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Service Code HCPCS 72157
Hospital Charge Code 610T0021
Hospital Revenue Code 612
Min. Negotiated Rate $332.56
Max. Negotiated Rate $3,839.04
Rate for Payer: Aetna Commercial $3,079.23
Rate for Payer: Anthem Medicaid $1,375.26
Rate for Payer: Anthem Medicare Advantage/PPO $332.56
Rate for Payer: Anthem POS/PPO/Traditional $3,119.22
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $465.58
Rate for Payer: CareSource Just4Me Medicare $448.96
Rate for Payer: Cash Price $1,999.50
Rate for Payer: Cash Price $1,999.50
Rate for Payer: Cigna Commercial $3,319.17
Rate for Payer: First Health Commercial $3,799.05
Rate for Payer: Humana Commercial $3,399.15
Rate for Payer: Humana KY Medicaid $1,375.26
Rate for Payer: Humana Medicare Advantage $332.56
Rate for Payer: Kentucky WC Medicaid $1,389.25
Rate for Payer: Medical Mutual Of Ohio HMO $3,279.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,951.26
Rate for Payer: Molina Healthcare Benefit Exchange $399.07
Rate for Payer: Molina Healthcare Medicaid $1,402.85
Rate for Payer: Ohio Health Choice Commercial $3,519.12
Rate for Payer: Ohio Health Group HMO $2,999.25
Rate for Payer: Ohio Health Group PPO Differential $799.80
Rate for Payer: Ohio Health Group PPO No Differential $519.87
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,239.69
Rate for Payer: PHCS Commercial $3,839.04
Rate for Payer: United Healthcare All Payer $3,519.12
Service Code HCPCS 72147
Hospital Charge Code 610P0017
Hospital Revenue Code 612
Min. Negotiated Rate $105.00
Max. Negotiated Rate $905.67
Rate for Payer: Aetna Commercial $800.22
Rate for Payer: Anthem Medicaid $445.83
Rate for Payer: Buckeye Medicare Advantage $300.00
Rate for Payer: Cash Price $150.00
Rate for Payer: Cash Price $150.00
Rate for Payer: Cigna Commercial $905.67
Rate for Payer: Healthspan PPO $549.87
Rate for Payer: Humana Medicaid $445.83
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $122.45
Rate for Payer: Molina Healthcare CHIP/Medicaid $454.75
Rate for Payer: Molina Healthcare Passport $445.83
Rate for Payer: Multiplan PHCS $180.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $210.00
Rate for Payer: UHCCP Medicaid $105.00
Rate for Payer: Wellcare CHIP/Medicaid $450.29
Service Code HCPCS 72147
Hospital Charge Code 610T0017
Hospital Revenue Code 612
Min. Negotiated Rate $332.56
Max. Negotiated Rate $3,429.12
Rate for Payer: Aetna Commercial $2,750.44
Rate for Payer: Anthem Medicaid $1,228.41
Rate for Payer: Anthem Medicare Advantage/PPO $332.56
Rate for Payer: Anthem POS/PPO/Traditional $2,786.16
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $465.58
Rate for Payer: CareSource Just4Me Medicare $448.96
Rate for Payer: Cash Price $1,786.00
Rate for Payer: Cash Price $1,786.00
Rate for Payer: Cigna Commercial $2,964.76
Rate for Payer: First Health Commercial $3,393.40
Rate for Payer: Humana Commercial $3,036.20
Rate for Payer: Humana KY Medicaid $1,228.41
Rate for Payer: Humana Medicare Advantage $332.56
Rate for Payer: Kentucky WC Medicaid $1,240.91
Rate for Payer: Medical Mutual Of Ohio HMO $2,929.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,636.14
Rate for Payer: Molina Healthcare Benefit Exchange $399.07
Rate for Payer: Molina Healthcare Medicaid $1,253.06
Rate for Payer: Ohio Health Choice Commercial $3,143.36
