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Service Code CPT 70488 LT,TC
Hospital Charge Code 1241308
Hospital Revenue Code 350
Min. Negotiated Rate $1,675.52
Max. Negotiated Rate $3,617.60
Rate for Payer: Aetna Commercial $3,617.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,274.88
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,617.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,904.00
Rate for Payer: Dean Health DHI/DHP/ASO $2,284.80
Rate for Payer: Health EOS Commercial $3,465.28
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: Preferred Network Access Commercial $3,617.60
Rate for Payer: Quartz Beloit One Network $1,675.52
Rate for Payer: Quartz Commercial $2,170.56
Rate for Payer: The Alliance Commercial $1,904.00
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488 LT,TC
Hospital Charge Code 1241308
Hospital Revenue Code 350
Min. Negotiated Rate $1,865.92
Max. Negotiated Rate $3,503.36
Rate for Payer: Aetna Commercial $3,427.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,018.24
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,503.36
Rate for Payer: Health EOS Commercial $3,389.12
Rate for Payer: HFN Commercial $3,503.36
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: NAPHCARE Commercial $2,284.80
Rate for Payer: Preferred Network Access Commercial $3,503.36
Rate for Payer: Quartz Beloit One Network $1,865.92
Rate for Payer: Quartz Commercial $2,284.80
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488
Hospital Charge Code 711755
Min. Negotiated Rate $185.32
Max. Negotiated Rate $7,377.70
Rate for Payer: Aetna Commercial $7,377.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $6,678.76
Rate for Payer: Aetna Managed Medicare $185.32
Rate for Payer: Anthem Medicare Advantage $185.32
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $185.32
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $185.32
Rate for Payer: Cash Price $2,329.80
Rate for Payer: Cash Price $2,329.80
Rate for Payer: Cigna Commercial $7,377.70
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $3,883.00
Rate for Payer: Dean Health DHI/DHP/ASO $185.32
Rate for Payer: Health EOS Commercial $7,067.06
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $687.71
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $687.71
Rate for Payer: Independent Care Health Plan Medicare $185.32
Rate for Payer: Multiplan Commercial $6,212.80
Rate for Payer: Preferred Network Access Commercial $7,377.70
Rate for Payer: Quartz Beloit One Network $3,417.04
Rate for Payer: Quartz Commercial $4,426.62
Rate for Payer: Quartz Medicare Advantage $185.32
Rate for Payer: The Alliance Commercial $704.22
Rate for Payer: United Healthcare Medicare Advantage $185.32
Rate for Payer: WEA Trust Commercial $4,271.30
Rate for Payer: WPS Commercial $926.60
Service Code CPT 70488 LT,TC
Hospital Charge Code 1241311
Hospital Revenue Code 350
Min. Negotiated Rate $1,865.92
Max. Negotiated Rate $3,503.36
Rate for Payer: Quartz Beloit One Network $1,865.92
Rate for Payer: Aetna Commercial $3,427.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,018.24
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,503.36
Rate for Payer: Health EOS Commercial $3,389.12
Rate for Payer: HFN Commercial $3,503.36
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: NAPHCARE Commercial $2,284.80
Rate for Payer: Preferred Network Access Commercial $3,503.36
Rate for Payer: Quartz Commercial $2,284.80
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488
Hospital Charge Code 711756
Min. Negotiated Rate $185.32
Max. Negotiated Rate $3,688.85
Rate for Payer: Aetna Commercial $3,688.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,339.38
Rate for Payer: Aetna Managed Medicare $185.32
Rate for Payer: Anthem Medicare Advantage $185.32
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $185.32
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $185.32
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cigna Commercial $3,688.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,941.50
Rate for Payer: Dean Health DHI/DHP/ASO $185.32
Rate for Payer: Health EOS Commercial $3,533.53
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $687.71
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $687.71
Rate for Payer: Independent Care Health Plan Medicare $185.32
