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Service Code HCPCS 81314
Hospital Charge Code 30002002
Hospital Revenue Code 300
Min. Negotiated Rate $149.33
Max. Negotiated Rate $1,102.74
Rate for Payer: Aetna Commercial $884.49
Rate for Payer: Anthem POS/PPO/Traditional $922.40
Rate for Payer: Cash Price $574.34
Rate for Payer: Cigna Commercial $953.41
Rate for Payer: First Health Commercial $1,091.26
Rate for Payer: Humana Commercial $976.39
Rate for Payer: Medical Mutual Of Ohio HMO $941.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $847.73
Rate for Payer: Molina Healthcare Benefit Exchange $344.61
Rate for Payer: Ohio Health Choice Commercial $1,010.85
Rate for Payer: Ohio Health Group HMO $861.52
Rate for Payer: Ohio Health Group PPO Differential $229.74
Rate for Payer: Ohio Health Group PPO No Differential $149.33
Rate for Payer: Ohio Health Group PPO SOMC Employees $356.09
Rate for Payer: PHCS Commercial $1,102.74
Rate for Payer: United Healthcare All Payer $1,010.85
Service Code HCPCS 86003
Hospital Charge Code 30000670
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 30000670
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 30000851
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 30000851
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 30000821
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 30000821
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 30000914
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 30000914
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 30000797
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 30000797
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 83992
Hospital Charge Code 30001819
Hospital Revenue Code 300
Min. Negotiated Rate $12.10
Max. Negotiated Rate $39.00
Rate for Payer: Aetna Commercial $20.44
Rate for Payer: Buckeye Medicare Advantage $39.00
Rate for Payer: Cash Price $19.50
Rate for Payer: Cash Price $19.50
Rate for Payer: Cigna Commercial $12.95
Rate for Payer: Healthspan PPO $15.41
Rate for Payer: Multiplan PHCS $23.40
Rate for Payer: Ohio Health Choice Preferred Health Choice $27.30
Rate for Payer: UHCCP Medicaid $13.65
Rate for Payer: Wellcare CHIP/Medicaid $12.10
Service Code HCPCS 83992
Hospital Charge Code 30001819
Hospital Revenue Code 300
Min. Negotiated Rate $5.07
Max. Negotiated Rate $37.44
Rate for Payer: Aetna Commercial $30.03
Rate for Payer: Anthem Medicaid $20.17
Rate for Payer: Anthem POS/PPO/Traditional $31.32
Rate for Payer: Cash Price $19.50
Rate for Payer: Cash Price $19.50
Rate for Payer: Cigna Commercial $32.37
Rate for Payer: First Health Commercial $37.05
Rate for Payer: Humana Commercial $33.15
Rate for Payer: Humana KY Medicaid $20.17
Rate for Payer: Kentucky WC Medicaid $20.37
Rate for Payer: Medical Mutual Of Ohio HMO $31.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $28.78
Rate for Payer: Molina Healthcare Benefit Exchange $11.70
Rate for Payer: Molina Healthcare Medicaid $20.57
Rate for Payer: Ohio Health Choice Commercial $34.32
Rate for Payer: Ohio Health Group HMO $29.25
Rate for Payer: Ohio Health Group PPO Differential $7.80
Rate for Payer: Ohio Health Group PPO No Differential $5.07
Rate for Payer: Ohio Health Group PPO SOMC Employees $12.09
Rate for Payer: PHCS Commercial $37.44
Rate for Payer: United Healthcare All Payer $34.32
Service Code HCPCS 83992
Hospital Charge Code 30001819
Hospital Revenue Code 300
Min. Negotiated Rate $5.07
Max. Negotiated Rate $37.44
Rate for Payer: Aetna Commercial $30.03
Rate for Payer: Anthem POS/PPO/Traditional $31.32
Rate for Payer: Cash Price $19.50
Rate for Payer: Cigna Commercial $32.37
Rate for Payer: First Health Commercial $37.05
Rate for Payer: Humana Commercial $33.15
Rate for Payer: Medical Mutual Of Ohio HMO $31.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $28.78
Rate for Payer: Molina Healthcare Benefit Exchange $11.70
Rate for Payer: Ohio Health Choice Commercial $34.32
Rate for Payer: Ohio Health Group HMO $29.25
Rate for Payer: Ohio Health Group PPO Differential $7.80
Rate for Payer: Ohio Health Group PPO No Differential $5.07
