|
SCREW CANNULATED 6.5*95*20MM
|
Facility
|
IP
|
$1,991.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$597.48 |
| Max. Negotiated Rate |
$1,911.94 |
| Rate for Payer: Aetna Commercial |
$1,533.53
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,553.45
|
| Rate for Payer: Cash Price |
$995.80
|
| Rate for Payer: Cigna Commercial |
$1,653.03
|
| Rate for Payer: First Health Commercial |
$1,892.02
|
| Rate for Payer: Humana Commercial |
$1,692.86
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,633.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,469.80
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$597.48
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,752.61
|
| Rate for Payer: Ohio Health Group HMO |
$1,493.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,593.28
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,732.69
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,374.20
|
| Rate for Payer: PHCS Commercial |
$1,911.94
|
| Rate for Payer: United Healthcare All Payer |
$1,752.61
|
|
|
SCREW CANNULATED 6.5*95*20MM
|
Facility
|
OP
|
$1,991.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$597.48 |
| Max. Negotiated Rate |
$1,911.94 |
| Rate for Payer: Aetna Commercial |
$1,533.53
|
| Rate for Payer: Anthem Medicaid |
$684.91
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,553.45
|
| Rate for Payer: Cash Price |
$995.80
|
| Rate for Payer: Cigna Commercial |
$1,653.03
|
| Rate for Payer: First Health Commercial |
$1,892.02
|
| Rate for Payer: Humana Commercial |
$1,692.86
|
| Rate for Payer: Humana KY Medicaid |
$684.91
|
| Rate for Payer: Kentucky WC Medicaid |
$691.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,633.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,469.80
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$597.48
|
| Rate for Payer: Molina Healthcare Medicaid |
$698.65
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,752.61
|
| Rate for Payer: Ohio Health Group HMO |
$1,493.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,593.28
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,732.69
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,374.20
|
| Rate for Payer: PHCS Commercial |
$1,911.94
|
| Rate for Payer: United Healthcare All Payer |
$1,752.61
|
|
|
SCREW CANNULATED TI 5.0*70MM
|
Facility
|
OP
|
$1,866.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$559.86 |
| Max. Negotiated Rate |
$1,791.55 |
| Rate for Payer: Aetna Commercial |
$1,436.97
|
| Rate for Payer: Anthem Medicaid |
$641.79
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,455.64
|
| Rate for Payer: Cash Price |
$933.10
|
| Rate for Payer: Cigna Commercial |
$1,548.95
|
| Rate for Payer: First Health Commercial |
$1,772.89
|
| Rate for Payer: Humana Commercial |
$1,586.27
|
| Rate for Payer: Humana KY Medicaid |
$641.79
|
| Rate for Payer: Kentucky WC Medicaid |
$648.32
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,530.28
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,377.26
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$559.86
|
| Rate for Payer: Molina Healthcare Medicaid |
$654.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,642.26
|
| Rate for Payer: Ohio Health Group HMO |
$1,399.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,492.96
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,623.59
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,287.68
|
| Rate for Payer: PHCS Commercial |
$1,791.55
|
| Rate for Payer: United Healthcare All Payer |
$1,642.26
|
|
|
SCREW CANNULATED TI 5.0*70MM
|
Facility
|
IP
|
$1,866.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$559.86 |
| Max. Negotiated Rate |
$1,791.55 |
| Rate for Payer: Aetna Commercial |
$1,436.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,455.64
|
| Rate for Payer: Cash Price |
$933.10
|
| Rate for Payer: Cigna Commercial |
$1,548.95
|
| Rate for Payer: First Health Commercial |
$1,772.89
|
| Rate for Payer: Humana Commercial |
$1,586.27
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,530.28
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,377.26
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$559.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,642.26
|
| Rate for Payer: Ohio Health Group HMO |
$1,399.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,492.96
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,623.59
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,287.68
|
| Rate for Payer: PHCS Commercial |
$1,791.55
|
| Rate for Payer: United Healthcare All Payer |
$1,642.26
|
|
|
SCREW CAN THREAD 3.5*24MM
|
Facility
|
OP
|
$2,117.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$635.10 |
| Max. Negotiated Rate |
$2,032.32 |
| Rate for Payer: Aetna Commercial |
$1,630.09
|
