|
SCREW LCKING 2.4MM*26MM T7 S
|
Facility
|
OP
|
$1,814.14
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$544.24 |
| Max. Negotiated Rate |
$1,741.57 |
| Rate for Payer: Aetna Commercial |
$1,396.89
|
| Rate for Payer: Anthem Medicaid |
$623.88
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,415.03
|
| Rate for Payer: Cash Price |
$907.07
|
| Rate for Payer: Cigna Commercial |
$1,505.74
|
| Rate for Payer: First Health Commercial |
$1,723.43
|
| Rate for Payer: Humana Commercial |
$1,542.02
|
| Rate for Payer: Humana KY Medicaid |
$623.88
|
| Rate for Payer: Kentucky WC Medicaid |
$630.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,487.59
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,338.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$544.24
|
| Rate for Payer: Molina Healthcare Medicaid |
$636.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,596.44
|
| Rate for Payer: Ohio Health Group HMO |
$1,360.61
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,451.31
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,578.30
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,251.76
|
| Rate for Payer: PHCS Commercial |
$1,741.57
|
| Rate for Payer: United Healthcare All Payer |
$1,596.44
|
|
|
SCREW LCKING 2.4MM*28MM T7 S
|
Facility
|
OP
|
$1,814.14
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$544.24 |
| Max. Negotiated Rate |
$1,741.57 |
| Rate for Payer: Aetna Commercial |
$1,396.89
|
| Rate for Payer: Anthem Medicaid |
$623.88
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,415.03
|
| Rate for Payer: Cash Price |
$907.07
|
| Rate for Payer: Cigna Commercial |
$1,505.74
|
| Rate for Payer: First Health Commercial |
$1,723.43
|
| Rate for Payer: Humana Commercial |
$1,542.02
|
| Rate for Payer: Humana KY Medicaid |
$623.88
|
| Rate for Payer: Kentucky WC Medicaid |
$630.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,487.59
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,338.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$544.24
|
| Rate for Payer: Molina Healthcare Medicaid |
$636.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,596.44
|
| Rate for Payer: Ohio Health Group HMO |
$1,360.61
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,451.31
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,578.30
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,251.76
|
| Rate for Payer: PHCS Commercial |
$1,741.57
|
| Rate for Payer: United Healthcare All Payer |
$1,596.44
|
|
|
SCREW LCKING 2.4MM*28MM T7 S
|
Facility
|
IP
|
$1,814.14
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$544.24 |
| Max. Negotiated Rate |
$1,741.57 |
| Rate for Payer: Aetna Commercial |
$1,396.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,415.03
|
| Rate for Payer: Cash Price |
$907.07
|
| Rate for Payer: Cigna Commercial |
$1,505.74
|
| Rate for Payer: First Health Commercial |
$1,723.43
|
| Rate for Payer: Humana Commercial |
$1,542.02
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,487.59
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,338.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$544.24
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,596.44
|
| Rate for Payer: Ohio Health Group HMO |
$1,360.61
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,451.31
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,578.30
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,251.76
|
| Rate for Payer: PHCS Commercial |
$1,741.57
|
| Rate for Payer: United Healthcare All Payer |
$1,596.44
|
|
|
SCREW LOCK 2.4*12MM
|
Facility
|
IP
|
$1,927.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$578.10 |
| Max. Negotiated Rate |
$1,849.92 |
| Rate for Payer: Aetna Commercial |
$1,483.79
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.06
|
| Rate for Payer: Cash Price |
$963.50
|
| Rate for Payer: Cigna Commercial |
$1,599.41
|
| Rate for Payer: First Health Commercial |
$1,830.65
|
| Rate for Payer: Humana Commercial |
$1,637.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.14
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.13
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,695.76
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,541.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,676.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,329.63
|
| Rate for Payer: PHCS Commercial |
$1,849.92
|
| Rate for Payer: United Healthcare All Payer |
$1,695.76
|
|
|
SCREW LOCK 2.4*12MM
|
Facility
|
OP
|
$1,927.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$578.10 |
| Max. Negotiated Rate |
$1,849.92 |
| Rate for Payer: Aetna Commercial |
$1,483.79
|
| Rate for Payer: Anthem Medicaid |
$662.70
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.06
