|
TREAT KNEECAP FRACTURE
|
Facility
|
IP
|
$2,456.00
|
|
|
Service Code
|
CPT 27524
|
| Hospital Charge Code |
9822752401
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,817.69 |
| Max. Negotiated Rate |
$2,333.20 |
| Rate for Payer: Aetna of VT Commercial |
$2,333.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,817.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,817.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,087.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,063.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,964.80
|
| Rate for Payer: Cash Price |
$1,228.00
|
| Rate for Payer: Cigna Commercial |
$1,964.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,964.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,964.80
|
| Rate for Payer: Multiplan Commercial |
$2,284.08
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,087.60
|
| Rate for Payer: United Healthcare Commercial |
$2,333.20
|
|
|
TREAT KNEECAP FRACTURE
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 27520
|
| Hospital Charge Code |
9812752001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$0.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$0.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.81
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$0.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$0.45
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare VA CCN |
$0.45
|
|
|
TREAT KNEECAP FRACTURE
|
Facility
|
IP
|
$260.00
|
|
|
Service Code
|
CPT 27520
|
| Hospital Charge Code |
5102752001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$192.43 |
| Max. Negotiated Rate |
$247.00 |
| Rate for Payer: Aetna of VT Commercial |
$247.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$192.43
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$192.43
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$221.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$218.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$208.00
|
| Rate for Payer: Cash Price |
$130.00
|
| Rate for Payer: Cigna Commercial |
$208.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$208.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$208.00
|
| Rate for Payer: Multiplan Commercial |
$241.80
|
| Rate for Payer: MVP Health Care of NY Commercial |
$221.00
|
| Rate for Payer: United Healthcare Commercial |
$247.00
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$1,267.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9822753201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$554.60 |
| Max. Negotiated Rate |
$1,190.98 |
| Rate for Payer: Aetna of VT Commercial |
$1,190.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$571.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$776.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$637.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,086.37
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cigna Commercial |
$1,049.13
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$990.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$990.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$596.36
|
| Rate for Payer: Multiplan Commercial |
$1,178.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$787.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare Commercial |
$853.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare VA CCN |
$554.60
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
IP
|
$2,688.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
5102753201
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1,989.39 |
| Max. Negotiated Rate |
$2,553.60 |
| Rate for Payer: Aetna of VT Commercial |
$2,553.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,989.39
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,989.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,284.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,257.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,150.40
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cigna Commercial |
$2,150.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,150.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,150.40
|
| Rate for Payer: Multiplan Commercial |
$2,499.84
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,284.80
|
| Rate for Payer: United Healthcare Commercial |
$2,553.60
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
IP
|
$2,687.76
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
4502753201
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,989.21 |
| Max. Negotiated Rate |
$2,553.37 |
| Rate for Payer: Aetna of VT Commercial |
$2,553.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,989.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,989.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,284.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,257.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,150.21
|
| Rate for Payer: Cash Price |
$1,343.88
|
| Rate for Payer: Cigna Commercial |
$2,150.21
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,150.21
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,150.21
|
| Rate for Payer: Multiplan Commercial |
$2,499.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,284.60
|
| Rate for Payer: United Healthcare Commercial |
$2,553.37
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$3,585.00
|
|
|
Service Code
|
CPT 27536
|
| Hospital Charge Code |
9822753601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,110.35 |
| Max. Negotiated Rate |
$3,369.90 |
| Rate for Payer: Aetna of VT Commercial |
$3,369.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,211.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,143.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,211.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,554.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,614.78
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,614.78
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,276.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,614.78
|
| Rate for Payer: Cash Price |
$1,792.50
|
| Rate for Payer: Cash Price |
$1,792.50
|
| Rate for Payer: Cigna Commercial |
$2,102.64
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,858.17
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,858.17
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,110.35
|
| Rate for Payer: Multiplan Commercial |
$3,334.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,576.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,110.35
|
| Rate for Payer: United Healthcare Commercial |
$1,708.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,110.35
|
| Rate for Payer: United Healthcare VA CCN |
$1,110.35
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9812753201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.44 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$0.44
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$0.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.81
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$0.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$0.45
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$0.45
|
| Rate for Payer: United Healthcare VA CCN |
$0.45
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9812753201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$1,086.37 |
| Rate for Payer: Aetna of VT Commercial |
$0.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$571.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$776.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$637.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,086.37
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$1,049.13
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$990.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$990.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$596.36
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$787.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare Commercial |
$853.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare VA CCN |
$554.60
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
IP
|
$3,955.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9602753201
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,927.10 |
| Max. Negotiated Rate |
$3,757.25 |
| Rate for Payer: Aetna of VT Commercial |
$3,757.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,927.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,927.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,361.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,322.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,164.00
|
| Rate for Payer: Cash Price |
$1,977.50
|