| Rate for Payer: Anthem Medicaid |
$728.04
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,651.26
|
| Rate for Payer: Cash Price |
$1,058.50
|
| Rate for Payer: Cigna Commercial |
$1,757.11
|
| Rate for Payer: First Health Commercial |
$2,011.15
|
| Rate for Payer: Humana Commercial |
$1,799.45
|
| Rate for Payer: Humana KY Medicaid |
$728.04
|
| Rate for Payer: Kentucky WC Medicaid |
$735.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,735.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,562.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$635.10
|
| Rate for Payer: Molina Healthcare Medicaid |
$742.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,862.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,587.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,693.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,841.79
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,460.73
|
| Rate for Payer: PHCS Commercial |
$2,032.32
|
| Rate for Payer: United Healthcare All Payer |
$1,862.96
|
|
|
SCREW CAN THREAD 3.5*24MM
|
Facility
|
IP
|
$2,117.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$635.10 |
| Max. Negotiated Rate |
$2,032.32 |
| Rate for Payer: Aetna Commercial |
$1,630.09
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,651.26
|
| Rate for Payer: Cash Price |
$1,058.50
|
| Rate for Payer: Cigna Commercial |
$1,757.11
|
| Rate for Payer: First Health Commercial |
$2,011.15
|
| Rate for Payer: Humana Commercial |
$1,799.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,735.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,562.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$635.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,862.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,587.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,693.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,841.79
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,460.73
|
| Rate for Payer: PHCS Commercial |
$2,032.32
|
| Rate for Payer: United Healthcare All Payer |
$1,862.96
|
|
|
SCREW CAN THREAD 3.5*26MM
|
Facility
|
OP
|
$2,117.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$635.10 |
| Max. Negotiated Rate |
$2,032.32 |
| Rate for Payer: Aetna Commercial |
$1,630.09
|
| Rate for Payer: Anthem Medicaid |
$728.04
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,651.26
|
| Rate for Payer: Cash Price |
$1,058.50
|
| Rate for Payer: Cigna Commercial |
$1,757.11
|
| Rate for Payer: First Health Commercial |
$2,011.15
|
| Rate for Payer: Humana Commercial |
$1,799.45
|
| Rate for Payer: Humana KY Medicaid |
$728.04
|
| Rate for Payer: Kentucky WC Medicaid |
$735.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,735.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,562.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$635.10
|
| Rate for Payer: Molina Healthcare Medicaid |
$742.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,862.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,587.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,693.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,841.79
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,460.73
|
| Rate for Payer: PHCS Commercial |
$2,032.32
|
| Rate for Payer: United Healthcare All Payer |
$1,862.96
|
|
|
SCREW CAN THREAD 3.5*26MM
|
Facility
|
IP
|
$2,117.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$635.10 |
| Max. Negotiated Rate |
$2,032.32 |
| Rate for Payer: Aetna Commercial |
$1,630.09
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,651.26
|
| Rate for Payer: Cash Price |
$1,058.50
|
| Rate for Payer: Cigna Commercial |
$1,757.11
|
| Rate for Payer: First Health Commercial |
$2,011.15
|
| Rate for Payer: Humana Commercial |
$1,799.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,735.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,562.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$635.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,862.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,587.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,693.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,841.79
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,460.73
|
| Rate for Payer: PHCS Commercial |
$2,032.32
|
| Rate for Payer: United Healthcare All Payer |
$1,862.96
|
|
|
SCREW CHAMFER 4.0*40MM
|
Facility
|
OP
|
$7,083.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,124.98 |
| Max. Negotiated Rate |
$6,799.93 |
| Rate for Payer: Aetna Commercial |
$5,454.11
|
| Rate for Payer: Anthem Medicaid |
$2,435.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$5,524.94
|
| Rate for Payer: Cash Price |
$3,541.63
|
| Rate for Payer: Cigna Commercial |
$5,879.11
|
| Rate for Payer: First Health Commercial |
$6,729.10
|
