|
CATH MALE EXTERNAL LARGE
|
None
|
Both
|
$4.00
|
|
| Hospital Charge Code |
100590
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
-$1.00 |
|
|
CATH RED RUBBER 18 FR
|
None
|
Both
|
$1.00
|
|
| Hospital Charge Code |
100842
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$2.00 |
| Max. Negotiated Rate |
-$3.00 |
|
|
CATH SUCTION RED RUBBER 10FR
|
None
|
Both
|
$2.00
|
|
| Hospital Charge Code |
100401
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$2.00 |
| Max. Negotiated Rate |
-$3.00 |
|
|
CATH SUCTION RED RUBBER 16FR
|
None
|
Both
|
$2.00
|
|
| Hospital Charge Code |
100404
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$2.00 |
| Max. Negotiated Rate |
-$3.00 |
|
|
CATH SUCTION RED RUBBER 20FR
|
None
|
Both
|
$3.00
|
|
| Hospital Charge Code |
100405
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$1.00 |
| Max. Negotiated Rate |
-$2.00 |
|
|
CATH THORACIC TPR TIP 20FR
|
None
|
Both
|
$9.00
|
|
| Hospital Charge Code |
100704
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$4.00 |
|
|
CATH THORACIC TPR TIP 24FR
|
None
|
Both
|
$9.00
|
|
| Hospital Charge Code |
100649
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$4.00 |
|
|
CATH THORACIC TPR TIP 32FR
|
None
|
Both
|
$9.00
|
|
| Hospital Charge Code |
100461
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$4.00 |
|
|
CATH THORACIC TPR TIP 36FR
|
None
|
Both
|
$9.00
|
|
| Hospital Charge Code |
100168
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$3.00 |
| Max. Negotiated Rate |
$4.00 |
|
|
CATH THORACIC TROCAR TPR 24FR
|
None
|
Both
|
$61.00
|
|
| Hospital Charge Code |
100651
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$56.00 |
|
|
CATH THORACIC TROCAR TPR 28FR
|
None
|
Both
|
$25.00
|
|
| Hospital Charge Code |
100705
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$20.00 |
|
|
CATH THORACIC TRP TIP 28FR
|
None
|
Both
|
$85.00
|
|
| Hospital Charge Code |
100256
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$80.00 |
|
|
CATH TROCAR 20FR 16 L
|
None
|
Both
|
$85.00
|
|
| Hospital Charge Code |
100258
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$80.00 |
|
|
CATH TROCAR 24FR 16 L
|
None
|
Both
|
$85.00
|
|
| Hospital Charge Code |
100259
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$80.00 |
|
|
CATH TROCAR 28FR 16 L
|
None
|
Both
|
$85.00
|
|
| Hospital Charge Code |
100260
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$80.00 |
|
|
CATH TROCAR 32FR 16 L
|
None
|
Both
|
$85.00
|
|
| Hospital Charge Code |
100257
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$72.00 |
| Max. Negotiated Rate |
$80.00 |
|
|
CATH URETERAL 5FR
|
None
|
Both
|
$170.00
|
|
| Hospital Charge Code |
100638
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$148.00 |
| Max. Negotiated Rate |
$165.00 |
|
|
CATH URETHRAL RED RUBBER 12FR
|
None
|
Both
|
$6.00
|
|
| Hospital Charge Code |
100402
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
$1.00 |
|
|
CATH URETHRAL RED RUBBER 14FR
|
None
|
Both
|
$3.00
|
|
| Hospital Charge Code |
100403
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$1.00 |
| Max. Negotiated Rate |
-$2.00 |
|
|
CEMENT BONE FULL SIMPLEX
|
None
|
Both
|
$229.00
|
|
| Hospital Charge Code |
100387
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$201.00 |
| Max. Negotiated Rate |
$224.00 |
|
|
CHEST DRAINAGE SYSTEM
|
None
|
Both
|
$225.00
|
|
| Hospital Charge Code |
100519
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$198.00 |
| Max. Negotiated Rate |
$220.00 |
|
|
CHLORAPREP W/TINT 10.5ML
|
None
|
Both
|
$49.00
|
|
| Hospital Charge Code |
100708
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$44.00 |
|
|
CHLORAPREP W/TINT 10.5ML
|
None
|
Both
|
$25.00
|
|
| Hospital Charge Code |
100365
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$20.00 |
|
|
CLEANSER ANTIMICROBIAL
|
None
|
Both
|
$15.00
|
|
| Hospital Charge Code |
100136
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$10.00 |
|
|
CLIP BINDER MINI
|
None
|
Both
|
$10.00
|
|
| Hospital Charge Code |
100724
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5.00 |
|