PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT
|
Professional
|
Both
|
$3,871.00
|
|
Service Code
|
HCPCS 32666
|
Min. Negotiated Rate |
$2,903.25 |
Max. Negotiated Rate |
$2,903.25 |
Rate for Payer: Cash Price |
$1,033.33
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,903.25
|
Rate for Payer: SOMOS Essential |
$2,903.25
|
|
PR THORACOSCOPY W/THORACIC SYMPATHECTOMY
|
Professional
|
Both
|
$3,777.73
|
|
Service Code
|
HCPCS 32664
|
Min. Negotiated Rate |
$2,833.30 |
Max. Negotiated Rate |
$2,833.30 |
Rate for Payer: Cash Price |
$1,008.06
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,833.30
|
Rate for Payer: SOMOS Essential |
$2,833.30
|
|
PR THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA
|
Professional
|
Both
|
$3,524.01
|
|
Service Code
|
HCPCS 32036
|
Min. Negotiated Rate |
$2,643.01 |
Max. Negotiated Rate |
$2,643.01 |
Rate for Payer: Cash Price |
$942.25
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,643.01
|
Rate for Payer: SOMOS Essential |
$2,643.01
|
|
PR THORACOSTOMY W/RIB RESECTION EMPYEMA
|
Professional
|
Both
|
$3,271.07
|
|
Service Code
|
HCPCS 32035
|
Min. Negotiated Rate |
$2,453.30 |
Max. Negotiated Rate |
$2,453.30 |
Rate for Payer: Cash Price |
$876.12
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,453.30
|
Rate for Payer: SOMOS Essential |
$2,453.30
|
|
PR THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS
|
Professional
|
Both
|
$4,091.96
|
|
Service Code
|
HCPCS 32124
|
Min. Negotiated Rate |
$3,068.97 |
Max. Negotiated Rate |
$3,068.97 |
Rate for Payer: Cash Price |
$1,092.45
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,068.97
|
Rate for Payer: SOMOS Essential |
$3,068.97
|
|
PR THORACOTOMY POSTOPERATIVE COMPLICATIONS
|
Professional
|
Both
|
$3,878.32
|
|
Service Code
|
HCPCS 32120
|
Min. Negotiated Rate |
$2,908.74 |
Max. Negotiated Rate |
$2,908.74 |
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,908.74
|
Rate for Payer: SOMOS Essential |
$2,908.74
|
|
PR THORACOTOMY W/BIOPSY OF PLEURA
|
Professional
|
Both
|
$3,381.42
|
|
Service Code
|
HCPCS 32098
|
Min. Negotiated Rate |
$2,536.06 |
Max. Negotiated Rate |
$2,536.06 |
Rate for Payer: Cash Price |
$897.79
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,536.06
|
Rate for Payer: SOMOS Essential |
$2,536.06
|
|
PR THORACOTOMY W/CARDIAC MASSAGE
|
Professional
|
Both
|
$3,542.18
|
|
Service Code
|
HCPCS 32160
|
Min. Negotiated Rate |
$2,656.64 |
Max. Negotiated Rate |
$2,656.64 |
Rate for Payer: Cash Price |
$945.29
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,656.64
|
Rate for Payer: SOMOS Essential |
$2,656.64
|
|
PR THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE
|
Professional
|
Both
|
$696.36
|
|
Service Code
|
HCPCS 32507
|
Min. Negotiated Rate |
$522.27 |
Max. Negotiated Rate |
$522.27 |
Rate for Payer: Cash Price |
$183.30
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$522.27
|
Rate for Payer: SOMOS Essential |
$522.27
|
|
PR THORACOTOMY WITH EXPLORATION
|
Professional
|
Both
|
$3,593.66
|
|
Service Code
|
HCPCS 32100
|
Min. Negotiated Rate |
$2,695.24 |
Max. Negotiated Rate |
$2,695.24 |
Rate for Payer: Cash Price |
$961.13
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,695.24
|
Rate for Payer: SOMOS Essential |
$2,695.24
|
|
PR THORACOTOMY W/RESECTION BULLAE
|
Professional
|
Both
|
$6,770.86
|
|
Service Code
|
HCPCS 32141
|
Min. Negotiated Rate |
$5,078.14 |
Max. Negotiated Rate |
$5,078.14 |
Rate for Payer: Cash Price |
$1,796.92
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$5,078.14
|
Rate for Payer: SOMOS Essential |
$5,078.14
|
|
PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL
|
Professional
|
Both
|
$4,141.80
|
|
Service Code
|
HCPCS 32505
|
Min. Negotiated Rate |
$3,106.35 |
Max. Negotiated Rate |
$3,106.35 |
Rate for Payer: Cash Price |
$1,104.43
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,106.35
|
Rate for Payer: SOMOS Essential |
$3,106.35
|
|
PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL
|
Professional
|
Both
|
$696.36
|
|
Service Code
|
HCPCS 32506
|
Min. Negotiated Rate |
$522.27 |
Max. Negotiated Rate |
$522.27 |
Rate for Payer: Cash Price |
$183.70
