|
SCREW BONE T8 LCK FT 2.7*10
|
Facility
|
IP
|
$1,748.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.52 |
| Max. Negotiated Rate |
$1,678.46 |
| Rate for Payer: Aetna Commercial |
$1,346.27
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,363.75
|
| Rate for Payer: Cash Price |
$874.20
|
| Rate for Payer: Cigna Commercial |
$1,451.17
|
| Rate for Payer: First Health Commercial |
$1,660.98
|
| Rate for Payer: Humana Commercial |
$1,486.14
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,433.69
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,290.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$524.52
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,538.59
|
| Rate for Payer: Ohio Health Group HMO |
$1,311.30
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,398.72
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,521.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,206.40
|
| Rate for Payer: PHCS Commercial |
$1,678.46
|
| Rate for Payer: United Healthcare All Payer |
$1,538.59
|
|
|
SCREW BONE T8 LCK FT 2.7*10
|
Facility
|
OP
|
$1,748.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$524.52 |
| Max. Negotiated Rate |
$1,678.46 |
| Rate for Payer: Aetna Commercial |
$1,346.27
|
| Rate for Payer: Anthem Medicaid |
$601.27
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,363.75
|
| Rate for Payer: Cash Price |
$874.20
|
| Rate for Payer: Cigna Commercial |
$1,451.17
|
| Rate for Payer: First Health Commercial |
$1,660.98
|
| Rate for Payer: Humana Commercial |
$1,486.14
|
| Rate for Payer: Humana KY Medicaid |
$601.27
|
| Rate for Payer: Kentucky WC Medicaid |
$607.39
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,433.69
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,290.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$524.52
|
| Rate for Payer: Molina Healthcare Medicaid |
$613.34
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,538.59
|
| Rate for Payer: Ohio Health Group HMO |
$1,311.30
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,398.72
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,521.11
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,206.40
|
| Rate for Payer: PHCS Commercial |
$1,678.46
|
| Rate for Payer: United Healthcare All Payer |
$1,538.59
|
|
|
SCREW CANC BONE 4.0*30 FT
|
Facility
|
OP
|
$1,519.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$455.76 |
| Max. Negotiated Rate |
$1,458.43 |
| Rate for Payer: Aetna Commercial |
$1,169.78
|
| Rate for Payer: Anthem Medicaid |
$522.45
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.98
|
| Rate for Payer: Cash Price |
$759.60
|
| Rate for Payer: Cigna Commercial |
$1,260.94
|
| Rate for Payer: First Health Commercial |
$1,443.24
|
| Rate for Payer: Humana Commercial |
$1,291.32
|
| Rate for Payer: Humana KY Medicaid |
$522.45
|
| Rate for Payer: Kentucky WC Medicaid |
$527.77
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,245.74
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,121.17
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.76
|
| Rate for Payer: Molina Healthcare Medicaid |
$532.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.90
|
| Rate for Payer: Ohio Health Group HMO |
$1,139.40
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,215.36
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,321.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,048.25
|
| Rate for Payer: PHCS Commercial |
$1,458.43
|
| Rate for Payer: United Healthcare All Payer |
$1,336.90
|
|
|
SCREW CANC BONE 4.0*30 FT
|
Facility
|
IP
|
$1,519.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$455.76 |
| Max. Negotiated Rate |
$1,458.43 |
| Rate for Payer: Aetna Commercial |
$1,169.78
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.98
|
| Rate for Payer: Cash Price |
$759.60
|
| Rate for Payer: Cigna Commercial |
$1,260.94
|
| Rate for Payer: First Health Commercial |
$1,443.24
|
| Rate for Payer: Humana Commercial |
$1,291.32
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,245.74
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,121.17
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.76
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.90
|
| Rate for Payer: Ohio Health Group HMO |
$1,139.40
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,215.36
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,321.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,048.25
|
| Rate for Payer: PHCS Commercial |
$1,458.43
|
| Rate for Payer: United Healthcare All Payer |
$1,336.90
|
|
|
SCREW CANC BONE 4.0*40 FT
|
Facility
|
OP
|
$1,519.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$455.76 |
| Max. Negotiated Rate |
$1,458.43 |
