|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$673.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9602780802
|
|
Hospital Revenue Code
|
960
|
| 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
|
IP
|
$304.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
5102778601
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$224.99 |
| Max. Negotiated Rate |
$288.80 |
| Rate for Payer: Aetna of VT Commercial |
$288.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$224.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$224.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$258.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$255.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$243.20
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cigna Commercial |
$243.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$243.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$243.20
|
| Rate for Payer: Multiplan Commercial |
$282.72
|
| Rate for Payer: MVP Health Care of NY Commercial |
$258.40
|
| Rate for Payer: United Healthcare Commercial |
$288.80
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$366.04
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
4502780801
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$162.12 |
| Max. Negotiated Rate |
$347.74 |
| Rate for Payer: Aetna of VT Commercial |
$347.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$327.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$162.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$327.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$220.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$311.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$296.49
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$164.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$291.00
|
| Rate for Payer: Cash Price |
$183.02
|
| Rate for Payer: Cigna Commercial |
$292.83
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$292.83
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$292.83
|
| Rate for Payer: Martins Point Health Care Commercial |
$164.72
|
| Rate for Payer: Multiplan Commercial |
$340.42
|
| Rate for Payer: MVP Health Care of NY Commercial |
$311.13
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$164.72
|
| Rate for Payer: United Healthcare Commercial |
$347.74
|
| Rate for Payer: United Healthcare Medicare Advantage |
$164.72
|
| Rate for Payer: United Healthcare VA CCN |
$164.72
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$1,039.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9602780801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$460.17 |
| 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 |
$930.84
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$460.17
|
| 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 |
$625.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$883.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$841.59
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$467.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$826.00
|
| 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: Martins Point Health Care Commercial |
$467.55
|
| Rate for Payer: Multiplan Commercial |
$966.27
|
| Rate for Payer: MVP Health Care of NY Commercial |
$883.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$467.55
|
| Rate for Payer: United Healthcare Commercial |
$987.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$467.55
|
| Rate for Payer: United Healthcare VA CCN |
$467.55
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
9812781601
|
|
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
|
OP
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9812778602
|
|
Hospital Revenue Code
|
981
|
| 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
|
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
|
Professional
|
Both
|
$2,706.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
9822779201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$610.79 |
| Max. Negotiated Rate |
$2,543.64 |
| Rate for Payer: Aetna of VT Commercial |
$2,543.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,424.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$629.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,424.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$855.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$901.86
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$901.86
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$702.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$901.86
|
| Rate for Payer: Cash Price |
$1,353.00
|
| Rate for Payer: Cash Price |
$1,353.00
|
| Rate for Payer: Cigna Commercial |
$1,160.54
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,013.69
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,013.69
|
| Rate for Payer: Martins Point Health Care Commercial |
$610.79
|
| Rate for Payer: Multiplan Commercial |
$2,516.58
|
| Rate for Payer: MVP Health Care of NY Commercial |
$867.32
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$610.79
|
| Rate for Payer: United Healthcare Commercial |
$939.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$610.79
|
| Rate for Payer: United Healthcare VA CCN |
$610.79
|
|
|
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
|
$5,521.56
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
4502779201
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$4,086.51 |
| Max. Negotiated Rate |
$5,245.48 |
| Rate for Payer: Aetna of VT Commercial |
$5,245.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$4,086.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$4,086.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$4,693.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$4,638.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$4,417.25
|
| Rate for Payer: Cash Price |
$2,760.78
|
| Rate for Payer: Cigna Commercial |
$4,417.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$4,417.25
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$4,417.25
|
| Rate for Payer: Multiplan Commercial |
$5,135.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$4,693.33
|
| Rate for Payer: United Healthcare Commercial |
$5,245.48
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$673.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9812780802
|
|
Hospital Revenue Code
|
981
|
| 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
|
Facility
|
OP
|
$304.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
5102778601
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$134.64 |
| Max. Negotiated Rate |
$288.80 |
| Rate for Payer: Aetna of VT Commercial |
$288.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$272.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$134.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$272.35
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$183.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$258.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$246.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$136.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$241.68
|
| Rate for Payer: Cash Price |
$152.00
|
| Rate for Payer: Cigna Commercial |
$243.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$243.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$243.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$136.80
|
| Rate for Payer: Multiplan Commercial |
$282.72
|
| Rate for Payer: MVP Health Care of NY Commercial |
$258.40
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$136.80
|
| Rate for Payer: United Healthcare Commercial |
$288.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$136.80
|
| Rate for Payer: United Healthcare VA CCN |
$136.80
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$623.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9602778601
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$282.58 |
| Max. Negotiated Rate |
$585.62 |
| Rate for Payer: Aetna of VT Commercial |
$585.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$558.15
|
| 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 |
$558.15
|
| 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 |
$311.50
|
| Rate for Payer: Cash Price |
$311.50
|
| 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 |
$579.39
|
| 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
|
$1.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9812778601
|
|
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
|
$972.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9812781001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$430.50 |
| Max. Negotiated Rate |
$923.40 |
| Rate for Payer: Aetna of VT Commercial |
