|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$2,930.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9602781801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$424.95 |
| Max. Negotiated Rate |
$2,754.20 |
| Rate for Payer: Aetna of VT Commercial |
$2,754.20
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,624.99
|
| 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 |
$2,624.99
|
| 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 |
$1,465.00
|
| Rate for Payer: Cash Price |
$1,465.00
|
| 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 |
$2,724.90
|
| 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
|
Professional
|
Both
|
$934.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9602781002
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$413.89 |
| Max. Negotiated Rate |
$877.96 |
| Rate for Payer: Aetna of VT Commercial |
$877.96
|
| 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 |
$426.31
|
| 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 |
$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 |
$467.00
|
| Rate for Payer: Cash Price |
$467.00
|
| 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 |
$868.62
|
| 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
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
9812781601
|
|
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
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$529.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
5102781001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$234.29 |
| Max. Negotiated Rate |
$502.55 |
| Rate for Payer: Aetna of VT Commercial |
$502.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$473.93
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$234.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$473.93
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$318.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$449.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$428.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$238.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$420.56
|
| Rate for Payer: Cash Price |
$264.50
|
| Rate for Payer: Cigna Commercial |
$423.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$423.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$423.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$238.05
|
| Rate for Payer: Multiplan Commercial |
$491.97
|
| Rate for Payer: MVP Health Care of NY Commercial |
$449.65
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$238.05
|
| Rate for Payer: United Healthcare Commercial |
$502.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$238.05
|
| Rate for Payer: United Healthcare VA CCN |
$238.05
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$1,039.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9602780801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$302.38 |
| Max. Negotiated Rate |
$976.66 |
| Rate for Payer: Aetna of VT Commercial |
$976.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$930.84
|
| 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 |
$930.84
|
| 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 |
$519.50
|
| Rate for Payer: Cash Price |
$519.50
|
| 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 |
$966.27
|
| 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
|
Professional
|
Both
|
$2,198.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9812781801
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$424.95 |
| Max. Negotiated Rate |
$2,066.12 |
| Rate for Payer: Aetna of VT Commercial |
$2,066.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,969.19
|
| 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 |
$1,969.19
|
| 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 |
$1,099.00
|
| Rate for Payer: Cash Price |
$1,099.00
|
| 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 |
$2,044.14
|
| 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
|
$1,039.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9602780801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$768.96 |
| Max. Negotiated Rate |
$987.05 |
| Rate for Payer: Aetna of VT Commercial |
$987.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$768.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$768.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$883.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$872.76
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$831.20
|
| Rate for Payer: Cash Price |
$519.50
|
| Rate for Payer: Cigna Commercial |
$831.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$831.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$831.20
|
| Rate for Payer: Multiplan Commercial |
$966.27
|
| Rate for Payer: MVP Health Care of NY Commercial |
$883.15
|
| Rate for Payer: United Healthcare Commercial |
$987.05
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$1,518.95
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
4502781801
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$672.74 |
| Max. Negotiated Rate |
$1,443.00 |
| Rate for Payer: Aetna of VT Commercial |
$1,443.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,360.83
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$672.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,360.83
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$914.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,291.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,230.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$683.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,207.57
|
| Rate for Payer: Cash Price |
$759.48
|
| Rate for Payer: Cigna Commercial |
$1,215.16
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,215.16
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,215.16
|
| Rate for Payer: Martins Point Health Care Commercial |
$683.53
|
| Rate for Payer: Multiplan Commercial |
$1,412.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,291.11
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$683.53
|
| Rate for Payer: United Healthcare Commercial |
$1,443.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$683.53
|
| Rate for Payer: United Healthcare VA CCN |
$683.53
|
|
|
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
|
IP
|
$2,198.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9812781801
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$1,626.74 |
| Max. Negotiated Rate |
$2,088.10 |
| Rate for Payer: Aetna of VT Commercial |
$2,088.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,626.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,626.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,868.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,846.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,758.40
|
| Rate for Payer: Cash Price |
$1,099.00
|
| Rate for Payer: Cigna Commercial |
$1,758.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,758.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,758.40
|
| Rate for Payer: Multiplan Commercial |
$2,044.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,868.30
|
| Rate for Payer: United Healthcare Commercial |
$2,088.10
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$1,518.95
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
4502781801
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,124.17 |
| Max. Negotiated Rate |
$1,443.00 |
| Rate for Payer: Aetna of VT Commercial |
$1,443.00
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,124.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,124.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,291.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,275.92
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,215.16
|
| Rate for Payer: Cash Price |
$759.48
|
| Rate for Payer: Cigna Commercial |
$1,215.16
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,215.16
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,215.16
|
| Rate for Payer: Multiplan Commercial |
$1,412.62
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,291.11
|
| Rate for Payer: United Healthcare Commercial |
$1,443.00
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$673.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9812780802
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$298.07 |
| Max. Negotiated Rate |
$639.35 |
| Rate for Payer: Aetna of VT Commercial |
$639.35
|
| 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 |
