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Hospital Charge Code 2972027
Hospital Revenue Code 271
Min. Negotiated Rate $540.47
Max. Negotiated Rate $1,014.76
Rate for Payer: Aetna Commercial $992.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $948.58
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $584.59
Rate for Payer: Cash Price $330.90
Rate for Payer: Cigna Commercial $1,014.76
Rate for Payer: Health EOS Commercial $981.67
Rate for Payer: HFN Commercial $1,014.76
Rate for Payer: Multiplan Commercial $882.40
Rate for Payer: NAPHCARE Commercial $661.80
Rate for Payer: Preferred Network Access Commercial $1,014.76
Rate for Payer: Quartz Beloit One Network $540.47
Rate for Payer: Quartz Commercial $661.80
Rate for Payer: WEA Trust Commercial $606.65
Rate for Payer: WPS Commercial $816.99
Hospital Charge Code 2972056
Hospital Revenue Code 271
Min. Negotiated Rate $556.15
Max. Negotiated Rate $1,044.20
Rate for Payer: Aetna Commercial $1,021.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $976.10
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $601.55
Rate for Payer: Cash Price $340.50
Rate for Payer: Cigna Commercial $1,044.20
Rate for Payer: Health EOS Commercial $1,010.15
Rate for Payer: HFN Commercial $1,044.20
Rate for Payer: Multiplan Commercial $908.00
Rate for Payer: NAPHCARE Commercial $681.00
Rate for Payer: Preferred Network Access Commercial $1,044.20
Rate for Payer: Quartz Beloit One Network $556.15
Rate for Payer: Quartz Commercial $681.00
Rate for Payer: WEA Trust Commercial $624.25
Rate for Payer: WPS Commercial $840.69
Hospital Charge Code 2972056
Hospital Revenue Code 271
Min. Negotiated Rate $317.80
Max. Negotiated Rate $4,540.00
Rate for Payer: Aetna Commercial $1,021.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $976.10
Rate for Payer: Aetna Managed Medicare $317.80
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $737.75
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $567.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $544.80
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $601.55
Rate for Payer: Cash Price $340.50
Rate for Payer: Cigna Commercial $1,044.20
Rate for Payer: Dean Health DHI/DHP/ASO $635.15
Rate for Payer: Health EOS Commercial $1,010.15
Rate for Payer: HFN Commercial $1,044.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $851.25
Rate for Payer: Multiplan Commercial $908.00
Rate for Payer: NAPHCARE Commercial $681.00
Rate for Payer: Preferred Network Access Commercial $1,044.20
Rate for Payer: Quartz Beloit One Network $556.15
Rate for Payer: Quartz Commercial $737.75
Rate for Payer: Quartz Medicare Advantage $681.00
Rate for Payer: The Alliance Commercial $4,540.00
Rate for Payer: WEA Trust Commercial $624.25
Rate for Payer: WPS Commercial $840.69
Hospital Charge Code 5349485
Hospital Revenue Code 272
Min. Negotiated Rate $58.80
Max. Negotiated Rate $840.00
Rate for Payer: Aetna Commercial $189.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $180.60
Rate for Payer: Aetna Managed Medicare $58.80
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $136.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $105.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $100.80
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $111.30
Rate for Payer: Cash Price $63.00
Rate for Payer: Cigna Commercial $193.20
Rate for Payer: Dean Health DHI/DHP/ASO $117.52
Rate for Payer: Health EOS Commercial $186.90
Rate for Payer: HFN Commercial $193.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $157.50
Rate for Payer: Multiplan Commercial $168.00
Rate for Payer: NAPHCARE Commercial $126.00
Rate for Payer: Preferred Network Access Commercial $193.20
Rate for Payer: Quartz Beloit One Network $102.90
Rate for Payer: Quartz Commercial $136.50
Rate for Payer: Quartz Medicare Advantage $126.00
Rate for Payer: The Alliance Commercial $840.00
Rate for Payer: WEA Trust Commercial $115.50
Rate for Payer: WPS Commercial $155.55
Hospital Charge Code 5349485
Hospital Revenue Code 272
Min. Negotiated Rate $102.90
Max. Negotiated Rate $193.20
Rate for Payer: Aetna Commercial $189.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $180.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $111.30
