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Service Code HCPCS 86235
Hospital Charge Code 30001008
Hospital Revenue Code 300
Min. Negotiated Rate $22.75
Max. Negotiated Rate $168.00
Rate for Payer: Aetna Commercial $134.75
Rate for Payer: Anthem POS/PPO/Traditional $140.52
Rate for Payer: Cash Price $87.50
Rate for Payer: Cigna Commercial $145.25
Rate for Payer: First Health Commercial $166.25
Rate for Payer: Humana Commercial $148.75
Rate for Payer: Medical Mutual Of Ohio HMO $143.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $129.15
Rate for Payer: Molina Healthcare Benefit Exchange $52.50
Rate for Payer: Ohio Health Choice Commercial $154.00
Rate for Payer: Ohio Health Group HMO $131.25
Rate for Payer: Ohio Health Group PPO Differential $35.00
Rate for Payer: Ohio Health Group PPO No Differential $22.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.25
Rate for Payer: PHCS Commercial $168.00
Rate for Payer: United Healthcare All Payer $154.00
Service Code HCPCS 86235
Hospital Charge Code 30001008
Hospital Revenue Code 300
Min. Negotiated Rate $17.93
Max. Negotiated Rate $168.00
Rate for Payer: Aetna Commercial $134.75
Rate for Payer: Anthem Medicaid $17.93
Rate for Payer: Anthem Medicare Advantage/PPO $17.93
Rate for Payer: Anthem POS/PPO/Traditional $140.52
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.10
Rate for Payer: CareSource Just4Me Medicare $17.93
Rate for Payer: Cash Price $87.50
Rate for Payer: Cash Price $87.50
Rate for Payer: Cigna Commercial $145.25
Rate for Payer: First Health Commercial $166.25
Rate for Payer: Humana Commercial $148.75
Rate for Payer: Humana KY Medicaid $17.93
Rate for Payer: Humana Medicare Advantage $17.93
Rate for Payer: Kentucky WC Medicaid $18.11
Rate for Payer: Medical Mutual Of Ohio HMO $143.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $129.15
Rate for Payer: Molina Healthcare Benefit Exchange $21.52
Rate for Payer: Molina Healthcare Medicaid $18.29
Rate for Payer: Ohio Health Choice Commercial $154.00
Rate for Payer: Ohio Health Group HMO $131.25
Rate for Payer: Ohio Health Group PPO Differential $35.00
Rate for Payer: Ohio Health Group PPO No Differential $22.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.25
Rate for Payer: PHCS Commercial $168.00
Rate for Payer: United Healthcare All Payer $154.00
Service Code HCPCS 86235
Hospital Charge Code 30001009
Hospital Revenue Code 300
Min. Negotiated Rate $17.93
Max. Negotiated Rate $168.00
Rate for Payer: Aetna Commercial $134.75
Rate for Payer: Anthem Medicaid $17.93
Rate for Payer: Anthem Medicare Advantage/PPO $17.93
Rate for Payer: Anthem POS/PPO/Traditional $140.52
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.10
Rate for Payer: CareSource Just4Me Medicare $17.93
Rate for Payer: Cash Price $87.50
Rate for Payer: Cash Price $87.50
Rate for Payer: Cigna Commercial $145.25
Rate for Payer: First Health Commercial $166.25
Rate for Payer: Humana Commercial $148.75
Rate for Payer: Humana KY Medicaid $17.93
Rate for Payer: Humana Medicare Advantage $17.93
Rate for Payer: Kentucky WC Medicaid $18.11
Rate for Payer: Medical Mutual Of Ohio HMO $143.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $129.15
Rate for Payer: Molina Healthcare Benefit Exchange $21.52
Rate for Payer: Molina Healthcare Medicaid $18.29
Rate for Payer: Ohio Health Choice Commercial $154.00
Rate for Payer: Ohio Health Group HMO $131.25
Rate for Payer: Ohio Health Group PPO Differential $35.00
Rate for Payer: Ohio Health Group PPO No Differential $22.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.25
Rate for Payer: PHCS Commercial $168.00
Rate for Payer: United Healthcare All Payer $154.00
Service Code HCPCS 86235
Hospital Charge Code 30001009
Hospital Revenue Code 300
Min. Negotiated Rate $22.75
Max. Negotiated Rate $168.00
Rate for Payer: Aetna Commercial $134.75
Rate for Payer: Anthem POS/PPO/Traditional $140.52
Rate for Payer: Cash Price $87.50
