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Service Code CPT 38221
Hospital Charge Code 6173895
Hospital Revenue Code 450
Min. Negotiated Rate $185.76
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Commercial $348.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $332.82
Rate for Payer: Aetna Managed Medicare $1,602.49
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $251.55
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $193.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $185.76
Rate for Payer: Anthem Medicare Advantage $1,602.49
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $205.11
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $1,602.49
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $1,602.49
Rate for Payer: Cash Price $116.10
Rate for Payer: Cash Price $116.10
Rate for Payer: Cash Price $116.10
Rate for Payer: Cigna Commercial $356.04
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
Rate for Payer: Health EOS Commercial $344.43
Rate for Payer: HFN Commercial $356.04
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $5,961.26
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,602.49
Rate for Payer: Independent Care Health Plan Medicare $1,602.49
Rate for Payer: Managed Health Services Medicare Advantage $1,602.49
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $1,602.49
Rate for Payer: Multiplan Commercial $309.60
Rate for Payer: NAPHCARE Commercial $2,403.74
Rate for Payer: Preferred Network Access Commercial $356.04
Rate for Payer: Quartz Beloit One Network $189.63
Rate for Payer: Quartz Commercial $251.55
Rate for Payer: Quartz Medicare Advantage $1,602.49
Rate for Payer: The Alliance Commercial $6,409.96
Rate for Payer: United Healthcare Medicare Advantage $1,602.49
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $212.85
Rate for Payer: Wellcare Medicare $1,602.49
Rate for Payer: WPS Commercial $286.65
Service Code CPT 38221
Hospital Charge Code 6173895
Hospital Revenue Code 450
Min. Negotiated Rate $189.63
Max. Negotiated Rate $356.04
Rate for Payer: Aetna Commercial $348.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $332.82
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $205.11
Rate for Payer: Cash Price $116.10
Rate for Payer: Cigna Commercial $356.04
Rate for Payer: Health EOS Commercial $344.43
Rate for Payer: HFN Commercial $356.04
Rate for Payer: Multiplan Commercial $309.60
Rate for Payer: NAPHCARE Commercial $232.20
Rate for Payer: Preferred Network Access Commercial $356.04
Rate for Payer: Quartz Beloit One Network $189.63
Rate for Payer: Quartz Commercial $232.20
Rate for Payer: WEA Trust Commercial $212.85
Rate for Payer: WPS Commercial $286.65
Service Code CPT 67715
Hospital Charge Code 6209815
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $9,238.84
Rate for Payer: Aetna Commercial $615.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $588.24
Rate for Payer: Aetna Managed Medicare $2,309.71
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $444.60
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $342.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $328.32
Rate for Payer: Anthem Medicare Advantage $2,309.71
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $362.52
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2,309.71
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2,309.71
Rate for Payer: Cash Price $205.20
Rate for Payer: Cash Price $205.20
Rate for Payer: Cash Price $205.20
Rate for Payer: Cigna Commercial $629.28
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2,309.71
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,309.71
Rate for Payer: Health EOS Commercial $608.76
Rate for Payer: HFN Commercial $629.28
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $8,592.12
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,309.71
Rate for Payer: Independent Care Health Plan Medicare $2,309.71
Rate for Payer: Managed Health Services Medicare Advantage $2,309.71
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2,309.71
Rate for Payer: Multiplan Commercial $547.20
Rate for Payer: NAPHCARE Commercial $3,464.56
Rate for Payer: Preferred Network Access Commercial $629.28
Rate for Payer: Quartz Beloit One Network $335.16
Rate for Payer: Quartz Commercial $444.60
Rate for Payer: Quartz Medicare Advantage $2,309.71
Rate for Payer: The Alliance Commercial $9,238.84
Rate for Payer: United Healthcare Medicare Advantage $2,309.71
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $376.20
Rate for Payer: Wellcare Medicare $2,309.71
Rate for Payer: WPS Commercial $506.64
Service Code CPT 67715
Hospital Charge Code 6209815
Hospital Revenue Code 450
Min. Negotiated Rate $335.16
Max. Negotiated Rate $629.28
