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Service Code HCPCS 82787
Hospital Charge Code 30000327
Hospital Revenue Code 300
Min. Negotiated Rate $11.31
Max. Negotiated Rate $83.52
Rate for Payer: Aetna Commercial $66.99
Rate for Payer: Anthem POS/PPO/Traditional $69.86
Rate for Payer: Cash Price $43.50
Rate for Payer: Cigna Commercial $72.21
Rate for Payer: First Health Commercial $82.65
Rate for Payer: Humana Commercial $73.95
Rate for Payer: Medical Mutual Of Ohio HMO $71.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $64.21
Rate for Payer: Molina Healthcare Benefit Exchange $26.10
Rate for Payer: Ohio Health Choice Commercial $76.56
Rate for Payer: Ohio Health Group HMO $65.25
Rate for Payer: Ohio Health Group PPO Differential $17.40
Rate for Payer: Ohio Health Group PPO No Differential $11.31
Rate for Payer: Ohio Health Group PPO SOMC Employees $26.97
Rate for Payer: PHCS Commercial $83.52
Rate for Payer: United Healthcare All Payer $76.56
Service Code HCPCS 82787
Hospital Charge Code 30000327
Hospital Revenue Code 300
Min. Negotiated Rate $8.02
Max. Negotiated Rate $83.52
Rate for Payer: Aetna Commercial $66.99
Rate for Payer: Anthem Medicaid $8.02
Rate for Payer: Anthem Medicare Advantage/PPO $8.02
Rate for Payer: Anthem POS/PPO/Traditional $69.86
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $11.23
Rate for Payer: CareSource Just4Me Medicare $8.02
Rate for Payer: Cash Price $43.50
Rate for Payer: Cash Price $43.50
Rate for Payer: Cigna Commercial $72.21
Rate for Payer: First Health Commercial $82.65
Rate for Payer: Humana Commercial $73.95
Rate for Payer: Humana KY Medicaid $8.02
Rate for Payer: Humana Medicare Advantage $8.02
Rate for Payer: Kentucky WC Medicaid $8.10
Rate for Payer: Medical Mutual Of Ohio HMO $71.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $64.21
Rate for Payer: Molina Healthcare Benefit Exchange $9.62
Rate for Payer: Molina Healthcare Medicaid $8.18
Rate for Payer: Ohio Health Choice Commercial $76.56
Rate for Payer: Ohio Health Group HMO $65.25
Rate for Payer: Ohio Health Group PPO Differential $17.40
Rate for Payer: Ohio Health Group PPO No Differential $11.31
Rate for Payer: Ohio Health Group PPO SOMC Employees $26.97
Rate for Payer: PHCS Commercial $83.52
Rate for Payer: United Healthcare All Payer $76.56
Service Code HCPCS 81261
Hospital Charge Code 30001855
Hospital Revenue Code 300
Min. Negotiated Rate $53.43
Max. Negotiated Rate $394.56
Rate for Payer: Aetna Commercial $316.47
Rate for Payer: Anthem POS/PPO/Traditional $330.03
Rate for Payer: Cash Price $205.50
Rate for Payer: Cigna Commercial $341.13
Rate for Payer: First Health Commercial $390.45
Rate for Payer: Humana Commercial $349.35
Rate for Payer: Medical Mutual Of Ohio HMO $337.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $303.32
Rate for Payer: Molina Healthcare Benefit Exchange $123.30
Rate for Payer: Ohio Health Choice Commercial $361.68
Rate for Payer: Ohio Health Group HMO $308.25
Rate for Payer: Ohio Health Group PPO Differential $82.20
Rate for Payer: Ohio Health Group PPO No Differential $53.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $127.41
Rate for Payer: PHCS Commercial $394.56
Rate for Payer: United Healthcare All Payer $361.68
Service Code HCPCS 81261
Hospital Charge Code 30001855
Hospital Revenue Code 300
Min. Negotiated Rate $53.43
Max. Negotiated Rate $394.56
Rate for Payer: Aetna Commercial $316.47
Rate for Payer: Anthem Medicaid $197.99
Rate for Payer: Anthem Medicare Advantage/PPO $197.99
