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Service Code CPT 81321
Hospital Charge Code 5484744
Hospital Revenue Code 300
Min. Negotiated Rate $174.24
Max. Negotiated Rate $2,118.00
Rate for Payer: Aetna Commercial $376.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $340.56
Rate for Payer: Cash Price $118.80
Rate for Payer: Cash Price $118.80
Rate for Payer: Cigna Commercial $376.20
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $198.00
Rate for Payer: Dean Health DHI/DHP/ASO $237.60
Rate for Payer: Health EOS Commercial $360.36
Rate for Payer: HFN Commercial $376.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,118.00
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,118.00
Rate for Payer: Multiplan Commercial $316.80
Rate for Payer: Preferred Network Access Commercial $376.20
Rate for Payer: Quartz Beloit One Network $174.24
Rate for Payer: Quartz Commercial $225.72
Rate for Payer: The Alliance Commercial $198.00
Rate for Payer: WEA Trust Commercial $217.80
Rate for Payer: WPS Commercial $293.32
Service Code CPT 81321
Hospital Charge Code 5484744
Hospital Revenue Code 300
Min. Negotiated Rate $194.04
Max. Negotiated Rate $2,400.00
Rate for Payer: Aetna Commercial $356.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $340.56
Rate for Payer: Aetna Managed Medicare $600.00
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,250.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,050.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $996.00
Rate for Payer: Anthem Medicaid $480.56
Rate for Payer: Anthem Medicare Advantage $600.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $209.88
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $600.00
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $600.00
Rate for Payer: Cash Price $118.80
Rate for Payer: Cash Price $118.80
Rate for Payer: Cigna Commercial $364.32
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $600.00
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $480.56
Rate for Payer: Dean Health DHI/DHP/ASO $221.60
Rate for Payer: Dean Health Medicaid $480.56
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $600.00
Rate for Payer: Health EOS Commercial $352.44
Rate for Payer: HFN Commercial $364.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,232.00
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $600.00
Rate for Payer: Independent Care Health Plan Medicaid $480.56
Rate for Payer: Independent Care Health Plan Medicare $600.00
Rate for Payer: Managed Health Services Medicaid $499.78
Rate for Payer: Managed Health Services Medicare Advantage $600.00
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $600.00
Rate for Payer: Multiplan Commercial $316.80
Rate for Payer: NAPHCARE Commercial $900.00
Rate for Payer: Preferred Network Access Commercial $364.32
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $480.56
Rate for Payer: Quartz Beloit One Network $194.04
Rate for Payer: Quartz Commercial $257.40
Rate for Payer: Quartz Medicare Advantage $600.00
Rate for Payer: The Alliance Commercial $2,400.00
Rate for Payer: United Healthcare Medicaid $480.56
Rate for Payer: United Healthcare Medicare Advantage $600.00
Rate for Payer: United Healthcare PPO $297.00
Rate for Payer: WEA Trust Commercial $217.80
Rate for Payer: Wellcare Medicare $600.00
Rate for Payer: WMAP Medicaid $480.56
Rate for Payer: WPS Commercial $293.32
Hospital Charge Code 2950491
Hospital Revenue Code 360
Min. Negotiated Rate $1,900.71
Max. Negotiated Rate $3,568.68
Rate for Payer: Aetna Commercial $3,491.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,335.94
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,055.87
Rate for Payer: Cash Price $1,163.70
Rate for Payer: Cigna Commercial $3,568.68
Rate for Payer: Health EOS Commercial $3,452.31
Rate for Payer: HFN Commercial $3,568.68
Rate for Payer: Multiplan Commercial $3,103.20
Rate for Payer: NAPHCARE Commercial $2,327.40
Rate for Payer: Preferred Network Access Commercial $3,568.68
Rate for Payer: Quartz Beloit One Network $1,900.71
Rate for Payer: Quartz Commercial $2,327.40
Rate for Payer: WEA Trust Commercial $2,133.45
Rate for Payer: WPS Commercial $2,873.18
Hospital Charge Code 2950491
Hospital Revenue Code 360
Min. Negotiated Rate $1,086.12
Max. Negotiated Rate $15,516.00
