|
SCREW LOCKING PLATE 3.5*26MM
|
Facility
|
IP
|
$1,946.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000005
|
|
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 PLATE 3.5*40MM
|
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 PLATE 3.5*40MM
|
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 T10 FT 2.7*26
|
Facility
|
OP
|
$1,834.47
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$550.34 |
| Max. Negotiated Rate |
$1,761.09 |
| Rate for Payer: Aetna Commercial |
$1,412.54
|
| Rate for Payer: Anthem Medicaid |
$630.87
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,430.89
|
| Rate for Payer: Cash Price |
$917.24
|
| Rate for Payer: Cigna Commercial |
$1,522.61
|
| Rate for Payer: First Health Commercial |
$1,742.75
|
| Rate for Payer: Humana Commercial |
$1,559.30
|
| Rate for Payer: Humana KY Medicaid |
$630.87
|
| Rate for Payer: Kentucky WC Medicaid |
$637.29
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,504.27
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,353.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$550.34
|
| Rate for Payer: Molina Healthcare Medicaid |
$643.53
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,614.33
|
| Rate for Payer: Ohio Health Group HMO |
$1,375.85
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,467.58
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,595.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,265.78
|
| Rate for Payer: PHCS Commercial |
$1,761.09
|
| Rate for Payer: United Healthcare All Payer |
$1,614.33
|
|
|
SCREW LOCKING T10 FT 2.7*26
|
Facility
|
IP
|
$1,834.47
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$550.34 |
| Max. Negotiated Rate |
$1,761.09 |
| Rate for Payer: Aetna Commercial |
$1,412.54
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,430.89
|
| Rate for Payer: Cash Price |
$917.24
|
| Rate for Payer: Cigna Commercial |
$1,522.61
|
| Rate for Payer: First Health Commercial |
$1,742.75
|
| Rate for Payer: Humana Commercial |
$1,559.30
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,504.27
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,353.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$550.34
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,614.33
|
| Rate for Payer: Ohio Health Group HMO |
$1,375.85
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,467.58
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,595.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,265.78
|
| Rate for Payer: PHCS Commercial |
$1,761.09
|
| Rate for Payer: United Healthcare All Payer |
$1,614.33
|
|
|
SCREW LOCKING T10 FT 2.7*32
|
Facility
|
IP
|
$2,138.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$641.46 |
| Max. Negotiated Rate |
$2,052.67 |
| Rate for Payer: Aetna Commercial |
$1,646.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,667.80
|
| Rate for Payer: Cash Price |
$1,069.10
|
| Rate for Payer: Cigna Commercial |
$1,774.71
|
| Rate for Payer: First Health Commercial |
$2,031.29
|
| Rate for Payer: Humana Commercial |
$1,817.47
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,753.32
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,577.99
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$641.46
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,881.62
|
| Rate for Payer: Ohio Health Group HMO |
$1,603.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,710.56
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,860.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,475.36
|
| Rate for Payer: PHCS Commercial |
$2,052.67
|
| Rate for Payer: United Healthcare All Payer |
$1,881.62
|
|
|
SCREW LOCKING T10 FT 2.7*32
|
Facility
|
OP
|
$2,138.20
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$641.46 |
| Max. Negotiated Rate |
$2,052.67 |
| Rate for Payer: Aetna Commercial |
$1,646.41
|
| Rate for Payer: Anthem Medicaid |
$735.33
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,667.80
|
| Rate for Payer: Cash Price |
$1,069.10
|
| Rate for Payer: Cigna Commercial |
$1,774.71
|
| Rate for Payer: First Health Commercial |
$2,031.29
|
| Rate for Payer: Humana Commercial |
$1,817.47
|
| Rate for Payer: Humana KY Medicaid |
$735.33
|
| Rate for Payer: Kentucky WC Medicaid |
$742.81
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,753.32
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,577.99
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$641.46
|
| Rate for Payer: Molina Healthcare Medicaid |
$750.08
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,881.62
|
| Rate for Payer: Ohio Health Group HMO |
$1,603.65
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,710.56
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,860.23
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,475.36
|
| Rate for Payer: PHCS Commercial |
$2,052.67
|
| Rate for Payer: United Healthcare All Payer |
$1,881.62
|
|
|
SCREW LONG PACK 2.7MM
|
Facility
|
IP
|
$4,906.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,471.88 |
| Max. Negotiated Rate |
$4,710.00 |
