|
SCREW FULLY THREAD 4.0 38/42MM
|
Facility
|
OP
|
$4,300.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$559.00 |
| Max. Negotiated Rate |
$4,128.00 |
| Rate for Payer: Aetna Commercial |
$3,311.00
|
| Rate for Payer: Anthem Medicaid |
$1,478.77
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,354.00
|
| Rate for Payer: Cash Price |
$2,150.00
|
| Rate for Payer: Cigna Commercial |
$3,569.00
|
| Rate for Payer: First Health Commercial |
$4,085.00
|
| Rate for Payer: Humana Commercial |
$3,655.00
|
| Rate for Payer: Humana KY Medicaid |
$1,478.77
|
| Rate for Payer: Kentucky WC Medicaid |
$1,493.82
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,526.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,173.40
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,290.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,508.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,784.00
|
| Rate for Payer: Ohio Health Group HMO |
$3,225.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$860.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$559.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,333.00
|
| Rate for Payer: PHCS Commercial |
$4,128.00
|
| Rate for Payer: United Healthcare All Payer |
$3,784.00
|
|
|
SCREW HDLES COMP 5.0*70
|
Facility
|
IP
|
$3,717.43
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$483.27 |
| Max. Negotiated Rate |
$3,568.73 |
| Rate for Payer: Aetna Commercial |
$2,862.42
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,899.60
|
| Rate for Payer: Cash Price |
$1,858.71
|
| Rate for Payer: Cigna Commercial |
$3,085.47
|
| Rate for Payer: First Health Commercial |
$3,531.56
|
| Rate for Payer: Humana Commercial |
$3,159.82
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,048.29
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,743.46
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,115.23
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,271.34
|
| Rate for Payer: Ohio Health Group HMO |
$2,788.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$743.49
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$483.27
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,152.40
|
| Rate for Payer: PHCS Commercial |
$3,568.73
|
| Rate for Payer: United Healthcare All Payer |
$3,271.34
|
|
|
SCREW HDLES COMP 5.0*70
|
Facility
|
OP
|
$3,717.43
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$483.27 |
| Max. Negotiated Rate |
$3,568.73 |
| Rate for Payer: Aetna Commercial |
$2,862.42
|
| Rate for Payer: Anthem Medicaid |
$1,278.42
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,899.60
|
| Rate for Payer: Cash Price |
$1,858.71
|
| Rate for Payer: Cigna Commercial |
$3,085.47
|
| Rate for Payer: First Health Commercial |
$3,531.56
|
| Rate for Payer: Humana Commercial |
$3,159.82
|
| Rate for Payer: Humana KY Medicaid |
$1,278.42
|
| Rate for Payer: Kentucky WC Medicaid |
$1,291.44
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,048.29
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,743.46
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,115.23
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,304.07
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,271.34
|
| Rate for Payer: Ohio Health Group HMO |
$2,788.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$743.49
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$483.27
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,152.40
|
| Rate for Payer: PHCS Commercial |
$3,568.73
|
| Rate for Payer: United Healthcare All Payer |
$3,271.34
|
|
|
SCREW HDLES COMP 5.0*75
|
Facility
|
IP
|
$4,863.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$632.26 |
| Max. Negotiated Rate |
$4,668.96 |
| Rate for Payer: Aetna Commercial |
$3,744.90
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,793.53
|
| Rate for Payer: Cash Price |
$2,431.75
|
| Rate for Payer: Cigna Commercial |
$4,036.70
|
| Rate for Payer: First Health Commercial |
$4,620.32
|
| Rate for Payer: Humana Commercial |
$4,133.98
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,988.07
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,589.26
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,459.05
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,279.88
|
| Rate for Payer: Ohio Health Group HMO |
$3,647.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$972.70
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$632.26
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,507.68
|
| Rate for Payer: PHCS Commercial |
$4,668.96
|
| Rate for Payer: United Healthcare All Payer |
$4,279.88
|
|
|
SCREW HDLES COMP 5.0*75
|
Facility
|
OP
|
$4,863.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$632.26 |
| Max. Negotiated Rate |
$4,668.96 |
| Rate for Payer: Aetna Commercial |
