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Service Code CPT 81003
Hospital Charge Code 633863
Hospital Revenue Code 300
Min. Negotiated Rate $2.25
Max. Negotiated Rate $348.00
Rate for Payer: Aetna Commercial $78.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $74.82
Rate for Payer: Aetna Managed Medicare $2.25
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $8.44
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $3.94
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $3.74
Rate for Payer: Anthem Medicaid $2.32
Rate for Payer: Anthem Medicare Advantage $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $46.11
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2.25
Rate for Payer: Cash Price $26.10
Rate for Payer: Cash Price $26.10
Rate for Payer: Cigna Commercial $80.04
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2.25
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $2.32
Rate for Payer: Dean Health Medicaid $2.32
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2.25
Rate for Payer: Health EOS Commercial $77.43
Rate for Payer: HFN Commercial $80.04
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $8.37
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2.25
Rate for Payer: Independent Care Health Plan Medicaid $2.32
Rate for Payer: Independent Care Health Plan Medicare $2.25
Rate for Payer: Managed Health Services Medicaid $2.41
Rate for Payer: Managed Health Services Medicare Advantage $2.25
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2.25
Rate for Payer: Multiplan Commercial $69.60
Rate for Payer: NAPHCARE Commercial $3.38
Rate for Payer: Preferred Network Access Commercial $80.04
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $2.32
Rate for Payer: Quartz Beloit One Network $42.63
Rate for Payer: Quartz Commercial $56.55
Rate for Payer: Quartz Medicare Advantage $2.25
Rate for Payer: The Alliance Commercial $348.00
Rate for Payer: United Healthcare Medicaid $2.32
Rate for Payer: United Healthcare Medicare Advantage $2.25
Rate for Payer: United Healthcare PPO $65.25
Rate for Payer: WEA Trust Commercial $47.85
Rate for Payer: Wellcare Medicare $2.25
Rate for Payer: WMAP Medicaid $2.32
Rate for Payer: WPS Commercial $64.44
Service Code CPT 81003
Hospital Charge Code 633863
Hospital Revenue Code 300
Min. Negotiated Rate $42.63
Max. Negotiated Rate $80.04
Rate for Payer: Aetna Commercial $78.30
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $46.11
Rate for Payer: Cash Price $26.10
Rate for Payer: Cigna Commercial $80.04
Rate for Payer: Health EOS Commercial $77.43
Rate for Payer: HFN Commercial $80.04
Rate for Payer: Multiplan Commercial $69.60
Rate for Payer: NAPHCARE Commercial $52.20
Rate for Payer: Preferred Network Access Commercial $80.04
Rate for Payer: Quartz Beloit One Network $42.63
Rate for Payer: Quartz Commercial $52.20
Rate for Payer: WEA Trust Commercial $47.85
Rate for Payer: WPS Commercial $64.44
Service Code CPT 81003
Hospital Charge Code 633863
Hospital Revenue Code 300
Min. Negotiated Rate $2.25
Max. Negotiated Rate $82.65
Rate for Payer: Aetna Commercial $82.65
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $74.82
Rate for Payer: Aetna Managed Medicare $2.25
Rate for Payer: Anthem Medicare Advantage $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2.25
Rate for Payer: Cash Price $26.10
Rate for Payer: Cash Price $26.10
Rate for Payer: Cigna Commercial $82.65
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $43.50
Rate for Payer: Dean Health DHI/DHP/ASO $2.25
Rate for Payer: Health EOS Commercial $79.17
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $7.94
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $7.94
Rate for Payer: Independent Care Health Plan Medicare $2.25
Rate for Payer: Multiplan Commercial $69.60
Rate for Payer: Preferred Network Access Commercial $82.65
Rate for Payer: Quartz Beloit One Network $38.28
Rate for Payer: Quartz Commercial $49.59
Rate for Payer: Quartz Medicare Advantage $2.25
Rate for Payer: The Alliance Commercial $8.89
Rate for Payer: United Healthcare Medicare Advantage $2.25
Rate for Payer: WEA Trust Commercial $47.85
Rate for Payer: WPS Commercial $9.90
Service Code CPT 81015
Hospital Charge Code 2580846
Hospital Revenue Code 300
Min. Negotiated Rate $3.05
Max. Negotiated Rate $68.40
Rate for Payer: Aetna Commercial $68.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $61.92
Rate for Payer: Aetna Managed Medicare $3.05
Rate for Payer: Anthem Medicare Advantage $3.05
