|
HC Assay of Procainamide
|
Facility
|
IP
|
$55.65
|
|
|
Service Code
|
CPT 80190
|
| Hospital Charge Code |
Px03018019001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$41.74 |
| 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 |
$55.65
|
| Rate for Payer: Cash Price |
$55.65
|
| 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 |
$41.74
|
| Rate for Payer: Provider Network of America Commercial |
$44.52
|
|
|
HC Assay of Procalcitouin
|
Facility
|
OP
|
$183.75
|
|
|
Service Code
|
CPT 84145
|
| Hospital Charge Code |
Px03018414501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.82 |
| Max. Negotiated Rate |
$147.00 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$129.54
|
| Rate for Payer: Aetna Workers' Compensation |
$129.54
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$127.34
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$127.34
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$144.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$144.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$144.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$141.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$144.79
|
| Rate for Payer: Cash Price |
$183.75
|
| Rate for Payer: Cash Price |
$183.75
|
| Rate for Payer: Cigna Commercial |
$96.28
|
| Rate for Payer: Cigna Medicare Advantage |
$104.74
|
| Rate for Payer: Family Health Partners Medicaid |
$34.30
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$115.76
|
| Rate for Payer: Healthy Blue Medicaid |
$37.04
|
| Rate for Payer: Home State Health Plan Exchange |
$104.74
|
| Rate for Payer: Home State Health Plan Medicaid |
$34.30
|
| Rate for Payer: Humana Medicare |
$137.81
|
| Rate for Payer: Mercy CarePlus Medicaid |
$34.30
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$137.81
|
| Rate for Payer: Provider Network of America Commercial |
$147.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$121.28
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$27.22
|
| Rate for Payer: UnitedHealthcare Medicaid |
$25.82
|
|
|
HC Assay of Procalcitouin
|
Facility
|
IP
|
$183.75
|
|
|
Service Code
|
CPT 84145
|
| Hospital Charge Code |
Px03018414501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$137.81 |
| 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 |
$183.75
|
| Rate for Payer: Cash Price |
$183.75
|
| 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 |
$137.81
|
| Rate for Payer: Provider Network of America Commercial |
$147.00
|
|
|
HC Assay of Progesterone 17-D - 17-Hydroxyprogesterone
|
Facility
|
OP
|
$162.07
|
|
|
Service Code
|
CPT 83498
|
| Hospital Charge Code |
Px03018349801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$25.77 |
| Max. Negotiated Rate |
$129.66 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$114.26
|
| Rate for Payer: Aetna Workers' Compensation |
$114.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$112.31
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$112.31
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$127.71
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$127.71
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$127.71
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$124.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$127.71
|
| Rate for Payer: Cash Price |
$162.07
|
| Rate for Payer: Cash Price |
$162.07
|
| Rate for Payer: Cigna Commercial |
$84.92
|
| Rate for Payer: Cigna Medicare Advantage |
$92.38
|
| Rate for Payer: Family Health Partners Medicaid |
$34.23
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$102.10
|
| Rate for Payer: Healthy Blue Medicaid |
$36.97
|
| Rate for Payer: Home State Health Plan Exchange |
$92.38
|
| Rate for Payer: Home State Health Plan Medicaid |
$34.23
|
| Rate for Payer: Humana Medicare |
$121.55
|
| Rate for Payer: Mercy CarePlus Medicaid |
$34.23
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$121.55
|
| Rate for Payer: Provider Network of America Commercial |
$129.66
|
| Rate for Payer: UnitedHealthcare Commercial |
$106.97
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$27.17
|
| Rate for Payer: UnitedHealthcare Medicaid |
$25.77
|
|
|
HC Assay of Progesterone 17-D - 17-Hydroxyprogesterone
|
Facility
|
IP
|
$162.07
|
|
|
Service Code
|
CPT 83498
|
| Hospital Charge Code |
Px03018349801
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$121.55 |
| 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 |
$162.07
|
| Rate for Payer: Cash Price |
$162.07
|
| 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 |
$121.55
|
| Rate for Payer: Provider Network of America Commercial |
$129.66
|
|
|
HC Assay of Progesterone - Progesterone
|
Facility
|
IP
|
$128.10
|
|
|
Service Code
|
CPT 84144
|
| Hospital Charge Code |
