|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$2,787.00
|
|
|
Service Code
|
CPT 27822
|
| Hospital Charge Code |
9822782201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$2,062.66 |
| Max. Negotiated Rate |
$2,647.65 |
| Rate for Payer: Aetna of VT Commercial |
$2,647.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,062.66
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,062.66
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,368.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,341.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,229.60
|
| Rate for Payer: Cash Price |
$1,393.50
|
| Rate for Payer: Cigna Commercial |
$2,229.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,229.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,229.60
|
| Rate for Payer: Multiplan Commercial |
$2,591.91
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,368.95
|
| Rate for Payer: United Healthcare Commercial |
$2,647.65
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$861.00
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
9812781602
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$381.34 |
| Max. Negotiated Rate |
$817.95 |
| Rate for Payer: Aetna of VT Commercial |
$817.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$771.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$381.34
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$771.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$518.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$731.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$697.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$387.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$684.50
|
| Rate for Payer: Cash Price |
$430.50
|
| Rate for Payer: Cigna Commercial |
$688.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$688.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$688.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$387.45
|
| Rate for Payer: Multiplan Commercial |
$800.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$731.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$387.45
|
| Rate for Payer: United Healthcare Commercial |
$817.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$387.45
|
| Rate for Payer: United Healthcare VA CCN |
$387.45
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
9812779201
|
|
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
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9822778601
|
|
Hospital Revenue Code
|
982
|
| 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
|
Professional
|
Both
|
$2,787.00
|
|
|
Service Code
|
CPT 27822
|
| Hospital Charge Code |
9822782201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$822.43 |
| Max. Negotiated Rate |
$2,619.78 |
| Rate for Payer: Aetna of VT Commercial |
$2,619.78
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,496.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$847.10
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,496.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,151.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,366.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,366.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$945.79
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,366.10
|
| Rate for Payer: Cash Price |
$1,393.50
|
| Rate for Payer: Cash Price |
$1,393.50
|
| Rate for Payer: Cigna Commercial |
$1,567.42
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,364.97
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,364.97
|
| Rate for Payer: Martins Point Health Care Commercial |
$822.44
|
| Rate for Payer: Multiplan Commercial |
$2,591.91
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,167.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$822.43
|
| Rate for Payer: United Healthcare Commercial |
$1,265.14
|
| Rate for Payer: United Healthcare Medicare Advantage |
$822.43
|
| Rate for Payer: United Healthcare VA CCN |
$822.43
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9602778602
|
|
Hospital Revenue Code
|
960
|
| 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
|
IP
|
$367.00
|
|
|
Service Code
|
CPT 27808
|
| Hospital Charge Code |
5102780801
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$271.62 |
| Max. Negotiated Rate |
$348.65 |
| Rate for Payer: Aetna of VT Commercial |
$348.65
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$271.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$271.62
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$311.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$308.28
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$293.60
|
| Rate for Payer: Cash Price |
$183.50
|
| Rate for Payer: Cigna Commercial |
$293.60
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$293.60
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$293.60
|
| Rate for Payer: Multiplan Commercial |
$341.31
|
| Rate for Payer: MVP Health Care of NY Commercial |
$311.95
|
| Rate for Payer: United Healthcare Commercial |
$348.65
|
|
|
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
|
OP
|
$2,469.00
|
|
|
Service Code
|
CPT 27814
|
| Hospital Charge Code |
9822781401
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,093.52 |
| Max. Negotiated Rate |
$2,345.55 |
| Rate for Payer: Aetna of VT Commercial |
$2,345.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,211.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,093.52
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,211.98
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,486.34
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,098.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,999.89
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,111.05
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,962.86
|
| Rate for Payer: Cash Price |
$1,234.50
|
| Rate for Payer: Cigna Commercial |
$1,975.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,975.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,975.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,111.05
|
| Rate for Payer: Multiplan Commercial |
$2,296.17
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,098.65
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,111.05
|
| Rate for Payer: United Healthcare Commercial |
$2,345.55
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,111.05
|
| Rate for Payer: United Healthcare VA CCN |
