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Service Code CPT 86140
Hospital Charge Code 633716
Hospital Revenue Code 300
Min. Negotiated Rate $67.13
Max. Negotiated Rate $126.04
Rate for Payer: Aetna Commercial $123.30
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $72.61
Rate for Payer: Cash Price $41.10
Rate for Payer: Cigna Commercial $126.04
Rate for Payer: Health EOS Commercial $121.93
Rate for Payer: HFN Commercial $126.04
Rate for Payer: Multiplan Commercial $109.60
Rate for Payer: NAPHCARE Commercial $82.20
Rate for Payer: Preferred Network Access Commercial $126.04
Rate for Payer: Quartz Beloit One Network $67.13
Rate for Payer: Quartz Commercial $82.20
Rate for Payer: WEA Trust Commercial $75.35
Rate for Payer: WPS Commercial $101.48
Service Code CPT 86141
Hospital Charge Code 977885
Hospital Revenue Code 300
Min. Negotiated Rate $12.95
Max. Negotiated Rate $832.00
Rate for Payer: Aetna Commercial $187.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $178.88
Rate for Payer: Aetna Managed Medicare $12.95
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $48.56
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $22.66
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $21.50
Rate for Payer: Anthem Medicaid $13.38
Rate for Payer: Anthem Medicare Advantage $12.95
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $110.24
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $12.95
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $12.95
Rate for Payer: Cash Price $62.40
Rate for Payer: Cash Price $62.40
Rate for Payer: Cigna Commercial $191.36
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $12.95
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $13.38
Rate for Payer: Dean Health Medicaid $13.38
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $12.95
Rate for Payer: Health EOS Commercial $185.12
Rate for Payer: HFN Commercial $191.36
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $48.17
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $12.95
Rate for Payer: Independent Care Health Plan Medicaid $13.38
Rate for Payer: Independent Care Health Plan Medicare $12.95
Rate for Payer: Managed Health Services Medicaid $13.92
Rate for Payer: Managed Health Services Medicare Advantage $12.95
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $12.95
Rate for Payer: Multiplan Commercial $166.40
Rate for Payer: NAPHCARE Commercial $19.42
Rate for Payer: Preferred Network Access Commercial $191.36
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $13.38
Rate for Payer: Quartz Beloit One Network $101.92
Rate for Payer: Quartz Commercial $135.20
Rate for Payer: Quartz Medicare Advantage $12.95
Rate for Payer: The Alliance Commercial $832.00
Rate for Payer: United Healthcare Medicaid $13.38
Rate for Payer: United Healthcare Medicare Advantage $12.95
Rate for Payer: United Healthcare PPO $156.00
Rate for Payer: WEA Trust Commercial $114.40
Rate for Payer: Wellcare Medicare $12.95
Rate for Payer: WMAP Medicaid $13.38
Rate for Payer: WPS Commercial $154.07
Service Code CPT 86141
Hospital Charge Code 977885
Hospital Revenue Code 300
Min. Negotiated Rate $101.92
Max. Negotiated Rate $191.36
Rate for Payer: Aetna Commercial $187.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $110.24
Rate for Payer: Cash Price $62.40
Rate for Payer: Cigna Commercial $191.36
Rate for Payer: Health EOS Commercial $185.12
Rate for Payer: HFN Commercial $191.36
Rate for Payer: Multiplan Commercial $166.40
Rate for Payer: NAPHCARE Commercial $124.80
Rate for Payer: Preferred Network Access Commercial $191.36
Rate for Payer: Quartz Beloit One Network $101.92
Rate for Payer: Quartz Commercial $124.80
Rate for Payer: WEA Trust Commercial $114.40
Rate for Payer: WPS Commercial $154.07
Service Code CPT 86141
Hospital Charge Code 977885
Hospital Revenue Code 300
Min. Negotiated Rate $12.95
Max. Negotiated Rate $197.60
Rate for Payer: Aetna Commercial $197.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $178.88
Rate for Payer: Aetna Managed Medicare $12.95
