|
HC Z DRILL BIT 3.5 110 QC
|
Facility
IP
|
$489.37
|
|
| Hospital Charge Code |
41603998
|
|
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 3.5 110 QC
|
Facility
OP
|
$489.37
|
|
| Hospital Charge Code |
41603998
|
|
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 3.5 HEX TIP
|
Facility
IP
|
$501.97
|
|
| Hospital Charge Code |
41606161
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$376.48 |
| Max. Negotiated Rate |
$466.83 |
| Rate for Payer: Aetna Commercial |
$433.70
|
| Rate for Payer: Cash Price |
$311.22
|
| Rate for Payer: Cigna All Commercial |
$433.20
|
| Rate for Payer: CORVEL All Commercial |
$466.83
|
| Rate for Payer: Coventry All Commercial |
$441.73
|
| Rate for Payer: Encore All Commercial |
$462.06
|
| Rate for Payer: Frontpath All Commercial |
$461.81
|
| Rate for Payer: Humana ChoiceCare |
$433.55
|
| Rate for Payer: Lutheran Preferred All Commercial |
$451.77
|
| Rate for Payer: PHCS All Commercial |
$376.48
|
| Rate for Payer: PHP All Commercial |
$380.69
|
| Rate for Payer: Sagamore Health Network All Products |
$387.52
|
| Rate for Payer: Signature Care EPO |
$416.64
|
| Rate for Payer: Signature Care PPO |
$441.73
|
| Rate for Payer: United Healthcare Commercial |
$395.55
|
|
|
HC Z DRILL BIT 3.5 HEX TIP
|
Facility
OP
|
$501.97
|
|
| Hospital Charge Code |
41606161
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$466.83 |
| Rate for Payer: Aetna Commercial |
$423.66
|
| Rate for Payer: Aetna Medicare |
$165.65
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$165.65
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$288.28
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$313.78
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$190.50
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$182.22
|
| Rate for Payer: Cash Price |
$311.22
|
| Rate for Payer: Cash Price |
$311.22
|
| Rate for Payer: Centivo All Commercial |
$256.00
|
| Rate for Payer: Cigna All Commercial |
$433.20
|
| Rate for Payer: CORVEL All Commercial |
$466.83
|
| Rate for Payer: Coventry All Commercial |
$441.73
|
| Rate for Payer: Encore All Commercial |
$462.06
|
| Rate for Payer: Frontpath All Commercial |
$461.81
|
| Rate for Payer: Humana ChoiceCare |
$433.55
|
| Rate for Payer: Humana Medicare |
$256.00
|
| Rate for Payer: Lucent All Commercial |
$256.00
|
| Rate for Payer: Lutheran Preferred All Commercial |
$451.77
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$376.48
|
| Rate for Payer: PHP All Commercial |
$380.69
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$195.77
|
| Rate for Payer: Sagamore Health Network All Products |
$387.52
|
| Rate for Payer: Signature Care EPO |
$416.64
|
| Rate for Payer: Signature Care PPO |
$441.73
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$426.67
|
| Rate for Payer: United Healthcare Commercial |
$395.55
|
| Rate for Payer: United Healthcare Medicare |
$165.65
|
|
|
HC Z DRILL BIT 3.8 7115
|
Facility
IP
|
$1,191.80
|
|
| Hospital Charge Code |
41606160
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$893.85 |
| Max. Negotiated Rate |
$1,108.37 |
| Rate for Payer: Aetna Commercial |
$1,029.72
|
| Rate for Payer: Cash Price |
$738.92
|
| Rate for Payer: Cigna All Commercial |
$1,028.52
|
| Rate for Payer: CORVEL All Commercial |
$1,108.37
|
| Rate for Payer: Coventry All Commercial |
$1,048.78
|
| Rate for Payer: Encore All Commercial |
$1,097.05
|
| Rate for Payer: Frontpath All Commercial |
$1,096.46
|
| Rate for Payer: Humana ChoiceCare |
$1,029.36
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,072.62
|
| Rate for Payer: PHCS All Commercial |
$893.85
|
| Rate for Payer: PHP All Commercial |
$903.86
|
| Rate for Payer: Sagamore Health Network All Products |
$920.07
|
| Rate for Payer: Signature Care EPO |
$989.19
|
| Rate for Payer: Signature Care PPO |
$1,048.78
|
| Rate for Payer: United Healthcare Commercial |
$939.14
|
|
|
HC Z DRILL BIT 3.8 7115
|
Facility
OP
|
$1,191.80
|
|
| Hospital Charge Code |
41606160
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$1,108.37 |
| Rate for Payer: Aetna Commercial |
$1,005.88
|
