|
SCREW NCB CORT ST 50X32MM
|
Facility
|
IP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X32MM
|
Facility
|
OP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem Medicaid |
$751.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Humana KY Medicaid |
$751.89
|
| Rate for Payer: Kentucky WC Medicaid |
$759.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Molina Healthcare Medicaid |
$766.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X34MM
|
Facility
|
IP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X34MM
|
Facility
|
OP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem Medicaid |
$751.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Humana KY Medicaid |
$751.89
|
| Rate for Payer: Kentucky WC Medicaid |
$759.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Molina Healthcare Medicaid |
$766.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X36MM
|
Facility
|
OP
|
$2,211.46
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$287.49 |
| Max. Negotiated Rate |
$2,123.00 |
| Rate for Payer: Aetna Commercial |
$1,702.82
|
| Rate for Payer: Anthem Medicaid |
$760.52
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,724.94
|
| Rate for Payer: Cash Price |
$1,105.73
|
| Rate for Payer: Cigna Commercial |
$1,835.51
|
| Rate for Payer: First Health Commercial |
$2,100.89
|
| Rate for Payer: Humana Commercial |
$1,879.74
|
| Rate for Payer: Humana KY Medicaid |
$760.52
|
| Rate for Payer: Kentucky WC Medicaid |
$768.26
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,813.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,632.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$663.44
|
| Rate for Payer: Molina Healthcare Medicaid |
$775.78
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,946.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,658.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$442.29
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$287.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$685.55
|
| Rate for Payer: PHCS Commercial |
$2,123.00
|
| Rate for Payer: United Healthcare All Payer |
$1,946.08
|
|
|
SCREW NCB CORT ST 50X36MM
|
Facility
|
IP
|
$2,211.46
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$287.49 |
| Max. Negotiated Rate |
$2,123.00 |
| Rate for Payer: Aetna Commercial |
$1,702.82
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,724.94
|
| Rate for Payer: Cash Price |
$1,105.73
|
| Rate for Payer: Cigna Commercial |
$1,835.51
|
| Rate for Payer: First Health Commercial |
$2,100.89
|
| Rate for Payer: Humana Commercial |
$1,879.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,813.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,632.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$663.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,946.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,658.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$442.29
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$287.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$685.55
|
| Rate for Payer: PHCS Commercial |
$2,123.00
|
| Rate for Payer: United Healthcare All Payer |
$1,946.08
|
|
|
SCREW NCB CORT ST 5.0X42MM
|
Facility
|
IP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 5.0X42MM
|
Facility
|
OP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem Medicaid |
$751.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Humana KY Medicaid |
$751.89
|
| Rate for Payer: Kentucky WC Medicaid |
$759.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Molina Healthcare Medicaid |
$766.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X50MM
|
Facility
|
OP
|
$2,211.46
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$287.49 |
| Max. Negotiated Rate |
$2,123.00 |
| Rate for Payer: Aetna Commercial |
$1,702.82
|
| Rate for Payer: Anthem Medicaid |
$760.52
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,724.94
|
| Rate for Payer: Cash Price |
$1,105.73
|
| Rate for Payer: Cigna Commercial |
$1,835.51
|
| Rate for Payer: First Health Commercial |
$2,100.89
|
| Rate for Payer: Humana Commercial |
$1,879.74
|
| Rate for Payer: Humana KY Medicaid |
$760.52
|
| Rate for Payer: Kentucky WC Medicaid |
$768.26
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,813.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,632.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$663.44
|
| Rate for Payer: Molina Healthcare Medicaid |
$775.78
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,946.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,658.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$442.29
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$287.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$685.55
|
| Rate for Payer: PHCS Commercial |
$2,123.00
|
| Rate for Payer: United Healthcare All Payer |
$1,946.08
|
|
|
SCREW NCB CORT ST 50X50MM
|
Facility
|
IP
|
$2,211.46
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$287.49 |
| Max. Negotiated Rate |
$2,123.00 |
| Rate for Payer: Aetna Commercial |
$1,702.82
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,724.94
|
| Rate for Payer: Cash Price |
$1,105.73
|
| Rate for Payer: Cigna Commercial |
$1,835.51
|
| Rate for Payer: First Health Commercial |
$2,100.89
|
| Rate for Payer: Humana Commercial |
$1,879.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,813.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,632.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$663.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,946.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,658.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$442.29
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$287.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$685.55
|
| Rate for Payer: PHCS Commercial |
$2,123.00
|
| Rate for Payer: United Healthcare All Payer |
$1,946.08
|
|
|
SCREW NCB CORT ST 50X55MM
|
Facility
|
IP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X55MM
|
Facility
|
OP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem Medicaid |
$751.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Humana KY Medicaid |
