care PPO |
$552.55
|
| Rate for Payer: United Healthcare Commercial |
$494.79
|
|
|
HC Z DRILL BIT 3.2X75
|
Facility
OP
|
$1,720.40
|
|
| Hospital Charge Code |
41605482
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$1,599.97 |
| Rate for Payer: Aetna Commercial |
$1,452.02
|
| Rate for Payer: Aetna Medicare |
$567.73
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$567.73
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$988.03
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,075.42
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$652.89
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$624.51
|
| Rate for Payer: Cash Price |
$1,066.65
|
| Rate for Payer: Cash Price |
$1,066.65
|
| Rate for Payer: Centivo All Commercial |
$877.40
|
| Rate for Payer: Cigna All Commercial |
$1,484.71
|
| Rate for Payer: CORVEL All Commercial |
$1,599.97
|
| Rate for Payer: Coventry All Commercial |
$1,513.95
|
| Rate for Payer: Encore All Commercial |
$1,583.63
|
| Rate for Payer: Frontpath All Commercial |
$1,582.77
|
| Rate for Payer: Humana ChoiceCare |
$1,485.91
|
| Rate for Payer: Humana Medicare |
$877.40
|
| Rate for Payer: Lucent All Commercial |
$877.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,548.36
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,290.30
|
| Rate for Payer: PHP All Commercial |
$1,304.75
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$670.96
|
| Rate for Payer: Sagamore Health Network All Products |
$1,328.15
|
| Rate for Payer: Signature Care EPO |
$1,427.93
|
| Rate for Payer: Signature Care PPO |
$1,513.95
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,462.34
|
| Rate for Payer: United Healthcare Commercial |
$1,355.68
|
| Rate for Payer: United Healthcare Medicare |
$567.73
|
|
|
HC Z DRILL BIT 3.2X75
|
Facility
IP
|
$1,720.40
|
|
| Hospital Charge Code |
41605482
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1,290.30 |
| Max. Negotiated Rate |
$1,599.97 |
| Rate for Payer: Aetna Commercial |
$1,486.43
|
| Rate for Payer: Cash Price |
$1,066.65
|
| Rate for Payer: Cigna All Commercial |
$1,484.71
|
| Rate for Payer: CORVEL All Commercial |
$1,599.97
|
| Rate for Payer: Coventry All Commercial |
$1,513.95
|
| Rate for Payer: Encore All Commercial |
$1,583.63
|
| Rate for Payer: Frontpath All Commercial |
$1,582.77
|
| Rate for Payer: Humana ChoiceCare |
$1,485.91
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,548.36
|
| Rate for Payer: PHCS All Commercial |
$1,290.30
|
| Rate for Payer: PHP All Commercial |
$1,304.75
|
| Rate for Payer: Sagamore Health Network All Products |
$1,328.15
|
| Rate for Payer: Signature Care EPO |
$1,427.93
|
| Rate for Payer: Signature Care PPO |
$1,513.95
|
| Rate for Payer: United Healthcare Commercial |
$1,355.68
|
|
|
HC Z DRILL BIT 3.3 L 24
|
Facility
OP
|
$798.95
|
|
| Hospital Charge Code |
41607456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$743.02 |
| Rate for Payer: Aetna Commercial |
$674.31
|
| Rate for Payer: Aetna Medicare |
$263.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$263.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$458.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$499.42
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$303.20
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$290.02
|
| Rate for Payer: Cash Price |
$495.35
|
| Rate for Payer: Cash Price |
$495.35
|
| Rate for Payer: Centivo All Commercial |
$407.46
|
| Rate for Payer: Cigna All Commercial |
$689.49
|
| Rate for Payer: CORVEL All Commercial |
$743.02
|
| Rate for Payer: Coventry All Commercial |
$703.08
|
| Rate for Payer: Encore All Commercial |
$735.43
|
| Rate for Payer: Frontpath All Commercial |
$735.03
|
| Rate for Payer: Humana ChoiceCare |
$690.05
|
| Rate for Payer: Humana Medicare |
$407.46
|
| Rate for Payer: Lucent All Commercial |
$407.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$719.06
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$599.21
|
| Rate for Payer: PHP All Commercial |
$605.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$311.59
|
| Rate for Payer: Sagamore Health Network All Products |
$616.79
|
| Rate for Payer: Signature Care EPO |
$663.13
|
| Rate for Payer: Signature Care PPO |
$703.08
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$679.11
|
| Rate for Payer: United Healthcare Commercial |
$629.57
|
| Rate for Payer: United Healthcare Medicare |
$263.65
|
|
|
HC Z DRILL BIT 3.3 L 24
|
Facility
IP
|
$798.95
|
|
| Hospital Charge Code |
41607456
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$599.21 |
| Max. Negotiated Rate |
$743.02 |
| Rate for Payer: Aetna Commercial |
$690.29
|
| Rate for Payer: Cash Price |
$495.35
|
| Rate for Payer: Cigna All Commercial |
$689.49
|
| Rate for Payer: CORVEL All Commercial |
$743.02
|
| Rate for Payer: Coventry All Commercial |
$703.08
|
| Rate for Payer: Encore All Commercial |
$735.43
|
| Rate for Payer: Frontpath All Commercial |
$735.03
|
| Rate for Payer: Humana ChoiceCare |
$690.05
|
| Rate for Payer: Lutheran Preferred All Commercial |
$719.06
|
| Rate for Payer: PHCS All Commercial |
$599.21
|
| Rate for Payer: PHP All Commercial |
$605.92
|
| Rate for Payer: Sagamore Health Network All Products |
$616.79
|
| Rate for Payer: Signature Care EPO |
$663.13
|
| Rate for Payer: Signature Care PPO |
$703.08
|
| Rate for Payer: United Healthcare Commercial |
$629.57
|
|
|
HC Z DRILL BIT 3.4 CANN PF
|
Facility
IP
|
$1,023.80
|
|
| Hospital Charge Code |
41604546
|
|
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 3.4 CANN PF
|
Facility
OP
|
$1,023.80
|
|
| Hospital Charge Code |
41604546
|
|
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
|
|
