|
SCREW RECON 2.7*15 LCKING
|
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 RECON 3.5*16 LOCKING
|
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 RECON 3.5*16 LOCKING
|
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 RECON 3.5*16 NON LCKING
|
Facility
|
IP
|
$1,805.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$234.65 |
| Max. Negotiated Rate |
$1,732.80 |
| Rate for Payer: Aetna Commercial |
$1,389.85
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,407.90
|
| Rate for Payer: Cash Price |
$902.50
|
| Rate for Payer: Cigna Commercial |
$1,498.15
|
| Rate for Payer: First Health Commercial |
$1,714.75
|
| Rate for Payer: Humana Commercial |
$1,534.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,480.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,332.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$541.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,588.40
|
| Rate for Payer: Ohio Health Group HMO |
$1,353.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$361.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$234.65
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$559.55
|
| Rate for Payer: PHCS Commercial |
$1,732.80
|
| Rate for Payer: United Healthcare All Payer |
$1,588.40
|
|
|
SCREW RECON 3.5*16 NON LCKING
|
Facility
|
OP
|
$1,805.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$234.65 |
| Max. Negotiated Rate |
$1,732.80 |
| Rate for Payer: Aetna Commercial |
$1,389.85
|
| Rate for Payer: Anthem Medicaid |
$620.74
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,407.90
|
| Rate for Payer: Cash Price |
$902.50
|
| Rate for Payer: Cigna Commercial |
$1,498.15
|
| Rate for Payer: First Health Commercial |
$1,714.75
|
| Rate for Payer: Humana Commercial |
$1,534.25
|
| Rate for Payer: Humana KY Medicaid |
$620.74
|
| Rate for Payer: Kentucky WC Medicaid |
$627.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,480.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,332.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$541.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$633.19
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,588.40
|
| Rate for Payer: Ohio Health Group HMO |
$1,353.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$361.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$234.65
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$559.55
|
| Rate for Payer: PHCS Commercial |
$1,732.80
|
| Rate for Payer: United Healthcare All Payer |
$1,588.40
|
|
|
SCREW RIB LCK TI 2.3*7MM
|
Facility
|
IP
|
$2,176.88
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.99 |
| Max. Negotiated Rate |
$2,089.80 |
| Rate for Payer: Aetna Commercial |
$1,676.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,697.97
|
| Rate for Payer: Cash Price |
$1,088.44
|
| Rate for Payer: Cigna Commercial |
$1,806.81
|
| Rate for Payer: First Health Commercial |
$2,068.04
|
| Rate for Payer: Humana Commercial |
$1,850.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,785.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,606.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$653.06
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,915.65
|
| Rate for Payer: Ohio Health Group HMO |
$1,632.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$435.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$674.83
|
| Rate for Payer: PHCS Commercial |
$2,089.80
|
| Rate for Payer: United Healthcare All Payer |
$1,915.65
|
|
|
SCREW RIB LCK TI 2.3*7MM
|
Facility
|
OP
|
$2,176.88
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.99 |
| Max. Negotiated Rate |
$2,089.80 |
| Rate for Payer: Aetna Commercial |
$1,676.20
|
| Rate for Payer: Anthem Medicaid |
$748.63
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,697.97
|
| Rate for Payer: Cash Price |
$1,088.44
|
| Rate for Payer: Cigna Commercial |
$1,806.81
|
| Rate for Payer: First Health Commercial |
$2,068.04
|
| Rate for Payer: Humana Commercial |
$1,850.35
|
| Rate for Payer: Humana KY Medicaid |
$748.63
|
| Rate for Payer: Kentucky WC Medicaid |
$756.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,785.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,606.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$653.06
|
| Rate for Payer: Molina Healthcare Medicaid |
$763.65
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,915.65
|
| Rate for Payer: Ohio Health Group HMO |
$1,632.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$435.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$674.83
|
| Rate for Payer: PHCS Commercial |
$2,089.80
|
| Rate for Payer: United Healthcare All Payer |
$1,915.65
|
|
|
SCREW RIB LCK TI 2.3*7MM 4/PK
|
Facility
|
IP
|
$2,176.88
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.99 |
| Max. Negotiated Rate |
$2,089.80 |
| Rate for Payer: Aetna Commercial |
$1,676.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,697.97
|
| Rate for Payer: Cash Price |
$1,088.44
|
