|
SCREW LCK 3.5*22
|
Facility
|
IP
|
$1,962.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$255.12 |
| Max. Negotiated Rate |
$1,884.00 |
| Rate for Payer: Aetna Commercial |
$1,511.12
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,530.75
|
| Rate for Payer: Cash Price |
$981.25
|
| Rate for Payer: Cigna Commercial |
$1,628.88
|
| Rate for Payer: First Health Commercial |
$1,864.38
|
| Rate for Payer: Humana Commercial |
$1,668.12
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,609.25
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,448.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$588.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,727.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,471.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$392.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$255.12
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$608.38
|
| Rate for Payer: PHCS Commercial |
$1,884.00
|
| Rate for Payer: United Healthcare All Payer |
$1,727.00
|
|
|
SCREW LCK 3.5*22
|
Facility
|
OP
|
$1,962.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$255.12 |
| Max. Negotiated Rate |
$1,884.00 |
| Rate for Payer: Aetna Commercial |
$1,511.12
|
| Rate for Payer: Anthem Medicaid |
$674.90
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,530.75
|
| Rate for Payer: Cash Price |
$981.25
|
| Rate for Payer: Cigna Commercial |
$1,628.88
|
| Rate for Payer: First Health Commercial |
$1,864.38
|
| Rate for Payer: Humana Commercial |
$1,668.12
|
| Rate for Payer: Humana KY Medicaid |
$674.90
|
| Rate for Payer: Kentucky WC Medicaid |
$681.77
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,609.25
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,448.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$588.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$688.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,727.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,471.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$392.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$255.12
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$608.38
|
| Rate for Payer: PHCS Commercial |
$1,884.00
|
| Rate for Payer: United Healthcare All Payer |
$1,727.00
|
|
|
SCREW LCK 3.5MM * 48MM
|
Facility
|
IP
|
$3,456.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.34 |
| Max. Negotiated Rate |
$3,318.24 |
| Rate for Payer: Aetna Commercial |
$2,661.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,696.07
|
| Rate for Payer: Cash Price |
$1,728.25
|
| Rate for Payer: Cigna Commercial |
$2,868.90
|
| Rate for Payer: First Health Commercial |
$3,283.68
|
| Rate for Payer: Humana Commercial |
$2,938.02
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,834.33
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,550.90
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,036.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,041.72
|
| Rate for Payer: Ohio Health Group HMO |
$2,592.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$691.30
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$449.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,071.52
|
| Rate for Payer: PHCS Commercial |
$3,318.24
|
| Rate for Payer: United Healthcare All Payer |
$3,041.72
|
|
|
SCREW LCK 3.5MM * 48MM
|
Facility
|
OP
|
$3,456.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.34 |
| Max. Negotiated Rate |
$3,318.24 |
| Rate for Payer: Aetna Commercial |
$2,661.50
|
| Rate for Payer: Anthem Medicaid |
$1,188.69
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,696.07
|
| Rate for Payer: Cash Price |
$1,728.25
|
| Rate for Payer: Cigna Commercial |
$2,868.90
|
| Rate for Payer: First Health Commercial |
$3,283.68
|
| Rate for Payer: Humana Commercial |
$2,938.02
|
| Rate for Payer: Humana KY Medicaid |
$1,188.69
|
| Rate for Payer: Kentucky WC Medicaid |
$1,200.79
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,834.33
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,550.90
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,036.95
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,212.54
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,041.72
|
| Rate for Payer: Ohio Health Group HMO |
$2,592.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$691.30
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$449.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,071.52
|
| Rate for Payer: PHCS Commercial |
$3,318.24
|
| Rate for Payer: United Healthcare All Payer |
$3,041.72
|
|
|
SCREW LCKING 2.4MM*26MM T7 S
|
Facility
|
IP
|
$1,823.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$237.06 |
| Max. Negotiated Rate |
$1,750.61 |
| Rate for Payer: Aetna Commercial |
$1,404.13
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,422.37
|
| Rate for Payer: Cash Price |
$911.78
|
| Rate for Payer: Cigna Commercial |
$1,513.55
|
| Rate for Payer: First Health Commercial |
$1,732.37
|
| Rate for Payer: Humana Commercial |
$1,550.02
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,495.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$547.06
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$364.71
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$237.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$565.30
|
| Rate for Payer: PHCS Commercial |
$1,750.61
|
| Rate for Payer: United Healthcare All Payer |
$1,604.72
|