Rate for Payer: Anthem POS/PPO/Traditional $330.03
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $277.19
Rate for Payer: CareSource Just4Me Medicare $197.99
Rate for Payer: Cash Price $205.50
Rate for Payer: Cash Price $205.50
Rate for Payer: Cigna Commercial $341.13
Rate for Payer: First Health Commercial $390.45
Rate for Payer: Humana Commercial $349.35
Rate for Payer: Humana KY Medicaid $197.99
Rate for Payer: Humana Medicare Advantage $197.99
Rate for Payer: Kentucky WC Medicaid $199.97
Rate for Payer: Medical Mutual Of Ohio HMO $337.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $303.32
Rate for Payer: Molina Healthcare Benefit Exchange $237.59
Rate for Payer: Molina Healthcare Medicaid $201.95
Rate for Payer: Ohio Health Choice Commercial $361.68
Rate for Payer: Ohio Health Group HMO $308.25
Rate for Payer: Ohio Health Group PPO Differential $82.20
Rate for Payer: Ohio Health Group PPO No Differential $53.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $127.41
Rate for Payer: PHCS Commercial $394.56
Rate for Payer: United Healthcare All Payer $361.68
Service Code HCPCS 81263
Hospital Charge Code 30001883
Hospital Revenue Code 300
Min. Negotiated Rate $130.91
Max. Negotiated Rate $966.72
Rate for Payer: Aetna Commercial $775.39
Rate for Payer: Anthem Medicaid $294.52
Rate for Payer: Anthem Medicare Advantage/PPO $294.52
Rate for Payer: Anthem POS/PPO/Traditional $808.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $412.33
Rate for Payer: CareSource Just4Me Medicare $294.52
Rate for Payer: Cash Price $503.50
Rate for Payer: Cash Price $503.50
Rate for Payer: Cigna Commercial $835.81
Rate for Payer: First Health Commercial $956.65
Rate for Payer: Humana Commercial $855.95
Rate for Payer: Humana KY Medicaid $294.52
Rate for Payer: Humana Medicare Advantage $294.52
Rate for Payer: Kentucky WC Medicaid $297.47
Rate for Payer: Medical Mutual Of Ohio HMO $825.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $743.17
Rate for Payer: Molina Healthcare Benefit Exchange $353.42
Rate for Payer: Molina Healthcare Medicaid $300.41
Rate for Payer: Ohio Health Choice Commercial $886.16
Rate for Payer: Ohio Health Group HMO $755.25
Rate for Payer: Ohio Health Group PPO Differential $201.40
Rate for Payer: Ohio Health Group PPO No Differential $130.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $312.17
Rate for Payer: PHCS Commercial $966.72
Rate for Payer: United Healthcare All Payer $886.16
Service Code HCPCS 81263
Hospital Charge Code 30001883
Hospital Revenue Code 300
Min. Negotiated Rate $130.91
Max. Negotiated Rate $966.72
Rate for Payer: Aetna Commercial $775.39
Rate for Payer: Anthem POS/PPO/Traditional $808.62
Rate for Payer: Cash Price $503.50
Rate for Payer: Cigna Commercial $835.81
Rate for Payer: First Health Commercial $956.65
Rate for Payer: Humana Commercial $855.95
Rate for Payer: Medical Mutual Of Ohio HMO $825.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $743.17
Rate for Payer: Molina Healthcare Benefit Exchange $302.10
Rate for Payer: Ohio Health Choice Commercial $886.16
Rate for Payer: Ohio Health Group HMO $755.25
Rate for Payer: Ohio Health Group PPO Differential $201.40
Rate for Payer: Ohio Health Group PPO No Differential $130.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $312.17
Rate for Payer: PHCS Commercial $966.72
Rate for Payer: United Healthcare All Payer $886.16
Service Code HCPCS 81264
Hospital Charge Code 30001854
Hospital Revenue Code 300
Min. Negotiated Rate $53.43