Rate for Payer: Cash Price $63.00
Rate for Payer: Cigna Commercial $193.20
Rate for Payer: Health EOS Commercial $186.90
Rate for Payer: HFN Commercial $193.20
Rate for Payer: Multiplan Commercial $168.00
Rate for Payer: NAPHCARE Commercial $126.00
Rate for Payer: Preferred Network Access Commercial $193.20
Rate for Payer: Quartz Beloit One Network $102.90
Rate for Payer: Quartz Commercial $126.00
Rate for Payer: WEA Trust Commercial $115.50
Rate for Payer: WPS Commercial $155.55
Hospital Charge Code 2963879
Hospital Revenue Code 271
Min. Negotiated Rate $45.64
Max. Negotiated Rate $652.00
Rate for Payer: Aetna Commercial $146.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $140.18
Rate for Payer: Aetna Managed Medicare $45.64
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $105.95
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $81.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $78.24
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $86.39
Rate for Payer: Cash Price $48.90
Rate for Payer: Cigna Commercial $149.96
Rate for Payer: Dean Health DHI/DHP/ASO $91.21
Rate for Payer: Health EOS Commercial $145.07
Rate for Payer: HFN Commercial $149.96
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $122.25
Rate for Payer: Multiplan Commercial $130.40
Rate for Payer: NAPHCARE Commercial $97.80
Rate for Payer: Preferred Network Access Commercial $149.96
Rate for Payer: Quartz Beloit One Network $79.87
Rate for Payer: Quartz Commercial $105.95
Rate for Payer: Quartz Medicare Advantage $97.80
Rate for Payer: The Alliance Commercial $652.00
Rate for Payer: WEA Trust Commercial $89.65
Rate for Payer: WPS Commercial $120.73
Hospital Charge Code 2963879
Hospital Revenue Code 271
Min. Negotiated Rate $79.87
Max. Negotiated Rate $149.96
Rate for Payer: Aetna Commercial $146.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $140.18
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $86.39
Rate for Payer: Cash Price $48.90
Rate for Payer: Cigna Commercial $149.96
Rate for Payer: Health EOS Commercial $145.07
Rate for Payer: HFN Commercial $149.96
Rate for Payer: Multiplan Commercial $130.40
Rate for Payer: NAPHCARE Commercial $97.80
Rate for Payer: Preferred Network Access Commercial $149.96
Rate for Payer: Quartz Beloit One Network $79.87
Rate for Payer: Quartz Commercial $97.80
Rate for Payer: WEA Trust Commercial $89.65
Rate for Payer: WPS Commercial $120.73
Service Code CPT 36592
Hospital Charge Code 4494656
Hospital Revenue Code 333
Min. Negotiated Rate $126.26
Max. Negotiated Rate $505.04
Rate for Payer: Aetna Commercial $242.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $231.34
Rate for Payer: Aetna Managed Medicare $126.26
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $174.85
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $134.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $129.12
Rate for Payer: Anthem Medicare Advantage $126.26
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $142.57
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $126.26
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $126.26
Rate for Payer: Cash Price $80.70
Rate for Payer: Cash Price $80.70
Rate for Payer: Cigna Commercial $247.48
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $126.26
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $126.26
Rate for Payer: Health EOS Commercial $239.41
Rate for Payer: HFN Commercial $247.48
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $469.69
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $126.26
Rate for Payer: Independent Care Health Plan Medicare $126.26
Rate for Payer: Managed Health Services Medicare Advantage $126.26
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $126.26
Rate for Payer: Multiplan Commercial $215.20
Rate for Payer: NAPHCARE Commercial $189.39
Rate for Payer: Preferred Network Access Commercial $247.48
Rate for Payer: Quartz Beloit One Network $131.81
Rate for Payer: Quartz Commercial $174.85
Rate for Payer: Quartz Medicare Advantage $126.26
Rate for Payer: The Alliance Commercial $505.04
Rate for Payer: United Healthcare Medicare Advantage $126.26
Rate for Payer: United Healthcare PPO $201.75
Rate for Payer: WEA Trust Commercial $147.95
