|
SCREW AUTOFIX 2.0*30MM
|
Facility
|
IP
|
$1,773.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$230.56 |
| Max. Negotiated Rate |
$1,702.56 |
| Rate for Payer: Aetna Commercial |
$1,365.60
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,383.33
|
| Rate for Payer: Cash Price |
$886.75
|
| Rate for Payer: Cigna Commercial |
$1,472.00
|
| Rate for Payer: First Health Commercial |
$1,684.82
|
| Rate for Payer: Humana Commercial |
$1,507.48
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,454.27
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,308.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$532.05
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,560.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,330.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$354.70
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$230.56
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$549.78
|
| Rate for Payer: PHCS Commercial |
$1,702.56
|
| Rate for Payer: United Healthcare All Payer |
$1,560.68
|
|
|
SCREW AUTOFIX 2.0*30MM
|
Facility
|
OP
|
$1,773.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$230.56 |
| Max. Negotiated Rate |
$1,702.56 |
| Rate for Payer: Aetna Commercial |
$1,365.60
|
| Rate for Payer: Anthem Medicaid |
$609.91
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,383.33
|
| Rate for Payer: Cash Price |
$886.75
|
| Rate for Payer: Cigna Commercial |
$1,472.00
|
| Rate for Payer: First Health Commercial |
$1,684.82
|
| Rate for Payer: Humana Commercial |
$1,507.48
|
| Rate for Payer: Humana KY Medicaid |
$609.91
|
| Rate for Payer: Kentucky WC Medicaid |
$616.11
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,454.27
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,308.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$532.05
|
| Rate for Payer: Molina Healthcare Medicaid |
$622.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,560.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,330.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$354.70
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$230.56
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$549.78
|
| Rate for Payer: PHCS Commercial |
$1,702.56
|
| Rate for Payer: United Healthcare All Payer |
$1,560.68
|
|
|
SCREW BONE NL T10 FT 2.7*28
|
Facility
|
IP
|
$1,518.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.37 |
| Max. Negotiated Rate |
$1,457.47 |
| Rate for Payer: Aetna Commercial |
$1,169.01
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.20
|
| Rate for Payer: Cash Price |
$759.10
|
| Rate for Payer: Cigna Commercial |
$1,260.11
|
| Rate for Payer: First Health Commercial |
$1,442.29
|
| Rate for Payer: Humana Commercial |
$1,290.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,244.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,120.43
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.46
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.02
|
| Rate for Payer: Ohio Health Group HMO |
$1,138.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$303.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$197.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$470.64
|
| Rate for Payer: PHCS Commercial |
$1,457.47
|
| Rate for Payer: United Healthcare All Payer |
$1,336.02
|
|
|
SCREW BONE NL T10 FT 2.7*28
|
Facility
|
OP
|
$1,518.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.37 |
| Max. Negotiated Rate |
$1,457.47 |
| Rate for Payer: Aetna Commercial |
$1,169.01
|
| Rate for Payer: Anthem Medicaid |
$522.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.20
|
| Rate for Payer: Cash Price |
$759.10
|
| Rate for Payer: Cigna Commercial |
$1,260.11
|
| Rate for Payer: First Health Commercial |
$1,442.29
|
| Rate for Payer: Humana Commercial |
$1,290.47
|
| Rate for Payer: Humana KY Medicaid |
$522.11
|
| Rate for Payer: Kentucky WC Medicaid |
$527.42
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,244.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,120.43
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.46
|
| Rate for Payer: Molina Healthcare Medicaid |
$532.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.02
|
| Rate for Payer: Ohio Health Group HMO |
$1,138.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$303.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$197.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$470.64
|
| Rate for Payer: PHCS Commercial |
$1,457.47
|
| Rate for Payer: United Healthcare All Payer |
$1,336.02
|
|
|
SCREW BONE NL T10 FT 2.7*30
|
Facility
|
IP
|
$1,563.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$203.22 |
| Max. Negotiated Rate |
$1,500.72 |
| Rate for Payer: Aetna Commercial |