| Rate for Payer: Aetna Commercial |
$1,169.78
|
| Rate for Payer: Anthem Medicaid |
$522.45
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.98
|
| Rate for Payer: Cash Price |
$759.60
|
| Rate for Payer: Cigna Commercial |
$1,260.94
|
| Rate for Payer: First Health Commercial |
$1,443.24
|
| Rate for Payer: Humana Commercial |
$1,291.32
|
| Rate for Payer: Humana KY Medicaid |
$522.45
|
| Rate for Payer: Kentucky WC Medicaid |
$527.77
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,245.74
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,121.17
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.76
|
| Rate for Payer: Molina Healthcare Medicaid |
$532.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.90
|
| Rate for Payer: Ohio Health Group HMO |
$1,139.40
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,215.36
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,321.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,048.25
|
| Rate for Payer: PHCS Commercial |
$1,458.43
|
| Rate for Payer: United Healthcare All Payer |
$1,336.90
|
|
|
SCREW CANC BONE 4.0*40 FT
|
Facility
|
IP
|
$1,519.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$455.76 |
| Max. Negotiated Rate |
$1,458.43 |
| Rate for Payer: Aetna Commercial |
$1,169.78
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,184.98
|
| Rate for Payer: Cash Price |
$759.60
|
| Rate for Payer: Cigna Commercial |
$1,260.94
|
| Rate for Payer: First Health Commercial |
$1,443.24
|
| Rate for Payer: Humana Commercial |
$1,291.32
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,245.74
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,121.17
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$455.76
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,336.90
|
| Rate for Payer: Ohio Health Group HMO |
$1,139.40
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,215.36
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,321.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,048.25
|
| Rate for Payer: PHCS Commercial |
$1,458.43
|
| Rate for Payer: United Healthcare All Payer |
$1,336.90
|
|
|
SCREW CANCELLOUS 6.5*60MM
|
Facility
|
IP
|
$1,800.08
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$540.02 |
| Max. Negotiated Rate |
$1,728.08 |
| Rate for Payer: Aetna Commercial |
$1,386.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,404.06
|
| Rate for Payer: Cash Price |
$900.04
|
| Rate for Payer: Cigna Commercial |
$1,494.07
|
| Rate for Payer: First Health Commercial |
$1,710.08
|
| Rate for Payer: Humana Commercial |
$1,530.07
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,476.07
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,328.46
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$540.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,584.07
|
| Rate for Payer: Ohio Health Group HMO |
$1,350.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,440.06
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,566.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,242.06
|
| Rate for Payer: PHCS Commercial |
$1,728.08
|
| Rate for Payer: United Healthcare All Payer |
$1,584.07
|
|
|
SCREW CANCELLOUS 6.5*60MM
|
Facility
|
OP
|
$1,800.08
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$540.02 |
| Max. Negotiated Rate |
$1,728.08 |
| Rate for Payer: Aetna Commercial |
$1,386.06
|
| Rate for Payer: Anthem Medicaid |
$619.05
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,404.06
|
| Rate for Payer: Cash Price |
$900.04
|
| Rate for Payer: Cigna Commercial |
$1,494.07
|
| Rate for Payer: First Health Commercial |
$1,710.08
|
| Rate for Payer: Humana Commercial |
$1,530.07
|
| Rate for Payer: Humana KY Medicaid |
$619.05
|
| Rate for Payer: Kentucky WC Medicaid |
$625.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,476.07
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,328.46
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$540.02
|
| Rate for Payer: Molina Healthcare Medicaid |
$631.47
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,584.07
|
| Rate for Payer: Ohio Health Group HMO |
$1,350.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,440.06
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,566.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,242.06
|
| Rate for Payer: PHCS Commercial |
$1,728.08
|
| Rate for Payer: United Healthcare All Payer |
$1,584.07
|
|
|
SCREW CANC LP 6.5*35 AR-1357
|
Facility
|
OP
|
$1,555.11
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$466.53 |
| Max. Negotiated Rate |
$1,492.91 |
| Rate for Payer: Aetna Commercial |
$1,197.43
|
| Rate for Payer: Anthem Medicaid |
$534.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,212.99
|
