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Service Code HCPCS 83520
Hospital Charge Code 30001905
Hospital Revenue Code 300
Min. Negotiated Rate $60.58
Max. Negotiated Rate $447.36
Rate for Payer: Aetna Commercial $358.82
Rate for Payer: Anthem POS/PPO/Traditional $374.20
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: 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 $139.80
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
Service Code HCPCS 86003
Hospital Charge Code 30000829
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 30000829
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 30000795
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 30000795
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 30000765
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 30000765
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 30000913
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 30000913
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 30000805
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 30000805
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 85420
Hospital Charge Code 30000607
Hospital Revenue Code 300
Min. Negotiated Rate $27.56
Max. Negotiated Rate $203.52
Rate for Payer: Aetna Commercial $163.24
Rate for Payer: Anthem POS/PPO/Traditional $170.24
Rate for Payer: Cash Price $106.00
Rate for Payer: Cigna Commercial $175.96
Rate for Payer: First Health Commercial $201.40
Rate for Payer: Humana Commercial $180.20
Rate for Payer: Medical Mutual Of Ohio HMO $173.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $156.46
Rate for Payer: Molina Healthcare Benefit Exchange $63.60
Rate for Payer: Ohio Health Choice Commercial $186.56
Rate for Payer: Ohio Health Group HMO $159.00
Rate for Payer: Ohio Health Group PPO Differential $42.40
Rate for Payer: Ohio Health Group PPO No Differential $27.56
Rate for Payer: Ohio Health Group PPO SOMC Employees $65.72
Rate for Payer: PHCS Commercial $203.52
Rate for Payer: United Healthcare All Payer $186.56
Service Code HCPCS 85420
Hospital Charge Code 30000607
Hospital Revenue Code 300
Min. Negotiated Rate $6.53
Max. Negotiated Rate $203.52
Rate for Payer: Aetna Commercial $163.24
Rate for Payer: Anthem Medicaid $6.53
Rate for Payer: Anthem Medicare Advantage/PPO $6.53
Rate for Payer: Anthem POS/PPO/Traditional $170.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $9.14
Rate for Payer: CareSource Just4Me Medicare $6.53
Rate for Payer: Cash Price $106.00
Rate for Payer: Cash Price $106.00
Rate for Payer: Cigna Commercial $175.96
Rate for Payer: First Health Commercial $201.40
Rate for Payer: Humana Commercial $180.20
Rate for Payer: Humana KY Medicaid $6.53
Rate for Payer: Humana Medicare Advantage $6.53
Rate for Payer: Kentucky WC Medicaid $6.60
Rate for Payer: Medical Mutual Of Ohio HMO $173.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $156.46
Rate for Payer: Molina Healthcare Benefit Exchange $7.84
Rate for Payer: Molina Healthcare Medicaid $6.66
Rate for Payer: Ohio Health Choice Commercial $186.56
Rate for Payer: Ohio Health Group HMO $159.00
Rate for Payer: Ohio Health Group PPO Differential $42.40
Rate for Payer: Ohio Health Group PPO No Differential $27.56
Rate for Payer: Ohio Health Group PPO SOMC Employees $65.72
Rate for Payer: PHCS Commercial $203.52
Rate for Payer: United Healthcare All Payer $186.56
Service Code HCPCS 86022
Hospital Charge Code 30000971
Hospital Revenue Code 300
Min. Negotiated Rate $18.37
Max. Negotiated Rate $386.88
Rate for Payer: Aetna Commercial $310.31
Rate for Payer: Anthem Medicaid $18.37
Rate for Payer: Anthem Medicare Advantage/PPO $18.37
Rate for Payer: Anthem POS/PPO/Traditional $323.61
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.72
Rate for Payer: CareSource Just4Me Medicare $18.37
Rate for Payer: Cash Price $201.50
Rate for Payer: Cash Price $201.50
Rate for Payer: Cigna Commercial $334.49
Rate for Payer: First Health Commercial $382.85
Rate for Payer: Humana Commercial $342.55
Rate for Payer: Humana KY Medicaid $18.37
Rate for Payer: Humana Medicare Advantage $18.37
Rate for Payer: Kentucky WC Medicaid $18.55
Rate for Payer: Medical Mutual Of Ohio HMO $330.46
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $297.41
Rate for Payer: Molina Healthcare Benefit Exchange $22.04
Rate for Payer: Molina Healthcare Medicaid $18.74
Rate for Payer: Ohio Health Choice Commercial $354.64
Rate for Payer: Ohio Health Group HMO $302.25
Rate for Payer: Ohio Health Group PPO Differential $80.60