Rate for Payer: Wellcare Medicare $126.26
Rate for Payer: WPS Commercial $199.25
Service Code CPT 36592
Hospital Charge Code 4494656
Hospital Revenue Code 333
Min. Negotiated Rate $131.81
Max. Negotiated Rate $247.48
Rate for Payer: Aetna Commercial $242.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $231.34
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $142.57
Rate for Payer: Cash Price $80.70
Rate for Payer: Cigna Commercial $247.48
Rate for Payer: Health EOS Commercial $239.41
Rate for Payer: HFN Commercial $247.48
Rate for Payer: Multiplan Commercial $215.20
Rate for Payer: NAPHCARE Commercial $161.40
Rate for Payer: Preferred Network Access Commercial $247.48
Rate for Payer: Quartz Beloit One Network $131.81
Rate for Payer: Quartz Commercial $161.40
Rate for Payer: WEA Trust Commercial $147.95
Rate for Payer: WPS Commercial $199.25
Service Code CPT 36591
Hospital Charge Code 4494655
Hospital Revenue Code 333
Min. Negotiated Rate $90.65
Max. Negotiated Rate $170.20
Rate for Payer: Aetna Commercial $166.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $159.10
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $98.05
Rate for Payer: Cash Price $55.50
Rate for Payer: Cigna Commercial $170.20
Rate for Payer: Health EOS Commercial $164.65
Rate for Payer: HFN Commercial $170.20
Rate for Payer: Multiplan Commercial $148.00
Rate for Payer: NAPHCARE Commercial $111.00
Rate for Payer: Preferred Network Access Commercial $170.20
Rate for Payer: Quartz Beloit One Network $90.65
Rate for Payer: Quartz Commercial $111.00
Rate for Payer: WEA Trust Commercial $101.75
Rate for Payer: WPS Commercial $137.03
Service Code CPT 36591
Hospital Charge Code 4494655
Hospital Revenue Code 333
Min. Negotiated Rate $88.80
Max. Negotiated Rate $505.04
Rate for Payer: Aetna Commercial $166.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $159.10
Rate for Payer: Aetna Managed Medicare $126.26
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $120.25
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $92.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $88.80
Rate for Payer: Anthem Medicare Advantage $126.26
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $98.05
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $126.26
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $126.26
Rate for Payer: Cash Price $55.50
Rate for Payer: Cash Price $55.50
Rate for Payer: Cigna Commercial $170.20
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $126.26
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $126.26
Rate for Payer: Health EOS Commercial $164.65
Rate for Payer: HFN Commercial $170.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $469.69
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $126.26
Rate for Payer: Independent Care Health Plan Medicare $126.26
Rate for Payer: Managed Health Services Medicare Advantage $126.26
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $126.26
Rate for Payer: Multiplan Commercial $148.00
Rate for Payer: NAPHCARE Commercial $189.39
Rate for Payer: Preferred Network Access Commercial $170.20
Rate for Payer: Quartz Beloit One Network $90.65
Rate for Payer: Quartz Commercial $120.25
Rate for Payer: Quartz Medicare Advantage $126.26
Rate for Payer: The Alliance Commercial $505.04
Rate for Payer: United Healthcare Medicare Advantage $126.26
Rate for Payer: United Healthcare PPO $138.75
Rate for Payer: WEA Trust Commercial $101.75
Rate for Payer: Wellcare Medicare $126.26
Rate for Payer: WPS Commercial $137.03
Service Code CPT 36415
Hospital Charge Code 3029072
Hospital Revenue Code 300
Min. Negotiated Rate $8.57
Max. Negotiated Rate $41.40
Rate for Payer: Aetna Commercial $40.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $38.70
Rate for Payer: Aetna Managed Medicare $8.57
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $29.25
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $22.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $21.60
Rate for Payer: Anthem Medicare Advantage $8.57
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 $8.57
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $8.57
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 $8.57
