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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 POS/PPO/Traditional $109.21
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: 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 $40.80
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
Service Code HCPCS 86335
Hospital Charge Code 30001069
Hospital Revenue Code 300
Min. Negotiated Rate $29.35
Max. Negotiated Rate $217.92
Rate for Payer: Aetna Commercial $174.79
Rate for Payer: Anthem Medicaid $29.35
Rate for Payer: Anthem Medicare Advantage/PPO $29.35
Rate for Payer: Anthem POS/PPO/Traditional $182.28
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $41.09
Rate for Payer: CareSource Just4Me Medicare $29.35
Rate for Payer: Cash Price $113.50
Rate for Payer: Cash Price $113.50
Rate for Payer: Cigna Commercial $188.41
Rate for Payer: First Health Commercial $215.65
Rate for Payer: Humana Commercial $192.95
Rate for Payer: Humana KY Medicaid $29.35
Rate for Payer: Humana Medicare Advantage $29.35
Rate for Payer: Kentucky WC Medicaid $29.64
Rate for Payer: Medical Mutual Of Ohio HMO $186.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $167.53
Rate for Payer: Molina Healthcare Benefit Exchange $35.22
Rate for Payer: Molina Healthcare Medicaid $29.94
Rate for Payer: Ohio Health Choice Commercial $199.76
Rate for Payer: Ohio Health Group HMO $170.25
Rate for Payer: Ohio Health Group PPO Differential $45.40
Rate for Payer: Ohio Health Group PPO No Differential $29.51
Rate for Payer: Ohio Health Group PPO SOMC Employees $70.37
Rate for Payer: PHCS Commercial $217.92
Rate for Payer: United Healthcare All Payer $199.76
Service Code HCPCS 86335
Hospital Charge Code 30001069
Hospital Revenue Code 300
Min. Negotiated Rate $29.51
Max. Negotiated Rate $217.92
Rate for Payer: Aetna Commercial $174.79
Rate for Payer: Anthem POS/PPO/Traditional $182.28
Rate for Payer: Cash Price $113.50
Rate for Payer: Cigna Commercial $188.41
Rate for Payer: First Health Commercial $215.65
Rate for Payer: Humana Commercial $192.95
Rate for Payer: Medical Mutual Of Ohio HMO $186.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $167.53
Rate for Payer: Molina Healthcare Benefit Exchange $68.10
Rate for Payer: Ohio Health Choice Commercial $199.76
Rate for Payer: Ohio Health Group HMO $170.25
Rate for Payer: Ohio Health Group PPO Differential $45.40
Rate for Payer: Ohio Health Group PPO No Differential $29.51
Rate for Payer: Ohio Health Group PPO SOMC Employees $70.37
Rate for Payer: PHCS Commercial $217.92
Rate for Payer: United Healthcare All Payer $199.76
Service Code HCPCS 86334
Hospital Charge Code 30001068
Hospital Revenue Code 300
Min. Negotiated Rate $44.59
Max. Negotiated Rate $329.28
Rate for Payer: Aetna Commercial $264.11
Rate for Payer: Anthem POS/PPO/Traditional $275.43
Rate for Payer: Cash Price $171.50
Rate for Payer: Cigna Commercial $284.69
Rate for Payer: First Health Commercial $325.85
Rate for Payer: Humana Commercial $291.55
Rate for Payer: Medical Mutual Of Ohio HMO $281.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $253.13
Rate for Payer: Molina Healthcare Benefit Exchange $102.90
Rate for Payer: Ohio Health Choice Commercial $301.84
Rate for Payer: Ohio Health Group HMO $257.25
Rate for Payer: Ohio Health Group PPO Differential $68.60
Rate for Payer: Ohio Health Group PPO No Differential $44.59
Rate for Payer: Ohio Health Group PPO SOMC Employees $106.33
Rate for Payer: PHCS Commercial $329.28
Rate for Payer: United Healthcare All Payer $301.84
Service Code HCPCS 86334
Hospital Charge Code 30001068
Hospital Revenue Code 300