$1,203.70
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,219.34
|
| Rate for Payer: Cash Price |
$781.62
|
| Rate for Payer: Cigna Commercial |
$1,297.50
|
| Rate for Payer: First Health Commercial |
$1,485.09
|
| Rate for Payer: Humana Commercial |
$1,328.76
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,281.86
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,153.68
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,375.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,172.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$312.65
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$203.22
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$484.61
|
| Rate for Payer: PHCS Commercial |
$1,500.72
|
| Rate for Payer: United Healthcare All Payer |
$1,375.66
|
|
|
SCREW BONE NL T10 FT 2.7*30
|
Facility
|
OP
|
$1,563.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$203.22 |
| Max. Negotiated Rate |
$1,500.72 |
| Rate for Payer: Aetna Commercial |
$1,203.70
|
| Rate for Payer: Anthem Medicaid |
$537.60
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,219.34
|
| Rate for Payer: Cash Price |
$781.62
|
| Rate for Payer: Cigna Commercial |
$1,297.50
|
| Rate for Payer: First Health Commercial |
$1,485.09
|
| Rate for Payer: Humana Commercial |
$1,328.76
|
| Rate for Payer: Humana KY Medicaid |
$537.60
|
| Rate for Payer: Kentucky WC Medicaid |
$543.07
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,281.86
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,153.68
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.98
|
| Rate for Payer: Molina Healthcare Medicaid |
$548.39
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,375.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,172.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$312.65
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$203.22
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$484.61
|
| Rate for Payer: PHCS Commercial |
$1,500.72
|
| Rate for Payer: United Healthcare All Payer |
$1,375.66
|
|
|
SCREW BONE T10 FT 3.5*34
|
Facility
|
IP
|
$1,518.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.37 |
| Max. Negotiated Rate |
$1,457.47 |
| Rate for Payer: Aetna Commercial |
$1,169.01
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.20
|
| Rate for Payer: Cash Price |
$759.10
|
| Rate for Payer: Cigna Commercial |
$1,260.11
|
| Rate for Payer: First Health Commercial |
$1,442.29
|
| Rate for Payer: Humana Commercial |
$1,290.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,244.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,120.43
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.46
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.02
|
| Rate for Payer: Ohio Health Group HMO |
$1,138.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$303.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$197.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$470.64
|
| Rate for Payer: PHCS Commercial |
$1,457.47
|
| Rate for Payer: United Healthcare All Payer |
$1,336.02
|
|
|
SCREW BONE T10 FT 3.5*34
|
Facility
|
OP
|
$1,518.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.37 |
| Max. Negotiated Rate |
$1,457.47 |
| Rate for Payer: Aetna Commercial |
$1,169.01
|
| Rate for Payer: Anthem Medicaid |
$522.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.20
|
| Rate for Payer: Cash Price |
$759.10
|
| Rate for Payer: Cigna Commercial |
$1,260.11
|
| Rate for Payer: First Health Commercial |
$1,442.29
|
| Rate for Payer: Humana Commercial |
$1,290.47
|
| Rate for Payer: Humana KY Medicaid |
$522.11
|
| Rate for Payer: Kentucky WC Medicaid |
$527.42
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,244.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,120.43
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.46
|
| Rate for Payer: Molina Healthcare Medicaid |
$532.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.02
|
| Rate for Payer: Ohio Health Group HMO |
$1,138.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$303.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$197.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$470.64
|
| Rate for Payer: PHCS Commercial |
$1,457.47
|
| Rate for Payer: United Healthcare All Payer |
$1,336.02
|
|
|
SCREW BONE T10 FT 3.5*38
|
Facility
|
IP
|
$1,770.04
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$230.11 |
| Max. Negotiated Rate |
$1,699.24 |
| Rate for Payer: Aetna Commercial |
$1,362.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,380.63
|
| Rate for Payer: Cash Price |
$885.02
|
| Rate for Payer: Cigna Commercial |
$1,469.13
|
| Rate for Payer: First Health Commercial |
$1,681.54
|
| Rate for Payer: Humana Commercial |