Rate for Payer: Aetna Commercial $3,491.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,335.94
Rate for Payer: Aetna Managed Medicare $1,086.12
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,521.35
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,939.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $1,861.92
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,055.87
Rate for Payer: Cash Price $1,163.70
Rate for Payer: Cigna Commercial $3,568.68
Rate for Payer: Dean Health DHI/DHP/ASO $2,170.69
Rate for Payer: Health EOS Commercial $3,452.31
Rate for Payer: HFN Commercial $3,568.68
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,909.25
Rate for Payer: Multiplan Commercial $3,103.20
Rate for Payer: NAPHCARE Commercial $2,327.40
Rate for Payer: Preferred Network Access Commercial $3,568.68
Rate for Payer: Quartz Beloit One Network $1,900.71
Rate for Payer: Quartz Commercial $2,521.35
Rate for Payer: Quartz Medicare Advantage $2,327.40
Rate for Payer: The Alliance Commercial $15,516.00
Rate for Payer: WEA Trust Commercial $2,133.45
Rate for Payer: WPS Commercial $2,873.18
Service Code CPT 97014
Hospital Charge Code 5254609
Hospital Revenue Code 420
Min. Negotiated Rate $46.76
Max. Negotiated Rate $668.00
Rate for Payer: Aetna Commercial $150.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $143.62
Rate for Payer: Aetna Managed Medicare $46.76
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $349.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $287.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $272.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $88.51
Rate for Payer: Cash Price $50.10
Rate for Payer: Cash Price $50.10
Rate for Payer: Cigna Commercial $153.64
Rate for Payer: Dean Health DHI/DHP/ASO $93.45
Rate for Payer: Health EOS Commercial $148.63
Rate for Payer: HFN Commercial $153.64
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $202.00
Rate for Payer: Multiplan Commercial $133.60
Rate for Payer: NAPHCARE Commercial $100.20
Rate for Payer: Preferred Network Access Commercial $153.64
Rate for Payer: Quartz Beloit One Network $81.83
Rate for Payer: Quartz Commercial $108.55
Rate for Payer: Quartz Medicare Advantage $100.20
Rate for Payer: The Alliance Commercial $668.00
Rate for Payer: United Healthcare PPO $125.25
Rate for Payer: WEA Trust Commercial $91.85
Rate for Payer: WPS Commercial $123.70
Service Code CPT 97014
Hospital Charge Code 5254609
Hospital Revenue Code 420
Min. Negotiated Rate $81.83
Max. Negotiated Rate $153.64
Rate for Payer: Aetna Commercial $150.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $143.62
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $88.51
Rate for Payer: Cash Price $50.10
Rate for Payer: Cigna Commercial $153.64
Rate for Payer: Health EOS Commercial $148.63
Rate for Payer: HFN Commercial $153.64
Rate for Payer: Multiplan Commercial $133.60
Rate for Payer: NAPHCARE Commercial $100.20
Rate for Payer: Preferred Network Access Commercial $153.64
Rate for Payer: Quartz Beloit One Network $81.83
Rate for Payer: Quartz Commercial $100.20
Rate for Payer: WEA Trust Commercial $91.85
Rate for Payer: WPS Commercial $123.70
Service Code CPT 97163
Hospital Charge Code 5250656
Hospital Revenue Code 420
Min. Negotiated Rate $343.98
Max. Negotiated Rate $645.84
Rate for Payer: Aetna Commercial $631.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $603.72
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $372.06
Rate for Payer: Cash Price $210.60
Rate for Payer: Cigna Commercial $645.84
Rate for Payer: Health EOS Commercial $624.78
Rate for Payer: HFN Commercial $645.84
Rate for Payer: Multiplan Commercial $561.60
Rate for Payer: NAPHCARE Commercial $421.20
Rate for Payer: Preferred Network Access Commercial $645.84
Rate for Payer: Quartz Beloit One Network $343.98
Rate for Payer: Quartz Commercial $421.20
Rate for Payer: WEA Trust Commercial $386.10
Rate for Payer: WPS Commercial $519.97
Service Code CPT 97163
Hospital Charge Code 5250656
Hospital Revenue Code 420
Min. Negotiated Rate $196.56
Max. Negotiated Rate $2,808.00
Rate for Payer: Aetna Commercial $631.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $603.72
Rate for Payer: Aetna Managed Medicare $196.56
