|
TREAT THIGH FRACTURE
|
Professional
|
Both
|
$1,224.00
|
|
|
Service Code
|
CPT 27245
|
| Hospital Charge Code |
9822724501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,096.58 |
| Max. Negotiated Rate |
$2,193.84 |
| Rate for Payer: Aetna of VT Commercial |
$1,150.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,178.68
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,602.09
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$2,193.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$2,193.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,316.00
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$2,193.84
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cigna Commercial |
$2,167.30
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,915.79
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,915.79
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,144.36
|
| Rate for Payer: Multiplan Commercial |
$1,138.32
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,624.98
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,144.35
|
| Rate for Payer: United Healthcare Commercial |
$1,760.35
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,144.35
|
| Rate for Payer: United Healthcare VA CCN |
$1,144.35
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
OP
|
$1,224.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
9812723802
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$542.11 |
| Max. Negotiated Rate |
$1,162.80 |
| Rate for Payer: Aetna of VT Commercial |
$1,162.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$542.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$736.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,040.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$991.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$550.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$973.08
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cigna Commercial |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$979.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$550.80
|
| Rate for Payer: Multiplan Commercial |
$1,138.32
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,040.40
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$550.80
|
| Rate for Payer: United Healthcare Commercial |
$1,162.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$550.80
|
| Rate for Payer: United Healthcare VA CCN |
$550.80
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
OP
|
$4,061.00
|
|
|
Service Code
|
CPT 27236
|
| Hospital Charge Code |
9822723601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,798.62 |
| Max. Negotiated Rate |
$3,857.95 |
| Rate for Payer: Aetna of VT Commercial |
$3,857.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,638.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,798.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,638.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$2,444.72
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,451.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,289.41
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,827.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,228.49
|
| Rate for Payer: Cash Price |
$2,030.50
|
| Rate for Payer: Cigna Commercial |
$3,248.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$3,248.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$3,248.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,827.45
|
| Rate for Payer: Multiplan Commercial |
$3,776.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,451.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,827.45
|
| Rate for Payer: United Healthcare Commercial |
$3,857.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,827.45
|
| Rate for Payer: United Healthcare VA CCN |
$1,827.45
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
OP
|
$1,509.64
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
4502723801
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$668.62 |
| Max. Negotiated Rate |
$1,434.16 |
| Rate for Payer: Aetna of VT Commercial |
$1,434.16
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,352.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$668.62
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,352.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$908.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,283.19
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,222.81
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$679.34
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,200.16
|
| Rate for Payer: Cash Price |
$754.82
|
| Rate for Payer: Cigna Commercial |
$1,207.71
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,207.71
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,207.71
|
| Rate for Payer: Martins Point Health Care Commercial |
$679.34
|
| Rate for Payer: Multiplan Commercial |
$1,403.97
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,283.19
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$679.34
|
| Rate for Payer: United Healthcare Commercial |
$1,434.16
|
| Rate for Payer: United Healthcare Medicare Advantage |
$679.34
|
| Rate for Payer: United Healthcare VA CCN |
$679.34
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
IP
|
$1,224.00
|
|
|
Service Code
|
CPT 27245
|
| Hospital Charge Code |
9822724501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$905.88 |
| Max. Negotiated Rate |
$1,162.80 |
| Rate for Payer: Aetna of VT Commercial |
$1,162.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$905.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$905.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,040.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,028.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$979.20
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cigna Commercial |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$979.20
|
| Rate for Payer: Multiplan Commercial |
$1,138.32
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,040.40
|
| Rate for Payer: United Healthcare Commercial |
$1,162.80
|
|
|
TREAT THIGH FRACTURE
|
Professional
|
Both
|
$1,510.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
5102723801
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$449.54 |
| Max. Negotiated Rate |
$1,419.40 |
| Rate for Payer: Aetna of VT Commercial |
$1,419.40
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,352.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$463.03
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,352.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$629.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$676.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$676.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$516.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$676.67
