|
HC Z LO PLATE HUM PXML 83 4-H L
|
Facility
OP
|
$5,399.46
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603750
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,021.50 |
| Rate for Payer: Aetna Commercial |
$4,557.14
|
| Rate for Payer: Aetna Medicare |
$1,781.82
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,781.82
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,100.91
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,375.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,049.10
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,960.00
|
| Rate for Payer: Cash Price |
$3,347.67
|
| Rate for Payer: Cash Price |
$3,347.67
|
| Rate for Payer: Centivo All Commercial |
$2,753.72
|
| Rate for Payer: Cigna All Commercial |
$4,659.73
|
| Rate for Payer: CORVEL All Commercial |
$5,021.50
|
| Rate for Payer: Coventry All Commercial |
$4,751.52
|
| Rate for Payer: Encore All Commercial |
$4,970.20
|
| Rate for Payer: Frontpath All Commercial |
$4,967.50
|
| Rate for Payer: Humana ChoiceCare |
$4,663.51
|
| Rate for Payer: Humana Medicare |
$2,753.72
|
| Rate for Payer: Lucent All Commercial |
$2,753.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,859.51
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,049.60
|
| Rate for Payer: PHP All Commercial |
$4,094.95
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,105.79
|
| Rate for Payer: Sagamore Health Network All Products |
$4,168.38
|
| Rate for Payer: Signature Care EPO |
$4,481.55
|
| Rate for Payer: Signature Care PPO |
$4,751.52
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,589.54
|
| Rate for Payer: United Healthcare Commercial |
$4,254.77
|
| Rate for Payer: United Healthcare Medicare |
$1,781.82
|
|
|
HC Z LO PLATE HUM PXML 83 4-H R
|
Facility
IP
|
$5,399.46
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603745
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$4,049.60 |
| Max. Negotiated Rate |
$5,021.50 |
| Rate for Payer: Aetna Commercial |
$4,665.13
|
| Rate for Payer: Cash Price |
$3,347.67
|
| Rate for Payer: Cigna All Commercial |
$4,659.73
|
| Rate for Payer: CORVEL All Commercial |
$5,021.50
|
| Rate for Payer: Coventry All Commercial |
$4,751.52
|
| Rate for Payer: Encore All Commercial |
$4,970.20
|
| Rate for Payer: Frontpath All Commercial |
$4,967.50
|
| Rate for Payer: Humana ChoiceCare |
$4,663.51
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,859.51
|
| Rate for Payer: PHCS All Commercial |
$4,049.60
|
| Rate for Payer: PHP All Commercial |
$4,094.95
|
| Rate for Payer: Sagamore Health Network All Products |
$4,168.38
|
| Rate for Payer: Signature Care EPO |
$4,481.55
|
| Rate for Payer: Signature Care PPO |
$4,751.52
|
| Rate for Payer: United Healthcare Commercial |
$4,254.77
|
|
|
HC Z LO PLATE HUM PXML 83 4-H R
|
Facility
OP
|
$5,399.46
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603745
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$5,021.50 |
| Rate for Payer: Aetna Commercial |
$4,557.14
|
| Rate for Payer: Aetna Medicare |
$1,781.82
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$1,781.82
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$3,100.91
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$3,375.20
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$2,049.10
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$1,960.00
|
| Rate for Payer: Cash Price |
$3,347.67
|
| Rate for Payer: Cash Price |
$3,347.67
|
| Rate for Payer: Centivo All Commercial |
$2,753.72
|
| Rate for Payer: Cigna All Commercial |
$4,659.73
|
| Rate for Payer: CORVEL All Commercial |
$5,021.50
|
| Rate for Payer: Coventry All Commercial |
$4,751.52
|
| Rate for Payer: Encore All Commercial |
$4,970.20
|
| Rate for Payer: Frontpath All Commercial |
$4,967.50
|
| Rate for Payer: Humana ChoiceCare |
$4,663.51
|
| Rate for Payer: Humana Medicare |
$2,753.72
|
| Rate for Payer: Lucent All Commercial |
$2,753.72
|
| Rate for Payer: Lutheran Preferred All Commercial |
$4,859.51
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$4,049.60
|
| Rate for Payer: PHP All Commercial |
$4,094.95
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$2,105.79