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $349.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $287.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $272.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $372.06
Rate for Payer: Cash Price $210.60
Rate for Payer: Cash Price $210.60
Rate for Payer: Cigna Commercial $645.84
Rate for Payer: Dean Health DHI/DHP/ASO $392.84
Rate for Payer: Health EOS Commercial $624.78
Rate for Payer: HFN Commercial $645.84
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $202.00
Rate for Payer: Multiplan Commercial $561.60
Rate for Payer: NAPHCARE Commercial $421.20
Rate for Payer: Preferred Network Access Commercial $645.84
Rate for Payer: Quartz Beloit One Network $343.98
Rate for Payer: Quartz Commercial $456.30
Rate for Payer: Quartz Medicare Advantage $421.20
Rate for Payer: The Alliance Commercial $2,808.00
Rate for Payer: United Healthcare PPO $526.50
Rate for Payer: WEA Trust Commercial $386.10
Rate for Payer: WPS Commercial $519.97
Service Code CPT 97161
Hospital Charge Code 5250655
Hospital Revenue Code 420
Min. Negotiated Rate $203.35
Max. Negotiated Rate $381.80
Rate for Payer: Aetna Commercial $373.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $356.90
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $219.95
Rate for Payer: Cash Price $124.50
Rate for Payer: Cigna Commercial $381.80
Rate for Payer: Health EOS Commercial $369.35
Rate for Payer: HFN Commercial $381.80
Rate for Payer: Multiplan Commercial $332.00
Rate for Payer: NAPHCARE Commercial $249.00
Rate for Payer: Preferred Network Access Commercial $381.80
Rate for Payer: Quartz Beloit One Network $203.35
Rate for Payer: Quartz Commercial $249.00
Rate for Payer: WEA Trust Commercial $228.25
Rate for Payer: WPS Commercial $307.39
Service Code CPT 97161
Hospital Charge Code 5250655
Hospital Revenue Code 420
Min. Negotiated Rate $116.20
Max. Negotiated Rate $1,660.00
Rate for Payer: Aetna Commercial $373.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $356.90
Rate for Payer: Aetna Managed Medicare $116.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $349.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $287.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $272.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $219.95
Rate for Payer: Cash Price $124.50
Rate for Payer: Cash Price $124.50
Rate for Payer: Cigna Commercial $381.80
Rate for Payer: Dean Health DHI/DHP/ASO $232.23
Rate for Payer: Health EOS Commercial $369.35
Rate for Payer: HFN Commercial $381.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $202.00
Rate for Payer: Multiplan Commercial $332.00
Rate for Payer: NAPHCARE Commercial $249.00
Rate for Payer: Preferred Network Access Commercial $381.80
Rate for Payer: Quartz Beloit One Network $203.35
Rate for Payer: Quartz Commercial $269.75
Rate for Payer: Quartz Medicare Advantage $249.00
Rate for Payer: The Alliance Commercial $1,660.00
Rate for Payer: United Healthcare PPO $311.25
Rate for Payer: WEA Trust Commercial $228.25
Rate for Payer: WPS Commercial $307.39
Service Code CPT 97162
Hospital Charge Code 5247109
Hospital Revenue Code 420
Min. Negotiated Rate $313.60
Max. Negotiated Rate $588.80
Rate for Payer: Aetna Commercial $576.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $550.40
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $339.20
Rate for Payer: Cash Price $192.00
Rate for Payer: Cigna Commercial $588.80
Rate for Payer: Health EOS Commercial $569.60
Rate for Payer: HFN Commercial $588.80
Rate for Payer: Multiplan Commercial $512.00
Rate for Payer: NAPHCARE Commercial $384.00
Rate for Payer: Preferred Network Access Commercial $588.80
Rate for Payer: Quartz Beloit One Network $313.60
Rate for Payer: Quartz Commercial $384.00
Rate for Payer: WEA Trust Commercial $352.00
Rate for Payer: WPS Commercial $474.05
Service Code CPT 97162
Hospital Charge Code 5247109
Hospital Revenue Code 420
Min. Negotiated Rate $179.20
Max. Negotiated Rate $2,560.00
Rate for Payer: Aetna Commercial $576.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $550.40
Rate for Payer: Aetna Managed Medicare $179.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $349.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $287.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $272.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $339.20
Rate for Payer: Cash Price $192.00
Rate for Payer: Cash Price $192.00