| Rate for Payer: Humana Commercial |
$6,020.77
|
| Rate for Payer: Humana KY Medicaid |
$2,435.93
|
| Rate for Payer: Kentucky WC Medicaid |
$2,460.72
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$5,808.27
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$5,227.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,124.98
|
| Rate for Payer: Molina Healthcare Medicaid |
$2,484.81
|
| Rate for Payer: Ohio Health Choice Commercial |
$6,233.27
|
| Rate for Payer: Ohio Health Group HMO |
$5,312.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,666.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$6,162.44
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$4,887.45
|
| Rate for Payer: PHCS Commercial |
$6,799.93
|
| Rate for Payer: United Healthcare All Payer |
$6,233.27
|
|
|
SCREW CHAMFER 4.0*40MM
|
Facility
|
IP
|
$7,083.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,124.98 |
| Max. Negotiated Rate |
$6,799.93 |
| Rate for Payer: Aetna Commercial |
$5,454.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$5,524.94
|
| Rate for Payer: Cash Price |
$3,541.63
|
| Rate for Payer: Cigna Commercial |
$5,879.11
|
| Rate for Payer: First Health Commercial |
$6,729.10
|
| Rate for Payer: Humana Commercial |
$6,020.77
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$5,808.27
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$5,227.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,124.98
|
| Rate for Payer: Ohio Health Choice Commercial |
$6,233.27
|
| Rate for Payer: Ohio Health Group HMO |
$5,312.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,666.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$6,162.44
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$4,887.45
|
| Rate for Payer: PHCS Commercial |
$6,799.93
|
| Rate for Payer: United Healthcare All Payer |
$6,233.27
|
|
|
SCREW COMP HDLESS 7.0*115 LT
|
Facility
|
IP
|
$4,598.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,379.48 |
| Max. Negotiated Rate |
$4,414.33 |
| Rate for Payer: Aetna Commercial |
$3,540.66
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,586.64
|
| Rate for Payer: Cash Price |
$2,299.13
|
| Rate for Payer: Cigna Commercial |
$3,816.56
|
| Rate for Payer: First Health Commercial |
$4,368.35
|
| Rate for Payer: Humana Commercial |
$3,908.52
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,770.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,393.52
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,379.48
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,046.47
|
| Rate for Payer: Ohio Health Group HMO |
$3,448.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,678.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,000.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,172.80
|
| Rate for Payer: PHCS Commercial |
$4,414.33
|
| Rate for Payer: United Healthcare All Payer |
$4,046.47
|
|
|
SCREW COMP HDLESS 7.0*115 LT
|
Facility
|
OP
|
$4,598.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,379.48 |
| Max. Negotiated Rate |
$4,414.33 |
| Rate for Payer: Aetna Commercial |
$3,540.66
|
| Rate for Payer: Anthem Medicaid |
$1,581.34
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,586.64
|
| Rate for Payer: Cash Price |
$2,299.13
|
| Rate for Payer: Cigna Commercial |
$3,816.56
|
| Rate for Payer: First Health Commercial |
$4,368.35
|
| Rate for Payer: Humana Commercial |
$3,908.52
|
| Rate for Payer: Humana KY Medicaid |
$1,581.34
|
| Rate for Payer: Kentucky WC Medicaid |
$1,597.44
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,770.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,393.52
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,379.48
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,613.07
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,046.47
|
| Rate for Payer: Ohio Health Group HMO |
$3,448.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,678.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,000.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,172.80
|
| Rate for Payer: PHCS Commercial |
$4,414.33
|
| Rate for Payer: United Healthcare All Payer |
$4,046.47
|
|
|
SCREW COMP HDLESS7.0*85 LT
|
Facility
|
IP
|
$4,598.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,379.48 |
| Max. Negotiated Rate |
$4,414.33 |
| Rate for Payer: Aetna Commercial |
$3,540.66
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,586.64
|
| Rate for Payer: Cash Price |
$2,299.13
|
| Rate for Payer: Cigna Commercial |
$3,816.56
|
| Rate for Payer: First Health Commercial |
$4,368.35
|
| Rate for Payer: Humana Commercial |
$3,908.52
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,770.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,393.52
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,379.48