Rate for Payer: Ohio Health Group HMO $2,679.00
Rate for Payer: Ohio Health Group PPO Differential $714.40
Rate for Payer: Ohio Health Group PPO No Differential $464.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,107.32
Rate for Payer: PHCS Commercial $3,429.12
Rate for Payer: United Healthcare All Payer $3,143.36
Service Code HCPCS 72147
Hospital Charge Code 610T0017
Hospital Revenue Code 612
Min. Negotiated Rate $464.36
Max. Negotiated Rate $3,429.12
Rate for Payer: Aetna Commercial $2,750.44
Rate for Payer: Anthem POS/PPO/Traditional $2,786.16
Rate for Payer: Cash Price $1,786.00
Rate for Payer: Cigna Commercial $2,964.76
Rate for Payer: First Health Commercial $3,393.40
Rate for Payer: Humana Commercial $3,036.20
Rate for Payer: Medical Mutual Of Ohio HMO $2,929.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,636.14
Rate for Payer: Molina Healthcare Benefit Exchange $1,071.60
Rate for Payer: Ohio Health Choice Commercial $3,143.36
Rate for Payer: Ohio Health Group HMO $2,679.00
Rate for Payer: Ohio Health Group PPO Differential $714.40
Rate for Payer: Ohio Health Group PPO No Differential $464.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,107.32
Rate for Payer: PHCS Commercial $3,429.12
Rate for Payer: United Healthcare All Payer $3,143.36
Service Code HCPCS 72147
Hospital Charge Code 61000017
Hospital Revenue Code 612
Min. Negotiated Rate $122.45
Max. Negotiated Rate $3,872.00
Rate for Payer: Aetna Commercial $800.22
Rate for Payer: Anthem Medicaid $445.83
Rate for Payer: Buckeye Medicare Advantage $3,872.00
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Cigna Commercial $905.67
Rate for Payer: Healthspan PPO $549.87
Rate for Payer: Humana Medicaid $445.83
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $122.45
Rate for Payer: Molina Healthcare CHIP/Medicaid $454.75
Rate for Payer: Molina Healthcare Passport $445.83
Rate for Payer: Multiplan PHCS $2,323.20
Rate for Payer: Ohio Health Choice Preferred Health Choice $2,710.40
Rate for Payer: UHCCP Medicaid $1,355.20
Rate for Payer: Wellcare CHIP/Medicaid $450.29
Service Code HCPCS 72147
Hospital Charge Code 61000017
Hospital Revenue Code 612
Min. Negotiated Rate $503.36
Max. Negotiated Rate $3,717.12
Rate for Payer: Aetna Commercial $2,981.44
Rate for Payer: Anthem POS/PPO/Traditional $3,020.16
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Cigna Commercial $3,213.76
Rate for Payer: First Health Commercial $3,678.40
Rate for Payer: Humana Commercial $3,291.20
Rate for Payer: Medical Mutual Of Ohio HMO $3,175.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,857.54
Rate for Payer: Molina Healthcare Benefit Exchange $1,161.60
Rate for Payer: Ohio Health Choice Commercial $3,407.36
Rate for Payer: Ohio Health Group HMO $2,904.00
Rate for Payer: Ohio Health Group PPO Differential $774.40
Rate for Payer: Ohio Health Group PPO No Differential $503.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,200.32
Rate for Payer: PHCS Commercial $3,717.12
Rate for Payer: United Healthcare All Payer $3,407.36
Service Code HCPCS 72147
Hospital Charge Code 61000017
Hospital Revenue Code 612
Min. Negotiated Rate $332.56
Max. Negotiated Rate $3,717.12
Rate for Payer: Aetna Commercial $2,981.44
Rate for Payer: Anthem Medicaid $1,331.58
Rate for Payer: Anthem Medicare Advantage/PPO $332.56
Rate for Payer: Anthem POS/PPO/Traditional $3,020.16
