|
HC Assay Glucose, Body Fluid - Glucose 24 Hour Urine
|
Facility
|
IP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294503
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$75.60 |
| 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 |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| 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 |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
|
|
HC Assay Glucose, Body Fluid - Glucose 24 Hour Urine
|
Facility
|
OP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294503
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$80.64 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$71.06
|
| Rate for Payer: Aetna Workers' Compensation |
$71.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$77.62
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$79.43
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cigna Commercial |
$52.82
|
| Rate for Payer: Cigna Medicare Advantage |
$57.46
|
| Rate for Payer: Family Health Partners Medicaid |
$4.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$63.50
|
| Rate for Payer: Healthy Blue Medicaid |
$5.35
|
| Rate for Payer: Home State Health Plan Exchange |
$57.46
|
| Rate for Payer: Home State Health Plan Medicaid |
$4.96
|
| Rate for Payer: Humana Medicare |
$75.60
|
| Rate for Payer: Mercy CarePlus Medicaid |
$4.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.53
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.93
|
| Rate for Payer: UnitedHealthcare Medicaid |
$3.73
|
|
|
HC Assay Glucose, Body Fluid - Glucose Body Fluid
|
Facility
|
OP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294502
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$80.64 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$71.06
|
| Rate for Payer: Aetna Workers' Compensation |
$71.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$77.62
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$79.43
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cigna Commercial |
$52.82
|
| Rate for Payer: Cigna Medicare Advantage |
$57.46
|
| Rate for Payer: Family Health Partners Medicaid |
$4.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$63.50
|
| Rate for Payer: Healthy Blue Medicaid |
$5.35
|
| Rate for Payer: Home State Health Plan Exchange |
$57.46
|
| Rate for Payer: Home State Health Plan Medicaid |
$4.96
|
| Rate for Payer: Humana Medicare |
$75.60
|
| Rate for Payer: Mercy CarePlus Medicaid |
$4.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.53
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.93
|
| Rate for Payer: UnitedHealthcare Medicaid |
$3.73
|
|
|
HC Assay Glucose, Body Fluid - Glucose Body Fluid
|
Facility
|
IP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294502
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$75.60 |
| 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 |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| 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 |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
|
|
HC Assay Glucose, Body Fluid - Glucose CSF
|
Facility
|
IP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$75.60 |
| 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 |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| 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 |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
|
|
HC Assay Glucose, Body Fluid - Glucose CSF
|
Facility
|
OP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$80.64 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$71.06
|
| Rate for Payer: Aetna Workers' Compensation |
$71.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$77.62
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$79.43
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cigna Commercial |
$52.82
|
| Rate for Payer: Cigna Medicare Advantage |
$57.46
|
| Rate for Payer: Family Health Partners Medicaid |
$4.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$63.50
|
| Rate for Payer: Healthy Blue Medicaid |
$5.35
|
| Rate for Payer: Home State Health Plan Exchange |
$57.46
|
| Rate for Payer: Home State Health Plan Medicaid |
$4.96
|
| Rate for Payer: Humana Medicare |
$75.60
|
| Rate for Payer: Mercy CarePlus Medicaid |
$4.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.53
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.93
|
| Rate for Payer: UnitedHealthcare Medicaid |
$3.73
|
|
|
HC Assay Glucose, Body Fluid - Reducing Substances Stool
|
Facility
|
OP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294505
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$3.73 |
| Max. Negotiated Rate |
$80.64 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$71.06
|
| Rate for Payer: Aetna Workers' Compensation |
