|
TREAT LOWER LEG FRACTURE
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
9812782401
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$567.27 |
| 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 |
$309.73
|
| 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 |
$420.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$512.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$512.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$345.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$512.59
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$567.27
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$511.73
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$511.73
|
| Rate for Payer: Martins Point Health Care Commercial |
$310.67
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$427.01
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$300.71
|
| Rate for Payer: United Healthcare Commercial |
$462.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$300.71
|
| Rate for Payer: United Healthcare VA CCN |
$300.71
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
OP
|
$2,814.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9602782501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,246.32 |
| Max. Negotiated Rate |
$2,673.30 |
| Rate for Payer: Aetna of VT Commercial |
$2,673.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,521.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,246.32
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,521.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,694.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,391.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,279.34
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,266.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,237.13
|
| Rate for Payer: Cash Price |
$1,407.00
|
| Rate for Payer: Cigna Commercial |
$2,251.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,251.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,251.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,266.30
|
| Rate for Payer: Multiplan Commercial |
$2,617.02
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,391.90
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,266.30
|
| Rate for Payer: United Healthcare Commercial |
$2,673.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,266.30
|
| Rate for Payer: United Healthcare VA CCN |
$1,266.30
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$316.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
9602782402
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$233.87 |
| Max. Negotiated Rate |
$300.20 |
| Rate for Payer: Aetna of VT Commercial |
$300.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$233.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$233.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$268.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$265.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$252.80
|
| Rate for Payer: Cash Price |
$158.00
|
| Rate for Payer: Cigna Commercial |
$252.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$252.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$252.80
|
| Rate for Payer: Multiplan Commercial |
$293.88
|
| Rate for Payer: MVP Health Care of NY Commercial |
$268.60
|
| Rate for Payer: United Healthcare Commercial |
$300.20
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$1,069.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
5102782501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$791.17 |
| Max. Negotiated Rate |
$1,015.55 |
| Rate for Payer: Aetna of VT Commercial |
$1,015.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$791.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$791.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$908.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$897.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$855.20
|
| Rate for Payer: Cash Price |
$534.50
|
| Rate for Payer: Cigna Commercial |
$855.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$855.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$855.20
|
| Rate for Payer: Multiplan Commercial |
$994.17
|
| Rate for Payer: MVP Health Care of NY Commercial |
$908.65
|
| Rate for Payer: United Healthcare Commercial |
$1,015.55
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
OP
|
$1,745.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9602782502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$772.86 |
| Max. Negotiated Rate |
$1,657.75 |
| Rate for Payer: Aetna of VT Commercial |
$1,657.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,563.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$772.86
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,563.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,050.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,483.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,413.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$785.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,387.28
|
| Rate for Payer: Cash Price |
$872.50
|
| Rate for Payer: Cigna Commercial |
$1,396.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,396.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,396.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$785.25
|
| Rate for Payer: Multiplan Commercial |
$1,622.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,483.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$785.25
|
| Rate for Payer: United Healthcare Commercial |
$1,657.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$785.25
|
| Rate for Payer: United Healthcare VA CCN |
$785.25
|
|
|
TREAT LOWER LEG FRACTURE
|
Professional
|
Both
|
$4,017.00
|
|
|
Service Code
|
CPT 27828
|
| Hospital Charge Code |
9822782801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,239.89 |
| Max. Negotiated Rate |
$3,775.98 |
| Rate for Payer: Aetna of VT Commercial |
$3,775.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,598.83
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,277.09
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,598.83
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,735.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,836.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,836.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,425.87
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,836.19
|
| Rate for Payer: Cash Price |
$2,008.50
|
| Rate for Payer: Cash Price |
$2,008.50
|
| Rate for Payer: Cigna Commercial |
$2,360.04
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,065.97
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,065.97
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,239.89
|
| Rate for Payer: Multiplan Commercial |
$3,735.81
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,760.64
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,239.89
|
| Rate for Payer: United Healthcare Commercial |
$1,907.32
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,239.89
|
| Rate for Payer: United Healthcare VA CCN |
$1,239.89
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
OP
|
$1,069.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
5102782501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$473.46 |
| Max. Negotiated Rate |
$1,015.55 |
| Rate for Payer: Aetna of VT Commercial |
$1,015.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$957.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$473.46