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $3.05
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $3.05
Rate for Payer: Cash Price $21.60
Rate for Payer: Cash Price $21.60
Rate for Payer: Cigna Commercial $68.40
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $36.00
Rate for Payer: Dean Health DHI/DHP/ASO $3.05
Rate for Payer: Health EOS Commercial $65.52
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $10.77
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $10.77
Rate for Payer: Independent Care Health Plan Medicare $3.05
Rate for Payer: Multiplan Commercial $57.60
Rate for Payer: Preferred Network Access Commercial $68.40
Rate for Payer: Quartz Beloit One Network $31.68
Rate for Payer: Quartz Commercial $41.04
Rate for Payer: Quartz Medicare Advantage $3.05
Rate for Payer: The Alliance Commercial $12.05
Rate for Payer: United Healthcare Medicare Advantage $3.05
Rate for Payer: WEA Trust Commercial $39.60
Rate for Payer: WPS Commercial $13.42
Service Code CPT 81003
Hospital Charge Code 978135
Hospital Revenue Code 300
Min. Negotiated Rate $43.12
Max. Negotiated Rate $80.96
Rate for Payer: Aetna Commercial $79.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $46.64
Rate for Payer: Cash Price $26.40
Rate for Payer: Cigna Commercial $80.96
Rate for Payer: Health EOS Commercial $78.32
Rate for Payer: HFN Commercial $80.96
Rate for Payer: Multiplan Commercial $70.40
Rate for Payer: NAPHCARE Commercial $52.80
Rate for Payer: Preferred Network Access Commercial $80.96
Rate for Payer: Quartz Beloit One Network $43.12
Rate for Payer: Quartz Commercial $52.80
Rate for Payer: WEA Trust Commercial $48.40
Rate for Payer: WPS Commercial $65.18
Service Code CPT 81003
Hospital Charge Code 978135
Hospital Revenue Code 300
Min. Negotiated Rate $2.25
Max. Negotiated Rate $83.60
Rate for Payer: Aetna Commercial $83.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $75.68
Rate for Payer: Aetna Managed Medicare $2.25
Rate for Payer: Anthem Medicare Advantage $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2.25
Rate for Payer: Cash Price $26.40
Rate for Payer: Cash Price $26.40
Rate for Payer: Cigna Commercial $83.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $44.00
Rate for Payer: Dean Health DHI/DHP/ASO $2.25
Rate for Payer: Health EOS Commercial $80.08
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $7.94
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $7.94
Rate for Payer: Independent Care Health Plan Medicare $2.25
Rate for Payer: Multiplan Commercial $70.40
Rate for Payer: Preferred Network Access Commercial $83.60
Rate for Payer: Quartz Beloit One Network $38.72
Rate for Payer: Quartz Commercial $50.16
Rate for Payer: Quartz Medicare Advantage $2.25
Rate for Payer: The Alliance Commercial $8.89
Rate for Payer: United Healthcare Medicare Advantage $2.25
Rate for Payer: WEA Trust Commercial $48.40
Rate for Payer: WPS Commercial $9.90
Service Code CPT 81003
Hospital Charge Code 978135
Hospital Revenue Code 300
Min. Negotiated Rate $2.25
Max. Negotiated Rate $352.00
Rate for Payer: Aetna Commercial $79.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $75.68
Rate for Payer: Aetna Managed Medicare $2.25
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $8.44
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $3.94
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $3.74
Rate for Payer: Anthem Medicaid $2.32
Rate for Payer: Anthem Medicare Advantage $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $46.64
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2.25
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2.25
Rate for Payer: Cash Price $26.40
Rate for Payer: Cash Price $26.40
Rate for Payer: Cigna Commercial $80.96
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2.25
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $2.32
Rate for Payer: Dean Health Medicaid $2.32
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2.25
Rate for Payer: Health EOS Commercial $78.32
Rate for Payer: HFN Commercial $80.96
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $8.37
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2.25
Rate for Payer: Independent Care Health Plan Medicaid $2.32
Rate for Payer: Independent Care Health Plan Medicare $2.25
Rate for Payer: Managed Health Services Medicaid $2.41
Rate for Payer: Managed Health Services Medicare Advantage $2.25
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2.25
Rate for Payer: Multiplan Commercial $70.40
Rate for Payer: NAPHCARE Commercial $3.38
