|
SET IRRIGATION TUR/BLADDER Y-TYPE
|
None
|
Both
|
$41.00
|
|
| Hospital Charge Code |
100327
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.00 |
| Max. Negotiated Rate |
$36.00 |
|
|
SET IRRIGATION WOUND
|
None
|
Both
|
$23.00
|
|
| Hospital Charge Code |
100515
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$18.00 |
|
|
SET IV BURETTE
|
None
|
Both
|
$26.00
|
|
| Hospital Charge Code |
100328
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$21.00 |
|
|
SET IV CATH EXT 7.6 /VOL.9ML
|
None
|
Both
|
$15.00
|
|
| Hospital Charge Code |
100834
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$10.00 |
|
|
SET IV EXT W/CONTROL REGULATOR
|
None
|
Both
|
$28.00
|
|
| Hospital Charge Code |
100457
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$20.00 |
| Max. Negotiated Rate |
$23.00 |
|
|
SET IV PRIMARY
|
None
|
Both
|
$23.00
|
|
| Hospital Charge Code |
100329
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$18.00 |
|
|
SET IV PRIMARY W/SPIKE 2C8541
|
None
|
Both
|
$8.00
|
|
| Hospital Charge Code |
100803
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.00 |
|
|
SET IV PUMP BLOOD
|
None
|
Both
|
$33.00
|
|
| Hospital Charge Code |
100330
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$25.00 |
| Max. Negotiated Rate |
$28.00 |
|
|
SET PCA EXT MINIBORE 67
|
None
|
Both
|
$36.00
|
|
| Hospital Charge Code |
100883
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$27.00 |
| Max. Negotiated Rate |
$31.00 |
|
|
SET PNEUMOTHORAX EMERGENCY
|
None
|
Both
|
$217.00
|
|
| Hospital Charge Code |
100501
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$190.00 |
| Max. Negotiated Rate |
$212.00 |
|
|
SET PUMP PCA
|
None
|
Both
|
$25.00
|
|
| Hospital Charge Code |
100845
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$18.00 |
| Max. Negotiated Rate |
$20.00 |
|
|
SHEAR CURVED HARMONIC FOCUS 9CM
|
None
|
Both
|
$973.00
|
|
| Hospital Charge Code |
100931
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$871.00 |
| Max. Negotiated Rate |
$968.00 |
|
|
SHEAR HARMONIC ACE36E REPROCESSED
|
None
|
Both
|
$563.00
|
|
| Hospital Charge Code |
100600
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$502.00 |
| Max. Negotiated Rate |
$558.00 |
|
|
SHEAR HARMONIC ACE45E REPROCESSED
|
None
|
Both
|
$751.00
|
|
| Hospital Charge Code |
100601
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$671.00 |
| Max. Negotiated Rate |
$746.00 |
|
|
SHEAR HARMONIC CVD HAR36
|
None
|
Both
|
$921.00
|
|
| Hospital Charge Code |
100143
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$824.00 |
| Max. Negotiated Rate |
$916.00 |
|
|
SHEAR HARMONIC CVD HARH45
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100142
|
|
Hospital Revenue Code
|
270
|
|
|
SHEATH UROPASS ACCESS 24CM
|
None
|
Both
|
$299.00
|
|
| Hospital Charge Code |
100759
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$264.00 |
| Max. Negotiated Rate |
$294.00 |
|
|
SHEATH UROPASS ACCESS 38CM.
|
None
|
Both
|
$285.00
|
|
| Hospital Charge Code |
100757
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$252.00 |
| Max. Negotiated Rate |
$280.00 |
|
|
SHEATH UROPASS ACCESS 54CM
|
None
|
Both
|
$300.00
|
|
| Hospital Charge Code |
100758
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$265.00 |
| Max. Negotiated Rate |
$295.00 |
|
|
SHIELD XEROWET SYRINGE IRRIGATION
|
None
|
Both
|
$8.00
|
|
| Hospital Charge Code |
100504
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.00 |
|
|
SHOE CAST ROCKER LGE
|
None
|
Both
|
$64.00
|
|
| Hospital Charge Code |
100215
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$53.00 |
| Max. Negotiated Rate |
$59.00 |
|
|
SHOE CAST ROCKER MED
|
None
|
Both
|
$64.00
|
|
| Hospital Charge Code |
100216
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$53.00 |
| Max. Negotiated Rate |
$59.00 |
|
|
SHOE CAST ROCKER SM
|
None
|
Both
|
$64.00
|
|
| Hospital Charge Code |
100518
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$53.00 |
| Max. Negotiated Rate |
$59.00 |
|
|
SHOE CAST ROCKER XLGE
|
None
|
Both
|
$64.00
|
|
| Hospital Charge Code |
100217
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$53.00 |
| Max. Negotiated Rate |
$59.00 |
|
|
SHOE POST OP FEMALE LARGE
|
None
|
Both
|
$27.00
|
|
| Hospital Charge Code |
100470
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.00 |
| Max. Negotiated Rate |
$22.00 |
|