|
| Rate for Payer: Cash Price |
$963.50
|
| Rate for Payer: Cigna Commercial |
$1,599.41
|
| Rate for Payer: First Health Commercial |
$1,830.65
|
| Rate for Payer: Humana Commercial |
$1,637.95
|
| Rate for Payer: Humana KY Medicaid |
$662.70
|
| Rate for Payer: Kentucky WC Medicaid |
$669.44
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.14
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.13
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.10
|
| Rate for Payer: Molina Healthcare Medicaid |
$675.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,695.76
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,541.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,676.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,329.63
|
| Rate for Payer: PHCS Commercial |
$1,849.92
|
| Rate for Payer: United Healthcare All Payer |
$1,695.76
|
|
|
SCREW LOCK 2.4*8MM
|
Facility
|
IP
|
$1,927.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$578.10 |
| Max. Negotiated Rate |
$1,849.92 |
| Rate for Payer: Aetna Commercial |
$1,483.79
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.06
|
| Rate for Payer: Cash Price |
$963.50
|
| Rate for Payer: Cigna Commercial |
$1,599.41
|
| Rate for Payer: First Health Commercial |
$1,830.65
|
| Rate for Payer: Humana Commercial |
$1,637.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.14
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.13
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,695.76
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,541.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,676.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,329.63
|
| Rate for Payer: PHCS Commercial |
$1,849.92
|
| Rate for Payer: United Healthcare All Payer |
$1,695.76
|
|
|
SCREW LOCK 2.4*8MM
|
Facility
|
OP
|
$1,927.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$578.10 |
| Max. Negotiated Rate |
$1,849.92 |
| Rate for Payer: Aetna Commercial |
$1,483.79
|
| Rate for Payer: Anthem Medicaid |
$662.70
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,503.06
|
| Rate for Payer: Cash Price |
$963.50
|
| Rate for Payer: Cigna Commercial |
$1,599.41
|
| Rate for Payer: First Health Commercial |
$1,830.65
|
| Rate for Payer: Humana Commercial |
$1,637.95
|
| Rate for Payer: Humana KY Medicaid |
$662.70
|
| Rate for Payer: Kentucky WC Medicaid |
$669.44
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,580.14
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,422.13
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$578.10
|
| Rate for Payer: Molina Healthcare Medicaid |
$675.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,695.76
|
| Rate for Payer: Ohio Health Group HMO |
$1,445.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,541.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,676.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,329.63
|
| Rate for Payer: PHCS Commercial |
$1,849.92
|
| Rate for Payer: United Healthcare All Payer |
$1,695.76
|
|
|
SCREW LOCK CROSSPIN ST 2.3*15
|
Facility
|
OP
|
$1,179.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$353.94 |
| Max. Negotiated Rate |
$1,132.61 |
| Rate for Payer: Aetna Commercial |
$908.45
|
| Rate for Payer: Anthem Medicaid |
$405.73
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$920.24
|
| Rate for Payer: Cash Price |
$589.90
|
| Rate for Payer: Cigna Commercial |
$979.23
|
| Rate for Payer: First Health Commercial |
$1,120.81
|
| Rate for Payer: Humana Commercial |
$1,002.83
|
| Rate for Payer: Humana KY Medicaid |
$405.73
|
| Rate for Payer: Kentucky WC Medicaid |
$409.86
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$967.44
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$870.69
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$353.94
|
| Rate for Payer: Molina Healthcare Medicaid |
$413.87
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,038.22
|
| Rate for Payer: Ohio Health Group HMO |
$884.85
|
| Rate for Payer: Ohio Health Group PPO Differential |
$943.84
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,026.43
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$814.06
|
| Rate for Payer: PHCS Commercial |
$1,132.61
|
| Rate for Payer: United Healthcare All Payer |
$1,038.22
|
|
|
SCREW LOCK CROSSPIN ST 2.3*15
|
Facility
|
IP
|
$1,179.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$353.94 |
| Max. Negotiated Rate |
$1,132.61 |
| Rate for Payer: Aetna Commercial |
$908.45
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$920.24
|
| Rate for Payer: Cash Price |
$589.90
|
| Rate for Payer: Cigna Commercial |
$979.23
|
| Rate for Payer: First Health Commercial |
$1,120.81
|
| Rate for Payer: Humana Commercial |
