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Hospital Charge Code 5813672
Hospital Revenue Code 272
Min. Negotiated Rate $59.64
Max. Negotiated Rate $852.00
Rate for Payer: Aetna Commercial $191.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $183.18
Rate for Payer: Aetna Managed Medicare $59.64
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $138.45
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $106.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $102.24
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $112.89
Rate for Payer: Cash Price $63.90
Rate for Payer: Cigna Commercial $195.96
Rate for Payer: Dean Health DHI/DHP/ASO $119.19
Rate for Payer: Health EOS Commercial $189.57
Rate for Payer: HFN Commercial $195.96
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $159.75
Rate for Payer: Multiplan Commercial $170.40
Rate for Payer: NAPHCARE Commercial $127.80
Rate for Payer: Preferred Network Access Commercial $195.96
Rate for Payer: Quartz Beloit One Network $104.37
Rate for Payer: Quartz Commercial $138.45
Rate for Payer: Quartz Medicare Advantage $127.80
Rate for Payer: The Alliance Commercial $852.00
Rate for Payer: WEA Trust Commercial $117.15
Rate for Payer: WPS Commercial $157.77
Hospital Charge Code 5813672
Hospital Revenue Code 272
Min. Negotiated Rate $104.37
Max. Negotiated Rate $195.96
Rate for Payer: Aetna Commercial $191.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $183.18
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $112.89
Rate for Payer: Cash Price $63.90
Rate for Payer: Cigna Commercial $195.96
Rate for Payer: Health EOS Commercial $189.57
Rate for Payer: HFN Commercial $195.96
Rate for Payer: Multiplan Commercial $170.40
Rate for Payer: NAPHCARE Commercial $127.80
Rate for Payer: Preferred Network Access Commercial $195.96
Rate for Payer: Quartz Beloit One Network $104.37
Rate for Payer: Quartz Commercial $127.80
Rate for Payer: WEA Trust Commercial $117.15
Rate for Payer: WPS Commercial $157.77
Service Code CPT 86235
Hospital Charge Code 2942857
Hospital Revenue Code 300
Min. Negotiated Rate $17.93
Max. Negotiated Rate $278.76
Rate for Payer: Aetna Commercial $272.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $260.58
Rate for Payer: Aetna Managed Medicare $17.93
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $67.24
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $31.38
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $29.76
Rate for Payer: Anthem Medicaid $18.53
Rate for Payer: Anthem Medicare Advantage $17.93
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $160.59
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $17.93
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $17.93
Rate for Payer: Cash Price $90.90
Rate for Payer: Cash Price $90.90
Rate for Payer: Cigna Commercial $278.76
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $17.93
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $18.53
Rate for Payer: Dean Health DHI/DHP/ASO $169.56
Rate for Payer: Dean Health Medicaid $18.53
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $17.93
Rate for Payer: Health EOS Commercial $269.67
Rate for Payer: HFN Commercial $278.76
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $66.70
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $17.93
Rate for Payer: Independent Care Health Plan Medicaid $18.53
Rate for Payer: Independent Care Health Plan Medicare $17.93
Rate for Payer: Managed Health Services Medicaid $19.27
Rate for Payer: Managed Health Services Medicare Advantage $17.93
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $17.93
Rate for Payer: Multiplan Commercial $242.40
Rate for Payer: NAPHCARE Commercial $26.90
Rate for Payer: Preferred Network Access Commercial $278.76
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $18.53
Rate for Payer: Quartz Beloit One Network $148.47
Rate for Payer: Quartz Commercial $196.95
Rate for Payer: Quartz Medicare Advantage $17.93