Rate for Payer: Multiplan Commercial $3,106.40
Rate for Payer: Preferred Network Access Commercial $3,688.85
Rate for Payer: Quartz Beloit One Network $1,708.52
Rate for Payer: Quartz Commercial $2,213.31
Rate for Payer: Quartz Medicare Advantage $185.32
Rate for Payer: The Alliance Commercial $704.22
Rate for Payer: United Healthcare Medicare Advantage $185.32
Rate for Payer: WEA Trust Commercial $2,135.65
Rate for Payer: WPS Commercial $926.60
Service Code CPT 70488
Hospital Charge Code 711756
Min. Negotiated Rate $1,902.67
Max. Negotiated Rate $3,572.36
Rate for Payer: Aetna Commercial $3,494.70
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,057.99
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cigna Commercial $3,572.36
Rate for Payer: Health EOS Commercial $3,455.87
Rate for Payer: HFN Commercial $3,572.36
Rate for Payer: Multiplan Commercial $3,106.40
Rate for Payer: NAPHCARE Commercial $2,329.80
Rate for Payer: Preferred Network Access Commercial $3,572.36
Rate for Payer: Quartz Beloit One Network $1,902.67
Rate for Payer: Quartz Commercial $2,329.80
Rate for Payer: WEA Trust Commercial $2,135.65
Rate for Payer: WPS Commercial $2,876.14
Service Code CPT 70488
Hospital Charge Code 711756
Min. Negotiated Rate $181.60
Max. Negotiated Rate $261,906.32
Rate for Payer: Aetna Commercial $3,494.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,339.38
Rate for Payer: Aetna Managed Medicare $181.60
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,523.95
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,941.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $1,863.84
Rate for Payer: Anthem Medicare Advantage $181.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,057.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $181.60
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $181.60
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cigna Commercial $3,572.36
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $181.60
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $181.60
Rate for Payer: Health EOS Commercial $3,455.87
Rate for Payer: HFN Commercial $3,572.36
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $675.55
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $181.60
Rate for Payer: Independent Care Health Plan Medicare $181.60
Rate for Payer: Managed Health Services Medicare Advantage $181.60
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $181.60
Rate for Payer: Multiplan Commercial $3,106.40
Rate for Payer: NAPHCARE Commercial $272.40
Rate for Payer: Preferred Network Access Commercial $3,572.36
Rate for Payer: Quartz Beloit One Network $1,902.67
Rate for Payer: Quartz Commercial $2,523.95
Rate for Payer: Quartz Medicare Advantage $181.60
Rate for Payer: The Alliance Commercial $261,906.32
Rate for Payer: United Healthcare Medicare Advantage $181.60
Rate for Payer: WEA Trust Commercial $2,135.65
Rate for Payer: Wellcare Medicare $181.60
Rate for Payer: WPS Commercial $2,876.14
Service Code CPT 70488 LT,TC
Hospital Charge Code 1241311
Hospital Revenue Code 350
Min. Negotiated Rate $1,675.52
Max. Negotiated Rate $3,617.60
Rate for Payer: Aetna Commercial $3,617.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,274.88
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,617.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,904.00
Rate for Payer: Dean Health DHI/DHP/ASO $2,284.80
Rate for Payer: Health EOS Commercial $3,465.28
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: Preferred Network Access Commercial $3,617.60
Rate for Payer: Quartz Beloit One Network $1,675.52
Rate for Payer: Quartz Commercial $2,170.56
Rate for Payer: The Alliance Commercial $1,904.00
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488 LT,TC
Hospital Charge Code 1241311
Hospital Revenue Code 350
Min. Negotiated Rate $1,066.24
Max. Negotiated Rate $15,232.00
Rate for Payer: Aetna Commercial $3,427.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,274.88
Rate for Payer: Aetna Managed Medicare $1,066.24
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,205.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,586.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,454.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,018.24
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,503.36