| Rate for Payer: Cigna Commercial |
$1,806.81
|
| Rate for Payer: First Health Commercial |
$2,068.04
|
| Rate for Payer: Humana Commercial |
$1,850.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,785.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,606.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$653.06
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,915.65
|
| Rate for Payer: Ohio Health Group HMO |
$1,632.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$435.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$674.83
|
| Rate for Payer: PHCS Commercial |
$2,089.80
|
| Rate for Payer: United Healthcare All Payer |
$1,915.65
|
|
|
SCREW RIB LCK TI 2.3*7MM 4/PK
|
Facility
|
OP
|
$2,176.88
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.99 |
| Max. Negotiated Rate |
$2,089.80 |
| Rate for Payer: Aetna Commercial |
$1,676.20
|
| Rate for Payer: Anthem Medicaid |
$748.63
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,697.97
|
| Rate for Payer: Cash Price |
$1,088.44
|
| Rate for Payer: Cigna Commercial |
$1,806.81
|
| Rate for Payer: First Health Commercial |
$2,068.04
|
| Rate for Payer: Humana Commercial |
$1,850.35
|
| Rate for Payer: Humana KY Medicaid |
$748.63
|
| Rate for Payer: Kentucky WC Medicaid |
$756.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,785.04
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,606.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$653.06
|
| Rate for Payer: Molina Healthcare Medicaid |
$763.65
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,915.65
|
| Rate for Payer: Ohio Health Group HMO |
$1,632.66
|
| Rate for Payer: Ohio Health Group PPO Differential |
$435.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$674.83
|
| Rate for Payer: PHCS Commercial |
$2,089.80
|
| Rate for Payer: United Healthcare All Payer |
$1,915.65
|
|
|
SCREWS CANCELLOUS 4.0*14MM
|
Facility
|
IP
|
$772.89
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$100.48 |
| Max. Negotiated Rate |
$741.97 |
| Rate for Payer: Aetna Commercial |
$595.13
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$602.85
|
| Rate for Payer: Cash Price |
$386.44
|
| Rate for Payer: Cigna Commercial |
$641.50
|
| Rate for Payer: First Health Commercial |
$734.25
|
| Rate for Payer: Humana Commercial |
$656.96
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$633.77
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$570.39
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$231.87
|
| Rate for Payer: Ohio Health Choice Commercial |
$680.14
|
| Rate for Payer: Ohio Health Group HMO |
$579.67
|
| Rate for Payer: Ohio Health Group PPO Differential |
$154.58
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$100.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$239.60
|
| Rate for Payer: PHCS Commercial |
$741.97
|
| Rate for Payer: United Healthcare All Payer |
$680.14
|
|
|
SCREWS CANCELLOUS 4.0*14MM
|
Facility
|
OP
|
$772.89
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$100.48 |
| Max. Negotiated Rate |
$741.97 |
| Rate for Payer: Aetna Commercial |
$595.13
|
| Rate for Payer: Anthem Medicaid |
$265.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$602.85
|
| Rate for Payer: Cash Price |
$386.44
|
| Rate for Payer: Cigna Commercial |
$641.50
|
| Rate for Payer: First Health Commercial |
$734.25
|
| Rate for Payer: Humana Commercial |
$656.96
|
| Rate for Payer: Humana KY Medicaid |
$265.80
|
| Rate for Payer: Kentucky WC Medicaid |
$268.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$633.77
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$570.39
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$231.87
|
| Rate for Payer: Molina Healthcare Medicaid |
$271.13
|
| Rate for Payer: Ohio Health Choice Commercial |
$680.14
|
| Rate for Payer: Ohio Health Group HMO |
$579.67
|
| Rate for Payer: Ohio Health Group PPO Differential |
$154.58
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$100.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$239.60
|
| Rate for Payer: PHCS Commercial |
$741.97
|
| Rate for Payer: United Healthcare All Payer |
$680.14
|
|
|
SCREW SHORT HEADLESS 3.0*44MM
|
Facility
|
IP
|
$1,997.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$259.68 |
| Max. Negotiated Rate |
$1,917.60 |
| Rate for Payer: Aetna Commercial |
$1,538.08
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,558.05
|
| Rate for Payer: Cash Price |
$998.75
|
| Rate for Payer: Cigna Commercial |
$1,657.92
|
| Rate for Payer: First Health Commercial |
$1,897.62
|
| Rate for Payer: Humana Commercial |
$1,697.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,637.95
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,474.16
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$599.25
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,757.80
|
| Rate for Payer: Ohio Health Group HMO |
$1,498.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$399.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$259.68
