|
HB Php/Iop Group Psychotherapy 45-50 Min
|
Facility
|
IP
|
$771.75
|
|
|
Service Code
|
HCPCS G0410
|
| Hospital Charge Code |
Px0915G041001
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$578.81 |
| 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 |
$771.75
|
| Rate for Payer: Cash Price |
$771.75
|
| 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 |
$578.81
|
| Rate for Payer: Provider Network of America Commercial |
$617.40
|
|
|
HB Php/Iop Group Psychotherapy 45-50 Min
|
Facility
|
OP
|
$771.75
|
|
|
Service Code
|
HCPCS G0410
|
| Hospital Charge Code |
Px0915G041001
|
|
Hospital Revenue Code
|
915
|
| Min. Negotiated Rate |
$439.90 |
| Max. Negotiated Rate |
$771.75 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$544.08
|
| Rate for Payer: Aetna Workers' Compensation |
$544.08
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$534.82
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$534.82
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$608.14
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$608.14
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$608.14
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$594.25
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$608.14
|
| Rate for Payer: Cash Price |
$771.75
|
| Rate for Payer: Cigna Commercial |
$472.31
|
| Rate for Payer: Cigna Medicare Advantage |
$439.90
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$486.20
|
| Rate for Payer: Home State Health Plan Exchange |
$439.90
|
| Rate for Payer: Humana Medicare |
$578.81
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$578.81
|
| Rate for Payer: Provider Network of America Commercial |
$617.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$509.36
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$771.75
|
|
|
HC 12fr/5cc Foley Silicone Coude
|
Facility
|
IP
|
$10.01
|
|
| Hospital Charge Code |
Px02700002589
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$7.51 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$10.51
|
| Rate for Payer: Cash Price |
$10.51
|
| Rate for Payer: Cash Price |
$10.01
|
| Rate for Payer: Cash Price |
$10.01
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$7.88
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$7.51
|
| Rate for Payer: Provider Network of America Commercial |
$8.01
|
| Rate for Payer: Provider Network of America Commercial |
$8.41
|
|
|
HC 12fr/5cc Foley Silicone Coude
|
Facility
|
OP
|
$10.01
|
|
| Hospital Charge Code |
Px02700002589
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.71 |
| Max. Negotiated Rate |
$10.01 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$7.06
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$7.41
|
| Rate for Payer: Aetna Workers' Compensation |
$7.06
|
| Rate for Payer: Aetna Workers' Compensation |
$7.41
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$7.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$6.94
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$7.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$8.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$7.89
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$8.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$7.89
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$7.89
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$8.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$7.71
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$8.09
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$8.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$7.89
|
| Rate for Payer: Cash Price |
$10.51
|
| Rate for Payer: Cash Price |
$10.01
|
| Rate for Payer: Cigna Commercial |
$6.13
|
| Rate for Payer: Cigna Commercial |
$6.43
|
| Rate for Payer: Cigna Medicare Advantage |
$5.71
|
| Rate for Payer: Cigna Medicare Advantage |
$5.99
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$6.31
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$6.62
|
| Rate for Payer: Home State Health Plan Exchange |
$5.71
|
| Rate for Payer: Home State Health Plan Exchange |
$5.99
|
| Rate for Payer: Humana Medicare |
$7.51
|
| Rate for Payer: Humana Medicare |
$7.88
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$7.51
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$7.88
|
| Rate for Payer: Provider Network of America Commercial |
$8.01
|
| Rate for Payer: Provider Network of America Commercial |
$8.41
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.61
|
| Rate for Payer: UnitedHealthcare Commercial |
$6.94
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$10.01
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$10.51
|
|
|