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $8.57
Rate for Payer: Health EOS Commercial $40.05
Rate for Payer: HFN Commercial $41.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $31.88
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $8.57
Rate for Payer: Independent Care Health Plan Medicare $8.57
Rate for Payer: Managed Health Services Medicare Advantage $8.57
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $8.57
Rate for Payer: Multiplan Commercial $36.00
Rate for Payer: NAPHCARE Commercial $12.86
Rate for Payer: Preferred Network Access Commercial $41.40
Rate for Payer: Quartz Beloit One Network $22.05
Rate for Payer: Quartz Commercial $29.25
Rate for Payer: Quartz Medicare Advantage $8.57
Rate for Payer: The Alliance Commercial $34.28
Rate for Payer: United Healthcare Medicare Advantage $8.57
Rate for Payer: United Healthcare PPO $33.75
Rate for Payer: WEA Trust Commercial $24.75
Rate for Payer: Wellcare Medicare $8.57
Rate for Payer: WPS Commercial $33.33
Service Code CPT 36415
Hospital Charge Code 3029072
Hospital Revenue Code 300
Min. Negotiated Rate $7.06
Max. Negotiated Rate $42.75
Rate for Payer: Aetna Commercial $42.75
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $38.70
Rate for Payer: Cash Price $13.50
Rate for Payer: Cash Price $13.50
Rate for Payer: Cigna Commercial $42.75
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $7.06
Rate for Payer: Dean Health DHI/DHP/ASO $27.00
Rate for Payer: Health EOS Commercial $40.95
Rate for Payer: HFN Commercial $42.75
Rate for Payer: Multiplan Commercial $36.00
Rate for Payer: Preferred Network Access Commercial $42.75
Rate for Payer: Quartz Beloit One Network $19.80
Rate for Payer: Quartz Commercial $25.65
Rate for Payer: The Alliance Commercial $22.50
Rate for Payer: United Healthcare Medicaid $7.06
Rate for Payer: WEA Trust Commercial $24.75
Rate for Payer: WPS Commercial $33.33
Service Code CPT 36415
Hospital Charge Code 3029072
Hospital Revenue Code 300
Min. Negotiated Rate $22.05
Max. Negotiated Rate $41.40
Rate for Payer: Aetna Commercial $40.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $38.70
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $23.85
Rate for Payer: Cash Price $13.50
Rate for Payer: Cigna Commercial $41.40
Rate for Payer: Health EOS Commercial $40.05
Rate for Payer: HFN Commercial $41.40
Rate for Payer: Multiplan Commercial $36.00
Rate for Payer: NAPHCARE Commercial $27.00
Rate for Payer: Preferred Network Access Commercial $41.40
Rate for Payer: Quartz Beloit One Network $22.05
Rate for Payer: Quartz Commercial $27.00
Rate for Payer: WEA Trust Commercial $24.75
Rate for Payer: WPS Commercial $33.33
Hospital Charge Code 5547217
Hospital Revenue Code 272
Min. Negotiated Rate $1,146.88
Max. Negotiated Rate $16,384.00
Rate for Payer: Aetna Commercial $3,686.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,522.56
Rate for Payer: Aetna Managed Medicare $1,146.88
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,662.40
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,048.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $1,966.08
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,170.88
Rate for Payer: Cash Price $1,228.80
Rate for Payer: Cigna Commercial $3,768.32
Rate for Payer: Dean Health DHI/DHP/ASO $2,292.12
Rate for Payer: Health EOS Commercial $3,645.44
Rate for Payer: HFN Commercial $3,768.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $3,072.00
Rate for Payer: Multiplan Commercial $3,276.80
Rate for Payer: NAPHCARE Commercial $2,457.60
Rate for Payer: Preferred Network Access Commercial $3,768.32
Rate for Payer: Quartz Beloit One Network $2,007.04
Rate for Payer: Quartz Commercial $2,662.40
Rate for Payer: Quartz Medicare Advantage $2,457.60
Rate for Payer: The Alliance Commercial $16,384.00
Rate for Payer: WEA Trust Commercial $2,252.80
Rate for Payer: WPS Commercial $3,033.91
Hospital Charge Code 5547217
Hospital Revenue Code 272
Min. Negotiated Rate $2,007.04
Max. Negotiated Rate $3,768.32
Rate for Payer: Aetna Commercial $3,686.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,522.56
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,170.88
Rate for Payer: Cash Price $1,228.80
Rate for Payer: Cigna Commercial $3,768.32