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $465.58
Rate for Payer: CareSource Just4Me Medicare $448.96
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Cash Price $1,936.00
Rate for Payer: Cigna Commercial $3,213.76
Rate for Payer: First Health Commercial $3,678.40
Rate for Payer: Humana Commercial $3,291.20
Rate for Payer: Humana KY Medicaid $1,331.58
Rate for Payer: Humana Medicare Advantage $332.56
Rate for Payer: Kentucky WC Medicaid $1,345.13
Rate for Payer: Medical Mutual Of Ohio HMO $3,175.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,857.54
Rate for Payer: Molina Healthcare Benefit Exchange $399.07
Rate for Payer: Molina Healthcare Medicaid $1,358.30
Rate for Payer: Ohio Health Choice Commercial $3,407.36
Rate for Payer: Ohio Health Group HMO $2,904.00
Rate for Payer: Ohio Health Group PPO Differential $774.40
Rate for Payer: Ohio Health Group PPO No Differential $503.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,200.32
Rate for Payer: PHCS Commercial $3,717.12
Rate for Payer: United Healthcare All Payer $3,407.36
Service Code HCPCS 72146
Hospital Charge Code 61000016
Hospital Revenue Code 612
Min. Negotiated Rate $102.22
Max. Negotiated Rate $3,679.00
Rate for Payer: Aetna Commercial $654.05
Rate for Payer: Anthem Medicaid $405.02
Rate for Payer: Buckeye Medicare Advantage $3,679.00
Rate for Payer: Cash Price $1,839.50
Rate for Payer: Cash Price $1,839.50
Rate for Payer: Cigna Commercial $825.01
Rate for Payer: Healthspan PPO $449.43
Rate for Payer: Humana Medicaid $405.02
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $102.22
Rate for Payer: Molina Healthcare CHIP/Medicaid $413.12
Rate for Payer: Molina Healthcare Passport $405.02
Rate for Payer: Multiplan PHCS $2,207.40
Rate for Payer: Ohio Health Choice Preferred Health Choice $2,575.30
Rate for Payer: UHCCP Medicaid $1,287.65
Rate for Payer: Wellcare CHIP/Medicaid $409.07
Service Code HCPCS 72146
Hospital Charge Code 61000016
Hospital Revenue Code 612
Min. Negotiated Rate $211.90
Max. Negotiated Rate $3,531.84
Rate for Payer: Aetna Commercial $2,832.83
Rate for Payer: Anthem Medicaid $1,265.21
Rate for Payer: Anthem Medicare Advantage/PPO $211.90
Rate for Payer: Anthem POS/PPO/Traditional $2,869.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $296.66
Rate for Payer: CareSource Just4Me Medicare $286.06
Rate for Payer: Cash Price $1,839.50
Rate for Payer: Cash Price $1,839.50
Rate for Payer: Cigna Commercial $3,053.57
Rate for Payer: First Health Commercial $3,495.05
Rate for Payer: Humana Commercial $3,127.15
Rate for Payer: Humana KY Medicaid $1,265.21
Rate for Payer: Humana Medicare Advantage $211.90
Rate for Payer: Kentucky WC Medicaid $1,278.08
Rate for Payer: Medical Mutual Of Ohio HMO $3,016.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,715.10
Rate for Payer: Molina Healthcare Benefit Exchange $254.28
Rate for Payer: Molina Healthcare Medicaid $1,290.59
Rate for Payer: Ohio Health Choice Commercial $3,237.52
Rate for Payer: Ohio Health Group HMO $2,759.25
Rate for Payer: Ohio Health Group PPO Differential $735.80
Rate for Payer: Ohio Health Group PPO No Differential $478.27
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,140.49
Rate for Payer: PHCS Commercial $3,531.84
Rate for Payer: United Healthcare All Payer $3,237.52
Service Code HCPCS 72146
Hospital Charge Code 61000016