|
| Rate for Payer: Sagamore Health Network All Products |
$4,168.38
|
| Rate for Payer: Signature Care EPO |
$4,481.55
|
| Rate for Payer: Signature Care PPO |
$4,751.52
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$4,589.54
|
| Rate for Payer: United Healthcare Commercial |
$4,254.77
|
| Rate for Payer: United Healthcare Medicare |
$1,781.82
|
|
|
HC Z MED AUG BASEPLATE
|
Facility
IP
|
$8,694.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606612
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,520.50 |
| Max. Negotiated Rate |
$8,085.42 |
| Rate for Payer: Aetna Commercial |
$7,511.62
|
| Rate for Payer: Cash Price |
$5,390.28
|
| Rate for Payer: Cigna All Commercial |
$7,502.92
|
| Rate for Payer: CORVEL All Commercial |
$8,085.42
|
| Rate for Payer: Coventry All Commercial |
$7,650.72
|
| Rate for Payer: Encore All Commercial |
$8,002.83
|
| Rate for Payer: Frontpath All Commercial |
$7,998.48
|
| Rate for Payer: Humana ChoiceCare |
$7,509.01
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,824.60
|
| Rate for Payer: PHCS All Commercial |
$6,520.50
|
| Rate for Payer: PHP All Commercial |
$6,593.53
|
| Rate for Payer: Sagamore Health Network All Products |
$6,711.77
|
| Rate for Payer: Signature Care EPO |
$7,216.02
|
| Rate for Payer: Signature Care PPO |
$7,650.72
|
| Rate for Payer: United Healthcare Commercial |
$6,850.87
|
|
|
HC Z MED AUG BASEPLATE
|
Facility
OP
|
$8,694.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606612
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.16 |
| Max. Negotiated Rate |
$8,085.42 |
| Rate for Payer: Aetna Commercial |
$7,337.74
|
| Rate for Payer: Aetna Medicare |
$2,869.02
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$2,869.02
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$4,992.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$5,434.62
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$3,299.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$3,155.92
|
| Rate for Payer: Cash Price |
$5,390.28
|
| Rate for Payer: Cash Price |
$5,390.28
|
| Rate for Payer: Centivo All Commercial |
$4,433.94
|
| Rate for Payer: Cigna All Commercial |
$7,502.92
|
| Rate for Payer: CORVEL All Commercial |
$8,085.42
|
| Rate for Payer: Coventry All Commercial |
$7,650.72
|
| Rate for Payer: Encore All Commercial |
$8,002.83
|
| Rate for Payer: Frontpath All Commercial |
$7,998.48
|
| Rate for Payer: Humana ChoiceCare |
$7,509.01
|
| Rate for Payer: Humana Medicare |
$4,433.94
|
| Rate for Payer: Lucent All Commercial |
$4,433.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$7,824.60
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$6,520.50
|
| Rate for Payer: PHP All Commercial |
$6,593.53
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$3,390.66
|
| Rate for Payer: Sagamore Health Network All Products |
$6,711.77
|
| Rate for Payer: Signature Care EPO |
$7,216.02
|
| Rate for Payer: Signature Care PPO |
$7,650.72
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$7,389.90
|
| Rate for Payer: United Healthcare Commercial |
$6,850.87
|
| Rate for Payer: United Healthcare Medicare |
$2,869.02
|
|
|
HC Z MF H-PLATE 1.5 4-H 9
|
Facility
OP
|
$978.74
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604277
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$322.98 |
| Max. Negotiated Rate |
$910.23 |
| Rate for Payer: Aetna Commercial |
$826.06
|
| Rate for Payer: Aetna Medicare |
$322.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$322.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$562.09
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$611.81
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$371.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$355.28
|
| Rate for Payer: Cash Price |
$606.82
|
| Rate for Payer: Cash Price |
$606.82
|
| Rate for Payer: Centivo All Commercial |
$499.16
|
| Rate for Payer: Cigna All Commercial |
$844.65
|
| Rate for Payer: CORVEL All Commercial |
$910.23
|
| Rate for Payer: Coventry All Commercial |
$861.29
|
| Rate for Payer: Encore All Commercial |
$900.93
|
| Rate for Payer: Frontpath All Commercial |