$71.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$69.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$79.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$77.62
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$79.43
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| Rate for Payer: Cigna Commercial |
$52.82
|
| Rate for Payer: Cigna Medicare Advantage |
$57.46
|
| Rate for Payer: Family Health Partners Medicaid |
$4.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$63.50
|
| Rate for Payer: Healthy Blue Medicaid |
$5.35
|
| Rate for Payer: Home State Health Plan Exchange |
$57.46
|
| Rate for Payer: Home State Health Plan Medicaid |
$4.96
|
| Rate for Payer: Humana Medicare |
$75.60
|
| Rate for Payer: Mercy CarePlus Medicaid |
$4.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.53
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.93
|
| Rate for Payer: UnitedHealthcare Medicaid |
$3.73
|
|
|
HC Assay Glucose, Body Fluid - Reducing Substances Stool
|
Facility
|
IP
|
$100.80
|
|
|
Service Code
|
CPT 82945
|
| Hospital Charge Code |
Px03018294505
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$75.60 |
| 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 |
$100.80
|
| Rate for Payer: Cash Price |
$100.80
|
| 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 |
$75.60
|
| Rate for Payer: Provider Network of America Commercial |
$80.64
|
|
|
HC Assay Growth Hormone (Hgh) - Growth Hormone
|
Facility
|
IP
|
$200.55
|
|
|
Service Code
|
CPT 83003
|
| Hospital Charge Code |
Px03018300301
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$150.41 |
| 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 |
$200.55
|
| Rate for Payer: Cash Price |
$200.55
|
| 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 |
$150.41
|
| Rate for Payer: Provider Network of America Commercial |
$160.44
|
|
|
HC Assay Growth Hormone (Hgh) - Growth Hormone
|
Facility
|
OP
|
$200.55
|
|
|
Service Code
|
CPT 83003
|
| Hospital Charge Code |
Px03018300301
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$15.81 |
| Max. Negotiated Rate |
$160.44 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$141.39
|
| Rate for Payer: Aetna Workers' Compensation |
$141.39
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$138.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$138.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$158.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$158.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$158.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$154.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$158.03
|
| Rate for Payer: Cash Price |
$200.55
|
| Rate for Payer: Cash Price |
$200.55
|
| Rate for Payer: Cigna Commercial |
$105.09
|
| Rate for Payer: Cigna Medicare Advantage |
$114.31
|
| Rate for Payer: Family Health Partners Medicaid |
$21.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$126.35
|
| Rate for Payer: Healthy Blue Medicaid |
$22.68
|
| Rate for Payer: Home State Health Plan Exchange |
$114.31
|
| Rate for Payer: Home State Health Plan Medicaid |
$21.00
|
| Rate for Payer: Humana Medicare |
$150.41
|
| Rate for Payer: Mercy CarePlus Medicaid |
$21.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$150.41
|
| Rate for Payer: Provider Network of America Commercial |
$160.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$132.36
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$16.67
|
| Rate for Payer: UnitedHealthcare Medicaid |
$15.81
|
|
|
HC Assay Lactoferrin Fecal Quantitative
|
Facility
|
OP
|
$168.00
|
|
|
Service Code
|
CPT 83631
|
| Hospital Charge Code |
Px03018363101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.62 |
| Max. Negotiated Rate |
$134.40 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$118.44
|
| Rate for Payer: Aetna Workers' Compensation |
$118.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$116.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$116.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$132.38
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$132.38
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$132.38
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$129.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$132.38
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| Rate for Payer: Cigna Commercial |
$88.03
|
| Rate for Payer: Cigna Medicare Advantage |
$95.76
|
| Rate for Payer: Family Health Partners Medicaid |
$24.74
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$105.84
|
| Rate for Payer: Healthy Blue Medicaid |
$26.72
|
| Rate for Payer: Home State Health Plan Exchange |
$95.76
|
| Rate for Payer: Home State Health Plan Medicaid |
$24.74
|
| Rate for Payer: Humana Medicare |
$126.00
|
| Rate for Payer: Mercy CarePlus Medicaid |
$24.74
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$126.00
|