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,046.47
|
| Rate for Payer: Ohio Health Group HMO |
$3,448.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,678.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,000.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,172.80
|
| Rate for Payer: PHCS Commercial |
$4,414.33
|
| Rate for Payer: United Healthcare All Payer |
$4,046.47
|
|
|
SCREW COMP HDLESS7.0*85 LT
|
Facility
|
OP
|
$4,598.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,379.48 |
| Max. Negotiated Rate |
$4,414.33 |
| Rate for Payer: Aetna Commercial |
$3,540.66
|
| Rate for Payer: Anthem Medicaid |
$1,581.34
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,586.64
|
| Rate for Payer: Cash Price |
$2,299.13
|
| Rate for Payer: Cigna Commercial |
$3,816.56
|
| Rate for Payer: First Health Commercial |
$4,368.35
|
| Rate for Payer: Humana Commercial |
$3,908.52
|
| Rate for Payer: Humana KY Medicaid |
$1,581.34
|
| Rate for Payer: Kentucky WC Medicaid |
$1,597.44
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,770.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,393.52
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,379.48
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,613.07
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,046.47
|
| Rate for Payer: Ohio Health Group HMO |
$3,448.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,678.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,000.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,172.80
|
| Rate for Payer: PHCS Commercial |
$4,414.33
|
| Rate for Payer: United Healthcare All Payer |
$4,046.47
|
|
|
SCREW COMP HDLESS7.0*95 LT
|
Facility
|
IP
|
$4,598.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,379.48 |
| Max. Negotiated Rate |
$4,414.33 |
| Rate for Payer: Aetna Commercial |
$3,540.66
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,586.64
|
| Rate for Payer: Cash Price |
$2,299.13
|
| Rate for Payer: Cigna Commercial |
$3,816.56
|
| Rate for Payer: First Health Commercial |
$4,368.35
|
| Rate for Payer: Humana Commercial |
$3,908.52
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,770.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,393.52
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,379.48
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,046.47
|
| Rate for Payer: Ohio Health Group HMO |
$3,448.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,678.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,000.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,172.80
|
| Rate for Payer: PHCS Commercial |
$4,414.33
|
| Rate for Payer: United Healthcare All Payer |
$4,046.47
|
|
|
SCREW COMP HDLESS7.0*95 LT
|
Facility
|
OP
|
$4,598.26
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,379.48 |
| Max. Negotiated Rate |
$4,414.33 |
| Rate for Payer: Aetna Commercial |
$3,540.66
|
| Rate for Payer: Anthem Medicaid |
$1,581.34
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,586.64
|
| Rate for Payer: Cash Price |
$2,299.13
|
| Rate for Payer: Cigna Commercial |
$3,816.56
|
| Rate for Payer: First Health Commercial |
$4,368.35
|
| Rate for Payer: Humana Commercial |
$3,908.52
|
| Rate for Payer: Humana KY Medicaid |
$1,581.34
|
| Rate for Payer: Kentucky WC Medicaid |
$1,597.44
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,770.57
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,393.52
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,379.48
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,613.07
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,046.47
|
| Rate for Payer: Ohio Health Group HMO |
$3,448.70
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,678.61
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,000.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,172.80
|
| Rate for Payer: PHCS Commercial |
$4,414.33
|
| Rate for Payer: United Healthcare All Payer |
$4,046.47
|
|
|
SCREW COMP HEADLESS 5.0*60 TI
|
Facility
|
IP
|
$5,176.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.88 |
| Max. Negotiated Rate |
$4,969.20 |
| Rate for Payer: Aetna Commercial |
$3,985.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,037.47
|
| Rate for Payer: Cash Price |
$2,588.12
|
| Rate for Payer: Cigna Commercial |
$4,296.29
|
| Rate for Payer: First Health Commercial |
$4,917.44
|
| Rate for Payer: Humana Commercial |
$4,399.81
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,244.52
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,820.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,552.88
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,555.10
|
| Rate for Payer: Ohio Health Group HMO |
$3,882.19
|
| Rate for Payer: Ohio Health Group PPO Differential |