$923.40
|
| 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 |
$430.50
|
| 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 |
$585.14
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$826.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$787.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$437.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$772.74
|
| Rate for Payer: Cash Price |
$486.00
|
| Rate for Payer: Cigna Commercial |
$777.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$777.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$777.60
|
| Rate for Payer: Martins Point Health Care Commercial |
$437.40
|
| Rate for Payer: Multiplan Commercial |
$903.96
|
| Rate for Payer: MVP Health Care of NY Commercial |
$826.20
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$437.40
|
| Rate for Payer: United Healthcare Commercial |
$923.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$437.40
|
| Rate for Payer: United Healthcare VA CCN |
$437.40
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$2,930.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9602781801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$1,297.70 |
| 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 |
$2,624.99
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,297.70
|
| 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 |
$1,763.86
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,490.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,373.30
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,318.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,329.35
|
| 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: Martins Point Health Care Commercial |
$1,318.50
|
| Rate for Payer: Multiplan Commercial |
$2,724.90
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,490.50
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,318.50
|
| Rate for Payer: United Healthcare Commercial |
$2,783.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,318.50
|
| Rate for Payer: United Healthcare VA CCN |
$1,318.50
|
|
|
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
|
$623.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9602778601
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$275.93 |
| Max. Negotiated Rate |
$591.85 |
| Rate for Payer: Aetna of VT Commercial |
$591.85
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$558.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$275.93
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$558.15
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$375.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$529.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$504.63
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$280.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$495.29
|
| Rate for Payer: Cash Price |
$311.50
|
| Rate for Payer: Cigna Commercial |
$498.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$498.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$498.40
|
| Rate for Payer: Martins Point Health Care Commercial |
$280.35
|
| Rate for Payer: Multiplan Commercial |
$579.39
|
| Rate for Payer: MVP Health Care of NY Commercial |
$529.55
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$280.35
|
| Rate for Payer: United Healthcare Commercial |
$591.85
|
| Rate for Payer: United Healthcare Medicare Advantage |
$280.35
|
| Rate for Payer: United Healthcare VA CCN |
$280.35
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$5,521.56
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
4502779201
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,445.50 |
| Max. Negotiated Rate |
$5,245.48 |
| Rate for Payer: Aetna of VT Commercial |
$5,245.48
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$4,946.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$2,445.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$4,946.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$3,323.98
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$4,693.33
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$4,472.46
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$2,484.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$4,389.64
|
| Rate for Payer: Cash Price |
$2,760.78
|
| Rate for Payer: Cigna Commercial |
$4,417.25
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$4,417.25
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$4,417.25
|
| Rate for Payer: Martins Point Health Care Commercial |
$2,484.70
|
| Rate for Payer: Multiplan Commercial |
$5,135.05
|
| Rate for Payer: MVP Health Care of NY Commercial |
$4,693.33
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$2,484.70
|
| Rate for Payer: United Healthcare Commercial |
$5,245.48
|
| Rate for Payer: United Healthcare Medicare Advantage |
$2,484.70
|
| Rate for Payer: United Healthcare VA CCN |
$2,484.70
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$934.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9812781002
|
|
Hospital Revenue Code
|
981
|
| 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
|
Professional
|
Both
|
$2,706.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
9812779202
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$610.79 |
| Max. Negotiated Rate |
$2,543.64 |
| Rate for Payer: Aetna of VT Commercial |
$2,543.64
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,424.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$629.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,424.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$855.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$901.86
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$901.86
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$702.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$901.86
|
| Rate for Payer: Cash Price |
$1,353.00
|
| Rate for Payer: Cash Price |
$1,353.00
|
| Rate for Payer: Cigna Commercial |
$1,160.54
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,013.69
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,013.69
|
| Rate for Payer: Martins Point Health Care Commercial |
$610.79
|
| Rate for Payer: Multiplan Commercial |
$2,516.58
|
| Rate for Payer: MVP Health Care of NY Commercial |
$867.32
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$610.79
|
| Rate for Payer: United Healthcare Commercial |
$939.58
|
| Rate for Payer: United Healthcare Medicare Advantage |
$610.79
|
| Rate for Payer: United Healthcare VA CCN |
$610.79
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
9812780801
|
|
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
|
Professional
|
Both
|
$1,463.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9602781001
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$413.89 |
| Max. Negotiated Rate |
$1,375.22 |
| Rate for Payer: Aetna of VT Commercial |
$1,375.22
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,310.70
|
| 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 |
$1,310.70
|
| 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 |
$731.50
|
| Rate for Payer: Cash Price |
$731.50
|
| 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 |
$1,360.59
|
| 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
|
OP
|
$1,411.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9812781802
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$624.93 |
| Max. Negotiated Rate |
$1,340.45 |
| Rate for Payer: Aetna of VT Commercial |
$1,340.45
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,264.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$624.93
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,264.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$849.42
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,199.35
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,142.91
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$634.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,121.74
|
| Rate for Payer: Cash Price |
$705.50
|
| Rate for Payer: Cigna Commercial |
$1,128.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,128.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,128.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$634.95
|
| Rate for Payer: Multiplan Commercial |
$1,312.23
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,199.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$634.95
|
| Rate for Payer: United Healthcare Commercial |
$1,340.45
|
| Rate for Payer: United Healthcare Medicare Advantage |
$634.95
|
| Rate for Payer: United Healthcare VA CCN |
$634.95
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
9812779201
|
|
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
|
|