$1,002.83
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$967.44
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$870.69
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$353.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,038.22
|
| Rate for Payer: Ohio Health Group HMO |
$884.85
|
| Rate for Payer: Ohio Health Group PPO Differential |
$943.84
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,026.43
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$814.06
|
| Rate for Payer: PHCS Commercial |
$1,132.61
|
| Rate for Payer: United Healthcare All Payer |
$1,038.22
|
|
|
SCREW LOCK CROSSPIN ST 2.3*16
|
Facility
|
OP
|
$1,914.08
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$574.22 |
| Max. Negotiated Rate |
$1,837.52 |
| Rate for Payer: Aetna Commercial |
$1,473.84
|
| Rate for Payer: Anthem Medicaid |
$658.25
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,492.98
|
| Rate for Payer: Cash Price |
$957.04
|
| Rate for Payer: Cigna Commercial |
$1,588.69
|
| Rate for Payer: First Health Commercial |
$1,818.38
|
| Rate for Payer: Humana Commercial |
$1,626.97
|
| Rate for Payer: Humana KY Medicaid |
$658.25
|
| Rate for Payer: Kentucky WC Medicaid |
$664.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,569.55
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,412.59
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$574.22
|
| Rate for Payer: Molina Healthcare Medicaid |
$671.46
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,684.39
|
| Rate for Payer: Ohio Health Group HMO |
$1,435.56
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,531.26
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,665.25
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,320.72
|
| Rate for Payer: PHCS Commercial |
$1,837.52
|
| Rate for Payer: United Healthcare All Payer |
$1,684.39
|
|
|
SCREW LOCK CROSSPIN ST 2.3*16
|
Facility
|
IP
|
$1,914.08
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$574.22 |
| Max. Negotiated Rate |
$1,837.52 |
| Rate for Payer: Aetna Commercial |
$1,473.84
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,492.98
|
| Rate for Payer: Cash Price |
$957.04
|
| Rate for Payer: Cigna Commercial |
$1,588.69
|
| Rate for Payer: First Health Commercial |
$1,818.38
|
| Rate for Payer: Humana Commercial |
$1,626.97
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,569.55
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,412.59
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$574.22
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,684.39
|
| Rate for Payer: Ohio Health Group HMO |
$1,435.56
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,531.26
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,665.25
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,320.72
|
| Rate for Payer: PHCS Commercial |
$1,837.52
|
| Rate for Payer: United Healthcare All Payer |
$1,684.39
|
|
|
SCREW LOCK CROSSPIN ST 2.3*18
|
Facility
|
IP
|
$1,816.99
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$545.10 |
| Max. Negotiated Rate |
$1,744.31 |
| Rate for Payer: Aetna Commercial |
$1,399.08
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,417.25
|
| Rate for Payer: Cash Price |
$908.50
|
| Rate for Payer: Cigna Commercial |
$1,508.10
|
| Rate for Payer: First Health Commercial |
$1,726.14
|
| Rate for Payer: Humana Commercial |
$1,544.44
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,489.93
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,340.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$545.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,598.95
|
| Rate for Payer: Ohio Health Group HMO |
$1,362.74
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,453.59
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,580.78
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,253.72
|
| Rate for Payer: PHCS Commercial |
$1,744.31
|
| Rate for Payer: United Healthcare All Payer |
$1,598.95
|
|
|
SCREW LOCK CROSSPIN ST 2.3*18
|
Facility
|
OP
|
$1,816.99
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$545.10 |
| Max. Negotiated Rate |
$1,744.31 |
| Rate for Payer: Aetna Commercial |
$1,399.08
|
| Rate for Payer: Anthem Medicaid |
$624.86
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,417.25
|
| Rate for Payer: Cash Price |
$908.50
|
| Rate for Payer: Cigna Commercial |
$1,508.10
|
| Rate for Payer: First Health Commercial |
$1,726.14
|
| Rate for Payer: Humana Commercial |
$1,544.44
|
| Rate for Payer: Humana KY Medicaid |
$624.86
|
| Rate for Payer: Kentucky WC Medicaid |
$631.22
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,489.93
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,340.94
