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Service Code CPT C1776
Hospital Charge Code 41607139
Hospital Revenue Code 278
Min. Negotiated Rate $6,520.50
Max. Negotiated Rate $8,085.42
Rate for Payer: Aetna Commercial $7,511.62
Rate for Payer: Cash Price $5,390.28
Rate for Payer: Cigna All Commercial $7,502.92
Rate for Payer: CORVEL All Commercial $8,085.42
Rate for Payer: Coventry All Commercial $7,650.72
Rate for Payer: Encore All Commercial $8,002.83
Rate for Payer: Frontpath All Commercial $7,998.48
Rate for Payer: Humana ChoiceCare $7,509.01
Rate for Payer: Lutheran Preferred All Commercial $7,824.60
Rate for Payer: PHCS All Commercial $6,520.50
Rate for Payer: PHP All Commercial $6,593.53
Rate for Payer: Sagamore Health Network All Products $6,711.77
Rate for Payer: Signature Care EPO $7,216.02
Rate for Payer: Signature Care PPO $7,650.72
Rate for Payer: United Healthcare Commercial $6,850.87
Service Code CPT C1776
Hospital Charge Code 41608198
Hospital Revenue Code 278
Min. Negotiated Rate $12,420.00
Max. Negotiated Rate $15,400.80
Rate for Payer: Aetna Commercial $14,307.84
Rate for Payer: Cash Price $10,267.20
Rate for Payer: Cigna All Commercial $14,291.28
Rate for Payer: CORVEL All Commercial $15,400.80
Rate for Payer: Coventry All Commercial $14,572.80
Rate for Payer: Encore All Commercial $15,243.48
Rate for Payer: Frontpath All Commercial $15,235.20
Rate for Payer: Humana ChoiceCare $14,302.87
Rate for Payer: Lutheran Preferred All Commercial $14,904.00
Rate for Payer: PHCS All Commercial $12,420.00
Rate for Payer: PHP All Commercial $12,559.10
Rate for Payer: Sagamore Health Network All Products $12,784.32
Rate for Payer: Signature Care EPO $13,744.80
Rate for Payer: Signature Care PPO $14,572.80
Rate for Payer: United Healthcare Commercial $13,049.28
Service Code CPT C1776
Hospital Charge Code 41608198
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $15,400.80
Rate for Payer: Aetna Commercial $13,976.64
Rate for Payer: Aetna Medicare $5,464.80
Rate for Payer: Anthem Blue Cross of IN Medicare $5,464.80
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $9,510.41
Rate for Payer: Anthem Blue Cross of IN Traditional $10,351.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $6,284.52
Rate for Payer: CareSource Indiana of IN Medicare $6,011.28
Rate for Payer: Cash Price $10,267.20
Rate for Payer: Cash Price $10,267.20
Rate for Payer: Centivo All Commercial $8,445.60
Rate for Payer: Cigna All Commercial $14,291.28
Rate for Payer: CORVEL All Commercial $15,400.80
Rate for Payer: Coventry All Commercial $14,572.80
Rate for Payer: Encore All Commercial $15,243.48
Rate for Payer: Frontpath All Commercial $15,235.20
Rate for Payer: Humana ChoiceCare $14,302.87
Rate for Payer: Humana Medicare $8,445.60
Rate for Payer: Lucent All Commercial $8,445.60
Rate for Payer: Lutheran Preferred All Commercial $14,904.00
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $12,420.00
Rate for Payer: PHP All Commercial $12,559.10
Rate for Payer: Plain Church Group Ministry All Commercial $6,458.40
Rate for Payer: Sagamore Health Network All Products $12,784.32
Rate for Payer: Signature Care EPO $13,744.80
Rate for Payer: Signature Care PPO $14,572.80
Rate for Payer: Three Rivers Preferred All Commercial $14,076.00
Rate for Payer: United Healthcare Commercial $13,049.28
Rate for Payer: United Healthcare Medicare $5,464.80
Service Code CPT C1776
Hospital Charge Code 41607065
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607065
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607503
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607503
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607137
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607137
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607429
Hospital Revenue Code 278
Min. Negotiated Rate $6,955.20
Max. Negotiated Rate $8,624.45
Rate for Payer: Aetna Commercial $8,012.39
Rate for Payer: Cash Price $5,749.63
Rate for Payer: Cigna All Commercial $8,003.12
Rate for Payer: CORVEL All Commercial $8,624.45
Rate for Payer: Coventry All Commercial $8,160.77
Rate for Payer: Encore All Commercial $8,536.35
Rate for Payer: Frontpath All Commercial $8,531.71
Rate for Payer: Humana ChoiceCare $8,009.61
Rate for Payer: Lutheran Preferred All Commercial $8,346.24
Rate for Payer: PHCS All Commercial $6,955.20
Rate for Payer: PHP All Commercial $7,033.10
Rate for Payer: Sagamore Health Network All Products $7,159.22
Rate for Payer: Signature Care EPO $7,697.09