Rate for Payer: Aetna Commercial $615.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $588.24
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $362.52
Rate for Payer: Cash Price $205.20
Rate for Payer: Cigna Commercial $629.28
Rate for Payer: Health EOS Commercial $608.76
Rate for Payer: HFN Commercial $629.28
Rate for Payer: Multiplan Commercial $547.20
Rate for Payer: NAPHCARE Commercial $410.40
Rate for Payer: Preferred Network Access Commercial $629.28
Rate for Payer: Quartz Beloit One Network $335.16
Rate for Payer: Quartz Commercial $410.40
Rate for Payer: WEA Trust Commercial $376.20
Rate for Payer: WPS Commercial $506.64
Service Code CPT 92960
Hospital Charge Code 6172949
Hospital Revenue Code 450
Min. Negotiated Rate $254.31
Max. Negotiated Rate $477.48
Rate for Payer: Aetna Commercial $467.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $446.34
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $275.07
Rate for Payer: Cash Price $155.70
Rate for Payer: Cigna Commercial $477.48
Rate for Payer: Health EOS Commercial $461.91
Rate for Payer: HFN Commercial $477.48
Rate for Payer: Multiplan Commercial $415.20
Rate for Payer: NAPHCARE Commercial $311.40
Rate for Payer: Preferred Network Access Commercial $477.48
Rate for Payer: Quartz Beloit One Network $254.31
Rate for Payer: Quartz Commercial $311.40
Rate for Payer: WEA Trust Commercial $285.45
Rate for Payer: WPS Commercial $384.42
Service Code CPT 92960
Hospital Charge Code 6172949
Hospital Revenue Code 450
Min. Negotiated Rate $249.12
Max. Negotiated Rate $2,573.12
Rate for Payer: Aetna Commercial $467.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $446.34
Rate for Payer: Aetna Managed Medicare $643.28
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $337.35
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $259.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $249.12
Rate for Payer: Anthem Medicare Advantage $643.28
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $275.07
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $643.28
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $643.28
Rate for Payer: Cash Price $155.70
Rate for Payer: Cash Price $155.70
Rate for Payer: Cash Price $155.70
Rate for Payer: Cigna Commercial $477.48
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $643.28
Rate for Payer: Dean Health DHI/DHP/ASO $290.43
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $643.28
Rate for Payer: Health EOS Commercial $461.91
Rate for Payer: HFN Commercial $477.48
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,393.00
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $643.28
Rate for Payer: Independent Care Health Plan Medicare $643.28
Rate for Payer: Managed Health Services Medicare Advantage $643.28
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $643.28
Rate for Payer: Multiplan Commercial $415.20
Rate for Payer: NAPHCARE Commercial $964.92
Rate for Payer: Preferred Network Access Commercial $477.48
Rate for Payer: Quartz Beloit One Network $254.31
Rate for Payer: Quartz Commercial $337.35
Rate for Payer: Quartz Medicare Advantage $643.28
Rate for Payer: The Alliance Commercial $2,573.12
Rate for Payer: United Healthcare Medicare Advantage $643.28
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $285.45
Rate for Payer: Wellcare Medicare $643.28
Rate for Payer: WPS Commercial $384.42
Service Code CPT 57510
Hospital Charge Code 6174403
Hospital Revenue Code 450
Min. Negotiated Rate $145.53
Max. Negotiated Rate $273.24
Rate for Payer: Aetna Commercial $267.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $255.42
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $157.41
Rate for Payer: Cash Price $89.10
Rate for Payer: Cigna Commercial $273.24
Rate for Payer: Health EOS Commercial $264.33
Rate for Payer: HFN Commercial $273.24
Rate for Payer: Multiplan Commercial $237.60
Rate for Payer: NAPHCARE Commercial $178.20
Rate for Payer: Preferred Network Access Commercial $273.24
Rate for Payer: Quartz Beloit One Network $145.53
Rate for Payer: Quartz Commercial $178.20
Rate for Payer: WEA Trust Commercial $163.35
Rate for Payer: WPS Commercial $219.99
Service Code CPT 57510
Hospital Charge Code 6174403
Hospital Revenue Code 450
Min. Negotiated Rate $142.56
Max. Negotiated Rate $12,360.48
Rate for Payer: Aetna Commercial $267.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $255.42
Rate for Payer: Aetna Managed Medicare $3,090.12
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $193.05
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $148.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $142.56
Rate for Payer: Anthem Medicare Advantage $3,090.12
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $157.41