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$545.10
|
| Rate for Payer: Molina Healthcare Medicaid |
$637.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,598.95
|
| Rate for Payer: Ohio Health Group HMO |
$1,362.74
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,453.59
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,580.78
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,253.72
|
| Rate for Payer: PHCS Commercial |
$1,744.31
|
| Rate for Payer: United Healthcare All Payer |
$1,598.95
|
|
|
SCREW LOCKING 2.7*24MM
|
Facility
|
IP
|
$1,946.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.80 |
| Max. Negotiated Rate |
$1,868.16 |
| Rate for Payer: Aetna Commercial |
$1,498.42
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.88
|
| Rate for Payer: Cash Price |
$973.00
|
| Rate for Payer: Cigna Commercial |
$1,615.18
|
| Rate for Payer: First Health Commercial |
$1,848.70
|
| Rate for Payer: Humana Commercial |
$1,654.10
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,595.72
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,436.15
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.80
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,712.48
|
| Rate for Payer: Ohio Health Group HMO |
$1,459.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,556.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,693.02
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,342.74
|
| Rate for Payer: PHCS Commercial |
$1,868.16
|
| Rate for Payer: United Healthcare All Payer |
$1,712.48
|
|
|
SCREW LOCKING 2.7*24MM
|
Facility
|
OP
|
$1,946.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.80 |
| Max. Negotiated Rate |
$1,868.16 |
| Rate for Payer: Aetna Commercial |
$1,498.42
|
| Rate for Payer: Anthem Medicaid |
$669.23
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.88
|
| Rate for Payer: Cash Price |
$973.00
|
| Rate for Payer: Cigna Commercial |
$1,615.18
|
| Rate for Payer: First Health Commercial |
$1,848.70
|
| Rate for Payer: Humana Commercial |
$1,654.10
|
| Rate for Payer: Humana KY Medicaid |
$669.23
|
| Rate for Payer: Kentucky WC Medicaid |
$676.04
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,595.72
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,436.15
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.80
|
| Rate for Payer: Molina Healthcare Medicaid |
$682.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,712.48
|
| Rate for Payer: Ohio Health Group HMO |
$1,459.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,556.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,693.02
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,342.74
|
| Rate for Payer: PHCS Commercial |
$1,868.16
|
| Rate for Payer: United Healthcare All Payer |
$1,712.48
|
|
|
SCREW LOCKING 2.7*26MM
|
Facility
|
OP
|
$1,946.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.80 |
| Max. Negotiated Rate |
$1,868.16 |
| Rate for Payer: Aetna Commercial |
$1,498.42
|
| Rate for Payer: Anthem Medicaid |
$669.23
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.88
|
| Rate for Payer: Cash Price |
$973.00
|
| Rate for Payer: Cigna Commercial |
$1,615.18
|
| Rate for Payer: First Health Commercial |
$1,848.70
|
| Rate for Payer: Humana Commercial |
$1,654.10
|
| Rate for Payer: Humana KY Medicaid |
$669.23
|
| Rate for Payer: Kentucky WC Medicaid |
$676.04
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,595.72
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,436.15
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.80
|
| Rate for Payer: Molina Healthcare Medicaid |
$682.66
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,712.48
|
| Rate for Payer: Ohio Health Group HMO |
$1,459.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,556.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,693.02
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,342.74
|
| Rate for Payer: PHCS Commercial |
$1,868.16
|
| Rate for Payer: United Healthcare All Payer |
$1,712.48
|
|
|
SCREW LOCKING 2.7*26MM
|
Facility
|
IP
|
$1,946.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$583.80 |
| Max. Negotiated Rate |
$1,868.16 |
| Rate for Payer: Aetna Commercial |
$1,498.42
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,517.88
|
| Rate for Payer: Cash Price |
$973.00
|
| Rate for Payer: Cigna Commercial |
$1,615.18
|
| Rate for Payer: First Health Commercial |
$1,848.70
|
| Rate for Payer: Humana Commercial |
$1,654.10
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,595.72
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,436.15
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$583.80
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,712.48
|
| Rate for Payer: Ohio Health Group HMO |