Rate for Payer: Health EOS Commercial $3,389.12
Rate for Payer: HFN Commercial $3,503.36
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,856.00
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: NAPHCARE Commercial $2,284.80
Rate for Payer: Preferred Network Access Commercial $3,503.36
Rate for Payer: Quartz Beloit One Network $1,865.92
Rate for Payer: Quartz Commercial $2,475.20
Rate for Payer: Quartz Medicare Advantage $2,284.80
Rate for Payer: The Alliance Commercial $15,232.00
Rate for Payer: United Healthcare PPO $2,065.00
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488
Hospital Charge Code 711752
Min. Negotiated Rate $185.32
Max. Negotiated Rate $3,688.85
Rate for Payer: Aetna Commercial $3,688.85
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,339.38
Rate for Payer: Aetna Managed Medicare $185.32
Rate for Payer: Anthem Medicare Advantage $185.32
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $185.32
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $185.32
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cigna Commercial $3,688.85
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,941.50
Rate for Payer: Dean Health DHI/DHP/ASO $185.32
Rate for Payer: Health EOS Commercial $3,533.53
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $687.71
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $687.71
Rate for Payer: Independent Care Health Plan Medicare $185.32
Rate for Payer: Multiplan Commercial $3,106.40
Rate for Payer: Preferred Network Access Commercial $3,688.85
Rate for Payer: Quartz Beloit One Network $1,708.52
Rate for Payer: Quartz Commercial $2,213.31
Rate for Payer: Quartz Medicare Advantage $185.32
Rate for Payer: The Alliance Commercial $704.22
Rate for Payer: United Healthcare Medicare Advantage $185.32
Rate for Payer: WEA Trust Commercial $2,135.65
Rate for Payer: WPS Commercial $926.60
Service Code CPT 70488
Hospital Charge Code 711752
Min. Negotiated Rate $1,902.67
Max. Negotiated Rate $3,572.36
Rate for Payer: Aetna Commercial $3,494.70
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,057.99
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cigna Commercial $3,572.36
Rate for Payer: Health EOS Commercial $3,455.87
Rate for Payer: HFN Commercial $3,572.36
Rate for Payer: Multiplan Commercial $3,106.40
Rate for Payer: NAPHCARE Commercial $2,329.80
Rate for Payer: Preferred Network Access Commercial $3,572.36
Rate for Payer: Quartz Beloit One Network $1,902.67
Rate for Payer: Quartz Commercial $2,329.80
Rate for Payer: WEA Trust Commercial $2,135.65
Rate for Payer: WPS Commercial $2,876.14
Service Code CPT 70488 TC,RT
Hospital Charge Code 2979989
Hospital Revenue Code 350
Min. Negotiated Rate $1,865.92
Max. Negotiated Rate $3,503.36
Rate for Payer: Aetna Commercial $3,427.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,018.24
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,503.36
Rate for Payer: Health EOS Commercial $3,389.12
Rate for Payer: HFN Commercial $3,503.36
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: NAPHCARE Commercial $2,284.80
Rate for Payer: Preferred Network Access Commercial $3,503.36
Rate for Payer: Quartz Beloit One Network $1,865.92
Rate for Payer: Quartz Commercial $2,284.80
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488 RT,TC
Hospital Charge Code 1241314
Hospital Revenue Code 350
Min. Negotiated Rate $1,865.92
Max. Negotiated Rate $3,503.36
Rate for Payer: Aetna Commercial $3,427.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,018.24
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,503.36
Rate for Payer: Health EOS Commercial $3,389.12
Rate for Payer: HFN Commercial $3,503.36
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: NAPHCARE Commercial $2,284.80
Rate for Payer: Preferred Network Access Commercial $3,503.36
Rate for Payer: Quartz Beloit One Network $1,865.92
Rate for Payer: Quartz Commercial $2,284.80
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488 RT,TC
Hospital Charge Code 1241314
Hospital Revenue Code 350
Min. Negotiated Rate $1,675.52
Max. Negotiated Rate $3,617.60
Rate for Payer: Aetna Commercial $3,617.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,274.88
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,617.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,904.00
Rate for Payer: Dean Health DHI/DHP/ASO $2,284.80