| Rate for Payer: Aetna Medicare |
$393.29
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$393.29
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$684.45
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$744.99
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$452.29
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$432.62
|
| Rate for Payer: Cash Price |
$738.92
|
| Rate for Payer: Cash Price |
$738.92
|
| Rate for Payer: Centivo All Commercial |
$607.82
|
| Rate for Payer: Cigna All Commercial |
$1,028.52
|
| Rate for Payer: CORVEL All Commercial |
$1,108.37
|
| Rate for Payer: Coventry All Commercial |
$1,048.78
|
| Rate for Payer: Encore All Commercial |
$1,097.05
|
| Rate for Payer: Frontpath All Commercial |
$1,096.46
|
| Rate for Payer: Humana ChoiceCare |
$1,029.36
|
| Rate for Payer: Humana Medicare |
$607.82
|
| Rate for Payer: Lucent All Commercial |
$607.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$1,072.62
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$893.85
|
| Rate for Payer: PHP All Commercial |
$903.86
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$464.80
|
| Rate for Payer: Sagamore Health Network All Products |
$920.07
|
| Rate for Payer: Signature Care EPO |
$989.19
|
| Rate for Payer: Signature Care PPO |
$1,048.78
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$1,013.03
|
| Rate for Payer: United Healthcare Commercial |
$939.14
|
| Rate for Payer: United Healthcare Medicare |
$393.29
|
|
|
HC Z DRILL BIT 3.8 CALI
|
Facility
OP
|
$855.47
|
|
| Hospital Charge Code |
41608089
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$795.59 |
| Rate for Payer: Aetna Commercial |
$722.02
|
| Rate for Payer: Aetna Medicare |
$282.31
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$282.31
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$491.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$534.75
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$324.65
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$310.54
|
| Rate for Payer: Cash Price |
$530.39
|
| Rate for Payer: Cash Price |
$530.39
|
| Rate for Payer: Centivo All Commercial |
$436.29
|
| Rate for Payer: Cigna All Commercial |
$738.27
|
| Rate for Payer: CORVEL All Commercial |
$795.59
|
| Rate for Payer: Coventry All Commercial |
$752.81
|
| Rate for Payer: Encore All Commercial |
$787.46
|
| Rate for Payer: Frontpath All Commercial |
$787.03
|
| Rate for Payer: Humana ChoiceCare |
$738.87
|
| Rate for Payer: Humana Medicare |
$436.29
|
| Rate for Payer: Lucent All Commercial |
$436.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$769.92
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$641.60
|
| Rate for Payer: PHP All Commercial |
$648.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$333.63
|
| Rate for Payer: Sagamore Health Network All Products |
$660.42
|
| Rate for Payer: Signature Care EPO |
$710.04
|
| Rate for Payer: Signature Care PPO |
$752.81
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$727.15
|
| Rate for Payer: United Healthcare Commercial |
$674.11
|
| Rate for Payer: United Healthcare Medicare |
$282.31
|
|
|
HC Z DRILL BIT 3.8 CALI
|
Facility
IP
|
$855.47
|
|
| Hospital Charge Code |
41608089
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$641.60 |
| Max. Negotiated Rate |
$795.59 |
| Rate for Payer: Aetna Commercial |
$739.13
|
| Rate for Payer: Cash Price |
$530.39
|
| Rate for Payer: Cigna All Commercial |
$738.27
|
| Rate for Payer: CORVEL All Commercial |
$795.59
|
| Rate for Payer: Coventry All Commercial |
$752.81
|
| Rate for Payer: Encore All Commercial |
$787.46
|
| Rate for Payer: Frontpath All Commercial |
$787.03
|
| Rate for Payer: Humana ChoiceCare |
$738.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$769.92
|
| Rate for Payer: PHCS All Commercial |
$641.60
|
| Rate for Payer: PHP All Commercial |
$648.79
|
| Rate for Payer: Sagamore Health Network All Products |
$660.42
|
| Rate for Payer: Signature Care EPO |
$710.04
|
| Rate for Payer: Signature Care PPO |
$752.81
|
| Rate for Payer: United Healthcare Commercial |
$674.11
|
|
|
HC Z DRILL BIT 3.8 LG FRAG