Rate for Payer: Anthem Medicare Advantage $12.95
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $12.95
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $12.95
Rate for Payer: Cash Price $62.40
Rate for Payer: Cash Price $62.40
Rate for Payer: Cigna Commercial $197.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $104.00
Rate for Payer: Dean Health DHI/DHP/ASO $12.95
Rate for Payer: Health EOS Commercial $189.28
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $45.71
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $45.71
Rate for Payer: Independent Care Health Plan Medicare $12.95
Rate for Payer: Multiplan Commercial $166.40
Rate for Payer: Preferred Network Access Commercial $197.60
Rate for Payer: Quartz Beloit One Network $91.52
Rate for Payer: Quartz Commercial $118.56
Rate for Payer: Quartz Medicare Advantage $12.95
Rate for Payer: The Alliance Commercial $51.15
Rate for Payer: United Healthcare Medicare Advantage $12.95
Rate for Payer: WEA Trust Commercial $114.40
Rate for Payer: WPS Commercial $56.98
Hospital Charge Code 2964907
Hospital Revenue Code 272
Min. Negotiated Rate $771.75
Max. Negotiated Rate $1,449.00
Rate for Payer: Aetna Commercial $1,417.50
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $834.75
Rate for Payer: Cash Price $472.50
Rate for Payer: Cigna Commercial $1,449.00
Rate for Payer: Health EOS Commercial $1,401.75
Rate for Payer: HFN Commercial $1,449.00
Rate for Payer: Multiplan Commercial $1,260.00
Rate for Payer: NAPHCARE Commercial $945.00
Rate for Payer: Preferred Network Access Commercial $1,449.00
Rate for Payer: Quartz Beloit One Network $771.75
Rate for Payer: Quartz Commercial $945.00
Rate for Payer: WEA Trust Commercial $866.25
Rate for Payer: WPS Commercial $1,166.60
Hospital Charge Code 2964907
Hospital Revenue Code 272
Min. Negotiated Rate $441.00
Max. Negotiated Rate $6,300.00
Rate for Payer: Aetna Commercial $1,417.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,354.50
Rate for Payer: Aetna Managed Medicare $441.00
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $1,023.75
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $787.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $756.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $834.75
Rate for Payer: Cash Price $472.50
Rate for Payer: Cigna Commercial $1,449.00
Rate for Payer: Dean Health DHI/DHP/ASO $881.37
Rate for Payer: Health EOS Commercial $1,401.75
Rate for Payer: HFN Commercial $1,449.00
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,181.25
Rate for Payer: Multiplan Commercial $1,260.00
Rate for Payer: NAPHCARE Commercial $945.00
Rate for Payer: Preferred Network Access Commercial $1,449.00
Rate for Payer: Quartz Beloit One Network $771.75
Rate for Payer: Quartz Commercial $1,023.75
Rate for Payer: Quartz Medicare Advantage $945.00
Rate for Payer: The Alliance Commercial $6,300.00
Rate for Payer: WEA Trust Commercial $866.25
Rate for Payer: WPS Commercial $1,166.60
Hospital Charge Code 2974048
Hospital Revenue Code 271
Min. Negotiated Rate $64.96
Max. Negotiated Rate $928.00
Rate for Payer: Aetna Commercial $208.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $199.52
Rate for Payer: Aetna Managed Medicare $64.96
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $150.80
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $116.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $111.36
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $122.96
Rate for Payer: Cash Price $69.60
Rate for Payer: Cigna Commercial $213.44
Rate for Payer: Dean Health DHI/DHP/ASO $129.83
Rate for Payer: Health EOS Commercial $206.48
Rate for Payer: HFN Commercial $213.44
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $174.00
Rate for Payer: Multiplan Commercial $185.60
Rate for Payer: NAPHCARE Commercial $139.20
Rate for Payer: Preferred Network Access Commercial $213.44
Rate for Payer: Quartz Beloit One Network $113.68
Rate for Payer: Quartz Commercial $150.80
Rate for Payer: Quartz Medicare Advantage $139.20
Rate for Payer: The Alliance Commercial $928.00