$900.44
|
| Rate for Payer: Humana ChoiceCare |
$845.34
|
| Rate for Payer: Humana Medicare |
$499.16
|
| Rate for Payer: Lucent All Commercial |
$499.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$880.87
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$734.06
|
| Rate for Payer: PHP All Commercial |
$742.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$381.71
|
| Rate for Payer: Sagamore Health Network All Products |
$755.59
|
| Rate for Payer: Signature Care EPO |
$812.35
|
| Rate for Payer: Signature Care PPO |
$861.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$831.93
|
| Rate for Payer: United Healthcare Commercial |
$771.25
|
| Rate for Payer: United Healthcare Medicare |
$322.98
|
|
|
HC Z MF H-PLATE 1.5 4-H 9
|
Facility
IP
|
$978.74
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604277
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$734.06 |
| Max. Negotiated Rate |
$910.23 |
| Rate for Payer: Aetna Commercial |
$845.63
|
| Rate for Payer: Cash Price |
$606.82
|
| Rate for Payer: Cigna All Commercial |
$844.65
|
| Rate for Payer: CORVEL All Commercial |
$910.23
|
| Rate for Payer: Coventry All Commercial |
$861.29
|
| Rate for Payer: Encore All Commercial |
$900.93
|
| Rate for Payer: Frontpath All Commercial |
$900.44
|
| Rate for Payer: Humana ChoiceCare |
$845.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$880.87
|
| Rate for Payer: PHCS All Commercial |
$734.06
|
| Rate for Payer: PHP All Commercial |
$742.28
|
| Rate for Payer: Sagamore Health Network All Products |
$755.59
|
| Rate for Payer: Signature Care EPO |
$812.35
|
| Rate for Payer: Signature Care PPO |
$861.29
|
| Rate for Payer: United Healthcare Commercial |
$771.25
|
|
|
HC Z MF H-PLATE 2.0 4-H 1
|
Facility
IP
|
$978.74
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604283
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$734.06 |
| Max. Negotiated Rate |
$910.23 |
| Rate for Payer: Aetna Commercial |
$845.63
|
| Rate for Payer: Cash Price |
$606.82
|
| Rate for Payer: Cigna All Commercial |
$844.65
|
| Rate for Payer: CORVEL All Commercial |
$910.23
|
| Rate for Payer: Coventry All Commercial |
$861.29
|
| Rate for Payer: Encore All Commercial |
$900.93
|
| Rate for Payer: Frontpath All Commercial |
$900.44
|
| Rate for Payer: Humana ChoiceCare |
$845.34
|
| Rate for Payer: Lutheran Preferred All Commercial |
$880.87
|
| Rate for Payer: PHCS All Commercial |
$734.06
|
| Rate for Payer: PHP All Commercial |
$742.28
|
| Rate for Payer: Sagamore Health Network All Products |
$755.59
|
| Rate for Payer: Signature Care EPO |
$812.35
|
| Rate for Payer: Signature Care PPO |
$861.29
|
| Rate for Payer: United Healthcare Commercial |
$771.25
|
|
|
HC Z MF H-PLATE 2.0 4-H 1
|
Facility
OP
|
$978.74
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604283
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$322.98 |
| Max. Negotiated Rate |
$910.23 |
| Rate for Payer: Aetna Commercial |
$826.06
|
| Rate for Payer: Aetna Medicare |
$322.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$322.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$562.09
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$611.81
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$371.43
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$355.28
|
| Rate for Payer: Cash Price |
$606.82
|
| Rate for Payer: Cash Price |
$606.82
|
| Rate for Payer: Centivo All Commercial |
$499.16
|
| Rate for Payer: Cigna All Commercial |
$844.65
|
| Rate for Payer: CORVEL All Commercial |
$910.23
|
| Rate for Payer: Coventry All Commercial |
$861.29
|
| Rate for Payer: Encore All Commercial |
$900.93
|
| Rate for Payer: Frontpath All Commercial |
$900.44
|
| Rate for Payer: Humana ChoiceCare |
$845.34
|
| Rate for Payer: Humana Medicare |
$499.16
|
| Rate for Payer: Lucent All Commercial |
$499.16
|
| Rate for Payer: Lutheran Preferred All Commercial |
$880.87
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$734.06
|
| Rate for Payer: PHP All Commercial |
$742.28
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$381.71
|