| Rate for Payer: Aetna Commercial |
$3,777.81
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,826.88
|
| Rate for Payer: Cash Price |
$2,453.12
|
| Rate for Payer: Cigna Commercial |
$4,072.19
|
| Rate for Payer: First Health Commercial |
$4,660.94
|
| Rate for Payer: Humana Commercial |
$4,170.31
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,023.12
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,620.81
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,471.88
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,317.50
|
| Rate for Payer: Ohio Health Group HMO |
$3,679.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,925.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,268.44
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,385.31
|
| Rate for Payer: PHCS Commercial |
$4,710.00
|
| Rate for Payer: United Healthcare All Payer |
$4,317.50
|
|
|
SCREW LONG PACK 2.7MM
|
Facility
|
OP
|
$4,906.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,471.88 |
| Max. Negotiated Rate |
$4,710.00 |
| Rate for Payer: Aetna Commercial |
$3,777.81
|
| Rate for Payer: Anthem Medicaid |
$1,687.26
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,826.88
|
| Rate for Payer: Cash Price |
$2,453.12
|
| Rate for Payer: Cigna Commercial |
$4,072.19
|
| Rate for Payer: First Health Commercial |
$4,660.94
|
| Rate for Payer: Humana Commercial |
$4,170.31
|
| Rate for Payer: Humana KY Medicaid |
$1,687.26
|
| Rate for Payer: Kentucky WC Medicaid |
$1,704.43
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,023.12
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,620.81
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,471.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,721.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,317.50
|
| Rate for Payer: Ohio Health Group HMO |
$3,679.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,925.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,268.44
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,385.31
|
| Rate for Payer: PHCS Commercial |
$4,710.00
|
| Rate for Payer: United Healthcare All Payer |
$4,317.50
|
|
|
SCREW LONG PACK 3.0MM
|
Facility
|
IP
|
$5,375.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,612.50 |
| Max. Negotiated Rate |
$5,160.00 |
| Rate for Payer: Aetna Commercial |
$4,138.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,192.50
|
| Rate for Payer: Cash Price |
$2,687.50
|
| Rate for Payer: Cigna Commercial |
$4,461.25
|
| Rate for Payer: First Health Commercial |
$5,106.25
|
| Rate for Payer: Humana Commercial |
$4,568.75
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,407.50
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,966.75
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,612.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,730.00
|
| Rate for Payer: Ohio Health Group HMO |
$4,031.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$4,300.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,676.25
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,708.75
|
| Rate for Payer: PHCS Commercial |
$5,160.00
|
| Rate for Payer: United Healthcare All Payer |
$4,730.00
|
|
|
SCREW LONG PACK 3.0MM
|
Facility
|
OP
|
$5,375.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,612.50 |
| Max. Negotiated Rate |
$5,160.00 |
| Rate for Payer: Aetna Commercial |
$4,138.75
|
| Rate for Payer: Anthem Medicaid |
$1,848.46
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$4,192.50
|
| Rate for Payer: Cash Price |
$2,687.50
|
| Rate for Payer: Cigna Commercial |
$4,461.25
|
| Rate for Payer: First Health Commercial |
$5,106.25
|
| Rate for Payer: Humana Commercial |
$4,568.75
|
| Rate for Payer: Humana KY Medicaid |
$1,848.46
|
| Rate for Payer: Kentucky WC Medicaid |
$1,867.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4,407.50
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,966.75
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,612.50
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,885.55
|
| Rate for Payer: Ohio Health Choice Commercial |
$4,730.00
|
| Rate for Payer: Ohio Health Group HMO |
$4,031.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$4,300.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$4,676.25
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$3,708.75
|
| Rate for Payer: PHCS Commercial |
$5,160.00
|
| Rate for Payer: United Healthcare All Payer |
$4,730.00
|
|
|
SCREW LO-PRO TM SS 3.5*70 CORT
|
Facility
|
OP
|
$783.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$235.12 |
| Max. Negotiated Rate |
$752.40 |
| Rate for Payer: Aetna Commercial |
$603.49
|
| Rate for Payer: Anthem Medicaid |
$269.53
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$611.33
|
| Rate for Payer: Cash Price |
$391.88
|
| Rate for Payer: Cigna Commercial |
$650.51
|
| Rate for Payer: First Health Commercial |
$744.56
|
| Rate for Payer: Humana Commercial |
$666.19
|
| Rate for Payer: Humana KY Medicaid |
$269.53
|
| Rate for Payer: Kentucky WC Medicaid |
$272.27