$1,504.53
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,451.43
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,306.29
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$531.01
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,557.64
|
| Rate for Payer: Ohio Health Group HMO |
$1,327.53
|
| Rate for Payer: Ohio Health Group PPO Differential |
$354.01
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$230.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$548.71
|
| Rate for Payer: PHCS Commercial |
$1,699.24
|
| Rate for Payer: United Healthcare All Payer |
$1,557.64
|
|
|
SCREW BONE T10 FT 3.5*38
|
Facility
|
OP
|
$1,770.04
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$230.11 |
| Max. Negotiated Rate |
$1,699.24 |
| Rate for Payer: Aetna Commercial |
$1,362.93
|
| Rate for Payer: Anthem Medicaid |
$608.72
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,380.63
|
| Rate for Payer: Cash Price |
$885.02
|
| Rate for Payer: Cigna Commercial |
$1,469.13
|
| Rate for Payer: First Health Commercial |
$1,681.54
|
| Rate for Payer: Humana Commercial |
$1,504.53
|
| Rate for Payer: Humana KY Medicaid |
$608.72
|
| Rate for Payer: Kentucky WC Medicaid |
$614.91
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,451.43
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,306.29
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$531.01
|
| Rate for Payer: Molina Healthcare Medicaid |
$620.93
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,557.64
|
| Rate for Payer: Ohio Health Group HMO |
$1,327.53
|
| Rate for Payer: Ohio Health Group PPO Differential |
$354.01
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$230.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$548.71
|
| Rate for Payer: PHCS Commercial |
$1,699.24
|
| Rate for Payer: United Healthcare All Payer |
$1,557.64
|
|
|
SCREW BONE T10 FT 3.5*50
|
Facility
|
OP
|
$1,518.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.37 |
| Max. Negotiated Rate |
$1,457.47 |
| Rate for Payer: Aetna Commercial |
$1,169.01
|
| Rate for Payer: Anthem Medicaid |
$522.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.20
|
| Rate for Payer: Cash Price |
$759.10
|
| Rate for Payer: Cigna Commercial |
$1,260.11
|
| Rate for Payer: First Health Commercial |
$1,442.29
|
| Rate for Payer: Humana Commercial |
$1,290.47
|
| Rate for Payer: Humana KY Medicaid |
$522.11
|
| Rate for Payer: Kentucky WC Medicaid |
$527.42
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,244.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,120.43
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.46
|
| Rate for Payer: Molina Healthcare Medicaid |
$532.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.02
|
| Rate for Payer: Ohio Health Group HMO |
$1,138.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$303.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$197.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$470.64
|
| Rate for Payer: PHCS Commercial |
$1,457.47
|
| Rate for Payer: United Healthcare All Payer |
$1,336.02
|
|
|
SCREW BONE T10 FT 3.5*50
|
Facility
|
IP
|
$1,518.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$197.37 |
| Max. Negotiated Rate |
$1,457.47 |
| Rate for Payer: Aetna Commercial |
$1,169.01
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.20
|
| Rate for Payer: Cash Price |
$759.10
|
| Rate for Payer: Cigna Commercial |
$1,260.11
|
| Rate for Payer: First Health Commercial |
$1,442.29
|
| Rate for Payer: Humana Commercial |
$1,290.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,244.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,120.43
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.46
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.02
|
| Rate for Payer: Ohio Health Group HMO |
$1,138.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$303.64
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$197.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$470.64
|
| Rate for Payer: PHCS Commercial |
$1,457.47
|
| Rate for Payer: United Healthcare All Payer |
$1,336.02
|
|
|
SCREW BONE T8 FT 2.4*10
|
Facility
|
OP
|
$1,753.62
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$227.97 |
| Max. Negotiated Rate |
$1,683.48 |
| Rate for Payer: Aetna Commercial |
$1,350.29
|
| Rate for Payer: Anthem Medicaid |
$603.07
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,367.82
|
| Rate for Payer: Cash Price |
$876.81
|
| Rate for Payer: Cigna Commercial |
$1,455.50
|
| Rate for Payer: First Health Commercial |
$1,665.94
|
| Rate for Payer: Humana Commercial |
$1,490.58
|
| Rate for Payer: Humana KY Medicaid |
$603.07
|
| Rate for Payer: Kentucky WC Medicaid |
$609.21