Rate for Payer: WEA Trust Commercial $127.60
Rate for Payer: WPS Commercial $171.84
Hospital Charge Code 2974048
Hospital Revenue Code 271
Min. Negotiated Rate $113.68
Max. Negotiated Rate $213.44
Rate for Payer: Aetna Commercial $208.80
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $122.96
Rate for Payer: Cash Price $69.60
Rate for Payer: Cigna Commercial $213.44
Rate for Payer: Health EOS Commercial $206.48
Rate for Payer: HFN Commercial $213.44
Rate for Payer: Multiplan Commercial $185.60
Rate for Payer: NAPHCARE Commercial $139.20
Rate for Payer: Preferred Network Access Commercial $213.44
Rate for Payer: Quartz Beloit One Network $113.68
Rate for Payer: Quartz Commercial $139.20
Rate for Payer: WEA Trust Commercial $127.60
Rate for Payer: WPS Commercial $171.84
Hospital Charge Code 2969735
Hospital Revenue Code 271
Min. Negotiated Rate $333.76
Max. Negotiated Rate $4,768.00
Rate for Payer: Aetna Commercial $1,072.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,025.12
Rate for Payer: Aetna Managed Medicare $333.76
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $774.80
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $596.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $572.16
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $631.76
Rate for Payer: Cash Price $357.60
Rate for Payer: Cigna Commercial $1,096.64
Rate for Payer: Dean Health DHI/DHP/ASO $667.04
Rate for Payer: Health EOS Commercial $1,060.88
Rate for Payer: HFN Commercial $1,096.64
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $894.00
Rate for Payer: Multiplan Commercial $953.60
Rate for Payer: NAPHCARE Commercial $715.20
Rate for Payer: Preferred Network Access Commercial $1,096.64
Rate for Payer: Quartz Beloit One Network $584.08
Rate for Payer: Quartz Commercial $774.80
Rate for Payer: Quartz Medicare Advantage $715.20
Rate for Payer: The Alliance Commercial $4,768.00
Rate for Payer: WEA Trust Commercial $655.60
Rate for Payer: WPS Commercial $882.91
Hospital Charge Code 2969735
Hospital Revenue Code 271
Min. Negotiated Rate $584.08
Max. Negotiated Rate $1,096.64
Rate for Payer: Aetna Commercial $1,072.80
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $631.76
Rate for Payer: Cash Price $357.60
Rate for Payer: Cigna Commercial $1,096.64
Rate for Payer: Health EOS Commercial $1,060.88
Rate for Payer: HFN Commercial $1,096.64
Rate for Payer: Multiplan Commercial $953.60
Rate for Payer: NAPHCARE Commercial $715.20
Rate for Payer: Preferred Network Access Commercial $1,096.64
Rate for Payer: Quartz Beloit One Network $584.08
Rate for Payer: Quartz Commercial $715.20
Rate for Payer: WEA Trust Commercial $655.60
Rate for Payer: WPS Commercial $882.91
Hospital Charge Code 2963316
Hospital Revenue Code 271
Min. Negotiated Rate $70.56
Max. Negotiated Rate $132.48
Rate for Payer: Aetna Commercial $129.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $76.32
Rate for Payer: Cash Price $43.20
Rate for Payer: Cigna Commercial $132.48
Rate for Payer: Health EOS Commercial $128.16
Rate for Payer: HFN Commercial $132.48
Rate for Payer: Multiplan Commercial $115.20
Rate for Payer: NAPHCARE Commercial $86.40
Rate for Payer: Preferred Network Access Commercial $132.48
Rate for Payer: Quartz Beloit One Network $70.56
Rate for Payer: Quartz Commercial $86.40
Rate for Payer: WEA Trust Commercial $79.20
Rate for Payer: WPS Commercial $106.66
Hospital Charge Code 2963316
Hospital Revenue Code 271
Min. Negotiated Rate $40.32
Max. Negotiated Rate $576.00
Rate for Payer: Aetna Commercial $129.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $123.84
Rate for Payer: Aetna Managed Medicare $40.32
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $93.60
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $72.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $69.12
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $76.32
Rate for Payer: Cash Price $43.20
Rate for Payer: Cigna Commercial $132.48
Rate for Payer: Dean Health DHI/DHP/ASO $80.58
Rate for Payer: Health EOS Commercial $128.16
