|
PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S);
|
Facility
|
OP
|
$7,089.80
|
|
|
Service Code
|
CPT 60500
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,064.14 |
| Max. Negotiated Rate |
$7,089.80 |
| Rate for Payer: Anthem Medicare Advantage/PPO |
$5,064.14
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$7,089.80
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,836.59
|
| Rate for Payer: Humana Medicare Advantage |
$5,064.14
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,076.97
|
|
|
PARATHYROID HORMONE (INTACT)
|
Facility
|
IP
|
$234.00
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
30000465
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$30.42 |
| Max. Negotiated Rate |
$224.64 |
| Rate for Payer: Aetna Commercial |
$180.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$187.90
|
| Rate for Payer: Cash Price |
$117.00
|
| Rate for Payer: Cigna Commercial |
$194.22
|
| Rate for Payer: First Health Commercial |
$222.30
|
| Rate for Payer: Humana Commercial |
$198.90
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$191.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$172.69
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$70.20
|
| Rate for Payer: Ohio Health Choice Commercial |
$205.92
|
| Rate for Payer: Ohio Health Group HMO |
$175.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$46.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$30.42
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$72.54
|
| Rate for Payer: PHCS Commercial |
$224.64
|
| Rate for Payer: United Healthcare All Payer |
$205.92
|
|
|
PARATHYROID HORMONE (INTACT)
|
Facility
|
OP
|
$234.00
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
30000465
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$30.42 |
| Max. Negotiated Rate |
$224.64 |
| Rate for Payer: Aetna Commercial |
$180.18
|
| Rate for Payer: Anthem Medicaid |
$41.28
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$41.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$187.90
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$57.79
|
| Rate for Payer: CareSource Just4Me Medicare |
$41.28
|
| Rate for Payer: Cash Price |
$117.00
|
| Rate for Payer: Cash Price |
$117.00
|
| Rate for Payer: Cigna Commercial |
$194.22
|
| Rate for Payer: First Health Commercial |
$222.30
|
| Rate for Payer: Humana Commercial |
$198.90
|
| Rate for Payer: Humana KY Medicaid |
$41.28
|
| Rate for Payer: Humana Medicare Advantage |
$41.28
|
| Rate for Payer: Kentucky WC Medicaid |
$41.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$191.88
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$172.69
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$49.54
|
| Rate for Payer: Molina Healthcare Medicaid |
$42.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$205.92
|
| Rate for Payer: Ohio Health Group HMO |
$175.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$46.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$30.42
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$72.54
|
| Rate for Payer: PHCS Commercial |
$224.64
|
| Rate for Payer: United Healthcare All Payer |
$205.92
|
|
|
PARATHYROID IMAGING
|
Professional
|
Both
|
$1,551.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
34000074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$45.72 |
| Max. Negotiated Rate |
$1,551.00 |
| Rate for Payer: Aetna Commercial |
$259.25
|
| Rate for Payer: Anthem Medicaid |
$71.18
|
| Rate for Payer: Buckeye Medicare Advantage |
$1,551.00
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cigna Commercial |
$284.35
|
| Rate for Payer: Healthspan PPO |
$259.12
|
| Rate for Payer: Humana Medicaid |
$71.18
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$45.72
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$72.60
|
| Rate for Payer: Molina Healthcare Passport |
$71.18
|
| Rate for Payer: Multiplan PHCS |
$930.60
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,085.70
|
| Rate for Payer: UHCCP Medicaid |
$542.85
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$71.89
|
|
|
PARATHYROID IMAGING
|
Facility
|
IP
|
$1,551.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
34000074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$201.63 |
| Max. Negotiated Rate |
$1,488.96 |
| Rate for Payer: Aetna Commercial |
$1,194.27
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,209.78
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cigna Commercial |
$1,287.33
|
| Rate for Payer: First Health Commercial |
$1,473.45
|
| Rate for Payer: Humana Commercial |
$1,318.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,271.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,144.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$465.30
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,364.88