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$642.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$578.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$235.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$274.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$689.70
|
| Rate for Payer: Ohio Health Group HMO |
$587.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$627.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$681.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$540.79
|
| Rate for Payer: PHCS Commercial |
$752.40
|
| Rate for Payer: United Healthcare All Payer |
$689.70
|
|
|
SCREW LO-PRO TM SS 3.5*70 CORT
|
Facility
|
IP
|
$783.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$235.12 |
| Max. Negotiated Rate |
$752.40 |
| Rate for Payer: Aetna Commercial |
$603.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$611.33
|
| Rate for Payer: Cash Price |
$391.88
|
| Rate for Payer: Cigna Commercial |
$650.51
|
| Rate for Payer: First Health Commercial |
$744.56
|
| Rate for Payer: Humana Commercial |
$666.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$642.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$578.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$235.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$689.70
|
| Rate for Payer: Ohio Health Group HMO |
$587.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$627.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$681.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$540.79
|
| Rate for Payer: PHCS Commercial |
$752.40
|
| Rate for Payer: United Healthcare All Payer |
$689.70
|
|
|
SCREW LOW-PRO 3.5*28MM
|
Facility
|
IP
|
$1,710.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$513.12 |
| Max. Negotiated Rate |
$1,641.98 |
| Rate for Payer: Aetna Commercial |
$1,317.01
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,334.11
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Cigna Commercial |
$1,419.63
|
| Rate for Payer: First Health Commercial |
$1,624.88
|
| Rate for Payer: Humana Commercial |
$1,453.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,402.53
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,262.28
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$513.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,505.15
|
| Rate for Payer: Ohio Health Group HMO |
$1,282.80
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,368.32
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,488.05
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,180.18
|
| Rate for Payer: PHCS Commercial |
$1,641.98
|
| Rate for Payer: United Healthcare All Payer |
$1,505.15
|
|
|
SCREW LOW-PRO 3.5*28MM
|
Facility
|
OP
|
$1,710.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$513.12 |
| Max. Negotiated Rate |
$1,641.98 |
| Rate for Payer: Aetna Commercial |
$1,317.01
|
| Rate for Payer: Anthem Medicaid |
$588.21
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,334.11
|
| Rate for Payer: Cash Price |
$855.20
|
| Rate for Payer: Cigna Commercial |
$1,419.63
|
| Rate for Payer: First Health Commercial |
$1,624.88
|
| Rate for Payer: Humana Commercial |
$1,453.84
|
| Rate for Payer: Humana KY Medicaid |
$588.21
|
| Rate for Payer: Kentucky WC Medicaid |
$594.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,402.53
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,262.28
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$513.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$600.01
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,505.15
|
| Rate for Payer: Ohio Health Group HMO |
$1,282.80
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,368.32
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,488.05
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,180.18
|
| Rate for Payer: PHCS Commercial |
$1,641.98
|
| Rate for Payer: United Healthcare All Payer |
$1,505.15
|
|
|
SCREW LP 4.5*44
|
Facility
|
OP
|
$1,499.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.77 |
| Max. Negotiated Rate |
$1,439.28 |
| Rate for Payer: Aetna Commercial |
$1,154.42
|
| Rate for Payer: Anthem Medicaid |
$515.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,169.41
|
| Rate for Payer: Cash Price |
$749.62
|
| Rate for Payer: Cigna Commercial |
$1,244.38
|
| Rate for Payer: First Health Commercial |
$1,424.29
|
| Rate for Payer: Humana Commercial |
$1,274.36
|
| Rate for Payer: Humana KY Medicaid |
$515.59
|
| Rate for Payer: Kentucky WC Medicaid |
$520.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,229.38
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,106.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$449.77
|
| Rate for Payer: Molina Healthcare Medicaid |
$525.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,319.34
|
| Rate for Payer: Ohio Health Group HMO |
$1,124.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,199.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,304.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,034.48
|
| Rate for Payer: PHCS Commercial |
$1,439.28
|
| Rate for Payer: United Healthcare All Payer |
