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Service Code CPT 11750
Hospital Revenue Code 360
Min. Negotiated Rate $394.12
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Managed Medicare $394.12
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,914.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,297.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,183.00
Rate for Payer: Anthem Medicare Advantage $394.12
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: 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: 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: NAPHCARE Commercial $591.18
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 $2,257.00
Rate for Payer: Wellcare Medicare $394.12
Service Code CPT 11765
Hospital Charge Code 3013575
Hospital Revenue Code 510
Min. Negotiated Rate $108.94
Max. Negotiated Rate $339.15
Rate for Payer: Aetna Commercial $339.15
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $307.02
Rate for Payer: Cash Price $107.10
Rate for Payer: Cash Price $107.10
Rate for Payer: Cigna Commercial $339.15
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $108.94
Rate for Payer: Dean Health DHI/DHP/ASO $214.20
Rate for Payer: Health EOS Commercial $324.87
Rate for Payer: HFN Commercial $339.15
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $312.86
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $312.86
Rate for Payer: Multiplan Commercial $285.60
Rate for Payer: Preferred Network Access Commercial $339.15
Rate for Payer: Quartz Beloit One Network $157.08
Rate for Payer: Quartz Commercial $203.49
Rate for Payer: The Alliance Commercial $178.50
Rate for Payer: United Healthcare Medicaid $108.94
Rate for Payer: WEA Trust Commercial $196.35
Rate for Payer: WPS Commercial $264.43
Service Code CPT 11750
Hospital Charge Code 2572801
Hospital Revenue Code 510
Min. Negotiated Rate $109.27
Max. Negotiated Rate $810.35
Rate for Payer: Aetna Commercial $810.35
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $733.58
Rate for Payer: Cash Price $255.90
Rate for Payer: Cash Price $255.90
Rate for Payer: Cigna Commercial $810.35
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $109.27
Rate for Payer: Dean Health DHI/DHP/ASO $511.80
Rate for Payer: Health EOS Commercial $776.23
Rate for Payer: HFN Commercial $810.35
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $344.39
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $344.39
Rate for Payer: Multiplan Commercial $682.40
Rate for Payer: Preferred Network Access Commercial $810.35
Rate for Payer: Quartz Beloit One Network $375.32
Rate for Payer: Quartz Commercial $486.21
Rate for Payer: The Alliance Commercial $426.50
Rate for Payer: United Healthcare Medicaid $109.27
Rate for Payer: WEA Trust Commercial $469.15
Rate for Payer: WPS Commercial $631.82
Service Code CPT 64782
Hospital Revenue Code 360
Min. Negotiated Rate $1,908.40
Max. Negotiated Rate $7,633.60
Rate for Payer: Aetna Managed Medicare $1,908.40
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,496.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,871.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,726.00
Rate for Payer: Anthem Medicare Advantage $1,908.40
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $1,908.40
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $1,908.40
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $1,908.40
Rate for Payer: Dean Health DHI/DHP/ASO $6,546.14
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,908.40
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $7,099.25
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,908.40
Rate for Payer: Independent Care Health Plan Medicare $1,908.40
Rate for Payer: Managed Health Services Medicare Advantage $1,908.40
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $1,908.40
Rate for Payer: NAPHCARE Commercial $2,862.60
Rate for Payer: Quartz Medicare Advantage $1,908.40
Rate for Payer: The Alliance Commercial $7,633.60
Rate for Payer: United Healthcare Medicare Advantage $1,908.40
Rate for Payer: United Healthcare PPO $3,583.00
Rate for Payer: Wellcare Medicare $1,908.40
Service Code CPT 11772
Hospital Revenue Code 360
Min. Negotiated Rate $2,808.55
Max. Negotiated Rate $11,234.20
Rate for Payer: Aetna Managed Medicare $2,808.55
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $9,907.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $8,043.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7,639.00
