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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem Medicaid $2,403.30
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Humana KY Medicaid $2,403.30
Rate for Payer: Kentucky WC Medicaid $2,427.76
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Molina Healthcare Medicaid $2,451.52
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem Medicaid $2,403.30
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Humana KY Medicaid $2,403.30
Rate for Payer: Kentucky WC Medicaid $2,427.76
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Molina Healthcare Medicaid $2,451.52
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem Medicaid $2,403.30
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Humana KY Medicaid $2,403.30
Rate for Payer: Kentucky WC Medicaid $2,427.76
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Molina Healthcare Medicaid $2,451.52
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem Medicaid $2,403.30
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Humana KY Medicaid $2,403.30
Rate for Payer: Kentucky WC Medicaid $2,427.76
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Molina Healthcare Medicaid $2,451.52
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $908.49
Max. Negotiated Rate $6,708.84
Rate for Payer: Aetna Commercial $5,381.05
Rate for Payer: Anthem POS/PPO/Traditional $5,450.94
Rate for Payer: Cash Price $3,494.19
Rate for Payer: Cigna Commercial $5,800.36
Rate for Payer: First Health Commercial $6,638.96
Rate for Payer: Humana Commercial $5,940.12
Rate for Payer: Medical Mutual Of Ohio HMO $5,730.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,157.42
Rate for Payer: Molina Healthcare Benefit Exchange $2,096.51
Rate for Payer: Ohio Health Choice Commercial $6,149.77
Rate for Payer: Ohio Health Group HMO $5,241.28
Rate for Payer: Ohio Health Group PPO Differential $1,397.68
Rate for Payer: Ohio Health Group PPO No Differential $908.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,166.40
Rate for Payer: PHCS Commercial $6,708.84
Rate for Payer: United Healthcare All Payer $6,149.77
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $980.85
Max. Negotiated Rate $7,243.20
Rate for Payer: Aetna Commercial $5,809.65
Rate for Payer: Anthem POS/PPO/Traditional $5,885.10
Rate for Payer: Cash Price $3,772.50
Rate for Payer: Cigna Commercial $6,262.35
Rate for Payer: First Health Commercial $7,167.75
Rate for Payer: Humana Commercial $6,413.25
Rate for Payer: Medical Mutual Of Ohio HMO $6,186.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,568.21
Rate for Payer: Molina Healthcare Benefit Exchange $2,263.50
Rate for Payer: Ohio Health Choice Commercial $6,639.60
Rate for Payer: Ohio Health Group HMO $5,658.75
Rate for Payer: Ohio Health Group PPO Differential $1,509.00
Rate for Payer: Ohio Health Group PPO No Differential $980.85
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,338.95
Rate for Payer: PHCS Commercial $7,243.20
Rate for Payer: United Healthcare All Payer $6,639.60
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $980.85
Max. Negotiated Rate $7,243.20
Rate for Payer: Aetna Commercial $5,809.65
Rate for Payer: Anthem Medicaid $2,594.73
Rate for Payer: Anthem POS/PPO/Traditional $5,885.10
Rate for Payer: Cash Price $3,772.50
Rate for Payer: Cigna Commercial $6,262.35
Rate for Payer: First Health Commercial $7,167.75
Rate for Payer: Humana Commercial $6,413.25
Rate for Payer: Humana KY Medicaid $2,594.73
Rate for Payer: Kentucky WC Medicaid $2,621.13
Rate for Payer: Medical Mutual Of Ohio HMO $6,186.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,568.21
Rate for Payer: Molina Healthcare Benefit Exchange $2,263.50
Rate for Payer: Molina Healthcare Medicaid $2,646.79
Rate for Payer: Ohio Health Choice Commercial $6,639.60
Rate for Payer: Ohio Health Group HMO $5,658.75
Rate for Payer: Ohio Health Group PPO Differential $1,509.00
Rate for Payer: Ohio Health Group PPO No Differential $980.85
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,338.95
Rate for Payer: PHCS Commercial $7,243.20
Rate for Payer: United Healthcare All Payer $6,639.60
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $660.92
Max. Negotiated Rate $4,880.64
Rate for Payer: Aetna Commercial $3,914.68
Rate for Payer: Anthem Medicaid $1,748.39
Rate for Payer: Anthem POS/PPO/Traditional $3,965.52
Rate for Payer: Cash Price $2,542.00
Rate for Payer: Cigna Commercial $4,219.72
Rate for Payer: First Health Commercial $4,829.80