Rate for Payer: HFN Commercial $132.48
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $108.00
Rate for Payer: Multiplan Commercial $115.20
Rate for Payer: NAPHCARE Commercial $86.40
Rate for Payer: Preferred Network Access Commercial $132.48
Rate for Payer: Quartz Beloit One Network $70.56
Rate for Payer: Quartz Commercial $93.60
Rate for Payer: Quartz Medicare Advantage $86.40
Rate for Payer: The Alliance Commercial $576.00
Rate for Payer: WEA Trust Commercial $79.20
Rate for Payer: WPS Commercial $106.66
Hospital Charge Code 2963222
Hospital Revenue Code 271
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
Hospital Charge Code 2963222
Hospital Revenue Code 271
Min. Negotiated Rate $24.36
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 $24.36
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $56.55
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $43.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $41.76
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: Dean Health DHI/DHP/ASO $48.69
Rate for Payer: Health EOS Commercial $77.43
Rate for Payer: HFN Commercial $80.04
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $65.25
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 $56.55
Rate for Payer: Quartz Medicare Advantage $52.20
Rate for Payer: The Alliance Commercial $348.00
Rate for Payer: WEA Trust Commercial $47.85
Rate for Payer: WPS Commercial $64.44
Service Code CPT 69433 50
Hospital Charge Code 3975035
Hospital Revenue Code 510
Min. Negotiated Rate $165.08
Max. Negotiated Rate $1,538.05
Rate for Payer: Aetna Commercial $1,538.05
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,392.34
Rate for Payer: Cash Price $485.70
Rate for Payer: Cash Price $485.70
Rate for Payer: Cigna Commercial $1,538.05
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $809.50
Rate for Payer: Dean Health DHI/DHP/ASO $971.40
Rate for Payer: Health EOS Commercial $1,473.29
Rate for Payer: Multiplan Commercial $1,295.20
Rate for Payer: Preferred Network Access Commercial $1,538.05
Rate for Payer: Quartz Beloit One Network $712.36
Rate for Payer: Quartz Commercial $922.83
Rate for Payer: The Alliance Commercial $809.50
Rate for Payer: United Healthcare Medicaid $165.08
Rate for Payer: WEA Trust Commercial $890.45
Rate for Payer: WPS Commercial $1,199.19
Service Code CPT 82550
Hospital Charge Code 633712
Hospital Revenue Code 300
Min. Negotiated Rate $6.51
Max. Negotiated Rate $108.30
Rate for Payer: Aetna Commercial $108.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $98.04
Rate for Payer: Aetna Managed Medicare $6.51
Rate for Payer: Anthem Medicare Advantage $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $6.51
Rate for Payer: Cash Price $34.20
Rate for Payer: Cash Price $34.20
Rate for Payer: Cigna Commercial $108.30
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $57.00
Rate for Payer: Dean Health DHI/DHP/ASO $6.51
Rate for Payer: Health EOS Commercial $103.74
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $22.98
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $22.98
Rate for Payer: Independent Care Health Plan Medicare $6.51
Rate for Payer: Multiplan Commercial $91.20
Rate for Payer: Preferred Network Access Commercial $108.30
Rate for Payer: Quartz Beloit One Network $50.16
Rate for Payer: Quartz Commercial $64.98
Rate for Payer: Quartz Medicare Advantage $6.51
Rate for Payer: The Alliance Commercial $25.71
Rate for Payer: United Healthcare Medicare Advantage $6.51
Rate for Payer: WEA Trust Commercial $62.70
Rate for Payer: WPS Commercial $28.64
Service Code CPT 82550
Hospital Charge Code 633712
Hospital Revenue Code 300
Min. Negotiated Rate $6.51
Max. Negotiated Rate $456.00
Rate for Payer: Aetna Commercial $102.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $98.04
Rate for Payer: Aetna Managed Medicare $6.51
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $24.41
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $11.39
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $10.81
Rate for Payer: Anthem Medicaid $6.73