Rate for Payer: Signature Care PPO $8,160.77
Rate for Payer: United Healthcare Commercial $7,307.60
Service Code CPT C1776
Hospital Charge Code 41607429
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $8,624.45
Rate for Payer: Aetna Commercial $7,826.92
Rate for Payer: Aetna Medicare $3,060.29
Rate for Payer: Anthem Blue Cross of IN Medicare $3,060.29
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $5,325.83
Rate for Payer: Anthem Blue Cross of IN Traditional $5,796.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $3,519.33
Rate for Payer: CareSource Indiana of IN Medicare $3,366.32
Rate for Payer: Cash Price $5,749.63
Rate for Payer: Cash Price $5,749.63
Rate for Payer: Centivo All Commercial $4,729.54
Rate for Payer: Cigna All Commercial $8,003.12
Rate for Payer: CORVEL All Commercial $8,624.45
Rate for Payer: Coventry All Commercial $8,160.77
Rate for Payer: Encore All Commercial $8,536.35
Rate for Payer: Frontpath All Commercial $8,531.71
Rate for Payer: Humana ChoiceCare $8,009.61
Rate for Payer: Humana Medicare $4,729.54
Rate for Payer: Lucent All Commercial $4,729.54
Rate for Payer: Lutheran Preferred All Commercial $8,346.24
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $6,955.20
Rate for Payer: PHP All Commercial $7,033.10
Rate for Payer: Plain Church Group Ministry All Commercial $3,616.70
Rate for Payer: Sagamore Health Network All Products $7,159.22
Rate for Payer: Signature Care EPO $7,697.09
Rate for Payer: Signature Care PPO $8,160.77
Rate for Payer: Three Rivers Preferred All Commercial $7,882.56
Rate for Payer: United Healthcare Commercial $7,307.60
Rate for Payer: United Healthcare Medicare $3,060.29
Service Code CPT C1776
Hospital Charge Code 41607505
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607505
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607011
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607011
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607033
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607033
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607138
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607138
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607392
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607392
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41607073
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41607073
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19
Service Code CPT C1776
Hospital Charge Code 41608009
Hospital Revenue Code 278
Min. Negotiated Rate $524.16
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $9,979.32
Rate for Payer: Aetna Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN Medicare $3,901.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange $6,790.43
Rate for Payer: Anthem Blue Cross of IN Traditional $7,391.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise $524.16
Rate for Payer: CareSource Indiana of IN Just 4 Me $4,487.15
Rate for Payer: CareSource Indiana of IN Medicare $4,292.05
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Centivo All Commercial $6,030.16
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Humana Medicare $6,030.16
Rate for Payer: Lucent All Commercial $6,030.16
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: Managed Health Services Medicaid $524.16
Rate for Payer: MDWise Medicaid $524.16
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Plain Church Group Ministry All Commercial $4,611.30
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: Three Rivers Preferred All Commercial $10,050.26
Rate for Payer: United Healthcare Commercial $9,317.19
Rate for Payer: United Healthcare Medicare $3,901.87
Service Code CPT C1776
Hospital Charge Code 41608009
Hospital Revenue Code 278
Min. Negotiated Rate $8,867.88
Max. Negotiated Rate $10,996.17
Rate for Payer: Aetna Commercial $10,215.80
Rate for Payer: Cash Price $7,330.78
Rate for Payer: Cigna All Commercial $10,203.97
Rate for Payer: CORVEL All Commercial $10,996.17
Rate for Payer: Coventry All Commercial $10,404.98
Rate for Payer: Encore All Commercial $10,883.84
Rate for Payer: Frontpath All Commercial $10,877.93
Rate for Payer: Humana ChoiceCare $10,212.25
Rate for Payer: Lutheran Preferred All Commercial $10,641.46
Rate for Payer: PHCS All Commercial $8,867.88
Rate for Payer: PHP All Commercial $8,967.20
Rate for Payer: Sagamore Health Network All Products $9,128.00
Rate for Payer: Signature Care EPO $9,813.79
Rate for Payer: Signature Care PPO $10,404.98
Rate for Payer: United Healthcare Commercial $9,317.19