|
HC Assay of Arsenic - Heavy Metals Panel, Urine
|
Facility
|
OP
|
$212.10
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
Px03018217504
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$17.99 |
| Max. Negotiated Rate |
$169.68 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$149.53
|
| Rate for Payer: Aetna Workers' Compensation |
$149.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$146.99
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$146.99
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$167.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$167.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$167.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$163.32
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$167.13
|
| Rate for Payer: Cash Price |
$212.10
|
| Rate for Payer: Cash Price |
$212.10
|
| Rate for Payer: Cigna Commercial |
$111.14
|
| Rate for Payer: Cigna Medicare Advantage |
$120.90
|
| Rate for Payer: Family Health Partners Medicaid |
$23.90
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$133.62
|
| Rate for Payer: Healthy Blue Medicaid |
$25.81
|
| Rate for Payer: Home State Health Plan Exchange |
$120.90
|
| Rate for Payer: Home State Health Plan Medicaid |
$23.90
|
| Rate for Payer: Humana Medicare |
$159.07
|
| Rate for Payer: Mercy CarePlus Medicaid |
$23.90
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$159.07
|
| Rate for Payer: Provider Network of America Commercial |
$169.68
|
| Rate for Payer: UnitedHealthcare Commercial |
$139.99
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$18.97
|
| Rate for Payer: UnitedHealthcare Medicaid |
$17.99
|
|
|
HC Assay of Arsenic - Heavy Metals Panel, Urine
|
Facility
|
IP
|
$212.10
|
|
|
Service Code
|
CPT 82175
|
| Hospital Charge Code |
Px03018217504
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$159.07 |
| 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 |
$212.10
|
| Rate for Payer: Cash Price |
$212.10
|
| 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 |
$159.07
|
| Rate for Payer: Provider Network of America Commercial |
$169.68
|
|
|
HC Assay of Blood Albumin - Albumin
|
Facility
|
OP
|
$57.75
|
|
|
Service Code
|
CPT 82040
|
| Hospital Charge Code |
Px03018204002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.70 |
| Max. Negotiated Rate |
$46.20 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$40.71
|
| Rate for Payer: Aetna Workers' Compensation |
$40.71
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$40.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$40.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$45.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$45.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$45.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$44.47
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$45.51
|
| Rate for Payer: Cash Price |
$57.75
|
| Rate for Payer: Cash Price |
$57.75
|
| Rate for Payer: Cigna Commercial |
$30.26
|
| Rate for Payer: Cigna Medicare Advantage |
$32.92
|
| Rate for Payer: Family Health Partners Medicaid |
$6.24
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$36.38
|
| Rate for Payer: Healthy Blue Medicaid |
$6.74
|
| Rate for Payer: Home State Health Plan Exchange |
$32.92
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.24
|
| Rate for Payer: Humana Medicare |
$43.31
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.24
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$43.31
|
| Rate for Payer: Provider Network of America Commercial |
$46.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$38.12
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.95
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.70
|
|
|
HC Assay of Blood Albumin - Albumin
|
Facility
|
IP
|
$57.75
|
|
|
Service Code
|
CPT 82040
|
| Hospital Charge Code |
Px03018204002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$43.31 |
| 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 |
$57.75
|
| Rate for Payer: Cash Price |
$57.75
|
| 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 |
$43.31
|
| Rate for Payer: Provider Network of America Commercial |
$46.20
|
|
|
HC Assay of Blood Chloride - Chloride
|
Facility
|
IP
|
$71.40
|
|
|
Service Code
|
CPT 82435
|
| Hospital Charge Code |
Px03018243501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$53.55 |
| 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 |
$71.40
|
| Rate for Payer: Cash Price |
$71.40
|
| 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 |
$53.55
|
| Rate for Payer: Provider Network of America Commercial |
$57.12
|
|
|
HC Assay of Blood Chloride - Chloride
|
Facility
|
OP
|
$71.40
|
|
|
Service Code
|
CPT 82435
|
| Hospital Charge Code |
Px03018243501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.36 |
| Max. Negotiated Rate |
$57.12 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$50.34
|
| Rate for Payer: Aetna Workers' Compensation |
$50.34
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$49.48