|
| Rate for Payer: Ohio Health Group HMO |
$1,163.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$310.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$201.63
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$480.81
|
| Rate for Payer: PHCS Commercial |
$1,488.96
|
| Rate for Payer: United Healthcare All Payer |
$1,364.88
|
|
|
PARATHYROID IMAGING
|
Facility
|
OP
|
$1,551.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
34000074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$201.63 |
| Max. Negotiated Rate |
$1,488.96 |
| Rate for Payer: Aetna Commercial |
$1,194.27
|
| Rate for Payer: Anthem Medicaid |
$533.39
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$356.66
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,209.78
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$499.32
|
| Rate for Payer: CareSource Just4Me Medicare |
$481.49
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cigna Commercial |
$1,287.33
|
| Rate for Payer: First Health Commercial |
$1,473.45
|
| Rate for Payer: Humana Commercial |
$1,318.35
|
| Rate for Payer: Humana KY Medicaid |
$533.39
|
| Rate for Payer: Humana Medicare Advantage |
$356.66
|
| Rate for Payer: Kentucky WC Medicaid |
$538.82
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,271.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,144.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$427.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$544.09
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,364.88
|
| Rate for Payer: Ohio Health Group HMO |
$1,163.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$310.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$201.63
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$480.81
|
| Rate for Payer: PHCS Commercial |
$1,488.96
|
| Rate for Payer: United Healthcare All Payer |
$1,364.88
|
|
|
PARATHYROID IMAGING(P
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
340P0074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$45.72 |
| Max. Negotiated Rate |
$284.35 |
| Rate for Payer: Aetna Commercial |
$259.25
|
| Rate for Payer: Anthem Medicaid |
$71.18
|
| Rate for Payer: Buckeye Medicare Advantage |
$150.00
|
| Rate for Payer: Cash Price |
$75.00
|
| Rate for Payer: Cash Price |
$75.00
|
| Rate for Payer: Cigna Commercial |
$284.35
|
| Rate for Payer: Healthspan PPO |
$259.12
|
| Rate for Payer: Humana Medicaid |
$71.18
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$45.72
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$72.60
|
| Rate for Payer: Molina Healthcare Passport |
$71.18
|
| Rate for Payer: Multiplan PHCS |
$90.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$105.00
|
| Rate for Payer: UHCCP Medicaid |
$52.50
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$71.89
|
|
|
PARATHYROID IMAGING(T
|
Facility
|
OP
|
$1,401.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
340T0074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$182.13 |
| Max. Negotiated Rate |
$1,344.96 |
| Rate for Payer: Aetna Commercial |
$1,078.77
|
| Rate for Payer: Anthem Medicaid |
$481.80
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$356.66
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,092.78
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$499.32
|
| Rate for Payer: CareSource Just4Me Medicare |
$481.49
|
| Rate for Payer: Cash Price |
$700.50
|
| Rate for Payer: Cash Price |
$700.50
|
| Rate for Payer: Cigna Commercial |
$1,162.83
|
| Rate for Payer: First Health Commercial |
$1,330.95
|
| Rate for Payer: Humana Commercial |
$1,190.85
|
| Rate for Payer: Humana KY Medicaid |
$481.80
|
| Rate for Payer: Humana Medicare Advantage |
$356.66
|
| Rate for Payer: Kentucky WC Medicaid |
$486.71
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,148.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,033.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$427.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$491.47
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,232.88
|
| Rate for Payer: Ohio Health Group HMO |
$1,050.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$280.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$182.13
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$434.31
|
| Rate for Payer: PHCS Commercial |
$1,344.96
|
| Rate for Payer: United Healthcare All Payer |
$1,232.88
|
|
|
PARATHYROID IMAGING(T
|
Facility
|
IP
|
$1,401.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
340T0074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$182.13 |
| Max. Negotiated Rate |
$1,344.96 |
| Rate for Payer: Aetna Commercial |
$1,078.77
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,092.78
|
| Rate for Payer: Cash Price |
$700.50
|
| Rate for Payer: Cigna Commercial |
$1,162.83
|
