|
SCREW STERNAL LCK 2.3 X 15 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 15 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 17 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 17 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 9 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 |
$3,250.36
|
| Rate for Payer: Aetna Commercial |
$2,472.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,504.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,552.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,292.58
|
| Rate for Payer: Cash Price |
$2,110.62
|
| 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: Cigna Commercial |
$3,503.64
|
| Rate for Payer: First Health Commercial |
$4,010.19
|
| Rate for Payer: First Health Commercial |
$1,890.98
|
| Rate for Payer: First Health Commercial |
$3,050.09
|
| Rate for Payer: Humana Commercial |
$3,588.06
|
| Rate for Payer: Humana Commercial |
$1,691.92
|
| Rate for Payer: Humana Commercial |
$2,729.03
|
| 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 HMO |
$3,461.42
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,369.44
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,115.28
|
| 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 Benefit Exchange |
$1,266.38
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,714.70
|
| 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 HMO |
$3,165.94
|
| 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 Differential |
$844.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$417.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$258.76
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$548.76
|
| 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: Ohio Health Group PPO SOMC Employees |
$1,308.59
|
| Rate for Payer: PHCS Commercial |
$1,910.88
|
| Rate for Payer: PHCS Commercial |
$4,052.40
|
| Rate for Payer: PHCS Commercial |
$3,082.20
|
| Rate for Payer: United Healthcare All Payer |
$2,825.35
|
| Rate for Payer: United Healthcare All Payer |
$1,751.64
|
| Rate for Payer: United Healthcare All Payer |
$3,714.70
|
|
|
SCREW STERNAL LCK 2.3 X 9 MM
|
Facility
|
OP
|
$3,210.62
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$417.38 |
| Max. Negotiated Rate |
$3,082.20 |
| Rate for Payer: Aetna Commercial |
$2,472.18
|
| Rate for Payer: Aetna Commercial |
$1,532.68
|
| Rate for Payer: Aetna Commercial |
$3,250.36
|
| Rate for Payer: Anthem Medicaid |
$1,451.69
|
| Rate for Payer: Anthem Medicaid |
$1,104.13
|
| Rate for Payer: Anthem Medicaid |
$684.53
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,504.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,292.58
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,552.59
|
| Rate for Payer: Cash Price |
$2,110.62
|
| 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: Cigna Commercial |
$3,503.64
|
| Rate for Payer: First Health Commercial |
$4,010.19
|
| Rate for Payer: First Health Commercial |
$1,890.98
|
| Rate for Payer: First Health Commercial |
$3,050.09
|
| Rate for Payer: Humana Commercial |
$3,588.06
|
| Rate for Payer: Humana Commercial |
$1,691.92
|
| Rate for Payer: Humana Commercial |
$2,729.03
|
| Rate for Payer: Humana KY Medicaid |
$1,104.13
|
| Rate for Payer: Humana KY Medicaid |
$684.53
|
| Rate for Payer: Humana KY Medicaid |
$1,451.69
|
| Rate for Payer: Kentucky WC Medicaid |
$1,466.46
|
| 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 |
$3,461.42
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,632.71
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,632.21
|
| 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: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,115.28
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$963.19
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,266.38
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$597.15
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,126.29
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,480.81
|
| Rate for Payer: Molina Healthcare Medicaid |
$698.27
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,825.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,751.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,714.70
|
| Rate for Payer: Ohio Health Group HMO |
$3,165.94
|
| 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 |
$642.12
|
| Rate for Payer: Ohio Health Group PPO Differential |
$844.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$398.10
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$548.76
|
| 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: Ohio Health Group PPO SOMC Employees |
$1,308.59
|
| Rate for Payer: PHCS Commercial |
$1,910.88
|
| Rate for Payer: PHCS Commercial |
$4,052.40
|
| Rate for Payer: PHCS Commercial |
$3,082.20
|
| Rate for Payer: United Healthcare All Payer |
$3,714.70
|
| Rate for Payer: United Healthcare All Payer |
$2,825.35
|
| Rate for Payer: United Healthcare All Payer |
$1,751.64
|
|
|
SCREW STERNAL LOCK 2.3*7.0MM
|
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 LOCK 2.3*7.0MM
|
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 T2 FTHRD LOCKING 5*37.5
|
Facility
|
IP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*37.5
|
Facility
|
OP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem Medicaid |
$630.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Humana KY Medicaid |
$630.06
|
| Rate for Payer: Kentucky WC Medicaid |
$636.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Molina Healthcare Medicaid |
$642.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*42.5
|
Facility
|
IP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*42.5
|
Facility
|
OP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem Medicaid |
$630.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Humana KY Medicaid |
$630.06
|
| Rate for Payer: Kentucky WC Medicaid |
$636.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Molina Healthcare Medicaid |
$642.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*47.5
|
Facility
|
IP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*47.5
|
Facility
|
OP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem Medicaid |
$630.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Humana KY Medicaid |
