|
HC Arm Sling Small *
|
Facility
|
OP
|
$7.96
|
|
| Hospital Charge Code |
Px02700002345
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.54 |
| Max. Negotiated Rate |
$7.96 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$5.61
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$5.89
|
| Rate for Payer: Aetna Workers' Compensation |
$5.61
|
| Rate for Payer: Aetna Workers' Compensation |
$5.89
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$5.52
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$5.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$5.52
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$5.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$6.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$6.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$6.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$6.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$6.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$6.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$6.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$6.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$6.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$6.27
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cash Price |
$7.96
|
| Rate for Payer: Cigna Commercial |
$4.87
|
| Rate for Payer: Cigna Commercial |
$5.12
|
| Rate for Payer: Cigna Medicare Advantage |
$4.54
|
| Rate for Payer: Cigna Medicare Advantage |
$4.77
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$5.01
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$5.27
|
| Rate for Payer: Home State Health Plan Exchange |
$4.54
|
| Rate for Payer: Home State Health Plan Exchange |
$4.77
|
| Rate for Payer: Humana Medicare |
$5.97
|
| Rate for Payer: Humana Medicare |
$6.27
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$5.97
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$6.27
|
| Rate for Payer: Provider Network of America Commercial |
$6.37
|
| Rate for Payer: Provider Network of America Commercial |
$6.69
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$5.52
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$7.96
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$8.36
|
|
|
HC Arm Sling Small *
|
Facility
|
IP
|
$8.36
|
|
| Hospital Charge Code |
Px02700002345
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.27 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cash Price |
$7.96
|
| Rate for Payer: Cash Price |
$7.96
|
| Rate for Payer: Cash Price |
$8.36
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$5.97
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$6.27
|
| Rate for Payer: Provider Network of America Commercial |
$6.37
|
| Rate for Payer: Provider Network of America Commercial |
$6.69
|
|
|
HC Arm Support IV Adult
|
Facility
|
OP
|
$3.41
|
|
| Hospital Charge Code |
Px02700002704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.94 |
| Max. Negotiated Rate |
$3.41 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$2.40
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$2.29
|
| Rate for Payer: Aetna Workers' Compensation |
$2.29
|
| Rate for Payer: Aetna Workers' Compensation |
$2.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2.50
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2.69
|
| Rate for Payer: Cash Price |
$3.41
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cigna Commercial |
$1.99
|
| Rate for Payer: Cigna Commercial |
$2.09
|
| Rate for Payer: Cigna Medicare Advantage |
$1.94
|
| Rate for Payer: Cigna Medicare Advantage |
$1.85
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2.15
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2.05
|
| Rate for Payer: Home State Health Plan Exchange |
$1.85
|
| Rate for Payer: Home State Health Plan Exchange |
$1.94
|
| Rate for Payer: Humana Medicare |
$2.56
|
| Rate for Payer: Humana Medicare |
$2.44
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.44
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.56
|
| Rate for Payer: Provider Network of America Commercial |
$2.73
|
| Rate for Payer: Provider Network of America Commercial |
$2.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.25
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.25
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.41
|
|
|
HC Arm Support IV Adult
|
Facility
|
IP
|
$3.41
|
|
| Hospital Charge Code |
Px02700002704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$3.41
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cash Price |
$3.41
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.56
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.44
|
| Rate for Payer: Provider Network of America Commercial |
$2.73
|
| Rate for Payer: Provider Network of America Commercial |
$2.60
|
|
|
HC Arm Support IV Child
|
Facility
|
IP
|
$3.41
|
|
| Hospital Charge Code |
Px02700002693
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$3.41
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cash Price |
$3.41
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.56
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.44
|
| Rate for Payer: Provider Network of America Commercial |
$2.73
|
| Rate for Payer: Provider Network of America Commercial |
$2.60
|
|
|
HC Arm Support IV Child
|
Facility
|
OP
|
$3.41
|
|
| Hospital Charge Code |
Px02700002693
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.94 |
| Max. Negotiated Rate |
$3.41 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$2.40
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$2.29
|
| Rate for Payer: Aetna Workers' Compensation |
$2.29
|
| Rate for Payer: Aetna Workers' Compensation |
$2.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2.50
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2.69
|
| Rate for Payer: Cash Price |
$3.41
|
| Rate for Payer: Cash Price |
$3.25
|
| Rate for Payer: Cigna Commercial |
$1.99
|
| Rate for Payer: Cigna Commercial |
$2.09
|
| Rate for Payer: Cigna Medicare Advantage |
$1.94
|
| Rate for Payer: Cigna Medicare Advantage |
$1.85