| Rate for Payer: First Health Commercial |
$1,330.95
|
| Rate for Payer: Humana Commercial |
$1,190.85
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,148.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,033.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$420.30
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,232.88
|
| Rate for Payer: Ohio Health Group HMO |
$1,050.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$280.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$182.13
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$434.31
|
| Rate for Payer: PHCS Commercial |
$1,344.96
|
| Rate for Payer: United Healthcare All Payer |
$1,232.88
|
|
|
PARIETEX COMPOSITE15CM RND OPT
|
Facility
|
IP
|
$4,489.60
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.65 |
| Max. Negotiated Rate |
$4,310.02 |
| Rate for Payer: Aetna Commercial |
$3,456.99
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,501.89
|
| Rate for Payer: Cash Price |
$2,244.80
|
| Rate for Payer: Cigna Commercial |
$3,726.37
|
| Rate for Payer: First Health Commercial |
$4,265.12
|
| Rate for Payer: Humana Commercial |
$3,816.16
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,681.47
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,313.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,346.88
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,950.85
|
| Rate for Payer: Ohio Health Group HMO |
$3,367.20
|
| Rate for Payer: Ohio Health Group PPO Differential |
$897.92
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$583.65
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,391.78
|
| Rate for Payer: PHCS Commercial |
$4,310.02
|
| Rate for Payer: United Healthcare All Payer |
$3,950.85
|
|
|
PARIETEX COMPOSITE15CM RND OPT
|
Facility
|
OP
|
$4,489.60
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.65 |
| Max. Negotiated Rate |
$4,310.02 |
| Rate for Payer: Aetna Commercial |
$3,456.99
|
| Rate for Payer: Anthem Medicaid |
$1,543.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,501.89
|
| Rate for Payer: Cash Price |
$2,244.80
|
| Rate for Payer: Cigna Commercial |
$3,726.37
|
| Rate for Payer: First Health Commercial |
$4,265.12
|
| Rate for Payer: Humana Commercial |
$3,816.16
|
| Rate for Payer: Humana KY Medicaid |
$1,543.97
|
| Rate for Payer: Kentucky WC Medicaid |
$1,559.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,681.47
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,313.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,346.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,574.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,950.85
|
| Rate for Payer: Ohio Health Group HMO |
$3,367.20
|
| Rate for Payer: Ohio Health Group PPO Differential |
$897.92
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$583.65
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,391.78
|
| Rate for Payer: PHCS Commercial |
$4,310.02
|
| Rate for Payer: United Healthcare All Payer |
$3,950.85
|
|
|
PARIETEX COMPOSITE 20CM ROUND
|
Facility
|
OP
|
$5,453.18
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$708.91 |
| Max. Negotiated Rate |
$5,235.05 |
| Rate for Payer: Aetna Commercial |
$4,198.95
|
| Rate for Payer: Anthem Medicaid |
$1,875.35
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,253.48
|
| Rate for Payer: Cash Price |
$2,726.59
|
| Rate for Payer: Cigna Commercial |
$4,526.14
|
| Rate for Payer: First Health Commercial |
$5,180.52
|
| Rate for Payer: Humana Commercial |
$4,635.20
|
| Rate for Payer: Humana KY Medicaid |
$1,875.35
|
| Rate for Payer: Kentucky WC Medicaid |
$1,894.43
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,471.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$4,024.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,635.95
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,912.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,798.80
|
| Rate for Payer: Ohio Health Group HMO |
$4,089.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,090.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$708.91
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,690.49
|
| Rate for Payer: PHCS Commercial |
$5,235.05
|
| Rate for Payer: United Healthcare All Payer |
$4,798.80
|
|
|
PARIETEX COMPOSITE 20CM ROUND
|
Facility
|
IP
|
$5,453.18
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$708.91 |
| Max. Negotiated Rate |
$5,235.05 |
| Rate for Payer: Aetna Commercial |
$4,198.95
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,253.48
|
| Rate for Payer: Cash Price |
$2,726.59
|
| Rate for Payer: Cigna Commercial |
$4,526.14
|
| Rate for Payer: First Health Commercial |
$5,180.52
|
| Rate for Payer: Humana Commercial |