Min. Negotiated Rate $22.34
Max. Negotiated Rate $329.28
Rate for Payer: Aetna Commercial $264.11
Rate for Payer: Anthem Medicaid $22.34
Rate for Payer: Anthem Medicare Advantage/PPO $22.34
Rate for Payer: Anthem POS/PPO/Traditional $275.43
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $31.28
Rate for Payer: CareSource Just4Me Medicare $22.34
Rate for Payer: Cash Price $171.50
Rate for Payer: Cash Price $171.50
Rate for Payer: Cigna Commercial $284.69
Rate for Payer: First Health Commercial $325.85
Rate for Payer: Humana Commercial $291.55
Rate for Payer: Humana KY Medicaid $22.34
Rate for Payer: Humana Medicare Advantage $22.34
Rate for Payer: Kentucky WC Medicaid $22.56
Rate for Payer: Medical Mutual Of Ohio HMO $281.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $253.13
Rate for Payer: Molina Healthcare Benefit Exchange $26.81
Rate for Payer: Molina Healthcare Medicaid $22.79
Rate for Payer: Ohio Health Choice Commercial $301.84
Rate for Payer: Ohio Health Group HMO $257.25
Rate for Payer: Ohio Health Group PPO Differential $68.60
Rate for Payer: Ohio Health Group PPO No Differential $44.59
Rate for Payer: Ohio Health Group PPO SOMC Employees $106.33
Rate for Payer: PHCS Commercial $329.28
Rate for Payer: United Healthcare All Payer $301.84
Service Code HCPCS 88350
Hospital Charge Code 30001837
Hospital Revenue Code 300
Min. Negotiated Rate $5.46
Max. Negotiated Rate $40.32
Rate for Payer: Aetna Commercial $32.34
Rate for Payer: Anthem Medicaid $14.44
Rate for Payer: Anthem POS/PPO/Traditional $33.73
Rate for Payer: Cash Price $21.00
Rate for Payer: Cigna Commercial $34.86
Rate for Payer: First Health Commercial $39.90
Rate for Payer: Humana Commercial $35.70
Rate for Payer: Humana KY Medicaid $14.44
Rate for Payer: Kentucky WC Medicaid $14.59
Rate for Payer: Medical Mutual Of Ohio HMO $34.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $31.00
Rate for Payer: Molina Healthcare Benefit Exchange $12.60
Rate for Payer: Molina Healthcare Medicaid $14.73
Rate for Payer: Ohio Health Choice Commercial $36.96
Rate for Payer: Ohio Health Group HMO $31.50
Rate for Payer: Ohio Health Group PPO Differential $8.40
Rate for Payer: Ohio Health Group PPO No Differential $5.46
Rate for Payer: Ohio Health Group PPO SOMC Employees $13.02
Rate for Payer: PHCS Commercial $40.32
Rate for Payer: United Healthcare All Payer $36.96
Service Code HCPCS 88350
Hospital Charge Code 30001837
Hospital Revenue Code 300
Min. Negotiated Rate $5.46
Max. Negotiated Rate $40.32
Rate for Payer: Aetna Commercial $32.34
Rate for Payer: Anthem POS/PPO/Traditional $33.73
Rate for Payer: Cash Price $21.00
Rate for Payer: Cigna Commercial $34.86
Rate for Payer: First Health Commercial $39.90
Rate for Payer: Humana Commercial $35.70
Rate for Payer: Medical Mutual Of Ohio HMO $34.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $31.00
Rate for Payer: Molina Healthcare Benefit Exchange $12.60
Rate for Payer: Ohio Health Choice Commercial $36.96
Rate for Payer: Ohio Health Group HMO $31.50
Rate for Payer: Ohio Health Group PPO Differential $8.40
Rate for Payer: Ohio Health Group PPO No Differential $5.46
Rate for Payer: Ohio Health Group PPO SOMC Employees $13.02
Rate for Payer: PHCS Commercial $40.32
Rate for Payer: United Healthcare All Payer $36.96
Service Code HCPCS 82785
Hospital Charge Code 30000325
Hospital Revenue Code 300
Min. Negotiated Rate $2.21
Max. Negotiated Rate $16.32
Rate for Payer: Aetna Commercial $13.09
Rate for Payer: Anthem POS/PPO/Traditional $13.65
Rate for Payer: Cash Price $8.50
Rate for Payer: Cigna Commercial $14.11