Px03018414401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$96.08 |
| 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 |
$128.10
|
| Rate for Payer: Cash Price |
$128.10
|
| 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 |
$96.08
|
| Rate for Payer: Provider Network of America Commercial |
$102.48
|
|
|
HC Assay of Progesterone - Progesterone
|
Facility
|
OP
|
$128.10
|
|
|
Service Code
|
CPT 84144
|
| Hospital Charge Code |
Px03018414401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$19.78 |
| Max. Negotiated Rate |
$102.48 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$90.31
|
| Rate for Payer: Aetna Workers' Compensation |
$90.31
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$88.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$88.77
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$100.94
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$100.94
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$100.94
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$98.64
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$100.94
|
| Rate for Payer: Cash Price |
$128.10
|
| Rate for Payer: Cash Price |
$128.10
|
| Rate for Payer: Cigna Commercial |
$67.12
|
| Rate for Payer: Cigna Medicare Advantage |
$73.02
|
| Rate for Payer: Family Health Partners Medicaid |
$26.28
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$80.70
|
| Rate for Payer: Healthy Blue Medicaid |
$28.38
|
| Rate for Payer: Home State Health Plan Exchange |
$73.02
|
| Rate for Payer: Home State Health Plan Medicaid |
$26.28
|
| Rate for Payer: Humana Medicare |
$96.08
|
| Rate for Payer: Mercy CarePlus Medicaid |
$26.28
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$96.08
|
| Rate for Payer: Provider Network of America Commercial |
$102.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$84.55
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$20.86
|
| Rate for Payer: UnitedHealthcare Medicaid |
$19.78
|
|
|
HC Assay of Prolactin - Prolactin
|
Facility
|
OP
|
$183.75
|
|
|
Service Code
|
CPT 84146
|
| Hospital Charge Code |
Px03018414601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$18.38 |
| Max. Negotiated Rate |
$147.00 |
| Rate for Payer: Cigna Medicare Advantage |
$104.74
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$129.54
|
| Rate for Payer: Aetna Workers' Compensation |
$129.54
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$127.34
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$127.34
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$144.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$144.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$144.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$141.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$144.79
|
| Rate for Payer: Cash Price |
$183.75
|
| Rate for Payer: Cash Price |
$183.75
|
| Rate for Payer: Cigna Commercial |
$96.28
|
| Rate for Payer: Family Health Partners Medicaid |
$24.42
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$115.76
|
| Rate for Payer: Healthy Blue Medicaid |
$26.37
|
| Rate for Payer: Home State Health Plan Exchange |
$104.74
|
| Rate for Payer: Home State Health Plan Medicaid |
$24.42
|
| Rate for Payer: Humana Medicare |
$137.81
|
| Rate for Payer: Mercy CarePlus Medicaid |
$24.42
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$137.81
|
| Rate for Payer: Provider Network of America Commercial |
$147.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$121.28
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$19.38
|
| Rate for Payer: UnitedHealthcare Medicaid |
$18.38
|
|
|
HC Assay of Prolactin - Prolactin
|
Facility
|
IP
|
$183.75
|
|
|
Service Code
|
CPT 84146
|
| Hospital Charge Code |
Px03018414601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$137.81 |
| 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 |
$183.75
|
| Rate for Payer: Cash Price |
$183.75
|
| 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 |
$137.81
|
| Rate for Payer: Provider Network of America Commercial |
$147.00
|
|
|
HC Assay of Quinidine - Quinidine Level
|
Facility
|
IP
|
$151.20
|
|
|
Service Code
|
CPT 80194
|
| Hospital Charge Code |
Px03018019401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$113.40 |
| 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 |
$151.20
|
| Rate for Payer: Cash Price |
$151.20
|
| 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 |
$113.40
|
| Rate for Payer: Provider Network of America Commercial |
$120.96
|
|
|
HC Assay of Quinidine - Quinidine Level
|
Facility
|
OP
|
$151.20
|
|
|
Service Code
|
CPT 80194
|
| Hospital Charge Code |
Px03018019401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.85 |
| Max. Negotiated Rate |
$120.96 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$106.60