$751.89
|
| Rate for Payer: Kentucky WC Medicaid |
$759.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Molina Healthcare Medicaid |
$766.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X60MM
|
Facility
|
IP
|
$2,211.46
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$287.49 |
| Max. Negotiated Rate |
$2,123.00 |
| Rate for Payer: Aetna Commercial |
$1,702.82
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,724.94
|
| Rate for Payer: Cash Price |
$1,105.73
|
| Rate for Payer: Cigna Commercial |
$1,835.51
|
| Rate for Payer: First Health Commercial |
$2,100.89
|
| Rate for Payer: Humana Commercial |
$1,879.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,813.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,632.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$663.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,946.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,658.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$442.29
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$287.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$685.55
|
| Rate for Payer: PHCS Commercial |
$2,123.00
|
| Rate for Payer: United Healthcare All Payer |
$1,946.08
|
|
|
SCREW NCB CORT ST 50X60MM
|
Facility
|
OP
|
$2,211.46
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$287.49 |
| Max. Negotiated Rate |
$2,123.00 |
| Rate for Payer: Aetna Commercial |
$1,702.82
|
| Rate for Payer: Anthem Medicaid |
$760.52
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,724.94
|
| Rate for Payer: Cash Price |
$1,105.73
|
| Rate for Payer: Cigna Commercial |
$1,835.51
|
| Rate for Payer: First Health Commercial |
$2,100.89
|
| Rate for Payer: Humana Commercial |
$1,879.74
|
| Rate for Payer: Humana KY Medicaid |
$760.52
|
| Rate for Payer: Kentucky WC Medicaid |
$768.26
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,813.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,632.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$663.44
|
| Rate for Payer: Molina Healthcare Medicaid |
$775.78
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,946.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,658.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$442.29
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$287.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$685.55
|
| Rate for Payer: PHCS Commercial |
$2,123.00
|
| Rate for Payer: United Healthcare All Payer |
$1,946.08
|
|
|
SCREW NCB CORT ST 50X65MM
|
Facility
|
IP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X65MM
|
Facility
|
OP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem Medicaid |
$751.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Humana KY Medicaid |
$751.89
|
| Rate for Payer: Kentucky WC Medicaid |
$759.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Molina Healthcare Medicaid |
$766.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X70MM
|
Facility
|
IP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X70MM
|
Facility
|
OP
|
$2,186.36
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$284.23 |
| Max. Negotiated Rate |
$2,098.91 |
| Rate for Payer: Aetna Commercial |
$1,683.50
|
| Rate for Payer: Anthem Medicaid |
$751.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,705.36
|
| Rate for Payer: Cash Price |
$1,093.18
|
| Rate for Payer: Cigna Commercial |
$1,814.68
|
| Rate for Payer: First Health Commercial |
$2,077.04
|
| Rate for Payer: Humana Commercial |
$1,858.41
|
| Rate for Payer: Humana KY Medicaid |
$751.89
|
| Rate for Payer: Kentucky WC Medicaid |
$759.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,792.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,613.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$655.91
|
| Rate for Payer: Molina Healthcare Medicaid |
$766.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,924.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,639.77
|
| Rate for Payer: Ohio Health Group PPO Differential |
$437.27
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$284.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$677.77
|
| Rate for Payer: PHCS Commercial |
$2,098.91
|
| Rate for Payer: United Healthcare All Payer |
$1,924.00
|
|
|
SCREW NCB CORT ST 50X80MM
|
Facility
|
OP
|
$2,162.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$281.06 |
| Max. Negotiated Rate |
$2,075.52 |
| Rate for Payer: Aetna Commercial |
$1,664.74
|
| Rate for Payer: Anthem Medicaid |
$743.51
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,686.36
|
| Rate for Payer: Cash Price |
$1,081.00
|
| Rate for Payer: Cigna Commercial |
$1,794.46
|
| Rate for Payer: First Health Commercial |
$2,053.90
|
| Rate for Payer: Humana Commercial |
$1,837.70
|
| Rate for Payer: Humana KY Medicaid |
$743.51
|
| Rate for Payer: Kentucky WC Medicaid |
$751.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,772.84
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,595.56
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$648.60
|
| Rate for Payer: Molina Healthcare Medicaid |
$758.43
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,902.56
|
| Rate for Payer: Ohio Health Group HMO |
$1,621.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$432.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$281.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$670.22
|
| Rate for Payer: PHCS Commercial |
$2,075.52
|
| Rate for Payer: United Healthcare All Payer |
$1,902.56
|
|
|
SCREW NCB CORT ST 50X80MM
|
Facility
|
IP
|
$2,162.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$281.06 |
| Max. Negotiated Rate |
$2,075.52 |
| Rate for Payer: Aetna Commercial |
$1,664.74
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,686.36
|
| Rate for Payer: Cash Price |
$1,081.00
|
| Rate for Payer: Cigna Commercial |
$1,794.46
|
| Rate for Payer: First Health Commercial |
$2,053.90
|
| Rate for Payer: Humana Commercial |
$1,837.70
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,772.84
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,595.56
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$648.60
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,902.56