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$49.48
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$56.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$56.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$56.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$54.98
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$56.26
|
| Rate for Payer: Cash Price |
$71.40
|
| Rate for Payer: Cash Price |
$71.40
|
| Rate for Payer: Cigna Commercial |
$37.41
|
| Rate for Payer: Cigna Medicare Advantage |
$40.70
|
| Rate for Payer: Family Health Partners Medicaid |
$5.80
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$44.98
|
| Rate for Payer: Healthy Blue Medicaid |
$6.26
|
| Rate for Payer: Home State Health Plan Exchange |
$40.70
|
| Rate for Payer: Home State Health Plan Medicaid |
$5.80
|
| Rate for Payer: Humana Medicare |
$53.55
|
| Rate for Payer: Mercy CarePlus Medicaid |
$5.80
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$53.55
|
| Rate for Payer: Provider Network of America Commercial |
$57.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$47.12
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.60
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.36
|
|
|
HC Assay of Blood Lipoprotein,Ldl Cholest - Ldl Cholesterol Direct
|
Facility
|
OP
|
$97.65
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
Px03018372101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.96 |
| Max. Negotiated Rate |
$78.12 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$68.84
|
| Rate for Payer: Aetna Workers' Compensation |
$68.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$67.67
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$67.67
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$76.95
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$76.95
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$76.95
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$75.19
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$76.95
|
| Rate for Payer: Cash Price |
$97.65
|
| Rate for Payer: Cash Price |
$97.65
|
| Rate for Payer: Cigna Commercial |
$51.17
|
| Rate for Payer: Cigna Medicare Advantage |
$55.66
|
| Rate for Payer: Family Health Partners Medicaid |
$13.23
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$61.52
|
| Rate for Payer: Healthy Blue Medicaid |
$14.29
|
| Rate for Payer: Home State Health Plan Exchange |
$55.66
|
| Rate for Payer: Home State Health Plan Medicaid |
$13.23
|
| Rate for Payer: Humana Medicare |
$73.24
|
| Rate for Payer: Mercy CarePlus Medicaid |
$13.23
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$73.24
|
| Rate for Payer: Provider Network of America Commercial |
$78.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$64.45
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$10.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$9.96
|
|
|
HC Assay of Blood Lipoprotein,Ldl Cholest - Ldl Cholesterol Direct
|
Facility
|
IP
|
$97.65
|
|
|
Service Code
|
CPT 83721
|
| Hospital Charge Code |
Px03018372101
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$73.24 |
| 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 |
$97.65
|
| Rate for Payer: Cash Price |
$97.65
|
| 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 |
$73.24
|
| Rate for Payer: Provider Network of America Commercial |
$78.12
|
|
|
HC Assay of Blood Osmolality - Osmolality
|
Facility
|
OP
|
$111.30
|
|
|
Service Code
|
CPT 83930
|
| Hospital Charge Code |
Px03018393001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.27 |
| Max. Negotiated Rate |
$89.04 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$78.47
|
| Rate for Payer: Aetna Workers' Compensation |
$78.47
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$77.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$77.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$87.70
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$87.70
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$87.70
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$85.70
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$87.70
|
| Rate for Payer: Cash Price |
$111.30
|
| Rate for Payer: Cash Price |
$111.30
|
| Rate for Payer: Cigna Commercial |
$58.32
|
| Rate for Payer: Cigna Medicare Advantage |
$63.44
|
| Rate for Payer: Family Health Partners Medicaid |
$8.33
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$70.12
|
| Rate for Payer: Healthy Blue Medicaid |
$9.00
|
| Rate for Payer: Home State Health Plan Exchange |
$63.44
|
| Rate for Payer: Home State Health Plan Medicaid |
$8.33
|
| Rate for Payer: Humana Medicare |
$83.47
|
| Rate for Payer: Mercy CarePlus Medicaid |
$8.33
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$83.47
|
| Rate for Payer: Provider Network of America Commercial |
$89.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$73.46
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$6.61
|
| Rate for Payer: UnitedHealthcare Medicaid |
$6.27
|
|
|
