|
MASK OXYGEN ADULT
|
None
|
Both
|
$5.00
|
|
| Hospital Charge Code |
100318
|
|
Hospital Revenue Code
|
270
|
|
|
MAT BATH-DISPOSABLE
|
None
|
Both
|
$251.00
|
|
| Hospital Charge Code |
100826
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$221.00 |
| Max. Negotiated Rate |
$246.00 |
|
|
MEDTRONIC ADAPTA PACEMAKER
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1779 None
|
| Hospital Charge Code |
100115
|
|
Hospital Revenue Code
|
275
|
|
|
MEDTRONIC INTERSTIM LEAD
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1779 None
|
| Hospital Charge Code |
100120
|
|
Hospital Revenue Code
|
278
|
|
|
MEDTRONIC INTERSTIM NEURO STIMULATOR
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1779 None
|
| Hospital Charge Code |
100121
|
|
Hospital Revenue Code
|
278
|
|
|
MEDTRONIC LEADS SN-LEP422808V
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1779 None
|
| Hospital Charge Code |
100114
|
|
Hospital Revenue Code
|
275
|
|
|
MEDTRONIC PACEMAKER
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1779 None
|
| Hospital Charge Code |
100116
|
|
Hospital Revenue Code
|
278
|
|
|
MEDTRONIC TEST STIMULATOR LEAD
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1779 None
|
| Hospital Charge Code |
100119
|
|
Hospital Revenue Code
|
278
|
|
|
MESH MARLEX 10 X 14
|
None
|
Both
|
$345.00
|
|
| Hospital Charge Code |
100851
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$306.00 |
| Max. Negotiated Rate |
$340.00 |
|
|
MESH MARLEX 1 X 4
|
None
|
Both
|
$182.00
|
|
| Hospital Charge Code |
100850
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$159.00 |
| Max. Negotiated Rate |
$177.00 |
|
|
MESH PROLENE PMH
|
None
|
Both
|
$245.00
|
|
| Hospital Charge Code |
100821
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$216.00 |
| Max. Negotiated Rate |
$240.00 |
|
|
MESH SURGIPRO 6X6 OPEN WEAVE
|
None
|
Both
|
$280.00
|
|
| Hospital Charge Code |
100910
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$247.00 |
| Max. Negotiated Rate |
$275.00 |
|
|
METER PEAK FLOW
|
None
|
Both
|
$56.00
|
|
| Hospital Charge Code |
100406
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$45.00 |
| Max. Negotiated Rate |
$51.00 |
|
|
MIRENA
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None J7298 None
|
| Hospital Charge Code |
100109
|
|
Hospital Revenue Code
|
278
|
|
|
MUCUS TRAP DELEE 10FR WITH VAL
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100841
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
NASOGASTRIC SECUREMENT DEVICE
|
None
|
Both
|
$8.00
|
|
| Hospital Charge Code |
100738
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.00 |
|
|
NEBULIZER MISTY W/TUBING`
|
None
|
Both
|
$4.00
|
|
| Hospital Charge Code |
100800
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
-$1.00 |
|
|
NEEDLE ANCHOR CUFF 5MM
|
None
|
Both
|
$417.00
|
|
| Hospital Charge Code |
100500
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$370.00 |
| Max. Negotiated Rate |
$412.00 |
|
|
NEEDLE BIOPSY QUICK-CORE 6CM
|
None
|
Both
|
$199.00
|
|
| Hospital Charge Code |
100946
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$174.00 |
| Max. Negotiated Rate |
$194.00 |
|
|
NEEDLE BIOPSY QUICK-CORE 9CM
|
None
|
Both
|
$199.00
|
|
| Hospital Charge Code |
100947
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$174.00 |
| Max. Negotiated Rate |
$194.00 |
|
|
NEEDLE BIOPSY TRU CUT 6IN
|
None
|
Both
|
$106.00
|
|
| Hospital Charge Code |
100254
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$90.00 |
| Max. Negotiated Rate |
$101.00 |
|
|
NEEDLE BONE MARROW ILLINOIS
|
None
|
Both
|
$66.00
|
|
| Hospital Charge Code |
100462
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.00 |
| Max. Negotiated Rate |
$61.00 |
|
|
NEEDLE EPIDURAL 18GAX6IN TUOHY
|
None
|
Both
|
$38.00
|
|
| Hospital Charge Code |
100139
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$29.00 |
| Max. Negotiated Rate |
$33.00 |
|
|
NEEDLEHOLDER ENDO 5MM
|
None
|
Both
|
$100.00
|
|
| Hospital Charge Code |
100145
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$85.00 |
| Max. Negotiated Rate |
$95.00 |
|
|
NEEDLE HUBER 20X1
|
None
|
Both
|
$16.00
|
|
| Hospital Charge Code |
100632
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$11.00 |
|