Rate for Payer: The Alliance Commercial $71.72
Rate for Payer: United Healthcare Medicaid $18.53
Rate for Payer: United Healthcare Medicare Advantage $17.93
Rate for Payer: United Healthcare PPO $227.25
Rate for Payer: WEA Trust Commercial $166.65
Rate for Payer: Wellcare Medicare $17.93
Rate for Payer: WMAP Medicaid $18.53
Rate for Payer: WPS Commercial $224.43
Service Code CPT 86235
Hospital Charge Code 2942857
Hospital Revenue Code 300
Min. Negotiated Rate $148.47
Max. Negotiated Rate $278.76
Rate for Payer: Aetna Commercial $272.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $260.58
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $160.59
Rate for Payer: Cash Price $90.90
Rate for Payer: Cigna Commercial $278.76
Rate for Payer: Health EOS Commercial $269.67
Rate for Payer: HFN Commercial $278.76
Rate for Payer: Multiplan Commercial $242.40
Rate for Payer: NAPHCARE Commercial $181.80
Rate for Payer: Preferred Network Access Commercial $278.76
Rate for Payer: Quartz Beloit One Network $148.47
Rate for Payer: Quartz Commercial $181.80
Rate for Payer: WEA Trust Commercial $166.65
Rate for Payer: WPS Commercial $224.43
Service Code CPT 86235
Hospital Charge Code 2942857
Hospital Revenue Code 300
Min. Negotiated Rate $63.29
Max. Negotiated Rate $287.85
Rate for Payer: Aetna Commercial $287.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $260.58
Rate for Payer: Cash Price $90.90
Rate for Payer: Cash Price $90.90
Rate for Payer: Cigna Commercial $287.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $151.50
Rate for Payer: Dean Health DHI/DHP/ASO $181.80
Rate for Payer: Health EOS Commercial $275.73
Rate for Payer: HFN Commercial $287.85
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $63.29
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $63.29
Rate for Payer: Multiplan Commercial $242.40
Rate for Payer: Preferred Network Access Commercial $287.85
Rate for Payer: Quartz Beloit One Network $133.32
Rate for Payer: Quartz Commercial $172.71
Rate for Payer: The Alliance Commercial $151.50
Rate for Payer: WEA Trust Commercial $166.65
Rate for Payer: WPS Commercial $224.43
Service Code CPT 86235
Hospital Charge Code 983404
Hospital Revenue Code 300
Min. Negotiated Rate $17.93
Max. Negotiated Rate $181.24
Rate for Payer: Aetna Commercial $177.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $169.42
Rate for Payer: Aetna Managed Medicare $17.93
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $67.24
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $31.38
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $29.76
Rate for Payer: Anthem Medicaid $18.53
Rate for Payer: Anthem Medicare Advantage $17.93
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $104.41
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $17.93
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $17.93
Rate for Payer: Cash Price $59.10
Rate for Payer: Cash Price $59.10
Rate for Payer: Cigna Commercial $181.24
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $17.93
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $18.53
Rate for Payer: Dean Health DHI/DHP/ASO $110.24
Rate for Payer: Dean Health Medicaid $18.53
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $17.93
Rate for Payer: Health EOS Commercial $175.33
Rate for Payer: HFN Commercial $181.24
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $66.70
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $17.93
Rate for Payer: Independent Care Health Plan Medicaid $18.53
Rate for Payer: Independent Care Health Plan Medicare $17.93
Rate for Payer: Managed Health Services Medicaid $19.27
Rate for Payer: Managed Health Services Medicare Advantage $17.93
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $17.93
Rate for Payer: Multiplan Commercial $157.60
Rate for Payer: NAPHCARE Commercial $26.90
Rate for Payer: Preferred Network Access Commercial $181.24
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $18.53