| Rate for Payer: Sagamore Health Network All Products |
$755.59
|
| Rate for Payer: Signature Care EPO |
$812.35
|
| Rate for Payer: Signature Care PPO |
$861.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$831.93
|
| Rate for Payer: United Healthcare Commercial |
$771.25
|
| Rate for Payer: United Healthcare Medicare |
$322.98
|
|
|
HC Z MF L-PLATE 2.0 21 OB
|
Facility
OP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604279
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
|
HC Z MF L-PLATE 2.0 21 OB
|
Facility
IP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604279
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$293.63 |
| Max. Negotiated Rate |
$364.10 |
| Rate for Payer: Aetna Commercial |
$338.26
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
|
|
HC Z MF L-PLATE 2.0 21 OB
|
Facility
OP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604280
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
|
HC Z MF L-PLATE 2.0 21 OB
|
Facility
IP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604280
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$293.63 |
| Max. Negotiated Rate |
$364.10 |
| Rate for Payer: Aetna Commercial |
$338.26
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
|
|
HC Z MF L-PLATE 2.7 35 OB
|
Facility
OP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604289
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
|
HC Z MF L-PLATE 2.7 35 OB
|
Facility
IP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604288
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$293.63 |
| Max. Negotiated Rate |
$364.10 |
| Rate for Payer: Aetna Commercial |
$338.26
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
|
|
HC Z MF L-PLATE 2.7 35 OB
|
Facility
OP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604288
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$129.20 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$330.43
|
| Rate for Payer: Aetna Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$129.20
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$224.84
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$244.73
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$148.58
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$142.12
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Centivo All Commercial |
$199.67
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Humana Medicare |
$199.67
|
| Rate for Payer: Lucent All Commercial |
$199.67
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$152.69
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$332.78
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
| Rate for Payer: United Healthcare Medicare |
$129.20
|
|
|
HC Z MF L-PLATE 2.7 35 OB
|
Facility
IP
|
$391.51
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604289
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$293.63 |
| Max. Negotiated Rate |
$364.10 |
| Rate for Payer: Aetna Commercial |
$338.26
|
| Rate for Payer: Cash Price |
$242.74
|
| Rate for Payer: Cigna All Commercial |
$337.87
|
| Rate for Payer: CORVEL All Commercial |
$364.10
|
| Rate for Payer: Coventry All Commercial |
$344.53
|
| Rate for Payer: Encore All Commercial |
$360.38
|
| Rate for Payer: Frontpath All Commercial |
$360.19
|
| Rate for Payer: Humana ChoiceCare |
$338.15
|
| Rate for Payer: Lutheran Preferred All Commercial |
$352.36
|
| Rate for Payer: PHCS All Commercial |
$293.63
|
| Rate for Payer: PHP All Commercial |
$296.92
|
| Rate for Payer: Sagamore Health Network All Products |
$302.25
|
| Rate for Payer: Signature Care EPO |
$324.95
|
| Rate for Payer: Signature Care PPO |
$344.53
|
| Rate for Payer: United Healthcare Commercial |
$308.51
|
|
|
HC Z MF PLATE 1/4TUB 3-H
|
Facility
IP
|
$447.44
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604286
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$335.58 |
| Max. Negotiated Rate |
$416.12 |
| Rate for Payer: Aetna Commercial |
$386.59
|
| Rate for Payer: Cash Price |
$277.41
|
| Rate for Payer: Cigna All Commercial |
$386.14
|
| Rate for Payer: CORVEL All Commercial |
$416.12
|
| Rate for Payer: Coventry All Commercial |
$393.75
|
