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Service Code CPT 65855 50
Hospital Charge Code 6174416
Hospital Revenue Code 450
Min. Negotiated Rate $980.00
Max. Negotiated Rate $1,840.00
Rate for Payer: Aetna Commercial $1,800.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,720.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $1,060.00
Rate for Payer: Cash Price $600.00
Rate for Payer: Cigna Commercial $1,840.00
Rate for Payer: Health EOS Commercial $1,780.00
Rate for Payer: HFN Commercial $1,840.00
Rate for Payer: Multiplan Commercial $1,600.00
Rate for Payer: NAPHCARE Commercial $1,200.00
Rate for Payer: Preferred Network Access Commercial $1,840.00
Rate for Payer: Quartz Beloit One Network $980.00
Rate for Payer: Quartz Commercial $1,200.00
Rate for Payer: WEA Trust Commercial $1,100.00
Rate for Payer: WPS Commercial $1,481.40
Service Code CPT 65855 50
Hospital Charge Code 6174416
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $8,000.00
Rate for Payer: Aetna Commercial $1,800.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,720.00
Rate for Payer: Aetna Managed Medicare $560.00
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $1,300.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $1,000.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $960.00
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $1,060.00
Rate for Payer: Cash Price $600.00
Rate for Payer: Cash Price $600.00
Rate for Payer: Cigna Commercial $1,840.00
Rate for Payer: Dean Health DHI/DHP/ASO $1,119.20
Rate for Payer: Health EOS Commercial $1,780.00
Rate for Payer: HFN Commercial $1,840.00
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,500.00
Rate for Payer: Multiplan Commercial $1,600.00
Rate for Payer: NAPHCARE Commercial $1,200.00
Rate for Payer: Preferred Network Access Commercial $1,840.00
Rate for Payer: Quartz Beloit One Network $980.00
Rate for Payer: Quartz Commercial $1,300.00
Rate for Payer: Quartz Medicare Advantage $1,200.00
Rate for Payer: The Alliance Commercial $8,000.00
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $1,100.00
Rate for Payer: WPS Commercial $1,481.40
Service Code CPT 31502
Hospital Charge Code 6173887
Hospital Revenue Code 450
Min. Negotiated Rate $52.80
Max. Negotiated Rate $4,757.59
Rate for Payer: Aetna Commercial $99.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $94.60
Rate for Payer: Aetna Managed Medicare $241.43
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $71.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $55.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $52.80
Rate for Payer: Anthem Medicare Advantage $241.43
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $58.30
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $241.43
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $241.43
Rate for Payer: Cash Price $33.00
Rate for Payer: Cash Price $33.00
Rate for Payer: Cash Price $33.00
Rate for Payer: Cigna Commercial $101.20
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $241.43
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $241.43
Rate for Payer: Health EOS Commercial $97.90
Rate for Payer: HFN Commercial $101.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $898.12
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $241.43
Rate for Payer: Independent Care Health Plan Medicare $241.43
Rate for Payer: Managed Health Services Medicare Advantage $241.43
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $241.43
Rate for Payer: Multiplan Commercial $88.00
Rate for Payer: NAPHCARE Commercial $362.14
Rate for Payer: Preferred Network Access Commercial $101.20
Rate for Payer: Quartz Beloit One Network $53.90
Rate for Payer: Quartz Commercial $71.50
Rate for Payer: Quartz Medicare Advantage $241.43
Rate for Payer: The Alliance Commercial $965.72
Rate for Payer: United Healthcare Medicare Advantage $241.43
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $60.50
Rate for Payer: Wellcare Medicare $241.43
Rate for Payer: WPS Commercial $81.48
Service Code CPT 31502
Hospital Charge Code 6173887
Hospital Revenue Code 450
Min. Negotiated Rate $53.90
Max. Negotiated Rate $101.20
Rate for Payer: Aetna Commercial $99.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $94.60
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $58.30
Rate for Payer: Cash Price $33.00
Rate for Payer: Cigna Commercial $101.20
Rate for Payer: Health EOS Commercial $97.90
Rate for Payer: HFN Commercial $101.20
Rate for Payer: Multiplan Commercial $88.00
Rate for Payer: NAPHCARE Commercial $66.00