Max. Negotiated Rate $394.56
Rate for Payer: Aetna Commercial $316.47
Rate for Payer: Anthem Medicaid $172.73
Rate for Payer: Anthem Medicare Advantage/PPO $172.73
Rate for Payer: Anthem POS/PPO/Traditional $330.03
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $241.82
Rate for Payer: CareSource Just4Me Medicare $172.73
Rate for Payer: Cash Price $205.50
Rate for Payer: Cash Price $205.50
Rate for Payer: Cigna Commercial $341.13
Rate for Payer: First Health Commercial $390.45
Rate for Payer: Humana Commercial $349.35
Rate for Payer: Humana KY Medicaid $172.73
Rate for Payer: Humana Medicare Advantage $172.73
Rate for Payer: Kentucky WC Medicaid $174.46
Rate for Payer: Medical Mutual Of Ohio HMO $337.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $303.32
Rate for Payer: Molina Healthcare Benefit Exchange $207.28
Rate for Payer: Molina Healthcare Medicaid $176.18
Rate for Payer: Ohio Health Choice Commercial $361.68
Rate for Payer: Ohio Health Group HMO $308.25
Rate for Payer: Ohio Health Group PPO Differential $82.20
Rate for Payer: Ohio Health Group PPO No Differential $53.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $127.41
Rate for Payer: PHCS Commercial $394.56
Rate for Payer: United Healthcare All Payer $361.68
Service Code HCPCS 81264
Hospital Charge Code 30001854
Hospital Revenue Code 300
Min. Negotiated Rate $53.43
Max. Negotiated Rate $394.56
Rate for Payer: Aetna Commercial $316.47
Rate for Payer: Anthem POS/PPO/Traditional $330.03
Rate for Payer: Cash Price $205.50
Rate for Payer: Cigna Commercial $341.13
Rate for Payer: First Health Commercial $390.45
Rate for Payer: Humana Commercial $349.35
Rate for Payer: Medical Mutual Of Ohio HMO $337.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $303.32
Rate for Payer: Molina Healthcare Benefit Exchange $123.30
Rate for Payer: Ohio Health Choice Commercial $361.68
Rate for Payer: Ohio Health Group HMO $308.25
Rate for Payer: Ohio Health Group PPO Differential $82.20
Rate for Payer: Ohio Health Group PPO No Differential $53.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $127.41
Rate for Payer: PHCS Commercial $394.56
Rate for Payer: United Healthcare All Payer $361.68
Service Code HCPCS 0077U
Hospital Charge Code 30001944
Hospital Revenue Code 300
Min. Negotiated Rate $10.79
Max. Negotiated Rate $79.68
Rate for Payer: Aetna Commercial $63.91
Rate for Payer: Anthem Medicaid $43.43
Rate for Payer: Anthem Medicare Advantage/PPO $43.43
Rate for Payer: Anthem POS/PPO/Traditional $66.65
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $60.80
Rate for Payer: CareSource Just4Me Medicare $43.43
Rate for Payer: Cash Price $41.50
Rate for Payer: Cash Price $41.50
Rate for Payer: Cigna Commercial $68.89
Rate for Payer: First Health Commercial $78.85
Rate for Payer: Humana Commercial $70.55
Rate for Payer: Humana KY Medicaid $43.43
Rate for Payer: Humana Medicare Advantage $43.43
Rate for Payer: Kentucky WC Medicaid $43.86
Rate for Payer: Medical Mutual Of Ohio HMO $68.06
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $61.25
Rate for Payer: Molina Healthcare Benefit Exchange $52.12
Rate for Payer: Molina Healthcare Medicaid $44.30
Rate for Payer: Ohio Health Choice Commercial $73.04
Rate for Payer: Ohio Health Group HMO $62.25
Rate for Payer: Ohio Health Group PPO Differential $16.60
Rate for Payer: Ohio Health Group PPO No Differential $10.79
Rate for Payer: Ohio Health Group PPO SOMC Employees $25.73
Rate for Payer: PHCS Commercial $79.68
Rate for Payer: United Healthcare All Payer $73.04