Hospital Revenue Code 612
Min. Negotiated Rate $478.27
Max. Negotiated Rate $3,531.84
Rate for Payer: Aetna Commercial $2,832.83
Rate for Payer: Anthem POS/PPO/Traditional $2,869.62
Rate for Payer: Cash Price $1,839.50
Rate for Payer: Cigna Commercial $3,053.57
Rate for Payer: First Health Commercial $3,495.05
Rate for Payer: Humana Commercial $3,127.15
Rate for Payer: Medical Mutual Of Ohio HMO $3,016.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,715.10
Rate for Payer: Molina Healthcare Benefit Exchange $1,103.70
Rate for Payer: Ohio Health Choice Commercial $3,237.52
Rate for Payer: Ohio Health Group HMO $2,759.25
Rate for Payer: Ohio Health Group PPO Differential $735.80
Rate for Payer: Ohio Health Group PPO No Differential $478.27
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,140.49
Rate for Payer: PHCS Commercial $3,531.84
Rate for Payer: United Healthcare All Payer $3,237.52
Service Code HCPCS 72146
Hospital Charge Code 610P0016
Hospital Revenue Code 612
Min. Negotiated Rate $87.50
Max. Negotiated Rate $825.01
Rate for Payer: Aetna Commercial $654.05
Rate for Payer: Anthem Medicaid $405.02
Rate for Payer: Buckeye Medicare Advantage $250.00
Rate for Payer: Cash Price $125.00
Rate for Payer: Cash Price $125.00
Rate for Payer: Cigna Commercial $825.01
Rate for Payer: Healthspan PPO $449.43
Rate for Payer: Humana Medicaid $405.02
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $102.22
Rate for Payer: Molina Healthcare CHIP/Medicaid $413.12
Rate for Payer: Molina Healthcare Passport $405.02
Rate for Payer: Multiplan PHCS $150.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $175.00
Rate for Payer: UHCCP Medicaid $87.50
Rate for Payer: Wellcare CHIP/Medicaid $409.07
Service Code HCPCS 72146
Hospital Charge Code 610T0016
Hospital Revenue Code 612
Min. Negotiated Rate $445.77
Max. Negotiated Rate $3,291.84
Rate for Payer: Aetna Commercial $2,640.33
Rate for Payer: Anthem POS/PPO/Traditional $2,674.62
Rate for Payer: Cash Price $1,714.50
Rate for Payer: Cigna Commercial $2,846.07
Rate for Payer: First Health Commercial $3,257.55
Rate for Payer: Humana Commercial $2,914.65
Rate for Payer: Medical Mutual Of Ohio HMO $2,811.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,530.60
Rate for Payer: Molina Healthcare Benefit Exchange $1,028.70
Rate for Payer: Ohio Health Choice Commercial $3,017.52
Rate for Payer: Ohio Health Group HMO $2,571.75
Rate for Payer: Ohio Health Group PPO Differential $685.80
Rate for Payer: Ohio Health Group PPO No Differential $445.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,062.99
Rate for Payer: PHCS Commercial $3,291.84
Rate for Payer: United Healthcare All Payer $3,017.52
Service Code HCPCS 72146
Hospital Charge Code 610T0016
Hospital Revenue Code 612
Min. Negotiated Rate $211.90
Max. Negotiated Rate $3,291.84
Rate for Payer: Aetna Commercial $2,640.33
Rate for Payer: Anthem Medicaid $1,179.23
Rate for Payer: Anthem Medicare Advantage/PPO $211.90
Rate for Payer: Anthem POS/PPO/Traditional $2,674.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $296.66
Rate for Payer: CareSource Just4Me Medicare $286.06
Rate for Payer: Cash Price $1,714.50
Rate for Payer: Cash Price $1,714.50
Rate for Payer: Cigna Commercial $2,846.07
Rate for Payer: First Health Commercial $3,257.55
Rate for Payer: Humana Commercial $2,914.65
Rate for Payer: Humana KY Medicaid $1,179.23