Rate for Payer: Preferred Network Access Commercial $101.20
Rate for Payer: Quartz Beloit One Network $53.90
Rate for Payer: Quartz Commercial $66.00
Rate for Payer: WEA Trust Commercial $60.50
Rate for Payer: WPS Commercial $81.48
Service Code CPT 36430
Hospital Charge Code 6172939
Hospital Revenue Code 450
Min. Negotiated Rate $127.68
Max. Negotiated Rate $11,874.87
Rate for Payer: Aetna Commercial $239.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $228.76
Rate for Payer: Aetna Managed Medicare $429.07
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $172.90
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $133.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $127.68
Rate for Payer: Anthem Medicare Advantage $429.07
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $140.98
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $429.07
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $429.07
Rate for Payer: Cash Price $79.80
Rate for Payer: Cash Price $79.80
Rate for Payer: Cash Price $79.80
Rate for Payer: Cigna Commercial $244.72
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $429.07
Rate for Payer: Dean Health DHI/DHP/ASO $11,874.87
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $429.07
Rate for Payer: Health EOS Commercial $236.74
Rate for Payer: HFN Commercial $244.72
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,596.14
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $429.07
Rate for Payer: Independent Care Health Plan Medicare $429.07
Rate for Payer: Managed Health Services Medicare Advantage $429.07
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $429.07
Rate for Payer: Multiplan Commercial $212.80
Rate for Payer: NAPHCARE Commercial $643.60
Rate for Payer: Preferred Network Access Commercial $244.72
Rate for Payer: Quartz Beloit One Network $130.34
Rate for Payer: Quartz Commercial $172.90
Rate for Payer: Quartz Medicare Advantage $429.07
Rate for Payer: The Alliance Commercial $1,716.28
Rate for Payer: United Healthcare Medicare Advantage $429.07
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $146.30
Rate for Payer: Wellcare Medicare $429.07
Rate for Payer: WPS Commercial $197.03
Service Code CPT 36430
Hospital Charge Code 6172939
Hospital Revenue Code 450
Min. Negotiated Rate $130.34
Max. Negotiated Rate $244.72
Rate for Payer: Aetna Commercial $239.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $228.76
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $140.98
Rate for Payer: Cash Price $79.80
Rate for Payer: Cigna Commercial $244.72
Rate for Payer: Health EOS Commercial $236.74
Rate for Payer: HFN Commercial $244.72
Rate for Payer: Multiplan Commercial $212.80
Rate for Payer: NAPHCARE Commercial $159.60
Rate for Payer: Preferred Network Access Commercial $244.72
Rate for Payer: Quartz Beloit One Network $130.34
Rate for Payer: Quartz Commercial $159.60
Rate for Payer: WEA Trust Commercial $146.30
Rate for Payer: WPS Commercial $197.03
Service Code CPT 26725
Hospital Charge Code 6177766
Hospital Revenue Code 450
Min. Negotiated Rate $233.09
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $739.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $706.92
Rate for Payer: Aetna Managed Medicare $233.09
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $534.30
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $411.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $394.56
Rate for Payer: Anthem Medicare Advantage $233.09
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $435.66
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $233.09
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $233.09
Rate for Payer: Cash Price $246.60
Rate for Payer: Cash Price $246.60
Rate for Payer: Cash Price $246.60
Rate for Payer: Cigna Commercial $756.24
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $233.09
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $233.09
Rate for Payer: Health EOS Commercial $731.58
Rate for Payer: HFN Commercial $756.24
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $867.09
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $233.09
Rate for Payer: Independent Care Health Plan Medicare $233.09
Rate for Payer: Managed Health Services Medicare Advantage $233.09
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $233.09
Rate for Payer: Multiplan Commercial $657.60
Rate for Payer: NAPHCARE Commercial $349.64
Rate for Payer: Preferred Network Access Commercial $756.24
Rate for Payer: Quartz Beloit One Network $402.78
