|
SCREW NCB CORT ST 50X32MM
|
Facility
|
IP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X34MM
|
Facility
|
OP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem Medicaid |
$759.35
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Humana KY Medicaid |
$759.35
|
| Rate for Payer: Kentucky WC Medicaid |
$767.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Molina Healthcare Medicaid |
$774.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X34MM
|
Facility
|
IP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X36MM
|
Facility
|
IP
|
$2,235.29
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$670.59 |
| Max. Negotiated Rate |
$2,145.88 |
| Rate for Payer: Aetna Commercial |
$1,721.17
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,743.53
|
| Rate for Payer: Cash Price |
$1,117.65
|
| Rate for Payer: Cigna Commercial |
$1,855.29
|
| Rate for Payer: First Health Commercial |
$2,123.53
|
| Rate for Payer: Humana Commercial |
$1,900.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,832.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,649.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$670.59
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,967.06
|
| Rate for Payer: Ohio Health Group HMO |
$1,676.47
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,788.23
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,944.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,542.35
|
| Rate for Payer: PHCS Commercial |
$2,145.88
|
| Rate for Payer: United Healthcare All Payer |
$1,967.06
|
|
|
SCREW NCB CORT ST 50X36MM
|
Facility
|
OP
|
$2,235.29
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$670.59 |
| Max. Negotiated Rate |
$2,145.88 |
| Rate for Payer: Aetna Commercial |
$1,721.17
|
| Rate for Payer: Anthem Medicaid |
$768.72
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,743.53
|
| Rate for Payer: Cash Price |
$1,117.65
|
| Rate for Payer: Cigna Commercial |
$1,855.29
|
| Rate for Payer: First Health Commercial |
$2,123.53
|
| Rate for Payer: Humana Commercial |
$1,900.00
|
| Rate for Payer: Humana KY Medicaid |
$768.72
|
| Rate for Payer: Kentucky WC Medicaid |
$776.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,832.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,649.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$670.59
|
| Rate for Payer: Molina Healthcare Medicaid |
$784.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,967.06
|
| Rate for Payer: Ohio Health Group HMO |
$1,676.47
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,788.23
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,944.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,542.35
|
| Rate for Payer: PHCS Commercial |
$2,145.88
|
| Rate for Payer: United Healthcare All Payer |
$1,967.06
|
|
|
SCREW NCB CORT ST 5.0X42MM
|
Facility
|
IP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 5.0X42MM
|
Facility
|
OP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem Medicaid |
$759.35
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Humana KY Medicaid |
$759.35
|
| Rate for Payer: Kentucky WC Medicaid |
$767.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Molina Healthcare Medicaid |
$774.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X50MM
|
Facility
|
OP
|
$2,235.29
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$670.59 |
| Max. Negotiated Rate |
$2,145.88 |
| Rate for Payer: Aetna Commercial |
$1,721.17
|
| Rate for Payer: Anthem Medicaid |
$768.72
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,743.53
|
| Rate for Payer: Cash Price |
$1,117.65
|
| Rate for Payer: Cigna Commercial |
$1,855.29
|
| Rate for Payer: First Health Commercial |
$2,123.53
|
| Rate for Payer: Humana Commercial |
$1,900.00
|
| Rate for Payer: Humana KY Medicaid |
$768.72
|
| Rate for Payer: Kentucky WC Medicaid |
$776.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,832.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,649.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$670.59
|
| Rate for Payer: Molina Healthcare Medicaid |
$784.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,967.06
|
| Rate for Payer: Ohio Health Group HMO |
$1,676.47
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,788.23
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,944.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,542.35
|
| Rate for Payer: PHCS Commercial |
$2,145.88
|
| Rate for Payer: United Healthcare All Payer |
$1,967.06
|
|
|
SCREW NCB CORT ST 50X50MM
|
Facility
|
IP
|
$2,235.29
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$670.59 |
| Max. Negotiated Rate |
$2,145.88 |
| Rate for Payer: Aetna Commercial |
$1,721.17
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,743.53
|
| Rate for Payer: Cash Price |