$1,111.05
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
9812781601
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$549.33 |
| 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 |
$298.90
|
| 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 |
$406.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$487.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$487.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$333.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$487.95
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$549.33
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$538.47
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$538.47
|
| Rate for Payer: Martins Point Health Care Commercial |
$327.78
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$412.07
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$290.19
|
| Rate for Payer: United Healthcare Commercial |
$446.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$290.19
|
| Rate for Payer: United Healthcare VA CCN |
$290.19
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Professional
|
Both
|
$3,198.00
|
|
|
Service Code
|
CPT 27823
|
| Hospital Charge Code |
9822782301
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$924.79 |
| Max. Negotiated Rate |
$3,006.12 |
| Rate for Payer: Aetna of VT Commercial |
$3,006.12
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,865.09
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$952.53
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,865.09
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,294.71
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,542.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,542.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,063.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,542.20
|
| Rate for Payer: Cash Price |
$1,599.00
|
| Rate for Payer: Cash Price |
$1,599.00
|
| Rate for Payer: Cigna Commercial |
$1,760.92
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,537.26
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,537.26
|
| Rate for Payer: Martins Point Health Care Commercial |
$924.79
|
| Rate for Payer: Multiplan Commercial |
$2,974.14
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,313.20
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$924.79
|
| Rate for Payer: United Healthcare Commercial |
$1,422.60
|
| Rate for Payer: United Healthcare Medicare Advantage |
$924.79
|
| Rate for Payer: United Healthcare VA CCN |
$924.79
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$529.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
5102781001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$391.51 |
| 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 |
$391.51
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$391.51
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$449.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$444.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$423.20
|
| 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: Multiplan Commercial |
$491.97
|
| Rate for Payer: MVP Health Care of NY Commercial |
$449.65
|
| Rate for Payer: United Healthcare Commercial |
$502.55
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$2,469.00
|
|
|
Service Code
|
CPT 27814
|
| Hospital Charge Code |
9822781401
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,827.31 |
| Max. Negotiated Rate |
$2,345.55 |
| Rate for Payer: Aetna of VT Commercial |
$2,345.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,827.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,827.31
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,098.65
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,073.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,975.20
|
| Rate for Payer: Cash Price |
$1,234.50
|
| Rate for Payer: Cigna Commercial |
$1,975.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,975.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,975.20
|
| Rate for Payer: Multiplan Commercial |
$2,296.17
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,098.65
|
| Rate for Payer: United Healthcare Commercial |
$2,345.55
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$972.00
|
|
|
Service Code
|
CPT 27810
|
| Hospital Charge Code |
9812781001
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$719.38 |
| 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 |
$719.38
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$719.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$826.20
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$816.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$777.60
|
| 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: Multiplan Commercial |
$903.96
|
| Rate for Payer: MVP Health Care of NY Commercial |
$826.20
|
| Rate for Payer: United Healthcare Commercial |
$923.40
|
|
|
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
|
Professional
|
Both
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9602778602
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$282.58 |
| Max. Negotiated Rate |
$536.05 |
| Rate for Payer: Aetna of VT Commercial |
$300.80
|
| 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 |
$291.06
|
| 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 |
$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 |
$160.00
|
| Rate for Payer: Cash Price |
$160.00
|
| 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 |
$297.60
|
| 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
|
Professional
|
Both
|
$1,411.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9812781802
|
|
Hospital Revenue Code
|
981
|
| 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
|
$320.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9812778602
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$282.58 |
| Max. Negotiated Rate |
$536.05 |
| Rate for Payer: Aetna of VT Commercial |
$300.80
|
| 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 |
$291.06
|
| 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 |
$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 |
$160.00
|
| Rate for Payer: Cash Price |
$160.00
|
| 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 |
$297.60
|
| 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
|
Professional
|
Both
|
$861.00
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
9812781602