Rate for Payer: Quartz Beloit One Network $96.53
Rate for Payer: Quartz Commercial $128.05
Rate for Payer: Quartz Medicare Advantage $17.93
Rate for Payer: The Alliance Commercial $71.72
Rate for Payer: United Healthcare Medicaid $18.53
Rate for Payer: United Healthcare Medicare Advantage $17.93
Rate for Payer: United Healthcare PPO $147.75
Rate for Payer: WEA Trust Commercial $108.35
Rate for Payer: Wellcare Medicare $17.93
Rate for Payer: WMAP Medicaid $18.53
Rate for Payer: WPS Commercial $145.92
Service Code CPT 86235
Hospital Charge Code 983404
Hospital Revenue Code 300
Min. Negotiated Rate $63.29
Max. Negotiated Rate $187.15
Rate for Payer: Aetna Commercial $187.15
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $169.42
Rate for Payer: Cash Price $59.10
Rate for Payer: Cash Price $59.10
Rate for Payer: Cigna Commercial $187.15
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $98.50
Rate for Payer: Dean Health DHI/DHP/ASO $118.20
Rate for Payer: Health EOS Commercial $179.27
Rate for Payer: HFN Commercial $187.15
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $63.29
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $63.29
Rate for Payer: Multiplan Commercial $157.60
Rate for Payer: Preferred Network Access Commercial $187.15
Rate for Payer: Quartz Beloit One Network $86.68
Rate for Payer: Quartz Commercial $112.29
Rate for Payer: The Alliance Commercial $98.50
Rate for Payer: WEA Trust Commercial $108.35
Rate for Payer: WPS Commercial $145.92
Service Code CPT 86235
Hospital Charge Code 983404
Hospital Revenue Code 300
Min. Negotiated Rate $96.53
Max. Negotiated Rate $181.24
Rate for Payer: Aetna Commercial $177.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $169.42
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $104.41
Rate for Payer: Cash Price $59.10
Rate for Payer: Cigna Commercial $181.24
Rate for Payer: Health EOS Commercial $175.33
Rate for Payer: HFN Commercial $181.24
Rate for Payer: Multiplan Commercial $157.60
Rate for Payer: NAPHCARE Commercial $118.20
Rate for Payer: Preferred Network Access Commercial $181.24
Rate for Payer: Quartz Beloit One Network $96.53
Rate for Payer: Quartz Commercial $118.20
Rate for Payer: WEA Trust Commercial $108.35
Rate for Payer: WPS Commercial $145.92
Service Code CPT 86235
Hospital Charge Code 2942858
Hospital Revenue Code 300
Min. Negotiated Rate $63.29
Max. Negotiated Rate $231.80
Rate for Payer: Aetna Commercial $231.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $209.84
Rate for Payer: Cash Price $73.20
Rate for Payer: Cash Price $73.20
Rate for Payer: Cigna Commercial $231.80
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $122.00
Rate for Payer: Dean Health DHI/DHP/ASO $146.40
Rate for Payer: Health EOS Commercial $222.04
Rate for Payer: HFN Commercial $231.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $63.29
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $63.29
Rate for Payer: Multiplan Commercial $195.20
Rate for Payer: Preferred Network Access Commercial $231.80
Rate for Payer: Quartz Beloit One Network $107.36
Rate for Payer: Quartz Commercial $139.08
Rate for Payer: The Alliance Commercial $122.00
Rate for Payer: WEA Trust Commercial $134.20
Rate for Payer: WPS Commercial $180.73
Service Code CPT 86235
Hospital Charge Code 2942858
Hospital Revenue Code 300
Min. Negotiated Rate $17.93
Max. Negotiated Rate $224.48
Rate for Payer: Aetna Commercial $219.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $209.84
Rate for Payer: Aetna Managed Medicare $17.93
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $67.24
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $31.38
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $29.76
Rate for Payer: Anthem Medicaid $18.53
Rate for Payer: Anthem Medicare Advantage $17.93
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $129.32
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $17.93
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $17.93
