|
HC Z SCREW 2.7X44 CORT FT
|
Facility
IP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606803
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z SCREW 2.7X46 CORT FT
|
Facility
OP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606804
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$128.32 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$147.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$141.15
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Centivo All Commercial |
$198.31
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$198.31
|
| Rate for Payer: Lucent All Commercial |
$198.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$128.32
|
|
|
HC Z SCREW 2.7X46 CORT FT
|
Facility
IP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606804
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z SCREW 2.7X48 CORT FT
|
Facility
OP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606805
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$128.32 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$147.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$141.15
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Centivo All Commercial |
$198.31
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$198.31
|
| Rate for Payer: Lucent All Commercial |
$198.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$128.32
|
|
|
HC Z SCREW 2.7X48 CORT FT
|
Facility
IP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606805
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z SCREW 2.7X50 CORT FT
|
Facility
IP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606806
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z SCREW 2.7X50 CORT FT
|
Facility
OP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606806
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$128.32 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$147.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$141.15
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Centivo All Commercial |
$198.31
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$198.31
|
| Rate for Payer: Lucent All Commercial |
$198.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$128.32
|
|
|
HC Z SCREW 2.7X55 CORT FT
|
Facility
IP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606807
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z SCREW 2.7X55 CORT FT
|
Facility
OP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606807
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$128.32 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$147.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$141.15
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Centivo All Commercial |
$198.31
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$198.31
|
| Rate for Payer: Lucent All Commercial |
$198.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$128.32
|
|
|
HC Z SCREW 2.7X60 CORT FT
|
Facility
IP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606808
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$361.63 |
| Rate for Payer: Aetna Commercial |
$335.97
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
|
|
HC Z SCREW 2.7X60 CORT FT
|
Facility
OP
|
$388.85
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606808
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$128.32 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$328.19
|
| Rate for Payer: Aetna Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$128.32
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$223.32
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$243.07
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$147.57
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$141.15
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Cash Price |
$241.09
|
| Rate for Payer: Centivo All Commercial |
$198.31
|
| Rate for Payer: Cigna All Commercial |
$335.58
|
| Rate for Payer: CORVEL All Commercial |
$361.63
|
| Rate for Payer: Coventry All Commercial |
$342.19
|
| Rate for Payer: Encore All Commercial |
$357.94
|
| Rate for Payer: Frontpath All Commercial |
$357.74
|
| Rate for Payer: Humana ChoiceCare |
$335.85
|
| Rate for Payer: Humana Medicare |
$198.31
|
| Rate for Payer: Lucent All Commercial |
$198.31
|
| Rate for Payer: Lutheran Preferred All Commercial |
$349.96
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$291.64
|
| Rate for Payer: PHP All Commercial |
$294.90
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$151.65
|
| Rate for Payer: Sagamore Health Network All Products |
$300.19
|
| Rate for Payer: Signature Care EPO |
$322.75
|
| Rate for Payer: Signature Care PPO |
$342.19
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$330.52
|
| Rate for Payer: United Healthcare Commercial |
