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Charge Type Setting Price  
Hospital Charge Code 2960033
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
Hospital Charge Code 2950503
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
Hospital Charge Code 2950503
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
Service Code CPT 54840 50
Hospital Charge Code 6180264
Hospital Revenue Code 510
Min. Negotiated Rate $2,415.16
Max. Negotiated Rate $5,214.55
Rate for Payer: Aetna Commercial $5,214.55
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $4,720.54
Rate for Payer: Cash Price $1,646.70
Rate for Payer: Cash Price $1,646.70
Rate for Payer: Cigna Commercial $5,214.55
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $2,744.50
Rate for Payer: Dean Health DHI/DHP/ASO $3,293.40
Rate for Payer: Health EOS Commercial $4,994.99
Rate for Payer: HFN Commercial $5,214.55
Rate for Payer: Multiplan Commercial $4,391.20
Rate for Payer: Preferred Network Access Commercial $5,214.55
Rate for Payer: Quartz Beloit One Network $2,415.16
Rate for Payer: Quartz Commercial $3,128.73
Rate for Payer: The Alliance Commercial $2,744.50
Rate for Payer: WEA Trust Commercial $3,018.95
Rate for Payer: WPS Commercial $4,065.70
Service Code CPT 54840 22
Hospital Charge Code 6180263
Hospital Revenue Code 510
Min. Negotiated Rate $1,449.36
Max. Negotiated Rate $3,129.30
Rate for Payer: Aetna Commercial $3,129.30
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $2,832.84
Rate for Payer: Cash Price $988.20
Rate for Payer: Cash Price $988.20
Rate for Payer: Cigna Commercial $3,129.30
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $1,647.00
Rate for Payer: Dean Health DHI/DHP/ASO $1,976.40
Rate for Payer: Health EOS Commercial $2,997.54
Rate for Payer: HFN Commercial $3,129.30
Rate for Payer: Multiplan Commercial $2,635.20
Rate for Payer: Preferred Network Access Commercial $3,129.30
Rate for Payer: Quartz Beloit One Network $1,449.36
Rate for Payer: Quartz Commercial $1,877.58
Rate for Payer: The Alliance Commercial $1,647.00
Rate for Payer: WEA Trust Commercial $1,811.70
Rate for Payer: WPS Commercial $2,439.87
Service Code CPT 54840 22,50
Hospital Charge Code 6180265
Hospital Revenue Code 510
Min. Negotiated Rate $2,898.28
Max. Negotiated Rate $6,257.65
Rate for Payer: Aetna Commercial $6,257.65
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $5,664.82
Rate for Payer: Cash Price $1,976.10
Rate for Payer: Cash Price $1,976.10
Rate for Payer: Cigna Commercial $6,257.65
Rate for Payer: Cook Children's Health Plan (CCHP) Medicaid $3,293.50
Rate for Payer: Dean Health DHI/DHP/ASO $3,952.20
Rate for Payer: Health EOS Commercial $5,994.17
Rate for Payer: HFN Commercial $6,257.65
Rate for Payer: Multiplan Commercial $5,269.60
Rate for Payer: Preferred Network Access Commercial $6,257.65
Rate for Payer: Quartz Beloit One Network $2,898.28
Rate for Payer: Quartz Commercial $3,754.59
Rate for Payer: The Alliance Commercial $3,293.50
Rate for Payer: WEA Trust Commercial $3,622.85
Rate for Payer: WPS Commercial $4,878.99
Hospital Charge Code 2960035
Hospital Revenue Code 360
Min. Negotiated Rate $531.16
Max. Negotiated Rate $997.28
Rate for Payer: Aetna Commercial $975.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $932.24
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $574.52
Rate for Payer: Cash Price $325.20
Rate for Payer: Cigna Commercial $997.28
Rate for Payer: Health EOS Commercial $964.76
Rate for Payer: HFN Commercial $997.28
Rate for Payer: Multiplan Commercial $867.20
Rate for Payer: NAPHCARE Commercial $650.40
Rate for Payer: Preferred Network Access Commercial $997.28
Rate for Payer: Quartz Beloit One Network $531.16
Rate for Payer: Quartz Commercial $650.40
Rate for Payer: WEA Trust Commercial $596.20
Rate for Payer: WPS Commercial $802.92
Hospital Charge Code 2960035
Hospital Revenue Code 360
Min. Negotiated Rate $303.52
Max. Negotiated Rate $4,336.00
Rate for Payer: Aetna Commercial $975.60
Rate for Payer: Aetna Gatekeeper/Not Gatekeeper $932.24
Rate for Payer: Aetna Managed Medicare $303.52
Rate for Payer: Anthem Blue Access PPO/Blue Traditional $704.60
Rate for Payer: Anthem Blue Preferred/Blue Preferred Plus $542.00
Rate for Payer: Anthem Blue Priority WI/Blue Priority X-WI $520.32
Rate for Payer: Blue Cross Blue Shield of Illinois Blue Cross PPO $574.52
Rate for Payer: Cash Price $325.20
Rate for Payer: Cigna Commercial $997.28
Rate for Payer: Dean Health DHI/DHP/ASO $606.61
Rate for Payer: Health EOS Commercial $964.76
Rate for Payer: HFN Commercial $997.28
Rate for Payer: Humana Commercial/EPO/HMO/POS/PPO $813.00
Rate for Payer: Multiplan Commercial $867.20
Rate for Payer: NAPHCARE Commercial $650.40
Rate for Payer: Preferred Network Access Commercial $997.28
Rate for Payer: Quartz Beloit One Network $531.16
Rate for Payer: Quartz Commercial $704.60
Rate for Payer: Quartz Medicare Advantage $650.40
Rate for Payer: The Alliance Commercial $4,336.00
Rate for Payer: WEA Trust Commercial $596.20
Rate for Payer: WPS Commercial $802.92
Service Code CPT 26111
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 26115
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 22903
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 $7,795.33
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 22902
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $7,795.33
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $7,795.33
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 22901
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 $7,795.33
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 22900
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 $7,795.33
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 21931
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 21932
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 $4,757.59
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 21011
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 28039
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 $4,757.59
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 25071
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 25075
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 27632
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 $4,757.59
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 21552
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 $4,757.59
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 21555
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49
Service Code CPT 27043
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 $4,757.59
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 27327
Hospital Revenue Code 360
Min. Negotiated Rate $1,602.49
Max. Negotiated Rate $6,409.96
Rate for Payer: Aetna Managed Medicare $1,602.49
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 $1,602.49
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: Cook Children's Health Plan (CCHP) Commercial $1,602.49
Rate for Payer: Dean Health DHI/DHP/ASO $4,757.59
Rate for Payer: Dean Health Medicare Advantage/Medicare Select $1,602.49
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: NAPHCARE Commercial $2,403.74
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 $3,583.00
Rate for Payer: Wellcare Medicare $1,602.49