Rate for Payer: Anthem Medicare Advantage $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2,808.55
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2,808.55
Rate for Payer: Dean Health DHI/DHP/ASO $6,546.14
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,808.55
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $10,447.81
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,808.55
Rate for Payer: Independent Care Health Plan Medicare $2,808.55
Rate for Payer: Managed Health Services Medicare Advantage $2,808.55
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2,808.55
Rate for Payer: NAPHCARE Commercial $4,212.82
Rate for Payer: Quartz Medicare Advantage $2,808.55
Rate for Payer: The Alliance Commercial $11,234.20
Rate for Payer: United Healthcare Medicare Advantage $2,808.55
Rate for Payer: United Healthcare PPO $4,103.00
Rate for Payer: Wellcare Medicare $2,808.55
Service Code CPT 11771
Hospital Revenue Code 360
Min. Negotiated Rate $2,808.55
Max. Negotiated Rate $11,234.20
Rate for Payer: Aetna Managed Medicare $2,808.55
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $9,907.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $8,043.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7,639.00
Rate for Payer: Anthem Medicare Advantage $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2,808.55
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2,808.55
Rate for Payer: Dean Health DHI/DHP/ASO $6,546.14
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,808.55
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $10,447.81
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,808.55
Rate for Payer: Independent Care Health Plan Medicare $2,808.55
Rate for Payer: Managed Health Services Medicare Advantage $2,808.55
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2,808.55
Rate for Payer: NAPHCARE Commercial $4,212.82
Rate for Payer: Quartz Medicare Advantage $2,808.55
Rate for Payer: The Alliance Commercial $11,234.20
Rate for Payer: United Healthcare Medicare Advantage $2,808.55
Rate for Payer: United Healthcare PPO $4,103.00
Rate for Payer: Wellcare Medicare $2,808.55
Service Code CPT 11770
Hospital Revenue Code 360
Min. Negotiated Rate $2,808.55
Max. Negotiated Rate $11,234.20
Rate for Payer: Aetna Managed Medicare $2,808.55
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $9,907.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $8,043.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7,639.00
Rate for Payer: Anthem Medicare Advantage $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2,808.55
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2,808.55
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2,808.55
Rate for Payer: Dean Health DHI/DHP/ASO $6,546.14
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,808.55
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $10,447.81
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,808.55
Rate for Payer: Independent Care Health Plan Medicare $2,808.55
Rate for Payer: Managed Health Services Medicare Advantage $2,808.55
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2,808.55
Rate for Payer: NAPHCARE Commercial $4,212.82
Rate for Payer: Quartz Medicare Advantage $2,808.55
Rate for Payer: The Alliance Commercial $11,234.20
Rate for Payer: United Healthcare Medicare Advantage $2,808.55
Rate for Payer: United Healthcare PPO $4,103.00
Rate for Payer: Wellcare Medicare $2,808.55
Service Code CPT 45172
Hospital Revenue Code 360
Min. Negotiated Rate $2,726.00
Max. Negotiated Rate $11,100.96
Rate for Payer: Aetna Managed Medicare $2,775.24
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,496.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,871.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,726.00
Rate for Payer: Anthem Medicare Advantage $2,775.24
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2,775.24
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2,775.24
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2,775.24
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,775.24
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $10,323.89
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,775.24
Rate for Payer: Independent Care Health Plan Medicare $2,775.24
Rate for Payer: Managed Health Services Medicare Advantage $2,775.24
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2,775.24
