|
HC Assay of Urine Chloride
|
Facility
|
IP
|
$79.80
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
Px03018243603
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$59.85 |
| 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 |
$79.80
|
| Rate for Payer: Cash Price |
$79.80
|
| 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 |
$59.85
|
| Rate for Payer: Provider Network of America Commercial |
$63.84
|
|
|
HC Assay of Urine Chloride
|
Facility
|
OP
|
$79.80
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
Px03018243603
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.46 |
| Max. Negotiated Rate |
$63.84 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$56.26
|
| Rate for Payer: Aetna Workers' Compensation |
$56.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$55.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$55.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$62.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$62.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$62.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$61.45
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$62.88
|
| Rate for Payer: Cash Price |
$79.80
|
| Rate for Payer: Cash Price |
$79.80
|
| Rate for Payer: Cigna Commercial |
$41.82
|
| Rate for Payer: Cigna Medicare Advantage |
$45.49
|
| Rate for Payer: Family Health Partners Medicaid |
$7.25
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$50.27
|
| Rate for Payer: Healthy Blue Medicaid |
$7.83
|
| Rate for Payer: Home State Health Plan Exchange |
$45.49
|
| Rate for Payer: Home State Health Plan Medicaid |
$7.25
|
| Rate for Payer: Humana Medicare |
$59.85
|
| Rate for Payer: Mercy CarePlus Medicaid |
$7.25
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$59.85
|
| Rate for Payer: Provider Network of America Commercial |
$63.84
|
| Rate for Payer: UnitedHealthcare Commercial |
$52.67
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$5.46
|
|
|
HC Assay of Urine Chloride - Chloride Urine Random
|
Facility
|
IP
|
$79.80
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
Px03018243601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$59.85 |
| 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 |
$79.80
|
| Rate for Payer: Cash Price |
$79.80
|
| 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 |
$59.85
|
| Rate for Payer: Provider Network of America Commercial |
$63.84
|
|
|
HC Assay of Urine Chloride - Chloride Urine Random
|
Facility
|
OP
|
$79.80
|
|
|
Service Code
|
CPT 82436
|
| Hospital Charge Code |
Px03018243601
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$5.46 |
| Max. Negotiated Rate |
$63.84 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$56.26
|
| Rate for Payer: Aetna Workers' Compensation |
$56.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$55.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$55.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$62.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$62.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$62.88
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$61.45
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$62.88
|
| Rate for Payer: Cash Price |
$79.80
|
| Rate for Payer: Cash Price |
$79.80
|
| Rate for Payer: Cigna Commercial |
$41.82
|
| Rate for Payer: Cigna Medicare Advantage |
$45.49
|
| Rate for Payer: Family Health Partners Medicaid |
$7.25
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$50.27
|
| Rate for Payer: Healthy Blue Medicaid |
$7.83
|
| Rate for Payer: Home State Health Plan Exchange |
$45.49
|
| Rate for Payer: Home State Health Plan Medicaid |
$7.25
|
| Rate for Payer: Humana Medicare |
$59.85
|
| Rate for Payer: Mercy CarePlus Medicaid |
$7.25
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$59.85
|
| Rate for Payer: Provider Network of America Commercial |
$63.84
|
| Rate for Payer: UnitedHealthcare Commercial |
$52.67
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$5.46
|
|
|
HC Assay of Urine Creatinine
|
Facility
|
IP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257005
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$102.38 |
| 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 |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
|
|
HC Assay of Urine Creatinine
|
Facility
|
OP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257005
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.91 |
| Max. Negotiated Rate |
$109.20 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$96.23
|
| Rate for Payer: Aetna Workers' Compensation |
$96.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$105.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$107.56
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Commercial |
$71.53
|
| Rate for Payer: Cigna Medicare Advantage |
$77.81
|
| Rate for Payer: Family Health Partners Medicaid |
$6.52
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$86.00
|
| Rate for Payer: Healthy Blue Medicaid |
$7.05
|
| Rate for Payer: Home State Health Plan Exchange |
$77.81
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.52
|
| Rate for Payer: Humana Medicare |
$102.38
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.52
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.09
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.18
