|
INSERTION CATHETER ARTERY
|
Facility
|
OP
|
$373.00
|
|
|
Service Code
|
CPT 36620
|
| Hospital Charge Code |
9823662001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$165.20 |
| Max. Negotiated Rate |
$354.35 |
| Rate for Payer: Aetna of VT Commercial |
$354.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$334.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$165.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$334.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$224.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$302.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$167.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.54
|
| Rate for Payer: Cash Price |
$186.50
|
| Rate for Payer: Cigna Commercial |
$298.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$298.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$298.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$167.85
|
| Rate for Payer: Multiplan Commercial |
$346.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$317.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$167.85
|
| Rate for Payer: United Healthcare Commercial |
$354.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$167.85
|
| Rate for Payer: United Healthcare VA CCN |
$167.85
|
|
|
INSERTION CATHETER ARTERY
|
Professional
|
Both
|
$373.00
|
|
|
Service Code
|
CPT 36620
|
| Hospital Charge Code |
9813662001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$40.43 |
| Max. Negotiated Rate |
$350.62 |
| Rate for Payer: Aetna of VT Commercial |
$350.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$334.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$41.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$334.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$56.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$78.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$78.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$46.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$78.82
|
| Rate for Payer: Cash Price |
$186.50
|
| Rate for Payer: Cash Price |
$186.50
|
| Rate for Payer: Cigna Commercial |
$74.75
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$66.35
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$66.35
|
| Rate for Payer: Martins Point Health Care Commercial |
$40.44
|
| Rate for Payer: Multiplan Commercial |
$346.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$57.41
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$40.43
|
| Rate for Payer: United Healthcare Commercial |
$62.19
|
| Rate for Payer: United Healthcare Medicare Advantage |
$40.43
|
| Rate for Payer: United Healthcare VA CCN |
$40.43
|
|
|
INSERTION CATHETER ARTERY
|
Facility
|
OP
|
$373.00
|
|
|
Service Code
|
CPT 36620
|
| Hospital Charge Code |
9813662001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$165.20 |
| Max. Negotiated Rate |
$354.35 |
| Rate for Payer: Aetna of VT Commercial |
$354.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$334.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$165.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$334.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$224.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$317.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$302.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$167.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$296.54
|
| Rate for Payer: Cash Price |
$186.50
|
| Rate for Payer: Cigna Commercial |
$298.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$298.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$298.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$167.85
|
| Rate for Payer: Multiplan Commercial |
$346.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$317.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$167.85
|
| Rate for Payer: United Healthcare Commercial |
$354.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$167.85
|
| Rate for Payer: United Healthcare VA CCN |
$167.85
|
|
|
INSERTION OF CATHETER VEIN
|
Professional
|
Both
|
$265.74
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
3003651001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$48.96 |
| Max. Negotiated Rate |
$249.80 |
| Rate for Payer: Aetna of VT Commercial |
$249.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$238.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$50.43
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$238.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$68.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$216.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$216.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$56.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$216.10
|
| Rate for Payer: Cash Price |
$132.87
|
| Rate for Payer: Cash Price |
$132.87
|
| Rate for Payer: Cigna Commercial |
$91.03
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$131.67
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$131.67
|
| Rate for Payer: Martins Point Health Care Commercial |
$81.40
|
| Rate for Payer: Multiplan Commercial |
$247.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$69.52
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$48.96
|
| Rate for Payer: United Healthcare Commercial |
$75.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48.96
|
| Rate for Payer: United Healthcare VA CCN |
$48.96
|
|
|
INSERTION OF CATHETER VEIN
|
Facility
|
IP
|
$174.75
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
7613651001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$129.33 |
| Max. Negotiated Rate |
$166.01 |
| Rate for Payer: Aetna of VT Commercial |
$166.01
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$129.33
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$129.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$148.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$146.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$139.80
|
| Rate for Payer: Cash Price |
$87.38
|
| Rate for Payer: Cigna Commercial |
$139.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$139.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$139.80
|
| Rate for Payer: Multiplan Commercial |
$162.52
|
| Rate for Payer: MVP Health Care of NY Commercial |
$148.54
|
| Rate for Payer: United Healthcare Commercial |
$166.01
|
|
|
INSERTION OF CATHETER VEIN
|
Facility
|
OP
|
$174.75
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
7613651001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$77.40 |
| Max. Negotiated Rate |
$166.01 |
| Rate for Payer: Aetna of VT Commercial |
$166.01
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$156.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$77.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$156.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$105.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$148.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$141.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$78.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$138.93
|
| Rate for Payer: Cash Price |
$87.38
|
| Rate for Payer: Cigna Commercial |