Rate for Payer: Humana Commercial $4,321.40
Rate for Payer: Humana KY Medicaid $1,748.39
Rate for Payer: Kentucky WC Medicaid $1,766.18
Rate for Payer: Medical Mutual Of Ohio HMO $4,168.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,751.99
Rate for Payer: Molina Healthcare Benefit Exchange $1,525.20
Rate for Payer: Molina Healthcare Medicaid $1,783.47
Rate for Payer: Ohio Health Choice Commercial $4,473.92
Rate for Payer: Ohio Health Group HMO $3,813.00
Rate for Payer: Ohio Health Group PPO Differential $1,016.80
Rate for Payer: Ohio Health Group PPO No Differential $660.92
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,576.04
Rate for Payer: PHCS Commercial $4,880.64
Rate for Payer: United Healthcare All Payer $4,473.92
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $660.92
Max. Negotiated Rate $4,880.64
Rate for Payer: Aetna Commercial $3,914.68
Rate for Payer: Anthem POS/PPO/Traditional $3,965.52
Rate for Payer: Cash Price $2,542.00
Rate for Payer: Cigna Commercial $4,219.72
Rate for Payer: First Health Commercial $4,829.80
Rate for Payer: Humana Commercial $4,321.40
Rate for Payer: Medical Mutual Of Ohio HMO $4,168.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,751.99
Rate for Payer: Molina Healthcare Benefit Exchange $1,525.20
Rate for Payer: Ohio Health Choice Commercial $4,473.92
Rate for Payer: Ohio Health Group HMO $3,813.00
Rate for Payer: Ohio Health Group PPO Differential $1,016.80
Rate for Payer: Ohio Health Group PPO No Differential $660.92
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,576.04
Rate for Payer: PHCS Commercial $4,880.64
Rate for Payer: United Healthcare All Payer $4,473.92
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem Medicaid $2,218.16
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Humana KY Medicaid $2,218.16
Rate for Payer: Kentucky WC Medicaid $2,240.73
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Molina Healthcare Medicaid $2,262.66
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem Medicaid $2,218.16
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Humana KY Medicaid $2,218.16
Rate for Payer: Kentucky WC Medicaid $2,240.73
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Molina Healthcare Medicaid $2,262.66
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem Medicaid $2,218.16
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Humana KY Medicaid $2,218.16
Rate for Payer: Kentucky WC Medicaid $2,240.73
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Molina Healthcare Medicaid $2,262.66
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $838.50
Max. Negotiated Rate $6,192.00
Rate for Payer: Aetna Commercial $4,966.50
Rate for Payer: Anthem Medicaid $2,218.16
Rate for Payer: Anthem POS/PPO/Traditional $5,031.00
Rate for Payer: Cash Price $3,225.00
Rate for Payer: Cigna Commercial $5,353.50
Rate for Payer: First Health Commercial $6,127.50
Rate for Payer: Humana Commercial $5,482.50
Rate for Payer: Humana KY Medicaid $2,218.16
Rate for Payer: Kentucky WC Medicaid $2,240.73
Rate for Payer: Medical Mutual Of Ohio HMO $5,289.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,760.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,935.00
Rate for Payer: Molina Healthcare Medicaid $2,262.66
Rate for Payer: Ohio Health Choice Commercial $5,676.00
Rate for Payer: Ohio Health Group HMO $4,837.50
Rate for Payer: Ohio Health Group PPO Differential $1,290.00
Rate for Payer: Ohio Health Group PPO No Differential $838.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,999.50
Rate for Payer: PHCS Commercial $6,192.00
Rate for Payer: United Healthcare All Payer $5,676.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,174.64
Max. Negotiated Rate $8,674.23
Rate for Payer: Aetna Commercial $6,957.46
Rate for Payer: Anthem POS/PPO/Traditional $7,047.81
Rate for Payer: Cash Price $4,517.83
Rate for Payer: Cigna Commercial $7,499.60
Rate for Payer: First Health Commercial $8,583.88
Rate for Payer: Humana Commercial $7,680.31
Rate for Payer: Medical Mutual Of Ohio HMO $7,409.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,668.32
Rate for Payer: Molina Healthcare Benefit Exchange $2,710.70
Rate for Payer: Ohio Health Choice Commercial $7,951.38
Rate for Payer: Ohio Health Group HMO $6,776.74
Rate for Payer: Ohio Health Group PPO Differential $1,807.13
Rate for Payer: Ohio Health Group PPO No Differential $1,174.64
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,801.05
Rate for Payer: PHCS Commercial $8,674.23