Service Code HCPCS 0077U
Hospital Charge Code 30001944
Hospital Revenue Code 300
Min. Negotiated Rate $10.79
Max. Negotiated Rate $79.68
Rate for Payer: Aetna Commercial $63.91
Rate for Payer: Anthem POS/PPO/Traditional $66.65
Rate for Payer: Cash Price $41.50
Rate for Payer: Cigna Commercial $68.89
Rate for Payer: First Health Commercial $78.85
Rate for Payer: Humana Commercial $70.55
Rate for Payer: Medical Mutual Of Ohio HMO $68.06
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $61.25
Rate for Payer: Molina Healthcare Benefit Exchange $24.90
Rate for Payer: Ohio Health Choice Commercial $73.04
Rate for Payer: Ohio Health Group HMO $62.25
Rate for Payer: Ohio Health Group PPO Differential $16.60
Rate for Payer: Ohio Health Group PPO No Differential $10.79
Rate for Payer: Ohio Health Group PPO SOMC Employees $25.73
Rate for Payer: PHCS Commercial $79.68
Rate for Payer: United Healthcare All Payer $73.04
Service Code HCPCS 88344
Hospital Charge Code 30002004
Hospital Revenue Code 310
Min. Negotiated Rate $50.96
Max. Negotiated Rate $376.32
Rate for Payer: Aetna Commercial $301.84
Rate for Payer: Anthem POS/PPO/Traditional $314.78
Rate for Payer: Cash Price $196.00
Rate for Payer: Cigna Commercial $325.36
Rate for Payer: First Health Commercial $372.40
Rate for Payer: Humana Commercial $333.20
Rate for Payer: Medical Mutual Of Ohio HMO $321.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $289.30
Rate for Payer: Molina Healthcare Benefit Exchange $117.60
Rate for Payer: Ohio Health Choice Commercial $344.96
Rate for Payer: Ohio Health Group HMO $294.00
Rate for Payer: Ohio Health Group PPO Differential $78.40
Rate for Payer: Ohio Health Group PPO No Differential $50.96
Rate for Payer: Ohio Health Group PPO SOMC Employees $121.52
Rate for Payer: PHCS Commercial $376.32
Rate for Payer: United Healthcare All Payer $344.96
Service Code HCPCS 88344
Hospital Charge Code 30002004
Hospital Revenue Code 310
Min. Negotiated Rate $50.96
Max. Negotiated Rate $435.16
Rate for Payer: Aetna Commercial $301.84
Rate for Payer: Anthem Medicaid $134.81
Rate for Payer: Anthem Medicare Advantage/PPO $310.83
Rate for Payer: Anthem POS/PPO/Traditional $314.78
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $435.16
Rate for Payer: CareSource Just4Me Medicare $419.62
Rate for Payer: Cash Price $196.00
Rate for Payer: Cash Price $196.00
Rate for Payer: Cigna Commercial $325.36
Rate for Payer: First Health Commercial $372.40
Rate for Payer: Humana Commercial $333.20
Rate for Payer: Humana KY Medicaid $134.81
Rate for Payer: Humana Medicare Advantage $310.83
Rate for Payer: Kentucky WC Medicaid $136.18
Rate for Payer: Medical Mutual Of Ohio HMO $321.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $289.30
Rate for Payer: Molina Healthcare Benefit Exchange $373.00
Rate for Payer: Molina Healthcare Medicaid $137.51
Rate for Payer: Ohio Health Choice Commercial $344.96
Rate for Payer: Ohio Health Group HMO $294.00
Rate for Payer: Ohio Health Group PPO Differential $78.40
Rate for Payer: Ohio Health Group PPO No Differential $50.96
Rate for Payer: Ohio Health Group PPO SOMC Employees $121.52
Rate for Payer: PHCS Commercial $376.32
Rate for Payer: United Healthcare All Payer $344.96
Service Code HCPCS 81260
Hospital Charge Code 30001916
Hospital Revenue Code 300
Min. Negotiated Rate $6.24
Max. Negotiated Rate $55.03
Rate for Payer: Aetna Commercial $36.96
Rate for Payer: Anthem Medicaid $39.31
Rate for Payer: Anthem Medicare Advantage/PPO $39.31