$1,117.65
|
| Rate for Payer: Cigna Commercial |
$1,855.29
|
| Rate for Payer: First Health Commercial |
$2,123.53
|
| Rate for Payer: Humana Commercial |
$1,900.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,832.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,649.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$670.59
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,967.06
|
| Rate for Payer: Ohio Health Group HMO |
$1,676.47
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,788.23
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,944.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,542.35
|
| Rate for Payer: PHCS Commercial |
$2,145.88
|
| Rate for Payer: United Healthcare All Payer |
$1,967.06
|
|
|
SCREW NCB CORT ST 50X55MM
|
Facility
|
OP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem Medicaid |
$759.35
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Humana KY Medicaid |
$759.35
|
| Rate for Payer: Kentucky WC Medicaid |
$767.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Molina Healthcare Medicaid |
$774.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X55MM
|
Facility
|
IP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X60MM
|
Facility
|
IP
|
$2,235.29
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$670.59 |
| Max. Negotiated Rate |
$2,145.88 |
| Rate for Payer: Aetna Commercial |
$1,721.17
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,743.53
|
| Rate for Payer: Cash Price |
$1,117.65
|
| Rate for Payer: Cigna Commercial |
$1,855.29
|
| Rate for Payer: First Health Commercial |
$2,123.53
|
| Rate for Payer: Humana Commercial |
$1,900.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,832.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,649.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$670.59
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,967.06
|
| Rate for Payer: Ohio Health Group HMO |
$1,676.47
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,788.23
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,944.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,542.35
|
| Rate for Payer: PHCS Commercial |
$2,145.88
|
| Rate for Payer: United Healthcare All Payer |
$1,967.06
|
|
|
SCREW NCB CORT ST 50X60MM
|
Facility
|
OP
|
$2,235.29
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$670.59 |
| Max. Negotiated Rate |
$2,145.88 |
| Rate for Payer: Aetna Commercial |
$1,721.17
|
| Rate for Payer: Anthem Medicaid |
$768.72
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,743.53
|
| Rate for Payer: Cash Price |
$1,117.65
|
| Rate for Payer: Cigna Commercial |
$1,855.29
|
| Rate for Payer: First Health Commercial |
$2,123.53
|
| Rate for Payer: Humana Commercial |
$1,900.00
|
| Rate for Payer: Humana KY Medicaid |
$768.72
|
| Rate for Payer: Kentucky WC Medicaid |
$776.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,832.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,649.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$670.59
|
| Rate for Payer: Molina Healthcare Medicaid |
$784.14
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,967.06
|
| Rate for Payer: Ohio Health Group HMO |
$1,676.47
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,788.23
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,944.70
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,542.35
|
| Rate for Payer: PHCS Commercial |
$2,145.88
|
| Rate for Payer: United Healthcare All Payer |
$1,967.06
|
|
|
SCREW NCB CORT ST 50X65MM
|
Facility
|
IP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X65MM
|
Facility
|
OP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem Medicaid |
$759.35
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Humana KY Medicaid |
$759.35
|
| Rate for Payer: Kentucky WC Medicaid |
$767.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Molina Healthcare Medicaid |
$774.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X70MM
|
Facility
|
IP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X70MM
|
Facility
|
OP
|
$2,208.05
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$662.41 |
| Max. Negotiated Rate |
$2,119.73 |
| Rate for Payer: Aetna Commercial |
$1,700.20
|
| Rate for Payer: Anthem Medicaid |
$759.35
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,722.28
|
| Rate for Payer: Cash Price |
$1,104.02
|
| Rate for Payer: Cigna Commercial |
$1,832.68
|
| Rate for Payer: First Health Commercial |
$2,097.65
|
| Rate for Payer: Humana Commercial |
$1,876.84
|
| Rate for Payer: Humana KY Medicaid |
$759.35
|
| Rate for Payer: Kentucky WC Medicaid |
$767.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,810.60
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,629.54
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$662.41
