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Service Code CPT 86317
Hospital Charge Code 2943007
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943007
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943008
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943008
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943008
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943009
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943009
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943009
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943000
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943000
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943000
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943001
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943001
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943001
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943002
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943002
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943002
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943010
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943010
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943010
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943011
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943011
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $13.80
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $13.80
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943011
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943012
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $59.96
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $14.99
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $26.23
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24.88
Rate for Payer: Anthem Medicaid $15.49
Rate for Payer: Anthem Medicare Advantage $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $12.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $14.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $14.99
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.16
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $14.99
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $15.49
Rate for Payer: Dean Health DHI/DHP/ASO $12.87
Rate for Payer: Dean Health Medicaid $15.49
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $14.99
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $55.76
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $14.99
Rate for Payer: Independent Care Health Plan Medicaid $15.49
Rate for Payer: Independent Care Health Plan Medicare $14.99
Rate for Payer: Managed Health Services Medicaid $16.11
Rate for Payer: Managed Health Services Medicare Advantage $14.99
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $14.99
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $22.48
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $15.49
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $14.99
Rate for Payer: The Alliance Commercial $59.96
Rate for Payer: United Healthcare Medicaid $15.49
Rate for Payer: United Healthcare Medicare Advantage $14.99
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $14.99
Rate for Payer: WMAP Medicaid $15.49
Rate for Payer: WPS Commercial $17.04
Service Code CPT 86317
Hospital Charge Code 2943012
Hospital Revenue Code 300
Min. Negotiated Rate $10.12
Max. Negotiated Rate $52.91
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Cash Price $6.90
Rate for Payer: Cash Price $6.90
Rate for Payer: Cigna Commercial $21.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $11.50
Rate for Payer: Dean Health DHI/DHP/ASO $13.80
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: HFN Commercial $21.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $52.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $52.91
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: Preferred Network Access Commercial $21.85
Rate for Payer: Quartz Beloit One Network $10.12
Rate for Payer: Quartz Commercial $13.11
Rate for Payer: The Alliance Commercial $11.50
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $17.04