$306.41
|
| Rate for Payer: United Healthcare Medicare |
$128.32
|
|
|
HC Z SCREW 2.7X65 CORT FT
|
Facility
OP
|
$448.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606809
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$147.84 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$378.11
|
| Rate for Payer: Aetna Medicare |
$147.84
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$147.84
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$257.29
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$280.04
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$170.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$162.62
|
| Rate for Payer: Cash Price |
$277.76
|
| Rate for Payer: Cash Price |
$277.76
|
| Rate for Payer: Centivo All Commercial |
$228.48
|
| Rate for Payer: Cigna All Commercial |
$386.62
|
| Rate for Payer: CORVEL All Commercial |
$416.64
|
| Rate for Payer: Coventry All Commercial |
$394.24
|
| Rate for Payer: Encore All Commercial |
$412.38
|
| Rate for Payer: Frontpath All Commercial |
$412.16
|
| Rate for Payer: Humana ChoiceCare |
$386.94
|
| Rate for Payer: Humana Medicare |
$228.48
|
| Rate for Payer: Lucent All Commercial |
$228.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$403.20
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$336.00
|
| Rate for Payer: PHP All Commercial |
$339.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$174.72
|
| Rate for Payer: Sagamore Health Network All Products |
$345.86
|
| Rate for Payer: Signature Care EPO |
$371.84
|
| Rate for Payer: Signature Care PPO |
$394.24
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$380.80
|
| Rate for Payer: United Healthcare Commercial |
$353.02
|
| Rate for Payer: United Healthcare Medicare |
$147.84
|
|
|
HC Z SCREW 2.7X65 CORT FT
|
Facility
IP
|
$448.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606809
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$336.00 |
| Max. Negotiated Rate |
$416.64 |
| Rate for Payer: Aetna Commercial |
$387.07
|
| Rate for Payer: Cash Price |
$277.76
|
| Rate for Payer: Cigna All Commercial |
$386.62
|
| Rate for Payer: CORVEL All Commercial |
$416.64
|
| Rate for Payer: Coventry All Commercial |
$394.24
|
| Rate for Payer: Encore All Commercial |
$412.38
|
| Rate for Payer: Frontpath All Commercial |
$412.16
|
| Rate for Payer: Humana ChoiceCare |
$386.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$403.20
|
| Rate for Payer: PHCS All Commercial |
$336.00
|
| Rate for Payer: PHP All Commercial |
$339.76
|
| Rate for Payer: Sagamore Health Network All Products |
$345.86
|
| Rate for Payer: Signature Care EPO |
$371.84
|
| Rate for Payer: Signature Care PPO |
$394.24
|
| Rate for Payer: United Healthcare Commercial |
$353.02
|
|
|
HC Z SCREW 2.7X70 CORT FT
|
Facility
IP
|
$448.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606810
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$336.00 |
| Max. Negotiated Rate |
$416.64 |
| Rate for Payer: Aetna Commercial |
$387.07
|
| Rate for Payer: Cash Price |
$277.76
|
| Rate for Payer: Cigna All Commercial |
$386.62
|
| Rate for Payer: CORVEL All Commercial |
$416.64
|
| Rate for Payer: Coventry All Commercial |
$394.24
|
| Rate for Payer: Encore All Commercial |
$412.38
|
| Rate for Payer: Frontpath All Commercial |
$412.16
|
| Rate for Payer: Humana ChoiceCare |
$386.94
|
| Rate for Payer: Lutheran Preferred All Commercial |
$403.20
|
| Rate for Payer: PHCS All Commercial |
$336.00
|
| Rate for Payer: PHP All Commercial |
$339.76
|
| Rate for Payer: Sagamore Health Network All Products |
$345.86
|
| Rate for Payer: Signature Care EPO |
$371.84
|
| Rate for Payer: Signature Care PPO |
$394.24
|
| Rate for Payer: United Healthcare Commercial |
$353.02
|
|
|
HC Z SCREW 2.7X70 CORT FT
|
Facility
OP
|
$448.00
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606810
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$147.84 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$378.11
|
| Rate for Payer: Aetna Medicare |
$147.84
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$147.84
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$257.29
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$280.04
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$170.02
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$162.62
|
| Rate for Payer: Cash Price |
$277.76
|
| Rate for Payer: Cash Price |
$277.76
|
| Rate for Payer: Centivo All Commercial |
$228.48
|
| Rate for Payer: Cigna All Commercial |
$386.62
|
| Rate for Payer: CORVEL All Commercial |
$416.64
|
| Rate for Payer: Coventry All Commercial |
$394.24
|
| Rate for Payer: Encore All Commercial |
$412.38
|
| Rate for Payer: Frontpath All Commercial |
$412.16
|
| Rate for Payer: Humana ChoiceCare |
$386.94
|
