Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS 86336
Hospital Charge Code 30001070
Hospital Revenue Code 300
Min. Negotiated Rate $32.24
Max. Negotiated Rate $238.08
Rate for Payer: Aetna Commercial $190.96
Rate for Payer: Anthem POS/PPO/Traditional $199.14
Rate for Payer: Cash Price $124.00
Rate for Payer: Cigna Commercial $205.84
Rate for Payer: First Health Commercial $235.60
Rate for Payer: Humana Commercial $210.80
Rate for Payer: Medical Mutual Of Ohio HMO $203.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $183.02
Rate for Payer: Molina Healthcare Benefit Exchange $74.40
Rate for Payer: Ohio Health Choice Commercial $218.24
Rate for Payer: Ohio Health Group HMO $186.00
Rate for Payer: Ohio Health Group PPO Differential $49.60
Rate for Payer: Ohio Health Group PPO No Differential $32.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $76.88
Rate for Payer: PHCS Commercial $238.08
Rate for Payer: United Healthcare All Payer $218.24
Service Code HCPCS 86336
Hospital Charge Code 30001070
Hospital Revenue Code 300
Min. Negotiated Rate $15.59
Max. Negotiated Rate $238.08
Rate for Payer: Aetna Commercial $190.96
Rate for Payer: Anthem Medicaid $15.59
Rate for Payer: Anthem Medicare Advantage/PPO $15.59
Rate for Payer: Anthem POS/PPO/Traditional $199.14
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $21.83
Rate for Payer: CareSource Just4Me Medicare $15.59
Rate for Payer: Cash Price $124.00
Rate for Payer: Cash Price $124.00
Rate for Payer: Cigna Commercial $205.84
Rate for Payer: First Health Commercial $235.60
Rate for Payer: Humana Commercial $210.80
Rate for Payer: Humana KY Medicaid $15.59
Rate for Payer: Humana Medicare Advantage $15.59
Rate for Payer: Kentucky WC Medicaid $15.75
Rate for Payer: Medical Mutual Of Ohio HMO $203.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $183.02
Rate for Payer: Molina Healthcare Benefit Exchange $18.71
Rate for Payer: Molina Healthcare Medicaid $15.90
Rate for Payer: Ohio Health Choice Commercial $218.24
Rate for Payer: Ohio Health Group HMO $186.00
Rate for Payer: Ohio Health Group PPO Differential $49.60
Rate for Payer: Ohio Health Group PPO No Differential $32.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $76.88
Rate for Payer: PHCS Commercial $238.08
Rate for Payer: United Healthcare All Payer $218.24
Service Code HCPCS 88365
Hospital Charge Code 30001858
Hospital Revenue Code 300
Min. Negotiated Rate $64.74
Max. Negotiated Rate $478.08
Rate for Payer: Aetna Commercial $383.46
Rate for Payer: Anthem POS/PPO/Traditional $399.89
Rate for Payer: Cash Price $249.00
Rate for Payer: Cigna Commercial $413.34
Rate for Payer: First Health Commercial $473.10
Rate for Payer: Humana Commercial $423.30
Rate for Payer: Medical Mutual Of Ohio HMO $408.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $367.52
Rate for Payer: Molina Healthcare Benefit Exchange $149.40
Rate for Payer: Ohio Health Choice Commercial $438.24
Rate for Payer: Ohio Health Group HMO $373.50
Rate for Payer: Ohio Health Group PPO Differential $99.60
Rate for Payer: Ohio Health Group PPO No Differential $64.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $154.38
Rate for Payer: PHCS Commercial $478.08
Rate for Payer: United Healthcare All Payer $438.24
Service Code HCPCS 88365
Hospital Charge Code 30001858
Hospital Revenue Code 300
Min. Negotiated Rate $64.74
Max. Negotiated Rate $478.08
Rate for Payer: Aetna Commercial $383.46
Rate for Payer: Anthem Medicaid $171.26
Rate for Payer: Anthem Medicare Advantage/PPO $147.70
Rate for Payer: Anthem POS/PPO/Traditional $399.89
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $206.78