Rate for Payer: Health EOS Commercial $3,645.44
Rate for Payer: HFN Commercial $3,768.32
Rate for Payer: Multiplan Commercial $3,276.80
Rate for Payer: NAPHCARE Commercial $2,457.60
Rate for Payer: Preferred Network Access Commercial $3,768.32
Rate for Payer: Quartz Beloit One Network $2,007.04
Rate for Payer: Quartz Commercial $2,457.60
Rate for Payer: WEA Trust Commercial $2,252.80
Rate for Payer: WPS Commercial $3,033.91
Hospital Charge Code 2973174
Hospital Revenue Code 271
Min. Negotiated Rate $58.80
Max. Negotiated Rate $110.40
Rate for Payer: Aetna Commercial $108.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $103.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $63.60
Rate for Payer: Cash Price $36.00
Rate for Payer: Cigna Commercial $110.40
Rate for Payer: Health EOS Commercial $106.80
Rate for Payer: HFN Commercial $110.40
Rate for Payer: Multiplan Commercial $96.00
Rate for Payer: NAPHCARE Commercial $72.00
Rate for Payer: Preferred Network Access Commercial $110.40
Rate for Payer: Quartz Beloit One Network $58.80
Rate for Payer: Quartz Commercial $72.00
Rate for Payer: WEA Trust Commercial $66.00
Rate for Payer: WPS Commercial $88.88
Hospital Charge Code 2973174
Hospital Revenue Code 271
Min. Negotiated Rate $33.60
Max. Negotiated Rate $480.00
Rate for Payer: Aetna Commercial $108.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $103.20
Rate for Payer: Aetna Managed Medicare $33.60
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $78.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $60.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $57.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $63.60
Rate for Payer: Cash Price $36.00
Rate for Payer: Cigna Commercial $110.40
Rate for Payer: Dean Health DHI/DHP/ASO $67.15
Rate for Payer: Health EOS Commercial $106.80
Rate for Payer: HFN Commercial $110.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $90.00
Rate for Payer: Multiplan Commercial $96.00
Rate for Payer: NAPHCARE Commercial $72.00
Rate for Payer: Preferred Network Access Commercial $110.40
Rate for Payer: Quartz Beloit One Network $58.80
Rate for Payer: Quartz Commercial $78.00
Rate for Payer: Quartz Medicare Advantage $72.00
Rate for Payer: The Alliance Commercial $480.00
Rate for Payer: WEA Trust Commercial $66.00
Rate for Payer: WPS Commercial $88.88
Service Code CPT 81435
Hospital Charge Code 4924643
Hospital Revenue Code 300
Min. Negotiated Rate $726.88
Max. Negotiated Rate $2,064.70
Rate for Payer: Aetna Commercial $1,569.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,420.72
Rate for Payer: Cash Price $495.60
Rate for Payer: Cash Price $495.60
Rate for Payer: Cigna Commercial $1,569.40
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $826.00
Rate for Payer: Dean Health DHI/DHP/ASO $991.20
Rate for Payer: Health EOS Commercial $1,503.32
Rate for Payer: HFN Commercial $1,569.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,064.70
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,064.70
Rate for Payer: Multiplan Commercial $1,321.60
Rate for Payer: Preferred Network Access Commercial $1,569.40
Rate for Payer: Quartz Beloit One Network $726.88
Rate for Payer: Quartz Commercial $941.64
Rate for Payer: The Alliance Commercial $826.00
Rate for Payer: WEA Trust Commercial $908.60
Rate for Payer: WPS Commercial $1,223.64
Service Code CPT 81435
Hospital Charge Code 4924643
Hospital Revenue Code 300
Min. Negotiated Rate $584.90
Max. Negotiated Rate $2,339.60
Rate for Payer: Aetna Commercial $1,486.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,420.72
Rate for Payer: Aetna Managed Medicare $584.90
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,193.38
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,023.58
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $970.93
Rate for Payer: Anthem Medicaid $584.90
Rate for Payer: Anthem Medicare Advantage $584.90
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $875.56
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $584.90
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $584.90
Rate for Payer: Cash Price $495.60
Rate for Payer: Cash Price $495.60
Rate for Payer: Cigna Commercial $1,519.84