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$957.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$643.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$908.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$865.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$481.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$849.86
|
| Rate for Payer: Cash Price |
$534.50
|
| Rate for Payer: Cigna Commercial |
$855.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$855.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$855.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$481.05
|
| Rate for Payer: Multiplan Commercial |
$994.17
|
| Rate for Payer: MVP Health Care of NY Commercial |
$908.65
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$481.05
|
| Rate for Payer: United Healthcare Commercial |
$1,015.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$481.05
|
| Rate for Payer: United Healthcare VA CCN |
$481.05
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
OP
|
$316.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
9822782401
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$139.96 |
| Max. Negotiated Rate |
$300.20 |
| Rate for Payer: Aetna of VT Commercial |
$300.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$283.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$139.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$283.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$190.23
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$268.60
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$255.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$142.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$251.22
|
| Rate for Payer: Cash Price |
$158.00
|
| Rate for Payer: Cigna Commercial |
$252.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$252.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$252.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$142.20
|
| Rate for Payer: Multiplan Commercial |
$293.88
|
| Rate for Payer: MVP Health Care of NY Commercial |
$268.60
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$142.20
|
| Rate for Payer: United Healthcare Commercial |
$300.20
|
| Rate for Payer: United Healthcare Medicare Advantage |
$142.20
|
| Rate for Payer: United Healthcare VA CCN |
$142.20
|
|
|
TREAT LOWER LEG FRACTURE
|
Professional
|
Both
|
$658.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
5102782401
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$300.71 |
| Max. Negotiated Rate |
$618.52 |
| Rate for Payer: Aetna of VT Commercial |
$618.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$589.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$309.73
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$589.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$420.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$512.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$512.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$345.82
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$512.59
|
| Rate for Payer: Cash Price |
$329.00
|
| Rate for Payer: Cash Price |
$329.00
|
| Rate for Payer: Cigna Commercial |
$567.27
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$511.73
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$511.73
|
| Rate for Payer: Martins Point Health Care Commercial |
$310.67
|
| Rate for Payer: Multiplan Commercial |
$611.94
|
| Rate for Payer: MVP Health Care of NY Commercial |
$427.01
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$300.71
|
| Rate for Payer: United Healthcare Commercial |
$462.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$300.71
|
| Rate for Payer: United Healthcare VA CCN |
$300.71
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$1,745.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9602782502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,291.47 |
| Max. Negotiated Rate |
$1,657.75 |
| Rate for Payer: Aetna of VT Commercial |
$1,657.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,291.47
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,291.47
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,483.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,465.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,396.00
|
| Rate for Payer: Cash Price |
$872.50
|
| Rate for Payer: Cigna Commercial |
$1,396.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,396.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,396.00
|
| Rate for Payer: Multiplan Commercial |
$1,622.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,483.25
|
| Rate for Payer: United Healthcare Commercial |
$1,657.75
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$2,814.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9602782501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,082.64 |
| Max. Negotiated Rate |
$2,673.30 |
| Rate for Payer: Aetna of VT Commercial |
$2,673.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,082.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,082.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,391.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,363.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,251.20
|
| Rate for Payer: Cash Price |
$1,407.00
|
| Rate for Payer: Cigna Commercial |
$2,251.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,251.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,251.20
|
| Rate for Payer: Multiplan Commercial |
$2,617.02
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,391.90
|
| Rate for Payer: United Healthcare Commercial |
$2,673.30
|
|
|
TREAT LOWER LEG FRACTURE
|
Professional
|
Both
|
$562.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9812782501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$473.33 |
| Max. Negotiated Rate |
$944.38 |
| Rate for Payer: Aetna of VT Commercial |
$528.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$503.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$487.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$503.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$662.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$944.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$944.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$544.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$944.38
|
| Rate for Payer: Cash Price |
$281.00
|
| Rate for Payer: Cash Price |
$281.00
|
| Rate for Payer: Cigna Commercial |
$892.85
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$876.37
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$876.37
|
| Rate for Payer: Martins Point Health Care Commercial |
$528.25
|
| Rate for Payer: Multiplan Commercial |
$522.66
|
| Rate for Payer: MVP Health Care of NY Commercial |
$672.13
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$473.33
|
| Rate for Payer: United Healthcare Commercial |
$728.12
|
| Rate for Payer: United Healthcare Medicare Advantage |
$473.33
|
| Rate for Payer: United Healthcare VA CCN |
$473.33
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
OP
|
$1,745.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9812782502
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$772.86 |
| Max. Negotiated Rate |
$1,657.75 |
| Rate for Payer: Aetna of VT Commercial |
$1,657.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,563.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$772.86