Rate for Payer: Anthem Medicare Advantage $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $60.42
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $6.51
Rate for Payer: Cash Price $34.20
Rate for Payer: Cash Price $34.20
Rate for Payer: Cigna Commercial $104.88
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $6.51
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $6.73
Rate for Payer: Dean Health Medicaid $6.73
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $6.51
Rate for Payer: Health EOS Commercial $101.46
Rate for Payer: HFN Commercial $104.88
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $24.22
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $6.51
Rate for Payer: Independent Care Health Plan Medicaid $6.73
Rate for Payer: Independent Care Health Plan Medicare $6.51
Rate for Payer: Managed Health Services Medicaid $7.00
Rate for Payer: Managed Health Services Medicare Advantage $6.51
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $6.51
Rate for Payer: Multiplan Commercial $91.20
Rate for Payer: NAPHCARE Commercial $9.76
Rate for Payer: Preferred Network Access Commercial $104.88
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $6.73
Rate for Payer: Quartz Beloit One Network $55.86
Rate for Payer: Quartz Commercial $74.10
Rate for Payer: Quartz Medicare Advantage $6.51
Rate for Payer: The Alliance Commercial $456.00
Rate for Payer: United Healthcare Medicaid $6.73
Rate for Payer: United Healthcare Medicare Advantage $6.51
Rate for Payer: United Healthcare PPO $85.50
Rate for Payer: WEA Trust Commercial $62.70
Rate for Payer: Wellcare Medicare $6.51
Rate for Payer: WMAP Medicaid $6.73
Rate for Payer: WPS Commercial $84.44
Service Code CPT 82550
Hospital Charge Code 633712
Hospital Revenue Code 300
Min. Negotiated Rate $55.86
Max. Negotiated Rate $104.88
Rate for Payer: Aetna Commercial $102.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $60.42
Rate for Payer: Cash Price $34.20
Rate for Payer: Cigna Commercial $104.88
Rate for Payer: Health EOS Commercial $101.46
Rate for Payer: HFN Commercial $104.88
Rate for Payer: Multiplan Commercial $91.20
Rate for Payer: NAPHCARE Commercial $68.40
Rate for Payer: Preferred Network Access Commercial $104.88
Rate for Payer: Quartz Beloit One Network $55.86
Rate for Payer: Quartz Commercial $68.40
Rate for Payer: WEA Trust Commercial $62.70
Rate for Payer: WPS Commercial $84.44
Service Code CPT 82552
Hospital Charge Code 2942881
Hospital Revenue Code 300
Min. Negotiated Rate $13.39
Max. Negotiated Rate $193.80
Rate for Payer: Aetna Commercial $193.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $175.44
Rate for Payer: Aetna Managed Medicare $13.39
Rate for Payer: Anthem Medicare Advantage $13.39
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $13.39
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $13.39
Rate for Payer: Cash Price $61.20
Rate for Payer: Cash Price $61.20
Rate for Payer: Cigna Commercial $193.80
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $102.00
Rate for Payer: Dean Health DHI/DHP/ASO $13.39
Rate for Payer: Health EOS Commercial $185.64
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $47.27
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $47.27
Rate for Payer: Independent Care Health Plan Medicare $13.39
Rate for Payer: Multiplan Commercial $163.20
Rate for Payer: Preferred Network Access Commercial $193.80
Rate for Payer: Quartz Beloit One Network $89.76
Rate for Payer: Quartz Commercial $116.28
Rate for Payer: Quartz Medicare Advantage $13.39
Rate for Payer: The Alliance Commercial $52.89
Rate for Payer: United Healthcare Medicare Advantage $13.39
Rate for Payer: WEA Trust Commercial $112.20
Rate for Payer: WPS Commercial $58.92
Service Code CPT 82552
Hospital Charge Code 2942881
Hospital Revenue Code 300
Min. Negotiated Rate $13.39
Max. Negotiated Rate $816.00
Rate for Payer: Aetna Commercial $183.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $175.44
Rate for Payer: Aetna Managed Medicare $13.39
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $50.21