Rate for Payer: Health EOS Commercial $3,465.28
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: Preferred Network Access Commercial $3,617.60
Rate for Payer: Quartz Beloit One Network $1,675.52
Rate for Payer: Quartz Commercial $2,170.56
Rate for Payer: The Alliance Commercial $1,904.00
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488
Hospital Charge Code 711752
Min. Negotiated Rate $181.60
Max. Negotiated Rate $261,906.32
Rate for Payer: Aetna Commercial $3,494.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,339.38
Rate for Payer: Aetna Managed Medicare $181.60
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,523.95
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,941.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $1,863.84
Rate for Payer: Anthem Medicare Advantage $181.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,057.99
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $181.60
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $181.60
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cash Price $1,164.90
Rate for Payer: Cigna Commercial $3,572.36
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $181.60
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $181.60
Rate for Payer: Health EOS Commercial $3,455.87
Rate for Payer: HFN Commercial $3,572.36
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $675.55
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $181.60
Rate for Payer: Independent Care Health Plan Medicare $181.60
Rate for Payer: Managed Health Services Medicare Advantage $181.60
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $181.60
Rate for Payer: Multiplan Commercial $3,106.40
Rate for Payer: NAPHCARE Commercial $272.40
Rate for Payer: Preferred Network Access Commercial $3,572.36
Rate for Payer: Quartz Beloit One Network $1,902.67
Rate for Payer: Quartz Commercial $2,523.95
Rate for Payer: Quartz Medicare Advantage $181.60
Rate for Payer: The Alliance Commercial $261,906.32
Rate for Payer: United Healthcare Medicare Advantage $181.60
Rate for Payer: WEA Trust Commercial $2,135.65
Rate for Payer: Wellcare Medicare $181.60
Rate for Payer: WPS Commercial $2,876.14
Service Code CPT 70488 RT,TC
Hospital Charge Code 1241314
Hospital Revenue Code 350
Min. Negotiated Rate $1,066.24
Max. Negotiated Rate $15,232.00
Rate for Payer: Aetna Commercial $3,427.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,274.88
Rate for Payer: Aetna Managed Medicare $1,066.24
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,205.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,586.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,454.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,018.24
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,503.36
Rate for Payer: Health EOS Commercial $3,389.12
Rate for Payer: HFN Commercial $3,503.36
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,856.00
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: NAPHCARE Commercial $2,284.80
Rate for Payer: Preferred Network Access Commercial $3,503.36
Rate for Payer: Quartz Beloit One Network $1,865.92
Rate for Payer: Quartz Commercial $2,475.20
Rate for Payer: Quartz Medicare Advantage $2,284.80
Rate for Payer: The Alliance Commercial $15,232.00
Rate for Payer: United Healthcare PPO $2,065.00
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488 TC,RT
Hospital Charge Code 2979989
Hospital Revenue Code 350
Min. Negotiated Rate $1,675.52
Max. Negotiated Rate $3,617.60
Rate for Payer: Aetna Commercial $3,617.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,274.88
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,617.60
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,904.00
Rate for Payer: Dean Health DHI/DHP/ASO $2,284.80
Rate for Payer: Health EOS Commercial $3,465.28
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: Preferred Network Access Commercial $3,617.60
Rate for Payer: Quartz Beloit One Network $1,675.52
Rate for Payer: Quartz Commercial $2,170.56
Rate for Payer: The Alliance Commercial $1,904.00
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 70488 TC,RT
Hospital Charge Code 2979989
Hospital Revenue Code 350
Min. Negotiated Rate $1,066.24
Max. Negotiated Rate $15,232.00
Rate for Payer: Aetna Commercial $3,427.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $3,274.88