|
| Rate for Payer: Cash Price |
$755.00
|
| Rate for Payer: Cash Price |
$755.00
|
| Rate for Payer: Cigna Commercial |
$850.84
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$746.26
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$746.26
|
| Rate for Payer: Martins Point Health Care Commercial |
$449.54
|
| Rate for Payer: Multiplan Commercial |
$1,404.30
|
| Rate for Payer: MVP Health Care of NY Commercial |
$638.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$449.54
|
| Rate for Payer: United Healthcare Commercial |
$691.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$449.54
|
| Rate for Payer: United Healthcare VA CCN |
$449.54
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
OP
|
$1,224.00
|
|
|
Service Code
|
CPT 27245
|
| Hospital Charge Code |
9822724501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$542.11 |
| Max. Negotiated Rate |
$1,162.80 |
| Rate for Payer: Aetna of VT Commercial |
$1,162.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$542.11
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$736.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,040.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$991.44
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$550.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$973.08
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cigna Commercial |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$979.20
|
| Rate for Payer: Martins Point Health Care Commercial |
$550.80
|
| Rate for Payer: Multiplan Commercial |
$1,138.32
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,040.40
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$550.80
|
| Rate for Payer: United Healthcare Commercial |
$1,162.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$550.80
|
| Rate for Payer: United Healthcare VA CCN |
$550.80
|
|
|
TREAT THIGH FRACTURE
|
Professional
|
Both
|
$3,768.00
|
|
|
Service Code
|
CPT 27235
|
| Hospital Charge Code |
9822723501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$850.81 |
| Max. Negotiated Rate |
$3,541.92 |
| Rate for Payer: Aetna of VT Commercial |
$3,541.92
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,375.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$876.33
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,375.75
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,191.13
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,418.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,418.32
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$978.43
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,418.32
|
| Rate for Payer: Cash Price |
$1,884.00
|
| Rate for Payer: Cash Price |
$1,884.00
|
| Rate for Payer: Cigna Commercial |
$1,611.82
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,422.05
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,422.05
|
| Rate for Payer: Martins Point Health Care Commercial |
$850.81
|
| Rate for Payer: Multiplan Commercial |
$3,504.24
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,208.15
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$850.81
|
| Rate for Payer: United Healthcare Commercial |
$1,308.80
|
| Rate for Payer: United Healthcare Medicare Advantage |
$850.81
|
| Rate for Payer: United Healthcare VA CCN |
$850.81
|
|
|
TREAT THIGH FRACTURE
|
Professional
|
Both
|
$2,733.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
9602723801
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$449.54 |
| Max. Negotiated Rate |
$2,569.02 |
| Rate for Payer: Aetna of VT Commercial |
$2,569.02
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,448.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$463.03
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,448.49
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$629.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$676.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$676.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$516.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$676.67
|
| Rate for Payer: Cash Price |
$1,366.50
|
| Rate for Payer: Cash Price |
$1,366.50
|
| Rate for Payer: Cigna Commercial |
$850.84
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$746.26
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$746.26
|
| Rate for Payer: Martins Point Health Care Commercial |
$449.54
|
| Rate for Payer: Multiplan Commercial |
$2,541.69
|
| Rate for Payer: MVP Health Care of NY Commercial |
$638.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$449.54
|
| Rate for Payer: United Healthcare Commercial |
$691.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$449.54
|
| Rate for Payer: United Healthcare VA CCN |
$449.54
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
OP
|
$1,510.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
5102723801
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$668.78 |
| Max. Negotiated Rate |
$1,434.50 |
| Rate for Payer: Aetna of VT Commercial |
$1,434.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,352.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$668.78
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,352.81
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$909.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,283.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,223.10
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$679.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,200.45
|
| Rate for Payer: Cash Price |
$755.00
|
| Rate for Payer: Cigna Commercial |
$1,208.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,208.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,208.00
|
| Rate for Payer: Martins Point Health Care Commercial |
$679.50
|
| Rate for Payer: Multiplan Commercial |
$1,404.30
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,283.50
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$679.50
|
| Rate for Payer: United Healthcare Commercial |
$1,434.50
|
| Rate for Payer: United Healthcare Medicare Advantage |
$679.50
|
| Rate for Payer: United Healthcare VA CCN |
$679.50
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
IP
|
$3,768.00
|
|
|
Service Code
|
CPT 27235
|
| Hospital Charge Code |
9822723501
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$2,788.70 |
| Max. Negotiated Rate |
$3,579.60 |
| Rate for Payer: Aetna of VT Commercial |
$3,579.60
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$2,788.70
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$2,788.70
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,202.80
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,165.12
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,014.40