$3,744.90
|
| Rate for Payer: Anthem Medicaid |
$1,672.56
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,793.53
|
| Rate for Payer: Cash Price |
$2,431.75
|
| Rate for Payer: Cigna Commercial |
$4,036.70
|
| Rate for Payer: First Health Commercial |
$4,620.32
|
| Rate for Payer: Humana Commercial |
$4,133.98
|
| Rate for Payer: Humana KY Medicaid |
$1,672.56
|
| Rate for Payer: Kentucky WC Medicaid |
$1,689.58
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,988.07
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,589.26
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,459.05
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,706.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,279.88
|
| Rate for Payer: Ohio Health Group HMO |
$3,647.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$972.70
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$632.26
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,507.68
|
| Rate for Payer: PHCS Commercial |
$4,668.96
|
| Rate for Payer: United Healthcare All Payer |
$4,279.88
|
|
|
SCREW HDLES COMP 7.0*90
|
Facility
|
IP
|
$4,625.04
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$601.26 |
| Max. Negotiated Rate |
$4,440.04 |
| Rate for Payer: Aetna Commercial |
$3,561.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,607.53
|
| Rate for Payer: Cash Price |
$2,312.52
|
| Rate for Payer: Cigna Commercial |
$3,838.78
|
| Rate for Payer: First Health Commercial |
$4,393.79
|
| Rate for Payer: Humana Commercial |
$3,931.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,792.53
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,413.28
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,387.51
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,070.04
|
| Rate for Payer: Ohio Health Group HMO |
$3,468.78
|
| Rate for Payer: Ohio Health Group PPO Differential |
$925.01
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$601.26
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,433.76
|
| Rate for Payer: PHCS Commercial |
$4,440.04
|
| Rate for Payer: United Healthcare All Payer |
$4,070.04
|
|
|
SCREW HDLES COMP 7.0*90
|
Facility
|
OP
|
$4,625.04
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$601.26 |
| Max. Negotiated Rate |
$4,440.04 |
| Rate for Payer: Aetna Commercial |
$3,561.28
|
| Rate for Payer: Anthem Medicaid |
$1,590.55
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,607.53
|
| Rate for Payer: Cash Price |
$2,312.52
|
| Rate for Payer: Cigna Commercial |
$3,838.78
|
| Rate for Payer: First Health Commercial |
$4,393.79
|
| Rate for Payer: Humana Commercial |
$3,931.28
|
| Rate for Payer: Humana KY Medicaid |
$1,590.55
|
| Rate for Payer: Kentucky WC Medicaid |
$1,606.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,792.53
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,413.28
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,387.51
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,622.46
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,070.04
|
| Rate for Payer: Ohio Health Group HMO |
$3,468.78
|
| Rate for Payer: Ohio Health Group PPO Differential |
$925.01
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$601.26
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,433.76
|
| Rate for Payer: PHCS Commercial |
$4,440.04
|
| Rate for Payer: United Healthcare All Payer |
$4,070.04
|
|
|
SCREW HEADED 2.0*20MM
|
Facility
|
IP
|
$1,857.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000005
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$241.48 |
| Max. Negotiated Rate |
$1,783.20 |
| Rate for Payer: Aetna Commercial |
$1,430.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,448.85
|
| Rate for Payer: Cash Price |
$928.75
|
| Rate for Payer: Cigna Commercial |
$1,541.72
|
| Rate for Payer: First Health Commercial |
$1,764.62
|
| Rate for Payer: Humana Commercial |
$1,578.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,523.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,370.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$557.25
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,634.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,393.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$371.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$241.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$575.82
|
| Rate for Payer: PHCS Commercial |
$1,783.20
|
| Rate for Payer: United Healthcare All Payer |
$1,634.60
|
|
|
SCREW HEADED 2.0*20MM
|
Facility
|
OP
|
$1,857.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000005
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$241.48 |
| Max. Negotiated Rate |
$1,783.20 |
| Rate for Payer: Aetna Commercial |
$1,430.28
|
| Rate for Payer: Anthem Medicaid |
$638.79