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$619.22
|
| Rate for Payer: PHCS Commercial |
$1,917.60
|
| Rate for Payer: United Healthcare All Payer |
$1,757.80
|
|
|
SCREW SHORT HEADLESS 3.0*44MM
|
Facility
|
OP
|
$1,997.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$259.68 |
| Max. Negotiated Rate |
$1,917.60 |
| Rate for Payer: Aetna Commercial |
$1,538.08
|
| Rate for Payer: Anthem Medicaid |
$686.94
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,558.05
|
| Rate for Payer: Cash Price |
$998.75
|
| Rate for Payer: Cigna Commercial |
$1,657.92
|
| Rate for Payer: First Health Commercial |
$1,897.62
|
| Rate for Payer: Humana Commercial |
$1,697.88
|
| Rate for Payer: Humana KY Medicaid |
$686.94
|
| Rate for Payer: Kentucky WC Medicaid |
$693.93
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,637.95
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,474.16
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$599.25
|
| Rate for Payer: Molina Healthcare Medicaid |
$700.72
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,757.80
|
| Rate for Payer: Ohio Health Group HMO |
$1,498.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$399.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$259.68
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$619.22
|
| Rate for Payer: PHCS Commercial |
$1,917.60
|
| Rate for Payer: United Healthcare All Payer |
$1,757.80
|
|
|
SCREW SHORT HEADLESS 4.0*38
|
Facility
|
IP
|
$2,172.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.42 |
| Max. Negotiated Rate |
$2,085.60 |
| Rate for Payer: Aetna Commercial |
$1,672.82
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,694.55
|
| Rate for Payer: Cash Price |
$1,086.25
|
| Rate for Payer: Cigna Commercial |
$1,803.18
|
| Rate for Payer: First Health Commercial |
$2,063.88
|
| Rate for Payer: Humana Commercial |
$1,846.62
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,781.45
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,603.30
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$651.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,911.80
|
| Rate for Payer: Ohio Health Group HMO |
$1,629.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$434.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.42
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$673.48
|
| Rate for Payer: PHCS Commercial |
$2,085.60
|
| Rate for Payer: United Healthcare All Payer |
$1,911.80
|
|
|
SCREW SHORT HEADLESS 4.0*38
|
Facility
|
OP
|
$2,172.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.42 |
| Max. Negotiated Rate |
$2,085.60 |
| Rate for Payer: Aetna Commercial |
$1,672.82
|
| Rate for Payer: Anthem Medicaid |
$747.12
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,694.55
|
| Rate for Payer: Cash Price |
$1,086.25
|
| Rate for Payer: Cigna Commercial |
$1,803.18
|
| Rate for Payer: First Health Commercial |
$2,063.88
|
| Rate for Payer: Humana Commercial |
$1,846.62
|
| Rate for Payer: Humana KY Medicaid |
$747.12
|
| Rate for Payer: Kentucky WC Medicaid |
$754.73
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,781.45
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,603.30
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$651.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$762.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,911.80
|
| Rate for Payer: Ohio Health Group HMO |
$1,629.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$434.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.42
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$673.48
|
| Rate for Payer: PHCS Commercial |
$2,085.60
|
| Rate for Payer: United Healthcare All Payer |
$1,911.80
|
|
|
SCREW SHORT HEADLESS 4.0*42
|
Facility
|
IP
|
$2,172.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.42 |
| Max. Negotiated Rate |
$2,085.60 |
| Rate for Payer: Aetna Commercial |
$1,672.82
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,694.55
|
| Rate for Payer: Cash Price |
$1,086.25
|
| Rate for Payer: Cigna Commercial |
$1,803.18
|
| Rate for Payer: First Health Commercial |
$2,063.88
|
| Rate for Payer: Humana Commercial |
$1,846.62
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,781.45
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,603.30
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$651.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,911.80
|
| Rate for Payer: Ohio Health Group HMO |
$1,629.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$434.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.42
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$673.48
|
| Rate for Payer: PHCS Commercial |
$2,085.60
|
| Rate for Payer: United Healthcare All Payer |
$1,911.80
|
|
|
SCREW SHORT HEADLESS 4.0*42
|
Facility
|
OP
|
$2,172.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$282.42 |
| Max. Negotiated Rate |
$2,085.60 |
| Rate for Payer: Aetna Commercial |