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $23.43
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $22.23
Rate for Payer: Anthem Medicaid $13.84
Rate for Payer: Anthem Medicare Advantage $13.39
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $108.12
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $13.39
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $13.39
Rate for Payer: Cash Price $61.20
Rate for Payer: Cash Price $61.20
Rate for Payer: Cigna Commercial $187.68
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $13.39
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $13.84
Rate for Payer: Dean Health Medicaid $13.84
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $13.39
Rate for Payer: Health EOS Commercial $181.56
Rate for Payer: HFN Commercial $187.68
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $49.81
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $13.39
Rate for Payer: Independent Care Health Plan Medicaid $13.84
Rate for Payer: Independent Care Health Plan Medicare $13.39
Rate for Payer: Managed Health Services Medicaid $14.39
Rate for Payer: Managed Health Services Medicare Advantage $13.39
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $13.39
Rate for Payer: Multiplan Commercial $163.20
Rate for Payer: NAPHCARE Commercial $20.08
Rate for Payer: Preferred Network Access Commercial $187.68
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $13.84
Rate for Payer: Quartz Beloit One Network $99.96
Rate for Payer: Quartz Commercial $132.60
Rate for Payer: Quartz Medicare Advantage $13.39
Rate for Payer: The Alliance Commercial $816.00
Rate for Payer: United Healthcare Medicaid $13.84
Rate for Payer: United Healthcare Medicare Advantage $13.39
Rate for Payer: United Healthcare PPO $153.00
Rate for Payer: WEA Trust Commercial $112.20
Rate for Payer: Wellcare Medicare $13.39
Rate for Payer: WMAP Medicaid $13.84
Rate for Payer: WPS Commercial $151.10
Service Code CPT 82552
Hospital Charge Code 2942881
Hospital Revenue Code 300
Min. Negotiated Rate $99.96
Max. Negotiated Rate $187.68
Rate for Payer: Aetna Commercial $183.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $108.12
Rate for Payer: Cash Price $61.20
Rate for Payer: Cigna Commercial $187.68
Rate for Payer: Health EOS Commercial $181.56
Rate for Payer: HFN Commercial $187.68
Rate for Payer: Multiplan Commercial $163.20
Rate for Payer: NAPHCARE Commercial $122.40
Rate for Payer: Preferred Network Access Commercial $187.68
Rate for Payer: Quartz Beloit One Network $99.96
Rate for Payer: Quartz Commercial $122.40
Rate for Payer: WEA Trust Commercial $112.20
Rate for Payer: WPS Commercial $151.10
Service Code CPT 82550
Hospital Charge Code 633714
Hospital Revenue Code 300
Min. Negotiated Rate $6.51
Max. Negotiated Rate $190.00
Rate for Payer: Aetna Commercial $190.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $172.00
Rate for Payer: Aetna Managed Medicare $6.51
Rate for Payer: Anthem Medicare Advantage $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $6.51
Rate for Payer: Cash Price $60.00
Rate for Payer: Cash Price $60.00
Rate for Payer: Cigna Commercial $190.00
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $100.00
Rate for Payer: Dean Health DHI/DHP/ASO $6.51
Rate for Payer: Health EOS Commercial $182.00
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $22.98
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $22.98
Rate for Payer: Independent Care Health Plan Medicare $6.51
Rate for Payer: Multiplan Commercial $160.00
Rate for Payer: Preferred Network Access Commercial $190.00
Rate for Payer: Quartz Beloit One Network $88.00
Rate for Payer: Quartz Commercial $114.00
Rate for Payer: Quartz Medicare Advantage $6.51
Rate for Payer: The Alliance Commercial $25.71
Rate for Payer: United Healthcare Medicare Advantage $6.51
Rate for Payer: WEA Trust Commercial $110.00
Rate for Payer: WPS Commercial $28.64
Service Code CPT 82550
Hospital Charge Code 633714
Hospital Revenue Code 300
Min. Negotiated Rate $6.51
Max. Negotiated Rate $800.00