$139.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$139.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$139.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$78.64
|
| Rate for Payer: Multiplan Commercial |
$162.52
|
| Rate for Payer: MVP Health Care of NY Commercial |
$148.54
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$78.64
|
| Rate for Payer: United Healthcare Commercial |
$166.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$78.64
|
| Rate for Payer: United Healthcare VA CCN |
$78.64
|
|
|
INSERTION OF CATHETER VEIN
|
Facility
|
IP
|
$240.00
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
9823651001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$177.62 |
| Max. Negotiated Rate |
$228.00 |
| Rate for Payer: Aetna of VT Commercial |
$228.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$177.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$177.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$204.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$201.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$192.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cigna Commercial |
$192.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$192.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$192.00
|
| Rate for Payer: Multiplan Commercial |
$223.20
|
| Rate for Payer: MVP Health Care of NY Commercial |
$204.00
|
| Rate for Payer: United Healthcare Commercial |
$228.00
|
|
|
INSERTION OF CATHETER VEIN
|
Professional
|
Both
|
$240.00
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
9823651001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$48.96 |
| Max. Negotiated Rate |
$225.60 |
| Rate for Payer: Aetna of VT Commercial |
$225.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$215.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$50.43
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$215.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$68.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$216.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$216.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$56.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$216.10
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cigna Commercial |
$91.03
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$131.67
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$131.67
|
| Rate for Payer: Martins Point Health Care Commercial |
$81.40
|
| Rate for Payer: Multiplan Commercial |
$223.20
|
| Rate for Payer: MVP Health Care of NY Commercial |
$69.52
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$48.96
|
| Rate for Payer: United Healthcare Commercial |
$75.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48.96
|
| Rate for Payer: United Healthcare VA CCN |
$48.96
|
|
|
INSERTION OF CATHETER VEIN
|
Facility
|
OP
|
$265.74
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
3003651001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$48.96 |
| Max. Negotiated Rate |
$252.45 |
| Rate for Payer: Aetna of VT Commercial |
$252.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$238.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$117.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$238.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$159.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$225.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$215.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$119.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$211.26
|
| Rate for Payer: Cash Price |
$132.87
|
| Rate for Payer: Cash Price |
$132.87
|
| Rate for Payer: Cigna Commercial |
$212.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$212.59
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$212.59
|
| Rate for Payer: Martins Point Health Care Commercial |
$119.58
|
| Rate for Payer: Multiplan Commercial |
$247.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$225.88
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$119.58
|
| Rate for Payer: United Healthcare Commercial |
$252.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$48.96
|
| Rate for Payer: United Healthcare VA CCN |
$119.58
|
|
|
INSERTION OF CATHETER VEIN
|
Facility
|
IP
|
$265.74
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
3003651001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$196.67 |
| Max. Negotiated Rate |
$252.45 |
| Rate for Payer: Aetna of VT Commercial |
$252.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$196.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$196.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$225.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$223.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$212.59
|
| Rate for Payer: Cash Price |
$132.87
|
| Rate for Payer: Cigna Commercial |
$212.59
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$212.59
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$212.59
|
| Rate for Payer: Multiplan Commercial |
$247.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$225.88
|
| Rate for Payer: United Healthcare Commercial |
$252.45
|
|
|
INSERTION OF CATHETER VEIN
|
Facility
|
OP
|
$240.00
|
|
|
Service Code
|
CPT 36510
|
| Hospital Charge Code |
9823651001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$106.30 |
| Max. Negotiated Rate |
$228.00 |
| Rate for Payer: Aetna of VT Commercial |
$228.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$215.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$106.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$215.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$144.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$204.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$194.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$108.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$190.80
|
| Rate for Payer: Cash Price |
$120.00
|
| Rate for Payer: Cigna Commercial |
$192.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$192.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$192.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$108.00
|
| Rate for Payer: Multiplan Commercial |
$223.20
|
| Rate for Payer: MVP Health Care of NY Commercial |
$204.00
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$108.00
|
| Rate for Payer: United Healthcare Commercial |
$228.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$108.00
|
| Rate for Payer: United Healthcare VA CCN |
$108.00
|
|
|
INSERTION OF CHEST TUBE
|
Professional
|
Both
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9813255102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$140.62 |
| Max. Negotiated Rate |
$580.92 |
| Rate for Payer: Aetna of VT Commercial |
$580.92
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$144.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$196.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$208.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$208.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$161.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$208.40