| Rate for Payer: Encore All Commercial |
$411.87
|
| Rate for Payer: Frontpath All Commercial |
$411.64
|
| Rate for Payer: Humana ChoiceCare |
$386.45
|
| Rate for Payer: Lutheran Preferred All Commercial |
$402.70
|
| Rate for Payer: PHCS All Commercial |
$335.58
|
| Rate for Payer: PHP All Commercial |
$339.34
|
| Rate for Payer: Sagamore Health Network All Products |
$345.42
|
| Rate for Payer: Signature Care EPO |
$371.38
|
| Rate for Payer: Signature Care PPO |
$393.75
|
| Rate for Payer: United Healthcare Commercial |
$352.58
|
|
|
HC Z MF PLATE 1/4TUB 3-H
|
Facility
OP
|
$447.44
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604286
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$147.66 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$377.64
|
| Rate for Payer: Aetna Medicare |
$147.66
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$147.66
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$256.96
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$279.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$169.80
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$162.42
|
| Rate for Payer: Cash Price |
$277.41
|
| Rate for Payer: Cash Price |
$277.41
|
| Rate for Payer: Centivo All Commercial |
$228.19
|
| Rate for Payer: Cigna All Commercial |
$386.14
|
| Rate for Payer: CORVEL All Commercial |
$416.12
|
| Rate for Payer: Coventry All Commercial |
$393.75
|
| Rate for Payer: Encore All Commercial |
$411.87
|
| Rate for Payer: Frontpath All Commercial |
$411.64
|
| Rate for Payer: Humana ChoiceCare |
$386.45
|
| Rate for Payer: Humana Medicare |
$228.19
|
| Rate for Payer: Lucent All Commercial |
$228.19
|
| Rate for Payer: Lutheran Preferred All Commercial |
$402.70
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$335.58
|
| Rate for Payer: PHP All Commercial |
$339.34
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$174.50
|
| Rate for Payer: Sagamore Health Network All Products |
$345.42
|
| Rate for Payer: Signature Care EPO |
$371.38
|
| Rate for Payer: Signature Care PPO |
$393.75
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$380.32
|
| Rate for Payer: United Healthcare Commercial |
$352.58
|
| Rate for Payer: United Healthcare Medicare |
$147.66
|
|
|
HC Z MF PLATE 1/4TUB 4-H
|
Facility
IP
|
$466.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604290
|
|
Hospital Revenue Code
|
278
|
| 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 MF PLATE 1/4TUB 4-H
|
Facility
OP
|
$466.06
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604290
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.80 |
| Max. Negotiated Rate |
$524.16 |
| 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 |
$524.16
|
| 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 |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| 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 MF PLATE 1/4TUB 5-H
|
Facility
OP
|
$535.99
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604291
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$176.88 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$452.38
|
| Rate for Payer: Aetna Medicare |
$176.88
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$176.88
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$307.82
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$335.05
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$203.41
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$194.56
|
| Rate for Payer: Cash Price |
$332.31
|
| Rate for Payer: Cash Price |
$332.31
|
| Rate for Payer: Centivo All Commercial |
$273.35
|
| Rate for Payer: Cigna All Commercial |
$462.56
|
| Rate for Payer: CORVEL All Commercial |
$498.47
|
| Rate for Payer: Coventry All Commercial |
$471.67
|
| Rate for Payer: Encore All Commercial |
$493.38
|
| Rate for Payer: Frontpath All Commercial |
$493.11
|
| Rate for Payer: Humana ChoiceCare |
$462.93
|
| Rate for Payer: Humana Medicare |
$273.35
|
| Rate for Payer: Lucent All Commercial |
$273.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$482.39
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$401.99
|
| Rate for Payer: PHP All Commercial |