Rate for Payer: Cigna Commercial $588.80
Rate for Payer: Dean Health DHI/DHP/ASO $358.14
Rate for Payer: Health EOS Commercial $569.60
Rate for Payer: HFN Commercial $588.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $202.00
Rate for Payer: Multiplan Commercial $512.00
Rate for Payer: NAPHCARE Commercial $384.00
Rate for Payer: Preferred Network Access Commercial $588.80
Rate for Payer: Quartz Beloit One Network $313.60
Rate for Payer: Quartz Commercial $416.00
Rate for Payer: Quartz Medicare Advantage $384.00
Rate for Payer: The Alliance Commercial $2,560.00
Rate for Payer: United Healthcare PPO $480.00
Rate for Payer: WEA Trust Commercial $352.00
Rate for Payer: WPS Commercial $474.05
Service Code CPT 85610
Hospital Charge Code 979846
Hospital Revenue Code 300
Min. Negotiated Rate $25.48
Max. Negotiated Rate $47.84
Rate for Payer: Aetna Commercial $46.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $44.72
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $27.56
Rate for Payer: Cash Price $15.60
Rate for Payer: Cigna Commercial $47.84
Rate for Payer: Health EOS Commercial $46.28
Rate for Payer: HFN Commercial $47.84
Rate for Payer: Multiplan Commercial $41.60
Rate for Payer: NAPHCARE Commercial $31.20
Rate for Payer: Preferred Network Access Commercial $47.84
Rate for Payer: Quartz Beloit One Network $25.48
Rate for Payer: Quartz Commercial $31.20
Rate for Payer: WEA Trust Commercial $28.60
Rate for Payer: WPS Commercial $38.52
Service Code CPT 85610
Hospital Charge Code 979846
Hospital Revenue Code 300
Min. Negotiated Rate $15.14
Max. Negotiated Rate $49.40
Rate for Payer: Aetna Commercial $49.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $44.72
Rate for Payer: Cash Price $15.60
Rate for Payer: Cash Price $15.60
Rate for Payer: Cigna Commercial $49.40
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $26.00
Rate for Payer: Dean Health DHI/DHP/ASO $31.20
Rate for Payer: Health EOS Commercial $47.32
Rate for Payer: HFN Commercial $49.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $15.14
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $15.14
Rate for Payer: Multiplan Commercial $41.60
Rate for Payer: Preferred Network Access Commercial $49.40
Rate for Payer: Quartz Beloit One Network $22.88
Rate for Payer: Quartz Commercial $29.64
Rate for Payer: The Alliance Commercial $26.00
Rate for Payer: WEA Trust Commercial $28.60
Rate for Payer: WPS Commercial $38.52
Service Code CPT 85610
Hospital Charge Code 979846
Hospital Revenue Code 300
Min. Negotiated Rate $4.29
Max. Negotiated Rate $47.84
Rate for Payer: Aetna Commercial $46.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $44.72
Rate for Payer: Aetna Managed Medicare $4.29
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $16.09
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $7.51
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7.12
Rate for Payer: Anthem Medicaid $4.43
Rate for Payer: Anthem Medicare Advantage $4.29
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $27.56
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $4.29
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $4.29
Rate for Payer: Cash Price $15.60
Rate for Payer: Cash Price $15.60
Rate for Payer: Cigna Commercial $47.84
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $4.29
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $4.43
Rate for Payer: Dean Health DHI/DHP/ASO $29.10
Rate for Payer: Dean Health Medicaid $4.43
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $4.29
Rate for Payer: Health EOS Commercial $46.28
Rate for Payer: HFN Commercial $47.84
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $15.96
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $4.29
Rate for Payer: Independent Care Health Plan Medicaid $4.43
Rate for Payer: Independent Care Health Plan Medicare $4.29
Rate for Payer: Managed Health Services Medicaid $4.61
Rate for Payer: Managed Health Services Medicare Advantage $4.29
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $4.29
Rate for Payer: Multiplan Commercial $41.60
Rate for Payer: NAPHCARE Commercial $6.44
Rate for Payer: Preferred Network Access Commercial $47.84
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $4.43
Rate for Payer: Quartz Beloit One Network $25.48
Rate for Payer: Quartz Commercial $33.80