Rate for Payer: Anthem POS/PPO/Traditional $38.54
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $55.03
Rate for Payer: CareSource Just4Me Medicare $39.31
Rate for Payer: Cash Price $24.00
Rate for Payer: Cash Price $24.00
Rate for Payer: Cigna Commercial $39.84
Rate for Payer: First Health Commercial $45.60
Rate for Payer: Humana Commercial $40.80
Rate for Payer: Humana KY Medicaid $39.31
Rate for Payer: Humana Medicare Advantage $39.31
Rate for Payer: Kentucky WC Medicaid $39.70
Rate for Payer: Medical Mutual Of Ohio HMO $39.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $35.42
Rate for Payer: Molina Healthcare Benefit Exchange $47.17
Rate for Payer: Molina Healthcare Medicaid $40.10
Rate for Payer: Ohio Health Choice Commercial $42.24
Rate for Payer: Ohio Health Group HMO $36.00
Rate for Payer: Ohio Health Group PPO Differential $9.60
Rate for Payer: Ohio Health Group PPO No Differential $6.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $14.88
Rate for Payer: PHCS Commercial $46.08
Rate for Payer: United Healthcare All Payer $42.24
Service Code HCPCS 81260
Hospital Charge Code 30001916
Hospital Revenue Code 300
Min. Negotiated Rate $6.24
Max. Negotiated Rate $46.08
Rate for Payer: Aetna Commercial $36.96
Rate for Payer: Anthem POS/PPO/Traditional $38.54
Rate for Payer: Cash Price $24.00
Rate for Payer: Cigna Commercial $39.84
Rate for Payer: First Health Commercial $45.60
Rate for Payer: Humana Commercial $40.80
Rate for Payer: Medical Mutual Of Ohio HMO $39.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $35.42
Rate for Payer: Molina Healthcare Benefit Exchange $14.40
Rate for Payer: Ohio Health Choice Commercial $42.24
Rate for Payer: Ohio Health Group HMO $36.00
Rate for Payer: Ohio Health Group PPO Differential $9.60
Rate for Payer: Ohio Health Group PPO No Differential $6.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $14.88
Rate for Payer: PHCS Commercial $46.08
Rate for Payer: United Healthcare All Payer $42.24
Service Code HCPCS 81479
Hospital Charge Code 30000212
Hospital Revenue Code 300
Min. Negotiated Rate $59.02
Max. Negotiated Rate $435.84
Rate for Payer: Aetna Commercial $349.58
Rate for Payer: Anthem Medicaid $156.13
Rate for Payer: Anthem POS/PPO/Traditional $364.56
Rate for Payer: Cash Price $227.00
Rate for Payer: Cigna Commercial $376.82
Rate for Payer: First Health Commercial $431.30
Rate for Payer: Humana Commercial $385.90
Rate for Payer: Humana KY Medicaid $156.13
Rate for Payer: Kentucky WC Medicaid $157.72
Rate for Payer: Medical Mutual Of Ohio HMO $372.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $335.05
Rate for Payer: Molina Healthcare Benefit Exchange $136.20
Rate for Payer: Molina Healthcare Medicaid $159.26
Rate for Payer: Ohio Health Choice Commercial $399.52
Rate for Payer: Ohio Health Group HMO $340.50
Rate for Payer: Ohio Health Group PPO Differential $90.80
Rate for Payer: Ohio Health Group PPO No Differential $59.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $140.74
Rate for Payer: PHCS Commercial $435.84
Rate for Payer: United Healthcare All Payer $399.52
Service Code HCPCS 81479
Hospital Charge Code 30000212
Hospital Revenue Code 300
Min. Negotiated Rate $59.02
Max. Negotiated Rate $435.84
Rate for Payer: Aetna Commercial $349.58
Rate for Payer: Anthem POS/PPO/Traditional $364.56
Rate for Payer: Cash Price $227.00
Rate for Payer: Cigna Commercial $376.82
Rate for Payer: First Health Commercial $431.30
Rate for Payer: Humana Commercial $385.90