Rate for Payer: Cash Price $73.20
Rate for Payer: Cash Price $73.20
Rate for Payer: Cigna Commercial $224.48
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $17.93
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $18.53
Rate for Payer: Dean Health DHI/DHP/ASO $136.54
Rate for Payer: Dean Health Medicaid $18.53
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $17.93
Rate for Payer: Health EOS Commercial $217.16
Rate for Payer: HFN Commercial $224.48
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $66.70
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $17.93
Rate for Payer: Independent Care Health Plan Medicaid $18.53
Rate for Payer: Independent Care Health Plan Medicare $17.93
Rate for Payer: Managed Health Services Medicaid $19.27
Rate for Payer: Managed Health Services Medicare Advantage $17.93
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $17.93
Rate for Payer: Multiplan Commercial $195.20
Rate for Payer: NAPHCARE Commercial $26.90
Rate for Payer: Preferred Network Access Commercial $224.48
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $18.53
Rate for Payer: Quartz Beloit One Network $119.56
Rate for Payer: Quartz Commercial $158.60
Rate for Payer: Quartz Medicare Advantage $17.93
Rate for Payer: The Alliance Commercial $71.72
Rate for Payer: United Healthcare Medicaid $18.53
Rate for Payer: United Healthcare Medicare Advantage $17.93
Rate for Payer: United Healthcare PPO $183.00
Rate for Payer: WEA Trust Commercial $134.20
Rate for Payer: Wellcare Medicare $17.93
Rate for Payer: WMAP Medicaid $18.53
Rate for Payer: WPS Commercial $180.73
Service Code CPT 86235
Hospital Charge Code 2942858
Hospital Revenue Code 300
Min. Negotiated Rate $119.56
Max. Negotiated Rate $224.48
Rate for Payer: Aetna Commercial $219.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $209.84
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $129.32
Rate for Payer: Cash Price $73.20
Rate for Payer: Cigna Commercial $224.48
Rate for Payer: Health EOS Commercial $217.16
Rate for Payer: HFN Commercial $224.48
Rate for Payer: Multiplan Commercial $195.20
Rate for Payer: NAPHCARE Commercial $146.40
Rate for Payer: Preferred Network Access Commercial $224.48
Rate for Payer: Quartz Beloit One Network $119.56
Rate for Payer: Quartz Commercial $146.40
Rate for Payer: WEA Trust Commercial $134.20
Rate for Payer: WPS Commercial $180.73
Hospital Charge Code 5456998
Hospital Revenue Code 272
Min. Negotiated Rate $411.11
Max. Negotiated Rate $771.88
Rate for Payer: Aetna Commercial $755.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $721.54
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $444.67
Rate for Payer: Cash Price $251.70
Rate for Payer: Cigna Commercial $771.88
Rate for Payer: Health EOS Commercial $746.71
Rate for Payer: HFN Commercial $771.88
Rate for Payer: Multiplan Commercial $671.20
Rate for Payer: NAPHCARE Commercial $503.40
Rate for Payer: Preferred Network Access Commercial $771.88
Rate for Payer: Quartz Beloit One Network $411.11
Rate for Payer: Quartz Commercial $503.40
Rate for Payer: WEA Trust Commercial $461.45
Rate for Payer: WPS Commercial $621.45
Hospital Charge Code 5456998
Hospital Revenue Code 272
Min. Negotiated Rate $234.92
Max. Negotiated Rate $3,356.00
Rate for Payer: Aetna Commercial $755.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $721.54
Rate for Payer: Aetna Managed Medicare $234.92
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $545.35
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $419.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $402.72
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $444.67
Rate for Payer: Cash Price $251.70
Rate for Payer: Cigna Commercial $771.88
Rate for Payer: Dean Health DHI/DHP/ASO $469.50
Rate for Payer: Health EOS Commercial $746.71
Rate for Payer: HFN Commercial $771.88
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $629.25
Rate for Payer: Multiplan Commercial $671.20