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $3,090.12
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $3,090.12
Rate for Payer: Cash Price $89.10
Rate for Payer: Cash Price $89.10
Rate for Payer: Cash Price $89.10
Rate for Payer: Cigna Commercial $273.24
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $3,090.12
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $3,090.12
Rate for Payer: Health EOS Commercial $264.33
Rate for Payer: HFN Commercial $273.24
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $11,495.25
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $3,090.12
Rate for Payer: Independent Care Health Plan Medicare $3,090.12
Rate for Payer: Managed Health Services Medicare Advantage $3,090.12
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $3,090.12
Rate for Payer: Multiplan Commercial $237.60
Rate for Payer: NAPHCARE Commercial $4,635.18
Rate for Payer: Preferred Network Access Commercial $273.24
Rate for Payer: Quartz Beloit One Network $145.53
Rate for Payer: Quartz Commercial $193.05
Rate for Payer: Quartz Medicare Advantage $3,090.12
Rate for Payer: The Alliance Commercial $12,360.48
Rate for Payer: United Healthcare Medicare Advantage $3,090.12
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $163.35
Rate for Payer: Wellcare Medicare $3,090.12
Rate for Payer: WPS Commercial $219.99
Service Code CPT 51710
Hospital Charge Code 6174094
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $627.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $599.42
Rate for Payer: Aetna Managed Medicare $675.19
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $453.05
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $348.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $334.56
Rate for Payer: Anthem Medicare Advantage $675.19
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $369.41
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $675.19
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $675.19
Rate for Payer: Cash Price $209.10
Rate for Payer: Cash Price $209.10
Rate for Payer: Cash Price $209.10
Rate for Payer: Cigna Commercial $641.24
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $675.19
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $675.19
Rate for Payer: Health EOS Commercial $620.33
Rate for Payer: HFN Commercial $641.24
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,511.71
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $675.19
Rate for Payer: Independent Care Health Plan Medicare $675.19
Rate for Payer: Managed Health Services Medicare Advantage $675.19
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $675.19
Rate for Payer: Multiplan Commercial $557.60
Rate for Payer: NAPHCARE Commercial $1,012.78
Rate for Payer: Preferred Network Access Commercial $641.24
Rate for Payer: Quartz Beloit One Network $341.53
Rate for Payer: Quartz Commercial $453.05
Rate for Payer: Quartz Medicare Advantage $675.19
Rate for Payer: The Alliance Commercial $2,700.76
Rate for Payer: United Healthcare Medicare Advantage $675.19
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $383.35
Rate for Payer: Wellcare Medicare $675.19
Rate for Payer: WPS Commercial $516.27
Service Code CPT 51710
Hospital Charge Code 6174094
Hospital Revenue Code 450
Min. Negotiated Rate $341.53
Max. Negotiated Rate $641.24
Rate for Payer: Aetna Commercial $627.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $599.42
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $369.41
Rate for Payer: Cash Price $209.10
Rate for Payer: Cigna Commercial $641.24
Rate for Payer: Health EOS Commercial $620.33
Rate for Payer: HFN Commercial $641.24
Rate for Payer: Multiplan Commercial $557.60
Rate for Payer: NAPHCARE Commercial $418.20
Rate for Payer: Preferred Network Access Commercial $641.24
Rate for Payer: Quartz Beloit One Network $341.53
Rate for Payer: Quartz Commercial $418.20
Rate for Payer: WEA Trust Commercial $383.35
Rate for Payer: WPS Commercial $516.27
Service Code CPT 51705
Hospital Charge Code 6172945
Hospital Revenue Code 450
Min. Negotiated Rate $158.76
Max. Negotiated Rate $298.08
Rate for Payer: Aetna Commercial $291.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $278.64
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $171.72
Rate for Payer: Cash Price $97.20
Rate for Payer: Cigna Commercial $298.08
Rate for Payer: Health EOS Commercial $288.36
Rate for Payer: HFN Commercial $298.08
Rate for Payer: Multiplan Commercial $259.20
Rate for Payer: NAPHCARE Commercial $194.40
Rate for Payer: Preferred Network Access Commercial $298.08
Rate for Payer: Quartz Beloit One Network $158.76
Rate for Payer: Quartz Commercial $194.40
Rate for Payer: WEA Trust Commercial $178.20