Rate for Payer: NAPHCARE Commercial $4,162.86
Rate for Payer: Quartz Medicare Advantage $2,775.24
Rate for Payer: The Alliance Commercial $11,100.96
Rate for Payer: United Healthcare Medicare Advantage $2,775.24
Rate for Payer: United Healthcare PPO $3,583.00
Rate for Payer: Wellcare Medicare $2,775.24
Service Code CPT 54840
Hospital Revenue Code 360
Min. Negotiated Rate $2,013.20
Max. Negotiated Rate $8,052.80
Rate for Payer: Aetna Managed Medicare $2,013.20
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,496.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,871.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,726.00
Rate for Payer: Anthem Medicare Advantage $2,013.20
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $2,013.20
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $2,013.20
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $2,013.20
Rate for Payer: Dean Health DHI/DHP/ASO $7,795.33
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,013.20
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $7,489.10
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $2,013.20
Rate for Payer: Independent Care Health Plan Medicare $2,013.20
Rate for Payer: Managed Health Services Medicare Advantage $2,013.20
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $2,013.20
Rate for Payer: NAPHCARE Commercial $3,019.80
Rate for Payer: Quartz Medicare Advantage $2,013.20
Rate for Payer: The Alliance Commercial $8,052.80
Rate for Payer: United Healthcare Medicare Advantage $2,013.20
Rate for Payer: United Healthcare PPO $3,583.00
Rate for Payer: Wellcare Medicare $2,013.20
Service Code CPT 42408
Hospital Charge Code 2846799
Hospital Revenue Code 510
Min. Negotiated Rate $132.07
Max. Negotiated Rate $1,182.94
Rate for Payer: Aetna Commercial $1,105.80
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,001.04
Rate for Payer: Cash Price $349.20
Rate for Payer: Cash Price $349.20
Rate for Payer: Cigna Commercial $1,105.80
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $132.07
Rate for Payer: Dean Health DHI/DHP/ASO $698.40
Rate for Payer: Health EOS Commercial $1,059.24
Rate for Payer: HFN Commercial $1,105.80
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $1,182.94
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $1,182.94
Rate for Payer: Multiplan Commercial $931.20
Rate for Payer: Preferred Network Access Commercial $1,105.80
Rate for Payer: Quartz Beloit One Network $512.16
Rate for Payer: Quartz Commercial $663.48
Rate for Payer: The Alliance Commercial $582.00
Rate for Payer: United Healthcare Medicaid $132.07
Rate for Payer: WEA Trust Commercial $640.20
Rate for Payer: WPS Commercial $862.17
Service Code CPT 26180
Hospital Revenue Code 360
Min. Negotiated Rate $1,588.57
Max. Negotiated Rate $6,546.14
Rate for Payer: Aetna Managed Medicare $1,588.57
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,496.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,871.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,726.00
Rate for Payer: Anthem Medicare Advantage $1,588.57
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: Cook Children's Health Plan (CCHP) Commercial $1,588.57
Rate for Payer: Dean Health DHI/DHP/ASO $6,546.14
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,588.57
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: NAPHCARE Commercial $2,382.86
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,588.57
Service Code CPT 46320
Hospital Charge Code 1190850
Hospital Revenue Code 510
Min. Negotiated Rate $161.90
Max. Negotiated Rate $664.05
Rate for Payer: Aetna Commercial $664.05
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $601.14
Rate for Payer: Cash Price $209.70
Rate for Payer: Cash Price $209.70
Rate for Payer: Cigna Commercial $664.05
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $161.90
Rate for Payer: Dean Health DHI/DHP/ASO $419.40
Rate for Payer: Health EOS Commercial $636.09
Rate for Payer: HFN Commercial $664.05
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $374.64
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $374.64
Rate for Payer: Multiplan Commercial $559.20
Rate for Payer: Preferred Network Access Commercial $664.05
Rate for Payer: Quartz Beloit One Network $307.56
Rate for Payer: Quartz Commercial $398.43
Rate for Payer: The Alliance Commercial $349.50
Rate for Payer: United Healthcare Medicaid $161.90
Rate for Payer: WEA Trust Commercial $384.45
Rate for Payer: WPS Commercial $517.75