$630.06
|
| Rate for Payer: Kentucky WC Medicaid |
$636.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Molina Healthcare Medicaid |
$642.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*50MM
|
Facility
|
OP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem Medicaid |
$630.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Humana KY Medicaid |
$630.06
|
| Rate for Payer: Kentucky WC Medicaid |
$636.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Molina Healthcare Medicaid |
$642.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*50MM
|
Facility
|
IP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*52.5
|
Facility
|
IP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*52.5
|
Facility
|
OP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem Medicaid |
$630.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Humana KY Medicaid |
$630.06
|
| Rate for Payer: Kentucky WC Medicaid |
$636.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Molina Healthcare Medicaid |
$642.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*55MM
|
Facility
|
OP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem Medicaid |
$630.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Humana KY Medicaid |
$630.06
|
| Rate for Payer: Kentucky WC Medicaid |
$636.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Molina Healthcare Medicaid |
$642.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*55MM
|
Facility
|
IP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*57.5
|
Facility
|
IP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 FTHRD LOCKING 5*57.5
|
Facility
|
OP
|
$1,832.09
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$238.17 |
| Max. Negotiated Rate |
$1,758.81 |
| Rate for Payer: Aetna Commercial |
$1,410.71
|
| Rate for Payer: Anthem Medicaid |
$630.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,429.03
|
| Rate for Payer: Cash Price |
$916.04
|
| Rate for Payer: Cigna Commercial |
$1,520.63
|
| Rate for Payer: First Health Commercial |
$1,740.49
|
| Rate for Payer: Humana Commercial |
$1,557.28
|
| Rate for Payer: Humana KY Medicaid |
$630.06
|
| Rate for Payer: Kentucky WC Medicaid |
$636.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,502.31
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,352.08
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$549.63
|
| Rate for Payer: Molina Healthcare Medicaid |
$642.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,612.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,374.07
|
| Rate for Payer: Ohio Health Group PPO Differential |
$366.42
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$238.17
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$567.95
|
| Rate for Payer: PHCS Commercial |
$1,758.81
|
| Rate for Payer: United Healthcare All Payer |
$1,612.24
|
|
|
SCREW T2 F/T LOCKING 4*34MM
|
Facility
|
IP
|
$1,921.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$249.80 |
| Max. Negotiated Rate |
$1,844.69 |
| Rate for Payer: Aetna Commercial |
$1,479.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,498.81
|
| Rate for Payer: Cash Price |
$960.78
|
| Rate for Payer: Cigna Commercial |
$1,594.89
|
| Rate for Payer: First Health Commercial |
$1,825.47
|
| Rate for Payer: Humana Commercial |
$1,633.32
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,575.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,418.10
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$576.46
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,690.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,441.16
|
| Rate for Payer: Ohio Health Group PPO Differential |
$384.31
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$249.80
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$595.68
|
| Rate for Payer: PHCS Commercial |
$1,844.69
|
| Rate for Payer: United Healthcare All Payer |
$1,690.96
|
|
|
SCREW T2 F/T LOCKING 4*34MM
|
Facility
|
OP
|
$1,921.55
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$249.80 |
| Max. Negotiated Rate |
$1,844.69 |
| Rate for Payer: Aetna Commercial |
$1,479.59
|
| Rate for Payer: Anthem Medicaid |
$660.82
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,498.81
|
| Rate for Payer: Cash Price |
$960.78
|
| Rate for Payer: Cigna Commercial |
$1,594.89
|
| Rate for Payer: First Health Commercial |
$1,825.47
|
| Rate for Payer: Humana Commercial |
$1,633.32
|
| Rate for Payer: Humana KY Medicaid |
$660.82
|
| Rate for Payer: Kentucky WC Medicaid |
$667.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,575.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,418.10
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$576.46
|
| Rate for Payer: Molina Healthcare Medicaid |
$674.08
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,690.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,441.16
|
| Rate for Payer: Ohio Health Group PPO Differential |
$384.31
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$249.80
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$595.68
|
| Rate for Payer: PHCS Commercial |
$1,844.69
|
| Rate for Payer: United Healthcare All Payer |
$1,690.96
|
|
|
SCREW T2 F/T LOCKING 4*35MM
|
Facility
|
IP
|
$2,159.58
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$280.75 |
| Max. Negotiated Rate |
$2,073.20 |
| Rate for Payer: Aetna Commercial |
$1,662.88
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,684.47
|
| Rate for Payer: Cash Price |
$1,079.79
|
| Rate for Payer: Cigna Commercial |
$1,792.45
|
| Rate for Payer: First Health Commercial |
$2,051.60
|
| Rate for Payer: Humana Commercial |
$1,835.64
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,770.86
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,593.77
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$647.87
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,900.43
|
| Rate for Payer: Ohio Health Group HMO |
$1,619.68
|
| Rate for Payer: Ohio Health Group PPO Differential |
$431.92
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$280.75
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$669.47
|
| Rate for Payer: PHCS Commercial |
$2,073.20
|
| Rate for Payer: United Healthcare All Payer |
$1,900.43
|
|