Rate for Payer: WPS Commercial $239.99
Service Code CPT 51705
Hospital Charge Code 6172945
Hospital Revenue Code 450
Min. Negotiated Rate $155.52
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $291.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $278.64
Rate for Payer: Aetna Managed Medicare $244.28
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $210.60
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $162.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $155.52
Rate for Payer: Anthem Medicare Advantage $244.28
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $171.72
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $244.28
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $244.28
Rate for Payer: Cash Price $97.20
Rate for Payer: Cash Price $97.20
Rate for Payer: Cash Price $97.20
Rate for Payer: Cigna Commercial $298.08
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $244.28
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $244.28
Rate for Payer: Health EOS Commercial $288.36
Rate for Payer: HFN Commercial $298.08
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $908.72
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $244.28
Rate for Payer: Independent Care Health Plan Medicare $244.28
Rate for Payer: Managed Health Services Medicare Advantage $244.28
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $244.28
Rate for Payer: Multiplan Commercial $259.20
Rate for Payer: NAPHCARE Commercial $366.42
Rate for Payer: Preferred Network Access Commercial $298.08
Rate for Payer: Quartz Beloit One Network $158.76
Rate for Payer: Quartz Commercial $210.60
Rate for Payer: Quartz Medicare Advantage $244.28
Rate for Payer: The Alliance Commercial $977.12
Rate for Payer: United Healthcare Medicare Advantage $244.28
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $178.20
Rate for Payer: Wellcare Medicare $244.28
Rate for Payer: WPS Commercial $239.99
Service Code CPT 43762
Hospital Charge Code 6174083
Hospital Revenue Code 450
Min. Negotiated Rate $110.25
Max. Negotiated Rate $207.00
Rate for Payer: Aetna Commercial $202.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $193.50
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $119.25
Rate for Payer: Cash Price $67.50
Rate for Payer: Cigna Commercial $207.00
Rate for Payer: Health EOS Commercial $200.25
Rate for Payer: HFN Commercial $207.00
Rate for Payer: Multiplan Commercial $180.00
Rate for Payer: NAPHCARE Commercial $135.00
Rate for Payer: Preferred Network Access Commercial $207.00
Rate for Payer: Quartz Beloit One Network $110.25
Rate for Payer: Quartz Commercial $135.00
Rate for Payer: WEA Trust Commercial $123.75
Rate for Payer: WPS Commercial $166.66
Service Code CPT 43762
Hospital Charge Code 6174083
Hospital Revenue Code 450
Min. Negotiated Rate $108.00
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $202.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $193.50
Rate for Payer: Aetna Managed Medicare $244.28
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $146.25
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $112.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $108.00
Rate for Payer: Anthem Medicare Advantage $244.28
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $119.25
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $244.28
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $244.28
Rate for Payer: Cash Price $67.50
Rate for Payer: Cash Price $67.50
Rate for Payer: Cash Price $67.50
Rate for Payer: Cigna Commercial $207.00
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $244.28
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $244.28
Rate for Payer: Health EOS Commercial $200.25
Rate for Payer: HFN Commercial $207.00
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $908.72
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $244.28
Rate for Payer: Independent Care Health Plan Medicare $244.28
Rate for Payer: Managed Health Services Medicare Advantage $244.28
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $244.28
Rate for Payer: Multiplan Commercial $180.00
Rate for Payer: NAPHCARE Commercial $366.42
Rate for Payer: Preferred Network Access Commercial $207.00
Rate for Payer: Quartz Beloit One Network $110.25
Rate for Payer: Quartz Commercial $146.25
Rate for Payer: Quartz Medicare Advantage $244.28
Rate for Payer: The Alliance Commercial $977.12
Rate for Payer: United Healthcare Medicare Advantage $244.28
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $123.75
Rate for Payer: Wellcare Medicare $244.28
Rate for Payer: WPS Commercial $166.66
Service Code CPT 17250
Hospital Charge Code 6173184
Hospital Revenue Code 450
Min. Negotiated Rate $95.06