Rate for Payer: First Health Commercial $16.15
Rate for Payer: Humana Commercial $14.45
Rate for Payer: Medical Mutual Of Ohio HMO $13.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $12.55
Rate for Payer: Molina Healthcare Benefit Exchange $5.10
Rate for Payer: Ohio Health Choice Commercial $14.96
Rate for Payer: Ohio Health Group HMO $12.75
Rate for Payer: Ohio Health Group PPO Differential $3.40
Rate for Payer: Ohio Health Group PPO No Differential $2.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.27
Rate for Payer: PHCS Commercial $16.32
Rate for Payer: United Healthcare All Payer $14.96
Service Code HCPCS 82785
Hospital Charge Code 30000325
Hospital Revenue Code 300
Min. Negotiated Rate $2.21
Max. Negotiated Rate $23.04
Rate for Payer: Aetna Commercial $13.09
Rate for Payer: Anthem Medicaid $16.46
Rate for Payer: Anthem Medicare Advantage/PPO $16.46
Rate for Payer: Anthem POS/PPO/Traditional $13.65
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $23.04
Rate for Payer: CareSource Just4Me Medicare $16.46
Rate for Payer: Cash Price $8.50
Rate for Payer: Cash Price $8.50
Rate for Payer: Cigna Commercial $14.11
Rate for Payer: First Health Commercial $16.15
Rate for Payer: Humana Commercial $14.45
Rate for Payer: Humana KY Medicaid $16.46
Rate for Payer: Humana Medicare Advantage $16.46
Rate for Payer: Kentucky WC Medicaid $16.62
Rate for Payer: Medical Mutual Of Ohio HMO $13.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $12.55
Rate for Payer: Molina Healthcare Benefit Exchange $19.75
Rate for Payer: Molina Healthcare Medicaid $16.79
Rate for Payer: Ohio Health Choice Commercial $14.96
Rate for Payer: Ohio Health Group HMO $12.75
Rate for Payer: Ohio Health Group PPO Differential $3.40
Rate for Payer: Ohio Health Group PPO No Differential $2.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.27
Rate for Payer: PHCS Commercial $16.32
Rate for Payer: United Healthcare All Payer $14.96
Service Code HCPCS 88342
Hospital Charge Code 30001526
Hospital Revenue Code 300
Min. Negotiated Rate $56.03
Max. Negotiated Rate $413.76
Rate for Payer: Aetna Commercial $331.87
Rate for Payer: Anthem Medicaid $148.22
Rate for Payer: Anthem Medicare Advantage/PPO $147.70
Rate for Payer: Anthem POS/PPO/Traditional $346.09
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $206.78
Rate for Payer: CareSource Just4Me Medicare $199.40
Rate for Payer: Cash Price $215.50
Rate for Payer: Cash Price $215.50
Rate for Payer: Cigna Commercial $357.73
Rate for Payer: First Health Commercial $409.45
Rate for Payer: Humana Commercial $366.35
Rate for Payer: Humana KY Medicaid $148.22
Rate for Payer: Humana Medicare Advantage $147.70
Rate for Payer: Kentucky WC Medicaid $149.73
Rate for Payer: Medical Mutual Of Ohio HMO $353.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $318.08
Rate for Payer: Molina Healthcare Benefit Exchange $177.24
Rate for Payer: Molina Healthcare Medicaid $151.19
Rate for Payer: Ohio Health Choice Commercial $379.28
Rate for Payer: Ohio Health Group HMO $323.25
Rate for Payer: Ohio Health Group PPO Differential $86.20
Rate for Payer: Ohio Health Group PPO No Differential $56.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $133.61
Rate for Payer: PHCS Commercial $413.76
Rate for Payer: United Healthcare All Payer $379.28
Service Code HCPCS 88342
Hospital Charge Code 30001526
Hospital Revenue Code 300
Min. Negotiated Rate $56.03
Max. Negotiated Rate $413.76
Rate for Payer: Aetna Commercial $331.87
Rate for Payer: Anthem POS/PPO/Traditional $346.09
Rate for Payer: Cash Price $215.50
Rate for Payer: Cigna Commercial $357.73
