This document shows a summary of lab tests performed, including CPT codes, descriptions, billed amounts, allowed amounts by a PPO, and amounts paid by RHCC. It demonstrates that RHCC paid significantly less than both the billed charges and the PPO allowed amounts across all tests. The total billed charges were over $2.8 million, while RHCC paid around $594,000, resulting in savings of over $2.25 million or 79.13% compared to billed charges, and over $1.3 million or 68.77% below the PPO allowed amounts.

1. CPT Code ModifierID SvcCodeDescription Units Billed Allowed RHCC Allow
RHCC Saving Over
BillCharge
RHCC Saving Over
Allowed
80156 26 ASSAY CARBAMAZEPINE TOTAL 1 $26.40 $23.76 $5.46 $20.94 $18.30
80178 NULL ASSAY OF LITHIUM 1 $51.45 $9.36 $3.46 $47.99 $5.90
80182 NULL ASSAY OF NORTRIPTYLINE 9 $247.52 $214.30 $67.23 $180.29 $147.07
81002 59 URINALYSIS NONAUTO W/O SCOPE 1 $25.00 $5.04 $1.45 $23.55 $3.59
82175 91 ASSAY OF ARSENIC 1 $25.00 $25.00 $5.46 $19.54 $19.54
82270 NULL OCCULT BLOOD FECES 3 $36.00 $22.24 $4.35 $31.65 $17.89
82272 NULL OCCULT BLD FECES 1-3 TESTS 29 $634.19 $378.59 $285.39 $348.80 $93.20
82300 NULL ASSAY OF CADMIUM 2 $10.00 $10.00 $10.00 $0.00 $0.00
82374 26 ASSAY BLOOD CARBON DIOXIDE 337 $1,685.00 $1,455.50 $1,685.00 $0.00 -$229.50
82565 NULL ASSAY OF CREATININE 330 $10,163.59 $7,776.07 $2,145.00 $8,018.59 $5,631.07
82657 NULL ENZYME CELL ACTIVITY 2 $612.75 $525.80 $29.94 $582.81 $495.86
82955 26 ASSAY OF G6PD ENZYME 2 $12.00 $10.20 $12.00 $0.00 -$1.80
82962 NULL GLUCOSE BLOOD TEST 2 $47.20 $17.90 $5.24 $41.96 $12.66
83021 NULL HEMOGLOBIN CHROMOTOGRAPHY 8 $954.65 $806.26 $119.76 $834.89 $686.50
83037 NULL GLYCOSYLATED HB HOME DEVICE 15 $619.00 $355.95 $278.55 $340.45 $77.40
83525 26 ASSAY OF INSULIN 1 $8.75 $6.56 $8.75 $0.00 -$2.19
83655 91 ASSAY OF LEAD 1 $5.00 $5.00 $5.00 $0.00 $0.00
83718 26 ASSAY OF LIPOPROTEIN 5 $25.00 $22.00 $25.00 $0.00 -$3.00
83788 NULL MASS SPECTROMETRY QUAL 1 $984.00 $797.04 $14.97 $969.03 $782.07
88173 27 CYTOPATH EVAL FNA REPORT 9 $2,947.07 $1,856.65 $457.65 $2,489.42 $1,399.00
88356 91 ANALYSIS NERVE 3 $801.00 $777.39 $386.97 $414.03 $390.42
Total $2,845,558.00 $1,901,594.19 $593,895.93 $2,251,662.07 $1,307,698.26
Original
PPO Savings from
Billed Charges
RHCC Savings
From Billed Charges
RHCC Savings Below
PPO Allowable
$943,963.81 $2,251,662.07 $1,307,698.26
33.17% 79.13% 68.77%
National Lab Network
Savings Example
* Data represents page
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