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2.15
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2.05
|
| Rate for Payer: Home State Health Plan Exchange |
$1.85
|
| Rate for Payer: Home State Health Plan Exchange |
$1.94
|
| Rate for Payer: Humana Medicare |
$2.56
|
| Rate for Payer: Humana Medicare |
$2.44
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.44
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.56
|
| Rate for Payer: Provider Network of America Commercial |
$2.73
|
| Rate for Payer: Provider Network of America Commercial |
$2.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.25
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.25
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.41
|
|
|
HC Arterial Puncture Withdrawal of Blood
|
Facility
|
IP
|
$262.50
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
Px03003660001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$196.88 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$262.50
|
| Rate for Payer: Cash Price |
$262.50
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$196.88
|
| Rate for Payer: Provider Network of America Commercial |
$210.00
|
|
|
HC Arterial Puncture Withdrawal of Blood
|
Facility
|
OP
|
$262.50
|
|
|
Service Code
|
CPT 36600
|
| Hospital Charge Code |
Px03003660001
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$126.42 |
| Max. Negotiated Rate |
$210.00 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$185.06
|
| Rate for Payer: Aetna Workers' Compensation |
$185.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$181.91
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$181.91
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$206.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$206.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$206.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$202.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$206.85
|
| Rate for Payer: Cash Price |
$262.50
|
| Rate for Payer: Cash Price |
$262.50
|
| Rate for Payer: Cigna Commercial |
$137.55
|
| Rate for Payer: Cigna Medicare Advantage |
$149.62
|
| Rate for Payer: Family Health Partners Medicaid |
$167.92
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$165.38
|
| Rate for Payer: Healthy Blue Medicaid |
$181.35
|
| Rate for Payer: Home State Health Plan Exchange |
$149.62
|
| Rate for Payer: Home State Health Plan Medicaid |
$167.92
|
| Rate for Payer: Humana Medicare |
$196.88
|
| Rate for Payer: Mercy CarePlus Medicaid |
$167.92
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$196.88
|
| Rate for Payer: Provider Network of America Commercial |
$210.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$173.25
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$133.26
|
| Rate for Payer: UnitedHealthcare Medicaid |
$126.42
|
|
|
HC Arthrocentesis Aspir Inj Interm Jt/Burs W/O US
|
Facility
|
OP
|
$918.75
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
Px07612060501
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$918.75 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$647.72
|
| Rate for Payer: Aetna Workers' Compensation |
$647.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$636.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$636.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$723.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$723.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$723.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$707.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$723.98
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cigna Commercial |
$562.27
|
| Rate for Payer: Cigna Medicare Advantage |
$523.69
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$578.81
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$523.69
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$689.06
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$689.06
|
| Rate for Payer: Provider Network of America Commercial |
$735.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$606.38
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$918.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
|
HC Arthrocentesis Aspir Inj Interm Jt/Burs W/O US
|
Facility
|
OP
|
$918.75
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
Px05102060501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$918.75 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$647.72
|
| Rate for Payer: Aetna Workers' Compensation |
$647.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$636.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$636.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$723.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$723.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$723.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$707.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$723.98
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cigna Medicare Advantage |
$523.69
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$578.81
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$523.69
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$689.06
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Provider Network of America Commercial |
$735.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$606.38
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$918.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
|
HC Arthrocentesis Aspir Inj Interm Jt/Burs W/O US
|
Facility
|
IP
|
$918.75
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
Px07612060501
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$689.06 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$689.06
|
| Rate for Payer: Provider Network of America Commercial |
$735.00
|
|
|
HC Arthrocentesis Aspir Inj Interm Jt/Burs W/O US
|
Facility
|
IP
|
$918.75
|
|
|
Service Code
|
CPT 20605
|
| Hospital Charge Code |
Px05102060501
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$735.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cash Price |
$918.75