Rate for Payer: Humana Medicare Advantage $211.90
Rate for Payer: Kentucky WC Medicaid $1,191.23
Rate for Payer: Medical Mutual Of Ohio HMO $2,811.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,530.60
Rate for Payer: Molina Healthcare Benefit Exchange $254.28
Rate for Payer: Molina Healthcare Medicaid $1,202.89
Rate for Payer: Ohio Health Choice Commercial $3,017.52
Rate for Payer: Ohio Health Group HMO $2,571.75
Rate for Payer: Ohio Health Group PPO Differential $685.80
Rate for Payer: Ohio Health Group PPO No Differential $445.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,062.99
Rate for Payer: PHCS Commercial $3,291.84
Rate for Payer: United Healthcare All Payer $3,017.52
Service Code HCPCS 73219
Hospital Charge Code 61000056
Hospital Revenue Code 610
Min. Negotiated Rate $332.56
Max. Negotiated Rate $3,658.56
Rate for Payer: Aetna Commercial $2,934.47
Rate for Payer: Anthem Medicaid $1,310.60
Rate for Payer: Anthem Medicare Advantage/PPO $332.56
Rate for Payer: Anthem POS/PPO/Traditional $2,972.58
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $465.58
Rate for Payer: CareSource Just4Me Medicare $448.96
Rate for Payer: Cash Price $1,905.50
Rate for Payer: Cash Price $1,905.50
Rate for Payer: Cigna Commercial $3,163.13
Rate for Payer: First Health Commercial $3,620.45
Rate for Payer: Humana Commercial $3,239.35
Rate for Payer: Humana KY Medicaid $1,310.60
Rate for Payer: Humana Medicare Advantage $332.56
Rate for Payer: Kentucky WC Medicaid $1,323.94
Rate for Payer: Medical Mutual Of Ohio HMO $3,125.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,812.52
Rate for Payer: Molina Healthcare Benefit Exchange $399.07
Rate for Payer: Molina Healthcare Medicaid $1,336.90
Rate for Payer: Ohio Health Choice Commercial $3,353.68
Rate for Payer: Ohio Health Group HMO $2,858.25
Rate for Payer: Ohio Health Group PPO Differential $762.20
Rate for Payer: Ohio Health Group PPO No Differential $495.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,181.41
Rate for Payer: PHCS Commercial $3,658.56
Rate for Payer: United Healthcare All Payer $3,353.68
Service Code HCPCS 73219
Hospital Charge Code 61000056
Hospital Revenue Code 610
Min. Negotiated Rate $495.43
Max. Negotiated Rate $3,658.56
Rate for Payer: Aetna Commercial $2,934.47
Rate for Payer: Anthem POS/PPO/Traditional $2,972.58
Rate for Payer: Cash Price $1,905.50
Rate for Payer: Cigna Commercial $3,163.13
Rate for Payer: First Health Commercial $3,620.45
Rate for Payer: Humana Commercial $3,239.35
Rate for Payer: Medical Mutual Of Ohio HMO $3,125.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,812.52
Rate for Payer: Molina Healthcare Benefit Exchange $1,143.30
Rate for Payer: Ohio Health Choice Commercial $3,353.68
Rate for Payer: Ohio Health Group HMO $2,858.25
Rate for Payer: Ohio Health Group PPO Differential $762.20
Rate for Payer: Ohio Health Group PPO No Differential $495.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,181.41
Rate for Payer: PHCS Commercial $3,658.56
Rate for Payer: United Healthcare All Payer $3,353.68
Service Code HCPCS 73219
Hospital Charge Code 61000056
Hospital Revenue Code 610
Min. Negotiated Rate $103.51
Max. Negotiated Rate $3,811.00
Rate for Payer: Aetna Commercial $771.55
Rate for Payer: Anthem Medicaid $399.60
Rate for Payer: Buckeye Medicare Advantage $3,811.00