Max. Negotiated Rate $178.48
Rate for Payer: Aetna Commercial $174.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $166.84
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $102.82
Rate for Payer: Cash Price $58.20
Rate for Payer: Cigna Commercial $178.48
Rate for Payer: Health EOS Commercial $172.66
Rate for Payer: HFN Commercial $178.48
Rate for Payer: Multiplan Commercial $155.20
Rate for Payer: NAPHCARE Commercial $116.40
Rate for Payer: Preferred Network Access Commercial $178.48
Rate for Payer: Quartz Beloit One Network $95.06
Rate for Payer: Quartz Commercial $116.40
Rate for Payer: WEA Trust Commercial $106.70
Rate for Payer: WPS Commercial $143.70
Service Code CPT 17250
Hospital Charge Code 6173184
Hospital Revenue Code 450
Min. Negotiated Rate $93.12
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $174.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $166.84
Rate for Payer: Aetna Managed Medicare $197.88
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $126.10
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $97.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $93.12
Rate for Payer: Anthem Medicare Advantage $197.88
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $102.82
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $197.88
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $197.88
Rate for Payer: Cash Price $58.20
Rate for Payer: Cash Price $58.20
Rate for Payer: Cash Price $58.20
Rate for Payer: Cigna Commercial $178.48
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $197.88
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $197.88
Rate for Payer: Health EOS Commercial $172.66
Rate for Payer: HFN Commercial $178.48
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $736.11
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $197.88
Rate for Payer: Independent Care Health Plan Medicare $197.88
Rate for Payer: Managed Health Services Medicare Advantage $197.88
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $197.88
Rate for Payer: Multiplan Commercial $155.20
Rate for Payer: NAPHCARE Commercial $296.82
Rate for Payer: Preferred Network Access Commercial $178.48
Rate for Payer: Quartz Beloit One Network $95.06
Rate for Payer: Quartz Commercial $126.10
Rate for Payer: Quartz Medicare Advantage $197.88
Rate for Payer: The Alliance Commercial $791.52
Rate for Payer: United Healthcare Medicare Advantage $197.88
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $106.70
Rate for Payer: Wellcare Medicare $197.88
Rate for Payer: WPS Commercial $143.70
Service Code CPT 25505
Hospital Charge Code 6173550
Hospital Revenue Code 450
Min. Negotiated Rate $910.42
Max. Negotiated Rate $1,709.36
Rate for Payer: Aetna Commercial $1,672.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,597.88
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $984.74
Rate for Payer: Cash Price $557.40
Rate for Payer: Cigna Commercial $1,709.36
Rate for Payer: Health EOS Commercial $1,653.62
Rate for Payer: HFN Commercial $1,709.36
Rate for Payer: Multiplan Commercial $1,486.40
Rate for Payer: NAPHCARE Commercial $1,114.80
Rate for Payer: Preferred Network Access Commercial $1,709.36
Rate for Payer: Quartz Beloit One Network $910.42
Rate for Payer: Quartz Commercial $1,114.80
Rate for Payer: WEA Trust Commercial $1,021.90
Rate for Payer: WPS Commercial $1,376.22
Service Code CPT 25505
Hospital Charge Code 6173550
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $6,354.28
Rate for Payer: Aetna Commercial $1,672.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,597.88
Rate for Payer: Aetna Managed Medicare $1,588.57
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $1,207.70
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $929.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $891.84
Rate for Payer: Anthem Medicare Advantage $1,588.57
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $984.74
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $1,588.57
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $1,588.57
Rate for Payer: Cash Price $557.40
Rate for Payer: Cash Price $557.40
Rate for Payer: Cash Price $557.40
Rate for Payer: Cigna Commercial $1,709.36
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $1,588.57
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,588.57
Rate for Payer: Health EOS Commercial $1,653.62
Rate for Payer: HFN Commercial $1,709.36
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $5,909.48
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,588.57
Rate for Payer: Independent Care Health Plan Medicare $1,588.57
Rate for Payer: Managed Health Services Medicare Advantage $1,588.57
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $1,588.57
