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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem Medicaid $8,205.56
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Humana KY Medicaid $8,205.56
Rate for Payer: Kentucky WC Medicaid $8,289.07
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Molina Healthcare Medicaid $8,370.19
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,101.84
Max. Negotiated Rate $22,905.89
Rate for Payer: Aetna Commercial $18,372.43
Rate for Payer: Anthem POS/PPO/Traditional $18,611.03
Rate for Payer: Cash Price $11,930.15
Rate for Payer: Cigna Commercial $19,804.05
Rate for Payer: First Health Commercial $22,667.28
Rate for Payer: Humana Commercial $20,281.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,565.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,608.90
Rate for Payer: Molina Healthcare Benefit Exchange $7,158.09
Rate for Payer: Ohio Health Choice Commercial $20,997.06
Rate for Payer: Ohio Health Group HMO $17,895.22
Rate for Payer: Ohio Health Group PPO Differential $4,772.06
Rate for Payer: Ohio Health Group PPO No Differential $3,101.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,396.69
Rate for Payer: PHCS Commercial $22,905.89
Rate for Payer: United Healthcare All Payer $20,997.06
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $1,070.53
Max. Negotiated Rate $7,905.46
Rate for Payer: Aetna Commercial $6,340.83
Rate for Payer: Anthem Medicaid $2,831.96
Rate for Payer: Anthem POS/PPO/Traditional $6,423.18
Rate for Payer: Cash Price $4,117.42
Rate for Payer: Cigna Commercial $6,834.93
Rate for Payer: First Health Commercial $7,823.11
Rate for Payer: Humana Commercial $6,999.62
Rate for Payer: Humana KY Medicaid $2,831.96
Rate for Payer: Kentucky WC Medicaid $2,860.79
Rate for Payer: Medical Mutual Of Ohio HMO $6,752.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,077.32
Rate for Payer: Molina Healthcare Benefit Exchange $2,470.46
Rate for Payer: Molina Healthcare Medicaid $2,888.79
Rate for Payer: Ohio Health Choice Commercial $7,246.67
Rate for Payer: Ohio Health Group HMO $6,176.14
Rate for Payer: Ohio Health Group PPO Differential $1,646.97
Rate for Payer: Ohio Health Group PPO No Differential $1,070.53
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,552.80
Rate for Payer: PHCS Commercial $7,905.46
Rate for Payer: United Healthcare All Payer $7,246.67
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $1,070.53
Max. Negotiated Rate $7,905.46
Rate for Payer: Aetna Commercial $6,340.83
Rate for Payer: Anthem POS/PPO/Traditional $6,423.18
Rate for Payer: Cash Price $4,117.42
Rate for Payer: Cigna Commercial $6,834.93
Rate for Payer: First Health Commercial $7,823.11
Rate for Payer: Humana Commercial $6,999.62
Rate for Payer: Medical Mutual Of Ohio HMO $6,752.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,077.32
Rate for Payer: Molina Healthcare Benefit Exchange $2,470.46
Rate for Payer: Ohio Health Choice Commercial $7,246.67
Rate for Payer: Ohio Health Group HMO $6,176.14
Rate for Payer: Ohio Health Group PPO Differential $1,646.97
Rate for Payer: Ohio Health Group PPO No Differential $1,070.53
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,552.80
Rate for Payer: PHCS Commercial $7,905.46
Rate for Payer: United Healthcare All Payer $7,246.67
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $937.67
Max. Negotiated Rate $6,924.34
Rate for Payer: Aetna Commercial $5,553.89
Rate for Payer: Anthem Medicaid $2,480.50
Rate for Payer: Anthem POS/PPO/Traditional $5,626.02
Rate for Payer: Cash Price $3,606.43
Rate for Payer: Cigna Commercial $5,986.67
Rate for Payer: First Health Commercial $6,852.21
Rate for Payer: Humana Commercial $6,130.92
Rate for Payer: Humana KY Medicaid $2,480.50
Rate for Payer: Kentucky WC Medicaid $2,505.74
Rate for Payer: Medical Mutual Of Ohio HMO $5,914.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,323.08
Rate for Payer: Molina Healthcare Benefit Exchange $2,163.86
Rate for Payer: Molina Healthcare Medicaid $2,530.27
Rate for Payer: Ohio Health Choice Commercial $6,347.31
Rate for Payer: Ohio Health Group HMO $5,409.64
Rate for Payer: Ohio Health Group PPO Differential $1,442.57
Rate for Payer: Ohio Health Group PPO No Differential $937.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,235.98
Rate for Payer: PHCS Commercial $6,924.34
Rate for Payer: United Healthcare All Payer $6,347.31