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$255.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$237.10
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$237.10
|
| Rate for Payer: Martins Point Health Care Commercial |
$140.62
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$199.68
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$140.62
|
| Rate for Payer: United Healthcare Commercial |
$216.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$140.62
|
| Rate for Payer: United Healthcare VA CCN |
$140.62
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
OP
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9813255102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$587.10 |
| Rate for Payer: Aetna of VT Commercial |
$587.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$273.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$372.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$525.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$500.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$278.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$491.31
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$494.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$278.10
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$525.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$278.10
|
| Rate for Payer: United Healthcare Commercial |
$587.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$278.10
|
| Rate for Payer: United Healthcare VA CCN |
$278.10
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
IP
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9823255101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$457.38 |
| Max. Negotiated Rate |
$587.10 |
| Rate for Payer: Aetna of VT Commercial |
$587.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$457.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$457.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$525.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$519.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$494.40
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$494.40
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$525.30
|
| Rate for Payer: United Healthcare Commercial |
$587.10
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
IP
|
$872.70
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
4503255101
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$645.89 |
| Max. Negotiated Rate |
$829.07 |
| Rate for Payer: Aetna of VT Commercial |
$829.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$645.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$645.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$741.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$733.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$698.16
|
| Rate for Payer: Cash Price |
$436.35
|
| Rate for Payer: Cigna Commercial |
$698.16
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$698.16
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$698.16
|
| Rate for Payer: Multiplan Commercial |
$811.61
|
| Rate for Payer: MVP Health Care of NY Commercial |
$741.79
|
| Rate for Payer: United Healthcare Commercial |
$829.07
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
OP
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9813255101
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$587.10 |
| Rate for Payer: Aetna of VT Commercial |
$587.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$273.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$372.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$525.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$500.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$278.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$491.31
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$494.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$278.10
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$525.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$278.10
|
| Rate for Payer: United Healthcare Commercial |
$587.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$278.10
|
| Rate for Payer: United Healthcare VA CCN |
$278.10
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
OP
|
$872.70
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
4503255101
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$386.52 |
| Max. Negotiated Rate |
$829.07 |
| Rate for Payer: Aetna of VT Commercial |
$829.07
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$781.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$386.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$781.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$525.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$741.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$706.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$392.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$693.80
|
| Rate for Payer: Cash Price |
$436.35
|
| Rate for Payer: Cigna Commercial |
$698.16
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$698.16
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$698.16
|
| Rate for Payer: Martins Point Health Care Commercial |
$392.71
|
| Rate for Payer: Multiplan Commercial |
$811.61
|
| Rate for Payer: MVP Health Care of NY Commercial |
$741.79
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$392.71
|
| Rate for Payer: United Healthcare Commercial |
$829.07
|
| Rate for Payer: United Healthcare Medicare Advantage |
$392.71
|
| Rate for Payer: United Healthcare VA CCN |
$392.71
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
IP
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9813255101
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$457.38 |
| Max. Negotiated Rate |
$587.10 |
| Rate for Payer: Aetna of VT Commercial |
$587.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$457.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$457.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$525.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$519.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$494.40
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$494.40
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$525.30
|
| Rate for Payer: United Healthcare Commercial |
$587.10
|
|
|
INSERTION OF CHEST TUBE
|
Professional
|
Both
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9813255101
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$140.62 |
| Max. Negotiated Rate |
$580.92 |
| Rate for Payer: Aetna of VT Commercial |
$580.92
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$144.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$196.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$208.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$208.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$161.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$208.40
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$255.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$237.10
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$237.10
|
| Rate for Payer: Martins Point Health Care Commercial |
$140.62