$4,635.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,471.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$4,024.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,635.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,798.80
|
| Rate for Payer: Ohio Health Group HMO |
$4,089.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,090.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$708.91
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,690.49
|
| Rate for Payer: PHCS Commercial |
$5,235.05
|
| Rate for Payer: United Healthcare All Payer |
$4,798.80
|
|
|
PARIETEX COMPOSITE 25*20 OPT
|
Facility
|
IP
|
$7,247.74
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$942.21 |
| Max. Negotiated Rate |
$6,957.83 |
| Rate for Payer: Aetna Commercial |
$5,580.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$5,653.24
|
| Rate for Payer: Cash Price |
$3,623.87
|
| Rate for Payer: Cigna Commercial |
$6,015.62
|
| Rate for Payer: First Health Commercial |
$6,885.35
|
| Rate for Payer: Humana Commercial |
$6,160.58
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$5,943.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$5,348.83
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,174.32
|
| Rate for Payer: Ohio Health Choice Commercial |
$6,378.01
|
| Rate for Payer: Ohio Health Group HMO |
$5,435.80
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,449.55
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$942.21
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,246.80
|
| Rate for Payer: PHCS Commercial |
$6,957.83
|
| Rate for Payer: United Healthcare All Payer |
$6,378.01
|
|
|
PARIETEX COMPOSITE 25*20 OPT
|
Facility
|
OP
|
$7,247.74
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$942.21 |
| Max. Negotiated Rate |
$6,957.83 |
| Rate for Payer: Aetna Commercial |
$5,580.76
|
| Rate for Payer: Anthem Medicaid |
$2,492.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$5,653.24
|
| Rate for Payer: Cash Price |
$3,623.87
|
| Rate for Payer: Cigna Commercial |
$6,015.62
|
| Rate for Payer: First Health Commercial |
$6,885.35
|
| Rate for Payer: Humana Commercial |
$6,160.58
|
| Rate for Payer: Humana KY Medicaid |
$2,492.50
|
| Rate for Payer: Kentucky WC Medicaid |
$2,517.86
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$5,943.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$5,348.83
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,174.32
|
| Rate for Payer: Molina Healthcare Medicaid |
$2,542.51
|
| Rate for Payer: Ohio Health Choice Commercial |
$6,378.01
|
| Rate for Payer: Ohio Health Group HMO |
$5,435.80
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,449.55
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$942.21
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,246.80
|
| Rate for Payer: PHCS Commercial |
$6,957.83
|
| Rate for Payer: United Healthcare All Payer |
$6,378.01
|
|
|
PARIETEX COMPOSITE 30*20 RECT
|
Facility
|
IP
|
$8,880.79
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,154.50 |
| Max. Negotiated Rate |
$8,525.56 |
| Rate for Payer: Aetna Commercial |
$6,838.21
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$6,927.02
|
| Rate for Payer: Cash Price |
$4,440.40
|
| Rate for Payer: Cigna Commercial |
$7,371.06
|
| Rate for Payer: First Health Commercial |
$8,436.75
|
| Rate for Payer: Humana Commercial |
$7,548.67
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$7,282.25
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$6,554.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,664.24
|
| Rate for Payer: Ohio Health Choice Commercial |
$7,815.10
|
| Rate for Payer: Ohio Health Group HMO |
$6,660.59
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,776.16
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,154.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,753.04
|
| Rate for Payer: PHCS Commercial |
$8,525.56
|
| Rate for Payer: United Healthcare All Payer |
$7,815.10
|
|
|
PARIETEX COMPOSITE 30*20 RECT
|
Facility
|
OP
|
$8,880.79
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,154.50 |
| Max. Negotiated Rate |
$8,525.56 |
| Rate for Payer: Aetna Commercial |
$6,838.21
|
| Rate for Payer: Anthem Medicaid |
$3,054.10
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$6,927.02
|
| Rate for Payer: Cash Price |
$4,440.40
|
| Rate for Payer: Cigna Commercial |
$7,371.06
|
| Rate for Payer: First Health Commercial |
$8,436.75
|
| Rate for Payer: Humana Commercial |
$7,548.67
|
| Rate for Payer: Humana KY Medicaid |
$3,054.10
|
| Rate for Payer: Kentucky WC Medicaid |
$3,085.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$7,282.25
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$6,554.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,664.24
|
| Rate for Payer: Molina Healthcare Medicaid |
$3,115.38
|
| Rate for Payer: Ohio Health Choice Commercial |
$7,815.10
|
| Rate for Payer: Ohio Health Group HMO |
