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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,954.74
Max. Negotiated Rate $21,819.65
Rate for Payer: Aetna Commercial $17,501.18
Rate for Payer: Anthem Medicaid $7,816.43
Rate for Payer: Anthem POS/PPO/Traditional $17,728.46
Rate for Payer: Cash Price $11,364.40
Rate for Payer: Cigna Commercial $18,864.90
Rate for Payer: First Health Commercial $21,592.36
Rate for Payer: Humana Commercial $19,319.48
Rate for Payer: Humana KY Medicaid $7,816.43
Rate for Payer: Kentucky WC Medicaid $7,895.99
Rate for Payer: Medical Mutual Of Ohio HMO $18,637.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,773.85
Rate for Payer: Molina Healthcare Benefit Exchange $6,818.64
Rate for Payer: Molina Healthcare Medicaid $7,973.26
Rate for Payer: Ohio Health Choice Commercial $20,001.34
Rate for Payer: Ohio Health Group HMO $17,046.60
Rate for Payer: Ohio Health Group PPO Differential $4,545.76
Rate for Payer: Ohio Health Group PPO No Differential $2,954.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,045.93
Rate for Payer: PHCS Commercial $21,819.65
Rate for Payer: United Healthcare All Payer $20,001.34
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,954.74
Max. Negotiated Rate $21,819.65
Rate for Payer: Aetna Commercial $17,501.18
Rate for Payer: Anthem POS/PPO/Traditional $17,728.46
Rate for Payer: Cash Price $11,364.40
Rate for Payer: Cigna Commercial $18,864.90
Rate for Payer: First Health Commercial $21,592.36
Rate for Payer: Humana Commercial $19,319.48
Rate for Payer: Medical Mutual Of Ohio HMO $18,637.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,773.85
Rate for Payer: Molina Healthcare Benefit Exchange $6,818.64
Rate for Payer: Ohio Health Choice Commercial $20,001.34
Rate for Payer: Ohio Health Group HMO $17,046.60
Rate for Payer: Ohio Health Group PPO Differential $4,545.76
Rate for Payer: Ohio Health Group PPO No Differential $2,954.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,045.93
Rate for Payer: PHCS Commercial $21,819.65
Rate for Payer: United Healthcare All Payer $20,001.34
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,096.62
Max. Negotiated Rate $22,867.34
Rate for Payer: Aetna Commercial $18,341.52
Rate for Payer: Anthem POS/PPO/Traditional $18,579.72
Rate for Payer: Cash Price $11,910.08
Rate for Payer: Cigna Commercial $19,770.72
Rate for Payer: First Health Commercial $22,629.14
Rate for Payer: Humana Commercial $20,247.13
Rate for Payer: Medical Mutual Of Ohio HMO $19,532.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,579.27
Rate for Payer: Molina Healthcare Benefit Exchange $7,146.04
Rate for Payer: Ohio Health Choice Commercial $20,961.73
Rate for Payer: Ohio Health Group HMO $17,865.11
Rate for Payer: Ohio Health Group PPO Differential $4,764.03
Rate for Payer: Ohio Health Group PPO No Differential $3,096.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,384.25
Rate for Payer: PHCS Commercial $22,867.34
Rate for Payer: United Healthcare All Payer $20,961.73
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,096.62
Max. Negotiated Rate $22,867.34
Rate for Payer: Aetna Commercial $18,341.52
Rate for Payer: Anthem Medicaid $8,191.75
Rate for Payer: Anthem POS/PPO/Traditional $18,579.72
Rate for Payer: Cash Price $11,910.08
Rate for Payer: Cigna Commercial $19,770.72
Rate for Payer: First Health Commercial $22,629.14
Rate for Payer: Humana Commercial $20,247.13
Rate for Payer: Humana KY Medicaid $8,191.75
Rate for Payer: Kentucky WC Medicaid $8,275.12
Rate for Payer: Medical Mutual Of Ohio HMO $19,532.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,579.27
Rate for Payer: Molina Healthcare Benefit Exchange $7,146.04
Rate for Payer: Molina Healthcare Medicaid $8,356.11
Rate for Payer: Ohio Health Choice Commercial $20,961.73
Rate for Payer: Ohio Health Group HMO $17,865.11
Rate for Payer: Ohio Health Group PPO Differential $4,764.03
Rate for Payer: Ohio Health Group PPO No Differential $3,096.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,384.25
Rate for Payer: PHCS Commercial $22,867.34
Rate for Payer: United Healthcare All Payer $20,961.73
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,096.62
Max. Negotiated Rate $22,867.34
Rate for Payer: Aetna Commercial $18,341.52
Rate for Payer: Anthem POS/PPO/Traditional $18,579.72
Rate for Payer: Cash Price $11,910.08
Rate for Payer: Cigna Commercial $19,770.72
Rate for Payer: First Health Commercial $22,629.14
Rate for Payer: Humana Commercial $20,247.13
Rate for Payer: Medical Mutual Of Ohio HMO $19,532.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,579.27
Rate for Payer: Molina Healthcare Benefit Exchange $7,146.04
Rate for Payer: Ohio Health Choice Commercial $20,961.73