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$199.68
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$140.62
|
| Rate for Payer: United Healthcare Commercial |
$216.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$140.62
|
| Rate for Payer: United Healthcare VA CCN |
$140.62
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
IP
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9813255102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$457.38 |
| Max. Negotiated Rate |
$587.10 |
| Rate for Payer: Aetna of VT Commercial |
$587.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$457.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$457.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$525.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$519.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$494.40
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$494.40
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$525.30
|
| Rate for Payer: United Healthcare Commercial |
$587.10
|
|
|
INSERTION OF CHEST TUBE
|
Professional
|
Both
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9823255101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$140.62 |
| Max. Negotiated Rate |
$580.92 |
| Rate for Payer: Aetna of VT Commercial |
$580.92
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$144.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$196.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$208.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$208.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$161.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$208.40
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$255.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$237.10
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$237.10
|
| Rate for Payer: Martins Point Health Care Commercial |
$140.62
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$199.68
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$140.62
|
| Rate for Payer: United Healthcare Commercial |
$216.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$140.62
|
| Rate for Payer: United Healthcare VA CCN |
$140.62
|
|
|
INSERTION OF CHEST TUBE
|
Facility
|
OP
|
$618.00
|
|
|
Service Code
|
CPT 32551
|
| Hospital Charge Code |
9823255101
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$273.71 |
| Max. Negotiated Rate |
$587.10 |
| Rate for Payer: Aetna of VT Commercial |
$587.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$273.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$553.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$372.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$525.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$500.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$278.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$491.31
|
| Rate for Payer: Cash Price |
$309.00
|
| Rate for Payer: Cigna Commercial |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$494.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$494.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$278.10
|
| Rate for Payer: Multiplan Commercial |
$574.74
|
| Rate for Payer: MVP Health Care of NY Commercial |
$525.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$278.10
|
| Rate for Payer: United Healthcare Commercial |
$587.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$278.10
|
| Rate for Payer: United Healthcare VA CCN |
$278.10
|
|
|
INSERT NEEDLE BONE CAVITY
|
Facility
|
OP
|
$199.56
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
4503668001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$88.39 |
| Max. Negotiated Rate |
$189.58 |
| Rate for Payer: Aetna of VT Commercial |
$189.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$178.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$88.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$178.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$120.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$169.63
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$161.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$89.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$158.65
|
| Rate for Payer: Cash Price |
$99.78
|
| Rate for Payer: Cigna Commercial |
$159.65
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$159.65
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$159.65
|
| Rate for Payer: Martins Point Health Care Commercial |
$89.80
|
| Rate for Payer: Multiplan Commercial |
$185.59
|
| Rate for Payer: MVP Health Care of NY Commercial |
$169.63
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$89.80
|
| Rate for Payer: United Healthcare Commercial |
$189.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$89.80
|
| Rate for Payer: United Healthcare VA CCN |
$89.80
|
|
|
INSERT NEEDLE BONE CAVITY
|
Professional
|
Both
|
$214.00
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
9813668002
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$54.22 |
| Max. Negotiated Rate |
$201.16 |
| Rate for Payer: Aetna of VT Commercial |
$201.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$191.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$55.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$191.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$75.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$138.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$138.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$62.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$138.28
|
| Rate for Payer: Cash Price |
$107.00
|
| Rate for Payer: Cash Price |
$107.00
|
| Rate for Payer: Cigna Commercial |
$98.95
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$91.54
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$91.54
|
| Rate for Payer: Martins Point Health Care Commercial |
$54.22
|
| Rate for Payer: Multiplan Commercial |
$199.02
|
| Rate for Payer: MVP Health Care of NY Commercial |
$76.99
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$54.22
|
| Rate for Payer: United Healthcare Commercial |
$83.41
|
| Rate for Payer: United Healthcare Medicare Advantage |
$54.22
|
| Rate for Payer: United Healthcare VA CCN |
$54.22
|
|
|
INSERT NEEDLE BONE CAVITY
|
Facility
|
IP
|
$214.00
|
|
|
Service Code
|
CPT 36680
|
| Hospital Charge Code |
9813668001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$158.38 |
| Max. Negotiated Rate |
$203.30 |
| Rate for Payer: Aetna of VT Commercial |
$203.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$158.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$158.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$181.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$179.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$171.20
|
| Rate for Payer: Cash Price |
$107.00
|
| Rate for Payer: Cigna Commercial |
$171.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$171.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$171.20
|
| Rate for Payer: Multiplan Commercial |
$199.02
|
| Rate for Payer: MVP Health Care of NY Commercial |
$181.90
|
| Rate for Payer: United Healthcare Commercial |
$203.30
|
|