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,437.97
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,294.17
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$526.09
|
| Rate for Payer: Molina Healthcare Medicaid |
$615.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,543.19
|
| Rate for Payer: Ohio Health Group HMO |
$1,315.22
|
| Rate for Payer: Ohio Health Group PPO Differential |
$350.72
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$227.97
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$543.62
|
| Rate for Payer: PHCS Commercial |
$1,683.48
|
| Rate for Payer: United Healthcare All Payer |
$1,543.19
|
|
|
SCREW BONE T8 FT 2.4*10
|
Facility
|
IP
|
$1,753.62
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$227.97 |
| Max. Negotiated Rate |
$1,683.48 |
| Rate for Payer: Aetna Commercial |
$1,350.29
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,367.82
|
| Rate for Payer: Cash Price |
$876.81
|
| Rate for Payer: Cigna Commercial |
$1,455.50
|
| Rate for Payer: First Health Commercial |
$1,665.94
|
| Rate for Payer: Humana Commercial |
$1,490.58
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,437.97
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,294.17
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$526.09
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,543.19
|
| Rate for Payer: Ohio Health Group HMO |
$1,315.22
|
| Rate for Payer: Ohio Health Group PPO Differential |
$350.72
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$227.97
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$543.62
|
| Rate for Payer: PHCS Commercial |
$1,683.48
|
| Rate for Payer: United Healthcare All Payer |
$1,543.19
|
|
|
SCREW BONE T8 LCK FT 2.7*10
|
Facility
|
IP
|
$1,791.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$232.88 |
| Max. Negotiated Rate |
$1,719.70 |
| Rate for Payer: Aetna Commercial |
$1,379.34
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,397.25
|
| Rate for Payer: Cash Price |
$895.68
|
| Rate for Payer: Cigna Commercial |
$1,486.82
|
| Rate for Payer: First Health Commercial |
$1,701.78
|
| Rate for Payer: Humana Commercial |
$1,522.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,468.91
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,322.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$537.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,576.39
|
| Rate for Payer: Ohio Health Group HMO |
$1,343.51
|
| Rate for Payer: Ohio Health Group PPO Differential |
$358.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$232.88
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$555.32
|
| Rate for Payer: PHCS Commercial |
$1,719.70
|
| Rate for Payer: United Healthcare All Payer |
$1,576.39
|
|
|
SCREW BONE T8 LCK FT 2.7*10
|
Facility
|
OP
|
$1,791.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$232.88 |
| Max. Negotiated Rate |
$1,719.70 |
| Rate for Payer: Aetna Commercial |
$1,379.34
|
| Rate for Payer: Anthem Medicaid |
$616.05
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,397.25
|
| Rate for Payer: Cash Price |
$895.68
|
| Rate for Payer: Cigna Commercial |
$1,486.82
|
| Rate for Payer: First Health Commercial |
$1,701.78
|
| Rate for Payer: Humana Commercial |
$1,522.65
|
| Rate for Payer: Humana KY Medicaid |
$616.05
|
| Rate for Payer: Kentucky WC Medicaid |
$622.31
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,468.91
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,322.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$537.40
|
| Rate for Payer: Molina Healthcare Medicaid |
$628.41
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,576.39
|
| Rate for Payer: Ohio Health Group HMO |
$1,343.51
|
| Rate for Payer: Ohio Health Group PPO Differential |
$358.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$232.88
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$555.32
|
| Rate for Payer: PHCS Commercial |
$1,719.70
|
| Rate for Payer: United Healthcare All Payer |
$1,576.39
|
|
|
SCREW CANC BONE 4.0*30 FT
|
Facility
|
IP
|
$1,544.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$200.72 |
| Max. Negotiated Rate |
$1,482.24 |
| Rate for Payer: Aetna Commercial |
$1,188.88
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,204.32
|
| Rate for Payer: Cash Price |
$772.00
|
| Rate for Payer: Cigna Commercial |
$1,281.52
|
| Rate for Payer: First Health Commercial |
$1,466.80
|
| Rate for Payer: Humana Commercial |
$1,312.40
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,266.08
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,139.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$463.20