|
Facility
OP
|
$855.47
|
|
| Hospital Charge Code |
41607865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$795.59 |
| Rate for Payer: Aetna Commercial |
$722.02
|
| Rate for Payer: Aetna Medicare |
$282.31
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$282.31
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$491.30
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$534.75
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$324.65
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$310.54
|
| Rate for Payer: Cash Price |
$530.39
|
| Rate for Payer: Cash Price |
$530.39
|
| Rate for Payer: Centivo All Commercial |
$436.29
|
| Rate for Payer: Cigna All Commercial |
$738.27
|
| Rate for Payer: CORVEL All Commercial |
$795.59
|
| Rate for Payer: Coventry All Commercial |
$752.81
|
| Rate for Payer: Encore All Commercial |
$787.46
|
| Rate for Payer: Frontpath All Commercial |
$787.03
|
| Rate for Payer: Humana ChoiceCare |
$738.87
|
| Rate for Payer: Humana Medicare |
$436.29
|
| Rate for Payer: Lucent All Commercial |
$436.29
|
| Rate for Payer: Lutheran Preferred All Commercial |
$769.92
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$641.60
|
| Rate for Payer: PHP All Commercial |
$648.79
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$333.63
|
| Rate for Payer: Sagamore Health Network All Products |
$660.42
|
| Rate for Payer: Signature Care EPO |
$710.04
|
| Rate for Payer: Signature Care PPO |
$752.81
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$727.15
|
| Rate for Payer: United Healthcare Commercial |
$674.11
|
| Rate for Payer: United Healthcare Medicare |
$282.31
|
|
|
HC Z DRILL BIT 3.8 LG FRAG
|
Facility
IP
|
$855.47
|
|
| Hospital Charge Code |
41607865
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$641.60 |
| Max. Negotiated Rate |
$795.59 |
| Rate for Payer: Aetna Commercial |
$739.13
|
| Rate for Payer: Cash Price |
$530.39
|
| Rate for Payer: Cigna All Commercial |
$738.27
|
| Rate for Payer: CORVEL All Commercial |
$795.59
|
| Rate for Payer: Coventry All Commercial |
$752.81
|
| Rate for Payer: Encore All Commercial |
$787.46
|
| Rate for Payer: Frontpath All Commercial |
$787.03
|
| Rate for Payer: Humana ChoiceCare |
$738.87
|
| Rate for Payer: Lutheran Preferred All Commercial |
$769.92
|
| Rate for Payer: PHCS All Commercial |
$641.60
|
| Rate for Payer: PHP All Commercial |
$648.79
|
| Rate for Payer: Sagamore Health Network All Products |
$660.42
|
| Rate for Payer: Signature Care EPO |
$710.04
|
| Rate for Payer: Signature Care PPO |
$752.81
|
| Rate for Payer: United Healthcare Commercial |
$674.11
|
|
|
HC Z DRILL BIT 4.0 CANN PF
|
Facility
OP
|
$1,023.80
|
|
| Hospital Charge Code |
41604547
|
|
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 4.0 CANN PF
|
Facility
IP
|
$1,023.80
|
|
| Hospital Charge Code |
41604547
|
|
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 4.3 L 24
|
Facility
IP
|
$722.40
|
|
| Hospital Charge Code |
41606617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$541.80 |
| Max. Negotiated Rate |
$671.83 |
| Rate for Payer: Aetna Commercial |
$624.15
|
| Rate for Payer: Cash Price |
$447.89
|
| Rate for Payer: Cigna All Commercial |
$623.43
|
| Rate for Payer: CORVEL All Commercial |
$671.83
|
| Rate for Payer: Coventry All Commercial |
$635.71
|
| Rate for Payer: Encore All Commercial |
$664.97
|
| Rate for Payer: Frontpath All Commercial |
$664.61
|
| Rate for Payer: Humana ChoiceCare |
$623.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$650.16
|
| Rate for Payer: PHCS All Commercial |
$541.80
|
| Rate for Payer: PHP All Commercial |
$547.87
|
| Rate for Payer: Sagamore Health Network All Products |
$557.69
|
| Rate for Payer: Signature Care EPO |
$599.59
|
| Rate for Payer: Signature Care PPO |
$635.71
|
| Rate for Payer: United Healthcare Commercial |
$569.25
|
|
|
HC Z DRILL BIT 4.3 L 24
|
Facility
OP
|
$722.40
|
|
| Hospital Charge Code |
41606617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$671.83 |
| Rate for Payer: Aetna Commercial |
$609.71
|
| Rate for Payer: Aetna Medicare |
$238.39