Rate for Payer: Multiplan Commercial $1,486.40
Rate for Payer: NAPHCARE Commercial $2,382.86
Rate for Payer: Preferred Network Access Commercial $1,709.36
Rate for Payer: Quartz Beloit One Network $910.42
Rate for Payer: Quartz Commercial $1,207.70
Rate for Payer: Quartz Medicare Advantage $1,588.57
Rate for Payer: The Alliance Commercial $6,354.28
Rate for Payer: United Healthcare Medicare Advantage $1,588.57
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $1,021.90
Rate for Payer: Wellcare Medicare $1,588.57
Rate for Payer: WPS Commercial $1,376.22
Service Code CPT 23625
Hospital Charge Code 6173472
Hospital Revenue Code 450
Min. Negotiated Rate $588.98
Max. Negotiated Rate $1,105.84
Rate for Payer: Aetna Commercial $1,081.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,033.72
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $637.06
Rate for Payer: Cash Price $360.60
Rate for Payer: Cigna Commercial $1,105.84
Rate for Payer: Health EOS Commercial $1,069.78
Rate for Payer: HFN Commercial $1,105.84
Rate for Payer: Multiplan Commercial $961.60
Rate for Payer: NAPHCARE Commercial $721.20
Rate for Payer: Preferred Network Access Commercial $1,105.84
Rate for Payer: Quartz Beloit One Network $588.98
Rate for Payer: Quartz Commercial $721.20
Rate for Payer: WEA Trust Commercial $661.10
Rate for Payer: WPS Commercial $890.32
Service Code CPT 23625
Hospital Charge Code 6173472
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $6,354.28
Rate for Payer: Aetna Commercial $1,081.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,033.72
Rate for Payer: Aetna Managed Medicare $1,588.57
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $781.30
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $601.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $576.96
Rate for Payer: Anthem Medicare Advantage $1,588.57
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $637.06
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $1,588.57
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $1,588.57
Rate for Payer: Cash Price $360.60
Rate for Payer: Cash Price $360.60
Rate for Payer: Cash Price $360.60
Rate for Payer: Cigna Commercial $1,105.84
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $1,588.57
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,588.57
Rate for Payer: Health EOS Commercial $1,069.78
Rate for Payer: HFN Commercial $1,105.84
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $5,909.48
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,588.57
Rate for Payer: Independent Care Health Plan Medicare $1,588.57
Rate for Payer: Managed Health Services Medicare Advantage $1,588.57
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $1,588.57
Rate for Payer: Multiplan Commercial $961.60
Rate for Payer: NAPHCARE Commercial $2,382.86
Rate for Payer: Preferred Network Access Commercial $1,105.84
Rate for Payer: Quartz Beloit One Network $588.98
Rate for Payer: Quartz Commercial $781.30
Rate for Payer: Quartz Medicare Advantage $1,588.57
Rate for Payer: The Alliance Commercial $6,354.28
Rate for Payer: United Healthcare Medicare Advantage $1,588.57
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $661.10
Rate for Payer: Wellcare Medicare $1,588.57
Rate for Payer: WPS Commercial $890.32
Service Code CPT 28665
Hospital Charge Code 6180116
Hospital Revenue Code 450
Min. Negotiated Rate $151.20
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $283.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $270.90
Rate for Payer: Aetna Managed Medicare $265.44
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $204.75
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $157.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $151.20
Rate for Payer: Anthem Medicare Advantage $265.44
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $166.95
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $265.44
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $265.44
Rate for Payer: Cash Price $94.50
Rate for Payer: Cash Price $94.50
Rate for Payer: Cash Price $94.50
Rate for Payer: Cigna Commercial $289.80
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $265.44
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $265.44
Rate for Payer: Health EOS Commercial $280.35
Rate for Payer: HFN Commercial $289.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $987.44
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $265.44
Rate for Payer: Independent Care Health Plan Medicare $265.44
Rate for Payer: Managed Health Services Medicare Advantage $265.44
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $265.44
Rate for Payer: Multiplan Commercial $252.00
Rate for Payer: NAPHCARE Commercial $398.16
