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Service Code HCPCS 82595
Hospital Charge Code 30000301
Hospital Revenue Code 300
Min. Negotiated Rate $6.47
Max. Negotiated Rate $126.72
Rate for Payer: Aetna Commercial $101.64
Rate for Payer: Anthem Medicaid $6.47
Rate for Payer: Anthem Medicare Advantage/PPO $6.47
Rate for Payer: Anthem POS/PPO/Traditional $106.00
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $9.06
Rate for Payer: CareSource Just4Me Medicare $6.47
Rate for Payer: Cash Price $66.00
Rate for Payer: Cash Price $66.00
Rate for Payer: Cigna Commercial $109.56
Rate for Payer: First Health Commercial $125.40
Rate for Payer: Humana Commercial $112.20
Rate for Payer: Humana KY Medicaid $6.47
Rate for Payer: Humana Medicare Advantage $6.47
Rate for Payer: Kentucky WC Medicaid $6.53
Rate for Payer: Medical Mutual Of Ohio HMO $108.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $97.42
Rate for Payer: Molina Healthcare Benefit Exchange $7.76
Rate for Payer: Molina Healthcare Medicaid $6.60
Rate for Payer: Ohio Health Choice Commercial $116.16
Rate for Payer: Ohio Health Group HMO $99.00
Rate for Payer: Ohio Health Group PPO Differential $26.40
Rate for Payer: Ohio Health Group PPO No Differential $17.16
Rate for Payer: Ohio Health Group PPO SOMC Employees $40.92
Rate for Payer: PHCS Commercial $126.72
Rate for Payer: United Healthcare All Payer $116.16
Service Code HCPCS 88240
Hospital Charge Code 30001466
Hospital Revenue Code 300
Min. Negotiated Rate $7.93
Max. Negotiated Rate $58.56
Rate for Payer: Aetna Commercial $46.97
Rate for Payer: Anthem Medicaid $13.07
Rate for Payer: Anthem Medicare Advantage/PPO $13.07
Rate for Payer: Anthem POS/PPO/Traditional $48.98
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.30
Rate for Payer: CareSource Just4Me Medicare $13.07
Rate for Payer: Cash Price $30.50
Rate for Payer: Cash Price $30.50
Rate for Payer: Cigna Commercial $50.63
Rate for Payer: First Health Commercial $57.95
Rate for Payer: Humana Commercial $51.85
Rate for Payer: Humana KY Medicaid $13.07
Rate for Payer: Humana Medicare Advantage $13.07
Rate for Payer: Kentucky WC Medicaid $13.20
Rate for Payer: Medical Mutual Of Ohio HMO $50.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $45.02
Rate for Payer: Molina Healthcare Benefit Exchange $15.68
Rate for Payer: Molina Healthcare Medicaid $13.33
Rate for Payer: Ohio Health Choice Commercial $53.68
Rate for Payer: Ohio Health Group HMO $45.75
Rate for Payer: Ohio Health Group PPO Differential $12.20
Rate for Payer: Ohio Health Group PPO No Differential $7.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $18.91
Rate for Payer: PHCS Commercial $58.56
Rate for Payer: United Healthcare All Payer $53.68
Service Code HCPCS 88240
Hospital Charge Code 30001466
Hospital Revenue Code 300
Min. Negotiated Rate $7.93
Max. Negotiated Rate $58.56
Rate for Payer: Aetna Commercial $46.97
Rate for Payer: Anthem POS/PPO/Traditional $48.98
Rate for Payer: Cash Price $30.50
Rate for Payer: Cigna Commercial $50.63
Rate for Payer: First Health Commercial $57.95
Rate for Payer: Humana Commercial $51.85
Rate for Payer: Medical Mutual Of Ohio HMO $50.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $45.02
Rate for Payer: Molina Healthcare Benefit Exchange $18.30
Rate for Payer: Ohio Health Choice Commercial $53.68
Rate for Payer: Ohio Health Group HMO $45.75
Rate for Payer: Ohio Health Group PPO Differential $12.20
Rate for Payer: Ohio Health Group PPO No Differential $7.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $18.91
Rate for Payer: PHCS Commercial $58.56
Rate for Payer: United Healthcare All Payer $53.68
Service Code HCPCS 86641
Hospital Charge Code 30002059
Hospital Revenue Code 302
Min. Negotiated Rate $12.28
Max. Negotiated Rate $90.72
Rate for Payer: Aetna Commercial $72.76
Rate for Payer: Anthem Medicaid $14.41
Rate for Payer: Anthem Medicare Advantage/PPO $14.41
Rate for Payer: Anthem POS/PPO/Traditional $75.88
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.17
Rate for Payer: CareSource Just4Me Medicare $14.41
Rate for Payer: Cash Price $47.25
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna Commercial $78.44
Rate for Payer: First Health Commercial $89.78
Rate for Payer: Humana Commercial $80.32
Rate for Payer: Humana KY Medicaid $14.41