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,448.85
|
| Rate for Payer: Cash Price |
$928.75
|
| Rate for Payer: Cigna Commercial |
$1,541.72
|
| Rate for Payer: First Health Commercial |
$1,764.62
|
| Rate for Payer: Humana Commercial |
$1,578.88
|
| Rate for Payer: Humana KY Medicaid |
$638.79
|
| Rate for Payer: Kentucky WC Medicaid |
$645.30
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,523.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,370.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$557.25
|
| Rate for Payer: Molina Healthcare Medicaid |
$651.61
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,634.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,393.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$371.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$241.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$575.82
|
| Rate for Payer: PHCS Commercial |
$1,783.20
|
| Rate for Payer: United Healthcare All Payer |
$1,634.60
|
|
|
SCREW HEADED 3.0*15MM
|
Facility
|
IP
|
$1,857.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$241.48 |
| Max. Negotiated Rate |
$1,783.20 |
| Rate for Payer: Aetna Commercial |
$1,430.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,448.85
|
| Rate for Payer: Cash Price |
$928.75
|
| Rate for Payer: Cigna Commercial |
$1,541.72
|
| Rate for Payer: First Health Commercial |
$1,764.62
|
| Rate for Payer: Humana Commercial |
$1,578.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,523.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,370.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$557.25
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,634.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,393.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$371.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$241.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$575.82
|
| Rate for Payer: PHCS Commercial |
$1,783.20
|
| Rate for Payer: United Healthcare All Payer |
$1,634.60
|
|
|
SCREW HEADED 3.0*15MM
|
Facility
|
OP
|
$1,857.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$241.48 |
| Max. Negotiated Rate |
$1,783.20 |
| Rate for Payer: Aetna Commercial |
$1,430.28
|
| Rate for Payer: Anthem Medicaid |
$638.79
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,448.85
|
| Rate for Payer: Cash Price |
$928.75
|
| Rate for Payer: Cigna Commercial |
$1,541.72
|
| Rate for Payer: First Health Commercial |
$1,764.62
|
| Rate for Payer: Humana Commercial |
$1,578.88
|
| Rate for Payer: Humana KY Medicaid |
$638.79
|
| Rate for Payer: Kentucky WC Medicaid |
$645.30
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,523.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,370.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$557.25
|
| Rate for Payer: Molina Healthcare Medicaid |
$651.61
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,634.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,393.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$371.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$241.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$575.82
|
| Rate for Payer: PHCS Commercial |
$1,783.20
|
| Rate for Payer: United Healthcare All Payer |
$1,634.60
|
|
|
SCREW HEADED 3.0*17
|
Facility
|
OP
|
$1,857.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$241.48 |
| Max. Negotiated Rate |
$1,783.20 |
| Rate for Payer: Aetna Commercial |
$1,430.28
|
| Rate for Payer: Anthem Medicaid |
$638.79
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,448.85
|
| Rate for Payer: Cash Price |
$928.75
|
| Rate for Payer: Cigna Commercial |
$1,541.72
|
| Rate for Payer: First Health Commercial |
$1,764.62
|
| Rate for Payer: Humana Commercial |
$1,578.88
|
| Rate for Payer: Humana KY Medicaid |
$638.79
|
| Rate for Payer: Kentucky WC Medicaid |
$645.30
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,523.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,370.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$557.25
|
| Rate for Payer: Molina Healthcare Medicaid |
$651.61
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,634.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,393.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$371.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$241.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$575.82
|
| Rate for Payer: PHCS Commercial |
$1,783.20
|
| Rate for Payer: United Healthcare All Payer |
$1,634.60
|
|
|
SCREW HEADED 3.0*17
|
Facility
|
IP
|
$1,857.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$241.48 |
| Max. Negotiated Rate |
$1,783.20 |
| Rate for Payer: Aetna Commercial |
$1,430.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,448.85
|
| Rate for Payer: Cash Price |
$928.75
|