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $584.90
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $584.90
Rate for Payer: Dean Health DHI/DHP/ASO $924.46
Rate for Payer: Dean Health Medicaid $584.90
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $584.90
Rate for Payer: Health EOS Commercial $1,470.28
Rate for Payer: HFN Commercial $1,519.84
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,175.83
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $584.90
Rate for Payer: Independent Care Health Plan Medicaid $584.90
Rate for Payer: Independent Care Health Plan Medicare $584.90
Rate for Payer: Managed Health Services Medicaid $608.30
Rate for Payer: Managed Health Services Medicare Advantage $584.90
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $584.90
Rate for Payer: Multiplan Commercial $1,321.60
Rate for Payer: NAPHCARE Commercial $877.35
Rate for Payer: Preferred Network Access Commercial $1,519.84
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $584.90
Rate for Payer: Quartz Beloit One Network $809.48
Rate for Payer: Quartz Commercial $1,073.80
Rate for Payer: Quartz Medicare Advantage $584.90
Rate for Payer: The Alliance Commercial $2,339.60
Rate for Payer: United Healthcare Medicaid $584.90
Rate for Payer: United Healthcare Medicare Advantage $584.90
Rate for Payer: United Healthcare PPO $1,239.00
Rate for Payer: WEA Trust Commercial $908.60
Rate for Payer: Wellcare Medicare $584.90
Rate for Payer: WMAP Medicaid $584.90
Rate for Payer: WPS Commercial $1,223.64
Service Code CPT 81435
Hospital Charge Code 4924643
Hospital Revenue Code 300
Min. Negotiated Rate $809.48
Max. Negotiated Rate $1,519.84
Rate for Payer: Aetna Commercial $1,486.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,420.72
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $875.56
Rate for Payer: Cash Price $495.60
Rate for Payer: Cigna Commercial $1,519.84
Rate for Payer: Health EOS Commercial $1,470.28
Rate for Payer: HFN Commercial $1,519.84
Rate for Payer: Multiplan Commercial $1,321.60
Rate for Payer: NAPHCARE Commercial $991.20
Rate for Payer: Preferred Network Access Commercial $1,519.84
Rate for Payer: Quartz Beloit One Network $809.48
Rate for Payer: Quartz Commercial $991.20
Rate for Payer: WEA Trust Commercial $908.60
Rate for Payer: WPS Commercial $1,223.64
Service Code CPT 81436
Hospital Charge Code 4924644
Hospital Revenue Code 300
Min. Negotiated Rate $809.48
Max. Negotiated Rate $1,519.84
Rate for Payer: Aetna Commercial $1,486.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,420.72
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $875.56
Rate for Payer: Cash Price $495.60
Rate for Payer: Cigna Commercial $1,519.84
Rate for Payer: Health EOS Commercial $1,470.28
Rate for Payer: HFN Commercial $1,519.84
Rate for Payer: Multiplan Commercial $1,321.60
Rate for Payer: NAPHCARE Commercial $991.20
Rate for Payer: Preferred Network Access Commercial $1,519.84
Rate for Payer: Quartz Beloit One Network $809.48
Rate for Payer: Quartz Commercial $991.20
Rate for Payer: WEA Trust Commercial $908.60
Rate for Payer: WPS Commercial $1,223.64
Service Code CPT 81436
Hospital Charge Code 4924644
Hospital Revenue Code 300
Min. Negotiated Rate $726.88
Max. Negotiated Rate $2,064.70
Rate for Payer: Aetna Commercial $1,569.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,420.72
Rate for Payer: Cash Price $495.60
Rate for Payer: Cash Price $495.60
Rate for Payer: Cigna Commercial $1,569.40
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $826.00
Rate for Payer: Dean Health DHI/DHP/ASO $991.20
Rate for Payer: Health EOS Commercial $1,503.32
Rate for Payer: HFN Commercial $1,569.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,064.70
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,064.70
Rate for Payer: Multiplan Commercial $1,321.60
Rate for Payer: Preferred Network Access Commercial $1,569.40
Rate for Payer: Quartz Beloit One Network $726.88
Rate for Payer: Quartz Commercial $941.64
Rate for Payer: The Alliance Commercial $826.00
Rate for Payer: WEA Trust Commercial $908.60
Rate for Payer: WPS Commercial $1,223.64
Service Code CPT 81436
Hospital Charge Code 4924644
Hospital Revenue Code 300
Min. Negotiated Rate $584.90
