|
CATH FOLEY 20FR 5CC 3 WAY
|
None
|
Both
|
$66.00
|
|
| Hospital Charge Code |
100234
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$54.00 |
| Max. Negotiated Rate |
$61.00 |
|
|
CATH FOLEY 22FR 30CC 2 WAY
|
None
|
Both
|
$46.00
|
|
| Hospital Charge Code |
100239
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$41.00 |
|
|
CATH FOLEY 22FR 30CC 3WAY
|
None
|
Both
|
$49.00
|
|
| Hospital Charge Code |
100240
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$44.00 |
|
|
CATH FOLEY 22FR 5CC 2 WAY
|
None
|
Both
|
$45.00
|
|
| Hospital Charge Code |
100238
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$40.00 |
|
|
CATH FOLEY 22FR 5CC 3 WAY
|
None
|
Both
|
$61.00
|
|
| Hospital Charge Code |
100235
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$56.00 |
|
|
CATH FOLEY 24FR 30CC 2 WAY
|
None
|
Both
|
$27.00
|
|
| Hospital Charge Code |
100244
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$19.00 |
| Max. Negotiated Rate |
$22.00 |
|
|
CATH FOLEY 24FR 30CC 3 WAY
|
None
|
Both
|
$49.00
|
|
| Hospital Charge Code |
100241
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$44.00 |
|
|
CATH FOLEY 24FR 5CC 2 WAY
|
None
|
Both
|
$45.00
|
|
| Hospital Charge Code |
100245
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$40.00 |
|
|
CATH FOLEY 24FR 5CC 3 WAY
|
None
|
Both
|
$97.00
|
|
| Hospital Charge Code |
100246
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$82.00 |
| Max. Negotiated Rate |
$92.00 |
|
|
CATH FOLEY 26FR 30CC 2 WAY
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100443
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
CATH FOLEY 26FR 30CC 3 WAY
|
None
|
Both
|
$49.00
|
|
| Hospital Charge Code |
100242
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$39.00 |
| Max. Negotiated Rate |
$44.00 |
|
|
CATH FOLEY 26FR 5CC 2 WAY
|
None
|
Both
|
$45.00
|
|
| Hospital Charge Code |
100247
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$40.00 |
|
|
CATH FOLEY 26FR 5CC 3 WAY
|
None
|
Both
|
$61.00
|
|
| Hospital Charge Code |
100236
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$50.00 |
| Max. Negotiated Rate |
$56.00 |
|
|
CATH FOLEY 28FR 30CC 2 WAY
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100249
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
CATH FOLEY 28FR 5CC 2 WAY
|
None
|
Both
|
$45.00
|
|
| Hospital Charge Code |
100250
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$36.00 |
| Max. Negotiated Rate |
$40.00 |
|
|
CATH FOLEY 30FR 5CC 2 WAY
|
None
|
Both
|
$22.00
|
|
| Hospital Charge Code |
100251
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$15.00 |
| Max. Negotiated Rate |
$17.00 |
|
|
CATH FOLEY IRRIG 3-WAY 26 FR
|
None
|
Both
|
$20.00
|
|
| Hospital Charge Code |
100248
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$13.00 |
| Max. Negotiated Rate |
$15.00 |
|
|
CATH IV 14G 1-1/4
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100818
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
CATH IV 16G 1-1/4
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100858
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
CATH IV 18G 1-1/4
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100819
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
CATH IV 20G 1-1/4
|
None
|
Both
|
$11.00
|
|
| Hospital Charge Code |
100855
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$5.00 |
| Max. Negotiated Rate |
$6.00 |
|
|
CATH IV 24G 3/4
|
None
|
Both
|
$12.00
|
|
| Hospital Charge Code |
100856
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$6.00 |
| Max. Negotiated Rate |
$7.00 |
|
|
CATH IV TWIN 18/20GA
|
None
|
Both
|
$60.00
|
|
| Hospital Charge Code |
100381
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$49.00 |
| Max. Negotiated Rate |
$55.00 |
|
|
CATH IV TWIN 20GA X 22
|
None
|
Both
|
$63.00
|
|
| Hospital Charge Code |
100380
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$52.00 |
| Max. Negotiated Rate |
$58.00 |
|
|
CATH LAPASCOPIC 18GAX11IN
|
None
|
Both
|
$171.00
|
|
| Hospital Charge Code |
100253
|
|
Hospital Revenue Code
|
270
|
| Min. Negotiated Rate |
$149.00 |
| Max. Negotiated Rate |
$166.00 |
|