|
|
SCREW LCKING 2.4MM*26MM T7 S
|
Facility
|
OP
|
$1,823.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$237.06 |
| Max. Negotiated Rate |
$1,750.61 |
| Rate for Payer: Aetna Commercial |
$1,404.13
|
| Rate for Payer: Anthem Medicaid |
$627.12
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,422.37
|
| Rate for Payer: Cash Price |
$911.78
|
| Rate for Payer: Cigna Commercial |
$1,513.55
|
| Rate for Payer: First Health Commercial |
$1,732.37
|
| Rate for Payer: Humana Commercial |
$1,550.02
|
| Rate for Payer: Humana KY Medicaid |
$627.12
|
| Rate for Payer: Kentucky WC Medicaid |
$633.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,495.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$547.06
|
| Rate for Payer: Molina Healthcare Medicaid |
$639.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$364.71
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$237.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$565.30
|
| Rate for Payer: PHCS Commercial |
$1,750.61
|
| Rate for Payer: United Healthcare All Payer |
$1,604.72
|
|
|
SCREW LCKING 2.4MM*28MM T7 S
|
Facility
|
IP
|
$1,823.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$237.06 |
| Max. Negotiated Rate |
$1,750.61 |
| Rate for Payer: Aetna Commercial |
$1,404.13
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,422.37
|
| Rate for Payer: Cash Price |
$911.78
|
| Rate for Payer: Cigna Commercial |
$1,513.55
|
| Rate for Payer: First Health Commercial |
$1,732.37
|
| Rate for Payer: Humana Commercial |
$1,550.02
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,495.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$547.06
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$364.71
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$237.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$565.30
|
| Rate for Payer: PHCS Commercial |
$1,750.61
|
| Rate for Payer: United Healthcare All Payer |
$1,604.72
|
|
|
SCREW LCKING 2.4MM*28MM T7 S
|
Facility
|
OP
|
$1,823.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$237.06 |
| Max. Negotiated Rate |
$1,750.61 |
| Rate for Payer: Aetna Commercial |
$1,404.13
|
| Rate for Payer: Anthem Medicaid |
$627.12
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,422.37
|
| Rate for Payer: Cash Price |
$911.78
|
| Rate for Payer: Cigna Commercial |
$1,513.55
|
| Rate for Payer: First Health Commercial |
$1,732.37
|
| Rate for Payer: Humana Commercial |
$1,550.02
|
| Rate for Payer: Humana KY Medicaid |
$627.12
|
| Rate for Payer: Kentucky WC Medicaid |
$633.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,495.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$547.06
|
| Rate for Payer: Molina Healthcare Medicaid |
$639.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$364.71
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$237.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$565.30
|
| Rate for Payer: PHCS Commercial |
$1,750.61
|
| Rate for Payer: United Healthcare All Payer |
$1,604.72
|
|
|
SCREW LOCK 2.4*12MM
|
Facility
|
IP
|
$1,927.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$250.58 |
| Max. Negotiated Rate |
$1,850.40 |
| Rate for Payer: Aetna Commercial |
$1,484.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.45
|
| Rate for Payer: Cash Price |
$963.75
|
| Rate for Payer: Cigna Commercial |
$1,599.82
|
| Rate for Payer: First Health Commercial |
$1,831.12
|
| Rate for Payer: Humana Commercial |
$1,638.38
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.55
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.25
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,696.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$385.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$250.58
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$597.52
|
| Rate for Payer: PHCS Commercial |
$1,850.40
|
| Rate for Payer: United Healthcare All Payer |
$1,696.20
|
|
|
SCREW LOCK 2.4*12MM
|
Facility
|
OP
|
$1,927.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$250.58 |
| Max. Negotiated Rate |
$1,850.40 |
| Rate for Payer: Aetna Commercial |
$1,484.18
|
| Rate for Payer: Anthem Medicaid |
$662.87
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.45
|
| Rate for Payer: Cash Price |
$963.75
|
| Rate for Payer: Cigna Commercial |
$1,599.82
|
| Rate for Payer: First Health Commercial |
$1,831.12
|
| Rate for Payer: Humana Commercial |
$1,638.38
|
| Rate for Payer: Humana KY Medicaid |
$662.87
|
| Rate for Payer: Kentucky WC Medicaid |
$669.61
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.55
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.25
|
| Rate for Payer: Molina Healthcare Medicaid |
$676.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,696.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$385.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$250.58
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$597.52
|
| Rate for Payer: PHCS Commercial |
$1,850.40
|
| Rate for Payer: United Healthcare All Payer |
$1,696.20
|
|
|
SCREW LOCK 2.4*8MM
|
Facility
|
IP
|
$1,927.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$250.58 |
| Max. Negotiated Rate |
$1,850.40 |
| Rate for Payer: Aetna Commercial |
$1,484.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.45
|
| Rate for Payer: Cash Price |
$963.75
|
| Rate for Payer: Cigna Commercial |
$1,599.82
|
| Rate for Payer: First Health Commercial |
$1,831.12
|
