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transparency-in-pricing
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dolthub/transparency-in-pricing - rate | DoltHub
Branch
Query
| hospital_id | row_id | line_type | description | rev_code | local_code | code | ms_drg | apr_drg | eapg | hcpcs_cpt | modifiers | alt_hcpcs_cpt | thru | apc | icd | ndc | drug_hcpcs_multiplier | drug_quantity | drug_unit_of_measurement | drug_type_of_measurement | billing_class | setting | payer_category | payer_name | plan_name | standard_charge | standard_charge_percent | contracting_method | additional_generic_notes | additional_payer_specific_notes | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 010011 | 161537516867685 | 1-CDM | GUIDE TIB RESECTION SS .050 00597708400 | 0272 | NULL | 78028195 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 80.00 | NULL | NULL | NULL | NULL | |
| 010011 | 249997096058832 | 1-CDM | FECAL MICROBIOTA TRANSPLANT 30ML | 0636 | NULL | 70602343 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 642.00 | NULL | NULL | NULL | NULL | |
| 010011 | 295451234627855 | 3-DRG | Cardiac Defibrillator Implant With Card… | NULL | NULL | 223 | 223 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i200255_BLUE_ADVANTAGE_PART_B_IP_ONLY_2… | NULL | 35156.05 | NULL | NULL | NULL | NULL | |
| 010011 | 473471384440130 | 1-CDM | ACETAB LINER SZ27 32MM 11-107007 | 0278 | NULL | 78024728 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | min | Min_Negotiated_Rate | NULL | 1345.50 | NULL | NULL | NULL | NULL | |
| 010011 | 542486266379116 | 3-DRG | Major Chest Procedures Without CC/MCC | NULL | NULL | 165 | 165 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i200260_BLUE_ADVANTAGE_OUT_OF_STATE_278… | NULL | 10801.31 | NULL | NULL | NULL | NULL | |
| 010011 | 789494387742852 | 1-CDM | IV PUSH EA ADDTL NEW DRUG | 0260 | NULL | 62066510 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 144.42 | NULL | NULL | NULL | NULL | |
| 010011 | 857357448961671 | 3-DRG | Intraocular Procedures Without CC/MCC | NULL | NULL | 117 | 117 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450413_GOLDEN_RULE_2727 | NULL | 9086.22 | NULL | NULL | NULL | NULL | |
| 010011 | 946505552697359 | 1-CDM | ELECTRODE NIMH EEG 2CH #8227410 | 0272 | NULL | 78011934 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 216.00 | NULL | NULL | NULL | NULL | |
| 010011 | 972175763963166 | 1-CDM | SCREW CORTICAL SELF TAP 3.5X44MM 338644 | 0278 | NULL | 78014628 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450432_HEALTH_CHOICE_PIGGLY_WIGGLY_171… | NULL | 25.00 | NULL | NULL | NULL | NULL | |
| 010011 | 981012367514542 | 3-DRG | Gastrointestinal Hemorrhage With CC | NULL | NULL | 378 | 378 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i150180_VIVA_MEDICARE_ME_CAP_2801 | NULL | 5855.00 | NULL | NULL | NULL | NULL | |
| 010011 | 1125885781375155 | 1-CDM | SCREW BONE NONLCKING 58813512 | 0278 | NULL | 78023114 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450432_HEALTH_CHOICE_PIGGLY_WIGGLY_171… | NULL | 72.00 | NULL | NULL | NULL | NULL | |
| 010011 | 1246309169513407 | 1-CDM | MESH VENTRALIGHT ST 8 X 10" OVAL 595481… | 0278 | NULL | 70204225 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | cash | Cash_Charge | NULL | 521.01 | NULL | NULL | NULL | NULL | |
| 010011 | 1343746245285951 | 3-DRG | Major Thumb Or Joint Procedures | NULL | NULL | 506 | 506 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450401_UNITED_HEALTHCARE_2727 | NULL | 12906.47 | NULL | NULL | NULL | NULL | |
| 010011 | 1364313704949465 | 1-CDM | COIL EMB MREYE 5X5 0.038 IMWCE-38-5-5 | 0278 | NULL | 78021991 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 110.33 | NULL | NULL | NULL | NULL | |