| Rate for Payer: Cash Price |
$777.56
|
| Rate for Payer: Cigna Commercial |
$1,290.74
|
| Rate for Payer: First Health Commercial |
$1,477.35
|
| Rate for Payer: Humana Commercial |
$1,321.84
|
| Rate for Payer: Humana KY Medicaid |
$534.80
|
| Rate for Payer: Kentucky WC Medicaid |
$540.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,275.19
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,147.67
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$466.53
|
| Rate for Payer: Molina Healthcare Medicaid |
$545.53
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,368.50
|
| Rate for Payer: Ohio Health Group HMO |
$1,166.33
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,244.09
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,352.95
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,073.03
|
| Rate for Payer: PHCS Commercial |
$1,492.91
|
| Rate for Payer: United Healthcare All Payer |
$1,368.50
|
|
|
SCREW CANC LP 6.5*35 AR-1357
|
Facility
|
IP
|
$1,555.11
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$466.53 |
| Max. Negotiated Rate |
$1,492.91 |
| Rate for Payer: Aetna Commercial |
$1,197.43
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,212.99
|
| Rate for Payer: Cash Price |
$777.56
|
| Rate for Payer: Cigna Commercial |
$1,290.74
|
| Rate for Payer: First Health Commercial |
$1,477.35
|
| Rate for Payer: Humana Commercial |
$1,321.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,275.19
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,147.67
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$466.53
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,368.50
|
| Rate for Payer: Ohio Health Group HMO |
$1,166.33
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,244.09
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,352.95
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,073.03
|
| Rate for Payer: PHCS Commercial |
$1,492.91
|
| Rate for Payer: United Healthcare All Payer |
$1,368.50
|
|
|
SCREW CANC TI FT 4.0*24
|
Facility
|
IP
|
$788.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$236.55 |
| Max. Negotiated Rate |
$756.96 |
| Rate for Payer: Aetna Commercial |
$607.14
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$615.03
|
| Rate for Payer: Cash Price |
$394.25
|
| Rate for Payer: Cigna Commercial |
$654.46
|
| Rate for Payer: First Health Commercial |
$749.08
|
| Rate for Payer: Humana Commercial |
$670.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$646.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$581.91
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$236.55
|
| Rate for Payer: Ohio Health Choice Commercial |
$693.88
|
| Rate for Payer: Ohio Health Group HMO |
$591.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$630.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$686.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$544.07
|
| Rate for Payer: PHCS Commercial |
$756.96
|
| Rate for Payer: United Healthcare All Payer |
$693.88
|
|
|
SCREW CANC TI FT 4.0*24
|
Facility
|
OP
|
$788.50
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$236.55 |
| Max. Negotiated Rate |
$756.96 |
| Rate for Payer: Aetna Commercial |
$607.14
|
| Rate for Payer: Anthem Medicaid |
$271.17
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$615.03
|
| Rate for Payer: Cash Price |
$394.25
|
| Rate for Payer: Cigna Commercial |
$654.46
|
| Rate for Payer: First Health Commercial |
$749.08
|
| Rate for Payer: Humana Commercial |
$670.23
|
| Rate for Payer: Humana KY Medicaid |
$271.17
|
| Rate for Payer: Kentucky WC Medicaid |
$273.92
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$646.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$581.91
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$236.55
|
| Rate for Payer: Molina Healthcare Medicaid |
$276.61
|
| Rate for Payer: Ohio Health Choice Commercial |
$693.88
|
| Rate for Payer: Ohio Health Group HMO |
$591.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$630.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$686.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$544.07
|
| Rate for Payer: PHCS Commercial |
$756.96
|
| Rate for Payer: United Healthcare All Payer |
$693.88
|
|
|
SCREW CANC TI FT 4.0*42
|
Facility
|
OP
|
$760.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$228.01 |
| Max. Negotiated Rate |
$729.65 |
| Rate for Payer: Aetna Commercial |
$585.24
|
| Rate for Payer: Anthem Medicaid |
$261.38
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$592.84
|
| Rate for Payer: Cash Price |
$380.02
|
| Rate for Payer: Cigna Commercial |
$630.84
|
| Rate for Payer: First Health Commercial |
$722.05
|
| Rate for Payer: Humana Commercial |
$646.04
|