Rate for Payer: Humana Medicare Advantage $14.41
Rate for Payer: Kentucky WC Medicaid $14.55
Rate for Payer: Medical Mutual Of Ohio HMO $77.49
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $69.74
Rate for Payer: Molina Healthcare Benefit Exchange $17.29
Rate for Payer: Molina Healthcare Medicaid $14.70
Rate for Payer: Ohio Health Choice Commercial $83.16
Rate for Payer: Ohio Health Group HMO $70.88
Rate for Payer: Ohio Health Group PPO Differential $18.90
Rate for Payer: Ohio Health Group PPO No Differential $12.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $29.30
Rate for Payer: PHCS Commercial $90.72
Rate for Payer: United Healthcare All Payer $83.16
Service Code HCPCS 86641
Hospital Charge Code 30002059
Hospital Revenue Code 302
Min. Negotiated Rate $12.28
Max. Negotiated Rate $90.72
Rate for Payer: Aetna Commercial $72.76
Rate for Payer: Anthem POS/PPO/Traditional $75.88
Rate for Payer: Cash Price $47.25
Rate for Payer: Cigna Commercial $78.44
Rate for Payer: First Health Commercial $89.78
Rate for Payer: Humana Commercial $80.32
Rate for Payer: Medical Mutual Of Ohio HMO $77.49
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $69.74
Rate for Payer: Molina Healthcare Benefit Exchange $28.35
Rate for Payer: Ohio Health Choice Commercial $83.16
Rate for Payer: Ohio Health Group HMO $70.88
Rate for Payer: Ohio Health Group PPO Differential $18.90
Rate for Payer: Ohio Health Group PPO No Differential $12.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $29.30
Rate for Payer: PHCS Commercial $90.72
Rate for Payer: United Healthcare All Payer $83.16
Service Code HCPCS 86003
Hospital Charge Code 30000784
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 30000784
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 30000643
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 30000643
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 30000825
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 30000825
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 87107
Hospital Charge Code 30001280
Hospital Revenue Code 306
Min. Negotiated Rate $12.48
Max. Negotiated Rate $92.16
Rate for Payer: Aetna Commercial $73.92
Rate for Payer: Anthem POS/PPO/Traditional $77.09
Rate for Payer: Cash Price $48.00
Rate for Payer: Cigna Commercial $79.68
Rate for Payer: First Health Commercial $91.20
Rate for Payer: Humana Commercial $81.60
Rate for Payer: Medical Mutual Of Ohio HMO $78.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $70.85
Rate for Payer: Molina Healthcare Benefit Exchange $28.80
Rate for Payer: Ohio Health Choice Commercial $84.48
Rate for Payer: Ohio Health Group HMO $72.00
Rate for Payer: Ohio Health Group PPO Differential $19.20
Rate for Payer: Ohio Health Group PPO No Differential $12.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $29.76
Rate for Payer: PHCS Commercial $92.16
Rate for Payer: United Healthcare All Payer $84.48
Service Code HCPCS 87107
Hospital Charge Code 30001280
Hospital Revenue Code 306
Min. Negotiated Rate $10.32
Max. Negotiated Rate $92.16
Rate for Payer: Aetna Commercial $73.92
Rate for Payer: Anthem Medicaid $10.32
Rate for Payer: Anthem Medicare Advantage/PPO $10.32
Rate for Payer: Anthem POS/PPO/Traditional $77.09
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $14.45
Rate for Payer: CareSource Just4Me Medicare $10.32
Rate for Payer: Cash Price $48.00
Rate for Payer: Cash Price $48.00
Rate for Payer: Cigna Commercial $79.68
Rate for Payer: First Health Commercial $91.20
Rate for Payer: Humana Commercial $81.60
Rate for Payer: Humana KY Medicaid $10.32
Rate for Payer: Humana Medicare Advantage $10.32
Rate for Payer: Kentucky WC Medicaid $10.42
Rate for Payer: Medical Mutual Of Ohio HMO $78.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $70.85
Rate for Payer: Molina Healthcare Benefit Exchange $12.38
Rate for Payer: Molina Healthcare Medicaid $10.53
Rate for Payer: Ohio Health Choice Commercial $84.48
Rate for Payer: Ohio Health Group HMO $72.00
Rate for Payer: Ohio Health Group PPO Differential $19.20
Rate for Payer: Ohio Health Group PPO No Differential $12.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $29.76
Rate for Payer: PHCS Commercial $92.16
Rate for Payer: United Healthcare All Payer $84.48
Service Code HCPCS 86003