| Rate for Payer: Humana Medicare |
$228.48
|
| Rate for Payer: Lucent All Commercial |
$228.48
|
| Rate for Payer: Lutheran Preferred All Commercial |
$403.20
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$336.00
|
| Rate for Payer: PHP All Commercial |
$339.76
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$174.72
|
| Rate for Payer: Sagamore Health Network All Products |
$345.86
|
| Rate for Payer: Signature Care EPO |
$371.84
|
| Rate for Payer: Signature Care PPO |
$394.24
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$380.80
|
| Rate for Payer: United Healthcare Commercial |
$353.02
|
| Rate for Payer: United Healthcare Medicare |
$147.84
|
|
|
HC Z SCREW 2.7X8 LOCK SQ
|
Facility
OP
|
$777.70
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606266
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.64 |
| Max. Negotiated Rate |
$723.26 |
| Rate for Payer: Aetna Commercial |
$656.38
|
| Rate for Payer: Aetna Medicare |
$256.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$256.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$446.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$486.14
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$295.14
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$282.31
|
| Rate for Payer: Cash Price |
$482.17
|
| Rate for Payer: Cash Price |
$482.17
|
| Rate for Payer: Centivo All Commercial |
$396.63
|
| Rate for Payer: Cigna All Commercial |
$671.16
|
| Rate for Payer: CORVEL All Commercial |
$723.26
|
| Rate for Payer: Coventry All Commercial |
$684.38
|
| Rate for Payer: Encore All Commercial |
$715.87
|
| Rate for Payer: Frontpath All Commercial |
$715.48
|
| Rate for Payer: Humana ChoiceCare |
$671.70
|
| Rate for Payer: Humana Medicare |
$396.63
|
| Rate for Payer: Lucent All Commercial |
$396.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$699.93
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$583.28
|
| Rate for Payer: PHP All Commercial |
$589.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$303.30
|
| Rate for Payer: Sagamore Health Network All Products |
$600.38
|
| Rate for Payer: Signature Care EPO |
$645.49
|
| Rate for Payer: Signature Care PPO |
$684.38
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$661.04
|
| Rate for Payer: United Healthcare Commercial |
$612.83
|
| Rate for Payer: United Healthcare Medicare |
$256.64
|
|
|
HC Z SCREW 2.7X8 LOCK SQ
|
Facility
IP
|
$777.70
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606266
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.28 |
| Max. Negotiated Rate |
$723.26 |
| Rate for Payer: Aetna Commercial |
$671.93
|
| Rate for Payer: Cash Price |
$482.17
|
| Rate for Payer: Cigna All Commercial |
$671.16
|
| Rate for Payer: CORVEL All Commercial |
$723.26
|
| Rate for Payer: Coventry All Commercial |
$684.38
|
| Rate for Payer: Encore All Commercial |
$715.87
|
| Rate for Payer: Frontpath All Commercial |
$715.48
|
| Rate for Payer: Humana ChoiceCare |
$671.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$699.93
|
| Rate for Payer: PHCS All Commercial |
$583.28
|
| Rate for Payer: PHP All Commercial |
$589.81
|
| Rate for Payer: Sagamore Health Network All Products |
$600.38
|
| Rate for Payer: Signature Care EPO |
$645.49
|
| Rate for Payer: Signature Care PPO |
$684.38
|
| Rate for Payer: United Healthcare Commercial |
$612.83
|
|
|
HC Z SCREW 2.7X8 MD
|
Facility
OP
|
$802.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606292
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$264.97 |
| Max. Negotiated Rate |
$746.74 |
| Rate for Payer: Aetna Commercial |
$677.69
|
| Rate for Payer: Aetna Medicare |
$264.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$264.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$461.13
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$501.92
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$304.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$291.47
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Centivo All Commercial |
$409.50
|
| Rate for Payer: Cigna All Commercial |
$692.95
|
| Rate for Payer: CORVEL All Commercial |
$746.74
|
| Rate for Payer: Coventry All Commercial |
$706.60
|
| Rate for Payer: Encore All Commercial |
$739.12
|
| Rate for Payer: Frontpath All Commercial |
$738.71
|
| Rate for Payer: Humana ChoiceCare |
$693.51
|
| Rate for Payer: Humana Medicare |
$409.50
|
| Rate for Payer: Lucent All Commercial |
$409.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$722.66
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$602.21
|
| Rate for Payer: PHP All Commercial |
$608.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$313.15
|
| Rate for Payer: Sagamore Health Network All Products |
$619.88
|
| Rate for Payer: Signature Care EPO |