Rate for Payer: Medical Mutual Of Ohio HMO $372.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $335.05
Rate for Payer: Molina Healthcare Benefit Exchange $136.20
Rate for Payer: Ohio Health Choice Commercial $399.52
Rate for Payer: Ohio Health Group HMO $340.50
Rate for Payer: Ohio Health Group PPO Differential $90.80
Rate for Payer: Ohio Health Group PPO No Differential $59.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $140.74
Rate for Payer: PHCS Commercial $435.84
Rate for Payer: United Healthcare All Payer $399.52
Service Code HCPCS G0480
Hospital Charge Code 30000093
Hospital Revenue Code 300
Min. Negotiated Rate $7.15
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $42.35
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $44.16
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $27.50
Rate for Payer: Cash Price $27.50
Rate for Payer: Cigna Commercial $45.65
Rate for Payer: First Health Commercial $52.25
Rate for Payer: Humana Commercial $46.75
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 $45.10
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $40.59
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $48.40
Rate for Payer: Ohio Health Group HMO $41.25
Rate for Payer: Ohio Health Group PPO Differential $11.00
Rate for Payer: Ohio Health Group PPO No Differential $7.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $17.05
Rate for Payer: PHCS Commercial $52.80
Rate for Payer: United Healthcare All Payer $48.40
Service Code HCPCS G0480
Hospital Charge Code 30000093
Hospital Revenue Code 300
Min. Negotiated Rate $7.15
Max. Negotiated Rate $52.80
Rate for Payer: Aetna Commercial $42.35
Rate for Payer: Anthem POS/PPO/Traditional $44.16
Rate for Payer: Cash Price $27.50
Rate for Payer: Cigna Commercial $45.65
Rate for Payer: First Health Commercial $52.25
Rate for Payer: Humana Commercial $46.75
Rate for Payer: Medical Mutual Of Ohio HMO $45.10
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $40.59
Rate for Payer: Molina Healthcare Benefit Exchange $16.50
Rate for Payer: Ohio Health Choice Commercial $48.40
Rate for Payer: Ohio Health Group HMO $41.25
Rate for Payer: Ohio Health Group PPO Differential $11.00
Rate for Payer: Ohio Health Group PPO No Differential $7.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $17.05
Rate for Payer: PHCS Commercial $52.80
Rate for Payer: United Healthcare All Payer $48.40
Service Code HCPCS 86332
Hospital Charge Code 30002058
Hospital Revenue Code 302
Min. Negotiated Rate $10.27
Max. Negotiated Rate $75.84
Rate for Payer: Aetna Commercial $60.83
Rate for Payer: Anthem Medicaid $24.37
Rate for Payer: Anthem Medicare Advantage/PPO $24.37
Rate for Payer: Anthem POS/PPO/Traditional $63.44
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $34.12
Rate for Payer: CareSource Just4Me Medicare $24.37
Rate for Payer: Cash Price $39.50
Rate for Payer: Cash Price $39.50
Rate for Payer: Cigna Commercial $65.57
Rate for Payer: First Health Commercial $75.05
Rate for Payer: Humana Commercial $67.15
Rate for Payer: Humana KY Medicaid $24.37
Rate for Payer: Humana Medicare Advantage $24.37
Rate for Payer: Kentucky WC Medicaid $24.61
Rate for Payer: Medical Mutual Of Ohio HMO $64.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $58.30
Rate for Payer: Molina Healthcare Benefit Exchange $29.24
Rate for Payer: Molina Healthcare Medicaid $24.86
Rate for Payer: Ohio Health Choice Commercial $69.52
Rate for Payer: Ohio Health Group HMO $59.25
Rate for Payer: Ohio Health Group PPO Differential $15.80