Max. Negotiated Rate $2,339.60
Rate for Payer: Aetna Commercial $1,486.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,420.72
Rate for Payer: Aetna Managed Medicare $584.90
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,193.38
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,023.58
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $970.93
Rate for Payer: Anthem Medicaid $584.90
Rate for Payer: Anthem Medicare Advantage $584.90
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $875.56
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $584.90
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $584.90
Rate for Payer: Cash Price $495.60
Rate for Payer: Cash Price $495.60
Rate for Payer: Cigna Commercial $1,519.84
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $584.90
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $584.90
Rate for Payer: Dean Health DHI/DHP/ASO $924.46
Rate for Payer: Dean Health Medicaid $584.90
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $584.90
Rate for Payer: Health EOS Commercial $1,470.28
Rate for Payer: HFN Commercial $1,519.84
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,175.83
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $584.90
Rate for Payer: Independent Care Health Plan Medicaid $584.90
Rate for Payer: Independent Care Health Plan Medicare $584.90
Rate for Payer: Managed Health Services Medicaid $608.30
Rate for Payer: Managed Health Services Medicare Advantage $584.90
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $584.90
Rate for Payer: Multiplan Commercial $1,321.60
Rate for Payer: NAPHCARE Commercial $877.35
Rate for Payer: Preferred Network Access Commercial $1,519.84
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $584.90
Rate for Payer: Quartz Beloit One Network $809.48
Rate for Payer: Quartz Commercial $1,073.80
Rate for Payer: Quartz Medicare Advantage $584.90
Rate for Payer: The Alliance Commercial $2,339.60
Rate for Payer: United Healthcare Medicaid $584.90
Rate for Payer: United Healthcare Medicare Advantage $584.90
Rate for Payer: United Healthcare PPO $1,239.00
Rate for Payer: WEA Trust Commercial $908.60
Rate for Payer: Wellcare Medicare $584.90
Rate for Payer: WMAP Medicaid $584.90
Rate for Payer: WPS Commercial $1,223.64
Service Code CPT 44799
Hospital Charge Code 2960551
Hospital Revenue Code 750
Min. Negotiated Rate $895.97
Max. Negotiated Rate $27,974.00
Rate for Payer: Aetna Commercial $1,823.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,742.36
Rate for Payer: Aetna Managed Medicare $895.97
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $27,974.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $25,272.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $24,008.00
Rate for Payer: Anthem Medicare Advantage $895.97
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $1,073.78
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $895.97
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $895.97
Rate for Payer: Cash Price $607.80
Rate for Payer: Cash Price $607.80
Rate for Payer: Cash Price $607.80
Rate for Payer: Cigna Commercial $1,863.92
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $895.97
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $895.97
Rate for Payer: Health EOS Commercial $1,803.14
Rate for Payer: HFN Commercial $1,863.92
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $3,333.01
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $895.97
Rate for Payer: Independent Care Health Plan Medicare $895.97
Rate for Payer: Managed Health Services Medicare Advantage $895.97
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $895.97
Rate for Payer: Multiplan Commercial $1,620.80
Rate for Payer: NAPHCARE Commercial $1,343.96
Rate for Payer: Preferred Network Access Commercial $1,863.92
Rate for Payer: Quartz Beloit One Network $992.74
Rate for Payer: Quartz Commercial $1,316.90
Rate for Payer: Quartz Medicare Advantage $895.97
Rate for Payer: The Alliance Commercial $3,583.88
Rate for Payer: United Healthcare Medicare Advantage $895.97
Rate for Payer: United Healthcare PPO $13,676.00
Rate for Payer: WEA Trust Commercial $1,114.30
Rate for Payer: Wellcare Medicare $895.97
Rate for Payer: WPS Commercial $1,500.66