Rate for Payer: First Health Commercial $409.45
Rate for Payer: Humana Commercial $366.35
Rate for Payer: Medical Mutual Of Ohio HMO $353.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $318.08
Rate for Payer: Molina Healthcare Benefit Exchange $129.30
Rate for Payer: Ohio Health Choice Commercial $379.28
Rate for Payer: Ohio Health Group HMO $323.25
Rate for Payer: Ohio Health Group PPO Differential $86.20
Rate for Payer: Ohio Health Group PPO No Differential $56.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $133.61
Rate for Payer: PHCS Commercial $413.76
Rate for Payer: United Healthcare All Payer $379.28
Service Code HCPCS 88361
Hospital Charge Code 30001533
Hospital Revenue Code 300
Min. Negotiated Rate $77.09
Max. Negotiated Rate $569.28
Rate for Payer: Aetna Commercial $456.61
Rate for Payer: Anthem Medicaid $203.93
Rate for Payer: Anthem Medicare Advantage/PPO $310.83
Rate for Payer: Anthem POS/PPO/Traditional $476.18
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $435.16
Rate for Payer: CareSource Just4Me Medicare $419.62
Rate for Payer: Cash Price $296.50
Rate for Payer: Cash Price $296.50
Rate for Payer: Cigna Commercial $492.19
Rate for Payer: First Health Commercial $563.35
Rate for Payer: Humana Commercial $504.05
Rate for Payer: Humana KY Medicaid $203.93
Rate for Payer: Humana Medicare Advantage $310.83
Rate for Payer: Kentucky WC Medicaid $206.01
Rate for Payer: Medical Mutual Of Ohio HMO $486.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $437.63
Rate for Payer: Molina Healthcare Benefit Exchange $373.00
Rate for Payer: Molina Healthcare Medicaid $208.02
Rate for Payer: Ohio Health Choice Commercial $521.84
Rate for Payer: Ohio Health Group HMO $444.75
Rate for Payer: Ohio Health Group PPO Differential $118.60
Rate for Payer: Ohio Health Group PPO No Differential $77.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $183.83
Rate for Payer: PHCS Commercial $569.28
Rate for Payer: United Healthcare All Payer $521.84
Service Code HCPCS 88361
Hospital Charge Code 30001533
Hospital Revenue Code 300
Min. Negotiated Rate $77.09
Max. Negotiated Rate $569.28
Rate for Payer: Aetna Commercial $456.61
Rate for Payer: Anthem POS/PPO/Traditional $476.18
Rate for Payer: Cash Price $296.50
Rate for Payer: Cigna Commercial $492.19
Rate for Payer: First Health Commercial $563.35
Rate for Payer: Humana Commercial $504.05
Rate for Payer: Medical Mutual Of Ohio HMO $486.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $437.63
Rate for Payer: Molina Healthcare Benefit Exchange $177.90
Rate for Payer: Ohio Health Choice Commercial $521.84
Rate for Payer: Ohio Health Group HMO $444.75
Rate for Payer: Ohio Health Group PPO Differential $118.60
Rate for Payer: Ohio Health Group PPO No Differential $77.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $183.83
Rate for Payer: PHCS Commercial $569.28
Rate for Payer: United Healthcare All Payer $521.84
Service Code HCPCS 88341
Hospital Charge Code 30001523
Hospital Revenue Code 310
Min. Negotiated Rate $56.03
Max. Negotiated Rate $413.76
Rate for Payer: Aetna Commercial $331.87
Rate for Payer: Anthem Medicaid $148.22
Rate for Payer: Anthem POS/PPO/Traditional $346.09
Rate for Payer: Cash Price $215.50
Rate for Payer: Cigna Commercial $357.73
Rate for Payer: First Health Commercial $409.45
Rate for Payer: Humana Commercial $366.35
Rate for Payer: Humana KY Medicaid $148.22
Rate for Payer: Kentucky WC Medicaid $149.73
Rate for Payer: Medical Mutual Of Ohio HMO $353.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $318.08
Rate for Payer: Molina Healthcare Benefit Exchange $129.30