Service Code CPT 41115
Hospital Charge Code 3014615
Hospital Revenue Code 510
Min. Negotiated Rate $104.67
Max. Negotiated Rate $488.34
Rate for Payer: Aetna Commercial $323.00
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $292.40
Rate for Payer: Cash Price $102.00
Rate for Payer: Cash Price $102.00
Rate for Payer: Cigna Commercial $323.00
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $104.67
Rate for Payer: Dean Health DHI/DHP/ASO $204.00
Rate for Payer: Health EOS Commercial $309.40
Rate for Payer: HFN Commercial $323.00
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $488.34
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $488.34
Rate for Payer: Multiplan Commercial $272.00
Rate for Payer: Preferred Network Access Commercial $323.00
Rate for Payer: Quartz Beloit One Network $149.60
Rate for Payer: Quartz Commercial $193.80
Rate for Payer: The Alliance Commercial $170.00
Rate for Payer: United Healthcare Medicaid $104.67
Rate for Payer: WEA Trust Commercial $187.00
Rate for Payer: WPS Commercial $251.84
Service Code CPT 41110
Hospital Charge Code 3014613
Hospital Revenue Code 510
Min. Negotiated Rate $61.44
Max. Negotiated Rate $435.35
Rate for Payer: Aetna Commercial $396.15
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $358.62
Rate for Payer: Cash Price $125.10
Rate for Payer: Cash Price $125.10
Rate for Payer: Cigna Commercial $396.15
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $61.44
Rate for Payer: Dean Health DHI/DHP/ASO $250.20
Rate for Payer: Health EOS Commercial $379.47
Rate for Payer: HFN Commercial $396.15
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $435.35
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $435.35
Rate for Payer: Multiplan Commercial $333.60
Rate for Payer: Preferred Network Access Commercial $396.15
Rate for Payer: Quartz Beloit One Network $183.48
Rate for Payer: Quartz Commercial $237.69
Rate for Payer: The Alliance Commercial $208.50
Rate for Payer: United Healthcare Medicaid $61.44
Rate for Payer: WEA Trust Commercial $229.35
Rate for Payer: WPS Commercial $308.87
Service Code CPT 57135
Hospital Charge Code 1190838
Hospital Revenue Code 510
Min. Negotiated Rate $209.35
Max. Negotiated Rate $1,289.15
Rate for Payer: Aetna Commercial $1,289.15
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $1,167.02
Rate for Payer: Cash Price $407.10
Rate for Payer: Cash Price $407.10
Rate for Payer: Cigna Commercial $1,289.15
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $209.35
Rate for Payer: Dean Health DHI/DHP/ASO $814.20
Rate for Payer: Health EOS Commercial $1,234.87
Rate for Payer: HFN Commercial $1,289.15
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $620.93
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $620.93
Rate for Payer: Multiplan Commercial $1,085.60
Rate for Payer: Preferred Network Access Commercial $1,289.15
Rate for Payer: Quartz Beloit One Network $597.08
Rate for Payer: Quartz Commercial $773.49
Rate for Payer: The Alliance Commercial $678.50
Rate for Payer: United Healthcare Medicaid $209.35
Rate for Payer: WEA Trust Commercial $746.35
Rate for Payer: WPS Commercial $1,005.13
Service Code CPT 57135
Hospital Revenue Code 360
Min. Negotiated Rate $2,726.00
Max. Negotiated Rate $12,360.48
Rate for Payer: Aetna Managed Medicare $3,090.12
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,496.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,871.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,726.00
Rate for Payer: Anthem Medicare Advantage $3,090.12
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: Cook Children's Health Plan (CCHP) Commercial $3,090.12
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $3,090.12
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: NAPHCARE Commercial $4,635.18
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 $3,583.00
Rate for Payer: Wellcare Medicare $3,090.12
Service Code CPT 24105
Hospital Revenue Code 360
Min. Negotiated Rate $3,199.31
Max. Negotiated Rate $12,797.24
Rate for Payer: Aetna Managed Medicare $3,199.31
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $9,907.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $8,043.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7,639.00
Rate for Payer: Anthem Medicare Advantage $3,199.31
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $3,199.31
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $3,199.31