Rate for Payer: Ohio Health Group PPO No Differential $52.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $124.93
Rate for Payer: PHCS Commercial $386.88
Rate for Payer: United Healthcare All Payer $354.64
Service Code HCPCS 86022
Hospital Charge Code 30000971
Hospital Revenue Code 300
Min. Negotiated Rate $52.39
Max. Negotiated Rate $386.88
Rate for Payer: Aetna Commercial $310.31
Rate for Payer: Anthem POS/PPO/Traditional $323.61
Rate for Payer: Cash Price $201.50
Rate for Payer: Cigna Commercial $334.49
Rate for Payer: First Health Commercial $382.85
Rate for Payer: Humana Commercial $342.55
Rate for Payer: Medical Mutual Of Ohio HMO $330.46
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $297.41
Rate for Payer: Molina Healthcare Benefit Exchange $120.90
Rate for Payer: Ohio Health Choice Commercial $354.64
Rate for Payer: Ohio Health Group HMO $302.25
Rate for Payer: Ohio Health Group PPO Differential $80.60
Rate for Payer: Ohio Health Group PPO No Differential $52.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $124.93
Rate for Payer: PHCS Commercial $386.88
Rate for Payer: United Healthcare All Payer $354.64
Service Code HCPCS 85597
Hospital Charge Code 30000616
Hospital Revenue Code 300
Min. Negotiated Rate $17.03
Max. Negotiated Rate $125.76
Rate for Payer: Aetna Commercial $100.87
Rate for Payer: Anthem Medicaid $17.98
Rate for Payer: Anthem Medicare Advantage/PPO $17.98
Rate for Payer: Anthem POS/PPO/Traditional $105.19
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.17
Rate for Payer: CareSource Just4Me Medicare $17.98
Rate for Payer: Cash Price $65.50
Rate for Payer: Cash Price $65.50
Rate for Payer: Cigna Commercial $108.73
Rate for Payer: First Health Commercial $124.45
Rate for Payer: Humana Commercial $111.35
Rate for Payer: Humana KY Medicaid $17.98
Rate for Payer: Humana Medicare Advantage $17.98
Rate for Payer: Kentucky WC Medicaid $18.16
Rate for Payer: Medical Mutual Of Ohio HMO $107.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $96.68
Rate for Payer: Molina Healthcare Benefit Exchange $21.58
Rate for Payer: Molina Healthcare Medicaid $18.34
Rate for Payer: Ohio Health Choice Commercial $115.28
Rate for Payer: Ohio Health Group HMO $98.25
Rate for Payer: Ohio Health Group PPO Differential $26.20
Rate for Payer: Ohio Health Group PPO No Differential $17.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $40.61
Rate for Payer: PHCS Commercial $125.76
Rate for Payer: United Healthcare All Payer $115.28
Service Code HCPCS 85597
Hospital Charge Code 30000616
Hospital Revenue Code 300
Min. Negotiated Rate $17.03
Max. Negotiated Rate $125.76
Rate for Payer: Aetna Commercial $100.87
Rate for Payer: Anthem POS/PPO/Traditional $105.19
Rate for Payer: Cash Price $65.50
Rate for Payer: Cigna Commercial $108.73
Rate for Payer: First Health Commercial $124.45
Rate for Payer: Humana Commercial $111.35
Rate for Payer: Medical Mutual Of Ohio HMO $107.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $96.68
Rate for Payer: Molina Healthcare Benefit Exchange $39.30
Rate for Payer: Ohio Health Choice Commercial $115.28
Rate for Payer: Ohio Health Group HMO $98.25
Rate for Payer: Ohio Health Group PPO Differential $26.20
Rate for Payer: Ohio Health Group PPO No Differential $17.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $40.61
Rate for Payer: PHCS Commercial $125.76
Rate for Payer: United Healthcare All Payer $115.28
Service Code HCPCS 87281
Hospital Charge Code 30002053
Hospital Revenue Code 306
Min. Negotiated Rate $9.95
Max. Negotiated Rate $73.46
Rate for Payer: Aetna Commercial $58.92
Rate for Payer: Anthem POS/PPO/Traditional $61.45
Rate for Payer: Cash Price $38.26
Rate for Payer: Cigna Commercial $63.51
Rate for Payer: First Health Commercial $72.69
Rate for Payer: Humana Commercial $65.04
Rate for Payer: Medical Mutual Of Ohio HMO $62.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $56.47
Rate for Payer: Molina Healthcare Benefit Exchange $22.96
Rate for Payer: Ohio Health Choice Commercial $67.34
Rate for Payer: Ohio Health Group HMO $57.39
Rate for Payer: Ohio Health Group PPO Differential $15.30
Rate for Payer: Ohio Health Group PPO No Differential $9.95
Rate for Payer: Ohio Health Group PPO SOMC Employees $23.72
Rate for Payer: PHCS Commercial $73.46
Rate for Payer: United Healthcare All Payer $67.34
Service Code HCPCS 87281
Hospital Charge Code 30002053
Hospital Revenue Code 306
Min. Negotiated Rate $9.95
Max. Negotiated Rate $73.46
Rate for Payer: Aetna Commercial $58.92
Rate for Payer: Anthem Medicaid $11.98