Rate for Payer: Ohio Health Group PPO No Differential $10.27
Rate for Payer: Ohio Health Group PPO SOMC Employees $24.49
Rate for Payer: PHCS Commercial $75.84
Rate for Payer: United Healthcare All Payer $69.52
Service Code HCPCS 86332
Hospital Charge Code 30002058
Hospital Revenue Code 302
Min. Negotiated Rate $10.27
Max. Negotiated Rate $75.84
Rate for Payer: Aetna Commercial $60.83
Rate for Payer: Anthem POS/PPO/Traditional $63.44
Rate for Payer: Cash Price $39.50
Rate for Payer: Cigna Commercial $65.57
Rate for Payer: First Health Commercial $75.05
Rate for Payer: Humana Commercial $67.15
Rate for Payer: Medical Mutual Of Ohio HMO $64.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $58.30
Rate for Payer: Molina Healthcare Benefit Exchange $23.70
Rate for Payer: Ohio Health Choice Commercial $69.52
Rate for Payer: Ohio Health Group HMO $59.25
Rate for Payer: Ohio Health Group PPO Differential $15.80
Rate for Payer: Ohio Health Group PPO No Differential $10.27
Rate for Payer: Ohio Health Group PPO SOMC Employees $24.49
Rate for Payer: PHCS Commercial $75.84
Rate for Payer: United Healthcare All Payer $69.52
Service Code HCPCS 86331
Hospital Charge Code 30001998
Hospital Revenue Code 300
Min. Negotiated Rate $3.25
Max. Negotiated Rate $24.00
Rate for Payer: Aetna Commercial $19.25
Rate for Payer: Anthem Medicaid $11.98
Rate for Payer: Anthem Medicare Advantage/PPO $11.98
Rate for Payer: Anthem POS/PPO/Traditional $20.08
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.77
Rate for Payer: CareSource Just4Me Medicare $11.98
Rate for Payer: Cash Price $12.50
Rate for Payer: Cash Price $12.50
Rate for Payer: Cigna Commercial $20.75
Rate for Payer: First Health Commercial $23.75
Rate for Payer: Humana Commercial $21.25
Rate for Payer: Humana KY Medicaid $11.98
Rate for Payer: Humana Medicare Advantage $11.98
Rate for Payer: Kentucky WC Medicaid $12.10
Rate for Payer: Medical Mutual Of Ohio HMO $20.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $18.45
Rate for Payer: Molina Healthcare Benefit Exchange $14.38
Rate for Payer: Molina Healthcare Medicaid $12.22
Rate for Payer: Ohio Health Choice Commercial $22.00
Rate for Payer: Ohio Health Group HMO $18.75
Rate for Payer: Ohio Health Group PPO Differential $5.00
Rate for Payer: Ohio Health Group PPO No Differential $3.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.75
Rate for Payer: PHCS Commercial $24.00
Rate for Payer: United Healthcare All Payer $22.00
Service Code HCPCS 86331
Hospital Charge Code 30001998
Hospital Revenue Code 300
Min. Negotiated Rate $3.25
Max. Negotiated Rate $24.00
Rate for Payer: Aetna Commercial $19.25
Rate for Payer: Anthem POS/PPO/Traditional $20.08
Rate for Payer: Cash Price $12.50
Rate for Payer: Cigna Commercial $20.75
Rate for Payer: First Health Commercial $23.75
Rate for Payer: Humana Commercial $21.25
Rate for Payer: Medical Mutual Of Ohio HMO $20.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $18.45
Rate for Payer: Molina Healthcare Benefit Exchange $7.50
Rate for Payer: Ohio Health Choice Commercial $22.00
Rate for Payer: Ohio Health Group HMO $18.75
Rate for Payer: Ohio Health Group PPO Differential $5.00
Rate for Payer: Ohio Health Group PPO No Differential $3.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.75
Rate for Payer: PHCS Commercial $24.00
Rate for Payer: United Healthcare All Payer $22.00
Service Code HCPCS 86320
Hospital Charge Code 30001066
Hospital Revenue Code 300
Min. Negotiated Rate $18.20
Max. Negotiated Rate $134.40