$1,459.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,556.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,693.02
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,342.74
|
| Rate for Payer: PHCS Commercial |
$1,868.16
|
| Rate for Payer: United Healthcare All Payer |
$1,712.48
|
|
|
SCREW LOCKING 3.5*34MM
|
Facility
|
OP
|
$3,140.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$942.00 |
| Max. Negotiated Rate |
$3,014.40 |
| Rate for Payer: Aetna Commercial |
$2,417.80
|
| Rate for Payer: Anthem Medicaid |
$1,079.85
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,449.20
|
| Rate for Payer: Cash Price |
$1,570.00
|
| Rate for Payer: Cigna Commercial |
$2,606.20
|
| Rate for Payer: First Health Commercial |
$2,983.00
|
| Rate for Payer: Humana Commercial |
$2,669.00
|
| Rate for Payer: Humana KY Medicaid |
$1,079.85
|
| Rate for Payer: Kentucky WC Medicaid |
$1,090.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,574.80
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,317.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$942.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,101.51
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,763.20
|
| Rate for Payer: Ohio Health Group HMO |
$2,355.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,512.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,731.80
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,166.60
|
| Rate for Payer: PHCS Commercial |
$3,014.40
|
| Rate for Payer: United Healthcare All Payer |
$2,763.20
|
|
|
SCREW LOCKING 3.5*34MM
|
Facility
|
IP
|
$3,140.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$942.00 |
| Max. Negotiated Rate |
$3,014.40 |
| Rate for Payer: Aetna Commercial |
$2,417.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,449.20
|
| Rate for Payer: Cash Price |
$1,570.00
|
| Rate for Payer: Cigna Commercial |
$2,606.20
|
| Rate for Payer: First Health Commercial |
$2,983.00
|
| Rate for Payer: Humana Commercial |
$2,669.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,574.80
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,317.32
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$942.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,763.20
|
| Rate for Payer: Ohio Health Group HMO |
$2,355.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,512.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,731.80
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,166.60
|
| Rate for Payer: PHCS Commercial |
$3,014.40
|
| Rate for Payer: United Healthcare All Payer |
$2,763.20
|
|
|
SCREW LOCKING 3.5*85MM
|
Facility
|
IP
|
$3,346.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,003.88 |
| Max. Negotiated Rate |
$3,212.40 |
| Rate for Payer: Aetna Commercial |
$2,576.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,610.07
|
| Rate for Payer: Cash Price |
$1,673.12
|
| Rate for Payer: Cigna Commercial |
$2,777.39
|
| Rate for Payer: First Health Commercial |
$3,178.94
|
| Rate for Payer: Humana Commercial |
$2,844.31
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,743.93
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,469.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,003.88
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,944.70
|
| Rate for Payer: Ohio Health Group HMO |
$2,509.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,677.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,911.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,308.91
|
| Rate for Payer: PHCS Commercial |
$3,212.40
|
| Rate for Payer: United Healthcare All Payer |
$2,944.70
|
|
|
SCREW LOCKING 3.5*85MM
|
Facility
|
OP
|
$3,346.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,003.88 |
| Max. Negotiated Rate |
$3,212.40 |
| Rate for Payer: Aetna Commercial |
$2,576.61
|
| Rate for Payer: Anthem Medicaid |
$1,150.78
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,610.07
|
| Rate for Payer: Cash Price |
$1,673.12
|
| Rate for Payer: Cigna Commercial |
$2,777.39
|
| Rate for Payer: First Health Commercial |
$3,178.94
|
| Rate for Payer: Humana Commercial |
$2,844.31
|
| Rate for Payer: Humana KY Medicaid |
$1,150.78
|
| Rate for Payer: Kentucky WC Medicaid |
$1,162.49
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,743.93
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,469.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,003.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,173.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,944.70
|
| Rate for Payer: Ohio Health Group HMO |
$2,509.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,677.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,911.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,308.91