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Provider Network of America Commercial |
$735.00
|
|
|
HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/US
|
Facility
|
IP
|
$1,480.50
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
Px07612060601
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$1,480.50
|
| Rate for Payer: Cash Price |
$1,480.50
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,110.38
|
| Rate for Payer: Provider Network of America Commercial |
$1,184.40
|
|
|
HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/US
|
Facility
|
OP
|
$1,480.50
|
|
|
Service Code
|
CPT 20606
|
| Hospital Charge Code |
Px07612060601
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$670.68 |
| Max. Negotiated Rate |
$1,480.50 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,043.75
|
| Rate for Payer: Aetna Workers' Compensation |
$1,043.75
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,025.99
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,025.99
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,166.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,166.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,166.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,139.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,166.63
|
| Rate for Payer: Cash Price |
$1,480.50
|
| Rate for Payer: Cash Price |
$1,480.50
|
| Rate for Payer: Cigna Commercial |
$906.07
|
| Rate for Payer: Cigna Medicare Advantage |
$843.88
|
| Rate for Payer: Family Health Partners Medicaid |
$890.85
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$932.72
|
| Rate for Payer: Healthy Blue Medicaid |
$962.12
|
| Rate for Payer: Home State Health Plan Exchange |
$843.88
|
| Rate for Payer: Home State Health Plan Medicaid |
$890.85
|
| Rate for Payer: Humana Medicare |
$1,110.38
|
| Rate for Payer: Mercy CarePlus Medicaid |
$890.85
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,110.38
|
| Rate for Payer: Provider Network of America Commercial |
$1,184.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$977.13
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$1,480.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$670.68
|
|
|
HC Arthrocentesis Aspir Inj Major Jt/Bursa W/O US
|
Facility
|
OP
|
$840.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px03602061001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$840.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$582.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$582.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$661.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$661.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$661.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$646.80
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$661.92
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cigna Commercial |
$556.92
|
| Rate for Payer: Cigna Medicare Advantage |
$478.80
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$529.20
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$478.80
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$630.00
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$630.00
|
| Rate for Payer: Provider Network of America Commercial |
$672.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$554.40
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$840.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
|
HC Arthrocentesis Aspir Inj Major Jt/Bursa W/O US
|
Facility
|
IP
|
$840.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px03602061001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$630.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$630.00
|
| Rate for Payer: Provider Network of America Commercial |
$672.00
|
|
|
HC Arthrocentesis Aspir Inj Major Jt/Bursa W/O US
|
Facility
|
IP
|
$1,050.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px07612061001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$787.50 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$787.50
|
| Rate for Payer: Provider Network of America Commercial |
$840.00
|
|
|
HC Arthrocentesis Aspir Inj Major Jt/Bursa W/O US
|
Facility
|
OP
|
$1,014.30
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px05102061001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$1,014.30 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$715.08
|
| Rate for Payer: Aetna Workers' Compensation |
$715.08
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$702.91
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$702.91
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$799.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$799.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$799.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$781.01
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$799.27
|
| Rate for Payer: Cash Price |
$1,014.30
|
| Rate for Payer: Cash Price |
$1,014.30
|
| Rate for Payer: Cigna Medicare Advantage |
$578.15
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$639.01
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$578.15
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$760.73
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Provider Network of America Commercial |
$811.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$669.44
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$1,014.30
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
|
HC Arthrocentesis Aspir Inj Major Jt/Bursa W/O US
|
Facility
|
IP
|
$1,014.30
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px05102061001
|
|
Hospital Revenue Code
|
510
|
| Min. Negotiated Rate |
$811.44 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$1,014.30
|
| Rate for Payer: Cash Price |
$1,014.30
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Provider Network of America Commercial |
$811.44
|
|
|
HC Arthrocentesis Aspir Inj Major Jt/Bursa W/O US
|
Facility
|
OP
|
$1,050.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px07612061001
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$1,050.00 |
| Rate for Payer: Cigna Medicare Advantage |
$598.50