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,563.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,050.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,483.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,413.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$785.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,387.28
|
| Rate for Payer: Cash Price |
$872.50
|
| Rate for Payer: Cigna Commercial |
$1,396.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,396.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,396.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$785.25
|
| Rate for Payer: Multiplan Commercial |
$1,622.85
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,483.25
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$785.25
|
| Rate for Payer: United Healthcare Commercial |
$1,657.75
|
| Rate for Payer: United Healthcare Medicare Advantage |
$785.25
|
| Rate for Payer: United Healthcare VA CCN |
$785.25
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$1,068.12
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
4502782501
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$790.52 |
| Max. Negotiated Rate |
$1,014.71 |
| Rate for Payer: Aetna of VT Commercial |
$1,014.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$790.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$790.52
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$907.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$897.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$854.50
|
| Rate for Payer: Cash Price |
$534.06
|
| Rate for Payer: Cigna Commercial |
$854.50
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$854.50
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$854.50
|
| Rate for Payer: Multiplan Commercial |
$993.35
|
| Rate for Payer: MVP Health Care of NY Commercial |
$907.90
|
| Rate for Payer: United Healthcare Commercial |
$1,014.71
|
|
|
TREAT LOWER LEG JOINT
|
Facility
|
OP
|
$1,973.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
9822782901
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$873.84 |
| Max. Negotiated Rate |
$1,874.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,874.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,767.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$873.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,767.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,187.75
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,677.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,598.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$887.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,568.54
|
| Rate for Payer: Cash Price |
$986.50
|
| Rate for Payer: Cigna Commercial |
$1,578.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,578.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,578.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$887.85
|
| Rate for Payer: Multiplan Commercial |
$1,834.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,677.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$887.85
|
| Rate for Payer: United Healthcare Commercial |
$1,874.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$887.85
|
| Rate for Payer: United Healthcare VA CCN |
$887.85
|
|
|
TREAT LOWER LEG JOINT
|
Facility
|
IP
|
$1,973.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
9822782901
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,460.22 |
| Max. Negotiated Rate |
$1,874.35 |
| Rate for Payer: Aetna of VT Commercial |
$1,874.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,460.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,460.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,677.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,657.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,578.40
|
| Rate for Payer: Cash Price |
$986.50
|
| Rate for Payer: Cigna Commercial |
$1,578.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,578.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,578.40
|
| Rate for Payer: Multiplan Commercial |
$1,834.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,677.05
|
| Rate for Payer: United Healthcare Commercial |
$1,874.35
|
|
|
TREAT LOWER LEG JOINT
|
Professional
|
Both
|
$1,973.00
|
|
|
Service Code
|
CPT 27829
|
| Hospital Charge Code |
9822782901
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$667.84 |
| Max. Negotiated Rate |
$1,854.62 |
| Rate for Payer: Aetna of VT Commercial |
$1,854.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,767.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$687.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,767.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$934.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$940.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$940.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$768.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$940.67
|
| Rate for Payer: Cash Price |
$986.50
|
| Rate for Payer: Cash Price |
$986.50
|
| Rate for Payer: Cigna Commercial |
$1,274.14
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,105.76
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,105.76
|
| Rate for Payer: Martins Point Health Care Commercial |
$667.84
|
| Rate for Payer: Multiplan Commercial |
$1,834.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$948.33
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$667.84
|
| Rate for Payer: United Healthcare Commercial |
$1,027.34
|
| Rate for Payer: United Healthcare Medicare Advantage |
$667.84
|
| Rate for Payer: United Healthcare VA CCN |
$667.84
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$934.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9602781002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$413.67 |
| Max. Negotiated Rate |
$887.30 |
| Rate for Payer: Aetna of VT Commercial |
$887.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$836.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$413.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$836.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$562.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$793.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$756.54
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$420.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$742.53
|
| Rate for Payer: Cash Price |
$467.00
|
| Rate for Payer: Cigna Commercial |
$747.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$747.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$747.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$420.30
|
| Rate for Payer: Multiplan Commercial |
$868.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$793.90
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$420.30
|
| Rate for Payer: United Healthcare Commercial |
$887.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$420.30
|
| Rate for Payer: United Healthcare VA CCN |
$420.30
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9812778601
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$536.05 |
| 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 |
$291.06
|
| 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 |
$395.61
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$454.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$454.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$324.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$454.64