| Rate for Payer: Humana KY Medicaid |
$261.38
|
| Rate for Payer: Kentucky WC Medicaid |
$264.04
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$623.24
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$560.92
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$228.01
|
| Rate for Payer: Molina Healthcare Medicaid |
$266.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$668.84
|
| Rate for Payer: Ohio Health Group HMO |
$570.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$608.04
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$661.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$524.43
|
| Rate for Payer: PHCS Commercial |
$729.65
|
| Rate for Payer: United Healthcare All Payer |
$668.84
|
|
|
SCREW CANC TI FT 4.0*42
|
Facility
|
IP
|
$760.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$228.01 |
| Max. Negotiated Rate |
$729.65 |
| Rate for Payer: Aetna Commercial |
$585.24
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$592.84
|
| Rate for Payer: Cash Price |
$380.02
|
| Rate for Payer: Cigna Commercial |
$630.84
|
| Rate for Payer: First Health Commercial |
$722.05
|
| Rate for Payer: Humana Commercial |
$646.04
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$623.24
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$560.92
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$228.01
|
| Rate for Payer: Ohio Health Choice Commercial |
$668.84
|
| Rate for Payer: Ohio Health Group HMO |
$570.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$608.04
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$661.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$524.43
|
| Rate for Payer: PHCS Commercial |
$729.65
|
| Rate for Payer: United Healthcare All Payer |
$668.84
|
|
|
SCREW CANC TI FT 4.0*65
|
Facility
|
IP
|
$760.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$228.01 |
| Max. Negotiated Rate |
$729.65 |
| Rate for Payer: Aetna Commercial |
$585.24
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$592.84
|
| Rate for Payer: Cash Price |
$380.02
|
| Rate for Payer: Cigna Commercial |
$630.84
|
| Rate for Payer: First Health Commercial |
$722.05
|
| Rate for Payer: Humana Commercial |
$646.04
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$623.24
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$560.92
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$228.01
|
| Rate for Payer: Ohio Health Choice Commercial |
$668.84
|
| Rate for Payer: Ohio Health Group HMO |
$570.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$608.04
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$661.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$524.43
|
| Rate for Payer: PHCS Commercial |
$729.65
|
| Rate for Payer: United Healthcare All Payer |
$668.84
|
|
|
SCREW CANC TI FT 4.0*65
|
Facility
|
OP
|
$760.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$228.01 |
| Max. Negotiated Rate |
$729.65 |
| Rate for Payer: Aetna Commercial |
$585.24
|
| Rate for Payer: Anthem Medicaid |
$261.38
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$592.84
|
| Rate for Payer: Cash Price |
$380.02
|
| Rate for Payer: Cigna Commercial |
$630.84
|
| Rate for Payer: First Health Commercial |
$722.05
|
| Rate for Payer: Humana Commercial |
$646.04
|
| Rate for Payer: Humana KY Medicaid |
$261.38
|
| Rate for Payer: Kentucky WC Medicaid |
$264.04
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$623.24
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$560.92
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$228.01
|
| Rate for Payer: Molina Healthcare Medicaid |
$266.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$668.84
|
| Rate for Payer: Ohio Health Group HMO |
$570.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$608.04
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$661.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$524.43
|
| Rate for Payer: PHCS Commercial |
$729.65
|
| Rate for Payer: United Healthcare All Payer |
$668.84
|
|
|
SCREW CANC TI FT 6.0*40
|
Facility
|
OP
|
$820.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$246.12 |
| Max. Negotiated Rate |
$787.58 |
| Rate for Payer: Aetna Commercial |
$631.71
|
| Rate for Payer: Anthem Medicaid |
$282.14
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$639.91
|
| Rate for Payer: Cash Price |
$410.20
|
| Rate for Payer: Cigna Commercial |
$680.93
|
| Rate for Payer: First Health Commercial |
$779.38
|
| Rate for Payer: Humana Commercial |
$697.34
|
| Rate for Payer: Humana KY Medicaid |
$282.14
|
| Rate for Payer: Kentucky WC Medicaid |
$285.01
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$672.73
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$605.46
