|
SCREW SHORT HEADLESS 4.0*42
|
Facility
|
IP
|
$2,193.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$657.90 |
| Max. Negotiated Rate |
$2,105.28 |
| Rate for Payer: Aetna Commercial |
$1,688.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,710.54
|
| Rate for Payer: Cash Price |
$1,096.50
|
| Rate for Payer: Cigna Commercial |
$1,820.19
|
| Rate for Payer: First Health Commercial |
$2,083.35
|
| Rate for Payer: Humana Commercial |
$1,864.05
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,798.26
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,618.43
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$657.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,929.84
|
| Rate for Payer: Ohio Health Group HMO |
$1,644.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,754.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,907.91
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,513.17
|
| Rate for Payer: PHCS Commercial |
$2,105.28
|
| Rate for Payer: United Healthcare All Payer |
$1,929.84
|
|
|
SCREW SHORT HL 2.0*15MM
|
Facility
|
IP
|
$2,117.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$635.10 |
| Max. Negotiated Rate |
$2,032.32 |
| Rate for Payer: Aetna Commercial |
$1,630.09
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,651.26
|
| Rate for Payer: Cash Price |
$1,058.50
|
| Rate for Payer: Cigna Commercial |
$1,757.11
|
| Rate for Payer: First Health Commercial |
$2,011.15
|
| Rate for Payer: Humana Commercial |
$1,799.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,735.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,562.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$635.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,862.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,587.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,693.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,841.79
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,460.73
|
| Rate for Payer: PHCS Commercial |
$2,032.32
|
| Rate for Payer: United Healthcare All Payer |
$1,862.96
|
|
|
SCREW SHORT HL 2.0*15MM
|
Facility
|
OP
|
$2,117.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$635.10 |
| Max. Negotiated Rate |
$2,032.32 |
| Rate for Payer: Aetna Commercial |
$1,630.09
|
| Rate for Payer: Anthem Medicaid |
$728.04
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,651.26
|
| Rate for Payer: Cash Price |
$1,058.50
|
| Rate for Payer: Cigna Commercial |
$1,757.11
|
| Rate for Payer: First Health Commercial |
$2,011.15
|
| Rate for Payer: Humana Commercial |
$1,799.45
|
| Rate for Payer: Humana KY Medicaid |
$728.04
|
| Rate for Payer: Kentucky WC Medicaid |
$735.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,735.94
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,562.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$635.10
|
| Rate for Payer: Molina Healthcare Medicaid |
$742.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,862.96
|
| Rate for Payer: Ohio Health Group HMO |
$1,587.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,693.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,841.79
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,460.73
|
| Rate for Payer: PHCS Commercial |
$2,032.32
|
| Rate for Payer: United Healthcare All Payer |
$1,862.96
|
|
|
SCREW SNAP-OFF 2.0MM
|
Facility
|
OP
|
$4,250.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,275.00 |
| Max. Negotiated Rate |
$4,080.00 |
| Rate for Payer: Aetna Commercial |
$3,272.50
|
| Rate for Payer: Anthem Medicaid |
$1,461.58
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,315.00
|
| Rate for Payer: Cash Price |
$2,125.00
|
| Rate for Payer: Cigna Commercial |
$3,527.50
|
| Rate for Payer: First Health Commercial |
$4,037.50
|
| Rate for Payer: Humana Commercial |
$3,612.50
|
| Rate for Payer: Humana KY Medicaid |
$1,461.58
|
| Rate for Payer: Kentucky WC Medicaid |
$1,476.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,485.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,136.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,275.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,490.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,740.00
|
| Rate for Payer: Ohio Health Group HMO |
$3,187.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,697.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,932.50
|
| Rate for Payer: PHCS Commercial |
$4,080.00
|
| Rate for Payer: United Healthcare All Payer |
$3,740.00
|
|
|
SCREW SNAP-OFF 2.0MM
|
Facility
|
IP
|
$4,250.00
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,275.00 |
| Max. Negotiated Rate |
$4,080.00 |
| Rate for Payer: Aetna Commercial |
$3,272.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,315.00
|
| Rate for Payer: Cash Price |
$2,125.00
|
| Rate for Payer: Cigna Commercial |
$3,527.50
|
| Rate for Payer: First Health Commercial |
$4,037.50
|
| Rate for Payer: Humana Commercial |
$3,612.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,485.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,136.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,275.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,740.00
|
| Rate for Payer: Ohio Health Group HMO |
$3,187.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,697.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,932.50
|
| Rate for Payer: PHCS Commercial |
$4,080.00
|
| Rate for Payer: United Healthcare All Payer |
$3,740.00
|
|
|
SCREW STERNAL LCK 2.3 X 11 MM
|
Facility
|
OP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem Medicaid |
$686.22
|
| Rate for Payer: Anthem Medicaid |
$1,060.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana KY Medicaid |
$686.22
|
| Rate for Payer: Humana KY Medicaid |