Rate for Payer: Aetna Managed Medicare $1,066.24
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,205.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,586.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,454.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,018.24
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cash Price $1,142.40
Rate for Payer: Cigna Commercial $3,503.36
Rate for Payer: Health EOS Commercial $3,389.12
Rate for Payer: HFN Commercial $3,503.36
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,856.00
Rate for Payer: Multiplan Commercial $3,046.40
Rate for Payer: NAPHCARE Commercial $2,284.80
Rate for Payer: Preferred Network Access Commercial $3,503.36
Rate for Payer: Quartz Beloit One Network $1,865.92
Rate for Payer: Quartz Commercial $2,475.20
Rate for Payer: Quartz Medicare Advantage $2,284.80
Rate for Payer: The Alliance Commercial $15,232.00
Rate for Payer: United Healthcare PPO $2,065.00
Rate for Payer: WEA Trust Commercial $2,094.40
Rate for Payer: WPS Commercial $2,820.59
Service Code CPT 73201
Hospital Charge Code 630219
Min. Negotiated Rate $380.12
Max. Negotiated Rate $4,757.32
Rate for Payer: Aetna Commercial $4,653.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $4,447.06
Rate for Payer: Aetna Managed Medicare $380.12
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,361.15
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,585.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,482.08
Rate for Payer: Anthem Medicare Advantage $380.12
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,740.63
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $380.12
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $380.12
Rate for Payer: Cash Price $1,551.30
Rate for Payer: Cash Price $1,551.30
Rate for Payer: Cigna Commercial $4,757.32
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $380.12
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $380.12
Rate for Payer: Health EOS Commercial $4,602.19
Rate for Payer: HFN Commercial $4,757.32
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,414.05
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $380.12
Rate for Payer: Independent Care Health Plan Medicare $380.12
Rate for Payer: Managed Health Services Medicare Advantage $380.12
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $380.12
Rate for Payer: Multiplan Commercial $4,136.80
Rate for Payer: NAPHCARE Commercial $570.18
Rate for Payer: Preferred Network Access Commercial $4,757.32
Rate for Payer: Quartz Beloit One Network $2,533.79
Rate for Payer: Quartz Commercial $3,361.15
Rate for Payer: Quartz Medicare Advantage $380.12
Rate for Payer: The Alliance Commercial $1,897.76
Rate for Payer: United Healthcare Medicare Advantage $380.12
Rate for Payer: WEA Trust Commercial $2,844.05
Rate for Payer: Wellcare Medicare $380.12
Rate for Payer: WPS Commercial $3,830.16
Service Code CPT 73201
Hospital Charge Code 630219
Min. Negotiated Rate $202.41
Max. Negotiated Rate $4,912.45
Rate for Payer: Aetna Commercial $4,912.45
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $4,447.06
Rate for Payer: Aetna Managed Medicare $202.41
Rate for Payer: Anthem Medicare Advantage $202.41
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $202.41
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $202.41
Rate for Payer: Cash Price $1,551.30
Rate for Payer: Cash Price $1,551.30
Rate for Payer: Cigna Commercial $4,912.45
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $2,585.50
Rate for Payer: Dean Health DHI/DHP/ASO $202.41
Rate for Payer: Health EOS Commercial $4,705.61
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $754.22
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $754.22
Rate for Payer: Independent Care Health Plan Medicare $202.41
Rate for Payer: Multiplan Commercial $4,136.80
Rate for Payer: Preferred Network Access Commercial $4,912.45
Rate for Payer: Quartz Beloit One Network $2,275.24
Rate for Payer: Quartz Commercial $2,947.47
Rate for Payer: Quartz Medicare Advantage $202.41
Rate for Payer: The Alliance Commercial $769.16
Rate for Payer: United Healthcare Medicare Advantage $202.41
Rate for Payer: WEA Trust Commercial $2,844.05
Rate for Payer: WPS Commercial $1,012.05
Service Code CPT 73201 LT,TC
Hospital Charge Code 1241337
Hospital Revenue Code 350