HC 3d Rendering W/Interp & Postprocess Supervision - CT 3d Reconstruct
|
Facility
|
IP
|
$36.75
|
|
|
Service Code
|
CPT 76376
|
| Hospital Charge Code |
Px03507637601
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$27.56 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue 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 |
$36.75
|
| Rate for Payer: Cash Price |
$36.75
|
| 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 |
$27.56
|
| Rate for Payer: Provider Network of America Commercial |
$29.40
|
|
|
HC 3d Rendering W/Interp & Postprocess Supervision - CT 3d Reconstruct
|
Facility
|
OP
|
$36.75
|
|
|
Service Code
|
CPT 76376
|
| Hospital Charge Code |
Px03507637601
|
|
Hospital Revenue Code
|
350
|
| Min. Negotiated Rate |
$20.95 |
| Max. Negotiated Rate |
$1,236.00 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$25.91
|
| Rate for Payer: Aetna Workers' Compensation |
$25.91
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$25.47
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$25.47
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$28.96
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$28.96
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$28.96
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$28.30
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$28.96
|
| Rate for Payer: Cash Price |
$36.75
|
| Rate for Payer: Cash Price |
$36.75
|
| Rate for Payer: Cigna Commercial |
$1,236.00
|
| Rate for Payer: Cigna Medicare Advantage |
$20.95
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$23.15
|
| Rate for Payer: Home State Health Plan Exchange |
$20.95
|
| Rate for Payer: Humana Medicare |
$27.56
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$27.56
|
| Rate for Payer: Provider Network of America Commercial |
$29.40
|
| Rate for Payer: UnitedHealthcare Commercial |
$24.25
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$36.75
|
|
|
HC 4 Layer Compression Bandage System
|
Facility
|
IP
|
$28.77
|
|
|
Service Code
|
LOCAL 2700002618
|
| Hospital Charge Code |
Px02700002618
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$21.58 |
| 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 |
$28.77
|
| Rate for Payer: Cash Price |
$28.77
|
| 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 |
$21.58
|
| Rate for Payer: Provider Network of America Commercial |
$23.02
|
|
|
HC 4 Layer Compression Bandage System
|
Facility
|
OP
|
$28.77
|
|
|
Service Code
|
LOCAL 2700002618
|
| Hospital Charge Code |
Px02700002618
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$28.77 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$20.28
|
| Rate for Payer: Aetna Workers' Compensation |
$20.28
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$19.94
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$19.94
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$22.67
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$22.67
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$22.67
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$22.15
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$22.67
|
| Rate for Payer: Cash Price |
$28.77
|
| Rate for Payer: Cigna Commercial |
$17.61
|
| Rate for Payer: Cigna Medicare Advantage |
$16.40
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$18.13
|
| Rate for Payer: Home State Health Plan Exchange |
$16.40
|
| Rate for Payer: Humana Medicare |
$21.58
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$21.58
|
| Rate for Payer: Provider Network of America Commercial |
$23.02
|
| Rate for Payer: UnitedHealthcare Commercial |
$18.99
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$28.77
|
|
|
HC Abdominal Pads
|
Facility
|
OP
|
$3.41
|
|
|
Service Code
|
LOCAL 2700002593
|
| Hospital Charge Code |
Px02700002593
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.94 |
| Max. Negotiated Rate |
$3.41 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$2.40
|
| Rate for Payer: Aetna Workers' Compensation |
$2.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2.36
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2.63
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2.69
|
| Rate for Payer: Cash Price |
$3.41
|
| Rate for Payer: Cigna Commercial |
$2.09
|
| Rate for Payer: Cigna Medicare Advantage |
$1.94
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2.15
|
| Rate for Payer: Home State Health Plan Exchange |
$1.94
|
| Rate for Payer: Humana Medicare |
$2.56
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.56
|
| Rate for Payer: Provider Network of America Commercial |
$2.73
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.25
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.41