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$536.05
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$507.62
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$507.62
|
| Rate for Payer: Martins Point Health Care Commercial |
$309.57
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$401.26
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$282.58
|
| Rate for Payer: United Healthcare Commercial |
$434.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$282.58
|
| Rate for Payer: United Healthcare VA CCN |
$282.58
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$1,411.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9812781802
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$624.93 |
| Max. Negotiated Rate |
$1,340.45 |
| Rate for Payer: Aetna of VT Commercial |
$1,340.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,264.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$624.93
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,264.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$849.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,199.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,142.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$634.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,121.74
|
| Rate for Payer: Cash Price |
$705.50
|
| Rate for Payer: Cigna Commercial |
$1,128.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,128.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,128.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$634.95
|
| Rate for Payer: Multiplan Commercial |
$1,312.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,199.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$634.95
|
| Rate for Payer: United Healthcare Commercial |
$1,340.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$634.95
|
| Rate for Payer: United Healthcare VA CCN |
$634.95
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$304.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
5102778601
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$134.64 |
| Max. Negotiated Rate |
$288.80 |
| Rate for Payer: Aetna of VT Commercial |
$288.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$272.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$134.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$272.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$183.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$258.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$246.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$136.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$241.68
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cigna Commercial |
$243.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$243.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$243.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$136.80
|
| Rate for Payer: Multiplan Commercial |
$282.72
|
| Rate for Payer: MVP Health Care of NY Commercial |
$258.40
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$136.80
|
| Rate for Payer: United Healthcare Commercial |
$288.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$136.80
|
| Rate for Payer: United Healthcare VA CCN |
$136.80
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$2,706.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
9822779201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$2,002.71 |
| Max. Negotiated Rate |
$2,570.70 |
| Rate for Payer: Aetna of VT Commercial |
$2,570.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,002.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,002.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,300.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,273.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,164.80
|
| Rate for Payer: Cash Price |
$1,353.00
|
| Rate for Payer: Cigna Commercial |
$2,164.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,164.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,164.80
|
| Rate for Payer: Multiplan Commercial |
$2,516.58
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,300.10
|
| Rate for Payer: United Healthcare Commercial |
$2,570.70
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$1,411.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9822781801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,044.28 |
| Max. Negotiated Rate |
$1,340.45 |
| Rate for Payer: Aetna of VT Commercial |
$1,340.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,044.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,044.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,199.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,185.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,128.80
|
| Rate for Payer: Cash Price |
$705.50
|
| Rate for Payer: Cigna Commercial |
$1,128.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,128.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,128.80
|
| Rate for Payer: Multiplan Commercial |
$1,312.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,199.35
|
| Rate for Payer: United Healthcare Commercial |
$1,340.45
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$861.00
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
9812781602
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$381.34 |
| Max. Negotiated Rate |
$817.95 |
| Rate for Payer: Aetna of VT Commercial |
$817.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$771.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$381.34
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$771.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$518.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$731.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$697.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$387.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$684.50
|
| Rate for Payer: Cash Price |
$430.50
|
| Rate for Payer: Cigna Commercial |
$688.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$688.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$688.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$387.45
|
| Rate for Payer: Multiplan Commercial |
$800.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$731.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$387.45
|
| Rate for Payer: United Healthcare Commercial |
$817.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$387.45
|
| Rate for Payer: United Healthcare VA CCN |
$387.45
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$1,463.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9602781001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,082.77 |
| Max. Negotiated Rate |
$1,389.85 |
| Rate for Payer: Aetna of VT Commercial |
$1,389.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,082.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,082.77
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,243.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,228.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,170.40
|
| Rate for Payer: Cash Price |
$731.50
|
| Rate for Payer: Cigna Commercial |
$1,170.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,170.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,170.40
|
| Rate for Payer: Multiplan Commercial |
$1,360.59
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,243.55
|
| Rate for Payer: United Healthcare Commercial |
$1,389.85
|
|