Rate for Payer: Quartz Commercial $534.30
Rate for Payer: Quartz Medicare Advantage $233.09
Rate for Payer: The Alliance Commercial $932.36
Rate for Payer: United Healthcare Medicare Advantage $233.09
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $452.10
Rate for Payer: Wellcare Medicare $233.09
Rate for Payer: WPS Commercial $608.86
Service Code CPT 26725
Hospital Charge Code 6177766
Hospital Revenue Code 450
Min. Negotiated Rate $402.78
Max. Negotiated Rate $756.24
Rate for Payer: Aetna Commercial $739.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $706.92
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $435.66
Rate for Payer: Cash Price $246.60
Rate for Payer: Cigna Commercial $756.24
Rate for Payer: Health EOS Commercial $731.58
Rate for Payer: HFN Commercial $756.24
Rate for Payer: Multiplan Commercial $657.60
Rate for Payer: NAPHCARE Commercial $493.20
Rate for Payer: Preferred Network Access Commercial $756.24
Rate for Payer: Quartz Beloit One Network $402.78
Rate for Payer: Quartz Commercial $493.20
Rate for Payer: WEA Trust Commercial $452.10
Rate for Payer: WPS Commercial $608.86
Service Code CPT 27265
Hospital Charge Code 6175422
Hospital Revenue Code 450
Min. Negotiated Rate $461.09
Max. Negotiated Rate $865.72
Rate for Payer: Aetna Commercial $846.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $809.26
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $498.73
Rate for Payer: Cash Price $282.30
Rate for Payer: Cigna Commercial $865.72
Rate for Payer: Health EOS Commercial $837.49
Rate for Payer: HFN Commercial $865.72
Rate for Payer: Multiplan Commercial $752.80
Rate for Payer: NAPHCARE Commercial $564.60
Rate for Payer: Preferred Network Access Commercial $865.72
Rate for Payer: Quartz Beloit One Network $461.09
Rate for Payer: Quartz Commercial $564.60
Rate for Payer: WEA Trust Commercial $517.55
Rate for Payer: WPS Commercial $697.00
Service Code CPT 27265
Hospital Charge Code 6175422
Hospital Revenue Code 450
Min. Negotiated Rate $233.09
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $846.90
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $809.26
Rate for Payer: Aetna Managed Medicare $233.09
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $611.65
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $470.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $451.68
Rate for Payer: Anthem Medicare Advantage $233.09
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $498.73
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $233.09
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $233.09
Rate for Payer: Cash Price $282.30
Rate for Payer: Cash Price $282.30
Rate for Payer: Cash Price $282.30
Rate for Payer: Cigna Commercial $865.72
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $233.09
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $233.09
Rate for Payer: Health EOS Commercial $837.49
Rate for Payer: HFN Commercial $865.72
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $867.09
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $233.09
Rate for Payer: Independent Care Health Plan Medicare $233.09
Rate for Payer: Managed Health Services Medicare Advantage $233.09
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $233.09
Rate for Payer: Multiplan Commercial $752.80
Rate for Payer: NAPHCARE Commercial $349.64
Rate for Payer: Preferred Network Access Commercial $865.72
Rate for Payer: Quartz Beloit One Network $461.09
Rate for Payer: Quartz Commercial $611.65
Rate for Payer: Quartz Medicare Advantage $233.09
Rate for Payer: The Alliance Commercial $932.36
Rate for Payer: United Healthcare Medicare Advantage $233.09
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $517.55
Rate for Payer: Wellcare Medicare $233.09
Rate for Payer: WPS Commercial $697.00
Service Code CPT 24605
Hospital Charge Code 6209410
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $6,354.28
Rate for Payer: Aetna Commercial $693.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $662.20
Rate for Payer: Aetna Managed Medicare $1,588.57
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $500.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $385.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $369.60
Rate for Payer: Anthem Medicare Advantage $1,588.57
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $408.10
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 $231.00
Rate for Payer: Cash Price $231.00
Rate for Payer: Cash Price $231.00
Rate for Payer: Cigna Commercial $708.40