|
|
|
HC Abdominal Pads
|
Facility
|
IP
|
$3.41
|
|
|
Service Code
|
LOCAL 2700002593
|
| Hospital Charge Code |
Px02700002593
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.56 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue 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 |
$3.41
|
| Rate for Payer: Cash Price |
$3.41
|
| 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 |
$2.56
|
| Rate for Payer: Provider Network of America Commercial |
$2.73
|
|
|
HC Abdom Paracentesis Dx/Ther W Imaging Guidance
|
Facility
|
OP
|
$2,127.30
|
|
|
Service Code
|
CPT 49083
|
| Hospital Charge Code |
Px04024908301
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$861.75 |
| Max. Negotiated Rate |
$2,127.30 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,499.75
|
| Rate for Payer: Aetna Workers' Compensation |
$1,499.75
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,474.22
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,474.22
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,676.31
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,676.31
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,676.31
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,638.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,676.31
|
| Rate for Payer: Cash Price |
$2,127.30
|
| Rate for Payer: Cash Price |
$2,127.30
|
| Rate for Payer: Cigna Commercial |
$1,301.91
|
| Rate for Payer: Cigna Medicare Advantage |
$1,212.56
|
| Rate for Payer: Family Health Partners Medicaid |
$1,144.64
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,340.20
|
| Rate for Payer: Healthy Blue Medicaid |
$1,236.21
|
| Rate for Payer: Home State Health Plan Exchange |
$1,212.56
|
| Rate for Payer: Home State Health Plan Medicaid |
$1,144.64
|
| Rate for Payer: Humana Medicare |
$1,595.47
|
| Rate for Payer: Mercy CarePlus Medicaid |
$1,144.64
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,595.47
|
| Rate for Payer: Provider Network of America Commercial |
$1,701.84
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,404.02
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$2,127.30
|
| Rate for Payer: UnitedHealthcare Medicaid |
$861.75
|
|
|
HC Abdom Paracentesis Dx/Ther W Imaging Guidance
|
Facility
|
IP
|
$2,561.21
|
|
|
Service Code
|
CPT 49083
|
| Hospital Charge Code |
Px07614908301
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$2,026.00
|
| Rate for Payer: Cash Price |
$2,561.21
|
| Rate for Payer: Cash Price |
$2,561.21
|
| Rate for Payer: Cash Price |
$2,026.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,920.91
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,519.50
|
| Rate for Payer: Provider Network of America Commercial |
$2,048.97
|
| Rate for Payer: Provider Network of America Commercial |
$1,620.80
|
|
|
HC Abdom Paracentesis Dx/Ther W Imaging Guidance
|
Facility
|
OP
|
$2,561.21
|
|
|
Service Code
|
CPT 49083
|
| Hospital Charge Code |
Px07614908301
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$861.75 |
| Max. Negotiated Rate |
$2,561.21 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,805.65
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,428.33
|
| Rate for Payer: Aetna Workers' Compensation |
$1,805.65
|
| Rate for Payer: Aetna Workers' Compensation |
$1,428.33
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,774.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,404.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,774.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,404.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2,018.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,596.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2,018.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,596.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,596.49
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2,018.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,560.02
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,972.13
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2,018.23
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,596.49
|
| Rate for Payer: Cash Price |
$2,561.21
|
| Rate for Payer: Cash Price |
$2,561.21
|
| Rate for Payer: Cash Price |
$2,026.00
|
| Rate for Payer: Cash Price |
$2,026.00
|
| Rate for Payer: Cigna Commercial |
$1,567.46
|
| Rate for Payer: Cigna Commercial |
$1,239.91
|
| Rate for Payer: Cigna Medicare Advantage |
$1,154.82
|
| Rate for Payer: Cigna Medicare Advantage |
$1,459.89
|
| Rate for Payer: Family Health Partners Medicaid |
$1,144.64
|
| Rate for Payer: Family Health Partners Medicaid |
$1,144.64