Rate for Payer: Molina Healthcare Medicaid $151.19
Rate for Payer: Ohio Health Choice Commercial $379.28
Rate for Payer: Ohio Health Group HMO $323.25
Rate for Payer: Ohio Health Group PPO Differential $86.20
Rate for Payer: Ohio Health Group PPO No Differential $56.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $133.61
Rate for Payer: PHCS Commercial $413.76
Rate for Payer: United Healthcare All Payer $379.28
Service Code HCPCS 88341
Hospital Charge Code 30001523
Hospital Revenue Code 310
Min. Negotiated Rate $56.03
Max. Negotiated Rate $413.76
Rate for Payer: Aetna Commercial $331.87
Rate for Payer: Anthem POS/PPO/Traditional $346.09
Rate for Payer: Cash Price $215.50
Rate for Payer: Cigna Commercial $357.73
Rate for Payer: First Health Commercial $409.45
Rate for Payer: Humana Commercial $366.35
Rate for Payer: Medical Mutual Of Ohio HMO $353.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $318.08
Rate for Payer: Molina Healthcare Benefit Exchange $129.30
Rate for Payer: Ohio Health Choice Commercial $379.28
Rate for Payer: Ohio Health Group HMO $323.25
Rate for Payer: Ohio Health Group PPO Differential $86.20
Rate for Payer: Ohio Health Group PPO No Differential $56.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $133.61
Rate for Payer: PHCS Commercial $413.76
Rate for Payer: United Healthcare All Payer $379.28
Service Code HCPCS 80230
Hospital Charge Code 30001853
Hospital Revenue Code 300
Min. Negotiated Rate $41.60
Max. Negotiated Rate $307.20
Rate for Payer: Aetna Commercial $246.40
Rate for Payer: Anthem POS/PPO/Traditional $256.96
Rate for Payer: Cash Price $160.00
Rate for Payer: Cigna Commercial $265.60
Rate for Payer: First Health Commercial $304.00
Rate for Payer: Humana Commercial $272.00
Rate for Payer: Medical Mutual Of Ohio HMO $262.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $236.16
Rate for Payer: Molina Healthcare Benefit Exchange $96.00
Rate for Payer: Ohio Health Choice Commercial $281.60
Rate for Payer: Ohio Health Group HMO $240.00
Rate for Payer: Ohio Health Group PPO Differential $64.00
Rate for Payer: Ohio Health Group PPO No Differential $41.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $99.20
Rate for Payer: PHCS Commercial $307.20
Rate for Payer: United Healthcare All Payer $281.60
Service Code HCPCS 80230
Hospital Charge Code 30001853
Hospital Revenue Code 300
Min. Negotiated Rate $38.57
Max. Negotiated Rate $307.20
Rate for Payer: Aetna Commercial $246.40
Rate for Payer: Anthem Medicaid $38.57
Rate for Payer: Anthem Medicare Advantage/PPO $38.57
Rate for Payer: Anthem POS/PPO/Traditional $256.96
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $54.00
Rate for Payer: CareSource Just4Me Medicare $38.57
Rate for Payer: Cash Price $160.00
Rate for Payer: Cash Price $160.00
Rate for Payer: Cigna Commercial $265.60
Rate for Payer: First Health Commercial $304.00
Rate for Payer: Humana Commercial $272.00
Rate for Payer: Humana KY Medicaid $38.57
Rate for Payer: Humana Medicare Advantage $38.57
Rate for Payer: Kentucky WC Medicaid $38.96
Rate for Payer: Medical Mutual Of Ohio HMO $262.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $236.16
Rate for Payer: Molina Healthcare Benefit Exchange $46.28
Rate for Payer: Molina Healthcare Medicaid $39.34
Rate for Payer: Ohio Health Choice Commercial $281.60
Rate for Payer: Ohio Health Group HMO $240.00
Rate for Payer: Ohio Health Group PPO Differential $64.00
Rate for Payer: Ohio Health Group PPO No Differential $41.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $99.20
Rate for Payer: PHCS Commercial $307.20
Rate for Payer: United Healthcare All Payer $281.60