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$522.27
|
Rate for Payer: SOMOS Essential |
$522.27
|
|
PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL
|
Professional
|
Both
|
$3,553.13
|
|
Service Code
|
HCPCS 32096
|
Min. Negotiated Rate |
$2,664.85 |
Max. Negotiated Rate |
$2,664.85 |
Rate for Payer: Cash Price |
$948.78
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,664.85
|
Rate for Payer: SOMOS Essential |
$2,664.85
|
|
PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL
|
Professional
|
Both
|
$3,560.45
|
|
Service Code
|
HCPCS 32097
|
Min. Negotiated Rate |
$2,670.34 |
Max. Negotiated Rate |
$2,670.34 |
Rate for Payer: Cash Price |
$950.35
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$2,670.34
|
Rate for Payer: SOMOS Essential |
$2,670.34
|
|
PR THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE
|
Professional
|
Both
|
$914.94
|
|
Service Code
|
HCPCS 32701
|
Min. Negotiated Rate |
$686.20 |
Max. Negotiated Rate |
$686.20 |
Rate for Payer: Cash Price |
$241.96
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$686.20
|
Rate for Payer: SOMOS Essential |
$686.20
|
|
PR THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR
|
Professional
|
Both
|
$6,546.89
|
|
Service Code
|
HCPCS 32110
|
Min. Negotiated Rate |
$4,910.17 |
Max. Negotiated Rate |
$4,910.17 |
Rate for Payer: Cash Price |
$1,750.30
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$4,910.17
|
Rate for Payer: SOMOS Essential |
$4,910.17
|
|
PR THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC
|
Professional
|
Both
|
$949.62
|
|
Service Code
|
HCPCS 38746
|
Min. Negotiated Rate |
$712.22 |
Max. Negotiated Rate |
$712.22 |
Rate for Payer: Cash Price |
$252.45
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$712.22
|
Rate for Payer: SOMOS Essential |
$712.22
|
|
PR THORCOM W/REMOVAL OF CYST
|
Professional
|
Both
|
$4,410.18
|
|
Service Code
|
HCPCS 32140
|
Min. Negotiated Rate |
$3,307.64 |
Max. Negotiated Rate |
$3,307.64 |
Rate for Payer: Cash Price |
$1,177.65
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,307.64
|
Rate for Payer: SOMOS Essential |
$3,307.64
|
|
PR THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP
|
Professional
|
Both
|
$4,495.44
|
|
Service Code
|
HCPCS 32150
|
Min. Negotiated Rate |
$3,371.58 |
Max. Negotiated Rate |
$3,371.58 |
Rate for Payer: Cash Price |
$1,207.60
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,371.58
|
Rate for Payer: SOMOS Essential |
$3,371.58
|
|
PR THORCOM W/RMVL IPUL FB
|
Professional
|
Both
|
$4,475.87
|
|
Service Code
|
HCPCS 32151
|
Min. Negotiated Rate |
$3,356.90 |
Max. Negotiated Rate |
$3,356.90 |
Rate for Payer: Cash Price |
$1,194.94
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,356.90
|
Rate for Payer: SOMOS Essential |
$3,356.90
|
|
PR THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY
|
Professional
|
Both
|
$952.35
|
|
Service Code
|
HCPCS 32674
|
Min. Negotiated Rate |
$714.26 |
Max. Negotiated Rate |
$714.26 |
Rate for Payer: Cash Price |
$253.71
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$714.26
|
Rate for Payer: SOMOS Essential |
$714.26
|
|
PR THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX
|
Professional
|
Both
|
$1,365.28
|
|
Service Code
|
HCPCS 32601
|
Min. Negotiated Rate |
$1,023.96 |
Max. Negotiated Rate |
$1,023.96 |
Rate for Payer: Cash Price |
$363.59
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,023.96
|
Rate for Payer: SOMOS Essential |
$1,023.96
|
|
PR THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL
|
Professional
|
Both
|
$2,626.61
|
|
Service Code
|
HCPCS 35875
|
Min. Negotiated Rate |
$1,969.96 |
Max. Negotiated Rate |
$1,969.96 |
Rate for Payer: Cash Price |
$696.83
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$1,969.96
|
Rate for Payer: SOMOS Essential |
$1,969.96
|
|
PR THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF
|
Professional
|
Both
|
$4,178.23
|
|
Service Code
|
HCPCS 35876
|
Min. Negotiated Rate |
$3,133.67 |
Max. Negotiated Rate |
$3,133.67 |
Rate for Payer: Cash Price |
$1,108.08
|
Rate for Payer: SOMOS CHP/HARP/Medicaid |
$3,133.67
|
Rate for Payer: SOMOS Essential |
$3,133.67
|
|