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.91
|
|
|
HC Assay of Urine Creatinine - Creatinine Random Urine
|
Facility
|
OP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.91 |
| Max. Negotiated Rate |
$109.20 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$96.23
|
| Rate for Payer: Aetna Workers' Compensation |
$96.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$105.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$107.56
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Commercial |
$71.53
|
| Rate for Payer: Cigna Medicare Advantage |
$77.81
|
| Rate for Payer: Family Health Partners Medicaid |
$6.52
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$86.00
|
| Rate for Payer: Healthy Blue Medicaid |
$7.05
|
| Rate for Payer: Home State Health Plan Exchange |
$77.81
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.52
|
| Rate for Payer: Humana Medicare |
$102.38
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.52
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.09
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.18
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.91
|
|
|
HC Assay of Urine Creatinine - Creatinine Random Urine
|
Facility
|
IP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257001
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$102.38 |
| 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 |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
|
|
HC Assay of Urine Creatinine - Creatinine, Urine, 24 Hour
|
Facility
|
OP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257004
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.91 |
| Max. Negotiated Rate |
$109.20 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$96.23
|
| Rate for Payer: Aetna Workers' Compensation |
$96.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$105.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$107.56
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Commercial |
$71.53
|
| Rate for Payer: Cigna Medicare Advantage |
$77.81
|
| Rate for Payer: Family Health Partners Medicaid |
$6.52
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$86.00
|
| Rate for Payer: Healthy Blue Medicaid |
$7.05
|
| Rate for Payer: Home State Health Plan Exchange |
$77.81
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.52
|
| Rate for Payer: Humana Medicare |
$102.38
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.52
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.09
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.18
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.91
|
|
|
HC Assay of Urine Creatinine - Creatinine, Urine, 24 Hour
|
Facility
|
IP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257004
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$102.38 |
| 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 |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
|
|
HC Assay of Urine Creatinine - POCT Creatinine
|
Facility
|
OP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.91 |
| Max. Negotiated Rate |
$109.20 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$96.23
|
| Rate for Payer: Aetna Workers' Compensation |
$96.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$94.59
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$107.56
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$105.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$107.56
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Commercial |
$71.53
|
| Rate for Payer: Cigna Medicare Advantage |
$77.81
|
| Rate for Payer: Family Health Partners Medicaid |
$6.52
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$86.00
|
| Rate for Payer: Healthy Blue Medicaid |
$7.05
|
| Rate for Payer: Home State Health Plan Exchange |
$77.81
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.52
|
| Rate for Payer: Humana Medicare |
$102.38
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.52
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
| Rate for Payer: UnitedHealthcare Commercial |
$90.09
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.18
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.91
|
|
|
HC Assay of Urine Creatinine - POCT Creatinine
|
Facility
|
IP
|
$136.50
|
|
|
Service Code
|
CPT 82570
|
| Hospital Charge Code |
Px03018257003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$102.38 |
| 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 |
$136.50
|
| Rate for Payer: Cash Price |
$136.50
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$102.38
|
| Rate for Payer: Provider Network of America Commercial |
$109.20
|
|
|
HC Assay of Urine Osmolality - Osmolality Urine
|
Facility
|
IP
|
$101.85
|
|
|
Service Code
|
CPT 83935
|
| Hospital Charge Code |
Px03018393501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$76.39 |
| 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 |
$101.85
|
| Rate for Payer: Cash Price |
$101.85
|
| 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 |
$76.39
|
| Rate for Payer: Provider Network of America Commercial |
$81.48
|
|
|
HC Assay of Urine Osmolality - Osmolality Urine
|
Facility
|
OP
|
$101.85
|
|
|
Service Code
|
CPT 83935
|
| Hospital Charge Code |
Px03018393501
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$6.47 |
| Max. Negotiated Rate |
$81.48 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$71.80