|
| Rate for Payer: Aetna Workers' Compensation |
$106.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$104.78
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$104.78
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$119.15
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$119.15
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$119.15
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$116.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$119.15
|
| Rate for Payer: Cash Price |
$151.20
|
| Rate for Payer: Cash Price |
$151.20
|
| Rate for Payer: Cigna Commercial |
$79.23
|
| Rate for Payer: Cigna Medicare Advantage |
$86.18
|
| Rate for Payer: Family Health Partners Medicaid |
$18.40
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$95.26
|
| Rate for Payer: Healthy Blue Medicaid |
$19.87
|
| Rate for Payer: Home State Health Plan Exchange |
$86.18
|
| Rate for Payer: Home State Health Plan Medicaid |
$18.40
|
| Rate for Payer: Humana Medicare |
$113.40
|
| Rate for Payer: Mercy CarePlus Medicaid |
$18.40
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$113.40
|
| Rate for Payer: Provider Network of America Commercial |
$120.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$99.79
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$14.60
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.85
|
|
|
HC Assay of Renin - Renin Direct Assay
|
Facility
|
OP
|
$161.70
|
|
|
Service Code
|
CPT 84244
|
| Hospital Charge Code |
Px03018424401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.86 |
| Max. Negotiated Rate |
$129.36 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$114.00
|
| Rate for Payer: Aetna Workers' Compensation |
$114.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$112.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$112.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$127.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$127.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$127.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$124.51
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$127.42
|
| Rate for Payer: Cash Price |
$161.70
|
| Rate for Payer: Cash Price |
$161.70
|
| Rate for Payer: Cigna Commercial |
$84.73
|
| Rate for Payer: Cigna Medicare Advantage |
$92.17
|
| Rate for Payer: Family Health Partners Medicaid |
$27.71
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$101.87
|
| Rate for Payer: Healthy Blue Medicaid |
$29.92
|
| Rate for Payer: Home State Health Plan Exchange |
$92.17
|
| Rate for Payer: Home State Health Plan Medicaid |
$27.71
|
| Rate for Payer: Humana Medicare |
$121.28
|
| Rate for Payer: Mercy CarePlus Medicaid |
$27.71
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$121.28
|
| Rate for Payer: Provider Network of America Commercial |
$129.36
|
| Rate for Payer: UnitedHealthcare Commercial |
$106.72
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$21.99
|
| Rate for Payer: UnitedHealthcare Medicaid |
$20.86
|
|
|
HC Assay of Renin - Renin Direct Assay
|
Facility
|
IP
|
$161.70
|
|
|
Service Code
|
CPT 84244
|
| Hospital Charge Code |
Px03018424401
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$121.28 |
| 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 |
$161.70
|
| Rate for Payer: Cash Price |
$161.70
|
| 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 |
$121.28
|
| Rate for Payer: Provider Network of America Commercial |
$129.36
|
|
|
HC Assay of Serotonin - Serotonin Serum
|
Facility
|
IP
|
$338.10
|
|
|
Service Code
|
CPT 84260
|
| Hospital Charge Code |
Px03018426001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$253.57 |
| 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 |
$338.10
|
| Rate for Payer: Cash Price |
$338.10
|
| 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 |
$253.57
|
| Rate for Payer: Provider Network of America Commercial |
$270.48
|
|
|
HC Assay of Serotonin - Serotonin Serum
|
Facility
|
OP
|
$338.10
|
|
|
Service Code
|
CPT 84260
|
| Hospital Charge Code |
Px03018426001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$29.39 |
| Max. Negotiated Rate |
$270.48 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$238.36
|
| Rate for Payer: Aetna Workers' Compensation |
$238.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$234.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$234.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$266.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$266.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$266.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$260.34
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$266.42
|
| Rate for Payer: Cash Price |
$338.10
|
| Rate for Payer: Cash Price |
$338.10
|