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 $685.30
Rate for Payer: HFN Commercial $708.40
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 $616.00
Rate for Payer: NAPHCARE Commercial $2,382.86
Rate for Payer: Preferred Network Access Commercial $708.40
Rate for Payer: Quartz Beloit One Network $377.30
Rate for Payer: Quartz Commercial $500.50
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 $423.50
Rate for Payer: Wellcare Medicare $1,588.57
Rate for Payer: WPS Commercial $570.34
Service Code CPT 24605
Hospital Charge Code 6209410
Hospital Revenue Code 450
Min. Negotiated Rate $377.30
Max. Negotiated Rate $708.40
Rate for Payer: Aetna Commercial $693.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $662.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $408.10
Rate for Payer: Cash Price $231.00
Rate for Payer: Cigna Commercial $708.40
Rate for Payer: Health EOS Commercial $685.30
Rate for Payer: HFN Commercial $708.40
Rate for Payer: Multiplan Commercial $616.00
Rate for Payer: NAPHCARE Commercial $462.00
Rate for Payer: Preferred Network Access Commercial $708.40
Rate for Payer: Quartz Beloit One Network $377.30
Rate for Payer: Quartz Commercial $462.00
Rate for Payer: WEA Trust Commercial $423.50
Rate for Payer: WPS Commercial $570.34
Service Code CPT 12021
Hospital Charge Code 6173544
Hospital Revenue Code 450
Min. Negotiated Rate $205.80
Max. Negotiated Rate $386.40
Rate for Payer: Aetna Commercial $378.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $361.20
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $222.60
Rate for Payer: Cash Price $126.00
Rate for Payer: Cigna Commercial $386.40
Rate for Payer: Health EOS Commercial $373.80
Rate for Payer: HFN Commercial $386.40
Rate for Payer: Multiplan Commercial $336.00
Rate for Payer: NAPHCARE Commercial $252.00
Rate for Payer: Preferred Network Access Commercial $386.40
Rate for Payer: Quartz Beloit One Network $205.80
Rate for Payer: Quartz Commercial $252.00
Rate for Payer: WEA Trust Commercial $231.00
Rate for Payer: WPS Commercial $311.09
Service Code CPT 12021
Hospital Charge Code 6173544
Hospital Revenue Code 450
Min. Negotiated Rate $201.60
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $378.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $361.20
Rate for Payer: Aetna Managed Medicare $394.12
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $273.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $210.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $201.60
Rate for Payer: Anthem Medicare Advantage $394.12
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $222.60
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $394.12
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $394.12
Rate for Payer: Cash Price $126.00
Rate for Payer: Cash Price $126.00
Rate for Payer: Cash Price $126.00
Rate for Payer: Cigna Commercial $386.40
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $394.12
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $394.12
Rate for Payer: Health EOS Commercial $373.80
Rate for Payer: HFN Commercial $386.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,466.13
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $394.12
Rate for Payer: Independent Care Health Plan Medicare $394.12
Rate for Payer: Managed Health Services Medicare Advantage $394.12
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $394.12
Rate for Payer: Multiplan Commercial $336.00
Rate for Payer: NAPHCARE Commercial $591.18
Rate for Payer: Preferred Network Access Commercial $386.40
Rate for Payer: Quartz Beloit One Network $205.80
Rate for Payer: Quartz Commercial $273.00
Rate for Payer: Quartz Medicare Advantage $394.12
Rate for Payer: The Alliance Commercial $1,576.48
Rate for Payer: United Healthcare Medicare Advantage $394.12
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $231.00
Rate for Payer: Wellcare Medicare $394.12
Rate for Payer: WPS Commercial $311.09
Service Code CPT 11719
Hospital Charge Code 6174786
Hospital Revenue Code 450
Min. Negotiated Rate $13.72
Max. Negotiated Rate $25.76
Rate for Payer: Aetna Commercial $25.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $24.08
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $14.84
Rate for Payer: Cash Price $8.40
Rate for Payer: Cigna Commercial $25.76
Rate for Payer: Health EOS Commercial $24.92
Rate for Payer: HFN Commercial $25.76
Rate for Payer: Multiplan Commercial $22.40
Rate for Payer: NAPHCARE Commercial $16.80
Rate for Payer: Preferred Network Access Commercial $25.76