Rate for Payer: Ohio Health Group HMO $17,865.11
Rate for Payer: Ohio Health Group PPO Differential $4,764.03
Rate for Payer: Ohio Health Group PPO No Differential $3,096.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,384.25
Rate for Payer: PHCS Commercial $22,867.34
Rate for Payer: United Healthcare All Payer $20,961.73
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,096.62
Max. Negotiated Rate $22,867.34
Rate for Payer: Aetna Commercial $18,341.52
Rate for Payer: Anthem Medicaid $8,191.75
Rate for Payer: Anthem POS/PPO/Traditional $18,579.72
Rate for Payer: Cash Price $11,910.08
Rate for Payer: Cigna Commercial $19,770.72
Rate for Payer: First Health Commercial $22,629.14
Rate for Payer: Humana Commercial $20,247.13
Rate for Payer: Humana KY Medicaid $8,191.75
Rate for Payer: Kentucky WC Medicaid $8,275.12
Rate for Payer: Medical Mutual Of Ohio HMO $19,532.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,579.27
Rate for Payer: Molina Healthcare Benefit Exchange $7,146.04
Rate for Payer: Molina Healthcare Medicaid $8,356.11
Rate for Payer: Ohio Health Choice Commercial $20,961.73
Rate for Payer: Ohio Health Group HMO $17,865.11
Rate for Payer: Ohio Health Group PPO Differential $4,764.03
Rate for Payer: Ohio Health Group PPO No Differential $3,096.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,384.25
Rate for Payer: PHCS Commercial $22,867.34
Rate for Payer: United Healthcare All Payer $20,961.73
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem Medicaid $7,210.60
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Humana KY Medicaid $7,210.60
Rate for Payer: Kentucky WC Medicaid $7,283.98
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Molina Healthcare Medicaid $7,355.27
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem Medicaid $7,210.60
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Humana KY Medicaid $7,210.60
Rate for Payer: Kentucky WC Medicaid $7,283.98
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Molina Healthcare Medicaid $7,355.27
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem Medicaid $7,210.60
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Humana KY Medicaid $7,210.60
Rate for Payer: Kentucky WC Medicaid $7,283.98
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Molina Healthcare Medicaid $7,355.27
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem Medicaid $7,210.60
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Humana KY Medicaid $7,210.60
Rate for Payer: Kentucky WC Medicaid $7,283.98
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Molina Healthcare Medicaid $7,355.27
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem Medicaid $7,210.60
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Humana KY Medicaid $7,210.60
Rate for Payer: Kentucky WC Medicaid $7,283.98
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Molina Healthcare Medicaid $7,355.27
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,637.30
Max. Negotiated Rate $19,475.47
Rate for Payer: Aetna Commercial $15,620.95
Rate for Payer: Anthem Medicaid $6,976.68
Rate for Payer: Anthem POS/PPO/Traditional $15,823.82
Rate for Payer: Cash Price $10,143.48
Rate for Payer: Cigna Commercial $16,838.17
Rate for Payer: First Health Commercial $19,272.60
Rate for Payer: Humana Commercial $17,243.91
Rate for Payer: Humana KY Medicaid $6,976.68
Rate for Payer: Kentucky WC Medicaid $7,047.69
Rate for Payer: Medical Mutual Of Ohio HMO $16,635.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $14,971.77
Rate for Payer: Molina Healthcare Benefit Exchange $6,086.08
Rate for Payer: Molina Healthcare Medicaid $7,116.66
Rate for Payer: Ohio Health Choice Commercial $17,852.52
Rate for Payer: Ohio Health Group HMO $15,215.21
Rate for Payer: Ohio Health Group PPO Differential $4,057.39
Rate for Payer: Ohio Health Group PPO No Differential $2,637.30
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,288.95
Rate for Payer: PHCS Commercial $19,475.47
Rate for Payer: United Healthcare All Payer $17,852.52
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,637.30
Max. Negotiated Rate $19,475.47
Rate for Payer: Aetna Commercial $15,620.95
Rate for Payer: Anthem POS/PPO/Traditional $15,823.82
Rate for Payer: Cash Price $10,143.48
Rate for Payer: Cigna Commercial $16,838.17
Rate for Payer: First Health Commercial $19,272.60
Rate for Payer: Humana Commercial $17,243.91
Rate for Payer: Medical Mutual Of Ohio HMO $16,635.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $14,971.77
Rate for Payer: Molina Healthcare Benefit Exchange $6,086.08
Rate for Payer: Ohio Health Choice Commercial $17,852.52
Rate for Payer: Ohio Health Group HMO $15,215.21