Rate for Payer: Preferred Network Access Commercial $80.96
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $2.32
Rate for Payer: Quartz Beloit One Network $43.12
Rate for Payer: Quartz Commercial $57.20
Rate for Payer: Quartz Medicare Advantage $2.25
Rate for Payer: The Alliance Commercial $352.00
Rate for Payer: United Healthcare Medicaid $2.32
Rate for Payer: United Healthcare Medicare Advantage $2.25
Rate for Payer: United Healthcare PPO $66.00
Rate for Payer: WEA Trust Commercial $48.40
Rate for Payer: Wellcare Medicare $2.25
Rate for Payer: WMAP Medicaid $2.32
Rate for Payer: WPS Commercial $65.18
Service Code HCPCS A4334
Hospital Charge Code 3133597
Hospital Revenue Code 272
Min. Negotiated Rate $9.80
Max. Negotiated Rate $18.40
Rate for Payer: Aetna Commercial $18.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $10.60
Rate for Payer: Cash Price $6.00
Rate for Payer: Cigna Commercial $18.40
Rate for Payer: Health EOS Commercial $17.80
Rate for Payer: HFN Commercial $18.40
Rate for Payer: Multiplan Commercial $16.00
Rate for Payer: NAPHCARE Commercial $12.00
Rate for Payer: Preferred Network Access Commercial $18.40
Rate for Payer: Quartz Beloit One Network $9.80
Rate for Payer: Quartz Commercial $12.00
Rate for Payer: WEA Trust Commercial $11.00
Rate for Payer: WPS Commercial $14.81
Service Code HCPCS A4334
Hospital Charge Code 3133597
Hospital Revenue Code 272
Min. Negotiated Rate $5.60
Max. Negotiated Rate $18.40
Rate for Payer: Aetna Commercial $18.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $17.20
Rate for Payer: Aetna Managed Medicare $5.60
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $13.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $10.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $9.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $10.60
Rate for Payer: Cash Price $6.00
Rate for Payer: Cigna Commercial $18.40
Rate for Payer: Dean Health DHI/DHP/ASO $11.19
Rate for Payer: Health EOS Commercial $17.80
Rate for Payer: HFN Commercial $18.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $15.00
Rate for Payer: Multiplan Commercial $16.00
Rate for Payer: NAPHCARE Commercial $12.00
Rate for Payer: Preferred Network Access Commercial $18.40
Rate for Payer: Quartz Beloit One Network $9.80
Rate for Payer: Quartz Commercial $13.00
Rate for Payer: Quartz Medicare Advantage $12.00
Rate for Payer: WEA Trust Commercial $11.00
Rate for Payer: WPS Commercial $14.81
Service Code HCPCS A4334
Hospital Charge Code 3133597
Hospital Revenue Code 272
Min. Negotiated Rate $8.80
Max. Negotiated Rate $20.23
Rate for Payer: Aetna Commercial $19.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $17.20
Rate for Payer: Cash Price $6.00
Rate for Payer: Cash Price $6.00
Rate for Payer: Cigna Commercial $19.00
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $10.00
Rate for Payer: Dean Health DHI/DHP/ASO $12.00
Rate for Payer: Health EOS Commercial $18.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $20.23
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $20.23
Rate for Payer: Multiplan Commercial $16.00
Rate for Payer: Preferred Network Access Commercial $19.00
Rate for Payer: Quartz Beloit One Network $8.80
Rate for Payer: Quartz Commercial $11.40
Rate for Payer: The Alliance Commercial $10.00
Rate for Payer: WEA Trust Commercial $11.00
Rate for Payer: WPS Commercial $14.81
Service Code HCPCS A4358
Hospital Charge Code 3133587
Hospital Revenue Code 272
Min. Negotiated Rate $5.04
Max. Negotiated Rate $16.56
Rate for Payer: Aetna Commercial $16.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $15.48
Rate for Payer: Aetna Managed Medicare $5.04
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $11.70
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $9.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $8.64
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $9.54
Rate for Payer: Cash Price $5.40
Rate for Payer: Cigna Commercial $16.56
Rate for Payer: Dean Health DHI/DHP/ASO $10.07
Rate for Payer: Health EOS Commercial $16.02
Rate for Payer: HFN Commercial $16.56
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $13.50
Rate for Payer: Multiplan Commercial $14.40
Rate for Payer: NAPHCARE Commercial $10.80
Rate for Payer: Preferred Network Access Commercial $16.56
Rate for Payer: Quartz Beloit One Network $8.82
Rate for Payer: Quartz Commercial $11.70
Rate for Payer: Quartz Medicare Advantage $10.80
Rate for Payer: WEA Trust Commercial $9.90
Rate for Payer: WPS Commercial $13.33