$298.07
|
| 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 |
$405.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$572.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$545.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$302.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$535.03
|
| Rate for Payer: Cash Price |
$336.50
|
| Rate for Payer: Cigna Commercial |
$538.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$538.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$538.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$302.85
|
| Rate for Payer: Multiplan Commercial |
$625.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$572.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$302.85
|
| Rate for Payer: United Healthcare Commercial |
$639.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$302.85
|
| Rate for Payer: United Healthcare VA CCN |
$302.85
|
|
|
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
|
Facility
|
IP
|
$673.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9602780802
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$498.09 |
| Max. Negotiated Rate |
$639.35 |
| Rate for Payer: Aetna of VT Commercial |
$639.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$498.09
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$498.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$572.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$565.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$538.40
|
| Rate for Payer: Cash Price |
$336.50
|
| Rate for Payer: Cigna Commercial |
$538.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$538.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$538.40
|
| Rate for Payer: Multiplan Commercial |
$625.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$572.05
|
| Rate for Payer: United Healthcare Commercial |
$639.35
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$304.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
5102778601
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$272.35 |
| Max. Negotiated Rate |
$536.05 |
| Rate for Payer: Aetna of VT Commercial |
$285.76
|
| 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 |
$291.06
|
| 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 |
$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 |
$152.00
|
| Rate for Payer: Cash Price |
$152.00
|
| 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 |
$282.72
|
| 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
|
IP
|
$1,519.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
5102781801
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1,124.21 |
| Max. Negotiated Rate |
$1,443.05 |
| Rate for Payer: Aetna of VT Commercial |
$1,443.05
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,124.21
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,124.21
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,291.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,275.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,215.20
|
| Rate for Payer: Cash Price |
$759.50
|
| Rate for Payer: Cigna Commercial |
$1,215.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,215.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,215.20
|
| Rate for Payer: Multiplan Commercial |
$1,412.67
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,291.15
|
| Rate for Payer: United Healthcare Commercial |
$1,443.05
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$703.12
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
4502781601
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$520.38 |
| Max. Negotiated Rate |
$667.96 |
| Rate for Payer: Aetna of VT Commercial |
$667.96
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$520.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$520.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$597.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$590.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$562.50
|
| Rate for Payer: Cash Price |
$351.56
|
| Rate for Payer: Cigna Commercial |
$562.50
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$562.50
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$562.50
|
| Rate for Payer: Multiplan Commercial |
$653.90
|
| Rate for Payer: MVP Health Care of NY Commercial |
$597.65
|
| Rate for Payer: United Healthcare Commercial |
$667.96
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9812778602
|
|
Hospital Revenue Code
|
981
|
| 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
|
IP
|
$934.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9812781002
|
|
Hospital Revenue Code
|
981
|
| 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
|
Facility
|
OP
|
$1,411.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9602781802
|
|
Hospital Revenue Code
|
960
|
| 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
|
$673.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9602780802
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$298.07 |
| Max. Negotiated Rate |
$639.35 |
| Rate for Payer: Aetna of VT Commercial |
$639.35
|
| 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 |
$298.07
|
| 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 |
$405.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$572.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$545.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$302.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$535.03
|
| Rate for Payer: Cash Price |
$336.50
|
| Rate for Payer: Cigna Commercial |
$538.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$538.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$538.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$302.85
|
| Rate for Payer: Multiplan Commercial |
$625.89
|
| Rate for Payer: MVP Health Care of NY Commercial |
$572.05
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$302.85
|
| Rate for Payer: United Healthcare Commercial |
$639.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$302.85
|
| Rate for Payer: United Healthcare VA CCN |
$302.85
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9822778601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$141.73 |
| 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 |
$286.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$141.73
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$286.69
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$192.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$272.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$259.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$144.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$254.40
|
| 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: Martins Point Health Care Commercial |
$144.00
|
| Rate for Payer: Multiplan Commercial |
$297.60
|
| Rate for Payer: MVP Health Care of NY Commercial |
$272.00
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$144.00
|
| Rate for Payer: United Healthcare Commercial |
$304.00
|
| Rate for Payer: United Healthcare Medicare Advantage |
$144.00
|
| Rate for Payer: United Healthcare VA CCN |
$144.00
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$934.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9812781002
|
|
Hospital Revenue Code
|
981
|
| 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
|
Facility
|
OP
|
$303.04
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
4502778601
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$134.22 |
| 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 |
$271.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$134.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$271.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$182.43
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$257.58
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$245.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$136.37
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$240.92
|
| 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: Martins Point Health Care Commercial |
$136.37
|
| Rate for Payer: Multiplan Commercial |
$281.83
|
| Rate for Payer: MVP Health Care of NY Commercial |
$257.58
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$136.37
|
| Rate for Payer: United Healthcare Commercial |
$287.89
|
| Rate for Payer: United Healthcare Medicare Advantage |
$136.37
|
| Rate for Payer: United Healthcare VA CCN |
$136.37
|
|
|
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
|
|