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $3,199.31
Rate for Payer: Dean Health DHI/DHP/ASO $6,546.14
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $3,199.31
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $11,901.43
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $3,199.31
Rate for Payer: Independent Care Health Plan Medicare $3,199.31
Rate for Payer: Managed Health Services Medicare Advantage $3,199.31
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $3,199.31
Rate for Payer: NAPHCARE Commercial $4,798.96
Rate for Payer: Quartz Medicare Advantage $3,199.31
Rate for Payer: The Alliance Commercial $12,797.24
Rate for Payer: United Healthcare Medicare Advantage $3,199.31
Rate for Payer: United Healthcare PPO $4,103.00
Rate for Payer: Wellcare Medicare $3,199.31
Hospital Charge Code 2960170
Hospital Revenue Code 360
Min. Negotiated Rate $281.68
Max. Negotiated Rate $4,024.00
Rate for Payer: Aetna Commercial $905.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $865.16
Rate for Payer: Aetna Managed Medicare $281.68
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $653.90
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $503.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $482.88
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $533.18
Rate for Payer: Cash Price $301.80
Rate for Payer: Cigna Commercial $925.52
Rate for Payer: Dean Health DHI/DHP/ASO $562.96
Rate for Payer: Health EOS Commercial $895.34
Rate for Payer: HFN Commercial $925.52
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $754.50
Rate for Payer: Multiplan Commercial $804.80
Rate for Payer: NAPHCARE Commercial $603.60
Rate for Payer: Preferred Network Access Commercial $925.52
Rate for Payer: Quartz Beloit One Network $492.94
Rate for Payer: Quartz Commercial $653.90
Rate for Payer: Quartz Medicare Advantage $603.60
Rate for Payer: The Alliance Commercial $4,024.00
Rate for Payer: WEA Trust Commercial $553.30
Rate for Payer: WPS Commercial $745.14
Hospital Charge Code 2960170
Hospital Revenue Code 360
Min. Negotiated Rate $492.94
Max. Negotiated Rate $925.52
Rate for Payer: Aetna Commercial $905.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $865.16
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $533.18
Rate for Payer: Cash Price $301.80
Rate for Payer: Cigna Commercial $925.52
Rate for Payer: Health EOS Commercial $895.34
Rate for Payer: HFN Commercial $925.52
Rate for Payer: Multiplan Commercial $804.80
Rate for Payer: NAPHCARE Commercial $603.60
Rate for Payer: Preferred Network Access Commercial $925.52
Rate for Payer: Quartz Beloit One Network $492.94
Rate for Payer: Quartz Commercial $603.60
Rate for Payer: WEA Trust Commercial $553.30
Rate for Payer: WPS Commercial $745.14
Service Code CPT 23140
Hospital Revenue Code 360
Min. Negotiated Rate $3,199.31
Max. Negotiated Rate $12,797.24
Rate for Payer: Aetna Managed Medicare $3,199.31
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $9,907.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $8,043.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7,639.00
Rate for Payer: Anthem Medicare Advantage $3,199.31
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $3,199.31
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $3,199.31
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $3,199.31
Rate for Payer: Dean Health DHI/DHP/ASO $7,795.33
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $3,199.31
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $11,901.43
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $3,199.31
Rate for Payer: Independent Care Health Plan Medicare $3,199.31
Rate for Payer: Managed Health Services Medicare Advantage $3,199.31
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $3,199.31
Rate for Payer: NAPHCARE Commercial $4,798.96
Rate for Payer: Quartz Medicare Advantage $3,199.31
Rate for Payer: The Alliance Commercial $12,797.24
Rate for Payer: United Healthcare Medicare Advantage $3,199.31
Rate for Payer: United Healthcare PPO $4,103.00
Rate for Payer: Wellcare Medicare $3,199.31
Service Code CPT 27355
Hospital Revenue Code 360
Min. Negotiated Rate $3,199.31
Max. Negotiated Rate $12,797.24
Rate for Payer: Aetna Managed Medicare $3,199.31
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $9,907.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $8,043.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $7,639.00
Rate for Payer: Anthem Medicare Advantage $3,199.31