$1,319.34
|
|
|
SCREW LP 4.5*44
|
Facility
|
IP
|
$1,499.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.77 |
| Max. Negotiated Rate |
$1,439.28 |
| Rate for Payer: Aetna Commercial |
$1,154.42
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,169.41
|
| Rate for Payer: Cash Price |
$749.62
|
| Rate for Payer: Cigna Commercial |
$1,244.38
|
| Rate for Payer: First Health Commercial |
$1,424.29
|
| Rate for Payer: Humana Commercial |
$1,274.36
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,229.38
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,106.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$449.77
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,319.34
|
| Rate for Payer: Ohio Health Group HMO |
$1,124.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,199.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,304.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,034.48
|
| Rate for Payer: PHCS Commercial |
$1,439.28
|
| Rate for Payer: United Healthcare All Payer |
$1,319.34
|
|
|
SCREW LP 4.5*50
|
Facility
|
IP
|
$1,499.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.77 |
| Max. Negotiated Rate |
$1,439.28 |
| Rate for Payer: Aetna Commercial |
$1,154.42
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,169.41
|
| Rate for Payer: Cash Price |
$749.62
|
| Rate for Payer: Cigna Commercial |
$1,244.38
|
| Rate for Payer: First Health Commercial |
$1,424.29
|
| Rate for Payer: Humana Commercial |
$1,274.36
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,229.38
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,106.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$449.77
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,319.34
|
| Rate for Payer: Ohio Health Group HMO |
$1,124.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,199.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,304.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,034.48
|
| Rate for Payer: PHCS Commercial |
$1,439.28
|
| Rate for Payer: United Healthcare All Payer |
$1,319.34
|
|
|
SCREW LP 4.5*50
|
Facility
|
OP
|
$1,499.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$449.77 |
| Max. Negotiated Rate |
$1,439.28 |
| Rate for Payer: Aetna Commercial |
$1,154.42
|
| Rate for Payer: Anthem Medicaid |
$515.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,169.41
|
| Rate for Payer: Cash Price |
$749.62
|
| Rate for Payer: Cigna Commercial |
$1,244.38
|
| Rate for Payer: First Health Commercial |
$1,424.29
|
| Rate for Payer: Humana Commercial |
$1,274.36
|
| Rate for Payer: Humana KY Medicaid |
$515.59
|
| Rate for Payer: Kentucky WC Medicaid |
$520.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,229.38
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,106.45
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$449.77
|
| Rate for Payer: Molina Healthcare Medicaid |
$525.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,319.34
|
| Rate for Payer: Ohio Health Group HMO |
$1,124.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,199.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,304.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,034.48
|
| Rate for Payer: PHCS Commercial |
$1,439.28
|
| Rate for Payer: United Healthcare All Payer |
$1,319.34
|
|
|
SCREW LP CANC SS 4.0*35MM
|
Facility
|
IP
|
$783.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$235.12 |
| Max. Negotiated Rate |
$752.40 |
| Rate for Payer: Aetna Commercial |
$603.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$611.33
|
| Rate for Payer: Cash Price |
$391.88
|
| Rate for Payer: Cigna Commercial |
$650.51
|
| Rate for Payer: First Health Commercial |
$744.56
|
| Rate for Payer: Humana Commercial |
$666.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$642.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$578.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$235.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$689.70
|
| Rate for Payer: Ohio Health Group HMO |
$587.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$627.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$681.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$540.79
|
| Rate for Payer: PHCS Commercial |
$752.40
|
| Rate for Payer: United Healthcare All Payer |
$689.70
|
|
|
SCREW LP CANC SS 4.0*35MM
|
Facility
|
OP
|
$783.75
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$235.12 |
| Max. Negotiated Rate |
$752.40 |
| Rate for Payer: Aetna Commercial |
$603.49
|
| Rate for Payer: Anthem Medicaid |
$269.53
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$611.33
|
| Rate for Payer: Cash Price |
$391.88
|
| Rate for Payer: Cigna Commercial |
$650.51
|
| Rate for Payer: First Health Commercial |
$744.56
|
| Rate for Payer: Humana Commercial |
$666.19
|
| Rate for Payer: Humana KY Medicaid |
$269.53
|
| Rate for Payer: Kentucky WC Medicaid |
$272.27
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$642.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$578.41
