PR THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL
|
Professional
|
Both
|
$5,941.43
|
|
Service Code
|
HCPCS 32905
|
Min. Negotiated Rate |
$4,456.07 |
Max. Negotiated Rate |
$4,456.07 |
Rate for Payer: Cash Price |
$1,582.20
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,456.07
|
Rate for Payer: SOMOS Essential |
$4,456.07
|
|
PR THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL
|
Professional
|
Both
|
$7,335.13
|
|
Service Code
|
HCPCS 32906
|
Min. Negotiated Rate |
$5,501.35 |
Max. Negotiated Rate |
$5,501.35 |
Rate for Payer: Cash Price |
$1,951.11
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,501.35
|
Rate for Payer: SOMOS Essential |
$5,501.35
|
|
PR THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE
|
Professional
|
Both
|
$5,204.29
|
|
Service Code
|
HCPCS 32654
|
Min. Negotiated Rate |
$3,903.22 |
Max. Negotiated Rate |
$3,903.22 |
Rate for Payer: Cash Price |
$1,395.06
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,903.22
|
Rate for Payer: SOMOS Essential |
$3,903.22
|
|
PR THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX
|
Professional
|
Both
|
$2,049.43
|
|
Service Code
|
HCPCS 32606
|
Min. Negotiated Rate |
$1,537.07 |
Max. Negotiated Rate |
$1,537.07 |
Rate for Payer: Cash Price |
$544.86
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,537.07
|
Rate for Payer: SOMOS Essential |
$1,537.07
|
|
PR THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX
|
Professional
|
Both
|
$2,128.70
|
|
Service Code
|
HCPCS 32604
|
Min. Negotiated Rate |
$1,596.52 |
Max. Negotiated Rate |
$1,596.52 |
Rate for Payer: Cash Price |
$566.18
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,596.52
|
Rate for Payer: SOMOS Essential |
$1,596.52
|
|
PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL
|
Professional
|
Both
|
$5,406.56
|
|
Service Code
|
HCPCS 32673
|
Min. Negotiated Rate |
$4,054.92 |
Max. Negotiated Rate |
$4,054.92 |
Rate for Payer: Cash Price |
$1,439.62
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,054.92
|
Rate for Payer: SOMOS Essential |
$4,054.92
|
|
PR THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT
|
Professional
|
Both
|
$4,694.13
|
|
Service Code
|
HCPCS 32653
|
Min. Negotiated Rate |
$3,520.60 |
Max. Negotiated Rate |
$3,520.60 |
Rate for Payer: Cash Price |
$1,249.84
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,520.60
|
Rate for Payer: SOMOS Essential |
$3,520.60
|
|
PR THORACOSCOPY W/BILOBECTOMY
|
Professional
|
Both
|
$7,133.39
|
|
Service Code
|
HCPCS 32670
|
Min. Negotiated Rate |
$5,350.04 |
Max. Negotiated Rate |
$5,350.04 |
Rate for Payer: Cash Price |
$1,890.06
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,350.04
|
Rate for Payer: SOMOS Essential |
$5,350.04
|
|
PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL
|
Professional
|
Both
|
$1,366.58
|
|
Service Code
|
HCPCS 32607
|
Min. Negotiated Rate |
$1,024.94 |
Max. Negotiated Rate |
$1,024.94 |
Rate for Payer: Cash Price |
$362.81
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,024.94
|
Rate for Payer: SOMOS Essential |
$1,024.94
|
|
PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL
|
Professional
|
Both
|
$1,679.44
|
|
Service Code
|
HCPCS 32608
|
Min. Negotiated Rate |
$1,259.58 |
Max. Negotiated Rate |
$1,259.58 |
Rate for Payer: Cash Price |
$446.99
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,259.58
|
Rate for Payer: SOMOS Essential |
$1,259.58
|
|
PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN
|
Professional
|
Both
|
$696.36
|
|
Service Code
|
HCPCS 32668
|
Min. Negotiated Rate |
$522.27 |
Max. Negotiated Rate |
$522.27 |
Rate for Payer: Cash Price |
$184.32
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$522.27
|
Rate for Payer: SOMOS Essential |
$522.27
|
|
PR THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE
|
Professional
|
Both
|
$5,485.17
|
|
Service Code
|
HCPCS 32665
|
Min. Negotiated Rate |
$4,113.88 |
Max. Negotiated Rate |
$4,113.88 |
Rate for Payer: Cash Price |
$1,458.72
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,113.88
|
Rate for Payer: SOMOS Essential |
$4,113.88
|
|
PR THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,976.84
|
|
Service Code
|