|
| Rate for Payer: Cash Price |
$1,884.00
|
| Rate for Payer: Cigna Commercial |
$3,014.40
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$3,014.40
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$3,014.40
|
| Rate for Payer: Multiplan Commercial |
$3,504.24
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,202.80
|
| Rate for Payer: United Healthcare Commercial |
$3,579.60
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
IP
|
$1,224.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
9812723802
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$905.88 |
| Max. Negotiated Rate |
$1,162.80 |
| Rate for Payer: Aetna of VT Commercial |
$1,162.80
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$905.88
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$905.88
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,040.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,028.16
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$979.20
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cigna Commercial |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$979.20
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$979.20
|
| Rate for Payer: Multiplan Commercial |
$1,138.32
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,040.40
|
| Rate for Payer: United Healthcare Commercial |
$1,162.80
|
|
|
TREAT THIGH FRACTURE
|
Professional
|
Both
|
$1,224.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
9602723802
|
|
Hospital Revenue Code
|
960
|
| Min. Negotiated Rate |
$449.54 |
| Max. Negotiated Rate |
$1,150.56 |
| Rate for Payer: Aetna of VT Commercial |
$1,150.56
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$463.03
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,096.58
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$629.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$676.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$676.67
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$516.97
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$676.67
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cash Price |
$612.00
|
| Rate for Payer: Cigna Commercial |
$850.84
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$746.26
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$746.26
|
| Rate for Payer: Martins Point Health Care Commercial |
$449.54
|
| Rate for Payer: Multiplan Commercial |
$1,138.32
|
| Rate for Payer: MVP Health Care of NY Commercial |
$638.35
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$449.54
|
| Rate for Payer: United Healthcare Commercial |
$691.53
|
| Rate for Payer: United Healthcare Medicare Advantage |
$449.54
|
| Rate for Payer: United Healthcare VA CCN |
$449.54
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
9812723801
|
|
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
|
|
|
TREAT THIGH FRACTURE
|
Professional
|
Both
|
$4,061.00
|
|
|
Service Code
|
CPT 27236
|
| Hospital Charge Code |
9822723601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$1,113.95 |
| Max. Negotiated Rate |
$3,817.34 |
| Rate for Payer: Aetna of VT Commercial |
$3,817.34
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,638.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$1,147.37
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,638.25
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$1,559.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,979.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,979.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$1,281.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,979.45
|
| Rate for Payer: Cash Price |
$2,030.50
|
| Rate for Payer: Cash Price |
$2,030.50
|
| Rate for Payer: Cigna Commercial |
$2,111.06
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,864.36
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,864.36
|
| Rate for Payer: Martins Point Health Care Commercial |
$1,113.95
|
| Rate for Payer: Multiplan Commercial |
$3,776.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,581.81
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$1,113.95
|
| Rate for Payer: United Healthcare Commercial |
$1,713.59
|
| Rate for Payer: United Healthcare Medicare Advantage |
$1,113.95
|
| Rate for Payer: United Healthcare VA CCN |
$1,113.95
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
IP
|
$4,061.00
|
|
|
Service Code
|
CPT 27236
|
| Hospital Charge Code |
9822723601
|
|
Hospital Revenue Code
|
982
|
| Min. Negotiated Rate |
$3,005.55 |
| Max. Negotiated Rate |
$3,857.95 |
| Rate for Payer: Aetna of VT Commercial |
$3,857.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$3,005.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$3,005.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$3,451.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$3,411.24
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$3,248.80
|
| Rate for Payer: Cash Price |
$2,030.50
|
| Rate for Payer: Cigna Commercial |
$3,248.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$3,248.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$3,248.80
|
| Rate for Payer: Multiplan Commercial |
$3,776.73
|
| Rate for Payer: MVP Health Care of NY Commercial |
$3,451.85
|
| Rate for Payer: United Healthcare Commercial |
$3,857.95
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
IP
|
$1,510.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
5102723801
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$1,117.55 |
| Max. Negotiated Rate |
$1,434.50 |
| Rate for Payer: Aetna of VT Commercial |
$1,434.50
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$1,117.55
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$1,117.55
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$1,283.50
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$1,268.40
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$1,208.00
|
| Rate for Payer: Cash Price |
$755.00
|
| Rate for Payer: Cigna Commercial |
$1,208.00
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$1,208.00
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$1,208.00
|
| Rate for Payer: Multiplan Commercial |
$1,404.30
|
| Rate for Payer: MVP Health Care of NY Commercial |
$1,283.50
|
| Rate for Payer: United Healthcare Commercial |
$1,434.50
|
|
|
TREAT THIGH FRACTURE
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 27238
|
| Hospital Charge Code |
9812723801
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.74 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
|
|
TREAT THUMB DISLOCATION
|
Facility
|
OP
|
$548.80
|
|
|
Service Code
|
CPT 26641
|
| Hospital Charge Code |
4502664101
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$243.06 |
| Max. Negotiated Rate |
$521.36 |
| Rate for Payer: Aetna of VT Commercial |