Rate for Payer: Cash Price $1,905.50
Rate for Payer: Cash Price $1,905.50
Rate for Payer: Cigna Commercial $897.07
Rate for Payer: Healthspan PPO $530.17
Rate for Payer: Humana Medicaid $399.60
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $103.51
Rate for Payer: Molina Healthcare CHIP/Medicaid $407.59
Rate for Payer: Molina Healthcare Passport $399.60
Rate for Payer: Multiplan PHCS $2,286.60
Rate for Payer: Ohio Health Choice Preferred Health Choice $2,667.70
Rate for Payer: UHCCP Medicaid $1,333.85
Rate for Payer: Wellcare CHIP/Medicaid $403.60
Service Code HCPCS 73219
Hospital Charge Code 610P0056
Hospital Revenue Code 610
Min. Negotiated Rate $70.00
Max. Negotiated Rate $897.07
Rate for Payer: Aetna Commercial $771.55
Rate for Payer: Anthem Medicaid $399.60
Rate for Payer: Buckeye Medicare Advantage $200.00
Rate for Payer: Cash Price $100.00
Rate for Payer: Cash Price $100.00
Rate for Payer: Cigna Commercial $897.07
Rate for Payer: Healthspan PPO $530.17
Rate for Payer: Humana Medicaid $399.60
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $103.51
Rate for Payer: Molina Healthcare CHIP/Medicaid $407.59
Rate for Payer: Molina Healthcare Passport $399.60
Rate for Payer: Multiplan PHCS $120.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $140.00
Rate for Payer: UHCCP Medicaid $70.00
Rate for Payer: Wellcare CHIP/Medicaid $403.60
Service Code HCPCS 73219
Hospital Charge Code 610T0056
Hospital Revenue Code 610
Min. Negotiated Rate $469.43
Max. Negotiated Rate $3,466.56
Rate for Payer: Aetna Commercial $2,780.47
Rate for Payer: Anthem POS/PPO/Traditional $2,816.58
Rate for Payer: Cash Price $1,805.50
Rate for Payer: Cigna Commercial $2,997.13
Rate for Payer: First Health Commercial $3,430.45
Rate for Payer: Humana Commercial $3,069.35
Rate for Payer: Medical Mutual Of Ohio HMO $2,961.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,664.92
Rate for Payer: Molina Healthcare Benefit Exchange $1,083.30
Rate for Payer: Ohio Health Choice Commercial $3,177.68
Rate for Payer: Ohio Health Group HMO $2,708.25
Rate for Payer: Ohio Health Group PPO Differential $722.20
Rate for Payer: Ohio Health Group PPO No Differential $469.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,119.41
Rate for Payer: PHCS Commercial $3,466.56
Rate for Payer: United Healthcare All Payer $3,177.68
Service Code HCPCS 73219
Hospital Charge Code 610T0056
Hospital Revenue Code 610
Min. Negotiated Rate $332.56
Max. Negotiated Rate $3,466.56
Rate for Payer: Aetna Commercial $2,780.47
Rate for Payer: Anthem Medicaid $1,241.82
Rate for Payer: Anthem Medicare Advantage/PPO $332.56
Rate for Payer: Anthem POS/PPO/Traditional $2,816.58
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $465.58
Rate for Payer: CareSource Just4Me Medicare $448.96
Rate for Payer: Cash Price $1,805.50
Rate for Payer: Cash Price $1,805.50
Rate for Payer: Cigna Commercial $2,997.13
Rate for Payer: First Health Commercial $3,430.45
Rate for Payer: Humana Commercial $3,069.35
Rate for Payer: Humana KY Medicaid $1,241.82
Rate for Payer: Humana Medicare Advantage $332.56
Rate for Payer: Kentucky WC Medicaid $1,254.46
Rate for Payer: Medical Mutual Of Ohio HMO $2,961.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,664.92
Rate for Payer: Molina Healthcare Benefit Exchange $399.07
Rate for Payer: Molina Healthcare Medicaid $1,266.74