HCPCS 32662
|
Min. Negotiated Rate |
$2,982.63 |
Max. Negotiated Rate |
$2,982.63 |
Rate for Payer: Cash Price |
$1,062.09
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,982.63
|
Rate for Payer: SOMOS Essential |
$2,982.63
|
|
PR THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS
|
Professional
|
Both
|
$3,559.75
|
|
Service Code
|
HCPCS 32661
|
Min. Negotiated Rate |
$2,669.81 |
Max. Negotiated Rate |
$2,669.81 |
Rate for Payer: Cash Price |
$949.93
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,669.81
|
Rate for Payer: SOMOS Essential |
$2,669.81
|
|
PR THORACOSCOPY WITH BIOPSYIES OF PLEURA
|
Professional
|
Both
|
$1,120.81
|
|
Service Code
|
HCPCS 32609
|
Min. Negotiated Rate |
$840.61 |
Max. Negotiated Rate |
$840.61 |
Rate for Payer: Cash Price |
$299.47
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$840.61
|
Rate for Payer: SOMOS Essential |
$840.61
|
|
PR THORACOSCOPY W/LOBECTOMY SINGLE LOBE
|
Professional
|
Both
|
$6,221.32
|
|
Service Code
|
HCPCS 32663
|
Min. Negotiated Rate |
$4,665.99 |
Max. Negotiated Rate |
$4,665.99 |
Rate for Payer: Cash Price |
$1,654.34
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,665.99
|
Rate for Payer: SOMOS Essential |
$4,665.99
|
|
PR THORACOSCOPY W/PARIETAL PLEURECTOMY
|
Professional
|
Both
|
$3,577.53
|
|
Service Code
|
HCPCS 32656
|
Min. Negotiated Rate |
$2,683.15 |
Max. Negotiated Rate |
$2,683.15 |
Rate for Payer: Cash Price |
$954.11
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,683.15
|
Rate for Payer: SOMOS Essential |
$2,683.15
|
|
PR THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION
|
Professional
|
Both
|
$4,868.99
|
|
Service Code
|
HCPCS 32651
|
Min. Negotiated Rate |
$3,651.74 |
Max. Negotiated Rate |
$3,651.74 |
Rate for Payer: Cash Price |
$1,297.65
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,651.74
|
Rate for Payer: SOMOS Essential |
$3,651.74
|
|
PR THORACOSCOPY W/PLEURODESIS
|
Professional
|
Both
|
$2,959.04
|
|
Service Code
|
HCPCS 32650
|
Min. Negotiated Rate |
$2,219.28 |
Max. Negotiated Rate |
$2,219.28 |
Rate for Payer: Cash Price |
$793.73
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,219.28
|
Rate for Payer: SOMOS Essential |
$2,219.28
|
|
PR THORACOSCOPY W/PNEUMONECTOMY
|
Professional
|
Both
|
$7,894.46
|
|
Service Code
|
HCPCS 32671
|
Min. Negotiated Rate |
$5,920.84 |
Max. Negotiated Rate |
$5,920.84 |
Rate for Payer: Cash Price |
$2,095.65
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,920.84
|
Rate for Payer: SOMOS Essential |
$5,920.84
|
|
PR THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX
|
Professional
|
Both
|
$4,261.46
|
|
Service Code
|
HCPCS 32655
|
Min. Negotiated Rate |
$3,196.10 |
Max. Negotiated Rate |
$3,196.10 |
Rate for Payer: Cash Price |
$1,135.23
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,196.10
|
Rate for Payer: SOMOS Essential |
$3,196.10
|
|
PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL
|
Professional
|
Both
|
$6,736.14
|
|
Service Code
|
HCPCS 32672
|
Min. Negotiated Rate |
$5,052.10 |
Max. Negotiated Rate |
$5,052.10 |
Rate for Payer: Cash Price |
$1,795.80
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,052.10
|
Rate for Payer: SOMOS Essential |
$5,052.10
|
|
PR THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC
|
Professional
|
Both
|
$3,186.86
|
|
Service Code
|
HCPCS 32658
|
Min. Negotiated Rate |
$2,390.14 |
Max. Negotiated Rate |
$2,390.14 |
Rate for Payer: Cash Price |
$850.26
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,390.14
|
Rate for Payer: SOMOS Essential |
$2,390.14
|
|
PR THORACOSCOPY W/SEGMENTECTOMY
|
Professional
|
Both
|
$5,970.93
|
|
Service Code
|
HCPCS 32669
|
Min. Negotiated Rate |
$4,478.20 |
Max. Negotiated Rate |
$4,478.20 |
Rate for Payer: Cash Price |
$1,588.75
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,478.20
|
Rate for Payer: SOMOS Essential |
$4,478.20
|
|
PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$696.36
|
|
Service Code
|
HCPCS 32667
|
Min. Negotiated Rate |
$522.27 |
Max. Negotiated Rate |
$522.27 |
Rate for Payer: Cash Price |
$184.32
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$522.27
|
Rate for Payer: SOMOS Essential |
$522.27
|
|