Rate for Payer: Ohio Health Group PPO SOMC Employees $12.09
Rate for Payer: PHCS Commercial $37.44
Rate for Payer: United Healthcare All Payer $34.32
Service Code HCPCS 80184
Hospital Charge Code 30000041
Hospital Revenue Code 300
Min. Negotiated Rate $10.01
Max. Negotiated Rate $73.92
Rate for Payer: Aetna Commercial $59.29
Rate for Payer: Anthem Medicaid $15.30
Rate for Payer: Anthem Medicare Advantage/PPO $15.30
Rate for Payer: Anthem POS/PPO/Traditional $61.83
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $21.42
Rate for Payer: CareSource Just4Me Medicare $15.30
Rate for Payer: Cash Price $38.50
Rate for Payer: Cash Price $38.50
Rate for Payer: Cigna Commercial $63.91
Rate for Payer: First Health Commercial $73.15
Rate for Payer: Humana Commercial $65.45
Rate for Payer: Humana KY Medicaid $15.30
Rate for Payer: Humana Medicare Advantage $15.30
Rate for Payer: Kentucky WC Medicaid $15.45
Rate for Payer: Medical Mutual Of Ohio HMO $63.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $56.83
Rate for Payer: Molina Healthcare Benefit Exchange $18.36
Rate for Payer: Molina Healthcare Medicaid $15.61
Rate for Payer: Ohio Health Choice Commercial $67.76
Rate for Payer: Ohio Health Group HMO $57.75
Rate for Payer: Ohio Health Group PPO Differential $15.40
Rate for Payer: Ohio Health Group PPO No Differential $10.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $23.87
Rate for Payer: PHCS Commercial $73.92
Rate for Payer: United Healthcare All Payer $67.76
Service Code HCPCS 80184
Hospital Charge Code 30000041
Hospital Revenue Code 300
Min. Negotiated Rate $10.01
Max. Negotiated Rate $73.92
Rate for Payer: Aetna Commercial $59.29
Rate for Payer: Anthem POS/PPO/Traditional $61.83
Rate for Payer: Cash Price $38.50
Rate for Payer: Cigna Commercial $63.91
Rate for Payer: First Health Commercial $73.15
Rate for Payer: Humana Commercial $65.45
Rate for Payer: Medical Mutual Of Ohio HMO $63.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $56.83
Rate for Payer: Molina Healthcare Benefit Exchange $23.10
Rate for Payer: Ohio Health Choice Commercial $67.76
Rate for Payer: Ohio Health Group HMO $57.75
Rate for Payer: Ohio Health Group PPO Differential $15.40
Rate for Payer: Ohio Health Group PPO No Differential $10.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $23.87
Rate for Payer: PHCS Commercial $73.92
Rate for Payer: United Healthcare All Payer $67.76
Service Code HCPCS 80186
Hospital Charge Code 30000044
Hospital Revenue Code 300
Min. Negotiated Rate $13.76
Max. Negotiated Rate $151.68
Rate for Payer: Aetna Commercial $121.66
Rate for Payer: Anthem Medicaid $13.76
Rate for Payer: Anthem Medicare Advantage/PPO $13.76
Rate for Payer: Anthem POS/PPO/Traditional $126.87
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $19.26
Rate for Payer: CareSource Just4Me Medicare $13.76
Rate for Payer: Cash Price $79.00
Rate for Payer: Cash Price $79.00
Rate for Payer: Cigna Commercial $131.14
Rate for Payer: First Health Commercial $150.10
Rate for Payer: Humana Commercial $134.30
Rate for Payer: Humana KY Medicaid $13.76
Rate for Payer: Humana Medicare Advantage $13.76
Rate for Payer: Kentucky WC Medicaid $13.90
Rate for Payer: Medical Mutual Of Ohio HMO $129.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $116.60
Rate for Payer: Molina Healthcare Benefit Exchange $16.51
Rate for Payer: Molina Healthcare Medicaid $14.04
Rate for Payer: Ohio Health Choice Commercial $139.04
Rate for Payer: Ohio Health Group HMO $118.50
Rate for Payer: Ohio Health Group PPO Differential $31.60
Rate for Payer: Ohio Health Group PPO No Differential $20.54
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.98
Rate for Payer: PHCS Commercial $151.68
Rate for Payer: United Healthcare All Payer $139.04
Service Code HCPCS 80186
Hospital Charge Code 30000044
Hospital Revenue Code 300
Min. Negotiated Rate $20.54
Max. Negotiated Rate $151.68
Rate for Payer: Aetna Commercial $121.66
Rate for Payer: Anthem POS/PPO/Traditional $126.87
Rate for Payer: Cash Price $79.00
Rate for Payer: Cigna Commercial $131.14
Rate for Payer: First Health Commercial $150.10