Rate for Payer: Quartz Medicare Advantage $4.29
Rate for Payer: The Alliance Commercial $17.16
Rate for Payer: United Healthcare Medicaid $4.43
Rate for Payer: United Healthcare Medicare Advantage $4.29
Rate for Payer: United Healthcare PPO $39.00
Rate for Payer: WEA Trust Commercial $28.60
Rate for Payer: Wellcare Medicare $4.29
Rate for Payer: WMAP Medicaid $4.43
Rate for Payer: WPS Commercial $38.52
Service Code CPT 83519
Hospital Charge Code 983380
Hospital Revenue Code 300
Min. Negotiated Rate $185.71
Max. Negotiated Rate $348.68
Rate for Payer: Aetna Commercial $341.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $325.94
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $200.87
Rate for Payer: Cash Price $113.70
Rate for Payer: Cigna Commercial $348.68
Rate for Payer: Health EOS Commercial $337.31
Rate for Payer: HFN Commercial $348.68
Rate for Payer: Multiplan Commercial $303.20
Rate for Payer: NAPHCARE Commercial $227.40
Rate for Payer: Preferred Network Access Commercial $348.68
Rate for Payer: Quartz Beloit One Network $185.71
Rate for Payer: Quartz Commercial $227.40
Rate for Payer: WEA Trust Commercial $208.45
Rate for Payer: WPS Commercial $280.73
Service Code CPT 83519
Hospital Charge Code 983380
Hospital Revenue Code 300
Min. Negotiated Rate $18.40
Max. Negotiated Rate $348.68
Rate for Payer: Aetna Commercial $341.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $325.94
Rate for Payer: Aetna Managed Medicare $18.40
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $69.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $32.20
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $30.54
Rate for Payer: Anthem Medicaid $19.00
Rate for Payer: Anthem Medicare Advantage $18.40
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $200.87
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $18.40
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $18.40
Rate for Payer: Cash Price $113.70
Rate for Payer: Cash Price $113.70
Rate for Payer: Cigna Commercial $348.68
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $18.40
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $19.00
Rate for Payer: Dean Health DHI/DHP/ASO $212.09
Rate for Payer: Dean Health Medicaid $19.00
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $18.40
Rate for Payer: Health EOS Commercial $337.31
Rate for Payer: HFN Commercial $348.68
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $68.45
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $18.40
Rate for Payer: Independent Care Health Plan Medicaid $19.00
Rate for Payer: Independent Care Health Plan Medicare $18.40
Rate for Payer: Managed Health Services Medicaid $19.76
Rate for Payer: Managed Health Services Medicare Advantage $18.40
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $18.40
Rate for Payer: Multiplan Commercial $303.20
Rate for Payer: NAPHCARE Commercial $27.60
Rate for Payer: Preferred Network Access Commercial $348.68
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $19.00
Rate for Payer: Quartz Beloit One Network $185.71
Rate for Payer: Quartz Commercial $246.35
Rate for Payer: Quartz Medicare Advantage $18.40
Rate for Payer: The Alliance Commercial $73.60
Rate for Payer: United Healthcare Medicaid $19.00
Rate for Payer: United Healthcare Medicare Advantage $18.40
Rate for Payer: United Healthcare PPO $284.25
Rate for Payer: WEA Trust Commercial $208.45
Rate for Payer: Wellcare Medicare $18.40
Rate for Payer: WMAP Medicaid $19.00
Rate for Payer: WPS Commercial $280.73
Service Code CPT 83519
Hospital Charge Code 983380
Hospital Revenue Code 300
Min. Negotiated Rate $64.95
Max. Negotiated Rate $360.05
Rate for Payer: Aetna Commercial $360.05
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $325.94
Rate for Payer: Cash Price $113.70
Rate for Payer: Cash Price $113.70
Rate for Payer: Cigna Commercial $360.05
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $189.50
Rate for Payer: Dean Health DHI/DHP/ASO $227.40
Rate for Payer: Health EOS Commercial $344.89
Rate for Payer: HFN Commercial $360.05
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $64.95
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $64.95
Rate for Payer: Multiplan Commercial $303.20
Rate for Payer: Preferred Network Access Commercial $360.05
Rate for Payer: Quartz Beloit One Network $166.76