|
| Rate for Payer: PHCS Commercial |
$3,212.40
|
| Rate for Payer: United Healthcare All Payer |
$2,944.70
|
|
|
SCREW LOCKING 3.5*90MM
|
Facility
|
IP
|
$3,346.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,003.88 |
| Max. Negotiated Rate |
$3,212.40 |
| Rate for Payer: Aetna Commercial |
$2,576.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,610.07
|
| Rate for Payer: Cash Price |
$1,673.12
|
| Rate for Payer: Cigna Commercial |
$2,777.39
|
| Rate for Payer: First Health Commercial |
$3,178.94
|
| Rate for Payer: Humana Commercial |
$2,844.31
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,743.93
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,469.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,003.88
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,944.70
|
| Rate for Payer: Ohio Health Group HMO |
$2,509.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,677.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,911.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,308.91
|
| Rate for Payer: PHCS Commercial |
$3,212.40
|
| Rate for Payer: United Healthcare All Payer |
$2,944.70
|
|
|
SCREW LOCKING 3.5*90MM
|
Facility
|
OP
|
$3,346.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,003.88 |
| Max. Negotiated Rate |
$3,212.40 |
| Rate for Payer: Aetna Commercial |
$2,576.61
|
| Rate for Payer: Anthem Medicaid |
$1,150.78
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,610.07
|
| Rate for Payer: Cash Price |
$1,673.12
|
| Rate for Payer: Cigna Commercial |
$2,777.39
|
| Rate for Payer: First Health Commercial |
$3,178.94
|
| Rate for Payer: Humana Commercial |
$2,844.31
|
| Rate for Payer: Humana KY Medicaid |
$1,150.78
|
| Rate for Payer: Kentucky WC Medicaid |
$1,162.49
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,743.93
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,469.53
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,003.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,173.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,944.70
|
| Rate for Payer: Ohio Health Group HMO |
$2,509.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,677.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,911.24
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,308.91
|
| Rate for Payer: PHCS Commercial |
$3,212.40
|
| Rate for Payer: United Healthcare All Payer |
$2,944.70
|
|
|
SCREW LOCKING 4.0*16.0MM
|
Facility
|
IP
|
$1,954.78
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$586.43 |
| Max. Negotiated Rate |
$1,876.59 |
| Rate for Payer: Aetna Commercial |
$1,505.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,524.73
|
| Rate for Payer: Cash Price |
$977.39
|
| Rate for Payer: Cigna Commercial |
$1,622.47
|
| Rate for Payer: First Health Commercial |
$1,857.04
|
| Rate for Payer: Humana Commercial |
$1,661.56
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,602.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,442.63
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$586.43
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,720.21
|
| Rate for Payer: Ohio Health Group HMO |
$1,466.09
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,563.82
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,700.66
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,348.80
|
| Rate for Payer: PHCS Commercial |
$1,876.59
|
| Rate for Payer: United Healthcare All Payer |
$1,720.21
|
|
|
SCREW LOCKING 4.0*16.0MM
|
Facility
|
OP
|
$1,954.78
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$586.43 |
| Max. Negotiated Rate |
$1,876.59 |
| Rate for Payer: Aetna Commercial |
$1,505.18
|
| Rate for Payer: Anthem Medicaid |
$672.25
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,524.73
|
| Rate for Payer: Cash Price |
$977.39
|
| Rate for Payer: Cigna Commercial |
$1,622.47
|
| Rate for Payer: First Health Commercial |
$1,857.04
|
| Rate for Payer: Humana Commercial |
$1,661.56
|
| Rate for Payer: Humana KY Medicaid |
$672.25
|
| Rate for Payer: Kentucky WC Medicaid |
$679.09
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,602.92
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,442.63
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$586.43
|
| Rate for Payer: Molina Healthcare Medicaid |
$685.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,720.21
|
| Rate for Payer: Ohio Health Group HMO |
$1,466.09
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,563.82
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,700.66
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,348.80
|
| Rate for Payer: PHCS Commercial |
$1,876.59
|
| Rate for Payer: United Healthcare All Payer |
$1,720.21
|
|
