Price Transparency
Archivo revisado/Revised file 5/22/2024
| description | code|1 | code|1|type | setting | standard_charge|gross | plan_name | standard_charge|negotiated_dollar | standard_charge|min | standard_charge|max | additional_generic_notes; | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | description | code|1 | code|1|type | setting | standard_charge|gross | plan_name | standard_charge|negotiated_dollar | standard_charge|min | standard_charge|max | additional_generic_notes; |
| 1 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 11/27/2092 | CPT | Outpatient | 23.672,00 | ASOCIACION DE MAESTROS | 130,00 | 5.185,00 | 1.625,00 | ; |
| 2 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | BELLA VISTA | 130,00 | 5.185,00 | 1.625,00 | ; |
| 3 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | FIRST MEDICAL VITAL | 5.185,00 | 5.185,00 | 1.625,00 | ; |
| 4 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | HUMANA HEALTH PLANS | 130,00 | 5.185,00 | 1.625,00 | ; |
| 5 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | HUMANA INSURANCE PLANS | 130,00 | 5.185,00 | 1.625,00 | ; |
| 6 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | HUMANA MEDICARE ADVANTAGE | 10.851,00 | 5.185,00 | 1.625,00 | ; |
| 7 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | INTERNATIONAL MEDICAL CARD | 1.625,00 | 5.185,00 | 1.625,00 | ; |
| 8 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | MAPFRE | 130,00 | 5.185,00 | 1.625,00 | ; |
| 9 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | MCS CLASSICARE | 130,00 | 5.185,00 | 1.625,00 | ; |
| 10 | webmaster | 22/10/2024 12:26 PM | webmaster | 22/10/2024 12:26 PM | HEAD BRAIN WT CONTRAST CT SCAN | 70460 | CPT | Outpatient | 23.672,00 | MCS COMERCIAL | 130,00 | 5.185,00 | 1.625,00 | ; |