Hospital Charge Code 30000887
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 30000887
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 30000682
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 30000682
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 86200
Hospital Charge Code 30001000
Hospital Revenue Code 300
Min. Negotiated Rate $7.77
Max. Negotiated Rate $177.00
Rate for Payer: Aetna Commercial $30.27
Rate for Payer: Buckeye Medicare Advantage $177.00
Rate for Payer: Cash Price $88.50
Rate for Payer: Cash Price $88.50
Rate for Payer: Cigna Commercial $11.52
Rate for Payer: Healthspan PPO $13.57
Rate for Payer: Multiplan PHCS $106.20
Rate for Payer: Ohio Health Choice Preferred Health Choice $123.90
Rate for Payer: UHCCP Medicaid $61.95
Rate for Payer: Wellcare CHIP/Medicaid $7.77
Service Code HCPCS 86200
Hospital Charge Code 30001000
Hospital Revenue Code 300
Min. Negotiated Rate $23.01
Max. Negotiated Rate $169.92
Rate for Payer: Aetna Commercial $136.29
Rate for Payer: Anthem POS/PPO/Traditional $142.13
Rate for Payer: Cash Price $88.50
Rate for Payer: Cigna Commercial $146.91
Rate for Payer: First Health Commercial $168.15
Rate for Payer: Humana Commercial $150.45
Rate for Payer: Medical Mutual Of Ohio HMO $145.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $130.63
Rate for Payer: Molina Healthcare Benefit Exchange $53.10
Rate for Payer: Ohio Health Choice Commercial $155.76
Rate for Payer: Ohio Health Group HMO $132.75
Rate for Payer: Ohio Health Group PPO Differential $35.40
Rate for Payer: Ohio Health Group PPO No Differential $23.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.87
Rate for Payer: PHCS Commercial $169.92
Rate for Payer: United Healthcare All Payer $155.76
Service Code HCPCS 86200
Hospital Charge Code 30001000
Hospital Revenue Code 300
Min. Negotiated Rate $12.95
Max. Negotiated Rate $169.92
Rate for Payer: Aetna Commercial $136.29
Rate for Payer: Anthem Medicaid $12.95
Rate for Payer: Anthem Medicare Advantage/PPO $12.95
Rate for Payer: Anthem POS/PPO/Traditional $142.13
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.13
Rate for Payer: CareSource Just4Me Medicare $12.95
Rate for Payer: Cash Price $88.50
Rate for Payer: Cash Price $88.50
Rate for Payer: Cigna Commercial $146.91
Rate for Payer: First Health Commercial $168.15
Rate for Payer: Humana Commercial $150.45
Rate for Payer: Humana KY Medicaid $12.95
Rate for Payer: Humana Medicare Advantage $12.95
Rate for Payer: Kentucky WC Medicaid $13.08
Rate for Payer: Medical Mutual Of Ohio HMO $145.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $130.63
Rate for Payer: Molina Healthcare Benefit Exchange $15.54
Rate for Payer: Molina Healthcare Medicaid $13.21
Rate for Payer: Ohio Health Choice Commercial $155.76
Rate for Payer: Ohio Health Group HMO $132.75
Rate for Payer: Ohio Health Group PPO Differential $35.40
Rate for Payer: Ohio Health Group PPO No Differential $23.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.87
Rate for Payer: PHCS Commercial $169.92
Rate for Payer: United Healthcare All Payer $155.76
Service Code HCPCS 80158
Hospital Charge Code 30000023
Hospital Revenue Code 300
Min. Negotiated Rate $18.05
Max. Negotiated Rate $210.24
Rate for Payer: Aetna Commercial $168.63
Rate for Payer: Anthem Medicaid $18.05
Rate for Payer: Anthem Medicare Advantage/PPO $18.05
Rate for Payer: Anthem POS/PPO/Traditional $175.86
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.27
Rate for Payer: CareSource Just4Me Medicare $18.05
Rate for Payer: Cash Price $109.50
Rate for Payer: Cash Price $109.50
Rate for Payer: Cigna Commercial $181.77
Rate for Payer: First Health Commercial $208.05
Rate for Payer: Humana Commercial $186.15
Rate for Payer: Humana KY Medicaid $18.05
Rate for Payer: Humana Medicare Advantage $18.05
Rate for Payer: Kentucky WC Medicaid $18.23
Rate for Payer: Medical Mutual Of Ohio HMO $179.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $161.62
Rate for Payer: Molina Healthcare Benefit Exchange $21.66
Rate for Payer: Molina Healthcare Medicaid $18.41
Rate for Payer: Ohio Health Choice Commercial $192.72
Rate for Payer: Ohio Health Group HMO $164.25
Rate for Payer: Ohio Health Group PPO Differential $43.80
Rate for Payer: Ohio Health Group PPO No Differential $28.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $67.89