Rate for Payer: Quartz Beloit One Network $13.72
Rate for Payer: Quartz Commercial $16.80
Rate for Payer: WEA Trust Commercial $15.40
Rate for Payer: WPS Commercial $20.74
Service Code CPT 11719
Hospital Charge Code 6174786
Hospital Revenue Code 450
Min. Negotiated Rate $13.44
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $25.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $24.08
Rate for Payer: Aetna Managed Medicare $60.46
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $18.20
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $14.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $13.44
Rate for Payer: Anthem Medicare Advantage $60.46
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $14.84
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $60.46
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $60.46
Rate for Payer: Cash Price $8.40
Rate for Payer: Cash Price $8.40
Rate for Payer: Cash Price $8.40
Rate for Payer: Cigna Commercial $25.76
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $60.46
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $60.46
Rate for Payer: Health EOS Commercial $24.92
Rate for Payer: HFN Commercial $25.76
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $224.91
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $60.46
Rate for Payer: Independent Care Health Plan Medicare $60.46
Rate for Payer: Managed Health Services Medicare Advantage $60.46
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $60.46
Rate for Payer: Multiplan Commercial $22.40
Rate for Payer: NAPHCARE Commercial $90.69
Rate for Payer: Preferred Network Access Commercial $25.76
Rate for Payer: Quartz Beloit One Network $13.72
Rate for Payer: Quartz Commercial $18.20
Rate for Payer: Quartz Medicare Advantage $60.46
Rate for Payer: The Alliance Commercial $241.84
Rate for Payer: United Healthcare Medicare Advantage $60.46
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $15.40
Rate for Payer: Wellcare Medicare $60.46
Rate for Payer: WPS Commercial $20.74
Service Code CPT 32551
Hospital Charge Code 6177679
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $6,331.88
Rate for Payer: Aetna Commercial $567.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $541.80
Rate for Payer: Aetna Managed Medicare $1,582.97
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $409.50
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $315.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $302.40
Rate for Payer: Anthem Medicare Advantage $1,582.97
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $333.90
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $1,582.97
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $1,582.97
Rate for Payer: Cash Price $189.00
Rate for Payer: Cash Price $189.00
Rate for Payer: Cash Price $189.00
Rate for Payer: Cigna Commercial $579.60
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $1,582.97
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,582.97
Rate for Payer: Health EOS Commercial $560.70
Rate for Payer: HFN Commercial $579.60
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $5,888.65
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,582.97
Rate for Payer: Independent Care Health Plan Medicare $1,582.97
Rate for Payer: Managed Health Services Medicare Advantage $1,582.97
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $1,582.97
Rate for Payer: Multiplan Commercial $504.00
Rate for Payer: NAPHCARE Commercial $2,374.46
Rate for Payer: Preferred Network Access Commercial $579.60
Rate for Payer: Quartz Beloit One Network $308.70
Rate for Payer: Quartz Commercial $409.50
Rate for Payer: Quartz Medicare Advantage $1,582.97
Rate for Payer: The Alliance Commercial $6,331.88
Rate for Payer: United Healthcare Medicare Advantage $1,582.97
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $346.50
Rate for Payer: Wellcare Medicare $1,582.97
Rate for Payer: WPS Commercial $466.64
Service Code CPT 32551
Hospital Charge Code 6177679
Hospital Revenue Code 450
Min. Negotiated Rate $308.70
Max. Negotiated Rate $579.60
Rate for Payer: Aetna Commercial $567.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $541.80
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $333.90
Rate for Payer: Cash Price $189.00
Rate for Payer: Cigna Commercial $579.60
Rate for Payer: Health EOS Commercial $560.70
Rate for Payer: HFN Commercial $579.60
Rate for Payer: Multiplan Commercial $504.00
Rate for Payer: NAPHCARE Commercial $378.00
Rate for Payer: Preferred Network Access Commercial $579.60