$4,141.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,503.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,571.61
|
| Rate for Payer: PHCS Commercial |
$4,969.20
|
| Rate for Payer: United Healthcare All Payer |
$4,555.10
|
|
|
SCREW COMP HEADLESS 5.0*60 TI
|
Facility
|
OP
|
$5,176.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.88 |
| Max. Negotiated Rate |
$4,969.20 |
| Rate for Payer: Aetna Commercial |
$3,985.71
|
| Rate for Payer: Anthem Medicaid |
$1,780.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,037.47
|
| Rate for Payer: Cash Price |
$2,588.12
|
| Rate for Payer: Cigna Commercial |
$4,296.29
|
| Rate for Payer: First Health Commercial |
$4,917.44
|
| Rate for Payer: Humana Commercial |
$4,399.81
|
| Rate for Payer: Humana KY Medicaid |
$1,780.11
|
| Rate for Payer: Kentucky WC Medicaid |
$1,798.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,244.52
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,820.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,552.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,815.83
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,555.10
|
| Rate for Payer: Ohio Health Group HMO |
$3,882.19
|
| Rate for Payer: Ohio Health Group PPO Differential |
$4,141.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,503.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,571.61
|
| Rate for Payer: PHCS Commercial |
$4,969.20
|
| Rate for Payer: United Healthcare All Payer |
$4,555.10
|
|
|
SCREW COMP HEADLESS 5.0*65 TI
|
Facility
|
IP
|
$5,176.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.88 |
| Max. Negotiated Rate |
$4,969.20 |
| Rate for Payer: Aetna Commercial |
$3,985.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,037.47
|
| Rate for Payer: Cash Price |
$2,588.12
|
| Rate for Payer: Cigna Commercial |
$4,296.29
|
| Rate for Payer: First Health Commercial |
$4,917.44
|
| Rate for Payer: Humana Commercial |
$4,399.81
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,244.52
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,820.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,552.88
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,555.10
|
| Rate for Payer: Ohio Health Group HMO |
$3,882.19
|
| Rate for Payer: Ohio Health Group PPO Differential |
$4,141.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,503.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,571.61
|
| Rate for Payer: PHCS Commercial |
$4,969.20
|
| Rate for Payer: United Healthcare All Payer |
$4,555.10
|
|
|
SCREW COMP HEADLESS 5.0*65 TI
|
Facility
|
OP
|
$5,176.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,552.88 |
| Max. Negotiated Rate |
$4,969.20 |
| Rate for Payer: Aetna Commercial |
$3,985.71
|
| Rate for Payer: Anthem Medicaid |
$1,780.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,037.47
|
| Rate for Payer: Cash Price |
$2,588.12
|
| Rate for Payer: Cigna Commercial |
$4,296.29
|
| Rate for Payer: First Health Commercial |
$4,917.44
|
| Rate for Payer: Humana Commercial |
$4,399.81
|
| Rate for Payer: Humana KY Medicaid |
$1,780.11
|
| Rate for Payer: Kentucky WC Medicaid |
$1,798.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,244.52
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,820.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,552.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,815.83
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,555.10
|
| Rate for Payer: Ohio Health Group HMO |
$3,882.19
|
| Rate for Payer: Ohio Health Group PPO Differential |
$4,141.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,503.34
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,571.61
|
| Rate for Payer: PHCS Commercial |
$4,969.20
|
| Rate for Payer: United Healthcare All Payer |
$4,555.10
|
|
|
SCREW COMPRESSION 30MM
|
Facility
|
IP
|
$2,973.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$892.00 |
| Max. Negotiated Rate |
$2,854.42 |
| Rate for Payer: Aetna Commercial |
$2,289.48
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,319.21
|
| Rate for Payer: Cash Price |
$1,486.67
|
| Rate for Payer: Cigna Commercial |
$2,467.88
|
| Rate for Payer: First Health Commercial |
$2,824.68
|
| Rate for Payer: Humana Commercial |
$2,527.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,438.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,194.33
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$892.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,616.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,230.01
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,378.68
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,586.81
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,051.61
|
| Rate for Payer: PHCS Commercial |
$2,854.42
|
| Rate for Payer: United Healthcare All Payer |
$2,616.55
|