Rate for Payer: NAPHCARE Commercial $503.40
Rate for Payer: Preferred Network Access Commercial $771.88
Rate for Payer: Quartz Beloit One Network $411.11
Rate for Payer: Quartz Commercial $545.35
Rate for Payer: Quartz Medicare Advantage $503.40
Rate for Payer: The Alliance Commercial $3,356.00
Rate for Payer: WEA Trust Commercial $461.45
Rate for Payer: WPS Commercial $621.45
Hospital Charge Code 2844921
Hospital Revenue Code 271
Min. Negotiated Rate $16.66
Max. Negotiated Rate $31.28
Rate for Payer: Aetna Commercial $30.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $29.24
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $18.02
Rate for Payer: Cash Price $10.20
Rate for Payer: Cigna Commercial $31.28
Rate for Payer: Health EOS Commercial $30.26
Rate for Payer: HFN Commercial $31.28
Rate for Payer: Multiplan Commercial $27.20
Rate for Payer: NAPHCARE Commercial $20.40
Rate for Payer: Preferred Network Access Commercial $31.28
Rate for Payer: Quartz Beloit One Network $16.66
Rate for Payer: Quartz Commercial $20.40
Rate for Payer: WEA Trust Commercial $18.70
Rate for Payer: WPS Commercial $25.18
Hospital Charge Code 2844921
Hospital Revenue Code 271
Min. Negotiated Rate $9.52
Max. Negotiated Rate $136.00
Rate for Payer: Aetna Commercial $30.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $29.24
Rate for Payer: Aetna Managed Medicare $9.52
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $22.10
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $17.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $16.32
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $18.02
Rate for Payer: Cash Price $10.20
Rate for Payer: Cigna Commercial $31.28
Rate for Payer: Dean Health DHI/DHP/ASO $19.03
Rate for Payer: Health EOS Commercial $30.26
Rate for Payer: HFN Commercial $31.28
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $25.50
Rate for Payer: Multiplan Commercial $27.20
Rate for Payer: NAPHCARE Commercial $20.40
Rate for Payer: Preferred Network Access Commercial $31.28
Rate for Payer: Quartz Beloit One Network $16.66
Rate for Payer: Quartz Commercial $22.10
Rate for Payer: Quartz Medicare Advantage $20.40
Rate for Payer: The Alliance Commercial $136.00
Rate for Payer: WEA Trust Commercial $18.70
Rate for Payer: WPS Commercial $25.18
Hospital Charge Code 2969204
Hospital Revenue Code 272
Min. Negotiated Rate $29.89
Max. Negotiated Rate $56.12
Rate for Payer: Aetna Commercial $54.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $52.46
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $32.33
Rate for Payer: Cash Price $18.30
Rate for Payer: Cigna Commercial $56.12
Rate for Payer: Health EOS Commercial $54.29
Rate for Payer: HFN Commercial $56.12
Rate for Payer: Multiplan Commercial $48.80
Rate for Payer: NAPHCARE Commercial $36.60
Rate for Payer: Preferred Network Access Commercial $56.12
Rate for Payer: Quartz Beloit One Network $29.89
Rate for Payer: Quartz Commercial $36.60
Rate for Payer: WEA Trust Commercial $33.55
Rate for Payer: WPS Commercial $45.18
Hospital Charge Code 2969204
Hospital Revenue Code 272
Min. Negotiated Rate $17.08
Max. Negotiated Rate $244.00
Rate for Payer: Aetna Commercial $54.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $52.46
Rate for Payer: Aetna Managed Medicare $17.08
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $39.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $30.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $29.28
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $32.33
Rate for Payer: Cash Price $18.30
Rate for Payer: Cigna Commercial $56.12
Rate for Payer: Dean Health DHI/DHP/ASO $34.14
Rate for Payer: Health EOS Commercial $54.29
Rate for Payer: HFN Commercial $56.12
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $45.75
Rate for Payer: Multiplan Commercial $48.80
Rate for Payer: NAPHCARE Commercial $36.60
Rate for Payer: Preferred Network Access Commercial $56.12
Rate for Payer: Quartz Beloit One Network $29.89