Service Code HCPCS A4358
Hospital Charge Code 3133587
Hospital Revenue Code 272
Min. Negotiated Rate $7.92
Max. Negotiated Rate $27.25
Rate for Payer: Aetna Commercial $17.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $15.48
Rate for Payer: Cash Price $5.40
Rate for Payer: Cash Price $5.40
Rate for Payer: Cigna Commercial $17.10
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $9.00
Rate for Payer: Dean Health DHI/DHP/ASO $10.80
Rate for Payer: Health EOS Commercial $16.38
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $27.25
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $27.25
Rate for Payer: Multiplan Commercial $14.40
Rate for Payer: Preferred Network Access Commercial $17.10
Rate for Payer: Quartz Beloit One Network $7.92
Rate for Payer: Quartz Commercial $10.26
Rate for Payer: The Alliance Commercial $9.00
Rate for Payer: WEA Trust Commercial $9.90
Rate for Payer: WPS Commercial $13.33
Service Code HCPCS A4358
Hospital Charge Code 3133587
Hospital Revenue Code 272
Min. Negotiated Rate $8.82
Max. Negotiated Rate $16.56
Rate for Payer: Aetna Commercial $16.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $9.54
Rate for Payer: Cash Price $5.40
Rate for Payer: Cigna Commercial $16.56
Rate for Payer: Health EOS Commercial $16.02
Rate for Payer: HFN Commercial $16.56
Rate for Payer: Multiplan Commercial $14.40
Rate for Payer: NAPHCARE Commercial $10.80
Rate for Payer: Preferred Network Access Commercial $16.56
Rate for Payer: Quartz Beloit One Network $8.82
Rate for Payer: Quartz Commercial $10.80
Rate for Payer: WEA Trust Commercial $9.90
Rate for Payer: WPS Commercial $13.33
Service Code MS-DRG 693
Min. Negotiated Rate $13,659.75
Max. Negotiated Rate $37,974.00
Rate for Payer: Aetna Managed Medicare $13,659.75
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $29,791.60
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $22,835.02
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $21,694.76
Rate for Payer: Anthem Medicare Advantage $13,659.75
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $13,659.75
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $13,659.75
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $13,659.75
Rate for Payer: Dean Health DHI/DHP/ASO $24,083.17
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $13,659.75
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $27,617.85
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $13,659.75
Rate for Payer: Independent Care Health Plan Medicare $13,659.75
Rate for Payer: Managed Health Services Medicare Advantage $13,659.75
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $13,659.75
Rate for Payer: NAPHCARE Commercial $20,489.62
Rate for Payer: Quartz Medicare Advantage $13,659.75
Rate for Payer: The Alliance Commercial $37,974.00
Rate for Payer: United Healthcare Medicare Advantage $13,659.75
Rate for Payer: United Healthcare PPO $21,500.85
Rate for Payer: Wellcare Medicare $13,659.75
Service Code MS-DRG 694
Min. Negotiated Rate $7,600.45
Max. Negotiated Rate $21,129.00
Rate for Payer: Aetna Managed Medicare $7,600.45
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $16,364.40
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $12,543.18
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $11,916.84
Rate for Payer: Anthem Medicare Advantage $7,600.45
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $7,600.45
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $7,600.45
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $7,600.45
Rate for Payer: Dean Health DHI/DHP/ASO $13,228.78
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $7,600.45
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $15,262.65
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $7,600.45
Rate for Payer: Independent Care Health Plan Medicare $7,600.45
Rate for Payer: Managed Health Services Medicare Advantage $7,600.45
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $7,600.45
Rate for Payer: NAPHCARE Commercial $11,400.68
Rate for Payer: Quartz Medicare Advantage $7,600.45
Rate for Payer: The Alliance Commercial $21,129.00
Rate for Payer: United Healthcare Medicare Advantage $7,600.45
Rate for Payer: United Healthcare PPO $11,882.17
Rate for Payer: Wellcare Medicare $7,600.45
Service Code CPT 82570
Hospital Charge Code 2942852
Hospital Revenue Code 300
Min. Negotiated Rate $82.32
Max. Negotiated Rate $154.56
Rate for Payer: Aetna Commercial $151.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $89.04