$521.36
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$491.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$243.06
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$491.67
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$330.38
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$466.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$444.53
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$246.96
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$436.30
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cigna Commercial |
$439.04
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$439.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$439.04
|
| Rate for Payer: Martins Point Health Care Commercial |
$246.96
|
| Rate for Payer: Multiplan Commercial |
$510.38
|
| Rate for Payer: MVP Health Care of NY Commercial |
$466.48
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$246.96
|
| Rate for Payer: United Healthcare Commercial |
$521.36
|
| Rate for Payer: United Healthcare Medicare Advantage |
$246.96
|
| Rate for Payer: United Healthcare VA CCN |
$246.96
|
|
|
TREAT THUMB DISLOCATION
|
Facility
|
IP
|
$548.80
|
|
|
Service Code
|
CPT 26641
|
| Hospital Charge Code |
4502664101
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$406.17 |
| Max. Negotiated Rate |
$521.36 |
| Rate for Payer: Aetna of VT Commercial |
$521.36
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$406.17
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$406.17
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$466.48
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$460.99
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$439.04
|
| Rate for Payer: Cash Price |
$274.40
|
| Rate for Payer: Cigna Commercial |
$439.04
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$439.04
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$439.04
|
| Rate for Payer: Multiplan Commercial |
$510.38
|
| Rate for Payer: MVP Health Care of NY Commercial |
$466.48
|
| Rate for Payer: United Healthcare Commercial |
$521.36
|
|
|
TREAT THUMB DISLOCATION
|
Facility
|
OP
|
$1.00
|
|
|
Service Code
|
CPT 26641
|
| Hospital Charge Code |
9812664101
|
|
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
|
|
|
TREAT THUMB DISLOCATION
|
Facility
|
IP
|
$1.00
|
|
|
Service Code
|
CPT 26641
|
| Hospital Charge Code |
9812664101
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.74 |
| Max. Negotiated Rate |
$0.95 |
| Rate for Payer: Aetna of VT Commercial |
$0.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$0.74
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$0.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$0.84
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$0.80
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$0.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$0.80
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$0.85
|
| Rate for Payer: United Healthcare Commercial |
$0.95
|
|
|
TREAT THUMB DISLOCATION
|
Professional
|
Both
|
$1.00
|
|
|
Service Code
|
CPT 26641
|
| Hospital Charge Code |
9812664101
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$0.90 |
| Max. Negotiated Rate |
$708.21 |
| 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 |
$386.33
|
| 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 |
$525.11
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$618.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$618.02
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$431.34
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$618.02
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cash Price |
$0.50
|
| Rate for Payer: Cigna Commercial |
$708.21
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$679.91
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$679.91
|
| Rate for Payer: Martins Point Health Care Commercial |
$412.66
|
| Rate for Payer: Multiplan Commercial |
$0.93
|
| Rate for Payer: MVP Health Care of NY Commercial |
$532.61
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$375.08
|
| Rate for Payer: United Healthcare Commercial |
$576.99
|
| Rate for Payer: United Healthcare Medicare Advantage |
$375.08
|
| Rate for Payer: United Healthcare VA CCN |
$375.08
|
|
|
TREAT THUMB DISLOCATION
|
Facility
|
IP
|
$881.00
|
|
|
Service Code
|
CPT 26641
|
| Hospital Charge Code |
9812664102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$652.03 |
| Max. Negotiated Rate |
$836.95 |
| Rate for Payer: Aetna of VT Commercial |
$836.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$652.03
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$652.03
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$748.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$740.04
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$704.80
|
| Rate for Payer: Cash Price |
$440.50
|
| Rate for Payer: Cigna Commercial |
$704.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$704.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$704.80
|
| Rate for Payer: Multiplan Commercial |
$819.33
|
| Rate for Payer: MVP Health Care of NY Commercial |
$748.85
|
| Rate for Payer: United Healthcare Commercial |
$836.95
|
|
|
TREAT THUMB DISLOCATION
|
Facility
|
OP
|
$881.00
|
|
|
Service Code
|
CPT 26641
|
| Hospital Charge Code |
9812664102
|
|
Hospital Revenue Code
|
981
|
| Min. Negotiated Rate |
$390.19 |
| Max. Negotiated Rate |
$836.95 |
| Rate for Payer: Aetna of VT Commercial |
$836.95
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Commercial |
$789.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire Qualified Health Plan |
$390.19
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP Off Exchange |
$789.29
|
| Rate for Payer: Blue Cross Blue Shield of New Hampshire SHOP On Exchange |
$530.36
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Commercial |
$748.85
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Managed Care |
$713.61
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Medicare Advantage |
$396.45
|
| Rate for Payer: Blue Cross Blue Shield of Vermont Vermont Health Plan |
$700.39
|
| Rate for Payer: Cash Price |
$440.50
|
| Rate for Payer: Cigna Commercial |
$704.80
|
| Rate for Payer: Harvard Pilgrim Health Care HMO |
$704.80
|
| Rate for Payer: Harvard Pilgrim Health Care PPO |
$704.80
|
| Rate for Payer: Martins Point Health Care Commercial |
$396.45
|
| Rate for Payer: Multiplan Commercial |
$819.33
|
| Rate for Payer: MVP Health Care of NY Commercial |
$748.85
|
| Rate for Payer: MVP Health Care of NY Medicare Advantage |
$396.45
|
| Rate for Payer: United Healthcare Commercial |
$836.95
|
| Rate for Payer: United Healthcare Medicare Advantage |
$396.45
|
| Rate for Payer: United Healthcare VA CCN |
$396.45
|
|