Service Code HCPCS 86710
Hospital Charge Code 30001190
Hospital Revenue Code 300
Min. Negotiated Rate $13.55
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem Medicaid $13.55
Rate for Payer: Anthem Medicare Advantage/PPO $13.55
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.97
Rate for Payer: CareSource Just4Me Medicare $13.55
Rate for Payer: Cash Price $58.50
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Humana KY Medicaid $13.55
Rate for Payer: Humana Medicare Advantage $13.55
Rate for Payer: Kentucky WC Medicaid $13.69
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $16.26
Rate for Payer: Molina Healthcare Medicaid $13.82
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86710
Hospital Charge Code 30001190
Hospital Revenue Code 300
Min. Negotiated Rate $15.21
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $35.10
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86710
Hospital Charge Code 30001188
Hospital Revenue Code 300
Min. Negotiated Rate $13.55
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem Medicaid $13.55
Rate for Payer: Anthem Medicare Advantage/PPO $13.55
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.97
Rate for Payer: CareSource Just4Me Medicare $13.55
Rate for Payer: Cash Price $58.50
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Humana KY Medicaid $13.55
Rate for Payer: Humana Medicare Advantage $13.55
Rate for Payer: Kentucky WC Medicaid $13.69
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $16.26
Rate for Payer: Molina Healthcare Medicaid $13.82
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86710
Hospital Charge Code 30001188
Hospital Revenue Code 300
Min. Negotiated Rate $15.21
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $35.10
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86710
Hospital Charge Code 30001191
Hospital Revenue Code 300
Min. Negotiated Rate $15.21
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $35.10
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86710
Hospital Charge Code 30001191
Hospital Revenue Code 300
Min. Negotiated Rate $13.55
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem Medicaid $13.55
Rate for Payer: Anthem Medicare Advantage/PPO $13.55
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.97
Rate for Payer: CareSource Just4Me Medicare $13.55
Rate for Payer: Cash Price $58.50
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Humana KY Medicaid $13.55
Rate for Payer: Humana Medicare Advantage $13.55
Rate for Payer: Kentucky WC Medicaid $13.69
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $16.26
Rate for Payer: Molina Healthcare Medicaid $13.82
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86710
Hospital Charge Code 30001189
Hospital Revenue Code 300
Min. Negotiated Rate $13.55
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem Medicaid $13.55
Rate for Payer: Anthem Medicare Advantage/PPO $13.55
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.97
Rate for Payer: CareSource Just4Me Medicare $13.55
Rate for Payer: Cash Price $58.50
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Humana KY Medicaid $13.55
Rate for Payer: Humana Medicare Advantage $13.55
Rate for Payer: Kentucky WC Medicaid $13.69
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $16.26
Rate for Payer: Molina Healthcare Medicaid $13.82
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86710
Hospital Charge Code 30001189
Hospital Revenue Code 300
Min. Negotiated Rate $15.21
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $35.10
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96