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,613.56
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,276.38
|
| Rate for Payer: Healthy Blue Medicaid |
$1,236.21
|
| Rate for Payer: Healthy Blue Medicaid |
$1,236.21
|
| Rate for Payer: Home State Health Plan Exchange |
$1,459.89
|
| Rate for Payer: Home State Health Plan Exchange |
$1,154.82
|
| Rate for Payer: Home State Health Plan Medicaid |
$1,144.64
|
| Rate for Payer: Home State Health Plan Medicaid |
$1,144.64
|
| Rate for Payer: Humana Medicare |
$1,519.50
|
| Rate for Payer: Humana Medicare |
$1,920.91
|
| Rate for Payer: Mercy CarePlus Medicaid |
$1,144.64
|
| Rate for Payer: Mercy CarePlus Medicaid |
$1,144.64
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,519.50
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,920.91
|
| Rate for Payer: Provider Network of America Commercial |
$1,620.80
|
| Rate for Payer: Provider Network of America Commercial |
$2,048.97
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,337.16
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,690.40
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$2,026.00
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$2,561.21
|
| Rate for Payer: UnitedHealthcare Medicaid |
$861.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$861.75
|
|
|
HC Abdom Paracentesis Dx/Ther W Imaging Guidance
|
Facility
|
IP
|
$2,127.30
|
|
|
Service Code
|
CPT 49083
|
| Hospital Charge Code |
Px04024908301
|
|
Hospital Revenue Code
|
402
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$2,127.30
|
| Rate for Payer: Cash Price |
$2,127.30
|
| 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 |
$1,595.47
|
| Rate for Payer: Provider Network of America Commercial |
$1,701.84
|
|
|
HC Abdom Paracentesis Dx/Ther W/O Imaging Guidance
|
Facility
|
OP
|
$2,318.40
|
|
|
Service Code
|
CPT 49082
|
| Hospital Charge Code |
Px07614908201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$861.75 |
| Max. Negotiated Rate |
$2,318.40 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,634.47
|
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,267.10
|
| Rate for Payer: Aetna Workers' Compensation |
$1,634.47
|
| Rate for Payer: Aetna Workers' Compensation |
$1,267.10
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,606.65
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,245.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,606.65
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,245.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,826.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,416.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,826.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,416.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,416.27
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,826.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,383.92
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,785.17
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,826.90
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,416.27
|
| Rate for Payer: Cash Price |
$2,318.40
|
| Rate for Payer: Cash Price |
$2,318.40
|
| Rate for Payer: Cash Price |
$1,797.30
|
| Rate for Payer: Cash Price |
$1,797.30
|
| Rate for Payer: Cigna Commercial |
$1,418.86
|
| Rate for Payer: Cigna Commercial |
$1,099.95
|
| Rate for Payer: Cigna Medicare Advantage |
$1,024.46
|
| Rate for Payer: Cigna Medicare Advantage |
$1,321.49
|
| Rate for Payer: Family Health Partners Medicaid |
$1,144.64
|
| Rate for Payer: Family Health Partners Medicaid |
$1,144.64
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,460.59
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,132.30
|
| Rate for Payer: Healthy Blue Medicaid |
$1,236.21
|
| Rate for Payer: Healthy Blue Medicaid |
$1,236.21
|
| Rate for Payer: Home State Health Plan Exchange |
$1,321.49
|
| Rate for Payer: Home State Health Plan Exchange |
$1,024.46
|
| Rate for Payer: Home State Health Plan Medicaid |
$1,144.64
|
| Rate for Payer: Home State Health Plan Medicaid |
$1,144.64
|
| Rate for Payer: Humana Medicare |
$1,347.97
|
| Rate for Payer: Humana Medicare |
$1,738.80
|
| Rate for Payer: Mercy CarePlus Medicaid |
$1,144.64
|
| Rate for Payer: Mercy CarePlus Medicaid |
$1,144.64
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,347.97
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,738.80
|
| Rate for Payer: Provider Network of America Commercial |
$1,437.84
|
| Rate for Payer: Provider Network of America Commercial |
$1,854.72
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,186.22
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,530.14