$666.45
|
| Rate for Payer: Signature Care PPO |
$706.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$682.51
|
| Rate for Payer: United Healthcare Commercial |
$632.72
|
| Rate for Payer: United Healthcare Medicare |
$264.97
|
|
|
HC Z SCREW 2.7X8 MD
|
Facility
IP
|
$802.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606292
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$602.21 |
| Max. Negotiated Rate |
$746.74 |
| Rate for Payer: Aetna Commercial |
$693.75
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Cigna All Commercial |
$692.95
|
| Rate for Payer: CORVEL All Commercial |
$746.74
|
| Rate for Payer: Coventry All Commercial |
$706.60
|
| Rate for Payer: Encore All Commercial |
$739.12
|
| Rate for Payer: Frontpath All Commercial |
$738.71
|
| Rate for Payer: Humana ChoiceCare |
$693.51
|
| Rate for Payer: Lutheran Preferred All Commercial |
$722.66
|
| Rate for Payer: PHCS All Commercial |
$602.21
|
| Rate for Payer: PHP All Commercial |
$608.96
|
| Rate for Payer: Sagamore Health Network All Products |
$619.88
|
| Rate for Payer: Signature Care EPO |
$666.45
|
| Rate for Payer: Signature Care PPO |
$706.60
|
| Rate for Payer: United Healthcare Commercial |
$632.72
|
|
|
HC Z SCREW 2.7X8 NON LOCK SQ
|
Facility
IP
|
$466.62
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606278
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$349.96 |
| Max. Negotiated Rate |
$433.96 |
| Rate for Payer: Aetna Commercial |
$403.16
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cigna All Commercial |
$402.69
|
| Rate for Payer: CORVEL All Commercial |
$433.96
|
| Rate for Payer: Coventry All Commercial |
$410.63
|
| Rate for Payer: Encore All Commercial |
$429.52
|
| Rate for Payer: Frontpath All Commercial |
$429.29
|
| Rate for Payer: Humana ChoiceCare |
$403.02
|
| Rate for Payer: Lutheran Preferred All Commercial |
$419.96
|
| Rate for Payer: PHCS All Commercial |
$349.96
|
| Rate for Payer: PHP All Commercial |
$353.88
|
| Rate for Payer: Sagamore Health Network All Products |
$360.23
|
| Rate for Payer: Signature Care EPO |
$387.29
|
| Rate for Payer: Signature Care PPO |
$410.63
|
| Rate for Payer: United Healthcare Commercial |
$367.70
|
|
|
HC Z SCREW 2.7X8 NON LOCK SQ
|
Facility
OP
|
$466.62
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606278
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$153.98 |
| Max. Negotiated Rate |
$524.16 |
| Rate for Payer: Aetna Commercial |
$393.83
|
| Rate for Payer: Aetna Medicare |
$153.98
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$153.98
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$267.98
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$291.68
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$177.08
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$169.38
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Cash Price |
$289.30
|
| Rate for Payer: Centivo All Commercial |
$237.98
|
| Rate for Payer: Cigna All Commercial |
$402.69
|
| Rate for Payer: CORVEL All Commercial |
$433.96
|
| Rate for Payer: Coventry All Commercial |
$410.63
|
| Rate for Payer: Encore All Commercial |
$429.52
|
| Rate for Payer: Frontpath All Commercial |
$429.29
|
| Rate for Payer: Humana ChoiceCare |
$403.02
|
| Rate for Payer: Humana Medicare |
$237.98
|
| Rate for Payer: Lucent All Commercial |
$237.98
|
| Rate for Payer: Lutheran Preferred All Commercial |
$419.96
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$349.96
|
| Rate for Payer: PHP All Commercial |
$353.88
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$181.98
|
| Rate for Payer: Sagamore Health Network All Products |
$360.23
|
| Rate for Payer: Signature Care EPO |
$387.29
|
| Rate for Payer: Signature Care PPO |
$410.63
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$396.63
|
| Rate for Payer: United Healthcare Commercial |
$367.70
|
| Rate for Payer: United Healthcare Medicare |
$153.98
|
|
|
HC Z SCREW 2.7X9 LOCK SQ
|
Facility
IP
|
$777.70
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606267
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.28 |
| Max. Negotiated Rate |
$723.26 |
| Rate for Payer: Aetna Commercial |
$671.93
|
| Rate for Payer: Cash Price |
$482.17
|
| Rate for Payer: Cigna All Commercial |
$671.16
|
| Rate for Payer: CORVEL All Commercial |
$723.26
|
| Rate for Payer: Coventry All Commercial |
$684.38
|
| Rate for Payer: Encore All Commercial |
$715.87
|
| Rate for Payer: Frontpath All Commercial |
$715.48
|
| Rate for Payer: Humana ChoiceCare |
$671.70
|
| Rate for Payer: Lutheran Preferred All Commercial |
$699.93
|
| Rate for Payer: PHCS All Commercial |
$583.28
|
| Rate for Payer: PHP All Commercial |
$589.81
|
| Rate for Payer: Sagamore Health Network All Products |
$600.38
|