Rate for Payer: CareSource Just4Me Medicare $199.40
Rate for Payer: Cash Price $249.00
Rate for Payer: Cash Price $249.00
Rate for Payer: Cigna Commercial $413.34
Rate for Payer: First Health Commercial $473.10
Rate for Payer: Humana Commercial $423.30
Rate for Payer: Humana KY Medicaid $171.26
Rate for Payer: Humana Medicare Advantage $147.70
Rate for Payer: Kentucky WC Medicaid $173.01
Rate for Payer: Medical Mutual Of Ohio HMO $408.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $367.52
Rate for Payer: Molina Healthcare Benefit Exchange $177.24
Rate for Payer: Molina Healthcare Medicaid $174.70
Rate for Payer: Ohio Health Choice Commercial $438.24
Rate for Payer: Ohio Health Group HMO $373.50
Rate for Payer: Ohio Health Group PPO Differential $99.60
Rate for Payer: Ohio Health Group PPO No Differential $64.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $154.38
Rate for Payer: PHCS Commercial $478.08
Rate for Payer: United Healthcare All Payer $438.24
Service Code HCPCS 88364
Hospital Charge Code 30001879
Hospital Revenue Code 300
Min. Negotiated Rate $63.18
Max. Negotiated Rate $466.56
Rate for Payer: Aetna Commercial $374.22
Rate for Payer: Anthem POS/PPO/Traditional $390.26
Rate for Payer: Cash Price $243.00
Rate for Payer: Cigna Commercial $403.38
Rate for Payer: First Health Commercial $461.70
Rate for Payer: Humana Commercial $413.10
Rate for Payer: Medical Mutual Of Ohio HMO $398.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $358.67
Rate for Payer: Molina Healthcare Benefit Exchange $145.80
Rate for Payer: Ohio Health Choice Commercial $427.68
Rate for Payer: Ohio Health Group HMO $364.50
Rate for Payer: Ohio Health Group PPO Differential $97.20
Rate for Payer: Ohio Health Group PPO No Differential $63.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $150.66
Rate for Payer: PHCS Commercial $466.56
Rate for Payer: United Healthcare All Payer $427.68
Service Code HCPCS 88364
Hospital Charge Code 30001879
Hospital Revenue Code 300
Min. Negotiated Rate $63.18
Max. Negotiated Rate $466.56
Rate for Payer: Aetna Commercial $374.22
Rate for Payer: Anthem Medicaid $167.14
Rate for Payer: Anthem POS/PPO/Traditional $390.26
Rate for Payer: Cash Price $243.00
Rate for Payer: Cigna Commercial $403.38
Rate for Payer: First Health Commercial $461.70
Rate for Payer: Humana Commercial $413.10
Rate for Payer: Humana KY Medicaid $167.14
Rate for Payer: Kentucky WC Medicaid $168.84
Rate for Payer: Medical Mutual Of Ohio HMO $398.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $358.67
Rate for Payer: Molina Healthcare Benefit Exchange $145.80
Rate for Payer: Molina Healthcare Medicaid $170.49
Rate for Payer: Ohio Health Choice Commercial $427.68
Rate for Payer: Ohio Health Group HMO $364.50
Rate for Payer: Ohio Health Group PPO Differential $97.20
Rate for Payer: Ohio Health Group PPO No Differential $63.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $150.66
Rate for Payer: PHCS Commercial $466.56
Rate for Payer: United Healthcare All Payer $427.68
Service Code HCPCS 86337
Hospital Charge Code 30001071
Hospital Revenue Code 300
Min. Negotiated Rate $23.92
Max. Negotiated Rate $176.64
Rate for Payer: Aetna Commercial $141.68
Rate for Payer: Anthem POS/PPO/Traditional $147.75
Rate for Payer: Cash Price $92.00
Rate for Payer: Cigna Commercial $152.72
Rate for Payer: First Health Commercial $174.80
Rate for Payer: Humana Commercial $156.40
Rate for Payer: Medical Mutual Of Ohio HMO $150.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $135.79
Rate for Payer: Molina Healthcare Benefit Exchange $55.20
Rate for Payer: Ohio Health Choice Commercial $161.92