| Rate for Payer: Humana Commercial |
$1,638.38
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.55
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.25
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,696.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$385.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$250.58
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$597.52
|
| Rate for Payer: PHCS Commercial |
$1,850.40
|
| Rate for Payer: United Healthcare All Payer |
$1,696.20
|
|
|
SCREW LOCK 2.4*8MM
|
Facility
|
OP
|
$1,927.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$250.58 |
| Max. Negotiated Rate |
$1,850.40 |
| Rate for Payer: Aetna Commercial |
$1,484.18
|
| Rate for Payer: Anthem Medicaid |
$662.87
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.45
|
| Rate for Payer: Cash Price |
$963.75
|
| Rate for Payer: Cigna Commercial |
$1,599.82
|
| Rate for Payer: First Health Commercial |
$1,831.12
|
| Rate for Payer: Humana Commercial |
$1,638.38
|
| Rate for Payer: Humana KY Medicaid |
$662.87
|
| Rate for Payer: Kentucky WC Medicaid |
$669.61
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.55
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.25
|
| Rate for Payer: Molina Healthcare Medicaid |
$676.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,696.20
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$385.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$250.58
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$597.52
|
| Rate for Payer: PHCS Commercial |
$1,850.40
|
| Rate for Payer: United Healthcare All Payer |
$1,696.20
|
|
|
SCREW LOCKING 2.7*24MM
|
Facility
|
IP
|
$1,945.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$252.85 |
| Max. Negotiated Rate |
$1,867.20 |
| Rate for Payer: Aetna Commercial |
$1,497.65
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.10
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cigna Commercial |
$1,614.35
|
| Rate for Payer: First Health Commercial |
$1,847.75
|
| Rate for Payer: Humana Commercial |
$1,653.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,594.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,435.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,711.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,458.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$389.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$252.85
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$602.95
|
| Rate for Payer: PHCS Commercial |
$1,867.20
|
| Rate for Payer: United Healthcare All Payer |
$1,711.60
|
|
|
SCREW LOCKING 2.7*24MM
|
Facility
|
OP
|
$1,945.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$252.85 |
| Max. Negotiated Rate |
$1,867.20 |
| Rate for Payer: Aetna Commercial |
$1,497.65
|
| Rate for Payer: Anthem Medicaid |
$668.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.10
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cigna Commercial |
$1,614.35
|
| Rate for Payer: First Health Commercial |
$1,847.75
|
| Rate for Payer: Humana Commercial |
$1,653.25
|
| Rate for Payer: Humana KY Medicaid |
$668.89
|
| Rate for Payer: Kentucky WC Medicaid |
$675.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,594.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,435.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$682.31
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,711.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,458.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$389.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$252.85
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$602.95
|
| Rate for Payer: PHCS Commercial |
$1,867.20
|
| Rate for Payer: United Healthcare All Payer |
$1,711.60
|
|
|
SCREW LOCKING 2.7*26MM
|
Facility
|
IP
|
$1,945.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$252.85 |
| Max. Negotiated Rate |
$1,867.20 |
| Rate for Payer: Aetna Commercial |
$1,497.65
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.10
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cigna Commercial |
$1,614.35
|
| Rate for Payer: First Health Commercial |
$1,847.75
|
| Rate for Payer: Humana Commercial |
$1,653.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,594.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,435.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,711.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,458.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$389.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$252.85
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$602.95
|
| Rate for Payer: PHCS Commercial |
$1,867.20
|
| Rate for Payer: United Healthcare All Payer |
$1,711.60
|
|
|
SCREW LOCKING 2.7*26MM
|
Facility
|
OP
|
$1,945.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$252.85 |
| Max. Negotiated Rate |
$1,867.20 |
| Rate for Payer: Aetna Commercial |
$1,497.65
|
| Rate for Payer: Anthem Medicaid |
$668.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.10
|
| Rate for Payer: Cash Price |
$972.50
|
| Rate for Payer: Cigna Commercial |
$1,614.35
|
| Rate for Payer: First Health Commercial |
$1,847.75
|
| Rate for Payer: Humana Commercial |
$1,653.25
|
| Rate for Payer: Humana KY Medicaid |
$668.89
|
| Rate for Payer: Kentucky WC Medicaid |
$675.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,594.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,435.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$682.31
