|
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 FRACTURE
|
Facility
|
IP
|
$562.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9812782501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$415.94 |
| Max. Negotiated Rate |
$533.90 |
| Rate for Payer: Aetna of VT Commercial |
$533.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$415.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$415.94
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$477.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$472.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$449.60
|
| Rate for Payer: Cash Price |
$281.00
|
| Rate for Payer: Cigna Commercial |
$449.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$449.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$449.60
|
| Rate for Payer: Multiplan Commercial |
$522.66
|
| Rate for Payer: MVP Health Care of NY Commercial |
$477.70
|
| Rate for Payer: United Healthcare Commercial |
$533.90
|
|
|
TREAT LOWER LEG FRACTURE
|
Facility
|
OP
|
$658.00
|
|
|
Service Code
|
CPT 27824
|
| Hospital Charge Code |
5102782401
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$291.43 |
| Max. Negotiated Rate |
$625.10 |
| Rate for Payer: Aetna of VT Commercial |
$625.10
|
| 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 |
$291.43
|
| 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 |
$396.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$559.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$532.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$296.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$523.11
|
| Rate for Payer: Cash Price |
$329.00
|
| Rate for Payer: Cigna Commercial |
$526.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$526.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$526.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$296.10
|
| Rate for Payer: Multiplan Commercial |
$611.94
|
| Rate for Payer: MVP Health Care of NY Commercial |
$559.30
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$296.10
|
| Rate for Payer: United Healthcare Commercial |
$625.10
|
| Rate for Payer: United Healthcare Medicare Advantage |
$296.10
|
| Rate for Payer: United Healthcare VA CCN |
$296.10
|
|
|
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
|
$1,745.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9822782501
|
|
Hospital Revenue Code
|
982
|
| 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
|
$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 |
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
|
Professional
|
Both
|
$1,069.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
5102782501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$473.33 |
| Max. Negotiated Rate |
$1,004.86 |
| Rate for Payer: Aetna of VT Commercial |
$1,004.86
|
| 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 |
$487.53
|
| 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 |
$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 |
$534.50
|
| Rate for Payer: Cash Price |
$534.50
|
| 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 |
$994.17
|
| 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
|
$562.00
|
|
|
Service Code
|
CPT 27825
|
| Hospital Charge Code |
9812782501
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$248.91 |
| Max. Negotiated Rate |
$533.90 |
| Rate for Payer: Aetna of VT Commercial |
$533.90
|
| 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 |
$248.91
|
| 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 |
$338.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$477.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$455.22
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$252.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$446.79
|
| Rate for Payer: Cash Price |
$281.00
|
| Rate for Payer: Cigna Commercial |
$449.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$449.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$449.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$252.90
|
| Rate for Payer: Multiplan Commercial |
$522.66
|
| Rate for Payer: MVP Health Care of NY Commercial |
$477.70
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$252.90
|
| Rate for Payer: United Healthcare Commercial |
$533.90
|
| Rate for Payer: United Healthcare Medicare Advantage |
$252.90
|
| Rate for Payer: United Healthcare VA CCN |
$252.90
|
|
|
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
|
Facility
|
IP
|
$4,017.00
|
|
|
Service Code
|
CPT 27828
|
| Hospital Charge Code |
9822782801
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$2,972.98 |
| 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 |
$2,972.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,972.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,414.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,374.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,213.60
|
| 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: Multiplan Commercial |
$3,735.81
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,414.45
|
| Rate for Payer: United Healthcare Commercial |
$3,816.15
|
|
|
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
|
$3,437.00
|
|
|
Service Code
|
CPT 27827
|
| Hospital Charge Code |
9822782701
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,053.12 |
| Max. Negotiated Rate |
$3,230.78 |
| Rate for Payer: Aetna of VT Commercial |
$3,230.78
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,079.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,084.71
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,079.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,474.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,508.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,508.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,211.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,508.21
|
| Rate for Payer: Cash Price |
$1,718.50
|
| Rate for Payer: Cash Price |
$1,718.50
|
| Rate for Payer: Cigna Commercial |
$2,001.49
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,752.23
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,752.23
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,053.13
|
| Rate for Payer: Multiplan Commercial |
$3,196.41
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,495.43
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,053.12
|
| Rate for Payer: United Healthcare Commercial |
$1,620.01
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,053.12
|
| Rate for Payer: United Healthcare VA CCN |
$1,053.12
|
|
|
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
|
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
|
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
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9812780802
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$302.38 |
| Max. Negotiated Rate |
$632.62 |
| Rate for Payer: Aetna of VT Commercial |
$632.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$602.94
|
| 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 |
$602.94
|
| 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 |
$336.50
|
| Rate for Payer: Cash Price |
$336.50
|
| 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 |
$625.89
|
| 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
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9812778601
|
|
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
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$303.04
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
4502778601
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$224.28 |
| Max. Negotiated Rate |
$287.89 |
| Rate for Payer: Aetna of VT Commercial |
$287.89
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$224.28
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$224.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$257.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$254.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$242.43
|
| Rate for Payer: Cash Price |
$151.52
|
| Rate for Payer: Cigna Commercial |
$242.43
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$242.43
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$242.43
|
| Rate for Payer: Multiplan Commercial |
$281.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$257.58
|
| Rate for Payer: United Healthcare Commercial |
$287.89
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9602778602
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$236.83 |
| Max. Negotiated Rate |
$304.00 |
| Rate for Payer: Aetna of VT Commercial |
$304.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$236.83
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$236.83
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$272.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$268.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$256.00
|
| Rate for Payer: Cash Price |
$160.00
|
| Rate for Payer: Cigna Commercial |
$256.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$256.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$256.00
|
| Rate for Payer: Multiplan Commercial |
$297.60
|
| Rate for Payer: MVP Health Care of NY Commercial |
$272.00
|
| Rate for Payer: United Healthcare Commercial |
$304.00
|
|
|
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
|
Professional
|
Both
|
$1,411.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9602781802
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$424.95 |
| Max. Negotiated Rate |
$1,326.34 |
| Rate for Payer: Aetna of VT Commercial |
$1,326.34
|
| 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 |
$437.70
|
| 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 |
$594.93
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$742.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$742.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$488.69
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$742.42
|
| Rate for Payer: Cash Price |
$705.50
|
| Rate for Payer: Cash Price |
$705.50
|
| Rate for Payer: Cigna Commercial |
$804.75
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$794.08
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$794.08
|
| Rate for Payer: Martins Point Health Care Commercial |
$479.55
|
| Rate for Payer: Multiplan Commercial |
$1,312.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$603.43
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$424.95
|
| Rate for Payer: United Healthcare Commercial |
$653.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$424.95
|
| Rate for Payer: United Healthcare VA CCN |
$424.95
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$934.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9602781002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$691.25 |
| 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 |
$691.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$691.25
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$793.90
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$784.56
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$747.20
|
| 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: Multiplan Commercial |
$868.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$793.90
|
| Rate for Payer: United Healthcare Commercial |
$887.30
|
|
|
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
|
|