Rate for Payer: Ohio Health Group HMO $138.00
Rate for Payer: Ohio Health Group PPO Differential $36.80
Rate for Payer: Ohio Health Group PPO No Differential $23.92
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.04
Rate for Payer: PHCS Commercial $176.64
Rate for Payer: United Healthcare All Payer $161.92
Service Code HCPCS 86337
Hospital Charge Code 30001071
Hospital Revenue Code 300
Min. Negotiated Rate $21.41
Max. Negotiated Rate $176.64
Rate for Payer: Aetna Commercial $141.68
Rate for Payer: Anthem Medicaid $21.41
Rate for Payer: Anthem Medicare Advantage/PPO $21.41
Rate for Payer: Anthem POS/PPO/Traditional $147.75
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $29.97
Rate for Payer: CareSource Just4Me Medicare $21.41
Rate for Payer: Cash Price $92.00
Rate for Payer: Cash Price $92.00
Rate for Payer: Cigna Commercial $152.72
Rate for Payer: First Health Commercial $174.80
Rate for Payer: Humana Commercial $156.40
Rate for Payer: Humana KY Medicaid $21.41
Rate for Payer: Humana Medicare Advantage $21.41
Rate for Payer: Kentucky WC Medicaid $21.62
Rate for Payer: Medical Mutual Of Ohio HMO $150.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $135.79
Rate for Payer: Molina Healthcare Benefit Exchange $25.69
Rate for Payer: Molina Healthcare Medicaid $21.84
Rate for Payer: Ohio Health Choice Commercial $161.92
Rate for Payer: Ohio Health Group HMO $138.00
Rate for Payer: Ohio Health Group PPO Differential $36.80
Rate for Payer: Ohio Health Group PPO No Differential $23.92
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.04
Rate for Payer: PHCS Commercial $176.64
Rate for Payer: United Healthcare All Payer $161.92
Service Code HCPCS 86003
Hospital Charge Code 30000956
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 30000956
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 30000891
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 30000891
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 84305
Hospital Charge Code 30000514
Hospital Revenue Code 300
Min. Negotiated Rate $46.67
Max. Negotiated Rate $344.64
Rate for Payer: Aetna Commercial $276.43
Rate for Payer: Anthem POS/PPO/Traditional $288.28
Rate for Payer: Cash Price $179.50
Rate for Payer: Cigna Commercial $297.97
Rate for Payer: First Health Commercial $341.05
Rate for Payer: Humana Commercial $305.15
Rate for Payer: Medical Mutual Of Ohio HMO $294.38
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $264.94
Rate for Payer: Molina Healthcare Benefit Exchange $107.70
Rate for Payer: Ohio Health Choice Commercial $315.92
Rate for Payer: Ohio Health Group HMO $269.25
Rate for Payer: Ohio Health Group PPO Differential $71.80
Rate for Payer: Ohio Health Group PPO No Differential $46.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $111.29
Rate for Payer: PHCS Commercial $344.64
Rate for Payer: United Healthcare All Payer $315.92
Service Code HCPCS 84305
Hospital Charge Code 30000514
Hospital Revenue Code 300
Min. Negotiated Rate $21.26
Max. Negotiated Rate $344.64
Rate for Payer: Aetna Commercial $276.43
Rate for Payer: Anthem Medicaid $21.26
Rate for Payer: Anthem Medicare Advantage/PPO $21.26
Rate for Payer: Anthem POS/PPO/Traditional $288.28
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $29.76
Rate for Payer: CareSource Just4Me Medicare $21.26
Rate for Payer: Cash Price $179.50
Rate for Payer: Cash Price $179.50
Rate for Payer: Cigna Commercial $297.97
Rate for Payer: First Health Commercial $341.05
Rate for Payer: Humana Commercial $305.15
Rate for Payer: Humana KY Medicaid $21.26
Rate for Payer: Humana Medicare Advantage $21.26