Rate for Payer: Cash Price $50.40
Rate for Payer: Cigna Commercial $154.56
Rate for Payer: Health EOS Commercial $149.52
Rate for Payer: HFN Commercial $154.56
Rate for Payer: Multiplan Commercial $134.40
Rate for Payer: NAPHCARE Commercial $100.80
Rate for Payer: Preferred Network Access Commercial $154.56
Rate for Payer: Quartz Beloit One Network $82.32
Rate for Payer: Quartz Commercial $100.80
Rate for Payer: WEA Trust Commercial $92.40
Rate for Payer: WPS Commercial $124.44
Service Code CPT 82570
Hospital Charge Code 2942852
Hospital Revenue Code 300
Min. Negotiated Rate $5.18
Max. Negotiated Rate $159.60
Rate for Payer: Aetna Commercial $159.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $144.48
Rate for Payer: Aetna Managed Medicare $5.18
Rate for Payer: Anthem Medicare Advantage $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $5.18
Rate for Payer: Cash Price $50.40
Rate for Payer: Cash Price $50.40
Rate for Payer: Cigna Commercial $159.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $84.00
Rate for Payer: Dean Health DHI/DHP/ASO $5.18
Rate for Payer: Health EOS Commercial $152.88
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $18.29
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $18.29
Rate for Payer: Independent Care Health Plan Medicare $5.18
Rate for Payer: Multiplan Commercial $134.40
Rate for Payer: Preferred Network Access Commercial $159.60
Rate for Payer: Quartz Beloit One Network $73.92
Rate for Payer: Quartz Commercial $95.76
Rate for Payer: Quartz Medicare Advantage $5.18
Rate for Payer: The Alliance Commercial $20.46
Rate for Payer: United Healthcare Medicare Advantage $5.18
Rate for Payer: WEA Trust Commercial $92.40
Rate for Payer: WPS Commercial $22.79
Service Code CPT 82570
Hospital Charge Code 2942852
Hospital Revenue Code 300
Min. Negotiated Rate $5.18
Max. Negotiated Rate $672.00
Rate for Payer: Aetna Commercial $151.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $144.48
Rate for Payer: Aetna Managed Medicare $5.18
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $19.42
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $9.06
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $8.60
Rate for Payer: Anthem Medicaid $5.35
Rate for Payer: Anthem Medicare Advantage $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $89.04
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $5.18
Rate for Payer: Cash Price $50.40
Rate for Payer: Cash Price $50.40
Rate for Payer: Cigna Commercial $154.56
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $5.18
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $5.35
Rate for Payer: Dean Health Medicaid $5.35
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $5.18
Rate for Payer: Health EOS Commercial $149.52
Rate for Payer: HFN Commercial $154.56
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $19.27
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $5.18
Rate for Payer: Independent Care Health Plan Medicaid $5.35
Rate for Payer: Independent Care Health Plan Medicare $5.18
Rate for Payer: Managed Health Services Medicaid $5.56
Rate for Payer: Managed Health Services Medicare Advantage $5.18
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $5.18
Rate for Payer: Multiplan Commercial $134.40
Rate for Payer: NAPHCARE Commercial $7.77
Rate for Payer: Preferred Network Access Commercial $154.56
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $5.35
Rate for Payer: Quartz Beloit One Network $82.32
Rate for Payer: Quartz Commercial $109.20
Rate for Payer: Quartz Medicare Advantage $5.18
Rate for Payer: The Alliance Commercial $672.00
Rate for Payer: United Healthcare Medicaid $5.35
Rate for Payer: United Healthcare Medicare Advantage $5.18
Rate for Payer: United Healthcare PPO $126.00
Rate for Payer: WEA Trust Commercial $92.40
Rate for Payer: Wellcare Medicare $5.18
Rate for Payer: WMAP Medicaid $5.35
Rate for Payer: WPS Commercial $124.44
Service Code CPT 82570
Hospital Charge Code 2943039
Hospital Revenue Code 300
Min. Negotiated Rate $5.18
Max. Negotiated Rate $22.79
Rate for Payer: Aetna Commercial $21.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $5.18
Rate for Payer: Anthem Medicare Advantage $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $5.18
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 $5.18
Rate for Payer: Health EOS Commercial $20.93
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $18.29
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $18.29
Rate for Payer: Independent Care Health Plan Medicare $5.18