| 010011 | 1460780482550800 | 1-CDM | SCREW BONE HEADLESS CMPRSN 658034 | 0278 | NULL | 78019037 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 430.11 | NULL | NULL | NULL | NULL | |
| 010011 | 1662487230546656 | 1-CDM | TX METACARPOPHALANGEAL DISL RT HD 4TH D… | 0450 | NULL | 72306663 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | cash | Cash_Charge | NULL | 86.42 | NULL | NULL | NULL | NULL | |
| 010011 | 1758699152876491 | 1-CDM | PIN EXT FIX 5X275M 00-5204-090-28 | 0278 | NULL | 78021636 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450430_HEALTH_CHOICE_1712 | NULL | 172.00 | NULL | NULL | NULL | NULL | |
| 010011 | 1768563010450908 | 3-DRG | Infections, Female Reproductive System … | NULL | NULL | 759 | 759 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i150180_VIVA_MEDICARE_ME_CAP_2798 | NULL | 4027.53 | NULL | NULL | NULL | NULL | |
| 010011 | 1796667263800840 | 1-CDM | *THYROGLOBULIN ANTIBODY | 0302 | NULL | 70609149 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | cash | Cash_Charge | NULL | 16.59 | NULL | NULL | NULL | NULL | |
| 010011 | 2236553268469955 | 1-CDM | BONE GRAFT MAT DEM DBM001 | 0278 | NULL | 78022956 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450430_HEALTH_CHOICE_1712 | NULL | 102.50 | NULL | NULL | NULL | NULL | |
| 010011 | 2270134812531527 | 1-CDM | CHROMOSOME INTER/REPORT | 0311 | NULL | 70609119 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | cash | Cash_Charge | NULL | 22.26 | NULL | NULL | NULL | NULL | |
| 010011 | 2453755260735366 | 1-CDM | SURGICLIP TITANIUM LG 13IN MCL20 | 0272 | NULL | 70207038 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 63.80 | NULL | NULL | NULL | NULL | |
| 010011 | 2548287782480353 | 3-DRG | Cardiac Congenital And Valvular Disorde… | NULL | NULL | 307 | 307 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | min | Min_Negotiated_Rate | NULL | 2016.00 | NULL | NULL | NULL | NULL | |
| 010011 | 2559880351297369 | 1-CDM | SCRW CORTEX SELF-TAPPING 2.7MM 202.834 | 0278 | NULL | 78023490 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | cash | Cash_Charge | NULL | 16.17 | NULL | NULL | NULL | NULL | |
| 010011 | 2647837596796627 | 1-CDM | SCREW OST #338632 32MMX3.5 AXSOS | 0278 | NULL | 70202303 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 29.50 | NULL | NULL | NULL | NULL | |
| 010011 | 2722384203806670 | 3-DRG | Upper Limb And Toe Amputation For Circu… | NULL | NULL | 255 | 255 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i150180_VIVA_MEDICARE_ME_CAP_2798 | NULL | 14991.21 | NULL | NULL | NULL | NULL | |
| 010011 | 2773515448540277 | 1-CDM | STENT SMART CONTROL 8X80X120 | 0278 | NULL | 71325321 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 1250.00 | NULL | NULL | NULL | NULL | |
| 010011 | 2790947166375808 | 1-CDM | EMG W NCS COMPLETE | 0922 | NULL | 71201019 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 455.30 | NULL | NULL | NULL | NULL | |
| 010011 | 2915094882053506 | 1-CDM | DEOXYRIBONUCLEASE ANTIBODY | 0302 | NULL | 70649243 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 66.00 | NULL | NULL | NULL | NULL | |
| 010011 | 2923886640510048 | 1-CDM | LIVER KIDNEY MICROSOME-1 AB IGG | 0302 | NULL | 70649353 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i400409_MUTUAL_OF_OMAHA_1933 | NULL | 41.76 | NULL | NULL | NULL | NULL | |
| 010011 | 3135084237023103 | 3-DRG | Other Hepatobiliary Or Pancreas O.R. Pr… | NULL | NULL | 425 | 425 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450403_UNITED_BEHAVIORAL_HEALTH_2727 | NULL | 13497.70 | NULL | NULL | NULL | NULL | |
| 010011 | 3220513891659782 | 3-DRG | Peritoneal Adhesiolysis With MCC | NULL | NULL | 335 | 335 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i150186_MEDICARE_VIVA_OPEN_ACCESS_2798 | NULL | 22934.26 | NULL | NULL | NULL | NULL | |