Rate for Payer: Ohio Health Group PPO Differential $4,057.39
Rate for Payer: Ohio Health Group PPO No Differential $2,637.30
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,288.95
Rate for Payer: PHCS Commercial $19,475.47
Rate for Payer: United Healthcare All Payer $17,852.52
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem Medicaid $7,210.60
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Humana KY Medicaid $7,210.60
Rate for Payer: Kentucky WC Medicaid $7,283.98
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Molina Healthcare Medicaid $7,355.27
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem Medicaid $7,210.60
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Humana KY Medicaid $7,210.60
Rate for Payer: Kentucky WC Medicaid $7,283.98
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Molina Healthcare Medicaid $7,355.27
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,725.73
Max. Negotiated Rate $20,128.44
Rate for Payer: Aetna Commercial $16,144.69
Rate for Payer: Anthem POS/PPO/Traditional $16,354.36
Rate for Payer: Cash Price $10,483.56
Rate for Payer: Cigna Commercial $17,402.72
Rate for Payer: First Health Commercial $19,918.77
Rate for Payer: Humana Commercial $17,822.06
Rate for Payer: Medical Mutual Of Ohio HMO $17,193.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,473.74
Rate for Payer: Molina Healthcare Benefit Exchange $6,290.14
Rate for Payer: Ohio Health Choice Commercial $18,451.07
Rate for Payer: Ohio Health Group HMO $15,725.35
Rate for Payer: Ohio Health Group PPO Differential $4,193.43
Rate for Payer: Ohio Health Group PPO No Differential $2,725.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,499.81
Rate for Payer: PHCS Commercial $20,128.44
Rate for Payer: United Healthcare All Payer $18,451.07
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,135.06
Max. Negotiated Rate $8,382.00
Rate for Payer: Aetna Commercial $6,723.06
Rate for Payer: Anthem Medicaid $3,002.68
Rate for Payer: Anthem POS/PPO/Traditional $6,810.38
Rate for Payer: Cash Price $4,365.62
Rate for Payer: Cigna Commercial $7,246.94
Rate for Payer: First Health Commercial $8,294.69
Rate for Payer: Humana Commercial $7,421.56
Rate for Payer: Humana KY Medicaid $3,002.68
Rate for Payer: Kentucky WC Medicaid $3,033.24
Rate for Payer: Medical Mutual Of Ohio HMO $7,159.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,443.66
Rate for Payer: Molina Healthcare Benefit Exchange $2,619.38
Rate for Payer: Molina Healthcare Medicaid $3,062.92
Rate for Payer: Ohio Health Choice Commercial $7,683.50
Rate for Payer: Ohio Health Group HMO $6,548.44
Rate for Payer: Ohio Health Group PPO Differential $1,746.25
Rate for Payer: Ohio Health Group PPO No Differential $1,135.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,706.69
Rate for Payer: PHCS Commercial $8,382.00
Rate for Payer: United Healthcare All Payer $7,683.50
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,135.06
Max. Negotiated Rate $8,382.00
Rate for Payer: Aetna Commercial $6,723.06
Rate for Payer: Anthem POS/PPO/Traditional $6,810.38
Rate for Payer: Cash Price $4,365.62
Rate for Payer: Cigna Commercial $7,246.94
Rate for Payer: First Health Commercial $8,294.69
Rate for Payer: Humana Commercial $7,421.56
Rate for Payer: Medical Mutual Of Ohio HMO $7,159.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,443.66
Rate for Payer: Molina Healthcare Benefit Exchange $2,619.38
Rate for Payer: Ohio Health Choice Commercial $7,683.50
Rate for Payer: Ohio Health Group HMO $6,548.44
Rate for Payer: Ohio Health Group PPO Differential $1,746.25
Rate for Payer: Ohio Health Group PPO No Differential $1,135.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,706.69
Rate for Payer: PHCS Commercial $8,382.00
Rate for Payer: United Healthcare All Payer $7,683.50
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,461.04
Max. Negotiated Rate $10,789.20
Rate for Payer: Aetna Commercial $8,653.84
Rate for Payer: Anthem POS/PPO/Traditional $8,766.22
Rate for Payer: Cash Price $5,619.38
Rate for Payer: Cigna Commercial $9,328.16
Rate for Payer: First Health Commercial $10,676.81
Rate for Payer: Humana Commercial $9,552.94
Rate for Payer: Medical Mutual Of Ohio HMO $9,215.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,294.20
Rate for Payer: Molina Healthcare Benefit Exchange $3,371.62
Rate for Payer: Ohio Health Choice Commercial $9,890.10
Rate for Payer: Ohio Health Group HMO $8,429.06
Rate for Payer: Ohio Health Group PPO Differential $2,247.75
Rate for Payer: Ohio Health Group PPO No Differential $1,461.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,484.01
Rate for Payer: PHCS Commercial $10,789.20
Rate for Payer: United Healthcare All Payer $9,890.10