| Rate for Payer: Cigna Commercial |
$1,541.72
|
| Rate for Payer: First Health Commercial |
$1,764.62
|
| Rate for Payer: Humana Commercial |
$1,578.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,523.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,370.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$557.25
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,634.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,393.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$371.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$241.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$575.82
|
| Rate for Payer: PHCS Commercial |
$1,783.20
|
| Rate for Payer: United Healthcare All Payer |
$1,634.60
|
|
|
SCREW HEADED MIS 33MM
|
Facility
|
OP
|
$1,144.12
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$148.74 |
| Max. Negotiated Rate |
$1,098.36 |
| Rate for Payer: Aetna Commercial |
$880.97
|
| Rate for Payer: Anthem Medicaid |
$393.46
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$892.41
|
| Rate for Payer: Cash Price |
$572.06
|
| Rate for Payer: Cigna Commercial |
$949.62
|
| Rate for Payer: First Health Commercial |
$1,086.91
|
| Rate for Payer: Humana Commercial |
$972.50
|
| Rate for Payer: Humana KY Medicaid |
$393.46
|
| Rate for Payer: Kentucky WC Medicaid |
$397.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$938.18
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$844.36
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$343.24
|
| Rate for Payer: Molina Healthcare Medicaid |
$401.36
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,006.83
|
| Rate for Payer: Ohio Health Group HMO |
$858.09
|
| Rate for Payer: Ohio Health Group PPO Differential |
$228.82
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$148.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$354.68
|
| Rate for Payer: PHCS Commercial |
$1,098.36
|
| Rate for Payer: United Healthcare All Payer |
$1,006.83
|
|
|
SCREW HEADED MIS 33MM
|
Facility
|
IP
|
$1,144.12
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$148.74 |
| Max. Negotiated Rate |
$1,098.36 |
| Rate for Payer: Aetna Commercial |
$880.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$892.41
|
| Rate for Payer: Cash Price |
$572.06
|
| Rate for Payer: Cigna Commercial |
$949.62
|
| Rate for Payer: First Health Commercial |
$1,086.91
|
| Rate for Payer: Humana Commercial |
$972.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$938.18
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$844.36
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$343.24
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,006.83
|
| Rate for Payer: Ohio Health Group HMO |
$858.09
|
| Rate for Payer: Ohio Health Group PPO Differential |
$228.82
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$148.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$354.68
|
| Rate for Payer: PHCS Commercial |
$1,098.36
|
| Rate for Payer: United Healthcare All Payer |
$1,006.83
|
|
|
SCREW HEADLESS 2.5MM
|
Facility
|
OP
|
$4,300.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$559.00 |
| Max. Negotiated Rate |
$4,128.00 |
| Rate for Payer: Aetna Commercial |
$3,311.00
|
| Rate for Payer: Anthem Medicaid |
$1,478.77
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,354.00
|
| Rate for Payer: Cash Price |
$2,150.00
|
| Rate for Payer: Cigna Commercial |
$3,569.00
|
| Rate for Payer: First Health Commercial |
$4,085.00
|
| Rate for Payer: Humana Commercial |
$3,655.00
|
| Rate for Payer: Humana KY Medicaid |
$1,478.77
|
| Rate for Payer: Kentucky WC Medicaid |
$1,493.82
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,526.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,173.40
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,290.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,508.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,784.00
|
| Rate for Payer: Ohio Health Group HMO |
$3,225.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$860.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$559.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,333.00
|
| Rate for Payer: PHCS Commercial |
$4,128.00
|
| Rate for Payer: United Healthcare All Payer |
$3,784.00
|
|
|
SCREW HEADLESS 2.5MM
|
Facility
|
IP
|
$4,300.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$559.00 |
| Max. Negotiated Rate |
$4,128.00 |
| Rate for Payer: Aetna Commercial |
$3,311.00
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,354.00
|
| Rate for Payer: Cash Price |
$2,150.00
|
| Rate for Payer: Cigna Commercial |
$3,569.00
|
| Rate for Payer: First Health Commercial |
$4,085.00
|
| Rate for Payer: Humana Commercial |
$3,655.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,526.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,173.40