$1,672.82
|
| Rate for Payer: Anthem Medicaid |
$747.12
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,694.55
|
| Rate for Payer: Cash Price |
$1,086.25
|
| Rate for Payer: Cigna Commercial |
$1,803.18
|
| Rate for Payer: First Health Commercial |
$2,063.88
|
| Rate for Payer: Humana Commercial |
$1,846.62
|
| Rate for Payer: Humana KY Medicaid |
$747.12
|
| Rate for Payer: Kentucky WC Medicaid |
$754.73
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,781.45
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,603.30
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$651.75
|
| Rate for Payer: Molina Healthcare Medicaid |
$762.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,911.80
|
| Rate for Payer: Ohio Health Group HMO |
$1,629.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$434.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$282.42
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$673.48
|
| Rate for Payer: PHCS Commercial |
$2,085.60
|
| Rate for Payer: United Healthcare All Payer |
$1,911.80
|
|
|
SCREW SHORT HL 2.0*15MM
|
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 SHORT HL 2.0*15MM
|
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 SNAP-OFF 2.0MM
|
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 SNAP-OFF 2.0MM
|
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 STERNAL LCK 2.3 X 11 MM
|
Facility
|
IP
|
$1,990.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$258.76 |
| Max. Negotiated Rate |
$1,910.88 |
| Rate for Payer: Aetna Commercial |
$1,532.68
|
| Rate for Payer: Aetna Commercial |
$2,472.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,552.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,504.28
|
| Rate for Payer: Cash Price |
$995.25
|
| Rate for Payer: Cash Price |
$1,605.31
|
| Rate for Payer: Cigna Commercial |
$1,652.12
|
| Rate for Payer: Cigna Commercial |
$2,664.81
|
| Rate for Payer: First Health Commercial |
$3,050.09
|
| Rate for Payer: First Health Commercial |
$1,890.98
|
| Rate for Payer: Humana Commercial |
$2,729.03
|
| Rate for Payer: Humana Commercial |
$1,691.92
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,632.21
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,632.71
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,468.99
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,369.44
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$963.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$597.15
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,751.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,825.35
|
| Rate for Payer: Ohio Health Group HMO |
$1,492.88
|
| Rate for Payer: Ohio Health Group HMO |
$2,407.96
|
| Rate for Payer: Ohio Health Group PPO Differential |
$398.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$642.12
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$258.76
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$417.38
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$995.29
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$617.06
|
| Rate for Payer: PHCS Commercial |
$1,910.88
|
| Rate for Payer: PHCS Commercial |
$3,082.20
|
| Rate for Payer: United Healthcare All Payer |
$1,751.64
|
| Rate for Payer: United Healthcare All Payer |
$2,825.35
|
|
|
SCREW STERNAL LCK 2.3 X 11 MM
|
Facility
|
OP
|
$1,990.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$258.76 |
| Max. Negotiated Rate |
$1,910.88 |
| Rate for Payer: Aetna Commercial |
$1,532.68
|
| Rate for Payer: Aetna Commercial |
$2,472.18
|
| Rate for Payer: Anthem Medicaid |
$684.53
|
| Rate for Payer: Anthem Medicaid |
$1,104.13
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,552.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,504.28
|
| Rate for Payer: Cash Price |
$995.25
|
| Rate for Payer: Cash Price |
$1,605.31
|
| Rate for Payer: Cigna Commercial |
$2,664.81
|
| Rate for Payer: Cigna Commercial |
$1,652.12
|
| Rate for Payer: First Health Commercial |
$3,050.09
|
| Rate for Payer: First Health Commercial |
$1,890.98
|
| Rate for Payer: Humana Commercial |
$1,691.92
|
| Rate for Payer: Humana Commercial |
$2,729.03
|
| Rate for Payer: Humana KY Medicaid |
$684.53
|
| Rate for Payer: Humana KY Medicaid |
$1,104.13
|
| Rate for Payer: Kentucky WC Medicaid |
$1,115.37
|
| Rate for Payer: Kentucky WC Medicaid |
$691.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,632.21
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,632.71
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,369.44
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,468.99
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$963.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$597.15
|
| Rate for Payer: Molina Healthcare Medicaid |
$698.27
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,126.29
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,751.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,825.35
|