|
| Rate for Payer: Molina Healthcare Medicaid |
$774.58
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,943.08
|
| Rate for Payer: Ohio Health Group HMO |
$1,656.04
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,766.44
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,921.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,523.55
|
| Rate for Payer: PHCS Commercial |
$2,119.73
|
| Rate for Payer: United Healthcare All Payer |
$1,943.08
|
|
|
SCREW NCB CORT ST 50X80MM
|
Facility
|
IP
|
$2,181.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$654.48 |
| Max. Negotiated Rate |
$2,094.34 |
| Rate for Payer: Aetna Commercial |
$1,679.83
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,701.65
|
| Rate for Payer: Cash Price |
$1,090.80
|
| Rate for Payer: Cigna Commercial |
$1,810.73
|
| Rate for Payer: First Health Commercial |
$2,072.52
|
| Rate for Payer: Humana Commercial |
$1,854.36
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,788.91
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,610.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$654.48
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,919.81
|
| Rate for Payer: Ohio Health Group HMO |
$1,636.20
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,745.28
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,897.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,505.30
|
| Rate for Payer: PHCS Commercial |
$2,094.34
|
| Rate for Payer: United Healthcare All Payer |
$1,919.81
|
|
|
SCREW NCB CORT ST 50X80MM
|
Facility
|
OP
|
$2,181.60
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$654.48 |
| Max. Negotiated Rate |
$2,094.34 |
| Rate for Payer: Aetna Commercial |
$1,679.83
|
| Rate for Payer: Anthem Medicaid |
$750.25
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,701.65
|
| Rate for Payer: Cash Price |
$1,090.80
|
| Rate for Payer: Cigna Commercial |
$1,810.73
|
| Rate for Payer: First Health Commercial |
$2,072.52
|
| Rate for Payer: Humana Commercial |
$1,854.36
|
| Rate for Payer: Humana KY Medicaid |
$750.25
|
| Rate for Payer: Kentucky WC Medicaid |
$757.89
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,788.91
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,610.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$654.48
|
| Rate for Payer: Molina Healthcare Medicaid |
$765.31
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,919.81
|
| Rate for Payer: Ohio Health Group HMO |
$1,636.20
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,745.28
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,897.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,505.30
|
| Rate for Payer: PHCS Commercial |
$2,094.34
|
| Rate for Payer: United Healthcare All Payer |
$1,919.81
|
|
|
SCREW N/L MINI T8 2.4*14
|
Facility
|
OP
|
$1,561.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.30 |
| Max. Negotiated Rate |
$1,498.56 |
| Rate for Payer: Aetna Commercial |
$1,201.97
|
| Rate for Payer: Anthem Medicaid |
$536.83
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,217.58
|
| Rate for Payer: Cash Price |
$780.50
|
| Rate for Payer: Cigna Commercial |
$1,295.63
|
| Rate for Payer: First Health Commercial |
$1,482.95
|
| Rate for Payer: Humana Commercial |
$1,326.85
|
| Rate for Payer: Humana KY Medicaid |
$536.83
|
| Rate for Payer: Kentucky WC Medicaid |
$542.29
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,280.02
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,152.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.30
|
| Rate for Payer: Molina Healthcare Medicaid |
$547.60
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,373.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,170.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,248.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,358.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,077.09
|
| Rate for Payer: PHCS Commercial |
$1,498.56
|
| Rate for Payer: United Healthcare All Payer |
$1,373.68
|
|
|
SCREW N/L MINI T8 2.4*14
|
Facility
|
IP
|
$1,561.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.30 |
| Max. Negotiated Rate |
$1,498.56 |
| Rate for Payer: Aetna Commercial |
$1,201.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,217.58
|
| Rate for Payer: Cash Price |
$780.50
|
| Rate for Payer: Cigna Commercial |
$1,295.63
|
| Rate for Payer: First Health Commercial |
$1,482.95
|
| Rate for Payer: Humana Commercial |
$1,326.85
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,280.02
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,152.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.30
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,373.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,170.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,248.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,358.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,077.09
