|
BATTERY 9V
|
None
|
Both
|
$8.00
|
|
| Hospital Charge Code |
100794
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$2.00 |
| Max. Negotiated Rate |
$3.00 |
|
|
BATTERY AA
|
None
|
Both
|
$3.00
|
|
| Hospital Charge Code |
100795
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$1.00 |
| Max. Negotiated Rate |
-$2.00 |
|
|
BATTERY AAA
|
None
|
Both
|
$3.00
|
|
| Hospital Charge Code |
100796
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$1.00 |
| Max. Negotiated Rate |
-$2.00 |
|
|
BB AB SCREEN
|
None
|
Both
|
$145.00
|
|
|
Service Code
|
None 86850 None
|
| Hospital Charge Code |
100007
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$126.00 |
| Max. Negotiated Rate |
$140.00 |
|
|
BB AHG CROSSMATCH
|
None
|
Both
|
$119.00
|
|
|
Service Code
|
None 86922 None
|
| Hospital Charge Code |
100014
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$114.00 |
|
|
BB BLD TYPING ABO
|
None
|
Both
|
$64.00
|
|
|
Service Code
|
None 86900 None
|
| Hospital Charge Code |
100010
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$53.00 |
| Max. Negotiated Rate |
$59.00 |
|
|
BB BLD TYPING RH (D)
|
None
|
Both
|
$32.00
|
|
|
Service Code
|
None 86901 None
|
| Hospital Charge Code |
100011
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$24.00 |
| Max. Negotiated Rate |
$27.00 |
|
|
BB BLD TYPING RH PHENOTYPE
|
None
|
Both
|
$22.00
|
|
|
Service Code
|
None 86906 None
|
| Hospital Charge Code |
100012
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
BB COLD AGGLUTININ TITER
|
None
|
Both
|
$119.00
|
|
|
Service Code
|
None 86157 None
|
| Hospital Charge Code |
100006
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$102.00 |
| Max. Negotiated Rate |
$114.00 |
|
|
BB COOMBS DIRECT IGG
|
None
|
Both
|
$71.00
|
|
|
Service Code
|
None 86880 None
|
| Hospital Charge Code |
100008
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$59.00 |
| Max. Negotiated Rate |
$66.00 |
|
|
BB COOMBS INDIRECT TITER
|
None
|
Both
|
$57.00
|
|
|
Service Code
|
None 86886 None
|
| Hospital Charge Code |
100009
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$46.00 |
| Max. Negotiated Rate |
$52.00 |
|
|
BB CROSSMATCH
|
None
|
Both
|
$144.00
|
|
|
Service Code
|
None 86921 None
|
| Hospital Charge Code |
100013
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$139.00 |
|
|
BB FRESH FROZEN PLASMA THAWING
|
None
|
Both
|
$61.00
|
|
|
Service Code
|
None 86927 None
|
| Hospital Charge Code |
100015
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$56.00 |
|
|
BB PLASMA FROZEN PER UNIT
|
None
|
Both
|
$190.00
|
|
|
Service Code
|
None P9017 None
|
| Hospital Charge Code |
100020
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$166.00 |
| Max. Negotiated Rate |
$185.00 |
|
|
BB PLATELETS 1 UNIT
|
None
|
Both
|
$117.00
|
|
|
Service Code
|
None P9019 None
|
| Hospital Charge Code |
100021
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$100.00 |
| Max. Negotiated Rate |
$112.00 |
|
|
BB PLATELETS PHERESIS
|
None
|
Both
|
$595.00
|
|
|
Service Code
|
None P9034 None
|
| Hospital Charge Code |
100023
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$531.00 |
| Max. Negotiated Rate |
$590.00 |
|
|
BB RBC AB ID ABSORPTION COLD
|
None
|
Both
|
$150.00
|
|
|
Service Code
|
None 86978 None
|
| Hospital Charge Code |
100016
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$130.00 |
| Max. Negotiated Rate |
$145.00 |
|
|
BB RBC AB ID ABSORPTION DIFFERENTIAL
|
None
|
Both
|
$275.00
|
|
|
Service Code
|
None 86978 None
|
| Hospital Charge Code |
100017
|
|
Hospital Revenue Code
|
302
|
| Min. Negotiated Rate |
$243.00 |
| Max. Negotiated Rate |
$270.00 |
|
|
BB RED CELLS LEUKOREDUSED 1 UNIT PRODUCT
|
None
|
Both
|
$315.00
|
|
|
Service Code
|
None P9016 None
|
| Hospital Charge Code |
100019
|
|
Hospital Revenue Code
|
390
|
| Min. Negotiated Rate |
$279.00 |
| Max. Negotiated Rate |
$310.00 |
|
|
BB THERAPUTIC PHLEBOTOMY
|
None
|
Both
|
$150.00
|
|
|
Service Code
|
None 99195 None
|
| Hospital Charge Code |
100018
|
|
Hospital Revenue Code
|
940
|
| Min. Negotiated Rate |
$130.00 |
| Max. Negotiated Rate |
$145.00 |
|
|
BB TYPE & SCREEN PANEL
|
None
|
Both
|
$0.00
|
|
| Hospital Charge Code |
100024
|
|
Hospital Revenue Code
|
300
|
|
|
BEDPAN COMMODE
|
None
|
Both
|
$3.00
|
|
| Hospital Charge Code |
100840
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$1.00 |
| Max. Negotiated Rate |
-$2.00 |
|
|
BELT MATERNITY
|
None
|
Both
|
$6.00
|
|
| Hospital Charge Code |
100847
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
$1.00 |
|
|
BELT PELVIC TRACTION UNIVERSAL
|
None
|
Both
|
$186.00
|
|
| Hospital Charge Code |
100203
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$162.00 |
| Max. Negotiated Rate |
$181.00 |
|
|
BELT RIB UNIVERSAL FEMALE 6
|
None
|
Both
|
$23.00
|
|
| Hospital Charge Code |
100204
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$16.00 |
| Max. Negotiated Rate |
$18.00 |
|