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$235.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$274.94
|
| Rate for Payer: Ohio Health Choice Commercial |
$689.70
|
| Rate for Payer: Ohio Health Group HMO |
$587.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$627.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$681.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$540.79
|
| Rate for Payer: PHCS Commercial |
$752.40
|
| Rate for Payer: United Healthcare All Payer |
$689.70
|
|
|
SCREW LP CORT TI 5.0*20MM
|
Facility
|
OP
|
$3,481.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,044.38 |
| Max. Negotiated Rate |
$3,342.00 |
| Rate for Payer: Aetna Commercial |
$2,680.56
|
| Rate for Payer: Anthem Medicaid |
$1,197.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,715.38
|
| Rate for Payer: Cash Price |
$1,740.62
|
| Rate for Payer: Cigna Commercial |
$2,889.44
|
| Rate for Payer: First Health Commercial |
$3,307.19
|
| Rate for Payer: Humana Commercial |
$2,959.06
|
| Rate for Payer: Humana KY Medicaid |
$1,197.20
|
| Rate for Payer: Kentucky WC Medicaid |
$1,209.39
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,854.62
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,569.16
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,044.38
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,221.22
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,063.50
|
| Rate for Payer: Ohio Health Group HMO |
$2,610.94
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,785.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,028.69
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,402.06
|
| Rate for Payer: PHCS Commercial |
$3,342.00
|
| Rate for Payer: United Healthcare All Payer |
$3,063.50
|
|
|
SCREW LP CORT TI 5.0*20MM
|
Facility
|
IP
|
$3,481.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,044.38 |
| Max. Negotiated Rate |
$3,342.00 |
| Rate for Payer: Aetna Commercial |
$2,680.56
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,715.38
|
| Rate for Payer: Cash Price |
$1,740.62
|
| Rate for Payer: Cigna Commercial |
$2,889.44
|
| Rate for Payer: First Health Commercial |
$3,307.19
|
| Rate for Payer: Humana Commercial |
$2,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,854.62
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,569.16
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,044.38
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,063.50
|
| Rate for Payer: Ohio Health Group HMO |
$2,610.94
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,785.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,028.69
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,402.06
|
| Rate for Payer: PHCS Commercial |
$3,342.00
|
| Rate for Payer: United Healthcare All Payer |
$3,063.50
|
|
|
SCREW LP CORT TI 5.0*22MM
|
Facility
|
OP
|
$3,481.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,044.38 |
| Max. Negotiated Rate |
$3,342.00 |
| Rate for Payer: Aetna Commercial |
$2,680.56
|
| Rate for Payer: Anthem Medicaid |
$1,197.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,715.38
|
| Rate for Payer: Cash Price |
$1,740.62
|
| Rate for Payer: Cigna Commercial |
$2,889.44
|
| Rate for Payer: First Health Commercial |
$3,307.19
|
| Rate for Payer: Humana Commercial |
$2,959.06
|
| Rate for Payer: Humana KY Medicaid |
$1,197.20
|
| Rate for Payer: Kentucky WC Medicaid |
$1,209.39
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,854.62
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,569.16
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,044.38
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,221.22
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,063.50
|
| Rate for Payer: Ohio Health Group HMO |
$2,610.94
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,785.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,028.69
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,402.06
|
| Rate for Payer: PHCS Commercial |
$3,342.00
|
| Rate for Payer: United Healthcare All Payer |
$3,063.50
|
|
|
SCREW LP CORT TI 5.0*22MM
|
Facility
|
IP
|
$3,481.25
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,044.38 |
| Max. Negotiated Rate |
$3,342.00 |
| Rate for Payer: Aetna Commercial |
$2,680.56
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,715.38
|
| Rate for Payer: Cash Price |
$1,740.62
|
| Rate for Payer: Cigna Commercial |
$2,889.44
|
| Rate for Payer: First Health Commercial |
$3,307.19
|
| Rate for Payer: Humana Commercial |
$2,959.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,854.62
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,569.16
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,044.38
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,063.50
|
| Rate for Payer: Ohio Health Group HMO |
$2,610.94
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,785.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,028.69
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,402.06
|
| Rate for Payer: PHCS Commercial |
$3,342.00
|
| Rate for Payer: United Healthcare All Payer |
$3,063.50
|
|