| Rate for Payer: Provider Network of America Commercial |
$134.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$110.88
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$19.63
|
| Rate for Payer: UnitedHealthcare Medicaid |
$18.62
|
|
|
HC Assay Lactoferrin Fecal Quantitative
|
Facility
|
IP
|
$168.00
|
|
|
Service Code
|
CPT 83631
|
| Hospital Charge Code |
Px03018363101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$126.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Cigna Medicare Advantage |
$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 |
$168.00
|
| Rate for Payer: Cash Price |
$168.00
|
| 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 |
$126.00
|
| Rate for Payer: Provider Network of America Commercial |
$134.40
|
|
|
HC Assay of 5-Hiaa - 5 Hiaa Quant,24hr Urine
|
Facility
|
OP
|
$148.05
|
|
|
Service Code
|
CPT 83497
|
| Hospital Charge Code |
Px03018349701
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.24 |
| Max. Negotiated Rate |
$118.44 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$104.38
|
| Rate for Payer: Aetna Workers' Compensation |
$104.38
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$102.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$102.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$116.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$116.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$116.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$114.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$116.66
|
| Rate for Payer: Cash Price |
$148.05
|
| Rate for Payer: Cash Price |
$148.05
|
| Rate for Payer: Cigna Commercial |
$77.58
|
| Rate for Payer: Cigna Medicare Advantage |
$84.39
|
| Rate for Payer: Family Health Partners Medicaid |
$16.25
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$93.27
|
| Rate for Payer: Healthy Blue Medicaid |
$17.55
|
| Rate for Payer: Home State Health Plan Exchange |
$84.39
|
| Rate for Payer: Home State Health Plan Medicaid |
$16.25
|
| Rate for Payer: Humana Medicare |
$111.04
|
| Rate for Payer: Mercy CarePlus Medicaid |
$16.25
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$111.04
|
| Rate for Payer: Provider Network of America Commercial |
$118.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$97.71
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$12.90
|
| Rate for Payer: UnitedHealthcare Medicaid |
$12.24
|
|
|
HC Assay of 5-Hiaa - 5 Hiaa Quant,24hr Urine
|
Facility
|
IP
|
$148.05
|
|
|
Service Code
|
CPT 83497
|
| Hospital Charge Code |
Px03018349701
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$111.04 |
| 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 |
$148.05
|
| Rate for Payer: Cash Price |
$148.05
|
| 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 |
$111.04
|
| Rate for Payer: Provider Network of America Commercial |
$118.44
|
|
|
HC Assay of Acth - Acth
|
Facility
|
OP
|
$323.40
|
|
|
Service Code
|
CPT 82024
|
| Hospital Charge Code |
Px03018202401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$36.64 |
| Max. Negotiated Rate |
$258.72 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$228.00
|
| Rate for Payer: Aetna Workers' Compensation |
$228.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$224.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$224.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$254.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$254.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$254.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$249.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$254.84
|
| Rate for Payer: Cash Price |
$323.40
|
| Rate for Payer: Cash Price |
$323.40
|
| Rate for Payer: Cigna Commercial |
$169.46
|
| Rate for Payer: Cigna Medicare Advantage |
$184.34
|
| Rate for Payer: Family Health Partners Medicaid |
$48.66
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$203.74
|
| Rate for Payer: Healthy Blue Medicaid |
$52.56
|
| Rate for Payer: Home State Health Plan Exchange |
$184.34
|
| Rate for Payer: Home State Health Plan Medicaid |
$48.66
|
| Rate for Payer: Humana Medicare |
$242.55
|
| Rate for Payer: Mercy CarePlus Medicaid |
$48.66
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$242.55
|
| Rate for Payer: Provider Network of America Commercial |
$258.72
|
| Rate for Payer: UnitedHealthcare Commercial |
$213.44
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$38.62
|
| Rate for Payer: UnitedHealthcare Medicaid |
$36.64
|
|
|
HC Assay of Acth - Acth
|
Facility
|
IP
|
$323.40
|
|
|
Service Code
|
CPT 82024
|
| Hospital Charge Code |
Px03018202401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$242.55 |
| 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 |
$323.40
|
| Rate for Payer: Cash Price |
$323.40
|
| 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 |