|
| Rate for Payer: Aetna Workers' Compensation |
$71.80
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$70.58
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$70.58
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$80.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$80.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$80.26
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$78.42
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$80.26
|
| Rate for Payer: Cash Price |
$101.85
|
| Rate for Payer: Cash Price |
$101.85
|
| Rate for Payer: Cigna Commercial |
$53.37
|
| Rate for Payer: Cigna Medicare Advantage |
$58.05
|
| Rate for Payer: Family Health Partners Medicaid |
$8.60
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$64.17
|
| Rate for Payer: Healthy Blue Medicaid |
$9.28
|
| Rate for Payer: Home State Health Plan Exchange |
$58.05
|
| Rate for Payer: Home State Health Plan Medicaid |
$8.60
|
| Rate for Payer: Humana Medicare |
$76.39
|
| Rate for Payer: Mercy CarePlus Medicaid |
$8.60
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$76.39
|
| Rate for Payer: Provider Network of America Commercial |
$81.48
|
| Rate for Payer: UnitedHealthcare Commercial |
$67.22
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$6.82
|
| Rate for Payer: UnitedHealthcare Medicaid |
$6.47
|
|
|
HC Assay of Urine Potassium - Potassium 24 Hour Urine
|
Facility
|
OP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413305
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.49 |
| Max. Negotiated Rate |
$52.08 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$45.90
|
| Rate for Payer: Aetna Workers' Compensation |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$50.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$51.30
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cigna Commercial |
$34.11
|
| Rate for Payer: Cigna Medicare Advantage |
$37.11
|
| Rate for Payer: Family Health Partners Medicaid |
$5.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$41.01
|
| Rate for Payer: Healthy Blue Medicaid |
$6.44
|
| Rate for Payer: Home State Health Plan Exchange |
$37.11
|
| Rate for Payer: Home State Health Plan Medicaid |
$5.96
|
| Rate for Payer: Humana Medicare |
$48.83
|
| Rate for Payer: Mercy CarePlus Medicaid |
$5.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.97
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.49
|
|
|
HC Assay of Urine Potassium - Potassium 24 Hour Urine
|
Facility
|
IP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413305
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.83 |
| 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 |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| 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 |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
|
|
HC Assay of Urine Potassium - Potassium Body Fluid
|
Facility
|
IP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413301
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.83 |
| 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 |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| 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 |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
|
|
HC Assay of Urine Potassium - Potassium Body Fluid
|
Facility
|
OP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413301
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.49 |
| Max. Negotiated Rate |
$52.08 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$45.90
|
| Rate for Payer: Aetna Workers' Compensation |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$50.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$51.30
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cigna Commercial |
$34.11
|
| Rate for Payer: Cigna Medicare Advantage |
$37.11
|
| Rate for Payer: Family Health Partners Medicaid |
$5.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$41.01
|
| Rate for Payer: Healthy Blue Medicaid |
$6.44
|
| Rate for Payer: Home State Health Plan Exchange |
$37.11
|
| Rate for Payer: Home State Health Plan Medicaid |
$5.96
|
| Rate for Payer: Humana Medicare |
$48.83
|
| Rate for Payer: Mercy CarePlus Medicaid |
$5.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.97
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.49
|
|
|
HC Assay of Urine Potassium - Potassium Dialysate
|
Facility
|
OP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413302
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.49 |
| Max. Negotiated Rate |
$52.08 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$45.90
|
| Rate for Payer: Aetna Workers' Compensation |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$50.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$51.30
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cigna Commercial |
$34.11
|
| Rate for Payer: Cigna Medicare Advantage |
$37.11
|
| Rate for Payer: Family Health Partners Medicaid |
$5.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$41.01
|
| Rate for Payer: Healthy Blue Medicaid |
$6.44
|
| Rate for Payer: Home State Health Plan Exchange |
$37.11
|
| Rate for Payer: Home State Health Plan Medicaid |
$5.96
|
| Rate for Payer: Humana Medicare |
$48.83
|
| Rate for Payer: Mercy CarePlus Medicaid |
$5.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.97