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$246.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$287.80
|
| Rate for Payer: Ohio Health Choice Commercial |
$721.95
|
| Rate for Payer: Ohio Health Group HMO |
$615.30
|
| Rate for Payer: Ohio Health Group PPO Differential |
$656.32
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$713.75
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$566.08
|
| Rate for Payer: PHCS Commercial |
$787.58
|
| Rate for Payer: United Healthcare All Payer |
$721.95
|
|
|
SCREW CANC TI FT 6.0*40
|
Facility
|
IP
|
$820.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$246.12 |
| Max. Negotiated Rate |
$787.58 |
| Rate for Payer: Aetna Commercial |
$631.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$639.91
|
| Rate for Payer: Cash Price |
$410.20
|
| Rate for Payer: Cigna Commercial |
$680.93
|
| Rate for Payer: First Health Commercial |
$779.38
|
| Rate for Payer: Humana Commercial |
$697.34
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$672.73
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$605.46
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$246.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$721.95
|
| Rate for Payer: Ohio Health Group HMO |
$615.30
|
| Rate for Payer: Ohio Health Group PPO Differential |
$656.32
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$713.75
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$566.08
|
| Rate for Payer: PHCS Commercial |
$787.58
|
| Rate for Payer: United Healthcare All Payer |
$721.95
|
|
|
SCREW CANC TI HTO 6.5*50
|
Facility
|
OP
|
$2,984.38
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$895.31 |
| Max. Negotiated Rate |
$2,865.00 |
| Rate for Payer: Aetna Commercial |
$2,297.97
|
| Rate for Payer: Anthem Medicaid |
$1,026.33
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,327.82
|
| Rate for Payer: Cash Price |
$1,492.19
|
| Rate for Payer: Cigna Commercial |
$2,477.04
|
| Rate for Payer: First Health Commercial |
$2,835.16
|
| Rate for Payer: Humana Commercial |
$2,536.72
|
| Rate for Payer: Humana KY Medicaid |
$1,026.33
|
| Rate for Payer: Kentucky WC Medicaid |
$1,036.77
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,447.19
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,202.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$895.31
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,046.92
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,626.25
|
| Rate for Payer: Ohio Health Group HMO |
$2,238.28
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,387.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,596.41
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,059.22
|
| Rate for Payer: PHCS Commercial |
$2,865.00
|
| Rate for Payer: United Healthcare All Payer |
$2,626.25
|
|
|
SCREW CANC TI HTO 6.5*50
|
Facility
|
IP
|
$2,984.38
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$895.31 |
| Max. Negotiated Rate |
$2,865.00 |
| Rate for Payer: Aetna Commercial |
$2,297.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,327.82
|
| Rate for Payer: Cash Price |
$1,492.19
|
| Rate for Payer: Cigna Commercial |
$2,477.04
|
| Rate for Payer: First Health Commercial |
$2,835.16
|
| Rate for Payer: Humana Commercial |
$2,536.72
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,447.19
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,202.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$895.31
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,626.25
|
| Rate for Payer: Ohio Health Group HMO |
$2,238.28
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,387.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,596.41
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,059.22
|
| Rate for Payer: PHCS Commercial |
$2,865.00
|
| Rate for Payer: United Healthcare All Payer |
$2,626.25
|
|
|
SCREW CANC TI HTO 6.5*55
|
Facility
|
OP
|
$2,984.38
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$895.31 |
| Max. Negotiated Rate |
$2,865.00 |
| Rate for Payer: Aetna Commercial |
$2,297.97
|
| Rate for Payer: Anthem Medicaid |
$1,026.33
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,327.82
|
| Rate for Payer: Cash Price |
$1,492.19
|
| Rate for Payer: Cigna Commercial |
$2,477.04
|
| Rate for Payer: First Health Commercial |
$2,835.16
|
| Rate for Payer: Humana Commercial |
$2,536.72
|
| Rate for Payer: Humana KY Medicaid |
$1,026.33
|
| Rate for Payer: Kentucky WC Medicaid |
$1,036.77
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,447.19
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,202.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$895.31
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,046.92
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,626.25