| Rate for Payer: Signature Care EPO |
$645.49
|
| Rate for Payer: Signature Care PPO |
$684.38
|
| Rate for Payer: United Healthcare Commercial |
$612.83
|
|
|
HC Z SCREW 2.7X9 LOCK SQ
|
Facility
OP
|
$777.70
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606267
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$256.64 |
| Max. Negotiated Rate |
$723.26 |
| Rate for Payer: Aetna Commercial |
$656.38
|
| Rate for Payer: Aetna Medicare |
$256.64
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$256.64
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$446.63
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$486.14
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$295.14
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$282.31
|
| Rate for Payer: Cash Price |
$482.17
|
| Rate for Payer: Cash Price |
$482.17
|
| Rate for Payer: Centivo All Commercial |
$396.63
|
| Rate for Payer: Cigna All Commercial |
$671.16
|
| Rate for Payer: CORVEL All Commercial |
$723.26
|
| Rate for Payer: Coventry All Commercial |
$684.38
|
| Rate for Payer: Encore All Commercial |
$715.87
|
| Rate for Payer: Frontpath All Commercial |
$715.48
|
| Rate for Payer: Humana ChoiceCare |
$671.70
|
| Rate for Payer: Humana Medicare |
$396.63
|
| Rate for Payer: Lucent All Commercial |
$396.63
|
| Rate for Payer: Lutheran Preferred All Commercial |
$699.93
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$583.28
|
| Rate for Payer: PHP All Commercial |
$589.81
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$303.30
|
| Rate for Payer: Sagamore Health Network All Products |
$600.38
|
| Rate for Payer: Signature Care EPO |
$645.49
|
| Rate for Payer: Signature Care PPO |
$684.38
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$661.04
|
| Rate for Payer: United Healthcare Commercial |
$612.83
|
| Rate for Payer: United Healthcare Medicare |
$256.64
|
|
|
HC Z SCREW 2.7X9 MD
|
Facility
IP
|
$802.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606293
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$602.21 |
| Max. Negotiated Rate |
$746.74 |
| Rate for Payer: Aetna Commercial |
$693.75
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Cigna All Commercial |
$692.95
|
| Rate for Payer: CORVEL All Commercial |
$746.74
|
| Rate for Payer: Coventry All Commercial |
$706.60
|
| Rate for Payer: Encore All Commercial |
$739.12
|
| Rate for Payer: Frontpath All Commercial |
$738.71
|
| Rate for Payer: Humana ChoiceCare |
$693.51
|
| Rate for Payer: Lutheran Preferred All Commercial |
$722.66
|
| Rate for Payer: PHCS All Commercial |
$602.21
|
| Rate for Payer: PHP All Commercial |
$608.96
|
| Rate for Payer: Sagamore Health Network All Products |
$619.88
|
| Rate for Payer: Signature Care EPO |
$666.45
|
| Rate for Payer: Signature Care PPO |
$706.60
|
| Rate for Payer: United Healthcare Commercial |
$632.72
|
|
|
HC Z SCREW 2.7X9 MD
|
Facility
OP
|
$802.95
|
|
|
Service Code
|
CPT C1713
|
| Hospital Charge Code |
41606293
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$264.97 |
| Max. Negotiated Rate |
$746.74 |
| Rate for Payer: Aetna Commercial |
$677.69
|
| Rate for Payer: Aetna Medicare |
$264.97
|
| Rate for Payer: Anthem Blue Cross of IN Medicare |
$264.97
|
| Rate for Payer: Anthem Blue Cross of IN PPO/Exchange |
$461.13
|
| Rate for Payer: Anthem Blue Cross of IN Traditional |
$501.92
|
| Rate for Payer: CareSource Indiana of IN Hoosier Healthwise |
$524.16
|
| Rate for Payer: CareSource Indiana of IN Just 4 Me |
$304.72
|
| Rate for Payer: CareSource Indiana of IN Medicare |
$291.47
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Cash Price |
$497.83
|
| Rate for Payer: Centivo All Commercial |
$409.50
|
| Rate for Payer: Cigna All Commercial |
$692.95
|
| Rate for Payer: CORVEL All Commercial |
$746.74
|
| Rate for Payer: Coventry All Commercial |
$706.60
|
| Rate for Payer: Encore All Commercial |
$739.12
|
| Rate for Payer: Frontpath All Commercial |
$738.71
|
| Rate for Payer: Humana ChoiceCare |
$693.51
|
| Rate for Payer: Humana Medicare |
$409.50
|
| Rate for Payer: Lucent All Commercial |
$409.50
|
| Rate for Payer: Lutheran Preferred All Commercial |
$722.66
|
| Rate for Payer: Managed Health Services Medicaid |
$524.16
|
| Rate for Payer: MDWise Medicaid |
$524.16
|
| Rate for Payer: PHCS All Commercial |
$602.21
|
| Rate for Payer: PHP All Commercial |
$608.96
|
| Rate for Payer: Plain Church Group Ministry All Commercial |
$313.15
|
| Rate for Payer: Sagamore Health Network All Products |
$619.88
|
| Rate for Payer: Signature Care EPO |
$666.45
|
| Rate for Payer: Signature Care PPO |
$706.60
|
| Rate for Payer: Three Rivers Preferred All Commercial |
$682.51
|
| Rate for Payer: United Healthcare Commercial |
$632.72
|
| Rate for Payer: United Healthcare Medicare |
$264.97
|
|