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,711.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,458.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$389.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$252.85
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$602.95
|
| Rate for Payer: PHCS Commercial |
$1,867.20
|
| Rate for Payer: United Healthcare All Payer |
$1,711.60
|
|
|
SCREW LOCKING 3.5*34MM
|
Facility
|
OP
|
$3,264.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$424.32 |
| Max. Negotiated Rate |
$3,133.44 |
| Rate for Payer: Aetna Commercial |
$2,513.28
|
| Rate for Payer: Anthem Medicaid |
$1,122.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,545.92
|
| Rate for Payer: Cash Price |
$1,632.00
|
| Rate for Payer: Cigna Commercial |
$2,709.12
|
| Rate for Payer: First Health Commercial |
$3,100.80
|
| Rate for Payer: Humana Commercial |
$2,774.40
|
| Rate for Payer: Humana KY Medicaid |
$1,122.49
|
| Rate for Payer: Kentucky WC Medicaid |
$1,133.91
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,676.48
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,408.83
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$979.20
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,145.01
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,872.32
|
| Rate for Payer: Ohio Health Group HMO |
$2,448.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$652.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$424.32
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,011.84
|
| Rate for Payer: PHCS Commercial |
$3,133.44
|
| Rate for Payer: United Healthcare All Payer |
$2,872.32
|
|
|
SCREW LOCKING 3.5*34MM
|
Facility
|
IP
|
$3,264.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$424.32 |
| Max. Negotiated Rate |
$3,133.44 |
| Rate for Payer: Aetna Commercial |
$2,513.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,545.92
|
| Rate for Payer: Cash Price |
$1,632.00
|
| Rate for Payer: Cigna Commercial |
$2,709.12
|
| Rate for Payer: First Health Commercial |
$3,100.80
|
| Rate for Payer: Humana Commercial |
$2,774.40
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,676.48
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,408.83
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$979.20
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,872.32
|
| Rate for Payer: Ohio Health Group HMO |
$2,448.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$652.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$424.32
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,011.84
|
| Rate for Payer: PHCS Commercial |
$3,133.44
|
| Rate for Payer: United Healthcare All Payer |
$2,872.32
|
|
|
SCREW LOCKING 3.5*85MM
|
Facility
|
IP
|
$3,456.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.34 |
| Max. Negotiated Rate |
$3,318.24 |
| Rate for Payer: Aetna Commercial |
$2,661.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,696.07
|
| Rate for Payer: Cash Price |
$1,728.25
|
| Rate for Payer: Cigna Commercial |
$2,868.90
|
| Rate for Payer: First Health Commercial |
$3,283.68
|
| Rate for Payer: Humana Commercial |
$2,938.02
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,834.33
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,550.90
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,036.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,041.72
|
| Rate for Payer: Ohio Health Group HMO |
$2,592.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$691.30
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$449.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,071.52
|
| Rate for Payer: PHCS Commercial |
$3,318.24
|
| Rate for Payer: United Healthcare All Payer |
$3,041.72
|
|
|
SCREW LOCKING 3.5*85MM
|
Facility
|
OP
|
$3,456.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.34 |
| Max. Negotiated Rate |
$3,318.24 |
| Rate for Payer: Aetna Commercial |
$2,661.50
|
| Rate for Payer: Anthem Medicaid |
$1,188.69
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,696.07
|
| Rate for Payer: Cash Price |
$1,728.25
|
| Rate for Payer: Cigna Commercial |
$2,868.90
|
| Rate for Payer: First Health Commercial |
$3,283.68
|
| Rate for Payer: Humana Commercial |
$2,938.02
|
| Rate for Payer: Humana KY Medicaid |
$1,188.69
|
| Rate for Payer: Kentucky WC Medicaid |
$1,200.79
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,834.33
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,550.90
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,036.95
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,212.54
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,041.72
|
| Rate for Payer: Ohio Health Group HMO |
$2,592.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$691.30
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$449.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,071.52
|
| Rate for Payer: PHCS Commercial |
$3,318.24
|
| Rate for Payer: United Healthcare All Payer |
$3,041.72
|
|
|
SCREW LOCKING 3.5*90MM
|
Facility
|
IP
|
$3,456.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.34 |
| Max. Negotiated Rate |
$3,318.24 |
| Rate for Payer: Aetna Commercial |
$2,661.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,696.07
|
| Rate for Payer: Cash Price |
$1,728.25
|
| Rate for Payer: Cigna Commercial |
$2,868.90
|
| Rate for Payer: First Health Commercial |