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.49
|
|
|
HC Assay of Urine Potassium - Potassium Dialysate
|
Facility
|
IP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413302
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.83 |
| 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 |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| 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 |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
|
|
HC Assay of Urine Potassium - Potassium Random Urine
|
Facility
|
IP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413303
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.83 |
| 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 |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| 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 |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
|
|
HC Assay of Urine Potassium - Potassium Random Urine
|
Facility
|
OP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413303
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.49 |
| Max. Negotiated Rate |
$52.08 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$45.90
|
| Rate for Payer: Aetna Workers' Compensation |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$50.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$51.30
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cigna Commercial |
$34.11
|
| Rate for Payer: Cigna Medicare Advantage |
$37.11
|
| Rate for Payer: Family Health Partners Medicaid |
$5.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$41.01
|
| Rate for Payer: Healthy Blue Medicaid |
$6.44
|
| Rate for Payer: Home State Health Plan Exchange |
$37.11
|
| Rate for Payer: Home State Health Plan Medicaid |
$5.96
|
| Rate for Payer: Humana Medicare |
$48.83
|
| Rate for Payer: Mercy CarePlus Medicaid |
$5.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.97
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.49
|
|
|
HC Assay of Urine Potassium - Potassium,Timed Urine
|
Facility
|
OP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413304
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.49 |
| Max. Negotiated Rate |
$52.08 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$45.90
|
| Rate for Payer: Aetna Workers' Compensation |
$45.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$45.11
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$51.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$50.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$51.30
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| Rate for Payer: Cigna Commercial |
$34.11
|
| Rate for Payer: Cigna Medicare Advantage |
$37.11
|
| Rate for Payer: Family Health Partners Medicaid |
$5.96
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$41.01
|
| Rate for Payer: Healthy Blue Medicaid |
$6.44
|
| Rate for Payer: Home State Health Plan Exchange |
$37.11
|
| Rate for Payer: Home State Health Plan Medicaid |
$5.96
|
| Rate for Payer: Humana Medicare |
$48.83
|
| Rate for Payer: Mercy CarePlus Medicaid |
$5.96
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
| Rate for Payer: UnitedHealthcare Commercial |
$42.97
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$4.73
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.49
|
|
|
HC Assay of Urine Potassium - Potassium,Timed Urine
|
Facility
|
IP
|
$65.10
|
|
|
Service Code
|
CPT 84133
|
| Hospital Charge Code |
Px03018413304
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$48.83 |
| 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 |
$65.10
|
| Rate for Payer: Cash Price |
$65.10
|
| 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 |
$48.83
|
| Rate for Payer: Provider Network of America Commercial |
$52.08
|
|
|
HC Assay of Urine Sodium - Sodium 24 Hour Urine
|
Facility
|
OP
|
$68.25
|
|
|
Service Code
|
CPT 84300
|
| Hospital Charge Code |
Px03018430003
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$4.80 |
| Max. Negotiated Rate |
$54.60 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$48.12
|
| Rate for Payer: Aetna Workers' Compensation |
$48.12
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$47.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$47.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$53.78
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$53.78
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$53.78
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$52.55
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$53.78
|
| Rate for Payer: Cash Price |
$68.25
|
| Rate for Payer: Cash Price |
$68.25
|
| Rate for Payer: Cigna Commercial |
$35.76
|
| Rate for Payer: Cigna Medicare Advantage |
$38.90
|
| Rate for Payer: Family Health Partners Medicaid |
$6.37
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$43.00
|
| Rate for Payer: Healthy Blue Medicaid |
$6.88
|
| Rate for Payer: Home State Health Plan Exchange |
$38.90
|
| Rate for Payer: Home State Health Plan Medicaid |
$6.37
|
| Rate for Payer: Humana Medicare |
$51.19
|
| Rate for Payer: Mercy CarePlus Medicaid |
$6.37
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$51.19
|
| Rate for Payer: Provider Network of America Commercial |
$54.60
|
| Rate for Payer: UnitedHealthcare Commercial |
$45.05
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$5.06
|
| Rate for Payer: UnitedHealthcare Medicaid |
$4.80
|
|