Rate for Payer: PHCS Commercial $210.24
Rate for Payer: United Healthcare All Payer $192.72
Service Code HCPCS 80158
Hospital Charge Code 30000023
Hospital Revenue Code 300
Min. Negotiated Rate $28.47
Max. Negotiated Rate $210.24
Rate for Payer: Aetna Commercial $168.63
Rate for Payer: Anthem POS/PPO/Traditional $175.86
Rate for Payer: Cash Price $109.50
Rate for Payer: Cigna Commercial $181.77
Rate for Payer: First Health Commercial $208.05
Rate for Payer: Humana Commercial $186.15
Rate for Payer: Medical Mutual Of Ohio HMO $179.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $161.62
Rate for Payer: Molina Healthcare Benefit Exchange $65.70
Rate for Payer: Ohio Health Choice Commercial $192.72
Rate for Payer: Ohio Health Group HMO $164.25
Rate for Payer: Ohio Health Group PPO Differential $43.80
Rate for Payer: Ohio Health Group PPO No Differential $28.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $67.89
Rate for Payer: PHCS Commercial $210.24
Rate for Payer: United Healthcare All Payer $192.72
Service Code HCPCS 81225
Hospital Charge Code 30000183
Hospital Revenue Code 300
Min. Negotiated Rate $34.84
Max. Negotiated Rate $257.28
Rate for Payer: Aetna Commercial $206.36
Rate for Payer: Anthem POS/PPO/Traditional $215.20
Rate for Payer: Cash Price $134.00
Rate for Payer: Cigna Commercial $222.44
Rate for Payer: First Health Commercial $254.60
Rate for Payer: Humana Commercial $227.80
Rate for Payer: Medical Mutual Of Ohio HMO $219.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $197.78
Rate for Payer: Molina Healthcare Benefit Exchange $80.40
Rate for Payer: Ohio Health Choice Commercial $235.84
Rate for Payer: Ohio Health Group HMO $201.00
Rate for Payer: Ohio Health Group PPO Differential $53.60
Rate for Payer: Ohio Health Group PPO No Differential $34.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $83.08
Rate for Payer: PHCS Commercial $257.28
Rate for Payer: United Healthcare All Payer $235.84
Service Code HCPCS 81225
Hospital Charge Code 30000183
Hospital Revenue Code 300
Min. Negotiated Rate $34.84
Max. Negotiated Rate $407.90
Rate for Payer: Aetna Commercial $206.36
Rate for Payer: Anthem Medicaid $291.36
Rate for Payer: Anthem Medicare Advantage/PPO $291.36
Rate for Payer: Anthem POS/PPO/Traditional $215.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $407.90
Rate for Payer: CareSource Just4Me Medicare $291.36
Rate for Payer: Cash Price $134.00
Rate for Payer: Cash Price $134.00
Rate for Payer: Cigna Commercial $222.44
Rate for Payer: First Health Commercial $254.60
Rate for Payer: Humana Commercial $227.80
Rate for Payer: Humana KY Medicaid $291.36
Rate for Payer: Humana Medicare Advantage $291.36
Rate for Payer: Kentucky WC Medicaid $294.27
Rate for Payer: Medical Mutual Of Ohio HMO $219.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $197.78
Rate for Payer: Molina Healthcare Benefit Exchange $349.63
Rate for Payer: Molina Healthcare Medicaid $297.19
Rate for Payer: Ohio Health Choice Commercial $235.84
Rate for Payer: Ohio Health Group HMO $201.00
Rate for Payer: Ohio Health Group PPO Differential $53.60
Rate for Payer: Ohio Health Group PPO No Differential $34.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $83.08
Rate for Payer: PHCS Commercial $257.28
Rate for Payer: United Healthcare All Payer $235.84
Service Code HCPCS 81227
Hospital Charge Code 30002006
Hospital Revenue Code 300
Min. Negotiated Rate $24.18
Max. Negotiated Rate $178.56
Rate for Payer: Aetna Commercial $143.22
Rate for Payer: Anthem POS/PPO/Traditional $149.36
Rate for Payer: Cash Price $93.00
Rate for Payer: Cigna Commercial $154.38
Rate for Payer: First Health Commercial $176.70
Rate for Payer: Humana Commercial $158.10
Rate for Payer: Medical Mutual Of Ohio HMO $152.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $137.27
Rate for Payer: Molina Healthcare Benefit Exchange $55.80
Rate for Payer: Ohio Health Choice Commercial $163.68
Rate for Payer: Ohio Health Group HMO $139.50
Rate for Payer: Ohio Health Group PPO Differential $37.20
Rate for Payer: Ohio Health Group PPO No Differential $24.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.66
Rate for Payer: PHCS Commercial $178.56
Rate for Payer: United Healthcare All Payer $163.68