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$740.25
|
| Rate for Payer: Aetna Workers' Compensation |
$740.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$727.65
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$727.65
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$827.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$827.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$827.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$808.50
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$827.40
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cash Price |
$1,050.00
|
| Rate for Payer: Cigna Commercial |
$642.60
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$661.50
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$598.50
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$787.50
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$787.50
|
| Rate for Payer: Provider Network of America Commercial |
$840.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$693.00
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$1,050.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
|
HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US
|
Facility
|
IP
|
$945.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px03612061001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$708.75 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$945.00
|
| Rate for Payer: Cash Price |
$945.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$708.75
|
| Rate for Payer: Provider Network of America Commercial |
$756.00
|
|
|
HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US
|
Facility
|
OP
|
$945.00
|
|
|
Service Code
|
CPT 20610
|
| Hospital Charge Code |
Px03612061001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$945.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$654.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$654.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$744.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$744.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$744.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$727.65
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$744.66
|
| Rate for Payer: Cash Price |
$945.00
|
| Rate for Payer: Cash Price |
$945.00
|
| Rate for Payer: Cigna Commercial |
$626.53
|
| Rate for Payer: Cigna Medicare Advantage |
$538.65
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$595.35
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$538.65
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$708.75
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$708.75
|
| Rate for Payer: Provider Network of America Commercial |
$756.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$623.70
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$945.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
|
HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/US
|
Facility
|
OP
|
$840.00
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
Px03612061101
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$840.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$582.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$582.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$661.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$661.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$661.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$646.80
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$661.92
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cigna Commercial |
$556.92
|
| Rate for Payer: Cigna Medicare Advantage |
$478.80
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$529.20
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$478.80
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$630.00
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$630.00
|
| Rate for Payer: Provider Network of America Commercial |
$672.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$554.40
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$840.00
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
|
HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/US
|
Facility
|
IP
|
$840.00
|
|
|
Service Code
|
CPT 20611
|
| Hospital Charge Code |
Px03612061101
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$630.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cash Price |
$840.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$630.00
|
| Rate for Payer: Provider Network of America Commercial |
$672.00
|
|
|
HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US
|
Facility
|
OP
|
$609.35
|
|
|
Service Code
|
CPT 20600
|
| Hospital Charge Code |
Px03612060001
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$291.64 |
| Max. Negotiated Rate |
$609.35 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$422.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$422.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$480.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$480.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$480.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$469.20
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$480.17
|
| Rate for Payer: Cash Price |
$609.35
|
| Rate for Payer: Cash Price |
$609.35
|
| Rate for Payer: Cigna Commercial |
$404.00
|
| Rate for Payer: Cigna Medicare Advantage |
$347.33
|
| Rate for Payer: Family Health Partners Medicaid |
$387.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$383.89
|
| Rate for Payer: Healthy Blue Medicaid |
$418.37
|
| Rate for Payer: Home State Health Plan Exchange |
$347.33
|
| Rate for Payer: Home State Health Plan Medicaid |
$387.38
|
| Rate for Payer: Humana Medicare |
$457.01
|
| Rate for Payer: Mercy CarePlus Medicaid |
$387.38
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$457.01
|
| Rate for Payer: Provider Network of America Commercial |
$487.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$402.17
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$609.35
|
| Rate for Payer: UnitedHealthcare Medicaid |
$291.64
|
|
