|
HC Z NAIL 5.0X57.5 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603032
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X60 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603033
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X60 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603033
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X65 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603034
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X65 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603034
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X70 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603035
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X70 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603035
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X75 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603036
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X75 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603036
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X80 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X80 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603037
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X85 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603038
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X85 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603038
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X90 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603039
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5.0X90 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603039
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X95 CORT SCREW FA
|
Facility
OP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603040
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$307.61 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$786.73
|
| Rate for Payer: Aetna Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$307.61
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$535.33
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$582.69
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$353.75
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$338.37
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Centivo All Commercial |
$475.40
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Humana Medicare |
$475.40
|
| Rate for Payer: Lucent All Commercial |
$475.40
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$363.54
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$792.33
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
| Rate for Payer: United Healthcare Medicare |
$307.61
|
|
|
HC Z NAIL 5.0X95 CORT SCREW FA
|
Facility
IP
|
$932.15
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603040
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$699.11 |
| Max. Negotiated Rate |
$866.90 |
| Rate for Payer: Aetna Commercial |
$805.38
|
| Rate for Payer: Cash Price |
$577.93
|
| Rate for Payer: Cigna All Commercial |
$804.45
|
| Rate for Payer: CORVEL All Commercial |
$866.90
|
| Rate for Payer: Coventry All Commercial |
$820.29
|
| Rate for Payer: Encore All Commercial |
$858.04
|
| Rate for Payer: Frontpath All Commercial |
$857.58
|
| Rate for Payer: Humana ChoiceCare |
$805.10
|
| Rate for Payer: Lutheran Preferred All Commercial |
$838.94
|
| Rate for Payer: PHCS All Commercial |
$699.11
|
| Rate for Payer: PHP All Commercial |
$706.94
|
| Rate for Payer: Sagamore Health Network All Products |
$719.62
|
| Rate for Payer: Signature Care EPO |
$773.68
|
| Rate for Payer: Signature Care PPO |
$820.29
|
| Rate for Payer: United Healthcare Commercial |
$734.53
|
|
|
HC Z NAIL 5X40 CORT SCREW
|
Facility
IP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606523
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$685.54 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$789.74
|
| Rate for Payer: Cash Price |
$566.71
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
|
|
HC Z NAIL 5X40 CORT SCREW
|
Facility
OP
|
$914.05
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606523
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$301.64 |
| Max. Negotiated Rate |
$850.07 |
| Rate for Payer: Aetna Commercial |
$771.46
|
| Rate for Payer: Aetna Medicare |
$301.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$301.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$524.94
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$571.37
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$346.88
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$331.80
|
| Rate for Payer: Cash Price |
$566.71
|
| Rate for Payer: Cash Price |
$566.71
|
| Rate for Payer: Centivo All Commercial |
$466.17
|
| Rate for Payer: Cigna All Commercial |
$788.83
|
| Rate for Payer: CORVEL All Commercial |
$850.07
|
| Rate for Payer: Coventry All Commercial |
$804.36
|
| Rate for Payer: Encore All Commercial |
$841.38
|
| Rate for Payer: Frontpath All Commercial |
$840.93
|
| Rate for Payer: Humana ChoiceCare |
$789.46
|
| Rate for Payer: Humana Medicare |
$466.17
|
| Rate for Payer: Lucent All Commercial |
$466.17
|
| Rate for Payer: Lutheran Preferred All Commercial |
$822.64
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$685.54
|
| Rate for Payer: PHP All Commercial |
$693.22
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$356.48
|
| Rate for Payer: Sagamore Health Network All Products |
$705.65
|
| Rate for Payer: Signature Care EPO |
$758.66
|
| Rate for Payer: Signature Care PPO |
$804.36
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$776.94
|
| Rate for Payer: United Healthcare Commercial |
$720.27
|
| Rate for Payer: United Healthcare Medicare |
$301.64
|
|
|
HC Z NAIL 60X45 CANC SCREW FA
|
Facility
OP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606194
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.58 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$814.80
|
| Rate for Payer: Aetna Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.43
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.44
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Centivo All Commercial |
$492.35
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Humana Medicare |
$492.35
|
| Rate for Payer: Lucent All Commercial |
$492.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.51
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$820.59
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
| Rate for Payer: United Healthcare Medicare |
$318.58
|
|
|
HC Z NAIL 60X45 CANC SCREW FA
|
Facility
IP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606194
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.05 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$834.11
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
|
|
HC Z NAIL 6.0X50 CANC SCREW FA
|
Facility
IP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603458
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.05 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$834.11
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
|
|
HC Z NAIL 6.0X50 CANC SCREW FA
|
Facility
OP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41603458
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.58 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$814.80
|
| Rate for Payer: Aetna Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.43
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.44
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Centivo All Commercial |
$492.35
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Humana Medicare |
$492.35
|
| Rate for Payer: Lucent All Commercial |
$492.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.51
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$820.59
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
| Rate for Payer: United Healthcare Medicare |
$318.58
|
|
|
HC Z NAIL 60X55 CANC SCREW FA
|
Facility
OP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606195
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$318.58 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$814.80
|
| Rate for Payer: Aetna Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$318.58
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$554.43
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$603.47
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$366.37
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$350.44
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Centivo All Commercial |
$492.35
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Humana Medicare |
$492.35
|
| Rate for Payer: Lucent All Commercial |
$492.35
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$376.51
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$820.59
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
| Rate for Payer: United Healthcare Medicare |
$318.58
|
|
|
HC Z NAIL 60X55 CANC SCREW FA
|
Facility
IP
|
$965.40
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606195
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$724.05 |
| Max. Negotiated Rate |
$897.82 |
| Rate for Payer: Aetna Commercial |
$834.11
|
| Rate for Payer: Cash Price |
$598.55
|
| Rate for Payer: Cigna All Commercial |
$833.14
|
| Rate for Payer: CORVEL All Commercial |
$897.82
|
| Rate for Payer: Coventry All Commercial |
$849.55
|
| Rate for Payer: Encore All Commercial |
$888.65
|
| Rate for Payer: Frontpath All Commercial |
$888.17
|
| Rate for Payer: Humana ChoiceCare |
$833.82
|
| Rate for Payer: Lutheran Preferred All Commercial |
$868.86
|
| Rate for Payer: PHCS All Commercial |
$724.05
|
| Rate for Payer: PHP All Commercial |
$732.16
|
| Rate for Payer: Sagamore Health Network All Products |
$745.29
|
| Rate for Payer: Signature Care EPO |
$801.28
|
| Rate for Payer: Signature Care PPO |
$849.55
|
| Rate for Payer: United Healthcare Commercial |
$760.74
|
|