Rate for Payer: Quartz Commercial $216.03
Rate for Payer: The Alliance Commercial $189.50
Rate for Payer: WEA Trust Commercial $208.45
Rate for Payer: WPS Commercial $280.73
Service Code CPT 83519
Hospital Charge Code 983382
Hospital Revenue Code 300
Min. Negotiated Rate $18.40
Max. Negotiated Rate $670.68
Rate for Payer: Anthem Medicare Advantage $18.40
Rate for Payer: Aetna Commercial $656.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $626.94
Rate for Payer: Aetna Managed Medicare $18.40
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $69.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $32.20
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $30.54
Rate for Payer: Anthem Medicaid $19.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $386.37
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $18.40
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $18.40
Rate for Payer: Cash Price $218.70
Rate for Payer: Cash Price $218.70
Rate for Payer: Cigna Commercial $670.68
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $18.40
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $19.00
Rate for Payer: Dean Health DHI/DHP/ASO $407.95
Rate for Payer: Dean Health Medicaid $19.00
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $18.40
Rate for Payer: Health EOS Commercial $648.81
Rate for Payer: HFN Commercial $670.68
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $68.45
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $18.40
Rate for Payer: Independent Care Health Plan Medicaid $19.00
Rate for Payer: Independent Care Health Plan Medicare $18.40
Rate for Payer: Managed Health Services Medicaid $19.76
Rate for Payer: Managed Health Services Medicare Advantage $18.40
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $18.40
Rate for Payer: Multiplan Commercial $583.20
Rate for Payer: NAPHCARE Commercial $27.60
Rate for Payer: Preferred Network Access Commercial $670.68
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $19.00
Rate for Payer: Quartz Beloit One Network $357.21
Rate for Payer: Quartz Commercial $473.85
Rate for Payer: Quartz Medicare Advantage $18.40
Rate for Payer: The Alliance Commercial $73.60
Rate for Payer: United Healthcare Medicaid $19.00
Rate for Payer: United Healthcare Medicare Advantage $18.40
Rate for Payer: United Healthcare PPO $546.75
Rate for Payer: WEA Trust Commercial $400.95
Rate for Payer: Wellcare Medicare $18.40
Rate for Payer: WMAP Medicaid $19.00
Rate for Payer: WPS Commercial $539.97
Service Code CPT 83519
Hospital Charge Code 983382
Hospital Revenue Code 300
Min. Negotiated Rate $357.21
Max. Negotiated Rate $670.68
Rate for Payer: Aetna Commercial $656.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $626.94
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $386.37
Rate for Payer: Cash Price $218.70
Rate for Payer: Cigna Commercial $670.68
Rate for Payer: Health EOS Commercial $648.81
Rate for Payer: HFN Commercial $670.68
Rate for Payer: Multiplan Commercial $583.20
Rate for Payer: NAPHCARE Commercial $437.40
Rate for Payer: Preferred Network Access Commercial $670.68
Rate for Payer: Quartz Beloit One Network $357.21
Rate for Payer: Quartz Commercial $437.40
Rate for Payer: WEA Trust Commercial $400.95
Rate for Payer: WPS Commercial $539.97
Service Code CPT 83519
Hospital Charge Code 983382
Hospital Revenue Code 300
Min. Negotiated Rate $64.95
Max. Negotiated Rate $692.55
Rate for Payer: Aetna Commercial $692.55
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $626.94
Rate for Payer: Cash Price $218.70
Rate for Payer: Cash Price $218.70
Rate for Payer: Cigna Commercial $692.55
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $364.50
Rate for Payer: Dean Health DHI/DHP/ASO $437.40
Rate for Payer: Health EOS Commercial $663.39
Rate for Payer: HFN Commercial $692.55
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $64.95
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $64.95
Rate for Payer: Multiplan Commercial $583.20
Rate for Payer: Preferred Network Access Commercial $692.55
Rate for Payer: Quartz Beloit One Network $320.76
Rate for Payer: Quartz Commercial $415.53
Rate for Payer: The Alliance Commercial $364.50
Rate for Payer: WEA Trust Commercial $400.95
Rate for Payer: WPS Commercial $539.97
Service Code CPT 97140 GP
Hospital Charge Code 2989847