$3,283.68
|
| Rate for Payer: Humana Commercial |
$2,938.02
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,834.33
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,550.90
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,036.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,041.72
|
| Rate for Payer: Ohio Health Group HMO |
$2,592.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$691.30
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$449.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,071.52
|
| Rate for Payer: PHCS Commercial |
$3,318.24
|
| Rate for Payer: United Healthcare All Payer |
$3,041.72
|
|
|
SCREW LOCKING 3.5*90MM
|
Facility
|
OP
|
$3,456.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.34 |
| Max. Negotiated Rate |
$3,318.24 |
| Rate for Payer: Aetna Commercial |
$2,661.50
|
| Rate for Payer: Anthem Medicaid |
$1,188.69
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,696.07
|
| Rate for Payer: Cash Price |
$1,728.25
|
| Rate for Payer: Cigna Commercial |
$2,868.90
|
| Rate for Payer: First Health Commercial |
$3,283.68
|
| Rate for Payer: Humana Commercial |
$2,938.02
|
| Rate for Payer: Humana KY Medicaid |
$1,188.69
|
| Rate for Payer: Kentucky WC Medicaid |
$1,200.79
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,834.33
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,550.90
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,036.95
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,212.54
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,041.72
|
| Rate for Payer: Ohio Health Group HMO |
$2,592.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$691.30
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$449.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,071.52
|
| Rate for Payer: PHCS Commercial |
$3,318.24
|
| Rate for Payer: United Healthcare All Payer |
$3,041.72
|
|
|
SCREW LOCKING 4.0*16.0MM
|
Facility
|
OP
|
$1,953.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$1,874.97 |
| Rate for Payer: Aetna Commercial |
$1,503.88
|
| Rate for Payer: Anthem Medicaid |
$671.67
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,523.41
|
| Rate for Payer: Cash Price |
$976.54
|
| Rate for Payer: Cigna Commercial |
$1,621.06
|
| Rate for Payer: First Health Commercial |
$1,855.44
|
| Rate for Payer: Humana Commercial |
$1,660.13
|
| Rate for Payer: Humana KY Medicaid |
$671.67
|
| Rate for Payer: Kentucky WC Medicaid |
$678.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,601.53
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,441.38
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$585.93
|
| Rate for Payer: Molina Healthcare Medicaid |
$685.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,718.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,464.82
|
| Rate for Payer: Ohio Health Group PPO Differential |
$390.62
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$253.90
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$605.46
|
| Rate for Payer: PHCS Commercial |
$1,874.97
|
| Rate for Payer: United Healthcare All Payer |
$1,718.72
|
|
|
SCREW LOCKING 4.0*16.0MM
|
Facility
|
IP
|
$1,953.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$253.90 |
| Max. Negotiated Rate |
$1,874.97 |
| Rate for Payer: Aetna Commercial |
$1,503.88
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,523.41
|
| Rate for Payer: Cash Price |
$976.54
|
| Rate for Payer: Cigna Commercial |
$1,621.06
|
| Rate for Payer: First Health Commercial |
$1,855.44
|
| Rate for Payer: Humana Commercial |
$1,660.13
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,601.53
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,441.38
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$585.93
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,718.72
|
| Rate for Payer: Ohio Health Group HMO |
$1,464.82
|
| Rate for Payer: Ohio Health Group PPO Differential |
$390.62
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$253.90
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$605.46
|
| Rate for Payer: PHCS Commercial |
$1,874.97
|
| Rate for Payer: United Healthcare All Payer |
$1,718.72
|
|
|
SCREW LOCKING 4.5*26
|
Facility
|
OP
|
$2,032.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$264.22 |
| Max. Negotiated Rate |
$1,951.20 |
| Rate for Payer: Aetna Commercial |
$1,565.02
|
| Rate for Payer: Anthem Medicaid |
$698.98
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,585.35
|
| Rate for Payer: Cash Price |
$1,016.25
|
| Rate for Payer: Cigna Commercial |
$1,686.98
|
| Rate for Payer: First Health Commercial |
$1,930.88
|
| Rate for Payer: Humana Commercial |
$1,727.62
|
| Rate for Payer: Humana KY Medicaid |
$698.98
|
| Rate for Payer: Kentucky WC Medicaid |
$706.09
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,666.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,499.98
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$609.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$713.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,788.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,524.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$406.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$264.22
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$630.08
|
| Rate for Payer: PHCS Commercial |
$1,951.20
|
| Rate for Payer: United Healthcare All Payer |
$1,788.60
|
|