Min. Negotiated Rate $1,243.13
Max. Negotiated Rate $2,334.04
Rate for Payer: Quartz Beloit One Network $1,243.13
Rate for Payer: Aetna Commercial $2,283.30
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $1,344.61
Rate for Payer: Cash Price $761.10
Rate for Payer: Cigna Commercial $2,334.04
Rate for Payer: Health EOS Commercial $2,257.93
Rate for Payer: HFN Commercial $2,334.04
Rate for Payer: Multiplan Commercial $2,029.60
Rate for Payer: NAPHCARE Commercial $1,522.20
Rate for Payer: Preferred Network Access Commercial $2,334.04
Rate for Payer: Quartz Commercial $1,522.20
Rate for Payer: WEA Trust Commercial $1,395.35
Rate for Payer: WPS Commercial $1,879.16
Service Code CPT 73201
Hospital Charge Code 630219
Min. Negotiated Rate $2,533.79
Max. Negotiated Rate $4,757.32
Rate for Payer: Aetna Commercial $4,653.90
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $2,740.63
Rate for Payer: Cash Price $1,551.30
Rate for Payer: Cigna Commercial $4,757.32
Rate for Payer: Health EOS Commercial $4,602.19
Rate for Payer: HFN Commercial $4,757.32
Rate for Payer: Multiplan Commercial $4,136.80
Rate for Payer: NAPHCARE Commercial $3,102.60
Rate for Payer: Preferred Network Access Commercial $4,757.32
Rate for Payer: Quartz Beloit One Network $2,533.79
Rate for Payer: Quartz Commercial $3,102.60
Rate for Payer: WEA Trust Commercial $2,844.05
Rate for Payer: WPS Commercial $3,830.16
Service Code CPT 73201 LT,TC
Hospital Charge Code 1241337
Hospital Revenue Code 350
Min. Negotiated Rate $710.36
Max. Negotiated Rate $10,148.00
Rate for Payer: Aetna Commercial $2,283.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $2,181.82
Rate for Payer: Aetna Managed Medicare $710.36
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,205.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,586.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,454.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $1,344.61
Rate for Payer: Cash Price $761.10
Rate for Payer: Cash Price $761.10
Rate for Payer: Cash Price $761.10
Rate for Payer: Cash Price $761.10
Rate for Payer: Cigna Commercial $2,334.04
Rate for Payer: Health EOS Commercial $2,257.93
Rate for Payer: HFN Commercial $2,334.04
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,902.75
Rate for Payer: Multiplan Commercial $2,029.60
Rate for Payer: NAPHCARE Commercial $1,522.20
Rate for Payer: Preferred Network Access Commercial $2,334.04
Rate for Payer: Quartz Beloit One Network $1,243.13
Rate for Payer: Quartz Commercial $1,649.05
Rate for Payer: Quartz Medicare Advantage $1,522.20
Rate for Payer: The Alliance Commercial $10,148.00
Rate for Payer: United Healthcare PPO $2,065.00
Rate for Payer: WEA Trust Commercial $1,395.35
Rate for Payer: WPS Commercial $1,879.16
Service Code CPT 73201 LT,TC
Hospital Charge Code 1241337
Hospital Revenue Code 350
Min. Negotiated Rate $1,116.28
Max. Negotiated Rate $2,410.15
Rate for Payer: Aetna Commercial $2,410.15
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $2,181.82
Rate for Payer: Cash Price $761.10
Rate for Payer: Cash Price $761.10
Rate for Payer: Cigna Commercial $2,410.15
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,268.50
Rate for Payer: Dean Health DHI/DHP/ASO $1,522.20
Rate for Payer: Health EOS Commercial $2,308.67
Rate for Payer: Multiplan Commercial $2,029.60
Rate for Payer: Preferred Network Access Commercial $2,410.15
Rate for Payer: Quartz Beloit One Network $1,116.28
Rate for Payer: Quartz Commercial $1,446.09
Rate for Payer: The Alliance Commercial $1,268.50
Rate for Payer: WEA Trust Commercial $1,395.35
Rate for Payer: WPS Commercial $1,879.16
Service Code CPT 73201
Hospital Charge Code 630221
Min. Negotiated Rate $1,266.65
Max. Negotiated Rate $2,378.20
Rate for Payer: Aetna Commercial $2,326.50
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $1,370.05
Rate for Payer: Cash Price $775.50
Rate for Payer: Cigna Commercial $2,378.20
Rate for Payer: Health EOS Commercial $2,300.65
Rate for Payer: HFN Commercial $2,378.20
Rate for Payer: Multiplan Commercial $2,068.00
Rate for Payer: NAPHCARE Commercial $1,551.00
Rate for Payer: Preferred Network Access Commercial $2,378.20
Rate for Payer: Quartz Beloit One Network $1,266.65
Rate for Payer: Quartz Commercial $1,551.00
Rate for Payer: WEA Trust Commercial $1,421.75
Rate for Payer: WPS Commercial $1,914.71