| Rate for Payer: Cigna Commercial |
$3,164.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$3,164.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$3,164.00
|
| Rate for Payer: Multiplan Commercial |
$3,678.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,361.75
|
| Rate for Payer: United Healthcare Commercial |
$3,757.25
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
OP
|
$2,687.76
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
4502753201
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,190.41 |
| Max. Negotiated Rate |
$2,553.37 |
| Rate for Payer: Aetna of VT Commercial |
$2,553.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,407.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,190.41
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,407.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,618.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,284.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,177.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,209.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,136.77
|
| Rate for Payer: Cash Price |
$1,343.88
|
| Rate for Payer: Cigna Commercial |
$2,150.21
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,150.21
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,150.21
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,209.49
|
| Rate for Payer: Multiplan Commercial |
$2,499.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,284.60
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,209.49
|
| Rate for Payer: United Healthcare Commercial |
$2,553.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,209.49
|
| Rate for Payer: United Healthcare VA CCN |
$1,209.49
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
OP
|
$1,267.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9602753202
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$561.15 |
| Max. Negotiated Rate |
$1,203.65 |
| Rate for Payer: Aetna of VT Commercial |
$1,203.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$561.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$762.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,076.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,026.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$570.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,007.26
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cigna Commercial |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,013.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$570.15
|
| Rate for Payer: Multiplan Commercial |
$1,178.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,076.95
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$570.15
|
| Rate for Payer: United Healthcare Commercial |
$1,203.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$570.15
|
| Rate for Payer: United Healthcare VA CCN |
$570.15
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
IP
|
$1,267.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9602753202
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$937.71 |
| Max. Negotiated Rate |
$1,203.65 |
| Rate for Payer: Aetna of VT Commercial |
$1,203.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$937.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$937.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,076.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,064.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,013.60
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cigna Commercial |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,013.60
|
| Rate for Payer: Multiplan Commercial |
$1,178.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,076.95
|
| Rate for Payer: United Healthcare Commercial |
$1,203.65
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
IP
|
$2,807.00
|
|
|
Service Code
|
CPT 27540
|
| Hospital Charge Code |
9822754001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$2,077.46 |
| Max. Negotiated Rate |
$2,666.65 |
| Rate for Payer: Aetna of VT Commercial |
$2,666.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,077.46
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,077.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,385.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,357.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,245.60
|
| Rate for Payer: Cash Price |
$1,403.50
|
| Rate for Payer: Cigna Commercial |
$2,245.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,245.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,245.60
|
| Rate for Payer: Multiplan Commercial |
$2,610.51
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,385.95
|
| Rate for Payer: United Healthcare Commercial |
$2,666.65
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9812753201
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.74 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
OP
|
$3,585.00
|
|
|
Service Code
|
CPT 27536
|
| Hospital Charge Code |
9822753601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,587.80 |
| Max. Negotiated Rate |
$3,405.75 |
| Rate for Payer: Aetna of VT Commercial |
$3,405.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,211.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,587.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,211.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$2,158.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,047.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,903.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,613.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,850.07
|
| Rate for Payer: Cash Price |
$1,792.50
|
| Rate for Payer: Cigna Commercial |
$2,868.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,868.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,868.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,613.25
|
| Rate for Payer: Multiplan Commercial |
$3,334.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,047.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,613.25
|
| Rate for Payer: United Healthcare Commercial |
$3,405.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,613.25
|
| Rate for Payer: United Healthcare VA CCN |
$1,613.25
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$2,688.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
5102753201
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$554.60 |
| Max. Negotiated Rate |
$2,526.72 |
| Rate for Payer: Aetna of VT Commercial |
$2,526.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,408.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$571.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,408.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$776.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$637.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,086.37
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cigna Commercial |
$1,049.13
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$990.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$990.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$596.36
|
| Rate for Payer: Multiplan Commercial |
$2,499.84
|
| Rate for Payer: MVP Health Care of NY Commercial |
$787.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare Commercial |
$853.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare VA CCN |
$554.60
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$3,955.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9602753201
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$554.60 |
| Max. Negotiated Rate |
$3,717.70 |
| Rate for Payer: Aetna of VT Commercial |
$3,717.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,543.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$571.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,543.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$776.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$637.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,086.37
|
| Rate for Payer: Cash Price |
$1,977.50
|
| Rate for Payer: Cash Price |
$1,977.50
|
| Rate for Payer: Cigna Commercial |
$1,049.13
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$990.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$990.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$596.36
|
| Rate for Payer: Multiplan Commercial |
$3,678.15
|
| Rate for Payer: MVP Health Care of NY Commercial |
$787.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare Commercial |
$853.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare VA CCN |
$554.60
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$2,807.00
|
|
|
Service Code
|
CPT 27540
|
| Hospital Charge Code |
9822754001
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$768.62 |