Rate for Payer: Aetna Commercial $107.80
Rate for Payer: Anthem POS/PPO/Traditional $112.42
Rate for Payer: Cash Price $70.00
Rate for Payer: Cigna Commercial $116.20
Rate for Payer: First Health Commercial $133.00
Rate for Payer: Humana Commercial $119.00
Rate for Payer: Medical Mutual Of Ohio HMO $114.80
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $103.32
Rate for Payer: Molina Healthcare Benefit Exchange $42.00
Rate for Payer: Ohio Health Choice Commercial $123.20
Rate for Payer: Ohio Health Group HMO $105.00
Rate for Payer: Ohio Health Group PPO Differential $28.00
Rate for Payer: Ohio Health Group PPO No Differential $18.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $43.40
Rate for Payer: PHCS Commercial $134.40
Rate for Payer: United Healthcare All Payer $123.20
Service Code HCPCS 86320
Hospital Charge Code 30001066
Hospital Revenue Code 300
Min. Negotiated Rate $18.20
Max. Negotiated Rate $134.40
Rate for Payer: Aetna Commercial $107.80
Rate for Payer: Anthem Medicaid $29.92
Rate for Payer: Anthem Medicare Advantage/PPO $29.92
Rate for Payer: Anthem POS/PPO/Traditional $112.42
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $41.89
Rate for Payer: CareSource Just4Me Medicare $29.92
Rate for Payer: Cash Price $70.00
Rate for Payer: Cash Price $70.00
Rate for Payer: Cigna Commercial $116.20
Rate for Payer: First Health Commercial $133.00
Rate for Payer: Humana Commercial $119.00
Rate for Payer: Humana KY Medicaid $29.92
Rate for Payer: Humana Medicare Advantage $29.92
Rate for Payer: Kentucky WC Medicaid $30.22
Rate for Payer: Medical Mutual Of Ohio HMO $114.80
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $103.32
Rate for Payer: Molina Healthcare Benefit Exchange $35.90
Rate for Payer: Molina Healthcare Medicaid $30.52
Rate for Payer: Ohio Health Choice Commercial $123.20
Rate for Payer: Ohio Health Group HMO $105.00
Rate for Payer: Ohio Health Group PPO Differential $28.00
Rate for Payer: Ohio Health Group PPO No Differential $18.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $43.40
Rate for Payer: PHCS Commercial $134.40
Rate for Payer: United Healthcare All Payer $123.20
Service Code HCPCS 86325
Hospital Charge Code 30001067
Hospital Revenue Code 300
Min. Negotiated Rate $17.68
Max. Negotiated Rate $130.56
Rate for Payer: Aetna Commercial $104.72
Rate for Payer: Anthem Medicaid $23.13
Rate for Payer: Anthem Medicare Advantage/PPO $23.13
Rate for Payer: Anthem POS/PPO/Traditional $109.21
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $32.38
Rate for Payer: CareSource Just4Me Medicare $23.13
Rate for Payer: Cash Price $68.00
Rate for Payer: Cash Price $68.00
Rate for Payer: Cigna Commercial $112.88
Rate for Payer: First Health Commercial $129.20
Rate for Payer: Humana Commercial $115.60
Rate for Payer: Humana KY Medicaid $23.13
Rate for Payer: Humana Medicare Advantage $23.13
Rate for Payer: Kentucky WC Medicaid $23.36
Rate for Payer: Medical Mutual Of Ohio HMO $111.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $100.37
Rate for Payer: Molina Healthcare Benefit Exchange $27.76
Rate for Payer: Molina Healthcare Medicaid $23.59
Rate for Payer: Ohio Health Choice Commercial $119.68
Rate for Payer: Ohio Health Group HMO $102.00
Rate for Payer: Ohio Health Group PPO Differential $27.20
Rate for Payer: Ohio Health Group PPO No Differential $17.68
Rate for Payer: Ohio Health Group PPO SOMC Employees $42.16
Rate for Payer: PHCS Commercial $130.56
Rate for Payer: United Healthcare All Payer $119.68