|
GAUZE PACKING IODO 2
|
None
|
Both
|
$18.00
|
|
| Hospital Charge Code |
100446
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$11.00 |
| Max. Negotiated Rate |
$13.00 |
|
|
GAUZE PACKING PLAIN 1
|
None
|
Both
|
$12.00
|
|
| Hospital Charge Code |
100450
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$7.00 |
|
|
GAUZE PACKING PLAIN 1/2
|
None
|
Both
|
$10.00
|
|
| Hospital Charge Code |
100451
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5.00 |
|
|
GAUZE PACKING PLAIN 1/4
|
None
|
Both
|
$10.00
|
|
| Hospital Charge Code |
100452
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5.00 |
|
|
GAUZE PACKING PLAIN 2
|
None
|
Both
|
$16.00
|
|
| Hospital Charge Code |
100449
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$11.00 |
|
|
GLOVE SAFETYPLUS LGE
|
None
|
Both
|
$80.00
|
|
| Hospital Charge Code |
100912
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$75.00 |
|
|
GLOVE SAFETYPLUS MED
|
None
|
Both
|
$80.00
|
|
| Hospital Charge Code |
100911
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$75.00 |
|
|
GLYCINE 3000ML IRRIGATION
|
None
|
Both
|
$41.00
|
|
| Hospital Charge Code |
100432
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.00 |
| Max. Negotiated Rate |
$36.00 |
|
|
GUARD SHOWER 12 X10
|
None
|
Both
|
$55.00
|
|
| Hospital Charge Code |
100949
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$45.00 |
| Max. Negotiated Rate |
$50.00 |
|
|
GUARD SHOWER 7 X7
|
None
|
Both
|
$43.00
|
|
| Hospital Charge Code |
100948
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.00 |
| Max. Negotiated Rate |
$38.00 |
|
|
GUIDEWIRE 0.38CM 145CM LENGTH
|
None
|
Both
|
$194.00
|
|
|
Service Code
|
None C1769 None
|
| Hospital Charge Code |
100324
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$170.00 |
| Max. Negotiated Rate |
$189.00 |
|
|
GUIDEWIRE 2.0 X 150MM
|
None
|
Both
|
$170.00
|
|
|
Service Code
|
None C1769 None
|
| Hospital Charge Code |
100108
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$148.00 |
| Max. Negotiated Rate |
$165.00 |
|
|
HARMONIC SCALPEL BLADE 5MM
|
None
|
Both
|
$390.00
|
|
| Hospital Charge Code |
100802
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$346.00 |
| Max. Negotiated Rate |
$385.00 |
|
|
HARVESTER CELLUTOME 5.0X5.0CM
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100916
|
|
Hospital Revenue Code
|
270
|
|
|
HASSON /BLUNT TIP 12MM X 100MM
|
None
|
Both
|
$183.00
|
|
| Hospital Charge Code |
100608
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$160.00 |
| Max. Negotiated Rate |
$178.00 |
|
|
HEELIFT CONVOLUTED
|
None
|
Both
|
$151.00
|
|
| Hospital Charge Code |
100869
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$131.00 |
| Max. Negotiated Rate |
$146.00 |
|
|
HEELIFT CONVOLUTED BOOT
|
None
|
Both
|
$144.00
|
|
| Hospital Charge Code |
100198
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$139.00 |
|
|
HEELIFT SMOOTH BOOT
|
None
|
Both
|
$144.00
|
|
| Hospital Charge Code |
100197
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$139.00 |
|
|
HEMOSTAT SURGICEL 2X3
|
None
|
Both
|
$200.00
|
|
| Hospital Charge Code |
100674
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$175.00 |
| Max. Negotiated Rate |
$195.00 |
|
|
HEMOSTAT SURGICEL 4X8
|
None
|
Both
|
$243.00
|
|
| Hospital Charge Code |
100675
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$214.00 |
| Max. Negotiated Rate |
$238.00 |
|
|
HIBICLEANS 8OZ BOTTLE
|
None
|
Both
|
$28.00
|
|
| Hospital Charge Code |
100574
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$23.00 |
|
|
HOLDER ENDOTRACH TUBE THOMAS
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100285
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
HOW/OST TIBIAL BEARING INSERT
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100039
|
|
Hospital Revenue Code
|
278
|
|
|
HYPER/HYPOTHERMIA BLANKET
|
None
|
Both
|
$148.00
|
|
| Hospital Charge Code |
100308
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$128.00 |
| Max. Negotiated Rate |
$143.00 |
|
|
IMMOBILIZER KNEE 12 LARGE
|
None
|
Both
|
$49.00
|
|
| Hospital Charge Code |
100289
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$44.00 |
|