Rate for Payer: Cigna Commercial $145.25
Rate for Payer: First Health Commercial $166.25
Rate for Payer: Humana Commercial $148.75
Rate for Payer: Medical Mutual Of Ohio HMO $143.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $129.15
Rate for Payer: Molina Healthcare Benefit Exchange $52.50
Rate for Payer: Ohio Health Choice Commercial $154.00
Rate for Payer: Ohio Health Group HMO $131.25
Rate for Payer: Ohio Health Group PPO Differential $35.00
Rate for Payer: Ohio Health Group PPO No Differential $22.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.25
Rate for Payer: PHCS Commercial $168.00
Rate for Payer: United Healthcare All Payer $154.00
Service Code HCPCS 86235
Hospital Charge Code 30001006
Hospital Revenue Code 300
Min. Negotiated Rate $25.09
Max. Negotiated Rate $185.28
Rate for Payer: Aetna Commercial $148.61
Rate for Payer: Anthem POS/PPO/Traditional $154.98
Rate for Payer: Cash Price $96.50
Rate for Payer: Cigna Commercial $160.19
Rate for Payer: First Health Commercial $183.35
Rate for Payer: Humana Commercial $164.05
Rate for Payer: Medical Mutual Of Ohio HMO $158.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $142.43
Rate for Payer: Molina Healthcare Benefit Exchange $57.90
Rate for Payer: Ohio Health Choice Commercial $169.84
Rate for Payer: Ohio Health Group HMO $144.75
Rate for Payer: Ohio Health Group PPO Differential $38.60
Rate for Payer: Ohio Health Group PPO No Differential $25.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $59.83
Rate for Payer: PHCS Commercial $185.28
Rate for Payer: United Healthcare All Payer $169.84
Service Code HCPCS 86235
Hospital Charge Code 30001006
Hospital Revenue Code 300
Min. Negotiated Rate $17.93
Max. Negotiated Rate $185.28
Rate for Payer: Aetna Commercial $148.61
Rate for Payer: Anthem Medicaid $17.93
Rate for Payer: Anthem Medicare Advantage/PPO $17.93
Rate for Payer: Anthem POS/PPO/Traditional $154.98
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.10
Rate for Payer: CareSource Just4Me Medicare $17.93
Rate for Payer: Cash Price $96.50
Rate for Payer: Cash Price $96.50
Rate for Payer: Cigna Commercial $160.19
Rate for Payer: First Health Commercial $183.35
Rate for Payer: Humana Commercial $164.05
Rate for Payer: Humana KY Medicaid $17.93
Rate for Payer: Humana Medicare Advantage $17.93
Rate for Payer: Kentucky WC Medicaid $18.11
Rate for Payer: Medical Mutual Of Ohio HMO $158.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $142.43
Rate for Payer: Molina Healthcare Benefit Exchange $21.52
Rate for Payer: Molina Healthcare Medicaid $18.29
Rate for Payer: Ohio Health Choice Commercial $169.84
Rate for Payer: Ohio Health Group HMO $144.75
Rate for Payer: Ohio Health Group PPO Differential $38.60
Rate for Payer: Ohio Health Group PPO No Differential $25.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $59.83
Rate for Payer: PHCS Commercial $185.28
Rate for Payer: United Healthcare All Payer $169.84
Service Code HCPCS 83516
Hospital Charge Code 30000377
Hospital Revenue Code 300
Min. Negotiated Rate $11.53
Max. Negotiated Rate $166.08
Rate for Payer: Aetna Commercial $133.21
Rate for Payer: Anthem Medicaid $11.53
Rate for Payer: Anthem Medicare Advantage/PPO $11.53
Rate for Payer: Anthem POS/PPO/Traditional $138.92
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.14
Rate for Payer: CareSource Just4Me Medicare $11.53
Rate for Payer: Cash Price $86.50
Rate for Payer: Cash Price $86.50
Rate for Payer: Cigna Commercial $143.59
Rate for Payer: First Health Commercial $164.35
Rate for Payer: Humana Commercial $147.05
Rate for Payer: Humana KY Medicaid $11.53
Rate for Payer: Humana Medicare Advantage $11.53
Rate for Payer: Kentucky WC Medicaid $11.65
Rate for Payer: Medical Mutual Of Ohio HMO $141.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $127.67
Rate for Payer: Molina Healthcare Benefit Exchange $13.84
Rate for Payer: Molina Healthcare Medicaid $11.76