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$1,797.30
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$2,318.40
|
| Rate for Payer: UnitedHealthcare Medicaid |
$861.75
|
| Rate for Payer: UnitedHealthcare Medicaid |
$861.75
|
|
|
HC Abdom Paracentesis Dx/Ther W/O Imaging Guidance
|
Facility
|
IP
|
$2,318.40
|
|
|
Service Code
|
CPT 49082
|
| Hospital Charge Code |
Px07614908201
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$1,797.30
|
| Rate for Payer: Cash Price |
$2,318.40
|
| Rate for Payer: Cash Price |
$2,318.40
|
| Rate for Payer: Cash Price |
$1,797.30
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,738.80
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,347.97
|
| Rate for Payer: Provider Network of America Commercial |
$1,854.72
|
| Rate for Payer: Provider Network of America Commercial |
$1,437.84
|
|
|
HC Abg Kit Pediatric
|
Facility
|
OP
|
$3.54
|
|
| Hospital Charge Code |
Px02720000612
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.02 |
| Max. Negotiated Rate |
$3.54 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$2.50
|
| Rate for Payer: Aetna Workers' Compensation |
$2.50
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$2.45
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$2.45
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$2.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$2.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$2.79
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$2.73
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$2.79
|
| Rate for Payer: Cash Price |
$3.54
|
| Rate for Payer: Cigna Commercial |
$2.17
|
| Rate for Payer: Cigna Medicare Advantage |
$2.02
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$2.23
|
| Rate for Payer: Home State Health Plan Exchange |
$2.02
|
| Rate for Payer: Humana Medicare |
$2.65
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$2.65
|
| Rate for Payer: Provider Network of America Commercial |
$2.83
|
| Rate for Payer: UnitedHealthcare Commercial |
$2.34
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$3.54
|
|
|
HC Abg Kit Pediatric
|
Facility
|
IP
|
$3.54
|
|
| Hospital Charge Code |
Px02720000612
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.65 |
| 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 |
$3.54
|
| Rate for Payer: Cash Price |
$3.54
|
| 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 |
$2.65
|
| Rate for Payer: Provider Network of America Commercial |
$2.83
|
|
|
HC Abscess Drainage Under X-Ray - CT Guidance for Abscess Drain
|
Facility
|
IP
|
$1,680.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
Px03527598901
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| 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 |
$1,260.00
|
| Rate for Payer: Provider Network of America Commercial |
$1,344.00
|
|
|
HC Abscess Drainage Under X-Ray - CT Guidance for Abscess Drain
|
Facility
|
OP
|
$1,680.00
|
|
|
Service Code
|
CPT 75989
|
| Hospital Charge Code |
Px03527598901
|
|
Hospital Revenue Code
|
352
|
| Min. Negotiated Rate |
$957.60 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,184.40
|
| Rate for Payer: Aetna Workers' Compensation |
$1,184.40
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,164.24
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,164.24
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,323.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,323.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,323.84
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,293.60
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,323.84
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cash Price |
$1,680.00
|
| Rate for Payer: Cigna Commercial |
$1,236.00
|
| Rate for Payer: Cigna Medicare Advantage |
$957.60
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,058.40
|
| Rate for Payer: Home State Health Plan Exchange |
$957.60
|
| Rate for Payer: Humana Medicare |
$1,260.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,260.00
|
| Rate for Payer: Provider Network of America Commercial |
$1,344.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,108.80
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$1,680.00
|
|
|
HC Abscess Imaging Whole Body - NM Inflammation Whole Body With Inium
|
Facility
|
IP
|
$2,074.28
|
|
|
Service Code
|
CPT 78806
|
| Hospital Charge Code |
Px03417880601
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$875.00 |
| Max. Negotiated Rate |
$6,053.00 |
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$875.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$900.00
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$950.00
|
| Rate for Payer: Cash Price |