$1,060.18
|
| Rate for Payer: Kentucky WC Medicaid |
$1,070.97
|
| Rate for Payer: Kentucky WC Medicaid |
$693.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Molina Healthcare Medicaid |
$699.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,081.45
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
|
|
SCREW STERNAL LCK 2.3 X 11 MM
|
Facility
|
IP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
|
|
SCREW STERNAL LCK 2.3 X 13 MM
|
Facility
|
OP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem Medicaid |
$686.22
|
| Rate for Payer: Anthem Medicaid |
$1,060.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana KY Medicaid |
$686.22
|
| Rate for Payer: Humana KY Medicaid |
$1,060.18
|
| Rate for Payer: Kentucky WC Medicaid |
$1,070.97
|
| Rate for Payer: Kentucky WC Medicaid |
$693.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Molina Healthcare Medicaid |
$699.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,081.45
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
|
|
SCREW STERNAL LCK 2.3 X 13 MM
|
Facility
|
IP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
|
|
SCREW STERNAL LCK 2.3 X 15 MM
|
Facility
|
IP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
|
|
SCREW STERNAL LCK 2.3 X 15 MM
|
Facility
|
OP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem Medicaid |
$686.22
|
| Rate for Payer: Anthem Medicaid |
$1,060.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana KY Medicaid |
$686.22
|
| Rate for Payer: Humana KY Medicaid |
$1,060.18
|
| Rate for Payer: Kentucky WC Medicaid |
$1,070.97
|
| Rate for Payer: Kentucky WC Medicaid |
$693.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Molina Healthcare Medicaid |
$699.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,081.45
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
|
|
SCREW STERNAL LCK 2.3 X 17 MM
|
Facility
|
OP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem Medicaid |
$686.22
|
| Rate for Payer: Anthem Medicaid |
$1,060.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana KY Medicaid |
$686.22
|
| Rate for Payer: Humana KY Medicaid |
$1,060.18
|
| Rate for Payer: Kentucky WC Medicaid |
$1,070.97
|
| Rate for Payer: Kentucky WC Medicaid |
$693.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Molina Healthcare Medicaid |
$699.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,081.45
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
|
|
SCREW STERNAL LCK 2.3 X 17 MM
|
Facility
|
IP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
|
|
SCREW STERNAL LCK 2.3 X 9 MM
|
Facility
|
OP
|
$3,082.81
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$924.84 |
| Max. Negotiated Rate |
$2,959.50 |
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$3,207.53
|
| Rate for Payer: Anthem Medicaid |
$1,432.56
|
| Rate for Payer: Anthem Medicaid |
$1,060.18
|
| Rate for Payer: Anthem Medicaid |
$686.22
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,249.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Cash Price |
$2,082.81
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: Cigna Commercial |
$3,457.46
|
| Rate for Payer: First Health Commercial |
$3,957.34
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: Humana Commercial |
$3,540.78
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana KY Medicaid |
$1,060.18
|
| Rate for Payer: Humana KY Medicaid |
$686.22
|
| Rate for Payer: Humana KY Medicaid |
$1,432.56
|
| Rate for Payer: Kentucky WC Medicaid |
$1,447.14
|
| Rate for Payer: Kentucky WC Medicaid |
$1,070.97
|
| Rate for Payer: Kentucky WC Medicaid |
$693.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,415.81
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,074.23
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,249.69
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,081.45
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,461.30
|
| Rate for Payer: Molina Healthcare Medicaid |
$699.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,665.75
|
| Rate for Payer: Ohio Health Group HMO |
$3,124.22
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,332.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,624.09
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,874.28
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: PHCS Commercial |
$3,999.00
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: United Healthcare All Payer |
$3,665.75
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
|
|
SCREW STERNAL LCK 2.3 X 9 MM
|
Facility
|
IP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$3,207.53
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3,249.18
|
| Rate for Payer: Cash Price |
$2,082.81
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: Cigna Commercial |
$3,457.46
|
| Rate for Payer: First Health Commercial |
$3,957.34
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: Humana Commercial |
$3,540.78
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$3,415.81
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3,074.23
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,249.69
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,665.75
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group HMO |
$3,124.22
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$3,332.50
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,624.09
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,874.28
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: PHCS Commercial |
$3,999.00
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
| Rate for Payer: United Healthcare All Payer |
$3,665.75
|
|
|
SCREW STERNAL LOCK 2.3*7.0MM
|
Facility
|
IP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
|
|
SCREW STERNAL LOCK 2.3*7.0MM