|
| Rate for Payer: PHCS Commercial |
$1,498.56
|
| Rate for Payer: United Healthcare All Payer |
$1,373.68
|
|
|
SCREW N/L MINI T8 2.7*12
|
Facility
|
OP
|
$1,561.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.30 |
| Max. Negotiated Rate |
$1,498.56 |
| Rate for Payer: Aetna Commercial |
$1,201.97
|
| Rate for Payer: Anthem Medicaid |
$536.83
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,217.58
|
| Rate for Payer: Cash Price |
$780.50
|
| Rate for Payer: Cigna Commercial |
$1,295.63
|
| Rate for Payer: First Health Commercial |
$1,482.95
|
| Rate for Payer: Humana Commercial |
$1,326.85
|
| Rate for Payer: Humana KY Medicaid |
$536.83
|
| Rate for Payer: Kentucky WC Medicaid |
$542.29
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,280.02
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,152.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.30
|
| Rate for Payer: Molina Healthcare Medicaid |
$547.60
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,373.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,170.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,248.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,358.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,077.09
|
| Rate for Payer: PHCS Commercial |
$1,498.56
|
| Rate for Payer: United Healthcare All Payer |
$1,373.68
|
|
|
SCREW N/L MINI T8 2.7*12
|
Facility
|
IP
|
$1,561.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.30 |
| Max. Negotiated Rate |
$1,498.56 |
| Rate for Payer: Aetna Commercial |
$1,201.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,217.58
|
| Rate for Payer: Cash Price |
$780.50
|
| Rate for Payer: Cigna Commercial |
$1,295.63
|
| Rate for Payer: First Health Commercial |
$1,482.95
|
| Rate for Payer: Humana Commercial |
$1,326.85
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,280.02
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,152.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.30
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,373.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,170.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,248.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,358.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,077.09
|
| Rate for Payer: PHCS Commercial |
$1,498.56
|
| Rate for Payer: United Healthcare All Payer |
$1,373.68
|
|
|
SCREW NON LCK 2.7*12MM
|
Facility
|
OP
|
$1,561.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.30 |
| Max. Negotiated Rate |
$1,498.56 |
| Rate for Payer: Aetna Commercial |
$1,201.97
|
| Rate for Payer: Anthem Medicaid |
$536.83
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,217.58
|
| Rate for Payer: Cash Price |
$780.50
|
| Rate for Payer: Cigna Commercial |
$1,295.63
|
| Rate for Payer: First Health Commercial |
$1,482.95
|
| Rate for Payer: Humana Commercial |
$1,326.85
|
| Rate for Payer: Humana KY Medicaid |
$536.83
|
| Rate for Payer: Kentucky WC Medicaid |
$542.29
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,280.02
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,152.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.30
|
| Rate for Payer: Molina Healthcare Medicaid |
$547.60
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,373.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,170.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,248.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,358.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,077.09
|
| Rate for Payer: PHCS Commercial |
$1,498.56
|
| Rate for Payer: United Healthcare All Payer |
$1,373.68
|
|
|
SCREW NON LCK 2.7*12MM
|
Facility
|
IP
|
$1,561.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$468.30 |
| Max. Negotiated Rate |
$1,498.56 |
| Rate for Payer: Aetna Commercial |
$1,201.97
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,217.58
|
| Rate for Payer: Cash Price |
$780.50
|
| Rate for Payer: Cigna Commercial |
$1,295.63
|
| Rate for Payer: First Health Commercial |
$1,482.95
|
| Rate for Payer: Humana Commercial |
$1,326.85
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,280.02
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,152.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$468.30
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,373.68
|
| Rate for Payer: Ohio Health Group HMO |
$1,170.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,248.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,358.07
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,077.09
|
| Rate for Payer: PHCS Commercial |
$1,498.56
|
| Rate for Payer: United Healthcare All Payer |
$1,373.68
|
|