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$238.39
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$414.87
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$451.57
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$274.15
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$262.23
|
| Rate for Payer: Cash Price |
$447.89
|
| Rate for Payer: Cash Price |
$447.89
|
| Rate for Payer: Centivo All Commercial |
$368.42
|
| Rate for Payer: Cigna All Commercial |
$623.43
|
| Rate for Payer: CORVEL All Commercial |
$671.83
|
| Rate for Payer: Coventry All Commercial |
$635.71
|
| Rate for Payer: Encore All Commercial |
$664.97
|
| Rate for Payer: Frontpath All Commercial |
$664.61
|
| Rate for Payer: Humana ChoiceCare |
$623.94
|
| Rate for Payer: Humana Medicare |
$368.42
|
| Rate for Payer: Lucent All Commercial |
$368.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$650.16
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$541.80
|
| Rate for Payer: PHP All Commercial |
$547.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$281.74
|
| Rate for Payer: Sagamore Health Network All Products |
$557.69
|
| Rate for Payer: Signature Care EPO |
$599.59
|
| Rate for Payer: Signature Care PPO |
$635.71
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$614.04
|
| Rate for Payer: United Healthcare Commercial |
$569.25
|
| Rate for Payer: United Healthcare Medicare |
$238.39
|
|
|
HC Z DRILL BIT 4.3X195
|
Facility
OP
|
$722.40
|
|
| Hospital Charge Code |
41606616
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$671.83 |
| Rate for Payer: Aetna Commercial |
$609.71
|
| Rate for Payer: Aetna Medicare |
$238.39
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$238.39
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$414.87
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$451.57
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$274.15
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$262.23
|
| Rate for Payer: Cash Price |
$447.89
|
| Rate for Payer: Cash Price |
$447.89
|
| Rate for Payer: Centivo All Commercial |
$368.42
|
| Rate for Payer: Cigna All Commercial |
$623.43
|
| Rate for Payer: CORVEL All Commercial |
$671.83
|
| Rate for Payer: Coventry All Commercial |
$635.71
|
| Rate for Payer: Encore All Commercial |
$664.97
|
| Rate for Payer: Frontpath All Commercial |
$664.61
|
| Rate for Payer: Humana ChoiceCare |
$623.94
|
| Rate for Payer: Humana Medicare |
$368.42
|
| Rate for Payer: Lucent All Commercial |
$368.42
|
| Rate for Payer: Lutheran Preferred All Commercial |
$650.16
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$541.80
|
| Rate for Payer: PHP All Commercial |
$547.87
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$281.74
|
| Rate for Payer: Sagamore Health Network All Products |
$557.69
|
| Rate for Payer: Signature Care EPO |
$599.59
|
| Rate for Payer: Signature Care PPO |
$635.71
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$614.04
|
| Rate for Payer: United Healthcare Commercial |
$569.25
|
| Rate for Payer: United Healthcare Medicare |
$238.39
|
|
|
HC Z DRILL BIT 4.3X195
|
Facility
IP
|
$722.40
|
|
| Hospital Charge Code |
41606616
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$541.80 |
| Max. Negotiated Rate |
$671.83 |
| Rate for Payer: Aetna Commercial |
$624.15
|
| Rate for Payer: Cash Price |
$447.89
|
| Rate for Payer: Cigna All Commercial |
$623.43
|
| Rate for Payer: CORVEL All Commercial |
$671.83
|
| Rate for Payer: Coventry All Commercial |
$635.71
|
| Rate for Payer: Encore All Commercial |
$664.97
|
| Rate for Payer: Frontpath All Commercial |
$664.61
|
| Rate for Payer: Humana ChoiceCare |
$623.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$650.16
|
| Rate for Payer: PHCS All Commercial |
$541.80
|
| Rate for Payer: PHP All Commercial |
$547.87
|
| Rate for Payer: Sagamore Health Network All Products |
$557.69
|
| Rate for Payer: Signature Care EPO |
$599.59
|
| Rate for Payer: Signature Care PPO |
$635.71
|
| Rate for Payer: United Healthcare Commercial |
$569.25
|
|
|
HC Z DRILL BIT 4.3X245
|
Facility
IP
|
$792.33
|
|
| Hospital Charge Code |