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: Quartz Medicare Advantage $5.18
Rate for Payer: The Alliance Commercial $20.46
Rate for Payer: United Healthcare Medicare Advantage $5.18
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: WPS Commercial $22.79
Service Code CPT 82570
Hospital Charge Code 2943039
Hospital Revenue Code 300
Min. Negotiated Rate $11.27
Max. Negotiated Rate $21.16
Rate for Payer: Aetna Commercial $20.70
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 82570
Hospital Charge Code 2943039
Hospital Revenue Code 300
Min. Negotiated Rate $5.18
Max. Negotiated Rate $92.00
Rate for Payer: Aetna Commercial $20.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $19.78
Rate for Payer: Aetna Managed Medicare $5.18
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $19.42
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $9.06
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $8.60
Rate for Payer: Anthem Medicaid $5.35
Rate for Payer: Anthem Medicare Advantage $5.18
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 $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $5.18
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 $5.18
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $5.35
Rate for Payer: Dean Health Medicaid $5.35
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $5.18
Rate for Payer: Health EOS Commercial $20.47
Rate for Payer: HFN Commercial $21.16
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $19.27
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $5.18
Rate for Payer: Independent Care Health Plan Medicaid $5.35
Rate for Payer: Independent Care Health Plan Medicare $5.18
Rate for Payer: Managed Health Services Medicaid $5.56
Rate for Payer: Managed Health Services Medicare Advantage $5.18
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $5.18
Rate for Payer: Multiplan Commercial $18.40
Rate for Payer: NAPHCARE Commercial $7.77
Rate for Payer: Preferred Network Access Commercial $21.16
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $5.35
Rate for Payer: Quartz Beloit One Network $11.27
Rate for Payer: Quartz Commercial $14.95
Rate for Payer: Quartz Medicare Advantage $5.18
Rate for Payer: The Alliance Commercial $92.00
Rate for Payer: United Healthcare Medicaid $5.35
Rate for Payer: United Healthcare Medicare Advantage $5.18
Rate for Payer: United Healthcare PPO $17.25
Rate for Payer: WEA Trust Commercial $12.65
Rate for Payer: Wellcare Medicare $5.18
Rate for Payer: WMAP Medicaid $5.35
Rate for Payer: WPS Commercial $17.04
Service Code CPT 82570
Hospital Charge Code 2943036
Hospital Revenue Code 300
Min. Negotiated Rate $5.18
Max. Negotiated Rate $564.00
Rate for Payer: Aetna Commercial $126.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $121.26
Rate for Payer: Aetna Managed Medicare $5.18
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $19.42
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $9.06
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $8.60
Rate for Payer: Anthem Medicaid $5.35
Rate for Payer: Anthem Medicare Advantage $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $74.73
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $5.18
Rate for Payer: Cash Price $42.30
Rate for Payer: Cash Price $42.30
Rate for Payer: Cigna Commercial $129.72
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $5.18
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $5.35
Rate for Payer: Dean Health Medicaid $5.35
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $5.18
Rate for Payer: Health EOS Commercial $125.49
Rate for Payer: HFN Commercial $129.72
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $19.27
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $5.18
Rate for Payer: Independent Care Health Plan Medicaid $5.35
Rate for Payer: Independent Care Health Plan Medicare $5.18
Rate for Payer: Managed Health Services Medicaid $5.56
Rate for Payer: Managed Health Services Medicare Advantage $5.18
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $5.18
Rate for Payer: Multiplan Commercial $112.80
Rate for Payer: NAPHCARE Commercial $7.77
Rate for Payer: Preferred Network Access Commercial $129.72
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $5.35
Rate for Payer: Quartz Beloit One Network $69.09
Rate for Payer: Quartz Commercial $91.65
Rate for Payer: Quartz Medicare Advantage $5.18
Rate for Payer: The Alliance Commercial $564.00
Rate for Payer: United Healthcare Medicaid $5.35