$6,660.59
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,776.16
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,154.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,753.04
|
| Rate for Payer: PHCS Commercial |
$8,525.56
|
| Rate for Payer: United Healthcare All Payer |
$7,815.10
|
|
|
PARIETEX COMPOSITE 37*28 RECT
|
Facility
|
OP
|
$9,776.76
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,270.98 |
| Max. Negotiated Rate |
$9,385.69 |
| Rate for Payer: Aetna Commercial |
$7,528.11
|
| Rate for Payer: Anthem Medicaid |
$3,362.23
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$7,625.87
|
| Rate for Payer: Cash Price |
$4,888.38
|
| Rate for Payer: Cigna Commercial |
$8,114.71
|
| Rate for Payer: First Health Commercial |
$9,287.92
|
| Rate for Payer: Humana Commercial |
$8,310.25
|
| Rate for Payer: Humana KY Medicaid |
$3,362.23
|
| Rate for Payer: Kentucky WC Medicaid |
$3,396.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$8,016.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$7,215.25
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,933.03
|
| Rate for Payer: Molina Healthcare Medicaid |
$3,429.69
|
| Rate for Payer: Ohio Health Choice Commercial |
$8,603.55
|
| Rate for Payer: Ohio Health Group HMO |
$7,332.57
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,955.35
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,270.98
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,030.80
|
| Rate for Payer: PHCS Commercial |
$9,385.69
|
| Rate for Payer: United Healthcare All Payer |
$8,603.55
|
|
|
PARIETEX COMPOSITE 37*28 RECT
|
Facility
|
IP
|
$9,776.76
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,270.98 |
| Max. Negotiated Rate |
$9,385.69 |
| Rate for Payer: Aetna Commercial |
$7,528.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$7,625.87
|
| Rate for Payer: Cash Price |
$4,888.38
|
| Rate for Payer: Cigna Commercial |
$8,114.71
|
| Rate for Payer: First Health Commercial |
$9,287.92
|
| Rate for Payer: Humana Commercial |
$8,310.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$8,016.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$7,215.25
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,933.03
|
| Rate for Payer: Ohio Health Choice Commercial |
$8,603.55
|
| Rate for Payer: Ohio Health Group HMO |
$7,332.57
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,955.35
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,270.98
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,030.80
|
| Rate for Payer: PHCS Commercial |
$9,385.69
|
| Rate for Payer: United Healthcare All Payer |
$8,603.55
|
|
|
PARIETEX COMPOSITE 9CM ROUND
|
Facility
|
OP
|
$3,432.39
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$446.21 |
| Max. Negotiated Rate |
$3,295.09 |
| Rate for Payer: Aetna Commercial |
$2,642.94
|
| Rate for Payer: Anthem Medicaid |
$1,180.40
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,677.26
|
| Rate for Payer: Cash Price |
$1,716.19
|
| Rate for Payer: Cigna Commercial |
$2,848.88
|
| Rate for Payer: First Health Commercial |
$3,260.77
|
| Rate for Payer: Humana Commercial |
$2,917.53
|
| Rate for Payer: Humana KY Medicaid |
$1,180.40
|
| Rate for Payer: Kentucky WC Medicaid |
$1,192.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,814.56
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,533.10
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,029.72
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,204.08
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,020.50
|
| Rate for Payer: Ohio Health Group HMO |
$2,574.29
|
| Rate for Payer: Ohio Health Group PPO Differential |
$686.48
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$446.21
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,064.04
|
| Rate for Payer: PHCS Commercial |
$3,295.09
|
| Rate for Payer: United Healthcare All Payer |
$3,020.50
|
|
|
PARIETEX COMPOSITE 9CM ROUND
|
Facility
|
IP
|
$3,432.39
|
|
|
Service Code
|
HCPCS C1781
|
| Hospital Charge Code |
27000073
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$446.21 |
| Max. Negotiated Rate |
$3,295.09 |
| Rate for Payer: Aetna Commercial |
$2,642.94
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,677.26
|
| Rate for Payer: Cash Price |
$1,716.19
|
| Rate for Payer: Cigna Commercial |
$2,848.88
|
| Rate for Payer: First Health Commercial |
$3,260.77
|
| Rate for Payer: Humana Commercial |
$2,917.53
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,814.56
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,533.10
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,029.72
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,020.50
|
| Rate for Payer: Ohio Health Group HMO |
$2,574.29
|
| Rate for Payer: Ohio Health Group PPO Differential |
$686.48