41606555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$594.25 |
| Max. Negotiated Rate |
$736.87 |
| Rate for Payer: Aetna Commercial |
$684.57
|
| Rate for Payer: Cash Price |
$491.25
|
| Rate for Payer: Cigna All Commercial |
$683.78
|
| Rate for Payer: CORVEL All Commercial |
$736.87
|
| Rate for Payer: Coventry All Commercial |
$697.25
|
| Rate for Payer: Encore All Commercial |
$729.34
|
| Rate for Payer: Frontpath All Commercial |
$728.94
|
| Rate for Payer: Humana ChoiceCare |
$684.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$713.10
|
| Rate for Payer: PHCS All Commercial |
$594.25
|
| Rate for Payer: PHP All Commercial |
$600.90
|
| Rate for Payer: Sagamore Health Network All Products |
$611.68
|
| Rate for Payer: Signature Care EPO |
$657.63
|
| Rate for Payer: Signature Care PPO |
$697.25
|
| Rate for Payer: United Healthcare Commercial |
$624.36
|
|
|
HC Z DRILL BIT 4.3X245
|
Facility
OP
|
$792.33
|
|
| Hospital Charge Code |
41606555
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$736.87 |
| Rate for Payer: Aetna Commercial |
$668.73
|
| Rate for Payer: Aetna Medicare |
$261.47
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$261.47
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$455.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$495.29
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$300.69
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$287.62
|
| Rate for Payer: Cash Price |
$491.25
|
| Rate for Payer: Cash Price |
$491.25
|
| Rate for Payer: Centivo All Commercial |
$404.09
|
| Rate for Payer: Cigna All Commercial |
$683.78
|
| Rate for Payer: CORVEL All Commercial |
$736.87
|
| Rate for Payer: Coventry All Commercial |
$697.25
|
| Rate for Payer: Encore All Commercial |
$729.34
|
| Rate for Payer: Frontpath All Commercial |
$728.94
|
| Rate for Payer: Humana ChoiceCare |
$684.34
|
| Rate for Payer: Humana Medicare |
$404.09
|
| Rate for Payer: Lucent All Commercial |
$404.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$713.10
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$594.25
|
| Rate for Payer: PHP All Commercial |
$600.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$309.01
|
| Rate for Payer: Sagamore Health Network All Products |
$611.68
|
| Rate for Payer: Signature Care EPO |
$657.63
|
| Rate for Payer: Signature Care PPO |
$697.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$673.48
|
| Rate for Payer: United Healthcare Commercial |
$624.36
|
| Rate for Payer: United Healthcare Medicare |
$261.47
|
|
|
HC Z DRILL BIT 4.3X300
|
Facility
OP
|
$792.33
|
|
| Hospital Charge Code |
41606597
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$736.87 |
| Rate for Payer: Aetna Commercial |
$668.73
|
| Rate for Payer: Aetna Medicare |
$261.47
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$261.47
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$455.04
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$495.29
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$300.69
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$287.62
|
| Rate for Payer: Cash Price |
$491.25
|
| Rate for Payer: Cash Price |
$491.25
|
| Rate for Payer: Centivo All Commercial |
$404.09
|
| Rate for Payer: Cigna All Commercial |
$683.78
|
| Rate for Payer: CORVEL All Commercial |
$736.87
|
| Rate for Payer: Coventry All Commercial |
$697.25
|
| Rate for Payer: Encore All Commercial |
$729.34
|
| Rate for Payer: Frontpath All Commercial |
$728.94
|
| Rate for Payer: Humana ChoiceCare |
$684.34
|
| Rate for Payer: Humana Medicare |
$404.09
|
| Rate for Payer: Lucent All Commercial |
$404.09
|
| Rate for Payer: Lutheran Preferred All Commercial |
$713.10
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$594.25
|
| Rate for Payer: PHP All Commercial |
$600.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$309.01
|
| Rate for Payer: Sagamore Health Network All Products |
$611.68
|
| Rate for Payer: Signature Care EPO |
$657.63
|
| Rate for Payer: Signature Care PPO |
$697.25
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$673.48
|
| Rate for Payer: United Healthcare Commercial |