Rate for Payer: Ohio Health Choice Commercial $152.24
Rate for Payer: Ohio Health Group HMO $129.75
Rate for Payer: Ohio Health Group PPO Differential $34.60
Rate for Payer: Ohio Health Group PPO No Differential $22.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.63
Rate for Payer: PHCS Commercial $166.08
Rate for Payer: United Healthcare All Payer $152.24
Service Code HCPCS 83516
Hospital Charge Code 30000377
Hospital Revenue Code 300
Min. Negotiated Rate $22.49
Max. Negotiated Rate $166.08
Rate for Payer: Aetna Commercial $133.21
Rate for Payer: Anthem POS/PPO/Traditional $138.92
Rate for Payer: Cash Price $86.50
Rate for Payer: Cigna Commercial $143.59
Rate for Payer: First Health Commercial $164.35
Rate for Payer: Humana Commercial $147.05
Rate for Payer: Medical Mutual Of Ohio HMO $141.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $127.67
Rate for Payer: Molina Healthcare Benefit Exchange $51.90
Rate for Payer: Ohio Health Choice Commercial $152.24
Rate for Payer: Ohio Health Group HMO $129.75
Rate for Payer: Ohio Health Group PPO Differential $34.60
Rate for Payer: Ohio Health Group PPO No Differential $22.49
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.63
Rate for Payer: PHCS Commercial $166.08
Rate for Payer: United Healthcare All Payer $152.24
Service Code HCPCS 86003
Hospital Charge Code 30000701
Hospital Revenue Code 302
Min. Negotiated Rate $8.45
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $19.50
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000701
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem Medicaid $5.22
Rate for Payer: Anthem Medicare Advantage/PPO $5.22
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.31
Rate for Payer: CareSource Just4Me Medicare $5.22
Rate for Payer: Cash Price $32.50
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Humana KY Medicaid $5.22
Rate for Payer: Humana Medicare Advantage $5.22
Rate for Payer: Kentucky WC Medicaid $5.27
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.26
Rate for Payer: Molina Healthcare Medicaid $5.32
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86753
Hospital Charge Code 30001201
Hospital Revenue Code 300
Min. Negotiated Rate $18.59
Max. Negotiated Rate $137.28
Rate for Payer: Aetna Commercial $110.11
Rate for Payer: Anthem POS/PPO/Traditional $114.83
Rate for Payer: Cash Price $71.50
Rate for Payer: Cigna Commercial $118.69
Rate for Payer: First Health Commercial $135.85
Rate for Payer: Humana Commercial $121.55
Rate for Payer: Medical Mutual Of Ohio HMO $117.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $105.53
Rate for Payer: Molina Healthcare Benefit Exchange $42.90
Rate for Payer: Ohio Health Choice Commercial $125.84
Rate for Payer: Ohio Health Group HMO $107.25
Rate for Payer: Ohio Health Group PPO Differential $28.60
Rate for Payer: Ohio Health Group PPO No Differential $18.59
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.33
Rate for Payer: PHCS Commercial $137.28
Rate for Payer: United Healthcare All Payer $125.84
Service Code HCPCS 86753
Hospital Charge Code 30001201
Hospital Revenue Code 300
Min. Negotiated Rate $12.39
Max. Negotiated Rate $137.28
Rate for Payer: Aetna Commercial $110.11
Rate for Payer: Anthem Medicaid $12.39
Rate for Payer: Anthem Medicare Advantage/PPO $12.39
Rate for Payer: Anthem POS/PPO/Traditional $114.83
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.35
Rate for Payer: CareSource Just4Me Medicare $12.39
Rate for Payer: Cash Price $71.50
Rate for Payer: Cash Price $71.50
Rate for Payer: Cigna Commercial $118.69
Rate for Payer: First Health Commercial $135.85
Rate for Payer: Humana Commercial $121.55
Rate for Payer: Humana KY Medicaid $12.39
Rate for Payer: Humana Medicare Advantage $12.39
Rate for Payer: Kentucky WC Medicaid $12.51
Rate for Payer: Medical Mutual Of Ohio HMO $117.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $105.53
Rate for Payer: Molina Healthcare Benefit Exchange $14.87