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,290.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,784.00
|
| Rate for Payer: Ohio Health Group HMO |
$3,225.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$860.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$559.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,333.00
|
| Rate for Payer: PHCS Commercial |
$4,128.00
|
| Rate for Payer: United Healthcare All Payer |
$3,784.00
|
|
|
SCREW HEADLESS 3.5*28MM
|
Facility
|
OP
|
$2,102.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.32 |
| Max. Negotiated Rate |
$2,018.40 |
| Rate for Payer: Aetna Commercial |
$1,618.92
|
| Rate for Payer: Anthem Medicaid |
$723.05
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,639.95
|
| Rate for Payer: Cash Price |
$1,051.25
|
| Rate for Payer: Cigna Commercial |
$1,745.08
|
| Rate for Payer: First Health Commercial |
$1,997.38
|
| Rate for Payer: Humana Commercial |
$1,787.12
|
| Rate for Payer: Humana KY Medicaid |
$723.05
|
| Rate for Payer: Kentucky WC Medicaid |
$730.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,724.05
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,551.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$630.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$737.56
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,850.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,576.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$420.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$273.32
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$651.78
|
| Rate for Payer: PHCS Commercial |
$2,018.40
|
| Rate for Payer: United Healthcare All Payer |
$1,850.20
|
|
|
SCREW HEADLESS 3.5*28MM
|
Facility
|
IP
|
$2,102.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.32 |
| Max. Negotiated Rate |
$2,018.40 |
| Rate for Payer: Aetna Commercial |
$1,618.92
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,639.95
|
| Rate for Payer: Cash Price |
$1,051.25
|
| Rate for Payer: Cigna Commercial |
$1,745.08
|
| Rate for Payer: First Health Commercial |
$1,997.38
|
| Rate for Payer: Humana Commercial |
$1,787.12
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,724.05
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,551.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$630.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,850.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,576.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$420.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$273.32
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$651.78
|
| Rate for Payer: PHCS Commercial |
$2,018.40
|
| Rate for Payer: United Healthcare All Payer |
$1,850.20
|
|
|
SCREW HEADLESS 3.5*30MM
|
Facility
|
OP
|
$2,102.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.32 |
| Max. Negotiated Rate |
$2,018.40 |
| Rate for Payer: Aetna Commercial |
$1,618.92
|
| Rate for Payer: Anthem Medicaid |
$723.05
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,639.95
|
| Rate for Payer: Cash Price |
$1,051.25
|
| Rate for Payer: Cigna Commercial |
$1,745.08
|
| Rate for Payer: First Health Commercial |
$1,997.38
|
| Rate for Payer: Humana Commercial |
$1,787.12
|
| Rate for Payer: Humana KY Medicaid |
$723.05
|
| Rate for Payer: Kentucky WC Medicaid |
$730.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,724.05
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,551.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$630.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$737.56
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,850.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,576.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$420.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$273.32
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$651.78
|
| Rate for Payer: PHCS Commercial |
$2,018.40
|
| Rate for Payer: United Healthcare All Payer |
$1,850.20
|
|
|
SCREW HEADLESS 3.5*30MM
|
Facility
|
IP
|
$2,102.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$273.32 |
| Max. Negotiated Rate |
$2,018.40 |
| Rate for Payer: Aetna Commercial |
$1,618.92
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,639.95
|
| Rate for Payer: Cash Price |
$1,051.25
|
| Rate for Payer: Cigna Commercial |
$1,745.08
|
| Rate for Payer: First Health Commercial |
$1,997.38
|
| Rate for Payer: Humana Commercial |
$1,787.12
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,724.05
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,551.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$630.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,850.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,576.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$420.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$273.32