$242.55
|
| Rate for Payer: Provider Network of America Commercial |
$258.72
|
|
|
HC Assay of Aldolase - Aldolase
|
Facility
|
OP
|
$121.80
|
|
|
Service Code
|
CPT 82085
|
| Hospital Charge Code |
Px03018208501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.21 |
| Max. Negotiated Rate |
$97.44 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$85.87
|
| Rate for Payer: Aetna Workers' Compensation |
$85.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$84.41
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$84.41
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$95.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$95.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$95.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$93.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$95.98
|
| Rate for Payer: Cash Price |
$121.80
|
| Rate for Payer: Cash Price |
$121.80
|
| Rate for Payer: Cigna Commercial |
$63.82
|
| Rate for Payer: Cigna Medicare Advantage |
$69.43
|
| Rate for Payer: Family Health Partners Medicaid |
$12.24
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$76.73
|
| Rate for Payer: Healthy Blue Medicaid |
$13.21
|
| Rate for Payer: Home State Health Plan Exchange |
$69.43
|
| Rate for Payer: Home State Health Plan Medicaid |
$12.24
|
| Rate for Payer: Humana Medicare |
$91.35
|
| Rate for Payer: Mercy CarePlus Medicaid |
$12.24
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$91.35
|
| Rate for Payer: Provider Network of America Commercial |
$97.44
|
| Rate for Payer: UnitedHealthcare Commercial |
$80.39
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$9.71
|
| Rate for Payer: UnitedHealthcare Medicaid |
$9.21
|
|
|
HC Assay of Aldolase - Aldolase
|
Facility
|
IP
|
$121.80
|
|
|
Service Code
|
CPT 82085
|
| Hospital Charge Code |
Px03018208501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$91.35 |
| 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 |
$121.80
|
| Rate for Payer: Cash Price |
$121.80
|
| 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 |
$91.35
|
| Rate for Payer: Provider Network of America Commercial |
$97.44
|
|
|
HC Assay of Aldosterone - Aldosterone
|
Facility
|
IP
|
$312.90
|
|
|
Service Code
|
CPT 82088
|
| Hospital Charge Code |
Px03018208802
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$234.68 |
| 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 |
$312.90
|
| Rate for Payer: Cash Price |
$312.90
|
| 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 |
$234.68
|
| Rate for Payer: Provider Network of America Commercial |
$250.32
|
|
|
HC Assay of Aldosterone - Aldosterone
|
Facility
|
OP
|
$312.90
|
|
|
Service Code
|
CPT 82088
|
| Hospital Charge Code |
Px03018208802
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.66 |
| Max. Negotiated Rate |
$250.32 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$220.59
|
| Rate for Payer: Aetna Workers' Compensation |
$220.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$216.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$216.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$240.93
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$246.57
|
| Rate for Payer: Cash Price |
$312.90
|
| Rate for Payer: Cash Price |
$312.90
|
| Rate for Payer: Cigna Commercial |
$163.96
|
| Rate for Payer: Cigna Medicare Advantage |
$178.35
|
| Rate for Payer: Family Health Partners Medicaid |
$51.35
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$197.13
|
| Rate for Payer: Healthy Blue Medicaid |
$55.46
|
| Rate for Payer: Home State Health Plan Exchange |
$178.35
|
| Rate for Payer: Home State Health Plan Medicaid |
$51.35
|
| Rate for Payer: Humana Medicare |
$234.68
|
| Rate for Payer: Mercy CarePlus Medicaid |
$51.35
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$234.68
|
| Rate for Payer: Provider Network of America Commercial |
$250.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$206.51
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$40.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$38.66
|
|
|
HC Assay of Aldosterone - Aldosterone,24hr Urine
|
Facility
|
IP
|
$312.90
|
|
|
Service Code
|
CPT 82088
|
| Hospital Charge Code |
Px03018208801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$234.68 |
| 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 |
$312.90
|
| Rate for Payer: Cash Price |
$312.90
|
| 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 |
$234.68
|
| Rate for Payer: Provider Network of America Commercial |
$250.32
|
|
|
HC Assay of Aldosterone - Aldosterone,24hr Urine
|
Facility
|
OP
|
$312.90
|
|
|
Service Code
|
CPT 82088
|
| Hospital Charge Code |
Px03018208801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.66 |
| Max. Negotiated Rate |
$250.32 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$220.59