Rate for Payer: Quartz Beloit One Network $308.70
Rate for Payer: Quartz Commercial $378.00
Rate for Payer: WEA Trust Commercial $346.50
Rate for Payer: WPS Commercial $466.64
Service Code CPT 69433
Hospital Charge Code 6174446
Hospital Revenue Code 450
Min. Negotiated Rate $260.64
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $488.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $466.98
Rate for Payer: Aetna Managed Medicare $543.83
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $352.95
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $271.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $260.64
Rate for Payer: Anthem Medicare Advantage $543.83
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $287.79
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $543.83
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $543.83
Rate for Payer: Cash Price $162.90
Rate for Payer: Cash Price $162.90
Rate for Payer: Cash Price $162.90
Rate for Payer: Cigna Commercial $499.56
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $543.83
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $543.83
Rate for Payer: Health EOS Commercial $483.27
Rate for Payer: HFN Commercial $499.56
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,023.05
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $543.83
Rate for Payer: Independent Care Health Plan Medicare $543.83
Rate for Payer: Managed Health Services Medicare Advantage $543.83
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $543.83
Rate for Payer: Multiplan Commercial $434.40
Rate for Payer: NAPHCARE Commercial $815.74
Rate for Payer: Preferred Network Access Commercial $499.56
Rate for Payer: Quartz Beloit One Network $266.07
Rate for Payer: Quartz Commercial $352.95
Rate for Payer: Quartz Medicare Advantage $543.83
Rate for Payer: The Alliance Commercial $2,175.32
Rate for Payer: United Healthcare Medicare Advantage $543.83
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $298.65
Rate for Payer: Wellcare Medicare $543.83
Rate for Payer: WPS Commercial $402.20
Service Code CPT 69433
Hospital Charge Code 6174446
Hospital Revenue Code 450
Min. Negotiated Rate $266.07
Max. Negotiated Rate $499.56
Rate for Payer: Aetna Commercial $488.70
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $466.98
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $287.79
Rate for Payer: Cash Price $162.90
Rate for Payer: Cigna Commercial $499.56
Rate for Payer: Health EOS Commercial $483.27
Rate for Payer: HFN Commercial $499.56
Rate for Payer: Multiplan Commercial $434.40
Rate for Payer: NAPHCARE Commercial $325.80
Rate for Payer: Preferred Network Access Commercial $499.56
Rate for Payer: Quartz Beloit One Network $266.07
Rate for Payer: Quartz Commercial $325.80
Rate for Payer: WEA Trust Commercial $298.65
Rate for Payer: WPS Commercial $402.20
Service Code CPT 29580
Hospital Charge Code 6173882
Hospital Revenue Code 450
Min. Negotiated Rate $56.64
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Commercial $106.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $101.48
Rate for Payer: Aetna Managed Medicare $155.74
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $76.70
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $59.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $56.64
Rate for Payer: Anthem Medicare Advantage $155.74
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $62.54
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $155.74
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $155.74
Rate for Payer: Cash Price $35.40
Rate for Payer: Cash Price $35.40
Rate for Payer: Cash Price $35.40
Rate for Payer: Cigna Commercial $108.56
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $155.74
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $155.74
Rate for Payer: Health EOS Commercial $105.02
Rate for Payer: HFN Commercial $108.56
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $579.35
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $155.74
Rate for Payer: Independent Care Health Plan Medicare $155.74
Rate for Payer: Managed Health Services Medicare Advantage $155.74
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $155.74
Rate for Payer: Multiplan Commercial $94.40
Rate for Payer: NAPHCARE Commercial $233.61
Rate for Payer: Preferred Network Access Commercial $108.56
Rate for Payer: Quartz Beloit One Network $57.82
Rate for Payer: Quartz Commercial $76.70
Rate for Payer: Quartz Medicare Advantage $155.74