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$446.21
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,064.04
|
| Rate for Payer: PHCS Commercial |
$3,295.09
|
| Rate for Payer: United Healthcare All Payer |
$3,020.50
|
|
|
PARING CORN CALLUS
|
Professional
|
Both
|
$347.00
|
|
|
Service Code
|
HCPCS 11055
|
| Hospital Charge Code |
76100032
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$9.82 |
| Max. Negotiated Rate |
$347.00 |
| Rate for Payer: Aetna Commercial |
$35.35
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$9.82
|
| Rate for Payer: Anthem Medicaid |
$14.74
|
| Rate for Payer: Buckeye Medicare Advantage |
$347.00
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cigna Commercial |
$60.60
|
| Rate for Payer: Healthspan PPO |
$53.94
|
| Rate for Payer: Humana Medicaid |
$14.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$25.48
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$15.03
|
| Rate for Payer: Molina Healthcare Passport |
$14.74
|
| Rate for Payer: Multiplan PHCS |
$208.20
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$242.90
|
| Rate for Payer: UHCCP Medicaid |
$10.31
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$14.89
|
|
|
PARING CORN CALLUS
|
Facility
|
OP
|
$347.00
|
|
|
Service Code
|
HCPCS 11055
|
| Hospital Charge Code |
76100032
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$45.11 |
| Max. Negotiated Rate |
$333.12 |
| Rate for Payer: Aetna Commercial |
$267.19
|
| Rate for Payer: Anthem Medicaid |
$119.33
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$173.12
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$270.66
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$242.37
|
| Rate for Payer: CareSource Just4Me Medicare |
$233.71
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cigna Commercial |
$288.01
|
| Rate for Payer: First Health Commercial |
$329.65
|
| Rate for Payer: Humana Commercial |
$294.95
|
| Rate for Payer: Humana KY Medicaid |
$119.33
|
| Rate for Payer: Humana Medicare Advantage |
$173.12
|
| Rate for Payer: Kentucky WC Medicaid |
$120.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$284.54
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$256.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$207.74
|
| Rate for Payer: Molina Healthcare Medicaid |
$121.73
|
| Rate for Payer: Ohio Health Choice Commercial |
$305.36
|
| Rate for Payer: Ohio Health Group HMO |
$260.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$69.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$45.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$107.57
|
| Rate for Payer: PHCS Commercial |
$333.12
|
| Rate for Payer: United Healthcare All Payer |
$305.36
|
|
|
PARING CORN CALLUS
|
Facility
|
IP
|
$347.00
|
|
|
Service Code
|
HCPCS 11055
|
| Hospital Charge Code |
76100032
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$45.11 |
| Max. Negotiated Rate |
$333.12 |
| Rate for Payer: Aetna Commercial |
$267.19
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$270.66
|
| Rate for Payer: Cash Price |
$173.50
|
| Rate for Payer: Cigna Commercial |
$288.01
|
| Rate for Payer: First Health Commercial |
$329.65
|
| Rate for Payer: Humana Commercial |
$294.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$284.54
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$256.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$104.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$305.36
|
| Rate for Payer: Ohio Health Group HMO |
$260.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$69.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$45.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$107.57
|
| Rate for Payer: PHCS Commercial |
$333.12
|
| Rate for Payer: United Healthcare All Payer |
$305.36
|
|
|
PARING CORN CALLUS(P
|
Professional
|
Both
|
$75.00
|
|
|
Service Code
|
HCPCS 11055
|
| Hospital Charge Code |
761P0032
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$9.82 |
| Max. Negotiated Rate |
$75.00 |
| Rate for Payer: Aetna Commercial |
$35.35
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$9.82
|
| Rate for Payer: Anthem Medicaid |
$14.74
|
| Rate for Payer: Buckeye Medicare Advantage |
$75.00
|
| Rate for Payer: Cash Price |
$37.50
|
| Rate for Payer: Cash Price |
$37.50
|
| Rate for Payer: Cigna Commercial |
$60.60
|
| Rate for Payer: Healthspan PPO |
$53.94
|
| Rate for Payer: Humana Medicaid |
$14.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$25.48
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$15.03
|
| Rate for Payer: Molina Healthcare Passport |
$14.74
|
| Rate for Payer: Multiplan PHCS |
$45.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$52.50
|
| Rate for Payer: UHCCP Medicaid |
$10.31
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$14.89
|
|