HC Assay of Blood Osmolality - Osmolality
|
Facility
|
IP
|
$111.30
|
|
|
Service Code
|
CPT 83930
|
| Hospital Charge Code |
Px03018393001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$83.47 |
| 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 |
$111.30
|
| Rate for Payer: Cash Price |
$111.30
|
| 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: Oscar Health EPO/HMO/POS/PPO |
$83.47
|
| Rate for Payer: Provider Network of America Commercial |
$89.04
|
|
|
HC Assay of Blood Pku - Phenylalanine
|
Facility
|
IP
|
$137.55
|
|
|
Service Code
|
CPT 84030
|
| Hospital Charge Code |
Px03018403001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$103.16 |
| 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 |
$137.55
|
| Rate for Payer: Cash Price |
$137.55
|
| 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 |
$103.16
|
| Rate for Payer: Provider Network of America Commercial |
$110.04
|
|
|
HC Assay of Blood Pku - Phenylalanine
|
Facility
|
OP
|
$137.55
|
|
|
Service Code
|
CPT 84030
|
| Hospital Charge Code |
Px03018403001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.22 |
| Max. Negotiated Rate |
$110.04 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$96.97
|
| Rate for Payer: Aetna Workers' Compensation |
$96.97
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$95.32
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$95.32
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$108.39
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$108.39
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$108.39
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$105.91
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$108.39
|
| Rate for Payer: Cash Price |
$137.55
|
| Rate for Payer: Cash Price |
$137.55
|
| Rate for Payer: Cigna Commercial |
$72.08
|
| Rate for Payer: Cigna Medicare Advantage |
$78.40
|
| Rate for Payer: Family Health Partners Medicaid |
$6.93
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$86.66
|
| Rate for Payer: Healthy Blue Medicaid |
$7.48
|
| Rate for Payer: Home State Health Plan Exchange |
$78.40
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.93
|
| Rate for Payer: Humana Medicare |
$103.16
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.93
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$103.16
|
| Rate for Payer: Provider Network of America Commercial |
$110.04
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.78
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.50
|
| Rate for Payer: UnitedHealthcare Medicaid |
$5.22
|
|
|
HC Assay of Cadmium - Cadmium 24 Hr Urine
|
Facility
|
OP
|
$135.45
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
Px03018230001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.43 |
| Max. Negotiated Rate |
$108.36 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$95.49
|
| Rate for Payer: Aetna Workers' Compensation |
$95.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$93.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$93.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$104.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$106.73
|
| Rate for Payer: Cash Price |
$135.45
|
| Rate for Payer: Cash Price |
$135.45
|
| Rate for Payer: Cigna Commercial |
$70.98
|
| Rate for Payer: Cigna Medicare Advantage |
$77.21
|
| Rate for Payer: Family Health Partners Medicaid |
$29.79
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$85.33
|
| Rate for Payer: Healthy Blue Medicaid |
$32.18
|
| Rate for Payer: Home State Health Plan Exchange |
$77.21
|
| Rate for Payer: Home State Health Plan Medicaid |
$29.79
|
| Rate for Payer: Humana Medicare |
$101.59
|
| Rate for Payer: Mercy CarePlus Medicaid |
$29.79
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$101.59
|
| Rate for Payer: Provider Network of America Commercial |
$108.36
|
| Rate for Payer: UnitedHealthcare Commercial |
$89.40
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$23.64
|
| Rate for Payer: UnitedHealthcare Medicaid |
$22.43
|
|
|
HC Assay of Cadmium - Cadmium 24 Hr Urine
|
Facility
|
IP
|
$135.45
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
Px03018230001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$101.59 |
| 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 |
$135.45
|
| Rate for Payer: Cash Price |
$135.45
|
| 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 |
$101.59
|
| Rate for Payer: Provider Network of America Commercial |
$108.36
|
|
|
HC Assay of Cadmium - Cadmium Plasma
|
Facility
|
OP
|
$135.45
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
Px03018230003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.43 |
| Max. Negotiated Rate |
$108.36 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$95.49
|
| Rate for Payer: Aetna Workers' Compensation |
$95.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$93.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$93.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$104.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$106.73
