|
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
|
IP
|
$3,437.00
|
|
|
Service Code
|
CPT 27827
|
| Hospital Charge Code |
9822782701
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$2,543.72 |
| Max. Negotiated Rate |
$3,265.15 |
| Rate for Payer: Aetna of VT Commercial |
$3,265.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,543.72
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,543.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,921.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,887.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,749.60
|
| Rate for Payer: Cash Price |
$1,718.50
|
| Rate for Payer: Cigna Commercial |
$2,749.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,749.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,749.60
|
| Rate for Payer: Multiplan Commercial |
$3,196.41
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,921.45
|
| Rate for Payer: United Healthcare Commercial |
$3,265.15
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$974.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
9602782401
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$720.86 |
| Max. Negotiated Rate |
$925.30 |
| Rate for Payer: Aetna of VT Commercial |
$925.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$720.86
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$720.86
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$827.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$818.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$779.20
|
| Rate for Payer: Cash Price |
$487.00
|
| Rate for Payer: Cigna Commercial |
$779.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$779.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$779.20
|
| Rate for Payer: Multiplan Commercial |
$905.82
|
| Rate for Payer: MVP Health Care of NY Commercial |
$827.90
|
| Rate for Payer: United Healthcare Commercial |
$925.30
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
9812782401
|
|
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 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
|
Facility
|
OP
|
$974.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
9602782401
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$431.38 |
| Max. Negotiated Rate |
$925.30 |
| Rate for Payer: Aetna of VT Commercial |
$925.30
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$872.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$431.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$872.61
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$586.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$827.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$788.94
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$438.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$774.33
|
| Rate for Payer: Cash Price |
$487.00
|
| Rate for Payer: Cigna Commercial |
$779.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$779.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$779.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$438.30
|
| Rate for Payer: Multiplan Commercial |
$905.82
|
| Rate for Payer: MVP Health Care of NY Commercial |
$827.90
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$438.30
|
| Rate for Payer: United Healthcare Commercial |
$925.30
|
| Rate for Payer: United Healthcare Medicare Advantage |
$438.30
|
| Rate for Payer: United Healthcare VA CCN |
$438.30
|
|
|
TREAT LOWER LEG FRACTURE
|
Professional
|
Both
|
$1,745.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9602782502
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$473.33 |
| Max. Negotiated Rate |
$1,640.30 |
| Rate for Payer: Aetna of VT Commercial |
$1,640.30
|
| 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 |
$487.53
|
| 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 |
$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 |
$872.50
|
| Rate for Payer: Cash Price |
$872.50
|
| 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 |
$1,622.85
|
| 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
|
$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
|
$1,745.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9812782502
|
|
Hospital Revenue Code
|
981
|
| 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
|
$316.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
9822782401
|
|
Hospital Revenue Code
|
982
|
| 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
|
$1,745.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9822782501
|
|
Hospital Revenue Code
|
982
|
| 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
|
Professional
|
Both
|
$2,814.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9602782501
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$473.33 |
| Max. Negotiated Rate |
$2,645.16 |
| Rate for Payer: Aetna of VT Commercial |
$2,645.16
|
| 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 |
$487.53
|
| 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 |
$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 |
$1,407.00
|
| Rate for Payer: Cash Price |
$1,407.00
|
| 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 |
$2,617.02
|
| 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
|
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
|
$4,017.00
|
|
|
Service Code
|
CPT 27828
|
| Hospital Charge Code |
9822782801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,779.13 |
| Max. Negotiated Rate |
$3,816.15 |
| Rate for Payer: Aetna of VT Commercial |
$3,816.15
|
| 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 |
$1,779.13
|
| 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 |
$2,418.23
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,414.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,253.77
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,807.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,193.51
|
| Rate for Payer: Cash Price |
$2,008.50
|
| Rate for Payer: Cigna Commercial |
$3,213.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$3,213.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$3,213.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,807.65
|
| Rate for Payer: Multiplan Commercial |
$3,735.81
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,414.45
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,807.65
|
| Rate for Payer: United Healthcare Commercial |
$3,816.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,807.65
|
| Rate for Payer: United Healthcare VA CCN |
$1,807.65
|
|
|
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
|
|
|
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
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9812780801
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$572.00 |
| 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 |
$311.45
|
| 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 |