|
|
SCREW COMPRESSION 30MM
|
Facility
|
OP
|
$2,973.35
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$892.00 |
| Max. Negotiated Rate |
$2,854.42 |
| Rate for Payer: Aetna Commercial |
$2,289.48
|
| Rate for Payer: Anthem Medicaid |
$1,022.54
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,319.21
|
| Rate for Payer: Cash Price |
$1,486.67
|
| Rate for Payer: Cigna Commercial |
$2,467.88
|
| Rate for Payer: First Health Commercial |
$2,824.68
|
| Rate for Payer: Humana Commercial |
$2,527.35
|
| Rate for Payer: Humana KY Medicaid |
$1,022.54
|
| Rate for Payer: Kentucky WC Medicaid |
$1,032.94
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,438.15
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,194.33
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$892.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,043.05
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,616.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,230.01
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,378.68
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,586.81
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,051.61
|
| Rate for Payer: PHCS Commercial |
$2,854.42
|
| Rate for Payer: United Healthcare All Payer |
$2,616.55
|
|
|
SCREW COMPRESSION 32.3MM
|
Facility
|
OP
|
$1,142.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$342.60 |
| Max. Negotiated Rate |
$1,096.32 |
| Rate for Payer: Aetna Commercial |
$879.34
|
| Rate for Payer: Anthem Medicaid |
$392.73
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$890.76
|
| Rate for Payer: Cash Price |
$571.00
|
| Rate for Payer: Cigna Commercial |
$947.86
|
| Rate for Payer: First Health Commercial |
$1,084.90
|
| Rate for Payer: Humana Commercial |
$970.70
|
| Rate for Payer: Humana KY Medicaid |
$392.73
|
| Rate for Payer: Kentucky WC Medicaid |
$396.73
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$936.44
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$842.80
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$342.60
|
| Rate for Payer: Molina Healthcare Medicaid |
$400.61
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,004.96
|
| Rate for Payer: Ohio Health Group HMO |
$856.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$913.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$993.54
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$787.98
|
| Rate for Payer: PHCS Commercial |
$1,096.32
|
| Rate for Payer: United Healthcare All Payer |
$1,004.96
|
|
|
SCREW COMPRESSION 32.3MM
|
Facility
|
IP
|
$1,142.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$342.60 |
| Max. Negotiated Rate |
$1,096.32 |
| Rate for Payer: Aetna Commercial |
$879.34
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$890.76
|
| Rate for Payer: Cash Price |
$571.00
|
| Rate for Payer: Cigna Commercial |
$947.86
|
| Rate for Payer: First Health Commercial |
$1,084.90
|
| Rate for Payer: Humana Commercial |
$970.70
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$936.44
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$842.80
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$342.60
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,004.96
|
| Rate for Payer: Ohio Health Group HMO |
$856.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$913.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$993.54
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$787.98
|
| Rate for Payer: PHCS Commercial |
$1,096.32
|
| Rate for Payer: United Healthcare All Payer |
$1,004.96
|
|
|
SCREW COMPRESSION 40MM
|
Facility
|
OP
|
$3,601.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,080.38 |
| Max. Negotiated Rate |
$3,457.20 |
| Rate for Payer: Aetna Commercial |
$2,772.96
|
| Rate for Payer: Anthem Medicaid |
$1,238.47
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,808.97
|
| Rate for Payer: Cash Price |
$1,800.62
|
| Rate for Payer: Cigna Commercial |
$2,989.04
|
| Rate for Payer: First Health Commercial |
$3,421.19
|
| Rate for Payer: Humana Commercial |
$3,061.06
|
| Rate for Payer: Humana KY Medicaid |
$1,238.47
|
| Rate for Payer: Kentucky WC Medicaid |
$1,251.07
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,953.03
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,657.72
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,080.38
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,263.32
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,169.10
|
| Rate for Payer: Ohio Health Group HMO |
$2,700.94
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,881.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,133.09
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,484.86
|
| Rate for Payer: PHCS Commercial |
$3,457.20
|
| Rate for Payer: United Healthcare All Payer |
$3,169.10
|
|