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,358.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,158.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$308.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$200.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$478.64
|
| Rate for Payer: PHCS Commercial |
$1,482.24
|
| Rate for Payer: United Healthcare All Payer |
$1,358.72
|
|
|
SCREW CANC BONE 4.0*30 FT
|
Facility
|
OP
|
$1,544.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$200.72 |
| Max. Negotiated Rate |
$1,482.24 |
| Rate for Payer: Aetna Commercial |
$1,188.88
|
| Rate for Payer: Anthem Medicaid |
$530.98
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,204.32
|
| Rate for Payer: Cash Price |
$772.00
|
| Rate for Payer: Cigna Commercial |
$1,281.52
|
| Rate for Payer: First Health Commercial |
$1,466.80
|
| Rate for Payer: Humana Commercial |
$1,312.40
|
| Rate for Payer: Humana KY Medicaid |
$530.98
|
| Rate for Payer: Kentucky WC Medicaid |
$536.39
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,266.08
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,139.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$463.20
|
| Rate for Payer: Molina Healthcare Medicaid |
$541.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,358.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,158.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$308.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$200.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$478.64
|
| Rate for Payer: PHCS Commercial |
$1,482.24
|
| Rate for Payer: United Healthcare All Payer |
$1,358.72
|
|
|
SCREW CANC BONE 4.0*40 FT
|
Facility
|
OP
|
$1,544.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$200.72 |
| Max. Negotiated Rate |
$1,482.24 |
| Rate for Payer: Aetna Commercial |
$1,188.88
|
| Rate for Payer: Anthem Medicaid |
$530.98
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,204.32
|
| Rate for Payer: Cash Price |
$772.00
|
| Rate for Payer: Cigna Commercial |
$1,281.52
|
| Rate for Payer: First Health Commercial |
$1,466.80
|
| Rate for Payer: Humana Commercial |
$1,312.40
|
| Rate for Payer: Humana KY Medicaid |
$530.98
|
| Rate for Payer: Kentucky WC Medicaid |
$536.39
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,266.08
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,139.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$463.20
|
| Rate for Payer: Molina Healthcare Medicaid |
$541.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,358.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,158.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$308.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$200.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$478.64
|
| Rate for Payer: PHCS Commercial |
$1,482.24
|
| Rate for Payer: United Healthcare All Payer |
$1,358.72
|
|
|
SCREW CANC BONE 4.0*40 FT
|
Facility
|
IP
|
$1,544.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$200.72 |
| Max. Negotiated Rate |
$1,482.24 |
| Rate for Payer: Aetna Commercial |
$1,188.88
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,204.32
|
| Rate for Payer: Cash Price |
$772.00
|
| Rate for Payer: Cigna Commercial |
$1,281.52
|
| Rate for Payer: First Health Commercial |
$1,466.80
|
| Rate for Payer: Humana Commercial |
$1,312.40
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,266.08
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,139.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$463.20
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,358.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,158.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$308.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$200.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$478.64
|
| Rate for Payer: PHCS Commercial |
$1,482.24
|
| Rate for Payer: United Healthcare All Payer |
$1,358.72
|
|
|
SCREW CANCELLOUS 6.5*60MM
|
Facility
|
IP
|
$1,810.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$235.38 |
| Max. Negotiated Rate |
$1,738.18 |
| Rate for Payer: Aetna Commercial |
$1,394.16
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,412.27
|
| Rate for Payer: Cash Price |
$905.30
|
| Rate for Payer: Cigna Commercial |
$1,502.80
|
| Rate for Payer: First Health Commercial |
$1,720.07
|
| Rate for Payer: Humana Commercial |
$1,539.01
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,484.69
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,336.22
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$543.18
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,593.33
|
| Rate for Payer: Ohio Health Group HMO |
$1,357.95
|
| Rate for Payer: Ohio Health Group PPO Differential |
$362.12
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$235.38