$624.36
|
| Rate for Payer: United Healthcare Medicare |
$261.47
|
|
|
HC Z DRILL BIT 4.3X300
|
Facility
IP
|
$792.33
|
|
| Hospital Charge Code |
41606597
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$594.25 |
| Max. Negotiated Rate |
$736.87 |
| Rate for Payer: Aetna Commercial |
$684.57
|
| Rate for Payer: Cash Price |
$491.25
|
| Rate for Payer: Cigna All Commercial |
$683.78
|
| Rate for Payer: CORVEL All Commercial |
$736.87
|
| Rate for Payer: Coventry All Commercial |
$697.25
|
| Rate for Payer: Encore All Commercial |
$729.34
|
| Rate for Payer: Frontpath All Commercial |
$728.94
|
| Rate for Payer: Humana ChoiceCare |
$684.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$713.10
|
| Rate for Payer: PHCS All Commercial |
$594.25
|
| Rate for Payer: PHP All Commercial |
$600.90
|
| Rate for Payer: Sagamore Health Network All Products |
$611.68
|
| Rate for Payer: Signature Care EPO |
$657.63
|
| Rate for Payer: Signature Care PPO |
$697.25
|
| Rate for Payer: United Healthcare Commercial |
$624.36
|
|
|
HC Z DRILL BIT 4.5 3000
|
Facility
OP
|
$622.16
|
|
| Hospital Charge Code |
41607089
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$578.61 |
| Rate for Payer: Aetna Commercial |
$525.10
|
| Rate for Payer: Aetna Medicare |
$205.31
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$205.31
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$357.31
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$388.91
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$236.11
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$225.84
|
| Rate for Payer: Cash Price |
$385.74
|
| Rate for Payer: Cash Price |
$385.74
|
| Rate for Payer: Centivo All Commercial |
$317.30
|
| Rate for Payer: Cigna All Commercial |
$536.92
|
| Rate for Payer: CORVEL All Commercial |
$578.61
|
| Rate for Payer: Coventry All Commercial |
$547.50
|
| Rate for Payer: Encore All Commercial |
$572.70
|
| Rate for Payer: Frontpath All Commercial |
$572.39
|
| Rate for Payer: Humana ChoiceCare |
$537.36
|
| Rate for Payer: Humana Medicare |
$317.30
|
| Rate for Payer: Lucent All Commercial |
$317.30
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.94
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$466.62
|
| Rate for Payer: PHP All Commercial |
$471.85
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$242.64
|
| Rate for Payer: Sagamore Health Network All Products |
$480.31
|
| Rate for Payer: Signature Care EPO |
$516.39
|
| Rate for Payer: Signature Care PPO |
$547.50
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$528.84
|
| Rate for Payer: United Healthcare Commercial |
$490.26
|
| Rate for Payer: United Healthcare Medicare |
$205.31
|
|
|
HC Z DRILL BIT 4.5 3000
|
Facility
IP
|
$622.16
|
|
| Hospital Charge Code |
41607089
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$466.62 |
| Max. Negotiated Rate |
$578.61 |
| Rate for Payer: Aetna Commercial |
$537.55
|
| Rate for Payer: Cash Price |
$385.74
|
| Rate for Payer: Cigna All Commercial |
$536.92
|
| Rate for Payer: CORVEL All Commercial |
$578.61
|
| Rate for Payer: Coventry All Commercial |
$547.50
|
| Rate for Payer: Encore All Commercial |
$572.70
|
| Rate for Payer: Frontpath All Commercial |
$572.39
|
| Rate for Payer: Humana ChoiceCare |
$537.36
|
| Rate for Payer: Lutheran Preferred All Commercial |
$559.94
|
| Rate for Payer: PHCS All Commercial |
$466.62
|
| Rate for Payer: PHP All Commercial |
$471.85
|
| Rate for Payer: Sagamore Health Network All Products |
$480.31
|
| Rate for Payer: Signature Care EPO |
$516.39
|
| Rate for Payer: Signature Care PPO |
$547.50
|
| Rate for Payer: United Healthcare Commercial |
$490.26
|
|
|
HC Z DRILL BIT 4.5 NCB
|
Facility
IP
|
$1,025.36
|
|
| Hospital Charge Code |
41606925
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$769.02 |
| Max. Negotiated Rate |
$953.58 |
| Rate for Payer: Aetna Commercial |
$885.91
|
| Rate for Payer: Cash Price |
$635.72
|
| Rate for Payer: Cigna All Commercial |
$884.89
|
| Rate for Payer: CORVEL All Commercial |
$953.58
|
| Rate for Payer: Coventry All Commercial |
$902.32
|