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $3,199.31
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $3,199.31
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $3,199.31
Rate for Payer: Dean Health DHI/DHP/ASO $6,546.14
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $3,199.31
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $11,901.43
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $3,199.31
Rate for Payer: Independent Care Health Plan Medicare $3,199.31
Rate for Payer: Managed Health Services Medicare Advantage $3,199.31
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $3,199.31
Rate for Payer: NAPHCARE Commercial $4,798.96
Rate for Payer: Quartz Medicare Advantage $3,199.31
Rate for Payer: The Alliance Commercial $12,797.24
Rate for Payer: United Healthcare Medicare Advantage $3,199.31
Rate for Payer: United Healthcare PPO $4,103.00
Rate for Payer: Wellcare Medicare $3,199.31
Service Code CPT 27358
Hospital Revenue Code 360
Min. Negotiated Rate $7,795.33
Max. Negotiated Rate $7,795.33
Rate for Payer: Dean Health DHI/DHP/ASO $7,795.33
Service Code CPT 65426
Hospital Revenue Code 360
Min. Negotiated Rate $2,309.71
Max. Negotiated Rate $9,238.84
Rate for Payer: Aetna Managed Medicare $2,309.71
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $3,496.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,871.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,726.00
Rate for Payer: Anthem Medicare Advantage $2,309.71
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: Cook Children's Health Plan (CCHP) Commercial $2,309.71
Rate for Payer: Dean Health DHI/DHP/ASO $8,339.76
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $2,309.71
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: NAPHCARE Commercial $3,464.56
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 $3,583.00
Rate for Payer: Wellcare Medicare $2,309.71
Service Code CPT 11440
Hospital Revenue Code 360
Min. Negotiated Rate $695.42
Max. Negotiated Rate $4,218.22
Rate for Payer: Aetna Managed Medicare $695.42
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $2,914.00
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $2,297.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $2,183.00
Rate for Payer: Anthem Medicare Advantage $695.42
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage HMO $695.42
Rate for Payer: Blue Cross Blue Shield of Illinois Medicare Advantage PPO $695.42
Rate for Payer: Cook Children's Health Plan (CCHP) Commercial $695.42
Rate for Payer: Dean Health DHI/DHP/ASO $4,218.22
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $695.42
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $2,586.96
Rate for Payer: Humana Medicare EPO/Medicare HMO/Medicare PPO $695.42
Rate for Payer: Independent Care Health Plan Medicare $695.42
Rate for Payer: Managed Health Services Medicare Advantage $695.42
Rate for Payer: Molina Healthcare Medicare Advantage/Molina Marketplace $695.42
Rate for Payer: NAPHCARE Commercial $1,043.13
Rate for Payer: Quartz Medicare Advantage $695.42
Rate for Payer: The Alliance Commercial $2,781.68
Rate for Payer: United Healthcare Medicare Advantage $695.42
Rate for Payer: United Healthcare PPO $2,257.00
Rate for Payer: Wellcare Medicare $695.42
Hospital Charge Code 2960033
Hospital Revenue Code 360
Min. Negotiated Rate $281.68
Max. Negotiated Rate $4,024.00
Rate for Payer: Aetna Commercial $905.40
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $865.16
Rate for Payer: Aetna Managed Medicare $281.68
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $653.90
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $503.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $482.88
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $533.18
Rate for Payer: Cash Price $301.80
Rate for Payer: Cigna Commercial $925.52
Rate for Payer: Dean Health DHI/DHP/ASO $562.96
Rate for Payer: Health EOS Commercial $895.34
Rate for Payer: HFN Commercial $925.52
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $754.50
Rate for Payer: Multiplan Commercial $804.80
Rate for Payer: NAPHCARE Commercial $603.60
Rate for Payer: Preferred Network Access Commercial $925.52
Rate for Payer: Quartz Beloit One Network $492.94
Rate for Payer: Quartz Commercial $653.90
Rate for Payer: Quartz Medicare Advantage $603.60
Rate for Payer: The Alliance Commercial $4,024.00
Rate for Payer: WEA Trust Commercial $553.30
Rate for Payer: WPS Commercial $745.14