$406.49
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$209.04
|
| Rate for Payer: Sagamore Health Network All Products |
$413.78
|
| Rate for Payer: Signature Care EPO |
$444.87
|
| Rate for Payer: Signature Care PPO |
$471.67
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$455.59
|
| Rate for Payer: United Healthcare Commercial |
$422.36
|
| Rate for Payer: United Healthcare Medicare |
$176.88
|
|
|
HC Z MF PLATE 1/4TUB 5-H
|
Facility
IP
|
$535.99
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604291
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$401.99 |
| Max. Negotiated Rate |
$498.47 |
| Rate for Payer: Aetna Commercial |
$463.10
|
| Rate for Payer: Cash Price |
$332.31
|
| Rate for Payer: Cigna All Commercial |
$462.56
|
| Rate for Payer: CORVEL All Commercial |
$498.47
|
| Rate for Payer: Coventry All Commercial |
$471.67
|
| Rate for Payer: Encore All Commercial |
$493.38
|
| Rate for Payer: Frontpath All Commercial |
$493.11
|
| Rate for Payer: Humana ChoiceCare |
$462.93
|
| Rate for Payer: Lutheran Preferred All Commercial |
$482.39
|
| Rate for Payer: PHCS All Commercial |
$401.99
|
| Rate for Payer: PHP All Commercial |
$406.49
|
| Rate for Payer: Sagamore Health Network All Products |
$413.78
|
| Rate for Payer: Signature Care EPO |
$444.87
|
| Rate for Payer: Signature Care PPO |
$471.67
|
| Rate for Payer: United Healthcare Commercial |
$422.36
|
|
|
HC Z MF PLATE 1/4TUB 6-H
|
Facility
IP
|
$582.54
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604292
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$436.90 |
| Max. Negotiated Rate |
$541.76 |
| Rate for Payer: Aetna Commercial |
$503.31
|
| Rate for Payer: Cash Price |
$361.18
|
| Rate for Payer: Cigna All Commercial |
$502.73
|
| Rate for Payer: CORVEL All Commercial |
$541.76
|
| Rate for Payer: Coventry All Commercial |
$512.64
|
| Rate for Payer: Encore All Commercial |
$536.23
|
| Rate for Payer: Frontpath All Commercial |
$535.94
|
| Rate for Payer: Humana ChoiceCare |
$503.14
|
| Rate for Payer: Lutheran Preferred All Commercial |
$524.29
|
| Rate for Payer: PHCS All Commercial |
$436.90
|
| Rate for Payer: PHP All Commercial |
$441.80
|
| Rate for Payer: Sagamore Health Network All Products |
$449.72
|
| Rate for Payer: Signature Care EPO |
$483.51
|
| Rate for Payer: Signature Care PPO |
$512.64
|
| Rate for Payer: United Healthcare Commercial |
$459.04
|
|
|
HC Z MF PLATE 1/4TUB 6-H
|
Facility
OP
|
$582.54
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41604292
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$192.24 |
| Max. Negotiated Rate |
$541.76 |
| Rate for Payer: Aetna Commercial |
$491.66
|
| Rate for Payer: Aetna Medicare |
$192.24
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$192.24
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$334.55
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$364.15
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$221.07
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$211.46
|
| Rate for Payer: Cash Price |
$361.18
|
| Rate for Payer: Cash Price |
$361.18
|
| Rate for Payer: Centivo All Commercial |
$297.10
|
| Rate for Payer: Cigna All Commercial |
$502.73
|
| Rate for Payer: CORVEL All Commercial |
$541.76
|
| Rate for Payer: Coventry All Commercial |
$512.64
|
| Rate for Payer: Encore All Commercial |
$536.23
|
| Rate for Payer: Frontpath All Commercial |
$535.94
|
| Rate for Payer: Humana ChoiceCare |
$503.14
|
| Rate for Payer: Humana Medicare |
$297.10
|
| Rate for Payer: Lucent All Commercial |
$297.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$524.29
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$436.90
|
| Rate for Payer: PHP All Commercial |
$441.80
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$227.19
|
| Rate for Payer: Sagamore Health Network All Products |
$449.72
|
| Rate for Payer: Signature Care EPO |
$483.51
|
| Rate for Payer: Signature Care PPO |
$512.64
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$495.16
|
| Rate for Payer: United Healthcare Commercial |
$459.04
|
| Rate for Payer: United Healthcare Medicare |
$192.24
|
|