Rate for Payer: United Healthcare Medicare Advantage $5.18
Rate for Payer: United Healthcare PPO $105.75
Rate for Payer: WEA Trust Commercial $77.55
Rate for Payer: Wellcare Medicare $5.18
Rate for Payer: WMAP Medicaid $5.35
Rate for Payer: WPS Commercial $104.44
Service Code CPT 82570
Hospital Charge Code 2943036
Hospital Revenue Code 300
Min. Negotiated Rate $69.09
Max. Negotiated Rate $129.72
Rate for Payer: Aetna Commercial $126.90
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $74.73
Rate for Payer: Cash Price $42.30
Rate for Payer: Cigna Commercial $129.72
Rate for Payer: Health EOS Commercial $125.49
Rate for Payer: HFN Commercial $129.72
Rate for Payer: Multiplan Commercial $112.80
Rate for Payer: NAPHCARE Commercial $84.60
Rate for Payer: Preferred Network Access Commercial $129.72
Rate for Payer: Quartz Beloit One Network $69.09
Rate for Payer: Quartz Commercial $84.60
Rate for Payer: WEA Trust Commercial $77.55
Rate for Payer: WPS Commercial $104.44
Service Code CPT 82570
Hospital Charge Code 2943036
Hospital Revenue Code 300
Min. Negotiated Rate $5.18
Max. Negotiated Rate $133.95
Rate for Payer: Aetna Commercial $133.95
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $121.26
Rate for Payer: Aetna Managed Medicare $5.18
Rate for Payer: Anthem Medicare Advantage $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $5.18
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $5.18
Rate for Payer: Cash Price $42.30
Rate for Payer: Cash Price $42.30
Rate for Payer: Cigna Commercial $133.95
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $70.50
Rate for Payer: Dean Health DHI/DHP/ASO $5.18
Rate for Payer: Health EOS Commercial $128.31
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $18.29
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $18.29
Rate for Payer: Independent Care Health Plan Medicare $5.18
Rate for Payer: Multiplan Commercial $112.80
Rate for Payer: Preferred Network Access Commercial $133.95
Rate for Payer: Quartz Beloit One Network $62.04
Rate for Payer: Quartz Commercial $80.37
Rate for Payer: Quartz Medicare Advantage $5.18
Rate for Payer: The Alliance Commercial $20.46
Rate for Payer: United Healthcare Medicare Advantage $5.18
Rate for Payer: WEA Trust Commercial $77.55
Rate for Payer: WPS Commercial $22.79
Service Code CPT 84156
Hospital Charge Code 2942978
Hospital Revenue Code 300
Min. Negotiated Rate $3.67
Max. Negotiated Rate $180.00
Rate for Payer: Aetna Commercial $40.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $38.70
Rate for Payer: Aetna Managed Medicare $3.67
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $13.76
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $6.42
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $6.09
Rate for Payer: Anthem Medicaid $3.79
Rate for Payer: Anthem Medicare Advantage $3.67
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $23.85
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $3.67
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $3.67
Rate for Payer: Cash Price $13.50
Rate for Payer: Cash Price $13.50
Rate for Payer: Cigna Commercial $41.40
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $3.67
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $3.79
Rate for Payer: Dean Health Medicaid $3.79
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $3.67
Rate for Payer: Health EOS Commercial $40.05
Rate for Payer: HFN Commercial $41.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $13.65
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $3.67
Rate for Payer: Independent Care Health Plan Medicaid $3.79
Rate for Payer: Independent Care Health Plan Medicare $3.67
Rate for Payer: Managed Health Services Medicaid $3.94
Rate for Payer: Managed Health Services Medicare Advantage $3.67
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $3.67
Rate for Payer: Multiplan Commercial $36.00
Rate for Payer: NAPHCARE Commercial $5.50
Rate for Payer: Preferred Network Access Commercial $41.40
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $3.79
Rate for Payer: Quartz Beloit One Network $22.05
Rate for Payer: Quartz Commercial $29.25
Rate for Payer: Quartz Medicare Advantage $3.67
Rate for Payer: The Alliance Commercial $180.00
Rate for Payer: United Healthcare Medicaid $3.79
Rate for Payer: United Healthcare Medicare Advantage $3.67
Rate for Payer: United Healthcare PPO $33.75
Rate for Payer: WEA Trust Commercial $24.75
Rate for Payer: Wellcare Medicare $3.67
Rate for Payer: WMAP Medicaid $3.79
Rate for Payer: WPS Commercial $33.33