|
Facility
|
OP
|
$1,995.40
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$598.62 |
| Max. Negotiated Rate |
$1,915.58 |
| Rate for Payer: Aetna Commercial |
$1,536.46
|
| Rate for Payer: Aetna Commercial |
$2,373.76
|
| Rate for Payer: Anthem Medicaid |
$686.22
|
| Rate for Payer: Anthem Medicaid |
$1,060.18
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,556.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.59
|
| Rate for Payer: Cash Price |
$997.70
|
| Rate for Payer: Cash Price |
$1,541.41
|
| Rate for Payer: Cigna Commercial |
$2,558.73
|
| Rate for Payer: Cigna Commercial |
$1,656.18
|
| Rate for Payer: First Health Commercial |
$2,928.67
|
| Rate for Payer: First Health Commercial |
$1,895.63
|
| Rate for Payer: Humana Commercial |
$1,696.09
|
| Rate for Payer: Humana Commercial |
$2,620.39
|
| Rate for Payer: Humana KY Medicaid |
$686.22
|
| Rate for Payer: Humana KY Medicaid |
$1,060.18
|
| Rate for Payer: Kentucky WC Medicaid |
$1,070.97
|
| Rate for Payer: Kentucky WC Medicaid |
$693.20
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,636.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.90
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,275.11
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,472.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.84
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$598.62
|
| Rate for Payer: Molina Healthcare Medicaid |
$699.99
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,081.45
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,755.95
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.87
|
| Rate for Payer: Ohio Health Group HMO |
$1,496.55
|
| Rate for Payer: Ohio Health Group HMO |
$2,312.11
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,596.32
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,466.25
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,736.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,682.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,376.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,127.14
|
| Rate for Payer: PHCS Commercial |
$2,959.50
|
| Rate for Payer: PHCS Commercial |
$1,915.58
|
| Rate for Payer: United Healthcare All Payer |
$2,712.87
|
| Rate for Payer: United Healthcare All Payer |
$1,755.95
|
|
|
SCREW T2 FTHRD LOCKING 5*37.5
|
Facility
|
IP
|
$1,892.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$567.84 |
| Max. Negotiated Rate |
$1,817.09 |
| Rate for Payer: Aetna Commercial |
$1,457.46
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,476.38
|
| Rate for Payer: Cash Price |
$946.40
|
| Rate for Payer: Cigna Commercial |
$1,571.02
|
| Rate for Payer: First Health Commercial |
$1,798.16
|
| Rate for Payer: Humana Commercial |
$1,608.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,552.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,396.89
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$567.84
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,665.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,419.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,514.24
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,646.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,306.03
|
| Rate for Payer: PHCS Commercial |
$1,817.09
|
| Rate for Payer: United Healthcare All Payer |
$1,665.66
|
|
|
SCREW T2 FTHRD LOCKING 5*37.5
|
Facility
|
OP
|
$1,892.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$567.84 |
| Max. Negotiated Rate |
$1,817.09 |
| Rate for Payer: Aetna Commercial |
$1,457.46
|
| Rate for Payer: Anthem Medicaid |
$650.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,476.38
|
| Rate for Payer: Cash Price |
$946.40
|
| Rate for Payer: Cigna Commercial |
$1,571.02
|
| Rate for Payer: First Health Commercial |
$1,798.16
|
| Rate for Payer: Humana Commercial |
$1,608.88
|
| Rate for Payer: Humana KY Medicaid |
$650.93
|
| Rate for Payer: Kentucky WC Medicaid |
$657.56
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,552.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,396.89
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$567.84
|
| Rate for Payer: Molina Healthcare Medicaid |
$663.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,665.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,419.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,514.24
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,646.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,306.03
|
| Rate for Payer: PHCS Commercial |
$1,817.09
|
| Rate for Payer: United Healthcare All Payer |
$1,665.66
|
|
|
SCREW T2 FTHRD LOCKING 5*42.5
|
Facility
|
OP
|
$1,892.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$567.84 |
| Max. Negotiated Rate |
$1,817.09 |
| Rate for Payer: Aetna Commercial |
$1,457.46
|
| Rate for Payer: Anthem Medicaid |
$650.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,476.38
|
| Rate for Payer: Cash Price |
$946.40
|
| Rate for Payer: Cigna Commercial |
$1,571.02
|
| Rate for Payer: First Health Commercial |
$1,798.16
|
| Rate for Payer: Humana Commercial |
$1,608.88
|
| Rate for Payer: Humana KY Medicaid |
$650.93
|
| Rate for Payer: Kentucky WC Medicaid |
$657.56
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,552.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,396.89
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$567.84
|
| Rate for Payer: Molina Healthcare Medicaid |
$663.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,665.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,419.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,514.24
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,646.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,306.03
|