Rate for Payer: Kentucky WC Medicaid $21.47
Rate for Payer: Medical Mutual Of Ohio HMO $294.38
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $264.94
Rate for Payer: Molina Healthcare Benefit Exchange $25.51
Rate for Payer: Molina Healthcare Medicaid $21.69
Rate for Payer: Ohio Health Choice Commercial $315.92
Rate for Payer: Ohio Health Group HMO $269.25
Rate for Payer: Ohio Health Group PPO Differential $71.80
Rate for Payer: Ohio Health Group PPO No Differential $46.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $111.29
Rate for Payer: PHCS Commercial $344.64
Rate for Payer: United Healthcare All Payer $315.92
Service Code HCPCS 86003
Hospital Charge Code 30000792
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 30000792
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 81450
Hospital Charge Code 30001898
Hospital Revenue Code 300
Min. Negotiated Rate $593.06
Max. Negotiated Rate $4,379.52
Rate for Payer: Aetna Commercial $3,512.74
Rate for Payer: Anthem POS/PPO/Traditional $3,663.29
Rate for Payer: Cash Price $2,281.00
Rate for Payer: Cigna Commercial $3,786.46
Rate for Payer: First Health Commercial $4,333.90
Rate for Payer: Humana Commercial $3,877.70
Rate for Payer: Medical Mutual Of Ohio HMO $3,740.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,366.76
Rate for Payer: Molina Healthcare Benefit Exchange $1,368.60
Rate for Payer: Ohio Health Choice Commercial $4,014.56
Rate for Payer: Ohio Health Group HMO $3,421.50
Rate for Payer: Ohio Health Group PPO Differential $912.40
Rate for Payer: Ohio Health Group PPO No Differential $593.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,414.22
Rate for Payer: PHCS Commercial $4,379.52
Rate for Payer: United Healthcare All Payer $4,014.56
Service Code HCPCS 81450
Hospital Charge Code 30001898
Hospital Revenue Code 300
Min. Negotiated Rate $593.06
Max. Negotiated Rate $4,379.52
Rate for Payer: Aetna Commercial $3,512.74
Rate for Payer: Anthem Medicaid $759.53
Rate for Payer: Anthem Medicare Advantage/PPO $759.53
Rate for Payer: Anthem POS/PPO/Traditional $3,663.29
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $1,063.34
Rate for Payer: CareSource Just4Me Medicare $759.53
Rate for Payer: Cash Price $2,281.00
Rate for Payer: Cash Price $2,281.00
Rate for Payer: Cigna Commercial $3,786.46
Rate for Payer: First Health Commercial $4,333.90
Rate for Payer: Humana Commercial $3,877.70
Rate for Payer: Humana KY Medicaid $759.53
Rate for Payer: Humana Medicare Advantage $759.53
Rate for Payer: Kentucky WC Medicaid $767.13
Rate for Payer: Medical Mutual Of Ohio HMO $3,740.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,366.76
Rate for Payer: Molina Healthcare Benefit Exchange $911.44
Rate for Payer: Molina Healthcare Medicaid $774.72
Rate for Payer: Ohio Health Choice Commercial $4,014.56
Rate for Payer: Ohio Health Group HMO $3,421.50
Rate for Payer: Ohio Health Group PPO Differential $912.40
Rate for Payer: Ohio Health Group PPO No Differential $593.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,414.22
Rate for Payer: PHCS Commercial $4,379.52
Rate for Payer: United Healthcare All Payer $4,014.56
Service Code HCPCS 83520
Hospital Charge Code 30000402
Hospital Revenue Code 300
Min. Negotiated Rate $58.37
Max. Negotiated Rate $431.04
Rate for Payer: Aetna Commercial $345.73
Rate for Payer: Anthem POS/PPO/Traditional $360.55
Rate for Payer: Cash Price $224.50
Rate for Payer: Cigna Commercial $372.67
Rate for Payer: First Health Commercial $426.55
Rate for Payer: Humana Commercial $381.65
Rate for Payer: Medical Mutual Of Ohio HMO $368.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $331.36