Rate for Payer: Humana Commercial $134.30
Rate for Payer: Medical Mutual Of Ohio HMO $129.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $116.60
Rate for Payer: Molina Healthcare Benefit Exchange $47.40
Rate for Payer: Ohio Health Choice Commercial $139.04
Rate for Payer: Ohio Health Group HMO $118.50
Rate for Payer: Ohio Health Group PPO Differential $31.60
Rate for Payer: Ohio Health Group PPO No Differential $20.54
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.98
Rate for Payer: PHCS Commercial $151.68
Rate for Payer: United Healthcare All Payer $139.04
Service Code HCPCS 80185
Hospital Charge Code 30000042
Hospital Revenue Code 300
Min. Negotiated Rate $13.25
Max. Negotiated Rate $137.28
Rate for Payer: Aetna Commercial $110.11
Rate for Payer: Anthem Medicaid $13.25
Rate for Payer: Anthem Medicare Advantage/PPO $13.25
Rate for Payer: Anthem POS/PPO/Traditional $114.83
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.55
Rate for Payer: CareSource Just4Me Medicare $13.25
Rate for Payer: Cash Price $71.50
Rate for Payer: Cash Price $71.50
Rate for Payer: Cigna Commercial $118.69
Rate for Payer: First Health Commercial $135.85
Rate for Payer: Humana Commercial $121.55
Rate for Payer: Humana KY Medicaid $13.25
Rate for Payer: Humana Medicare Advantage $13.25
Rate for Payer: Kentucky WC Medicaid $13.38
Rate for Payer: Medical Mutual Of Ohio HMO $117.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $105.53
Rate for Payer: Molina Healthcare Benefit Exchange $15.90
Rate for Payer: Molina Healthcare Medicaid $13.52
Rate for Payer: Ohio Health Choice Commercial $125.84
Rate for Payer: Ohio Health Group HMO $107.25
Rate for Payer: Ohio Health Group PPO Differential $28.60
Rate for Payer: Ohio Health Group PPO No Differential $18.59
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.33
Rate for Payer: PHCS Commercial $137.28
Rate for Payer: United Healthcare All Payer $125.84
Service Code HCPCS 80185
Hospital Charge Code 30000042
Hospital Revenue Code 300
Min. Negotiated Rate $18.59
Max. Negotiated Rate $137.28
Rate for Payer: Aetna Commercial $110.11
Rate for Payer: Anthem POS/PPO/Traditional $114.83
Rate for Payer: Cash Price $71.50
Rate for Payer: Cigna Commercial $118.69
Rate for Payer: First Health Commercial $135.85
Rate for Payer: Humana Commercial $121.55
Rate for Payer: Medical Mutual Of Ohio HMO $117.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $105.53
Rate for Payer: Molina Healthcare Benefit Exchange $42.90
Rate for Payer: Ohio Health Choice Commercial $125.84
Rate for Payer: Ohio Health Group HMO $107.25
Rate for Payer: Ohio Health Group PPO Differential $28.60
Rate for Payer: Ohio Health Group PPO No Differential $18.59
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.33
Rate for Payer: PHCS Commercial $137.28
Rate for Payer: United Healthcare All Payer $125.84
Service Code HCPCS G0480
Hospital Charge Code 30001851
Hospital Revenue Code 300
Min. Negotiated Rate $15.99
Max. Negotiated Rate $118.08
Rate for Payer: Aetna Commercial $94.71
Rate for Payer: Anthem POS/PPO/Traditional $98.77
Rate for Payer: Cash Price $61.50
Rate for Payer: Cigna Commercial $102.09
Rate for Payer: First Health Commercial $116.85
Rate for Payer: Humana Commercial $104.55
Rate for Payer: Medical Mutual Of Ohio HMO $100.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $90.77
Rate for Payer: Molina Healthcare Benefit Exchange $36.90
Rate for Payer: Ohio Health Choice Commercial $108.24
Rate for Payer: Ohio Health Group HMO $92.25
Rate for Payer: Ohio Health Group PPO Differential $24.60
Rate for Payer: Ohio Health Group PPO No Differential $15.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $38.13
Rate for Payer: PHCS Commercial $118.08
Rate for Payer: United Healthcare All Payer $108.24
Service Code HCPCS G0480
Hospital Charge Code 30001851
Hospital Revenue Code 300
Min. Negotiated Rate $15.99
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $94.71
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $98.77
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $61.50
Rate for Payer: Cash Price $61.50
