|
CATH CHOLANGIOGRAM 5.5 X 18
|
None
|
Both
|
$1.00
|
|
| Hospital Charge Code |
100473
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$3.00 |
| Max. Negotiated Rate |
-$4.00 |
|
|
CATH CHOLANGIOGRAM 6.5 X 18
|
None
|
Both
|
$144.00
|
|
| Hospital Charge Code |
100440
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$125.00 |
| Max. Negotiated Rate |
$139.00 |
|
|
CATH CHOLANGIOGRAPHY LAPAROSCOPIC RANFAC
|
None
|
Both
|
$226.00
|
|
| Hospital Charge Code |
100563
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$198.00 |
| Max. Negotiated Rate |
$221.00 |
|
|
CATH CONE TIP 8FR CONE 5FR CATH
|
None
|
Both
|
$44.00
|
|
| Hospital Charge Code |
100243
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$39.00 |
|
|
CATHETER/DRAIN TUBE SECUREMENT KIT
|
None
|
Both
|
$19.00
|
|
| Hospital Charge Code |
100220
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$12.00 |
| Max. Negotiated Rate |
$14.00 |
|
|
CATHETER EXTERNAL ADULT MALE
|
None
|
Both
|
$7.00
|
|
| Hospital Charge Code |
100219
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$1.00 |
| Max. Negotiated Rate |
$2.00 |
|
|
CATHETER SUCTION RED RUBBER 18FR
|
None
|
Both
|
$2.00
|
|
| Hospital Charge Code |
100221
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
-$2.00 |
| Max. Negotiated Rate |
-$3.00 |
|
|
CATHETER WORD BARTHOLIN 10FR
|
None
|
Both
|
$115.00
|
|
| Hospital Charge Code |
100218
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$99.00 |
| Max. Negotiated Rate |
$110.00 |
|
|
CATH FOLEY 08FR 3CC 2 WAY
|
None
|
Both
|
$44.00
|
|
| Hospital Charge Code |
100442
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$39.00 |
|
|
CATH FOLEY 10FR 3CC 2 WAY
|
None
|
Both
|
$44.00
|
|
| Hospital Charge Code |
100223
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$39.00 |
|
|
CATH FOLEY 12FR 5CC 2 WAY
|
None
|
Both
|
$44.00
|
|
| Hospital Charge Code |
100224
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$39.00 |
|
|
CATH FOLEY 14FR 5CC 2 WAY
|
None
|
Both
|
$45.00
|
|
| Hospital Charge Code |
100231
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$40.00 |
|
|
CATH FOLEY 14FR 5CC 2 WAY
|
None
|
Both
|
$20.00
|
|
| Hospital Charge Code |
100225
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$15.00 |
|
|
CATH FOLEY 14FR 5CC SILICONE
|
None
|
Both
|
$20.00
|
|
| Hospital Charge Code |
100230
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$15.00 |
|
|
CATH FOLEY 16FR 30CC 2 WAY
|
None
|
Both
|
$46.00
|
|
| Hospital Charge Code |
100227
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$41.00 |
|
|
CATH FOLEY 16FR 5CC 2 WAY
|
None
|
Both
|
$20.00
|
|
| Hospital Charge Code |
100226
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$15.00 |
|
|
CATH FOLEY 16FR 5CC COUDE
|
None
|
Both
|
$83.00
|
|
| Hospital Charge Code |
100410
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$78.00 |
|
|
CATH FOLEY 18FR 30 CC 2WAY
|
None
|
Both
|
$48.00
|
|
| Hospital Charge Code |
100232
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$38.00 |
| Max. Negotiated Rate |
$43.00 |
|
|
CATH FOLEY 18FR 5CC 2 WAY
|
None
|
Both
|
$44.00
|
|
| Hospital Charge Code |
100228
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$35.00 |
| Max. Negotiated Rate |
$39.00 |
|
|
CATH FOLEY 18FR 5CC 2 WAY
|
None
|
Both
|
$21.00
|
|
| Hospital Charge Code |
100664
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$16.00 |
|
|
CATH FOLEY 18FR 5CC 3 WAY
|
None
|
Both
|
$66.00
|
|
| Hospital Charge Code |
100252
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.00 |
| Max. Negotiated Rate |
$61.00 |
|
|
CATH FOLEY 20FR 30CC 2 WAY
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100233
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
CATH FOLEY 20FR 30CC 3 WAY
|
None
|
Both
|
$49.00
|
|
| Hospital Charge Code |
100237
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$44.00 |
|
|
CATH FOLEY 20FR 5CC 2 WAY
|
None
|
Both
|
$45.00
|
|
| Hospital Charge Code |
100229
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$40.00 |
|
|
CATH FOLEY 20FR 5CC 2 WAY
|
None
|
Both
|
$21.00
|
|
| Hospital Charge Code |
100665
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$14.00 |
| Max. Negotiated Rate |
$16.00 |
|