|
BRACE LEG ARTICULATING WALKER MED
|
None
|
Both
|
$256.00
|
|
| Hospital Charge Code |
100212
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$225.00 |
| Max. Negotiated Rate |
$251.00 |
|
|
BRACELET RED
|
None
|
Both
|
$1.00
|
|
| Hospital Charge Code |
100829
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$3.00 |
| Max. Negotiated Rate |
-$4.00 |
|
|
BRACELET YELLOW
|
None
|
Both
|
$1.00
|
|
| Hospital Charge Code |
100830
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$3.00 |
| Max. Negotiated Rate |
-$4.00 |
|
|
BRIEF INCONTINENCE LGE 40 -56
|
None
|
Both
|
$51.00
|
|
| Hospital Charge Code |
100881
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$41.00 |
| Max. Negotiated Rate |
$46.00 |
|
|
BRIEF INCONTINENCE MED 28 -40
|
None
|
Both
|
$52.00
|
|
| Hospital Charge Code |
100880
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$42.00 |
| Max. Negotiated Rate |
$47.00 |
|
|
BRUSH CYTOLOGY
|
None
|
Both
|
$87.00
|
|
| Hospital Charge Code |
100213
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$73.00 |
| Max. Negotiated Rate |
$82.00 |
|
|
BRUSH HAIR
|
None
|
Both
|
$4.00
|
|
| Hospital Charge Code |
100854
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
-$1.00 |
|
|
BRUSH SCRUB SURGICAL PCMX
|
None
|
Both
|
$61.00
|
|
| Hospital Charge Code |
100848
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$56.00 |
|
|
BURR OPHTHALMIC 1MM
|
None
|
Both
|
$43.00
|
|
| Hospital Charge Code |
100311
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$34.00 |
| Max. Negotiated Rate |
$38.00 |
|
|
CANNISTER CLIC ABSOBER 800
|
None
|
Both
|
$108.00
|
|
| Hospital Charge Code |
100909
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$92.00 |
| Max. Negotiated Rate |
$103.00 |
|
|
CANNISTER INFOVAC 5 ML
|
None
|
Both
|
$138.00
|
|
| Hospital Charge Code |
100940
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$119.00 |
| Max. Negotiated Rate |
$133.00 |
|
|
CANNISTER SUCTION SAFETOUCH
|
None
|
Both
|
$68.00
|
|
| Hospital Charge Code |
100769
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$56.00 |
| Max. Negotiated Rate |
$63.00 |
|
|
CANNULA OXYGEN ADULT 2600
|
None
|
Both
|
$3.00
|
|
| Hospital Charge Code |
100849
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$1.00 |
| Max. Negotiated Rate |
-$2.00 |
|
|
CANNULA OXYGEN PED 2602
|
None
|
Both
|
$6.00
|
|
| Hospital Charge Code |
100871
|
|
Hospital Revenue Code
|
270
|
| Max. Negotiated Rate |
$1.00 |
|
|
CANNULATED SCREW 4.0 X 50MM
|
None
|
Both
|
$0.00
|
|
|
Service Code
|
None C1713 None
|
| Hospital Charge Code |
100034
|
|
Hospital Revenue Code
|
278
|
|
|
CANNULA THREADED W/OBTURATOR 8.5X75MM
|
None
|
Both
|
$187.00
|
|
| Hospital Charge Code |
100773
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$163.00 |
| Max. Negotiated Rate |
$182.00 |
|
|
CAP BOUFFANT 24IN
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100816
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
CAP SHAMPOO
|
None
|
Both
|
$12.00
|
|
| Hospital Charge Code |
100843
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$7.00 |
|
|
CAP SURGEON TIE BACK
|
None
|
Both
|
$41.00
|
|
| Hospital Charge Code |
100817
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$32.00 |
| Max. Negotiated Rate |
$36.00 |
|
|
CARAFE 32 OZ WCH
|
None
|
Both
|
$10.00
|
|
| Hospital Charge Code |
100822
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$5.00 |
|
|
CARD STERILIZATION RECORD 3X5
|
None
|
Both
|
$218.00
|
|
| Hospital Charge Code |
100865
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$191.00 |
| Max. Negotiated Rate |
$213.00 |
|
|
CARRIER SKIN GRAFT 1.5-1
|
None
|
Both
|
$113.00
|
|
| Hospital Charge Code |
100618
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$97.00 |
| Max. Negotiated Rate |
$108.00 |
|
|
CARTRIDGE FLUID WARMING
|
None
|
Both
|
$73.00
|
|
| Hospital Charge Code |
100596
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$61.00 |
| Max. Negotiated Rate |
$68.00 |
|
|
CASSETTE VAC VERALINK
|
None
|
Both
|
$215.00
|
|
| Hospital Charge Code |
100774
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$189.00 |
| Max. Negotiated Rate |
$210.00 |
|
|
CATH CHOLANGIOGRAM 4.5 X 18
|
None
|
Both
|
$149.00
|
|
| Hospital Charge Code |
100659
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$129.00 |
| Max. Negotiated Rate |
$144.00 |
|