Rate for Payer: Quartz Commercial $39.65
Rate for Payer: Quartz Medicare Advantage $36.60
Rate for Payer: The Alliance Commercial $244.00
Rate for Payer: WEA Trust Commercial $33.55
Rate for Payer: WPS Commercial $45.18
Hospital Charge Code 2974270
Hospital Revenue Code 271
Min. Negotiated Rate $593.88
Max. Negotiated Rate $1,115.04
Rate for Payer: Aetna Commercial $1,090.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,042.32
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $642.36
Rate for Payer: Cash Price $363.60
Rate for Payer: Cigna Commercial $1,115.04
Rate for Payer: Health EOS Commercial $1,078.68
Rate for Payer: HFN Commercial $1,115.04
Rate for Payer: Multiplan Commercial $969.60
Rate for Payer: NAPHCARE Commercial $727.20
Rate for Payer: Preferred Network Access Commercial $1,115.04
Rate for Payer: Quartz Beloit One Network $593.88
Rate for Payer: Quartz Commercial $727.20
Rate for Payer: WEA Trust Commercial $666.60
Rate for Payer: WPS Commercial $897.73
Hospital Charge Code 2974270
Hospital Revenue Code 271
Min. Negotiated Rate $339.36
Max. Negotiated Rate $4,848.00
Rate for Payer: Aetna Commercial $1,090.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,042.32
Rate for Payer: Aetna Managed Medicare $339.36
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $787.80
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $606.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $581.76
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $642.36
Rate for Payer: Cash Price $363.60
Rate for Payer: Cigna Commercial $1,115.04
Rate for Payer: Dean Health DHI/DHP/ASO $678.24
Rate for Payer: Health EOS Commercial $1,078.68
Rate for Payer: HFN Commercial $1,115.04
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $909.00
Rate for Payer: Multiplan Commercial $969.60
Rate for Payer: NAPHCARE Commercial $727.20
Rate for Payer: Preferred Network Access Commercial $1,115.04
Rate for Payer: Quartz Beloit One Network $593.88
Rate for Payer: Quartz Commercial $787.80
Rate for Payer: Quartz Medicare Advantage $727.20
Rate for Payer: The Alliance Commercial $4,848.00
Rate for Payer: WEA Trust Commercial $666.60
Rate for Payer: WPS Commercial $897.73
Hospital Charge Code 2974285
Hospital Revenue Code 271
Min. Negotiated Rate $16.52
Max. Negotiated Rate $236.00
Rate for Payer: Aetna Commercial $53.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $50.74
Rate for Payer: Aetna Managed Medicare $16.52
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $38.35
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $29.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $28.32
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $31.27
Rate for Payer: Cash Price $17.70
Rate for Payer: Cigna Commercial $54.28
Rate for Payer: Dean Health DHI/DHP/ASO $33.02
Rate for Payer: Health EOS Commercial $52.51
Rate for Payer: HFN Commercial $54.28
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $44.25
Rate for Payer: Multiplan Commercial $47.20
Rate for Payer: NAPHCARE Commercial $35.40
Rate for Payer: Preferred Network Access Commercial $54.28
Rate for Payer: Quartz Beloit One Network $28.91
Rate for Payer: Quartz Commercial $38.35
Rate for Payer: Quartz Medicare Advantage $35.40
Rate for Payer: The Alliance Commercial $236.00
Rate for Payer: WEA Trust Commercial $32.45
Rate for Payer: WPS Commercial $43.70
Hospital Charge Code 2974285
Hospital Revenue Code 271
Min. Negotiated Rate $28.91
Max. Negotiated Rate $54.28
Rate for Payer: Aetna Commercial $53.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $50.74
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $31.27
Rate for Payer: Cash Price $17.70
Rate for Payer: Cigna Commercial $54.28
Rate for Payer: Health EOS Commercial $52.51
Rate for Payer: HFN Commercial $54.28
Rate for Payer: Multiplan Commercial $47.20
Rate for Payer: NAPHCARE Commercial $35.40
Rate for Payer: Preferred Network Access Commercial $54.28
Rate for Payer: Quartz Beloit One Network $28.91