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$561.29
|
| Rate for Payer: PHCS Commercial |
$1,738.18
|
| Rate for Payer: United Healthcare All Payer |
$1,593.33
|
|
|
SCREW CANCELLOUS 6.5*60MM
|
Facility
|
OP
|
$1,810.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$235.38 |
| Max. Negotiated Rate |
$1,738.18 |
| Rate for Payer: Aetna Commercial |
$1,394.16
|
| Rate for Payer: Anthem Medicaid |
$622.67
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,412.27
|
| Rate for Payer: Cash Price |
$905.30
|
| Rate for Payer: Cigna Commercial |
$1,502.80
|
| Rate for Payer: First Health Commercial |
$1,720.07
|
| Rate for Payer: Humana Commercial |
$1,539.01
|
| Rate for Payer: Humana KY Medicaid |
$622.67
|
| Rate for Payer: Kentucky WC Medicaid |
$629.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,484.69
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,336.22
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$543.18
|
| Rate for Payer: Molina Healthcare Medicaid |
$635.16
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,593.33
|
| Rate for Payer: Ohio Health Group HMO |
$1,357.95
|
| Rate for Payer: Ohio Health Group PPO Differential |
$362.12
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$235.38
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$561.29
|
| Rate for Payer: PHCS Commercial |
$1,738.18
|
| Rate for Payer: United Healthcare All Payer |
$1,593.33
|
|
|
SCREW CANC TI FT 4.0*24
|
Facility
|
OP
|
$769.65
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$100.05 |
| Max. Negotiated Rate |
$738.86 |
| Rate for Payer: Aetna Commercial |
$592.63
|
| Rate for Payer: Anthem Medicaid |
$264.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$600.33
|
| Rate for Payer: Cash Price |
$384.82
|
| Rate for Payer: Cigna Commercial |
$638.81
|
| Rate for Payer: First Health Commercial |
$731.17
|
| Rate for Payer: Humana Commercial |
$654.20
|
| Rate for Payer: Humana KY Medicaid |
$264.68
|
| Rate for Payer: Kentucky WC Medicaid |
$267.38
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$631.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$568.00
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$230.90
|
| Rate for Payer: Molina Healthcare Medicaid |
$269.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$677.29
|
| Rate for Payer: Ohio Health Group HMO |
$577.24
|
| Rate for Payer: Ohio Health Group PPO Differential |
$153.93
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$100.05
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$238.59
|
| Rate for Payer: PHCS Commercial |
$738.86
|
| Rate for Payer: United Healthcare All Payer |
$677.29
|
|
|
SCREW CANC TI FT 4.0*24
|
Facility
|
IP
|
$769.65
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$100.05 |
| Max. Negotiated Rate |
$738.86 |
| Rate for Payer: Aetna Commercial |
$592.63
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$600.33
|
| Rate for Payer: Cash Price |
$384.82
|
| Rate for Payer: Cigna Commercial |
$638.81
|
| Rate for Payer: First Health Commercial |
$731.17
|
| Rate for Payer: Humana Commercial |
$654.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$631.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$568.00
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$230.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$677.29
|
| Rate for Payer: Ohio Health Group HMO |
$577.24
|
| Rate for Payer: Ohio Health Group PPO Differential |
$153.93
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$100.05
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$238.59
|
| Rate for Payer: PHCS Commercial |
$738.86
|
| Rate for Payer: United Healthcare All Payer |
$677.29
|
|
|
SCREW CANC TI FT 4.0*42
|
Facility
|
IP
|
$744.04
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$96.73 |
| Max. Negotiated Rate |
$714.28 |
| Rate for Payer: Aetna Commercial |
$572.91
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$580.35
|
| Rate for Payer: Cash Price |
$372.02
|
| Rate for Payer: Cigna Commercial |
$617.55
|
| Rate for Payer: First Health Commercial |
$706.84
|
| Rate for Payer: Humana Commercial |
$632.43
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$610.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$549.10
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$223.21
|
| Rate for Payer: Ohio Health Choice Commercial |
$654.76
|
| Rate for Payer: Ohio Health Group HMO |
$558.03
|
| Rate for Payer: Ohio Health Group PPO Differential |
$148.81
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$96.73
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$230.65
|
| Rate for Payer: PHCS Commercial |
$714.28
|
| Rate for Payer: United Healthcare All Payer |
$654.76
|
|