Rate for Payer: Molina Healthcare Medicaid $12.64
Rate for Payer: Ohio Health Choice Commercial $125.84
Rate for Payer: Ohio Health Group HMO $107.25
Rate for Payer: Ohio Health Group PPO Differential $28.60
Rate for Payer: Ohio Health Group PPO No Differential $18.59
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.33
Rate for Payer: PHCS Commercial $137.28
Rate for Payer: United Healthcare All Payer $125.84
Service Code HCPCS 86003
Hospital Charge Code 30000882
Hospital Revenue Code 302
Min. Negotiated Rate $8.45
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $19.50
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000882
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem Medicaid $5.22
Rate for Payer: Anthem Medicare Advantage/PPO $5.22
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.31
Rate for Payer: CareSource Just4Me Medicare $5.22
Rate for Payer: Cash Price $32.50
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Humana KY Medicaid $5.22
Rate for Payer: Humana Medicare Advantage $5.22
Rate for Payer: Kentucky WC Medicaid $5.27
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.26
Rate for Payer: Molina Healthcare Medicaid $5.32
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000752
Hospital Revenue Code 302
Min. Negotiated Rate $8.45
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $19.50
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000752
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem Medicaid $5.22
Rate for Payer: Anthem Medicare Advantage/PPO $5.22
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.31
Rate for Payer: CareSource Just4Me Medicare $5.22
Rate for Payer: Cash Price $32.50
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Humana KY Medicaid $5.22
Rate for Payer: Humana Medicare Advantage $5.22
Rate for Payer: Kentucky WC Medicaid $5.27
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.26
Rate for Payer: Molina Healthcare Medicaid $5.32
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000704
Hospital Revenue Code 302
Min. Negotiated Rate $8.45
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $19.50
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000704
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem Medicaid $5.22
Rate for Payer: Anthem Medicare Advantage/PPO $5.22
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.31
Rate for Payer: CareSource Just4Me Medicare $5.22
Rate for Payer: Cash Price $32.50
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Humana KY Medicaid $5.22
Rate for Payer: Humana Medicare Advantage $5.22
Rate for Payer: Kentucky WC Medicaid $5.27
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.26
Rate for Payer: Molina Healthcare Medicaid $5.32
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000826
Hospital Revenue Code 302
Min. Negotiated Rate $8.45
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $19.50
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000826
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem Medicaid $5.22
Rate for Payer: Anthem Medicare Advantage/PPO $5.22
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.31
Rate for Payer: CareSource Just4Me Medicare $5.22
Rate for Payer: Cash Price $32.50
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Humana KY Medicaid $5.22
Rate for Payer: Humana Medicare Advantage $5.22
Rate for Payer: Kentucky WC Medicaid $5.27
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.26
Rate for Payer: Molina Healthcare Medicaid $5.32
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000760
Hospital Revenue Code 302
Min. Negotiated Rate $8.45
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $19.50
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS 86003
Hospital Charge Code 30000760
Hospital Revenue Code 302
Min. Negotiated Rate $5.22
Max. Negotiated Rate $62.40
Rate for Payer: Aetna Commercial $50.05
Rate for Payer: Anthem Medicaid $5.22
Rate for Payer: Anthem Medicare Advantage/PPO $5.22