Rate for Payer: Preferred Network Access Commercial $289.80
Rate for Payer: Quartz Beloit One Network $154.35
Rate for Payer: Quartz Commercial $204.75
Rate for Payer: Quartz Medicare Advantage $265.44
Rate for Payer: The Alliance Commercial $1,061.76
Rate for Payer: United Healthcare Medicare Advantage $265.44
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $173.25
Rate for Payer: Wellcare Medicare $265.44
Rate for Payer: WPS Commercial $233.32
Service Code CPT 28665
Hospital Charge Code 6180116
Hospital Revenue Code 450
Min. Negotiated Rate $154.35
Max. Negotiated Rate $289.80
Rate for Payer: Aetna Commercial $283.50
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $270.90
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $166.95
Rate for Payer: Cash Price $94.50
Rate for Payer: Cigna Commercial $289.80
Rate for Payer: Health EOS Commercial $280.35
Rate for Payer: HFN Commercial $289.80
Rate for Payer: Multiplan Commercial $252.00
Rate for Payer: NAPHCARE Commercial $189.00
Rate for Payer: Preferred Network Access Commercial $289.80
Rate for Payer: Quartz Beloit One Network $154.35
Rate for Payer: Quartz Commercial $189.00
Rate for Payer: WEA Trust Commercial $173.25
Rate for Payer: WPS Commercial $233.32
Service Code CPT 27810
Hospital Charge Code 6174070
Hospital Revenue Code 450
Min. Negotiated Rate $703.64
Max. Negotiated Rate $1,321.12
Rate for Payer: Aetna Commercial $1,292.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,234.96
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $761.08
Rate for Payer: Cash Price $430.80
Rate for Payer: Cigna Commercial $1,321.12
Rate for Payer: Health EOS Commercial $1,278.04
Rate for Payer: HFN Commercial $1,321.12
Rate for Payer: Multiplan Commercial $1,148.80
Rate for Payer: NAPHCARE Commercial $861.60
Rate for Payer: Preferred Network Access Commercial $1,321.12
Rate for Payer: Quartz Beloit One Network $703.64
Rate for Payer: Quartz Commercial $861.60
Rate for Payer: WEA Trust Commercial $789.80
Rate for Payer: WPS Commercial $1,063.65
Service Code CPT 27810
Hospital Charge Code 6174070
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $6,354.28
Rate for Payer: Aetna Commercial $1,292.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,234.96
Rate for Payer: Aetna Managed Medicare $1,588.57
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $933.40
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $718.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $689.28
Rate for Payer: Anthem Medicare Advantage $1,588.57
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $761.08
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $1,588.57
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $1,588.57
Rate for Payer: Cash Price $430.80
Rate for Payer: Cash Price $430.80
Rate for Payer: Cash Price $430.80
Rate for Payer: Cigna Commercial $1,321.12
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $1,588.57
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,588.57
Rate for Payer: Health EOS Commercial $1,278.04
Rate for Payer: HFN Commercial $1,321.12
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $5,909.48
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,588.57
Rate for Payer: Independent Care Health Plan Medicare $1,588.57
Rate for Payer: Managed Health Services Medicare Advantage $1,588.57
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $1,588.57
Rate for Payer: Multiplan Commercial $1,148.80
Rate for Payer: NAPHCARE Commercial $2,382.86
Rate for Payer: Preferred Network Access Commercial $1,321.12
Rate for Payer: Quartz Beloit One Network $703.64
Rate for Payer: Quartz Commercial $933.40
Rate for Payer: Quartz Medicare Advantage $1,588.57
Rate for Payer: The Alliance Commercial $6,354.28
Rate for Payer: United Healthcare Medicare Advantage $1,588.57
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $789.80
Rate for Payer: Wellcare Medicare $1,588.57
Rate for Payer: WPS Commercial $1,063.65
Service Code CPT 25605
Hospital Charge Code 6172928
Hospital Revenue Code 450
Min. Negotiated Rate $447.37
Max. Negotiated Rate $839.96
Rate for Payer: Aetna Commercial $821.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $785.18
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $483.89
Rate for Payer: Cash Price $273.90
Rate for Payer: Cigna Commercial $839.96
Rate for Payer: Health EOS Commercial $812.57
Rate for Payer: HFN Commercial $839.96
Rate for Payer: Multiplan Commercial $730.40
Rate for Payer: NAPHCARE Commercial $547.80
Rate for Payer: Preferred Network Access Commercial $839.96
Rate for Payer: Quartz Beloit One Network $447.37
Rate for Payer: Quartz Commercial $547.80
Rate for Payer: WEA Trust Commercial $502.15
Rate for Payer: WPS Commercial $676.26