|
YANKAUER SUCTION BULB TIP WP
|
Facility
|
IP
|
$1.26
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$0.63 |
| Max. Negotiated Rate |
$0.63 |
| Rate for Payer: SELF PAY |
$0.63
|
|
|
YEAST ID
|
Facility
|
IP
|
$58.28
|
|
|
Service Code
|
CPT 87106
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$29.14 |
| Max. Negotiated Rate |
$29.14 |
| Rate for Payer: SELF PAY |
$29.14
|
|
|
YELLOW FISHER PAYKEL WIRE
|
Facility
|
IP
|
$250.00
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$125.00 |
| Rate for Payer: SELF PAY |
$125.00
|
|
|
YELLOW PADS Tena
|
Facility
|
IP
|
$31.36
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.68 |
| Max. Negotiated Rate |
$15.68 |
| Rate for Payer: SELF PAY |
$15.68
|
|
|
YOUTH X-SMALL BRIEF
|
Facility
|
IP
|
$21.10
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$10.55 |
| Max. Negotiated Rate |
$10.55 |
| Rate for Payer: SELF PAY |
$10.55
|
|
|
Y QUICK CONNECT
|
Facility
|
IP
|
$4.64
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.32 |
| Max. Negotiated Rate |
$2.32 |
| Rate for Payer: SELF PAY |
$2.32
|
|
|
Y QUICK CONNECT WP
|
Facility
|
IP
|
$4.64
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.32 |
| Max. Negotiated Rate |
$2.32 |
| Rate for Payer: SELF PAY |
$2.32
|
|
|
Y W/ELBOW
|
Facility
|
IP
|
$2.20
|
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.10 |
| Max. Negotiated Rate |
$1.10 |
| Rate for Payer: SELF PAY |
$1.10
|
|