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$290.19 |
| Max. Negotiated Rate |
$809.34 |
| Rate for Payer: Aetna of VT Commercial |
$809.34
|
| 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 |
$298.90
|
| 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 |
$406.27
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$487.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$487.95
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$333.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$487.95
|
| Rate for Payer: Cash Price |
$430.50
|
| Rate for Payer: Cash Price |
$430.50
|
| Rate for Payer: Cigna Commercial |
$549.33
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$538.47
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$538.47
|
| Rate for Payer: Martins Point Health Care Commercial |
$327.78
|
| Rate for Payer: Multiplan Commercial |
$800.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$412.07
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$290.19
|
| Rate for Payer: United Healthcare Commercial |
$446.40
|
| Rate for Payer: United Healthcare Medicare Advantage |
$290.19
|
| Rate for Payer: United Healthcare VA CCN |
$290.19
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$2,706.00
|
|
|
Service Code
|
CPT 27792
|
| Hospital Charge Code |
9822779201
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,198.49 |
| Max. Negotiated Rate |
$2,570.70 |
| Rate for Payer: Aetna of VT Commercial |
$2,570.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,424.31
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,198.49
|
| 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 |
$1,629.01
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,300.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,191.86
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,217.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,151.27
|
| Rate for Payer: Cash Price |
$1,353.00
|
| Rate for Payer: Cigna Commercial |
$2,164.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$2,164.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$2,164.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,217.70
|
| Rate for Payer: Multiplan Commercial |
$2,516.58
|
| Rate for Payer: MVP Health Care of NY Commercial |
$2,300.10
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,217.70
|
| Rate for Payer: United Healthcare Commercial |
$2,570.70
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,217.70
|
| Rate for Payer: United Healthcare VA CCN |
$1,217.70
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$1,411.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
9812781802
|
|
Hospital Revenue Code
|
981
|
| 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
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9812778601
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$536.05 |
| Rate for Payer: Aetna of VT Commercial |
$0.94
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$291.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.90
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$395.61
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$454.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$454.64
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$324.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$454.64
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$536.05
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$507.62
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$507.62
|
| Rate for Payer: Martins Point Health Care Commercial |
$309.57
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$401.26
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$282.58
|
| Rate for Payer: United Healthcare Commercial |
$434.69
|
| Rate for Payer: United Healthcare Medicare Advantage |
$282.58
|
| Rate for Payer: United Healthcare VA CCN |
$282.58
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$861.00
|
|
|
Service Code
|
CPT 27816
|
| Hospital Charge Code |
9812781602
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$637.23 |
| 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 |
$637.23
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$637.23
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$731.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$723.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$688.80
|
| 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: Multiplan Commercial |
$800.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$731.85
|
| Rate for Payer: United Healthcare Commercial |
$817.95
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
OP
|
$1,519.00
|
|
|
Service Code
|
CPT 27818
|
| Hospital Charge Code |
5102781801
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$672.77 |
| 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 |
$1,360.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$672.77
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,360.87
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$914.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,291.15
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,230.39
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$683.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,207.61
|
| 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: Martins Point Health Care Commercial |
$683.55
|
| Rate for Payer: Multiplan Commercial |
$1,412.67
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,291.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$683.55
|
| Rate for Payer: United Healthcare Commercial |
$1,443.05
|
| Rate for Payer: United Healthcare Medicare Advantage |
$683.55
|
| Rate for Payer: United Healthcare VA CCN |
$683.55
|
|
|
TREATMENT OF ANKLE FRACTURE
|
Facility
|
IP
|
$623.00
|
|
|
Service Code
|
CPT 27786
|
| Hospital Charge Code |
9602778601
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$461.08 |
| 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 |
$461.08
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$461.08
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$529.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$523.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$498.40
|
| 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: Multiplan Commercial |
$579.39
|
| Rate for Payer: MVP Health Care of NY Commercial |
$529.55
|
| Rate for Payer: United Healthcare Commercial |
$591.85
|
|