Rate for Payer: Anthem POS/PPO/Traditional $52.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.31
Rate for Payer: CareSource Just4Me Medicare $5.22
Rate for Payer: Cash Price $32.50
Rate for Payer: Cash Price $32.50
Rate for Payer: Cigna Commercial $53.95
Rate for Payer: First Health Commercial $61.75
Rate for Payer: Humana Commercial $55.25
Rate for Payer: Humana KY Medicaid $5.22
Rate for Payer: Humana Medicare Advantage $5.22
Rate for Payer: Kentucky WC Medicaid $5.27
Rate for Payer: Medical Mutual Of Ohio HMO $53.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.26
Rate for Payer: Molina Healthcare Medicaid $5.32
Rate for Payer: Ohio Health Choice Commercial $57.20
Rate for Payer: Ohio Health Group HMO $48.75
Rate for Payer: Ohio Health Group PPO Differential $13.00
Rate for Payer: Ohio Health Group PPO No Differential $8.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.15
Rate for Payer: PHCS Commercial $62.40
Rate for Payer: United Healthcare All Payer $57.20
Service Code HCPCS G0480
Hospital Charge Code 30000109
Hospital Revenue Code 300
Min. Negotiated Rate $18.85
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $111.65
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $116.44
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $72.50
Rate for Payer: Cash Price $72.50
Rate for Payer: Cigna Commercial $120.35
Rate for Payer: First Health Commercial $137.75
Rate for Payer: Humana Commercial $123.25
Rate for Payer: Humana KY Medicaid $114.43
Rate for Payer: Humana Medicare Advantage $114.43
Rate for Payer: Kentucky WC Medicaid $115.57
Rate for Payer: Medical Mutual Of Ohio HMO $118.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $107.01
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $127.60
Rate for Payer: Ohio Health Group HMO $108.75
Rate for Payer: Ohio Health Group PPO Differential $29.00
Rate for Payer: Ohio Health Group PPO No Differential $18.85
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.95
Rate for Payer: PHCS Commercial $139.20
Rate for Payer: United Healthcare All Payer $127.60
Service Code HCPCS G0480
Hospital Charge Code 30000109
Hospital Revenue Code 300
Min. Negotiated Rate $18.85
Max. Negotiated Rate $139.20
Rate for Payer: Aetna Commercial $111.65
Rate for Payer: Anthem POS/PPO/Traditional $116.44
Rate for Payer: Cash Price $72.50
Rate for Payer: Cigna Commercial $120.35
Rate for Payer: First Health Commercial $137.75
Rate for Payer: Humana Commercial $123.25
Rate for Payer: Medical Mutual Of Ohio HMO $118.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $107.01
Rate for Payer: Molina Healthcare Benefit Exchange $43.50
Rate for Payer: Ohio Health Choice Commercial $127.60
Rate for Payer: Ohio Health Group HMO $108.75
Rate for Payer: Ohio Health Group PPO Differential $29.00
Rate for Payer: Ohio Health Group PPO No Differential $18.85
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.95
Rate for Payer: PHCS Commercial $139.20
Rate for Payer: United Healthcare All Payer $127.60
Service Code HCPCS G0480
Hospital Charge Code 30000108
Hospital Revenue Code 300
Min. Negotiated Rate $12.09
Max. Negotiated Rate $89.28
Rate for Payer: Aetna Commercial $71.61
Rate for Payer: Anthem POS/PPO/Traditional $74.68
Rate for Payer: Cash Price $46.50
Rate for Payer: Cigna Commercial $77.19
Rate for Payer: First Health Commercial $88.35
Rate for Payer: Humana Commercial $79.05
Rate for Payer: Medical Mutual Of Ohio HMO $76.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $68.63
Rate for Payer: Molina Healthcare Benefit Exchange $27.90
Rate for Payer: Ohio Health Choice Commercial $81.84
Rate for Payer: Ohio Health Group HMO $69.75
Rate for Payer: Ohio Health Group PPO Differential $18.60
Rate for Payer: Ohio Health Group PPO No Differential $12.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.83
Rate for Payer: PHCS Commercial $89.28
Rate for Payer: United Healthcare All Payer $81.84