| Max. Negotiated Rate |
$2,638.58 |
| Rate for Payer: Aetna of VT Commercial |
$2,638.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,514.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$791.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,514.79
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,076.07
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,382.06
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,382.06
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$883.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,382.06
|
| Rate for Payer: Cash Price |
$1,403.50
|
| Rate for Payer: Cash Price |
$1,403.50
|
| Rate for Payer: Cigna Commercial |
$1,452.88
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,283.19
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,283.19
|
| Rate for Payer: Martins Point Health Care Commercial |
$768.62
|
| Rate for Payer: Multiplan Commercial |
$2,610.51
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,091.44
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$768.62
|
| Rate for Payer: United Healthcare Commercial |
$1,182.37
|
| Rate for Payer: United Healthcare Medicare Advantage |
$768.62
|
| Rate for Payer: United Healthcare VA CCN |
$768.62
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
OP
|
$1,267.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9812753202
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$561.15 |
| Max. Negotiated Rate |
$1,203.65 |
| Rate for Payer: Aetna of VT Commercial |
$1,203.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$561.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$762.73
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,076.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,026.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$570.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,007.26
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cigna Commercial |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,013.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$570.15
|
| Rate for Payer: Multiplan Commercial |
$1,178.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,076.95
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$570.15
|
| Rate for Payer: United Healthcare Commercial |
$1,203.65
|
| Rate for Payer: United Healthcare Medicare Advantage |
$570.15
|
| Rate for Payer: United Healthcare VA CCN |
$570.15
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$1,267.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9812753202
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$554.60 |
| Max. Negotiated Rate |
$1,190.98 |
| Rate for Payer: Aetna of VT Commercial |
$1,190.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$571.24
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,135.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$776.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,086.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$637.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,086.37
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cigna Commercial |
$1,049.13
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$990.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$990.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$596.36
|
| Rate for Payer: Multiplan Commercial |
$1,178.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$787.53
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare Commercial |
$853.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$554.60
|
| Rate for Payer: United Healthcare VA CCN |
$554.60
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
IP
|
$1,267.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
9822753201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$937.71 |
| Max. Negotiated Rate |
$1,203.65 |
| Rate for Payer: Aetna of VT Commercial |
$1,203.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$937.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$937.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,076.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,064.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,013.60
|
| Rate for Payer: Cash Price |
$633.50
|
| Rate for Payer: Cigna Commercial |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,013.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,013.60
|
| Rate for Payer: Multiplan Commercial |
$1,178.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,076.95
|
| Rate for Payer: United Healthcare Commercial |
$1,203.65
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
OP
|
$2,688.00
|
|
|
Service Code
|
CPT 27532
|
| Hospital Charge Code |
5102753201
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1,190.52 |
| Max. Negotiated Rate |
$2,553.60 |
| Rate for Payer: Aetna of VT Commercial |
$2,553.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,408.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,190.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,408.18
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,618.18
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,284.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,177.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,209.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,136.96
|
| Rate for Payer: Cash Price |
$1,344.00
|
| Rate for Payer: Cigna Commercial |
$2,150.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,150.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,150.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,209.60
|
| Rate for Payer: Multiplan Commercial |
$2,499.84
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,284.80
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,209.60
|
| Rate for Payer: United Healthcare Commercial |
$2,553.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,209.60
|
| Rate for Payer: United Healthcare VA CCN |
$1,209.60
|
|
|
TREAT KNEE FRACTURE
|
Professional
|
Both
|
$3,004.00
|
|
|
Service Code
|
CPT 27535
|
| Hospital Charge Code |
9822753501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$836.04 |
| Max. Negotiated Rate |
$2,823.76 |
| Rate for Payer: Aetna of VT Commercial |
$2,823.76
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,691.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$861.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,691.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,170.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,333.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,333.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$961.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,333.28
|
| Rate for Payer: Cash Price |
$1,502.00
|
| Rate for Payer: Cash Price |
$1,502.00
|
| Rate for Payer: Cigna Commercial |
$1,585.12
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,400.97
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,400.97
|
| Rate for Payer: Martins Point Health Care Commercial |
$836.04
|
| Rate for Payer: Multiplan Commercial |
$2,793.72
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,187.18
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$836.04
|
| Rate for Payer: United Healthcare Commercial |
$1,286.08
|
| Rate for Payer: United Healthcare Medicare Advantage |
$836.04
|
| Rate for Payer: United Healthcare VA CCN |
$836.04
|
|
|
TREAT KNEE FRACTURE
|
Facility
|
OP
|
$3,004.00
|
|
|
Service Code
|
CPT 27535
|
| Hospital Charge Code |
9822753501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,330.47 |
| Max. Negotiated Rate |
$2,853.80 |
| Rate for Payer: Aetna of VT Commercial |
$2,853.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,691.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,330.47
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,691.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,808.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,553.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,433.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,351.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,388.18
|
| Rate for Payer: Cash Price |
$1,502.00
|
| Rate for Payer: Cigna Commercial |
$2,403.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,403.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,403.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,351.80
|
| Rate for Payer: Multiplan Commercial |
$2,793.72
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,553.40
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,351.80
|
| Rate for Payer: United Healthcare Commercial |
$2,853.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,351.80
|
| Rate for Payer: United Healthcare VA CCN |
$1,351.80
|
|