Rate for Payer: Molina Healthcare Benefit Exchange $134.70
Rate for Payer: Ohio Health Choice Commercial $395.12
Rate for Payer: Ohio Health Group HMO $336.75
Rate for Payer: Ohio Health Group PPO Differential $89.80
Rate for Payer: Ohio Health Group PPO No Differential $58.37
Rate for Payer: Ohio Health Group PPO SOMC Employees $139.19
Rate for Payer: PHCS Commercial $431.04
Rate for Payer: United Healthcare All Payer $395.12
Service Code HCPCS 83520
Hospital Charge Code 30000402
Hospital Revenue Code 300
Min. Negotiated Rate $17.27
Max. Negotiated Rate $431.04
Rate for Payer: Aetna Commercial $345.73
Rate for Payer: Anthem Medicaid $17.27
Rate for Payer: Anthem Medicare Advantage/PPO $17.27
Rate for Payer: Anthem POS/PPO/Traditional $360.55
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24.18
Rate for Payer: CareSource Just4Me Medicare $17.27
Rate for Payer: Cash Price $224.50
Rate for Payer: Cash Price $224.50
Rate for Payer: Cigna Commercial $372.67
Rate for Payer: First Health Commercial $426.55
Rate for Payer: Humana Commercial $381.65
Rate for Payer: Humana KY Medicaid $17.27
Rate for Payer: Humana Medicare Advantage $17.27
Rate for Payer: Kentucky WC Medicaid $17.44
Rate for Payer: Medical Mutual Of Ohio HMO $368.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $331.36
Rate for Payer: Molina Healthcare Benefit Exchange $20.72
Rate for Payer: Molina Healthcare Medicaid $17.62
Rate for Payer: Ohio Health Choice Commercial $395.12
Rate for Payer: Ohio Health Group HMO $336.75
Rate for Payer: Ohio Health Group PPO Differential $89.80
Rate for Payer: Ohio Health Group PPO No Differential $58.37
Rate for Payer: Ohio Health Group PPO SOMC Employees $139.19
Rate for Payer: PHCS Commercial $431.04
Rate for Payer: United Healthcare All Payer $395.12
Service Code HCPCS 83529
Hospital Charge Code 30000420
Hospital Revenue Code 300
Min. Negotiated Rate $17.27
Max. Negotiated Rate $150.72
Rate for Payer: Aetna Commercial $120.89
Rate for Payer: Anthem Medicaid $17.27
Rate for Payer: Anthem Medicare Advantage/PPO $17.27
Rate for Payer: Anthem POS/PPO/Traditional $126.07
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24.18
Rate for Payer: CareSource Just4Me Medicare $17.27
Rate for Payer: Cash Price $78.50
Rate for Payer: Cash Price $78.50
Rate for Payer: Cigna Commercial $130.31
Rate for Payer: First Health Commercial $149.15
Rate for Payer: Humana Commercial $133.45
Rate for Payer: Humana KY Medicaid $17.27
Rate for Payer: Humana Medicare Advantage $17.27
Rate for Payer: Kentucky WC Medicaid $17.44
Rate for Payer: Medical Mutual Of Ohio HMO $128.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.87
Rate for Payer: Molina Healthcare Benefit Exchange $20.72
Rate for Payer: Molina Healthcare Medicaid $17.62
Rate for Payer: Ohio Health Choice Commercial $138.16
Rate for Payer: Ohio Health Group HMO $117.75
Rate for Payer: Ohio Health Group PPO Differential $31.40
Rate for Payer: Ohio Health Group PPO No Differential $20.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.67
Rate for Payer: PHCS Commercial $150.72
Rate for Payer: United Healthcare All Payer $138.16
Service Code HCPCS 83529
Hospital Charge Code 30000420
Hospital Revenue Code 300
Min. Negotiated Rate $20.41
Max. Negotiated Rate $150.72
Rate for Payer: Aetna Commercial $120.89
Rate for Payer: Anthem POS/PPO/Traditional $126.07
Rate for Payer: Cash Price $78.50
Rate for Payer: Cigna Commercial $130.31
Rate for Payer: First Health Commercial $149.15
Rate for Payer: Humana Commercial $133.45
Rate for Payer: Medical Mutual Of Ohio HMO $128.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.87