Rate for Payer: United Healthcare All Payer $7,951.38
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,174.64
Max. Negotiated Rate $8,674.23
Rate for Payer: Aetna Commercial $6,957.46
Rate for Payer: Anthem Medicaid $3,107.36
Rate for Payer: Anthem POS/PPO/Traditional $7,047.81
Rate for Payer: Cash Price $4,517.83
Rate for Payer: Cigna Commercial $7,499.60
Rate for Payer: First Health Commercial $8,583.88
Rate for Payer: Humana Commercial $7,680.31
Rate for Payer: Humana KY Medicaid $3,107.36
Rate for Payer: Kentucky WC Medicaid $3,138.99
Rate for Payer: Medical Mutual Of Ohio HMO $7,409.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,668.32
Rate for Payer: Molina Healthcare Benefit Exchange $2,710.70
Rate for Payer: Molina Healthcare Medicaid $3,169.71
Rate for Payer: Ohio Health Choice Commercial $7,951.38
Rate for Payer: Ohio Health Group HMO $6,776.74
Rate for Payer: Ohio Health Group PPO Differential $1,807.13
Rate for Payer: Ohio Health Group PPO No Differential $1,174.64
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,801.05
Rate for Payer: PHCS Commercial $8,674.23
Rate for Payer: United Healthcare All Payer $7,951.38
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $962.94
Max. Negotiated Rate $7,110.92
Rate for Payer: Aetna Commercial $5,703.55
Rate for Payer: Anthem Medicaid $2,547.34
Rate for Payer: Anthem POS/PPO/Traditional $5,777.62
Rate for Payer: Cash Price $3,703.61
Rate for Payer: Cigna Commercial $6,147.98
Rate for Payer: First Health Commercial $7,036.85
Rate for Payer: Humana Commercial $6,296.13
Rate for Payer: Humana KY Medicaid $2,547.34
Rate for Payer: Kentucky WC Medicaid $2,573.26
Rate for Payer: Medical Mutual Of Ohio HMO $6,073.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,466.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,222.16
Rate for Payer: Molina Healthcare Medicaid $2,598.45
Rate for Payer: Ohio Health Choice Commercial $6,518.34
Rate for Payer: Ohio Health Group HMO $5,555.41
Rate for Payer: Ohio Health Group PPO Differential $1,481.44
Rate for Payer: Ohio Health Group PPO No Differential $962.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,296.24
Rate for Payer: PHCS Commercial $7,110.92
Rate for Payer: United Healthcare All Payer $6,518.34
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $962.94
Max. Negotiated Rate $7,110.92
Rate for Payer: Aetna Commercial $5,703.55
Rate for Payer: Anthem POS/PPO/Traditional $5,777.62
Rate for Payer: Cash Price $3,703.61
Rate for Payer: Cigna Commercial $6,147.98
Rate for Payer: First Health Commercial $7,036.85
Rate for Payer: Humana Commercial $6,296.13
Rate for Payer: Medical Mutual Of Ohio HMO $6,073.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,466.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,222.16
Rate for Payer: Ohio Health Choice Commercial $6,518.34
Rate for Payer: Ohio Health Group HMO $5,555.41
Rate for Payer: Ohio Health Group PPO Differential $1,481.44
Rate for Payer: Ohio Health Group PPO No Differential $962.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,296.24
Rate for Payer: PHCS Commercial $7,110.92
Rate for Payer: United Healthcare All Payer $6,518.34
Service Code HCPCS J2941
Hospital Charge Code 25002366
Hospital Revenue Code 636
Min. Negotiated Rate $24.23
Max. Negotiated Rate $207.82
Rate for Payer: Aetna Commercial $143.50
Rate for Payer: Anthem Medicaid $64.09
Rate for Payer: Anthem Medicare Advantage/PPO $148.44
Rate for Payer: Anthem POS/PPO/Traditional $145.36
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $207.82
Rate for Payer: CareSource Just4Me Medicare $200.39
Rate for Payer: Cash Price $93.18
Rate for Payer: Cash Price $93.18
Rate for Payer: Cigna Commercial $154.68
Rate for Payer: First Health Commercial $177.04
Rate for Payer: Humana Commercial $158.41
Rate for Payer: Humana KY Medicaid $64.09
Rate for Payer: Humana Medicare Advantage $148.44
Rate for Payer: Kentucky WC Medicaid $64.74
Rate for Payer: Medical Mutual Of Ohio HMO $152.82
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $137.53
Rate for Payer: Molina Healthcare Benefit Exchange $178.13
Rate for Payer: Molina Healthcare Medicaid $65.38
Rate for Payer: Ohio Health Choice Commercial $164.00
Rate for Payer: Ohio Health Group HMO $139.77
Rate for Payer: Ohio Health Group PPO Differential $37.27
Rate for Payer: Ohio Health Group PPO No Differential $24.23
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.77
Rate for Payer: PHCS Commercial $178.91
Rate for Payer: United Healthcare All Payer $164.00