Rate for Payer: Aetna Commercial $180.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $172.00
Rate for Payer: Aetna Managed Medicare $6.51
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $24.41
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $11.39
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $10.81
Rate for Payer: Anthem Medicaid $6.73
Rate for Payer: Anthem Medicare Advantage $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $106.00
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $6.51
Rate for Payer: Cash Price $60.00
Rate for Payer: Cash Price $60.00
Rate for Payer: Cigna Commercial $184.00
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $6.51
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $6.73
Rate for Payer: Dean Health Medicaid $6.73
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $6.51
Rate for Payer: Health EOS Commercial $178.00
Rate for Payer: HFN Commercial $184.00
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $24.22
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $6.51
Rate for Payer: Independent Care Health Plan Medicaid $6.73
Rate for Payer: Independent Care Health Plan Medicare $6.51
Rate for Payer: Managed Health Services Medicaid $7.00
Rate for Payer: Managed Health Services Medicare Advantage $6.51
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $6.51
Rate for Payer: Multiplan Commercial $160.00
Rate for Payer: NAPHCARE Commercial $9.76
Rate for Payer: Preferred Network Access Commercial $184.00
Rate for Payer: Quartz Badgercare/Employee Trust Funds/QHP $6.73
Rate for Payer: Quartz Beloit One Network $98.00
Rate for Payer: Quartz Commercial $130.00
Rate for Payer: Quartz Medicare Advantage $6.51
Rate for Payer: The Alliance Commercial $800.00
Rate for Payer: United Healthcare Medicaid $6.73
Rate for Payer: United Healthcare Medicare Advantage $6.51
Rate for Payer: United Healthcare PPO $150.00
Rate for Payer: WEA Trust Commercial $110.00
Rate for Payer: Wellcare Medicare $6.51
Rate for Payer: WMAP Medicaid $6.73
Rate for Payer: WPS Commercial $148.14
Service Code CPT 82550
Hospital Charge Code 633714
Hospital Revenue Code 300
Min. Negotiated Rate $98.00
Max. Negotiated Rate $184.00
Rate for Payer: Aetna Commercial $180.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $106.00
Rate for Payer: Cash Price $60.00
Rate for Payer: Cigna Commercial $184.00
Rate for Payer: Health EOS Commercial $178.00
Rate for Payer: HFN Commercial $184.00
Rate for Payer: Multiplan Commercial $160.00
Rate for Payer: NAPHCARE Commercial $120.00
Rate for Payer: Preferred Network Access Commercial $184.00
Rate for Payer: Quartz Beloit One Network $98.00
Rate for Payer: Quartz Commercial $120.00
Rate for Payer: WEA Trust Commercial $110.00
Rate for Payer: WPS Commercial $148.14
Service Code CPT 82550
Hospital Charge Code 979893
Hospital Revenue Code 300
Min. Negotiated Rate $6.51
Max. Negotiated Rate $108.30
Rate for Payer: Aetna Commercial $108.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $98.04
Rate for Payer: Aetna Managed Medicare $6.51
Rate for Payer: Anthem Medicare Advantage $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $6.51
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $6.51
Rate for Payer: Cash Price $34.20
Rate for Payer: Cash Price $34.20
Rate for Payer: Cigna Commercial $108.30
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $57.00
Rate for Payer: Dean Health DHI/DHP/ASO $6.51
Rate for Payer: Health EOS Commercial $103.74
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $22.98
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $22.98
Rate for Payer: Independent Care Health Plan Medicare $6.51
Rate for Payer: Multiplan Commercial $91.20
Rate for Payer: Preferred Network Access Commercial $108.30
Rate for Payer: Quartz Beloit One Network $50.16
Rate for Payer: Quartz Commercial $64.98
Rate for Payer: Quartz Medicare Advantage $6.51
Rate for Payer: The Alliance Commercial $25.71
Rate for Payer: United Healthcare Medicare Advantage $6.51
Rate for Payer: WEA Trust Commercial $62.70
Rate for Payer: WPS Commercial $28.64