Rate for Payer: Quartz Commercial $35.40
Rate for Payer: WEA Trust Commercial $32.45
Rate for Payer: WPS Commercial $43.70
Hospital Charge Code 2974269
Hospital Revenue Code 271
Min. Negotiated Rate $15.96
Max. Negotiated Rate $228.00
Rate for Payer: Aetna Commercial $51.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $49.02
Rate for Payer: Aetna Managed Medicare $15.96
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $37.05
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $28.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $27.36
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $30.21
Rate for Payer: Cash Price $17.10
Rate for Payer: Cigna Commercial $52.44
Rate for Payer: Dean Health DHI/DHP/ASO $31.90
Rate for Payer: Health EOS Commercial $50.73
Rate for Payer: HFN Commercial $52.44
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $42.75
Rate for Payer: Multiplan Commercial $45.60
Rate for Payer: NAPHCARE Commercial $34.20
Rate for Payer: Preferred Network Access Commercial $52.44
Rate for Payer: Quartz Beloit One Network $27.93
Rate for Payer: Quartz Commercial $37.05
Rate for Payer: Quartz Medicare Advantage $34.20
Rate for Payer: The Alliance Commercial $228.00
Rate for Payer: WEA Trust Commercial $31.35
Rate for Payer: WPS Commercial $42.22
Hospital Charge Code 2974269
Hospital Revenue Code 271
Min. Negotiated Rate $27.93
Max. Negotiated Rate $52.44
Rate for Payer: Aetna Commercial $51.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $49.02
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $30.21
Rate for Payer: Cash Price $17.10
Rate for Payer: Cigna Commercial $52.44
Rate for Payer: Health EOS Commercial $50.73
Rate for Payer: HFN Commercial $52.44
Rate for Payer: Multiplan Commercial $45.60
Rate for Payer: NAPHCARE Commercial $34.20
Rate for Payer: Preferred Network Access Commercial $52.44
Rate for Payer: Quartz Beloit One Network $27.93
Rate for Payer: Quartz Commercial $34.20
Rate for Payer: WEA Trust Commercial $31.35
Rate for Payer: WPS Commercial $42.22
Hospital Charge Code 2963997
Hospital Revenue Code 271
Min. Negotiated Rate $29.89
Max. Negotiated Rate $56.12
Rate for Payer: Aetna Commercial $54.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $52.46
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $32.33
Rate for Payer: Cash Price $18.30
Rate for Payer: Cigna Commercial $56.12
Rate for Payer: Health EOS Commercial $54.29
Rate for Payer: HFN Commercial $56.12
Rate for Payer: Multiplan Commercial $48.80
Rate for Payer: NAPHCARE Commercial $36.60
Rate for Payer: Preferred Network Access Commercial $56.12
Rate for Payer: Quartz Beloit One Network $29.89
Rate for Payer: Quartz Commercial $36.60
Rate for Payer: WEA Trust Commercial $33.55
Rate for Payer: WPS Commercial $45.18
Hospital Charge Code 2963997
Hospital Revenue Code 271
Min. Negotiated Rate $17.08
Max. Negotiated Rate $244.00
Rate for Payer: Aetna Commercial $54.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $52.46
Rate for Payer: Aetna Managed Medicare $17.08
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $39.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $30.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $29.28
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $32.33
Rate for Payer: Cash Price $18.30
Rate for Payer: Cigna Commercial $56.12
Rate for Payer: Dean Health DHI/DHP/ASO $34.14
Rate for Payer: Health EOS Commercial $54.29
Rate for Payer: HFN Commercial $56.12
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $45.75
Rate for Payer: Multiplan Commercial $48.80
Rate for Payer: NAPHCARE Commercial $36.60
Rate for Payer: Preferred Network Access Commercial $56.12
Rate for Payer: Quartz Beloit One Network $29.89
Rate for Payer: Quartz Commercial $39.65
Rate for Payer: Quartz Medicare Advantage $36.60
Rate for Payer: The Alliance Commercial $244.00
Rate for Payer: WEA Trust Commercial $33.55
Rate for Payer: WPS Commercial $45.18