|
| Rate for Payer: Ohio Health Group HMO |
$2,238.28
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,387.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,596.41
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,059.22
|
| Rate for Payer: PHCS Commercial |
$2,865.00
|
| Rate for Payer: United Healthcare All Payer |
$2,626.25
|
|
|
SCREW CANC TI HTO 6.5*55
|
Facility
|
IP
|
$2,984.38
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$895.31 |
| Max. Negotiated Rate |
$2,865.00 |
| Rate for Payer: Aetna Commercial |
$2,297.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,327.82
|
| Rate for Payer: Cash Price |
$1,492.19
|
| Rate for Payer: Cigna Commercial |
$2,477.04
|
| Rate for Payer: First Health Commercial |
$2,835.16
|
| Rate for Payer: Humana Commercial |
$2,536.72
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,447.19
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,202.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$895.31
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,626.25
|
| Rate for Payer: Ohio Health Group HMO |
$2,238.28
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,387.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,596.41
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,059.22
|
| Rate for Payer: PHCS Commercial |
$2,865.00
|
| Rate for Payer: United Healthcare All Payer |
$2,626.25
|
|
|
SCREW CANN BLT 4.0*24
|
Facility
|
IP
|
$1,958.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$587.50 |
| Max. Negotiated Rate |
$1,880.02 |
| Rate for Payer: Aetna Commercial |
$1,507.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,527.51
|
| Rate for Payer: Cash Price |
$979.18
|
| Rate for Payer: Cigna Commercial |
$1,625.43
|
| Rate for Payer: First Health Commercial |
$1,860.43
|
| Rate for Payer: Humana Commercial |
$1,664.60
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,605.85
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,445.26
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$587.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,723.35
|
| Rate for Payer: Ohio Health Group HMO |
$1,468.76
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,566.68
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,703.76
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,351.26
|
| Rate for Payer: PHCS Commercial |
$1,880.02
|
| Rate for Payer: United Healthcare All Payer |
$1,723.35
|
|
|
SCREW CANN BLT 4.0*24
|
Facility
|
OP
|
$1,958.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$587.50 |
| Max. Negotiated Rate |
$1,880.02 |
| Rate for Payer: Aetna Commercial |
$1,507.93
|
| Rate for Payer: Anthem Medicaid |
$673.48
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,527.51
|
| Rate for Payer: Cash Price |
$979.18
|
| Rate for Payer: Cigna Commercial |
$1,625.43
|
| Rate for Payer: First Health Commercial |
$1,860.43
|
| Rate for Payer: Humana Commercial |
$1,664.60
|
| Rate for Payer: Humana KY Medicaid |
$673.48
|
| Rate for Payer: Kentucky WC Medicaid |
$680.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,605.85
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,445.26
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$587.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$686.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,723.35
|
| Rate for Payer: Ohio Health Group HMO |
$1,468.76
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,566.68
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,703.76
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,351.26
|
| Rate for Payer: PHCS Commercial |
$1,880.02
|
| Rate for Payer: United Healthcare All Payer |
$1,723.35
|
|
|
SCREW CANN BLT 4.0*26
|
Facility
|
IP
|
$1,958.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$587.50 |
| Max. Negotiated Rate |
$1,880.02 |
| Rate for Payer: Aetna Commercial |
$1,507.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,527.51
|
| Rate for Payer: Cash Price |
$979.18
|
| Rate for Payer: Cigna Commercial |
$1,625.43
|
| Rate for Payer: First Health Commercial |
$1,860.43
|
| Rate for Payer: Humana Commercial |
$1,664.60
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,605.85
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,445.26
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$587.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,723.35
|
| Rate for Payer: Ohio Health Group HMO |
$1,468.76
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,566.68
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,703.76
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,351.26
|
| Rate for Payer: PHCS Commercial |
$1,880.02
|
| Rate for Payer: United Healthcare All Payer |
$1,723.35
|
|