$423.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$534.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$534.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$347.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$534.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$572.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$546.71
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$546.71
|
| Rate for Payer: Martins Point Health Care Commercial |
$333.21
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$429.38
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$302.38
|
| Rate for Payer: United Healthcare Commercial |
$465.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$302.38
|
| Rate for Payer: United Healthcare VA CCN |
$302.38
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$2,706.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
9812779202
|
|
Hospital Revenue Code
|
981
|
| 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
|
OP
|
$528.37
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
4502781001
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$234.02 |
| Max. Negotiated Rate |
$501.95 |
| Rate for Payer: Aetna of VT Commercial |
$501.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$473.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$234.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$473.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$318.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$449.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$427.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$237.77
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$420.05
|
| Rate for Payer: Cash Price |
$264.18
|
| Rate for Payer: Cigna Commercial |
$422.70
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$422.70
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$422.70
|
| Rate for Payer: Martins Point Health Care Commercial |
$237.77
|
| Rate for Payer: Multiplan Commercial |
$491.38
|
| Rate for Payer: MVP Health Care of NY Commercial |
$449.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$237.77
|
| Rate for Payer: United Healthcare Commercial |
$501.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$237.77
|
| Rate for Payer: United Healthcare VA CCN |
$237.77
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$3,198.00
|
|
|
Service Code
|
CPT 27823
|
| Hospital Charge Code |
9822782301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$2,366.84 |
| Max. Negotiated Rate |
$3,038.10 |
| Rate for Payer: Aetna of VT Commercial |
$3,038.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,366.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,366.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,718.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,686.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,558.40
|
| Rate for Payer: Cash Price |
$1,599.00
|
| Rate for Payer: Cigna Commercial |
$2,558.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,558.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,558.40
|
| Rate for Payer: Multiplan Commercial |
$2,974.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,718.30
|
| Rate for Payer: United Healthcare Commercial |
$3,038.10
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$367.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
5102780801
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$302.38 |
| Max. Negotiated Rate |
$572.00 |
| Rate for Payer: Aetna of VT Commercial |
$344.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$328.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$311.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$328.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$423.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$534.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$534.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$347.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$534.80
|
| Rate for Payer: Cash Price |
$183.50
|
| Rate for Payer: Cash Price |
$183.50
|
| Rate for Payer: Cigna Commercial |
$572.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$546.71
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$546.71
|
| Rate for Payer: Martins Point Health Care Commercial |
$333.21
|
| Rate for Payer: Multiplan Commercial |
$341.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$429.38
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$302.38
|
| Rate for Payer: United Healthcare Commercial |
$465.15
|
| Rate for Payer: United Healthcare Medicare Advantage |
$302.38
|
| Rate for Payer: United Healthcare VA CCN |
$302.38
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$2,930.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9602781801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$2,168.49 |
| Max. Negotiated Rate |
$2,783.50 |
| Rate for Payer: Aetna of VT Commercial |
$2,783.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,168.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,168.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,490.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,461.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,344.00
|
| Rate for Payer: Cash Price |
$1,465.00
|
| Rate for Payer: Cigna Commercial |
$2,344.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,344.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,344.00
|
| Rate for Payer: Multiplan Commercial |
$2,724.90
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,490.50
|
| Rate for Payer: United Healthcare Commercial |
$2,783.50
|
|
|
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
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$972.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9812781001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$413.89 |
| Max. Negotiated Rate |
$913.68 |
| Rate for Payer: Aetna of VT Commercial |
$913.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$870.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$426.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$870.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$579.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$737.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$737.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$475.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$737.58
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cigna Commercial |
$784.55
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$764.26
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$764.26
|
| Rate for Payer: Martins Point Health Care Commercial |
$462.07
|
| Rate for Payer: Multiplan Commercial |
$903.96
|
| Rate for Payer: MVP Health Care of NY Commercial |
$587.72
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$413.89
|
| Rate for Payer: United Healthcare Commercial |
$636.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$413.89
|
| Rate for Payer: United Healthcare VA CCN |
$413.89
|
|