|
| Rate for Payer: Cash Price |
$135.45
|
| Rate for Payer: Cash Price |
$135.45
|
| Rate for Payer: Cigna Commercial |
$70.98
|
| Rate for Payer: Cigna Medicare Advantage |
$77.21
|
| Rate for Payer: Family Health Partners Medicaid |
$29.79
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$85.33
|
| Rate for Payer: Healthy Blue Medicaid |
$32.18
|
| Rate for Payer: Home State Health Plan Exchange |
$77.21
|
| Rate for Payer: Home State Health Plan Medicaid |
$29.79
|
| Rate for Payer: Humana Medicare |
$101.59
|
| Rate for Payer: Mercy CarePlus Medicaid |
$29.79
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$101.59
|
| Rate for Payer: Provider Network of America Commercial |
$108.36
|
| Rate for Payer: UnitedHealthcare Commercial |
$89.40
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$23.64
|
| Rate for Payer: UnitedHealthcare Medicaid |
$22.43
|
|
|
HC Assay of Cadmium - Cadmium Plasma
|
Facility
|
IP
|
$135.45
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
Px03018230003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$101.59 |
| 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 |
$135.45
|
| Rate for Payer: Cash Price |
$135.45
|
| 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 |
$101.59
|
| Rate for Payer: Provider Network of America Commercial |
$108.36
|
|
|
HC Assay of Cadmium - Cadmium Random Urine
|
Facility
|
OP
|
$135.45
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
Px03018230002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$22.43 |
| Max. Negotiated Rate |
$108.36 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$95.49
|
| Rate for Payer: Aetna Workers' Compensation |
$95.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$93.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$93.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$106.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$104.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$106.73
|
| Rate for Payer: Cash Price |
$135.45
|
| Rate for Payer: Cash Price |
$135.45
|
| Rate for Payer: Cigna Commercial |
$70.98
|
| Rate for Payer: Cigna Medicare Advantage |
$77.21
|
| Rate for Payer: Family Health Partners Medicaid |
$29.79
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$85.33
|
| Rate for Payer: Healthy Blue Medicaid |
$32.18
|
| Rate for Payer: Home State Health Plan Exchange |
$77.21
|
| Rate for Payer: Home State Health Plan Medicaid |
$29.79
|
| Rate for Payer: Humana Medicare |
$101.59
|
| Rate for Payer: Mercy CarePlus Medicaid |
$29.79
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$101.59
|
| Rate for Payer: Provider Network of America Commercial |
$108.36
|
| Rate for Payer: UnitedHealthcare Commercial |
$89.40
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$23.64
|
| Rate for Payer: UnitedHealthcare Medicaid |
$22.43
|
|
|
HC Assay of Cadmium - Cadmium Random Urine
|
Facility
|
IP
|
$135.45
|
|
|
Service Code
|
CPT 82300
|
| Hospital Charge Code |
Px03018230002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$101.59 |
| 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 |
$135.45
|
| Rate for Payer: Cash Price |
$135.45
|
| 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 |
$101.59
|
| Rate for Payer: Provider Network of America Commercial |
$108.36
|
|
|
HC Assay of Calcium in Urine - Calcium Random Urine
|
Facility
|
IP
|
$63.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
Px03018234001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$47.25 |
| 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 |
$63.00
|
| Rate for Payer: Cash Price |
$63.00
|
| 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 |
$47.25
|
| Rate for Payer: Provider Network of America Commercial |
$50.40
|
|
|
HC Assay of Calcium in Urine - Calcium Random Urine
|
Facility
|
OP
|
$63.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
Px03018234001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.72 |
| Max. Negotiated Rate |
$50.40 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$44.41
|
| Rate for Payer: Aetna Workers' Compensation |
$44.41
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$43.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$43.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$49.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$49.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$49.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$48.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$49.64
|
| Rate for Payer: Cash Price |
$63.00
|
| Rate for Payer: Cash Price |
$63.00
|
| Rate for Payer: Cigna Commercial |
$33.01
|
| Rate for Payer: Cigna Medicare Advantage |
$35.91
|
| Rate for Payer: Family Health Partners Medicaid |
$7.60
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$39.69
|
| Rate for Payer: Healthy Blue Medicaid |
$8.21
|
| Rate for Payer: Home State Health Plan Exchange |
$35.91
|
| Rate for Payer: Home State Health Plan Medicaid |
$7.60
|