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$651.78
|
| Rate for Payer: PHCS Commercial |
$2,018.40
|
| Rate for Payer: United Healthcare All Payer |
$1,850.20
|
|
|
SCREW HEADLESS 4.0MM
|
Facility
|
OP
|
$4,300.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$559.00 |
| Max. Negotiated Rate |
$4,128.00 |
| Rate for Payer: Aetna Commercial |
$3,311.00
|
| Rate for Payer: Anthem Medicaid |
$1,478.77
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,354.00
|
| Rate for Payer: Cash Price |
$2,150.00
|
| Rate for Payer: Cigna Commercial |
$3,569.00
|
| Rate for Payer: First Health Commercial |
$4,085.00
|
| Rate for Payer: Humana Commercial |
$3,655.00
|
| Rate for Payer: Humana KY Medicaid |
$1,478.77
|
| Rate for Payer: Kentucky WC Medicaid |
$1,493.82
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,526.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,173.40
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,290.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,508.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,784.00
|
| Rate for Payer: Ohio Health Group HMO |
$3,225.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$860.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$559.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,333.00
|
| Rate for Payer: PHCS Commercial |
$4,128.00
|
| Rate for Payer: United Healthcare All Payer |
$3,784.00
|
|
|
SCREW HEADLESS 4.0MM
|
Facility
|
IP
|
$4,300.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$559.00 |
| Max. Negotiated Rate |
$4,128.00 |
| Rate for Payer: Aetna Commercial |
$3,311.00
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,354.00
|
| Rate for Payer: Cash Price |
$2,150.00
|
| Rate for Payer: Cigna Commercial |
$3,569.00
|
| Rate for Payer: First Health Commercial |
$4,085.00
|
| Rate for Payer: Humana Commercial |
$3,655.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,526.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,173.40
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,290.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,784.00
|
| Rate for Payer: Ohio Health Group HMO |
$3,225.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$860.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$559.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,333.00
|
| Rate for Payer: PHCS Commercial |
$4,128.00
|
| Rate for Payer: United Healthcare All Payer |
$3,784.00
|
|
|
SCREW HEADLESS 4.0MM 32MM
|
Facility
|
IP
|
$3,747.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$487.11 |
| Max. Negotiated Rate |
$3,597.12 |
| Rate for Payer: Aetna Commercial |
$2,885.19
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,922.66
|
| Rate for Payer: Cash Price |
$1,873.50
|
| Rate for Payer: Cigna Commercial |
$3,110.01
|
| Rate for Payer: First Health Commercial |
$3,559.65
|
| Rate for Payer: Humana Commercial |
$3,184.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,072.54
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,765.29
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,124.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,297.36
|
| Rate for Payer: Ohio Health Group HMO |
$2,810.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$749.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$487.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,161.57
|
| Rate for Payer: PHCS Commercial |
$3,597.12
|
| Rate for Payer: United Healthcare All Payer |
$3,297.36
|
|
|
SCREW HEADLESS 4.0MM 32MM
|
Facility
|
OP
|
$3,747.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$487.11 |
| Max. Negotiated Rate |
$3,597.12 |
| Rate for Payer: Aetna Commercial |
$2,885.19
|
| Rate for Payer: Anthem Medicaid |
$1,288.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,922.66
|
| Rate for Payer: Cash Price |
$1,873.50
|
| Rate for Payer: Cigna Commercial |
$3,110.01
|
| Rate for Payer: First Health Commercial |
$3,559.65
|
| Rate for Payer: Humana Commercial |
$3,184.95
|
| Rate for Payer: Humana KY Medicaid |
$1,288.59
|
| Rate for Payer: Kentucky WC Medicaid |
$1,301.71
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,072.54
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,765.29
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,124.10
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,314.45
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,297.36
|
| Rate for Payer: Ohio Health Group HMO |
$2,810.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$749.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$487.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,161.57
|
| Rate for Payer: PHCS Commercial |
$3,597.12
|
| Rate for Payer: United Healthcare All Payer |
$3,297.36
|
|