| 010011 | 3696199992721914 | 3-DRG | Penis Procedures Without CC/MCC | NULL | NULL | 710 | 710 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i150195_VIVA_MCR_ME_CAP_OOP_STVHS_2798 | NULL | 9431.55 | NULL | NULL | NULL | NULL | |
| 010011 | 3750870107446836 | 1-CDM | CATH BLLN DILAT ELATION 18-20MM ECB18 | 0272 | NULL | 73206595 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 388.50 | NULL | NULL | NULL | NULL | |
| 010011 | 3767723412770576 | 1-CDM | OMNILINK ELITE 8.0 X 29 135CM | 0278 | NULL | 71323463 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 1276.00 | NULL | NULL | NULL | NULL | |
| 010011 | 3791139772889030 | 1-CDM | MR BRACHIAL PLEX W/WO | 0610 | NULL | 71449302 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | cash | Cash_Charge | NULL | 1812.09 | NULL | NULL | NULL | NULL | |
| 010011 | 3878923946887625 | 1-CDM | DRILL BIT SURGICAL CANNU AR-8943-02 | 0272 | NULL | 78021816 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 438.00 | NULL | NULL | NULL | NULL | |
| 010011 | 4116614718721048 | 1-CDM | SCREW VUEPOINT 4.5X30 8975730 | 0278 | NULL | 78022902 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 1250.00 | NULL | NULL | NULL | NULL | |
| 010011 | 4134346636281004 | 1-CDM | PLATE BONELOCKING 6HOLE 75M 628006S | 0278 | NULL | 78019887 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | min | Min_Negotiated_Rate | NULL | 693.42 | NULL | NULL | NULL | NULL | |
| 010011 | 4596009990876818 | 1-CDM | HUMERAL NAIL TI PROX 04.016.035S | 0278 | NULL | 78028707 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i400409_MUTUAL_OF_OMAHA_1933 | NULL | 1928.50 | NULL | NULL | NULL | NULL | |
| 010011 | 4653547311036317 | 3-DRG | Malignancy Of Hepatobiliary System Or P… | NULL | NULL | 435 | 435 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450425_GEHA_2727 | NULL | 15329.99 | NULL | NULL | NULL | NULL | |
| 010011 | 5663241906153131 | 1-CDM | CATH 6FR XBC4 GUIDE 67007400 | 0272 | NULL | 71325864 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i400409_MUTUAL_OF_OMAHA_1933 | NULL | 57.42 | NULL | NULL | NULL | NULL | |
| 010011 | 5716364732709791 | 1-CDM | ANGIOSCULPT OTW 4.0 X 40 | 0272 | NULL | 71323860 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 1087.50 | NULL | NULL | NULL | NULL | |
| 010011 | 5738076654837123 | 3-DRG | Craniotomy And Endovascular Intracrania… | NULL | NULL | 27 | 027 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450400_HUMANA_PPO_2774 | NULL | 32600.65 | NULL | NULL | NULL | NULL | |
| 010011 | 5872888941673277 | 1-CDM | BETA 2 GLYCOPROT 1 AB IGA | 0302 | NULL | 70608070 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 73.08 | NULL | NULL | NULL | NULL | |
| 010011 | 6017780618301616 | 1-CDM | ALLERGEN SPECIFIC IGE TIMOTHY | 0302 | NULL | 70649697 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | max | Max_Negotiated_Rate | NULL | 15.08 | NULL | NULL | NULL | NULL | |
| 010011 | 6205400043075555 | 1-CDM | MPL CODON 515 MUTATION DETECTION | 0300 | NULL | 70601152 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i400409_MUTUAL_OF_OMAHA_1933 | NULL | 433.26 | NULL | NULL | NULL | NULL | |
| 010011 | 6245424406203445 | 1-CDM | SCREW LAG HIP 10.5X85MM 814510085 | 0278 | NULL | 78024150 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i450432_HEALTH_CHOICE_PIGGLY_WIGGLY_171… | NULL | 629.50 | NULL | NULL | NULL | NULL | |
| 010011 | 6370104799257444 | 1-CDM | TISSUE EXPANDER 850ML #133FV-16 | 0278 | NULL | 70200717 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | gross | Gross_Charge | NULL | 2748.50 | NULL | NULL | NULL | NULL | |
| 010011 | 6371007544902241 | 3-DRG | Cellulitis With MCC | NULL | NULL | 602 | 602 | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | NULL | payer | i400434_UMWA_2720 | NULL | 8468.89 | NULL | NULL | NULL | NULL |
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