Hospital Revenue Code 420
Min. Negotiated Rate $94.29
Max. Negotiated Rate $222.30
Rate for Payer: Aetna Commercial $222.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $201.24
Rate for Payer: Cash Price $70.20
Rate for Payer: Cash Price $70.20
Rate for Payer: Cash Price $70.20
Rate for Payer: Cigna Commercial $222.30
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $117.00
Rate for Payer: Dean Health DHI/DHP/ASO $140.40
Rate for Payer: Health EOS Commercial $212.94
Rate for Payer: HFN Commercial $222.30
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $94.29
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $94.29
Rate for Payer: Multiplan Commercial $187.20
Rate for Payer: Preferred Network Access Commercial $222.30
Rate for Payer: Quartz Beloit One Network $102.96
Rate for Payer: Quartz Commercial $133.38
Rate for Payer: The Alliance Commercial $117.00
Rate for Payer: WEA Trust Commercial $128.70
Rate for Payer: WPS Commercial $173.32
Service Code CPT 97140
Hospital Charge Code 5247108
Hospital Revenue Code 420
Min. Negotiated Rate $65.52
Max. Negotiated Rate $936.00
Rate for Payer: Aetna Commercial $210.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $201.24
Rate for Payer: Aetna Managed Medicare $65.52
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $349.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $287.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $272.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $124.02
Rate for Payer: Cash Price $70.20
Rate for Payer: Cash Price $70.20
Rate for Payer: Cigna Commercial $215.28
Rate for Payer: Dean Health DHI/DHP/ASO $130.95
Rate for Payer: Health EOS Commercial $208.26
Rate for Payer: HFN Commercial $215.28
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $202.00
Rate for Payer: Multiplan Commercial $187.20
Rate for Payer: NAPHCARE Commercial $140.40
Rate for Payer: Preferred Network Access Commercial $215.28
Rate for Payer: Quartz Beloit One Network $114.66
Rate for Payer: Quartz Commercial $152.10
Rate for Payer: Quartz Medicare Advantage $140.40
Rate for Payer: The Alliance Commercial $936.00
Rate for Payer: United Healthcare PPO $175.50
Rate for Payer: WEA Trust Commercial $128.70
Rate for Payer: WPS Commercial $173.32
Service Code CPT 97140 GP
Hospital Charge Code 2989847
Hospital Revenue Code 420
Min. Negotiated Rate $65.52
Max. Negotiated Rate $936.00
Rate for Payer: Aetna Commercial $210.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $201.24
Rate for Payer: Aetna Managed Medicare $65.52
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $349.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $287.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $272.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $124.02
Rate for Payer: Cash Price $70.20
Rate for Payer: Cash Price $70.20
Rate for Payer: Cigna Commercial $215.28
Rate for Payer: Dean Health DHI/DHP/ASO $130.95
Rate for Payer: Health EOS Commercial $208.26
Rate for Payer: HFN Commercial $215.28
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $202.00
Rate for Payer: Multiplan Commercial $187.20
Rate for Payer: NAPHCARE Commercial $140.40
Rate for Payer: Preferred Network Access Commercial $215.28
Rate for Payer: Quartz Beloit One Network $114.66
Rate for Payer: Quartz Commercial $152.10
Rate for Payer: Quartz Medicare Advantage $140.40
Rate for Payer: The Alliance Commercial $936.00
Rate for Payer: United Healthcare PPO $175.50
Rate for Payer: WEA Trust Commercial $128.70
Rate for Payer: WPS Commercial $173.32
Service Code CPT 97140
Hospital Charge Code 5247108
Hospital Revenue Code 420
Min. Negotiated Rate $114.66
Max. Negotiated Rate $215.28
Rate for Payer: Aetna Commercial $210.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $201.24
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $124.02
Rate for Payer: Cash Price $70.20
Rate for Payer: Cigna Commercial $215.28
Rate for Payer: Health EOS Commercial $208.26
Rate for Payer: HFN Commercial $215.28
Rate for Payer: Multiplan Commercial $187.20
Rate for Payer: NAPHCARE Commercial $140.40
Rate for Payer: Preferred Network Access Commercial $215.28
Rate for Payer: Quartz Beloit One Network $114.66
Rate for Payer: Quartz Commercial $140.40
Rate for Payer: WEA Trust Commercial $128.70
Rate for Payer: WPS Commercial $173.32