| Rate for Payer: Cigna Commercial |
$177.16
|
| Rate for Payer: Cigna Medicare Advantage |
$192.72
|
| Rate for Payer: Family Health Partners Medicaid |
$39.03
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$213.00
|
| Rate for Payer: Healthy Blue Medicaid |
$42.15
|
| Rate for Payer: Home State Health Plan Exchange |
$192.72
|
| Rate for Payer: Home State Health Plan Medicaid |
$39.03
|
| Rate for Payer: Humana Medicare |
$253.57
|
| Rate for Payer: Mercy CarePlus Medicaid |
$39.03
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$253.57
|
| Rate for Payer: Provider Network of America Commercial |
$270.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$223.15
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$30.98
|
| Rate for Payer: UnitedHealthcare Medicaid |
$29.39
|
|
|
HC Assay of Serum Albumin - Albumin
|
Facility
|
OP
|
$57.75
|
|
|
Service Code
|
CPT 82040
|
| Hospital Charge Code |
Px03018204001
|
|
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 Serum Albumin - Albumin
|
Facility
|
IP
|
$57.75
|
|
|
Service Code
|
CPT 82040
|
| Hospital Charge Code |
Px03018204001
|
|
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 Serum Potassium - Potassium
|
Facility
|
IP
|
$70.35
|
|
|
Service Code
|
CPT 84132
|
| Hospital Charge Code |
Px03018413201
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$52.76 |
| 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 |
$70.35
|
| Rate for Payer: Cash Price |
$70.35
|
| 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 |
$52.76
|
| Rate for Payer: Provider Network of America Commercial |
$56.28
|
|
|
HC Assay of Serum Potassium - Potassium
|
Facility
|
OP
|
$70.35
|
|
|
Service Code
|
CPT 84132
|
| Hospital Charge Code |
Px03018413201
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.51 |
| Max. Negotiated Rate |
$56.28 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$49.60
|
| Rate for Payer: Aetna Workers' Compensation |
$49.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$48.75
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$48.75
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$55.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$55.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$55.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$54.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$55.44
|
| Rate for Payer: Cash Price |
$70.35
|
| Rate for Payer: Cash Price |
$70.35
|
| Rate for Payer: Cigna Commercial |
$36.86
|
| Rate for Payer: Cigna Medicare Advantage |
$40.10
|
| Rate for Payer: Family Health Partners Medicaid |
$5.99
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$44.32
|
| Rate for Payer: Healthy Blue Medicaid |
$6.47
|
| Rate for Payer: Home State Health Plan Exchange |
$40.10
|
| Rate for Payer: Home State Health Plan Medicaid |
$5.99
|
| Rate for Payer: Humana Medicare |
$52.76
|
| Rate for Payer: Mercy CarePlus Medicaid |
$5.99
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$52.76
|
| Rate for Payer: Provider Network of America Commercial |
$56.28
|
| Rate for Payer: UnitedHealthcare Commercial |
$46.43
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.76
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.51
|
|
|
HC Assay of Serum Sodium - Sodium
|
Facility
|
OP
|
$72.45
|
|
|
Service Code
|
CPT 84295
|
| Hospital Charge Code |
Px03018429501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.56 |
| Max. Negotiated Rate |
$57.96 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$51.08
|
| Rate for Payer: Aetna Workers' Compensation |
$51.08
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$50.21
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$50.21
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$57.09
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$57.09
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$57.09
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$55.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$57.09
|
| Rate for Payer: Cash Price |
$72.45
|
| Rate for Payer: Cash Price |
$72.45
|
| Rate for Payer: Cigna Commercial |
$37.96
|
| Rate for Payer: Cigna Medicare Advantage |
$41.30
|
| Rate for Payer: Family Health Partners Medicaid |
$6.06
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$45.64
|
| Rate for Payer: Healthy Blue Medicaid |
$6.55
|
| Rate for Payer: Home State Health Plan Exchange |
$41.30
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.06
|
| Rate for Payer: Humana Medicare |
$54.34
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.06
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$54.34
|
| Rate for Payer: Provider Network of America Commercial |
$57.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$47.82
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.81