Rate for Payer: The Alliance Commercial $622.96
Rate for Payer: United Healthcare Medicare Advantage $155.74
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $64.90
Rate for Payer: Wellcare Medicare $155.74
Rate for Payer: WPS Commercial $87.40
Service Code CPT 29580
Hospital Charge Code 6173882
Hospital Revenue Code 450
Min. Negotiated Rate $57.82
Max. Negotiated Rate $108.56
Rate for Payer: Aetna Commercial $106.20
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $101.48
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $62.54
Rate for Payer: Cash Price $35.40
Rate for Payer: Cigna Commercial $108.56
Rate for Payer: Health EOS Commercial $105.02
Rate for Payer: HFN Commercial $108.56
Rate for Payer: Multiplan Commercial $94.40
Rate for Payer: NAPHCARE Commercial $70.80
Rate for Payer: Preferred Network Access Commercial $108.56
Rate for Payer: Quartz Beloit One Network $57.82
Rate for Payer: Quartz Commercial $70.80
Rate for Payer: WEA Trust Commercial $64.90
Rate for Payer: WPS Commercial $87.40
Service Code CPT 50961
Hospital Charge Code 6177680
Hospital Revenue Code 450
Min. Negotiated Rate $301.00
Max. Negotiated Rate $19,025.46
Rate for Payer: Aetna Commercial $584.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $558.14
Rate for Payer: Aetna Managed Medicare $5,114.37
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $421.85
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $324.50
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $311.52
Rate for Payer: Anthem Medicare Advantage $5,114.37
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $343.97
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $5,114.37
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $5,114.37
Rate for Payer: Cash Price $194.70
Rate for Payer: Cash Price $194.70
Rate for Payer: Cash Price $194.70
Rate for Payer: Cigna Commercial $597.08
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $5,114.37
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $5,114.37
Rate for Payer: Health EOS Commercial $577.61
Rate for Payer: HFN Commercial $597.08
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $19,025.46
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $5,114.37
Rate for Payer: Independent Care Health Plan Medicare $5,114.37
Rate for Payer: Managed Health Services Medicare Advantage $5,114.37
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $5,114.37
Rate for Payer: Multiplan Commercial $519.20
Rate for Payer: NAPHCARE Commercial $7,671.56
Rate for Payer: Preferred Network Access Commercial $597.08
Rate for Payer: Quartz Beloit One Network $318.01
Rate for Payer: Quartz Commercial $421.85
Rate for Payer: Quartz Medicare Advantage $5,114.37
Rate for Payer: The Alliance Commercial $8,694.43
Rate for Payer: United Healthcare Medicare Advantage $5,114.37
Rate for Payer: United Healthcare PPO $301.00
Rate for Payer: WEA Trust Commercial $356.95
Rate for Payer: Wellcare Medicare $5,114.37
Rate for Payer: WPS Commercial $480.71
Service Code CPT 50961
Hospital Charge Code 6177680
Hospital Revenue Code 450
Min. Negotiated Rate $318.01
Max. Negotiated Rate $597.08
Rate for Payer: Aetna Commercial $584.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $558.14
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $343.97
Rate for Payer: Cash Price $194.70
Rate for Payer: Cigna Commercial $597.08
Rate for Payer: Health EOS Commercial $577.61
Rate for Payer: HFN Commercial $597.08
Rate for Payer: Multiplan Commercial $519.20
Rate for Payer: NAPHCARE Commercial $389.40
Rate for Payer: Preferred Network Access Commercial $597.08
Rate for Payer: Quartz Beloit One Network $318.01
Rate for Payer: Quartz Commercial $389.40
Rate for Payer: WEA Trust Commercial $356.95
Rate for Payer: WPS Commercial $480.71
Service Code CPT 76937
Hospital Charge Code 6181795
Hospital Revenue Code 450
Min. Negotiated Rate $87.71
Max. Negotiated Rate $164.68
Rate for Payer: Aetna Commercial $161.10
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $153.94
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $94.87
Rate for Payer: Cash Price $53.70
Rate for Payer: Cigna Commercial $164.68
Rate for Payer: Health EOS Commercial $159.31
Rate for Payer: HFN Commercial $164.68
Rate for Payer: Multiplan Commercial $143.20
Rate for Payer: NAPHCARE Commercial $107.40
Rate for Payer: Preferred Network Access Commercial $164.68
Rate for Payer: Quartz Beloit One Network $87.71
Rate for Payer: Quartz Commercial $107.40
Rate for Payer: WEA Trust Commercial $98.45
Rate for Payer: WPS Commercial $132.59