| Rate for Payer: PHCS Commercial |
$1,817.09
|
| Rate for Payer: United Healthcare All Payer |
$1,665.66
|
|
|
SCREW T2 FTHRD LOCKING 5*42.5
|
Facility
|
IP
|
$1,892.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$567.84 |
| Max. Negotiated Rate |
$1,817.09 |
| Rate for Payer: Aetna Commercial |
$1,457.46
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,476.38
|
| Rate for Payer: Cash Price |
$946.40
|
| Rate for Payer: Cigna Commercial |
$1,571.02
|
| Rate for Payer: First Health Commercial |
$1,798.16
|
| Rate for Payer: Humana Commercial |
$1,608.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,552.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,396.89
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$567.84
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,665.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,419.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,514.24
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,646.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,306.03
|
| Rate for Payer: PHCS Commercial |
$1,817.09
|
| Rate for Payer: United Healthcare All Payer |
$1,665.66
|
|
|
SCREW T2 FTHRD LOCKING 5*47.5
|
Facility
|
OP
|
$1,823.41
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$547.02 |
| Max. Negotiated Rate |
$1,750.47 |
| Rate for Payer: Aetna Commercial |
$1,404.03
|
| Rate for Payer: Anthem Medicaid |
$627.07
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,422.26
|
| Rate for Payer: Cash Price |
$911.71
|
| Rate for Payer: Cigna Commercial |
$1,513.43
|
| Rate for Payer: First Health Commercial |
$1,732.24
|
| Rate for Payer: Humana Commercial |
$1,549.90
|
| Rate for Payer: Humana KY Medicaid |
$627.07
|
| Rate for Payer: Kentucky WC Medicaid |
$633.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,495.20
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.68
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$547.02
|
| Rate for Payer: Molina Healthcare Medicaid |
$639.65
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.56
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,458.73
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,586.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,258.15
|
| Rate for Payer: PHCS Commercial |
$1,750.47
|
| Rate for Payer: United Healthcare All Payer |
$1,604.60
|
|
|
SCREW T2 FTHRD LOCKING 5*47.5
|
Facility
|
IP
|
$1,823.41
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$547.02 |
| Max. Negotiated Rate |
$1,750.47 |
| Rate for Payer: Aetna Commercial |
$1,404.03
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,422.26
|
| Rate for Payer: Cash Price |
$911.71
|
| Rate for Payer: Cigna Commercial |
$1,513.43
|
| Rate for Payer: First Health Commercial |
$1,732.24
|
| Rate for Payer: Humana Commercial |
$1,549.90
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,495.20
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.68
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$547.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.60
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.56
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,458.73
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,586.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,258.15
|
| Rate for Payer: PHCS Commercial |
$1,750.47
|
| Rate for Payer: United Healthcare All Payer |
$1,604.60
|
|
|
SCREW T2 FTHRD LOCKING 5*50MM
|
Facility
|
OP
|
$1,892.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$567.84 |
| Max. Negotiated Rate |
$1,817.09 |
| Rate for Payer: Aetna Commercial |
$1,457.46
|
| Rate for Payer: Anthem Medicaid |
$650.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,476.38
|
| Rate for Payer: Cash Price |
$946.40
|
| Rate for Payer: Cigna Commercial |
$1,571.02
|
| Rate for Payer: First Health Commercial |
$1,798.16
|
| Rate for Payer: Humana Commercial |
$1,608.88
|
| Rate for Payer: Humana KY Medicaid |
$650.93
|
| Rate for Payer: Kentucky WC Medicaid |
$657.56
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,552.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,396.89
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$567.84
|
| Rate for Payer: Molina Healthcare Medicaid |
$663.99
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,665.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,419.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,514.24
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,646.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,306.03
|
| Rate for Payer: PHCS Commercial |
$1,817.09
|
| Rate for Payer: United Healthcare All Payer |
$1,665.66
|
|
|
SCREW T2 FTHRD LOCKING 5*50MM
|
Facility
|
IP
|
$1,892.80
|
|
|
Service Code
|
HCPCS C1713
|
| Hospital Charge Code |
27000285
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$567.84 |
| Max. Negotiated Rate |
$1,817.09 |
| Rate for Payer: Aetna Commercial |
$1,457.46
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,476.38
|
| Rate for Payer: Cash Price |
$946.40
|
| Rate for Payer: Cigna Commercial |
$1,571.02
|
| Rate for Payer: First Health Commercial |
$1,798.16
|
| Rate for Payer: Humana Commercial |
$1,608.88
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,552.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,396.89
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$567.84
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,665.66
|
| Rate for Payer: Ohio Health Group HMO |
$1,419.60
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,514.24
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,646.74
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,306.03
|
| Rate for Payer: PHCS Commercial |
$1,817.09
|
| Rate for Payer: United Healthcare All Payer |
$1,665.66
|
|