|
| Rate for Payer: Aetna Workers' Compensation |
$220.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$216.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$216.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$240.93
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$246.57
|
| Rate for Payer: Cash Price |
$312.90
|
| Rate for Payer: Cash Price |
$312.90
|
| Rate for Payer: Cigna Commercial |
$163.96
|
| Rate for Payer: Cigna Medicare Advantage |
$178.35
|
| Rate for Payer: Family Health Partners Medicaid |
$51.35
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$197.13
|
| Rate for Payer: Healthy Blue Medicaid |
$55.46
|
| Rate for Payer: Home State Health Plan Exchange |
$178.35
|
| Rate for Payer: Home State Health Plan Medicaid |
$51.35
|
| Rate for Payer: Humana Medicare |
$234.68
|
| Rate for Payer: Mercy CarePlus Medicaid |
$51.35
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$234.68
|
| Rate for Payer: Provider Network of America Commercial |
$250.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$206.51
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$40.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$38.66
|
|
|
HC Assay of Aldosterone - Aldosterone, Serum
|
Facility
|
IP
|
$312.90
|
|
|
Service Code
|
CPT 82088
|
| Hospital Charge Code |
Px03018208803
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$234.68 |
| 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 |
$312.90
|
| Rate for Payer: Cash Price |
$312.90
|
| 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 |
$234.68
|
| Rate for Payer: Provider Network of America Commercial |
$250.32
|
|
|
HC Assay of Aldosterone - Aldosterone, Serum
|
Facility
|
OP
|
$312.90
|
|
|
Service Code
|
CPT 82088
|
| Hospital Charge Code |
Px03018208803
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$38.66 |
| Max. Negotiated Rate |
$250.32 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$220.59
|
| Rate for Payer: Aetna Workers' Compensation |
$220.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$216.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$216.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$246.57
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$240.93
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$246.57
|
| Rate for Payer: Cash Price |
$312.90
|
| Rate for Payer: Cash Price |
$312.90
|
| Rate for Payer: Cigna Commercial |
$163.96
|
| Rate for Payer: Cigna Medicare Advantage |
$178.35
|
| Rate for Payer: Family Health Partners Medicaid |
$51.35
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$197.13
|
| Rate for Payer: Healthy Blue Medicaid |
$55.46
|
| Rate for Payer: Home State Health Plan Exchange |
$178.35
|
| Rate for Payer: Home State Health Plan Medicaid |
$51.35
|
| Rate for Payer: Humana Medicare |
$234.68
|
| Rate for Payer: Mercy CarePlus Medicaid |
$51.35
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$234.68
|
| Rate for Payer: Provider Network of America Commercial |
$250.32
|
| Rate for Payer: UnitedHealthcare Commercial |
$206.51
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$40.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$38.66
|
|
|
HC Assay of Ammonia - Ammonia
|
Facility
|
OP
|
$196.35
|
|
|
Service Code
|
CPT 82140
|
| Hospital Charge Code |
Px03018214001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.82 |
| Max. Negotiated Rate |
$157.08 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$138.43
|
| Rate for Payer: Aetna Workers' Compensation |
$138.43
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$136.07
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$136.07
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$154.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$154.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$154.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$151.19
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$154.72
|
| Rate for Payer: Cash Price |
$196.35
|
| Rate for Payer: Cash Price |
$196.35
|
| Rate for Payer: Cigna Commercial |
$102.89
|
| Rate for Payer: Cigna Medicare Advantage |
$111.92
|
| Rate for Payer: Family Health Partners Medicaid |
$18.35
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$123.70
|
| Rate for Payer: Healthy Blue Medicaid |
$19.82
|
| Rate for Payer: Home State Health Plan Exchange |
$111.92
|
| Rate for Payer: Home State Health Plan Medicaid |
$18.35
|
| Rate for Payer: Humana Medicare |
$147.26
|
| Rate for Payer: Mercy CarePlus Medicaid |
$18.35
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$147.26
|
| Rate for Payer: Provider Network of America Commercial |
$157.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$129.59
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$14.57
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.82
|
|