| Rate for Payer: Humana Medicare |
$47.25
|
| Rate for Payer: Mercy CarePlus Medicaid |
$7.60
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$47.25
|
| Rate for Payer: Provider Network of America Commercial |
$50.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$41.58
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$6.03
|
| Rate for Payer: UnitedHealthcare Medicaid |
$5.72
|
|
|
HC Assay of Calcium in Urine - Calcium Timed Urine
|
Facility
|
IP
|
$63.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
Px03018234002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$47.25 |
| 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 |
$63.00
|
| Rate for Payer: Cash Price |
$63.00
|
| 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 |
$47.25
|
| Rate for Payer: Provider Network of America Commercial |
$50.40
|
|
|
HC Assay of Calcium in Urine - Calcium Timed Urine
|
Facility
|
OP
|
$63.00
|
|
|
Service Code
|
CPT 82340
|
| Hospital Charge Code |
Px03018234002
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.72 |
| Max. Negotiated Rate |
$50.40 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$44.41
|
| Rate for Payer: Aetna Workers' Compensation |
$44.41
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$43.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$43.66
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$49.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$49.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$49.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$48.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$49.64
|
| Rate for Payer: Cash Price |
$63.00
|
| Rate for Payer: Cash Price |
$63.00
|
| Rate for Payer: Cigna Commercial |
$33.01
|
| Rate for Payer: Cigna Medicare Advantage |
$35.91
|
| Rate for Payer: Family Health Partners Medicaid |
$7.60
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$39.69
|
| Rate for Payer: Healthy Blue Medicaid |
$8.21
|
| Rate for Payer: Home State Health Plan Exchange |
$35.91
|
| Rate for Payer: Home State Health Plan Medicaid |
$7.60
|
| Rate for Payer: Humana Medicare |
$47.25
|
| Rate for Payer: Mercy CarePlus Medicaid |
$7.60
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$47.25
|
| Rate for Payer: Provider Network of America Commercial |
$50.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$41.58
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$6.03
|
| Rate for Payer: UnitedHealthcare Medicaid |
$5.72
|
|
|
HC Assay of Calcium, Ionized - Calcium Ionized
|
Facility
|
IP
|
$105.00
|
|
|
Service Code
|
CPT 82330
|
| Hospital Charge Code |
Px03018233001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$78.75 |
| 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 |
$105.00
|
| Rate for Payer: Cash Price |
$105.00
|
| 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 |
$78.75
|
| Rate for Payer: Provider Network of America Commercial |
$84.00
|
|
|
HC Assay of Calcium, Ionized - Calcium Ionized
|
Facility
|
OP
|
$105.00
|
|
|
Service Code
|
CPT 82330
|
| Hospital Charge Code |
Px03018233001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$12.97 |
| Max. Negotiated Rate |
$84.00 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$74.03
|
| Rate for Payer: Aetna Workers' Compensation |
$74.03
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$72.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$72.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$82.74
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$82.74
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$82.74
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$80.85
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$82.74
|
| Rate for Payer: Cash Price |
$105.00
|
| Rate for Payer: Cash Price |
$105.00
|
| Rate for Payer: Cigna Commercial |
$55.02
|
| Rate for Payer: Cigna Medicare Advantage |
$59.85
|
| Rate for Payer: Family Health Partners Medicaid |
$17.23
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$66.15
|
| Rate for Payer: Healthy Blue Medicaid |
$18.61
|
| Rate for Payer: Home State Health Plan Exchange |
$59.85
|
| Rate for Payer: Home State Health Plan Medicaid |
$17.23
|
| Rate for Payer: Humana Medicare |
$78.75
|
| Rate for Payer: Mercy CarePlus Medicaid |
$17.23
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$78.75
|
| Rate for Payer: Provider Network of America Commercial |
$84.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$69.30
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$13.68
|
| Rate for Payer: UnitedHealthcare Medicaid |
$12.97
|
|
|
HC Assay of Calcium, Total - Calcium
|
Facility
|
IP
|
$86.10
|
|
|
Service Code
|
CPT 82310
|
| Hospital Charge Code |
Px03018231001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$64.58 |
| 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 |
$86.10
|
| Rate for Payer: Cash Price |
$86.10
|
| 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 |
$64.58
|
| Rate for Payer: Provider Network of America Commercial |
$68.88
|
|