|
| Rate for Payer: Ohio Health Group HMO |
$1,621.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$432.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$281.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$670.22
|
| Rate for Payer: PHCS Commercial |
$2,075.52
|
| Rate for Payer: United Healthcare All Payer |
$1,902.56
|
|
|
SCREW N/L MINI T8 2.4*14
|
Facility
|
IP
|
$1,582.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$205.72 |
| Max. Negotiated Rate |
$1,519.20 |
| Rate for Payer: Aetna Commercial |
$1,218.52
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,234.35
|
| Rate for Payer: Cash Price |
$791.25
|
| Rate for Payer: Cigna Commercial |
$1,313.48
|
| Rate for Payer: First Health Commercial |
$1,503.38
|
| Rate for Payer: Humana Commercial |
$1,345.12
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,297.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,167.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$474.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,392.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,186.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$316.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$205.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$490.58
|
| Rate for Payer: PHCS Commercial |
$1,519.20
|
| Rate for Payer: United Healthcare All Payer |
$1,392.60
|
|
|
SCREW N/L MINI T8 2.4*14
|
Facility
|
OP
|
$1,582.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$205.72 |
| Max. Negotiated Rate |
$1,519.20 |
| Rate for Payer: Aetna Commercial |
$1,218.52
|
| Rate for Payer: Anthem Medicaid |
$544.22
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,234.35
|
| Rate for Payer: Cash Price |
$791.25
|
| Rate for Payer: Cigna Commercial |
$1,313.48
|
| Rate for Payer: First Health Commercial |
$1,503.38
|
| Rate for Payer: Humana Commercial |
$1,345.12
|
| Rate for Payer: Humana KY Medicaid |
$544.22
|
| Rate for Payer: Kentucky WC Medicaid |
$549.76
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,297.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,167.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$474.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$555.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,392.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,186.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$316.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$205.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$490.58
|
| Rate for Payer: PHCS Commercial |
$1,519.20
|
| Rate for Payer: United Healthcare All Payer |
$1,392.60
|
|
|
SCREW N/L MINI T8 2.7*12
|
Facility
|
OP
|
$1,582.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$205.72 |
| Max. Negotiated Rate |
$1,519.20 |
| Rate for Payer: Aetna Commercial |
$1,218.52
|
| Rate for Payer: Anthem Medicaid |
$544.22
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,234.35
|
| Rate for Payer: Cash Price |
$791.25
|
| Rate for Payer: Cigna Commercial |
$1,313.48
|
| Rate for Payer: First Health Commercial |
$1,503.38
|
| Rate for Payer: Humana Commercial |
$1,345.12
|
| Rate for Payer: Humana KY Medicaid |
$544.22
|
| Rate for Payer: Kentucky WC Medicaid |
$549.76
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,297.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,167.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$474.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$555.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,392.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,186.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$316.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$205.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$490.58
|
| Rate for Payer: PHCS Commercial |
$1,519.20
|
| Rate for Payer: United Healthcare All Payer |
$1,392.60
|
|
|
SCREW N/L MINI T8 2.7*12
|
Facility
|
IP
|
$1,582.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$205.72 |
| Max. Negotiated Rate |
$1,519.20 |
| Rate for Payer: Aetna Commercial |
$1,218.52
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,234.35
|
| Rate for Payer: Cash Price |
$791.25
|
| Rate for Payer: Cigna Commercial |
$1,313.48
|
| Rate for Payer: First Health Commercial |
$1,503.38
|
| Rate for Payer: Humana Commercial |
$1,345.12
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,297.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,167.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$474.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,392.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,186.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$316.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$205.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$490.58
|
| Rate for Payer: PHCS Commercial |
$1,519.20
|
| Rate for Payer: United Healthcare All Payer |
$1,392.60
|
|
|
SCREW NON LCK 2.7*12MM
|
Facility
|
OP
|
$1,582.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$205.72 |
| Max. Negotiated Rate |
$1,519.20 |
| Rate for Payer: Aetna Commercial |
$1,218.52
|
| Rate for Payer: Anthem Medicaid |
$544.22
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,234.35
|
| Rate for Payer: Cash Price |
$791.25
|
| Rate for Payer: Cigna Commercial |
$1,313.48
|
| Rate for Payer: First Health Commercial |
$1,503.38
|
| Rate for Payer: Humana Commercial |
$1,345.12
|
| Rate for Payer: Humana KY Medicaid |
$544.22
|
| Rate for Payer: Kentucky WC Medicaid |
$549.76
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,297.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,167.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$474.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$555.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,392.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,186.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$316.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$205.72
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$490.58
|
| Rate for Payer: PHCS Commercial |
$1,519.20
|
| Rate for Payer: United Healthcare All Payer |
$1,392.60
|
|