Rate for Payer: Cigna Commercial $102.09
Rate for Payer: First Health Commercial $116.85
Rate for Payer: Humana Commercial $104.55
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 $100.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $90.77
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $108.24
Rate for Payer: Ohio Health Group HMO $92.25
Rate for Payer: Ohio Health Group PPO Differential $24.60
Rate for Payer: Ohio Health Group PPO No Differential $15.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $38.13
Rate for Payer: PHCS Commercial $118.08
Rate for Payer: United Healthcare All Payer $108.24
Service Code HCPCS 86255
Hospital Charge Code 30001904
Hospital Revenue Code 300
Min. Negotiated Rate $12.05
Max. Negotiated Rate $312.00
Rate for Payer: Aetna Commercial $250.25
Rate for Payer: Anthem Medicaid $12.05
Rate for Payer: Anthem Medicare Advantage/PPO $12.05
Rate for Payer: Anthem POS/PPO/Traditional $260.98
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.87
Rate for Payer: CareSource Just4Me Medicare $12.05
Rate for Payer: Cash Price $162.50
Rate for Payer: Cash Price $162.50
Rate for Payer: Cigna Commercial $269.75
Rate for Payer: First Health Commercial $308.75
Rate for Payer: Humana Commercial $276.25
Rate for Payer: Humana KY Medicaid $12.05
Rate for Payer: Humana Medicare Advantage $12.05
Rate for Payer: Kentucky WC Medicaid $12.17
Rate for Payer: Medical Mutual Of Ohio HMO $266.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $239.85
Rate for Payer: Molina Healthcare Benefit Exchange $14.46
Rate for Payer: Molina Healthcare Medicaid $12.29
Rate for Payer: Ohio Health Choice Commercial $286.00
Rate for Payer: Ohio Health Group HMO $243.75
Rate for Payer: Ohio Health Group PPO Differential $65.00
Rate for Payer: Ohio Health Group PPO No Differential $42.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $100.75
Rate for Payer: PHCS Commercial $312.00
Rate for Payer: United Healthcare All Payer $286.00
Service Code HCPCS 86255
Hospital Charge Code 30001904
Hospital Revenue Code 300
Min. Negotiated Rate $42.25
Max. Negotiated Rate $312.00
Rate for Payer: Aetna Commercial $250.25
Rate for Payer: Anthem POS/PPO/Traditional $260.98
Rate for Payer: Cash Price $162.50
Rate for Payer: Cigna Commercial $269.75
Rate for Payer: First Health Commercial $308.75
Rate for Payer: Humana Commercial $276.25
Rate for Payer: Medical Mutual Of Ohio HMO $266.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $239.85
Rate for Payer: Molina Healthcare Benefit Exchange $97.50
Rate for Payer: Ohio Health Choice Commercial $286.00
Rate for Payer: Ohio Health Group HMO $243.75
Rate for Payer: Ohio Health Group PPO Differential $65.00
Rate for Payer: Ohio Health Group PPO No Differential $42.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $100.75
Rate for Payer: PHCS Commercial $312.00
Rate for Payer: United Healthcare All Payer $286.00
Service Code HCPCS 83520
Hospital Charge Code 30001905
Hospital Revenue Code 300
Min. Negotiated Rate $17.27
Max. Negotiated Rate $447.36
Rate for Payer: Aetna Commercial $358.82
Rate for Payer: Anthem Medicaid $17.27
Rate for Payer: Anthem Medicare Advantage/PPO $17.27
Rate for Payer: Anthem POS/PPO/Traditional $374.20
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24.18
Rate for Payer: CareSource Just4Me Medicare $17.27
Rate for Payer: Cash Price $233.00
Rate for Payer: Cash Price $233.00
Rate for Payer: Cigna Commercial $386.78
Rate for Payer: First Health Commercial $442.70
Rate for Payer: Humana Commercial $396.10
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 $382.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $343.91
Rate for Payer: Molina Healthcare Benefit Exchange $20.72
Rate for Payer: Molina Healthcare Medicaid $17.62
Rate for Payer: Ohio Health Choice Commercial $410.08
Rate for Payer: Ohio Health Group HMO $349.50
Rate for Payer: Ohio Health Group PPO Differential $93.20
Rate for Payer: Ohio Health Group PPO No Differential $60.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $144.46
Rate for Payer: PHCS Commercial $447.36
Rate for Payer: United Healthcare All Payer $410.08