$2,074.28
|
| Rate for Payer: Cash Price |
$2,074.28
|
| Rate for Payer: Cigna Medicare Advantage |
$6,053.00
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,826.00
|
| Rate for Payer: Home State Health Plan Exchange |
$6,053.00
|
| Rate for Payer: Humana Medicare |
$1,185.00
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,555.71
|
| Rate for Payer: Provider Network of America Commercial |
$1,659.42
|
|
|
HC Abscess Imaging Whole Body - NM Inflammation Whole Body With Inium
|
Facility
|
OP
|
$2,074.28
|
|
|
Service Code
|
CPT 78806
|
| Hospital Charge Code |
Px03417880601
|
|
Hospital Revenue Code
|
341
|
| Min. Negotiated Rate |
$1,182.34 |
| Max. Negotiated Rate |
$2,074.28 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$1,462.37
|
| Rate for Payer: Aetna Workers' Compensation |
$1,462.37
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$1,437.48
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$1,437.48
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$1,634.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$1,634.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$1,634.53
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$1,597.20
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$1,634.53
|
| Rate for Payer: Cash Price |
$2,074.28
|
| Rate for Payer: Cigna Commercial |
$1,269.46
|
| Rate for Payer: Cigna Medicare Advantage |
$1,182.34
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$1,306.80
|
| Rate for Payer: Home State Health Plan Exchange |
$1,182.34
|
| Rate for Payer: Humana Medicare |
$1,555.71
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$1,555.71
|
| Rate for Payer: Provider Network of America Commercial |
$1,659.42
|
| Rate for Payer: UnitedHealthcare Commercial |
$1,369.02
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$2,074.28
|
|
|
HC Acetylcholine Recep Mod Anti
|
Facility
|
IP
|
$105.00
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
Px03058351601
|
|
Hospital Revenue Code
|
305
|
| 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 Acetylcholine Recep Mod Anti
|
Facility
|
OP
|
$105.00
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
Px03058351601
|
|
Hospital Revenue Code
|
305
|
| Min. Negotiated Rate |
$10.94 |
| Max. Negotiated Rate |
$84.00 |
| Rate for Payer: Cigna Medicare Advantage |
$59.85
|
| 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: Family Health Partners Medicaid |
$14.53
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$66.15
|
| Rate for Payer: Healthy Blue Medicaid |
$15.69
|
| Rate for Payer: Home State Health Plan Exchange |
$59.85
|
| Rate for Payer: Home State Health Plan Medicaid |
$14.53
|
| Rate for Payer: Humana Medicare |
$78.75
|
| Rate for Payer: Mercy CarePlus Medicaid |
$14.53
|
| 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 |
$11.53
|
| Rate for Payer: UnitedHealthcare Medicaid |
$10.94
|
|
|
HC Acetylcholine Recept Arup
|
Facility
|
OP
|
$202.65
|
|
|
Service Code
|
CPT 83516
|
| Hospital Charge Code |
Px03018351624
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$10.94 |
| Max. Negotiated Rate |
$162.12 |
| Rate for Payer: Aetna Commercial/Medicare Advantage |
$142.87
|
| Rate for Payer: Aetna Workers' Compensation |
$142.87
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Advantage (HMO) |
$140.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Blue Care (HMO) |
$140.44
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network |
$159.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Freedom Network Select |
$159.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care |
$159.69
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Preferred Care Blue Risk (PPO) |
$156.04
|
| Rate for Payer: Blue Cross Blue Shield of Kansas City Traditional |
$159.69
|
| Rate for Payer: Cash Price |
$202.65
|
| Rate for Payer: Cash Price |
$202.65
|
| Rate for Payer: Cigna Commercial |
$106.19
|
| Rate for Payer: Cigna Medicare Advantage |
$115.51
|
| Rate for Payer: Family Health Partners Medicaid |
$14.53
|
| Rate for Payer: Harmony Health CHIP/Medicaid |
$127.67
|
| Rate for Payer: Healthy Blue Medicaid |
$15.69
|
| Rate for Payer: Home State Health Plan Exchange |
$115.51
|
| Rate for Payer: Home State Health Plan Medicaid |
$14.53
|
| Rate for Payer: Humana Medicare |
$151.99
|
| Rate for Payer: Mercy CarePlus Medicaid |
$14.53
|
| Rate for Payer: Oscar Health EPO/HMO/POS/PPO |
$151.99
|
| Rate for Payer: Provider Network of America Commercial |
$162.12
|
| Rate for Payer: UnitedHealthcare Commercial |
$133.75
|
| Rate for Payer: UnitedHealthcare Individual Exchange |
$11.53
|
| Rate for Payer: UnitedHealthcare Medicaid |
$10.94
|
|