Rate for Payer: Ohio Health Choice Commercial $3,177.68
Rate for Payer: Ohio Health Group HMO $2,708.25
Rate for Payer: Ohio Health Group PPO Differential $722.20
Rate for Payer: Ohio Health Group PPO No Differential $469.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,119.41
Rate for Payer: PHCS Commercial $3,466.56
Rate for Payer: United Healthcare All Payer $3,177.68
Service Code HCPCS 73218
Hospital Charge Code 61000028
Hospital Revenue Code 610
Min. Negotiated Rate $468.52
Max. Negotiated Rate $3,459.84
Rate for Payer: Aetna Commercial $2,775.08
Rate for Payer: Anthem POS/PPO/Traditional $2,811.12
Rate for Payer: Cash Price $1,802.00
Rate for Payer: Cigna Commercial $2,991.32
Rate for Payer: First Health Commercial $3,423.80
Rate for Payer: Humana Commercial $3,063.40
Rate for Payer: Medical Mutual Of Ohio HMO $2,955.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,659.75
Rate for Payer: Molina Healthcare Benefit Exchange $1,081.20
Rate for Payer: Ohio Health Choice Commercial $3,171.52
Rate for Payer: Ohio Health Group HMO $2,703.00
Rate for Payer: Ohio Health Group PPO Differential $720.80
Rate for Payer: Ohio Health Group PPO No Differential $468.52
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,117.24
Rate for Payer: PHCS Commercial $3,459.84
Rate for Payer: United Healthcare All Payer $3,171.52
Service Code HCPCS 73218
Hospital Charge Code 61000028
Hospital Revenue Code 610
Min. Negotiated Rate $211.90
Max. Negotiated Rate $3,459.84
Rate for Payer: Aetna Commercial $2,775.08
Rate for Payer: Anthem Medicaid $1,239.42
Rate for Payer: Anthem Medicare Advantage/PPO $211.90
Rate for Payer: Anthem POS/PPO/Traditional $2,811.12
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $296.66
Rate for Payer: CareSource Just4Me Medicare $286.06
Rate for Payer: Cash Price $1,802.00
Rate for Payer: Cash Price $1,802.00
Rate for Payer: Cigna Commercial $2,991.32
Rate for Payer: First Health Commercial $3,423.80
Rate for Payer: Humana Commercial $3,063.40
Rate for Payer: Humana KY Medicaid $1,239.42
Rate for Payer: Humana Medicare Advantage $211.90
Rate for Payer: Kentucky WC Medicaid $1,252.03
Rate for Payer: Medical Mutual Of Ohio HMO $2,955.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,659.75
Rate for Payer: Molina Healthcare Benefit Exchange $254.28
Rate for Payer: Molina Healthcare Medicaid $1,264.28
Rate for Payer: Ohio Health Choice Commercial $3,171.52
Rate for Payer: Ohio Health Group HMO $2,703.00
Rate for Payer: Ohio Health Group PPO Differential $720.80
Rate for Payer: Ohio Health Group PPO No Differential $468.52
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,117.24
Rate for Payer: PHCS Commercial $3,459.84
Rate for Payer: United Healthcare All Payer $3,171.52
Service Code HCPCS 73218
Hospital Charge Code 61000028
Hospital Revenue Code 610
Min. Negotiated Rate $85.61
Max. Negotiated Rate $3,604.00
Rate for Payer: Aetna Commercial $629.14
Rate for Payer: Anthem Medicaid $333.53
Rate for Payer: Buckeye Medicare Advantage $3,604.00
Rate for Payer: Cash Price $1,802.00
Rate for Payer: Cash Price $1,802.00
Rate for Payer: Cigna Commercial $771.89
Rate for Payer: Healthspan PPO $432.31
Rate for Payer: Humana Medicaid $333.53
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $85.61
Rate for Payer: Molina Healthcare CHIP/Medicaid $340.20
Rate for Payer: Molina Healthcare Passport $333.53