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.56
|
|
|
HC Assay of Serum Sodium - Sodium
|
Facility
|
IP
|
$72.45
|
|
|
Service Code
|
CPT 84295
|
| Hospital Charge Code |
Px03018429501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$54.34 |
| 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 |
$72.45
|
| Rate for Payer: Cash Price |
$72.45
|
| 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 |
$54.34
|
| Rate for Payer: Provider Network of America Commercial |
$57.96
|
|
|
HC Assay of Sex Hormone Binding Globulin - Sex Hormone Binding Globulin
|
Facility
|
OP
|
$124.95
|
|
|
Service Code
|
CPT 84270
|
| Hospital Charge Code |
Px03018427001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$20.62 |
| Max. Negotiated Rate |
$99.96 |
| Rate for Payer: Cash Price |
$124.95
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$88.09
|
| Rate for Payer: Aetna Workers' Compensation |
$88.09
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$86.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$86.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$98.46
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$98.46
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$98.46
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$96.21
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$98.46
|
| Rate for Payer: Cash Price |
$124.95
|
| Rate for Payer: Cigna Commercial |
$65.47
|
| Rate for Payer: Cigna Medicare Advantage |
$71.22
|
| Rate for Payer: Family Health Partners Medicaid |
$27.38
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$78.72
|
| Rate for Payer: Healthy Blue Medicaid |
$29.57
|
| Rate for Payer: Home State Health Plan Exchange |
$71.22
|
| Rate for Payer: Home State Health Plan Medicaid |
$27.38
|
| Rate for Payer: Humana Medicare |
$93.71
|
| Rate for Payer: Mercy CarePlus Medicaid |
$27.38
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$93.71
|
| Rate for Payer: Provider Network of America Commercial |
$99.96
|
| Rate for Payer: UnitedHealthcare Commercial |
$82.47
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$21.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$20.62
|
|
|
HC Assay of Sex Hormone Binding Globulin - Sex Hormone Binding Globulin
|
Facility
|
IP
|
$124.95
|
|
|
Service Code
|
CPT 84270
|
| Hospital Charge Code |
Px03018427001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$93.71 |
| 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 |
$124.95
|
| Rate for Payer: Cash Price |
$124.95
|
| 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 |
$93.71
|
| Rate for Payer: Provider Network of America Commercial |
$99.96
|
|
|
HC Assay of Sirolimus - Sirolimus/Rapamune
|
Facility
|
IP
|
$224.70
|
|
|
Service Code
|
CPT 80195
|
| Hospital Charge Code |
Px03018019501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$168.53 |
| 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 |
$224.70
|
| Rate for Payer: Cash Price |
$224.70
|
| 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 |
$168.53
|
| Rate for Payer: Provider Network of America Commercial |
$179.76
|
|
|
HC Assay of Sirolimus - Sirolimus/Rapamune
|
Facility
|
OP
|
$224.70
|
|
|
Service Code
|
CPT 80195
|
| Hospital Charge Code |
Px03018019501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$13.03 |
| Max. Negotiated Rate |
$179.76 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$158.41
|
| Rate for Payer: Aetna Workers' Compensation |
$158.41
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$155.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$155.72
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$177.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$177.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$177.06
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$173.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$177.06
|
| Rate for Payer: Cash Price |
$224.70
|
| Rate for Payer: Cash Price |
$224.70
|
| Rate for Payer: Cigna Commercial |
$117.74
|
| Rate for Payer: Cigna Medicare Advantage |
$128.08
|
| Rate for Payer: Family Health Partners Medicaid |
$17.30
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$141.56
|
| Rate for Payer: Healthy Blue Medicaid |
$18.69
|
| Rate for Payer: Home State Health Plan Exchange |
$128.08
|
| Rate for Payer: Home State Health Plan Medicaid |
$17.30
|
| Rate for Payer: Humana Medicare |
$168.53
|
| Rate for Payer: Mercy CarePlus Medicaid |
$17.30
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$168.53
|
| Rate for Payer: Provider Network of America Commercial |
$179.76
|
| Rate for Payer: UnitedHealthcare Commercial |
$148.30
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$13.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$13.03
|
|