| Rate for Payer: Ohio Health Group HMO |
$1,492.88
|
| Rate for Payer: Ohio Health Group HMO |
$2,407.96
|
| Rate for Payer: Ohio Health Group PPO Differential |
$398.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$642.12
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$258.76
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$417.38
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$617.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$995.29
|
| Rate for Payer: PHCS Commercial |
$3,082.20
|
| Rate for Payer: PHCS Commercial |
$1,910.88
|
| Rate for Payer: United Healthcare All Payer |
$2,825.35
|
| Rate for Payer: United Healthcare All Payer |
$1,751.64
|
|
|
SCREW STERNAL LCK 2.3 X 13 MM
|
Facility
|
IP
|
$1,990.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$258.76 |
| Max. Negotiated Rate |
$1,910.88 |
| Rate for Payer: Aetna Commercial |
$1,532.68
|
| Rate for Payer: Aetna Commercial |
$2,472.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,552.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,504.28
|
| Rate for Payer: Cash Price |
$995.25
|
| Rate for Payer: Cash Price |
$1,605.31
|
| Rate for Payer: Cigna Commercial |
$1,652.12
|
| Rate for Payer: Cigna Commercial |
$2,664.81
|
| Rate for Payer: First Health Commercial |
$3,050.09
|
| Rate for Payer: First Health Commercial |
$1,890.98
|
| Rate for Payer: Humana Commercial |
$2,729.03
|
| Rate for Payer: Humana Commercial |
$1,691.92
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,632.21
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,632.71
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,468.99
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,369.44
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$963.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$597.15
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,751.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,825.35
|
| Rate for Payer: Ohio Health Group HMO |
$1,492.88
|
| Rate for Payer: Ohio Health Group HMO |
$2,407.96
|
| Rate for Payer: Ohio Health Group PPO Differential |
$398.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$642.12
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$258.76
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$417.38
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$995.29
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$617.06
|
| Rate for Payer: PHCS Commercial |
$1,910.88
|
| Rate for Payer: PHCS Commercial |
$3,082.20
|
| Rate for Payer: United Healthcare All Payer |
$1,751.64
|
| Rate for Payer: United Healthcare All Payer |
$2,825.35
|
|
|
SCREW STERNAL LCK 2.3 X 13 MM
|
Facility
|
OP
|
$1,990.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$258.76 |
| Max. Negotiated Rate |
$1,910.88 |
| Rate for Payer: Aetna Commercial |
$1,532.68
|
| Rate for Payer: Aetna Commercial |
$2,472.18
|
| Rate for Payer: Anthem Medicaid |
$684.53
|
| Rate for Payer: Anthem Medicaid |
$1,104.13
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,552.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,504.28
|
| Rate for Payer: Cash Price |
$995.25
|
| Rate for Payer: Cash Price |
$1,605.31
|
| Rate for Payer: Cigna Commercial |
$2,664.81
|
| Rate for Payer: Cigna Commercial |
$1,652.12
|
| Rate for Payer: First Health Commercial |
$3,050.09
|
| Rate for Payer: First Health Commercial |
$1,890.98
|
| Rate for Payer: Humana Commercial |
$1,691.92
|
| Rate for Payer: Humana Commercial |
$2,729.03
|
| Rate for Payer: Humana KY Medicaid |
$684.53
|
| Rate for Payer: Humana KY Medicaid |
$1,104.13
|
| Rate for Payer: Kentucky WC Medicaid |
$1,115.37
|
| Rate for Payer: Kentucky WC Medicaid |
$691.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,632.21
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,632.71
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,369.44
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,468.99
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$963.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$597.15
|
| Rate for Payer: Molina Healthcare Medicaid |
$698.27
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,126.29
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,751.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,825.35
|
| Rate for Payer: Ohio Health Group HMO |
$1,492.88
|
| Rate for Payer: Ohio Health Group HMO |
$2,407.96
|
| Rate for Payer: Ohio Health Group PPO Differential |
$398.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$642.12
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$258.76
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$417.38
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$617.06
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$995.29
|
| Rate for Payer: PHCS Commercial |
$3,082.20
|
| Rate for Payer: PHCS Commercial |
$1,910.88
|
| Rate for Payer: United Healthcare All Payer |
$2,825.35
|
| Rate for Payer: United Healthcare All Payer |
$1,751.64
|
|