Rate for Payer: Multiplan PHCS $2,162.40
Rate for Payer: Ohio Health Choice Preferred Health Choice $2,522.80
Rate for Payer: UHCCP Medicaid $1,261.40
Rate for Payer: Wellcare CHIP/Medicaid $336.87
Service Code HCPCS 73218
Hospital Charge Code 610P0028
Hospital Revenue Code 610
Min. Negotiated Rate $61.25
Max. Negotiated Rate $771.89
Rate for Payer: Aetna Commercial $629.14
Rate for Payer: Anthem Medicaid $333.53
Rate for Payer: Buckeye Medicare Advantage $175.00
Rate for Payer: Cash Price $87.50
Rate for Payer: Cash Price $87.50
Rate for Payer: Cigna Commercial $771.89
Rate for Payer: Healthspan PPO $432.31
Rate for Payer: Humana Medicaid $333.53
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $85.61
Rate for Payer: Molina Healthcare CHIP/Medicaid $340.20
Rate for Payer: Molina Healthcare Passport $333.53
Rate for Payer: Multiplan PHCS $105.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $122.50
Rate for Payer: UHCCP Medicaid $61.25
Rate for Payer: Wellcare CHIP/Medicaid $336.87
Service Code HCPCS 73218
Hospital Charge Code 610T0028
Hospital Revenue Code 610
Min. Negotiated Rate $211.90
Max. Negotiated Rate $3,291.84
Rate for Payer: Aetna Commercial $2,640.33
Rate for Payer: Anthem Medicaid $1,179.23
Rate for Payer: Anthem Medicare Advantage/PPO $211.90
Rate for Payer: Anthem POS/PPO/Traditional $2,674.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $296.66
Rate for Payer: CareSource Just4Me Medicare $286.06
Rate for Payer: Cash Price $1,714.50
Rate for Payer: Cash Price $1,714.50
Rate for Payer: Cigna Commercial $2,846.07
Rate for Payer: First Health Commercial $3,257.55
Rate for Payer: Humana Commercial $2,914.65
Rate for Payer: Humana KY Medicaid $1,179.23
Rate for Payer: Humana Medicare Advantage $211.90
Rate for Payer: Kentucky WC Medicaid $1,191.23
Rate for Payer: Medical Mutual Of Ohio HMO $2,811.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,530.60
Rate for Payer: Molina Healthcare Benefit Exchange $254.28
Rate for Payer: Molina Healthcare Medicaid $1,202.89
Rate for Payer: Ohio Health Choice Commercial $3,017.52
Rate for Payer: Ohio Health Group HMO $2,571.75
Rate for Payer: Ohio Health Group PPO Differential $685.80
Rate for Payer: Ohio Health Group PPO No Differential $445.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,062.99
Rate for Payer: PHCS Commercial $3,291.84
Rate for Payer: United Healthcare All Payer $3,017.52
Service Code HCPCS 73218
Hospital Charge Code 610T0028
Hospital Revenue Code 610
Min. Negotiated Rate $445.77
Max. Negotiated Rate $3,291.84
Rate for Payer: Aetna Commercial $2,640.33
Rate for Payer: Anthem POS/PPO/Traditional $2,674.62
Rate for Payer: Cash Price $1,714.50
Rate for Payer: Cigna Commercial $2,846.07
Rate for Payer: First Health Commercial $3,257.55
Rate for Payer: Humana Commercial $2,914.65
Rate for Payer: Medical Mutual Of Ohio HMO $2,811.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,530.60
Rate for Payer: Molina Healthcare Benefit Exchange $1,028.70
Rate for Payer: Ohio Health Choice Commercial $3,017.52
Rate for Payer: Ohio Health Group HMO $2,571.75
Rate for Payer: Ohio Health Group PPO Differential $685.80
Rate for Payer: Ohio Health Group PPO No Differential $445.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,062.99
Rate for Payer: PHCS Commercial $3,291.84
Rate for Payer: United Healthcare All Payer $3,017.52