Rate for Payer: Molina Healthcare Benefit Exchange $47.10
Rate for Payer: Ohio Health Choice Commercial $138.16
Rate for Payer: Ohio Health Group HMO $117.75
Rate for Payer: Ohio Health Group PPO Differential $31.40
Rate for Payer: Ohio Health Group PPO No Differential $20.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.67
Rate for Payer: PHCS Commercial $150.72
Rate for Payer: United Healthcare All Payer $138.16
Service Code HCPCS 88275
Hospital Charge Code 30001498
Hospital Revenue Code 300
Min. Negotiated Rate $21.97
Max. Negotiated Rate $162.24
Rate for Payer: Aetna Commercial $130.13
Rate for Payer: Anthem POS/PPO/Traditional $135.71
Rate for Payer: Cash Price $84.50
Rate for Payer: Cigna Commercial $140.27
Rate for Payer: First Health Commercial $160.55
Rate for Payer: Humana Commercial $143.65
Rate for Payer: Medical Mutual Of Ohio HMO $138.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $124.72
Rate for Payer: Molina Healthcare Benefit Exchange $50.70
Rate for Payer: Ohio Health Choice Commercial $148.72
Rate for Payer: Ohio Health Group HMO $126.75
Rate for Payer: Ohio Health Group PPO Differential $33.80
Rate for Payer: Ohio Health Group PPO No Differential $21.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $52.39
Rate for Payer: PHCS Commercial $162.24
Rate for Payer: United Healthcare All Payer $148.72
Service Code HCPCS 88275
Hospital Charge Code 30001498
Hospital Revenue Code 300
Min. Negotiated Rate $21.97
Max. Negotiated Rate $162.24
Rate for Payer: Aetna Commercial $130.13
Rate for Payer: Anthem Medicaid $51.19
Rate for Payer: Anthem Medicare Advantage/PPO $51.19
Rate for Payer: Anthem POS/PPO/Traditional $135.71
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $71.67
Rate for Payer: CareSource Just4Me Medicare $51.19
Rate for Payer: Cash Price $84.50
Rate for Payer: Cash Price $84.50
Rate for Payer: Cigna Commercial $140.27
Rate for Payer: First Health Commercial $160.55
Rate for Payer: Humana Commercial $143.65
Rate for Payer: Humana KY Medicaid $51.19
Rate for Payer: Humana Medicare Advantage $51.19
Rate for Payer: Kentucky WC Medicaid $51.70
Rate for Payer: Medical Mutual Of Ohio HMO $138.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $124.72
Rate for Payer: Molina Healthcare Benefit Exchange $61.43
Rate for Payer: Molina Healthcare Medicaid $52.21
Rate for Payer: Ohio Health Choice Commercial $148.72
Rate for Payer: Ohio Health Group HMO $126.75
Rate for Payer: Ohio Health Group PPO Differential $33.80
Rate for Payer: Ohio Health Group PPO No Differential $21.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $52.39
Rate for Payer: PHCS Commercial $162.24
Rate for Payer: United Healthcare All Payer $148.72
Service Code HCPCS 88275
Hospital Charge Code 30001499
Hospital Revenue Code 300
Min. Negotiated Rate $21.97
Max. Negotiated Rate $162.24
Rate for Payer: Aetna Commercial $130.13
Rate for Payer: Anthem POS/PPO/Traditional $135.71
Rate for Payer: Cash Price $84.50
Rate for Payer: Cigna Commercial $140.27
Rate for Payer: First Health Commercial $160.55
Rate for Payer: Humana Commercial $143.65
Rate for Payer: Medical Mutual Of Ohio HMO $138.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $124.72
Rate for Payer: Molina Healthcare Benefit Exchange $50.70
Rate for Payer: Ohio Health Choice Commercial $148.72
Rate for Payer: Ohio Health Group HMO $126.75
Rate for Payer: Ohio Health Group PPO Differential $33.80
Rate for Payer: Ohio Health Group PPO No Differential $21.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $52.39
Rate for Payer: PHCS Commercial $162.24
Rate for Payer: United Healthcare All Payer $148.72