| Rate for Payer: Encore All Commercial |
$943.84
|
| Rate for Payer: Frontpath All Commercial |
$943.33
|
| Rate for Payer: Humana ChoiceCare |
$885.60
|
| Rate for Payer: Lutheran Preferred All Commercial |
$922.82
|
| Rate for Payer: PHCS All Commercial |
$769.02
|
| Rate for Payer: PHP All Commercial |
$777.63
|
| Rate for Payer: Sagamore Health Network All Products |
$791.58
|
| Rate for Payer: Signature Care EPO |
$851.05
|
| Rate for Payer: Signature Care PPO |
$902.32
|
| Rate for Payer: United Healthcare Commercial |
$807.98
|
|
|
HC Z DRILL BIT 4.5 NCB
|
Facility
OP
|
$1,025.36
|
|
| Hospital Charge Code |
41606925
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$953.58 |
| Rate for Payer: Aetna Commercial |
$865.40
|
| Rate for Payer: Aetna Medicare |
$338.37
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$338.37
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$588.86
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$640.95
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$389.12
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$372.21
|
| Rate for Payer: Cash Price |
$635.72
|
| Rate for Payer: Cash Price |
$635.72
|
| Rate for Payer: Centivo All Commercial |
$522.93
|
| Rate for Payer: Cigna All Commercial |
$884.89
|
| Rate for Payer: CORVEL All Commercial |
$953.58
|
| Rate for Payer: Coventry All Commercial |
$902.32
|
| Rate for Payer: Encore All Commercial |
$943.84
|
| Rate for Payer: Frontpath All Commercial |
$943.33
|
| Rate for Payer: Humana ChoiceCare |
$885.60
|
| Rate for Payer: Humana Medicare |
$522.93
|
| Rate for Payer: Lucent All Commercial |
$522.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$922.82
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$769.02
|
| Rate for Payer: PHP All Commercial |
$777.63
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$399.89
|
| Rate for Payer: Sagamore Health Network All Products |
$791.58
|
| Rate for Payer: Signature Care EPO |
$851.05
|
| Rate for Payer: Signature Care PPO |
$902.32
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$871.56
|
| Rate for Payer: United Healthcare Commercial |
$807.98
|
| Rate for Payer: United Healthcare Medicare |
$338.37
|
|
|
HC Z DRILL BIT 5.0 CANN
|
Facility
OP
|
$2,488.65
|
|
| Hospital Charge Code |
41604085
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$121.68 |
| Max. Negotiated Rate |
$2,314.44 |
| Rate for Payer: Aetna Commercial |
$2,100.42
|
| Rate for Payer: Aetna Medicare |
$821.25
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$821.25
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$1,429.23
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$1,555.66
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$121.68
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$944.44
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$903.38
|
| Rate for Payer: Cash Price |
$1,542.96
|
| Rate for Payer: Cash Price |
$1,542.96
|
| Rate for Payer: Centivo All Commercial |
$1,269.21
|
| Rate for Payer: Cigna All Commercial |
$2,147.70
|
| Rate for Payer: CORVEL All Commercial |
$2,314.44
|
| Rate for Payer: Coventry All Commercial |
$2,190.01
|
| Rate for Payer: Encore All Commercial |
$2,290.80
|
| Rate for Payer: Frontpath All Commercial |
$2,289.56
|
| Rate for Payer: Humana ChoiceCare |
$2,149.45
|
| Rate for Payer: Humana Medicare |
$1,269.21
|
| Rate for Payer: Lucent All Commercial |
$1,269.21
|
| Rate for Payer: Lutheran Preferred All Commercial |
$2,239.78
|
| Rate for Payer: Managed Health Services Medicaid |
$121.68
|
| Rate for Payer: MDWise Medicaid |
$121.68
|
| Rate for Payer: PHCS All Commercial |
$1,866.49
|
| Rate for Payer: PHP All Commercial |
$1,887.39
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$970.57
|
| Rate for Payer: Sagamore Health Network All Products |
$1,921.24
|
| Rate for Payer: Signature Care EPO |
$2,065.58
|
| Rate for Payer: Signature Care PPO |
$2,190.01
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$2,115.35
|
| Rate for Payer: United Healthcare Commercial |
$1,961.06
|
| Rate for Payer: United Healthcare Medicare |
$821.25
|
|