Rate for Payer: Anthem Medicare Advantage/PPO $11.98
Rate for Payer: Anthem POS/PPO/Traditional $61.45
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.77
Rate for Payer: CareSource Just4Me Medicare $11.98
Rate for Payer: Cash Price $38.26
Rate for Payer: Cash Price $38.26
Rate for Payer: Cigna Commercial $63.51
Rate for Payer: First Health Commercial $72.69
Rate for Payer: Humana Commercial $65.04
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 $62.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $56.47
Rate for Payer: Molina Healthcare Benefit Exchange $14.38
Rate for Payer: Molina Healthcare Medicaid $12.22
Rate for Payer: Ohio Health Choice Commercial $67.34
Rate for Payer: Ohio Health Group HMO $57.39
Rate for Payer: Ohio Health Group PPO Differential $15.30
Rate for Payer: Ohio Health Group PPO No Differential $9.95
Rate for Payer: Ohio Health Group PPO SOMC Employees $23.72
Rate for Payer: PHCS Commercial $73.46
Rate for Payer: United Healthcare All Payer $67.34
Service Code HCPCS 86003
Hospital Charge Code 30000949
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 30000949
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 84110
Hospital Charge Code 30000477
Hospital Revenue Code 300
Min. Negotiated Rate $18.33
Max. Negotiated Rate $135.36
Rate for Payer: Aetna Commercial $108.57
Rate for Payer: Anthem POS/PPO/Traditional $113.22
Rate for Payer: Cash Price $70.50
Rate for Payer: Cigna Commercial $117.03
Rate for Payer: First Health Commercial $133.95
Rate for Payer: Humana Commercial $119.85
Rate for Payer: Medical Mutual Of Ohio HMO $115.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $104.06
Rate for Payer: Molina Healthcare Benefit Exchange $42.30
Rate for Payer: Ohio Health Choice Commercial $124.08
Rate for Payer: Ohio Health Group HMO $105.75
Rate for Payer: Ohio Health Group PPO Differential $28.20
Rate for Payer: Ohio Health Group PPO No Differential $18.33
Rate for Payer: Ohio Health Group PPO SOMC Employees $43.71
Rate for Payer: PHCS Commercial $135.36
Rate for Payer: United Healthcare All Payer $124.08
Service Code HCPCS 84110
Hospital Charge Code 30000477
Hospital Revenue Code 300
Min. Negotiated Rate $8.44
Max. Negotiated Rate $135.36
Rate for Payer: Aetna Commercial $108.57
Rate for Payer: Anthem Medicaid $8.44
Rate for Payer: Anthem Medicare Advantage/PPO $8.44
Rate for Payer: Anthem POS/PPO/Traditional $113.22
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $11.82
Rate for Payer: CareSource Just4Me Medicare $8.44
Rate for Payer: Cash Price $70.50
Rate for Payer: Cash Price $70.50
Rate for Payer: Cigna Commercial $117.03
Rate for Payer: First Health Commercial $133.95
Rate for Payer: Humana Commercial $119.85
Rate for Payer: Humana KY Medicaid $8.44
Rate for Payer: Humana Medicare Advantage $8.44
Rate for Payer: Kentucky WC Medicaid $8.52
Rate for Payer: Medical Mutual Of Ohio HMO $115.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $104.06
Rate for Payer: Molina Healthcare Benefit Exchange $10.13
Rate for Payer: Molina Healthcare Medicaid $8.61
Rate for Payer: Ohio Health Choice Commercial $124.08
Rate for Payer: Ohio Health Group HMO $105.75
Rate for Payer: Ohio Health Group PPO Differential $28.20
Rate for Payer: Ohio Health Group PPO No Differential $18.33
Rate for Payer: Ohio Health Group PPO SOMC Employees $43.71
Rate for Payer: PHCS Commercial $135.36
Rate for Payer: United Healthcare All Payer $124.08
Service Code HCPCS 82542
Hospital Charge Code 30000292
Hospital Revenue Code 301
Min. Negotiated Rate $13.78
Max. Negotiated Rate $101.76
Rate for Payer: Aetna Commercial $81.62
Rate for Payer: Anthem POS/PPO/Traditional $85.12
Rate for Payer: Cash Price $53.00
Rate for Payer: Cigna Commercial $87.98
Rate for Payer: First Health Commercial $100.70
Rate for Payer: Humana Commercial $90.10
Rate for Payer: Medical Mutual Of Ohio HMO $86.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $78.23
Rate for Payer: Molina Healthcare Benefit Exchange $31.80
Rate for Payer: Ohio Health Choice Commercial $93.28
Rate for Payer: Ohio Health Group HMO $79.50
Rate for Payer: Ohio Health Group PPO Differential $21.20
Rate for Payer: Ohio Health Group PPO No Differential $13.78
Rate for Payer: Ohio Health Group PPO SOMC Employees $32.86
Rate for Payer: PHCS Commercial $101.76
Rate for Payer: United Healthcare All Payer $93.28
Service Code HCPCS 82542
Hospital Charge Code 30000292
Hospital Revenue Code 301
Min. Negotiated Rate $13.78
Max. Negotiated Rate $101.76
Rate for Payer: Aetna Commercial $81.62
Rate for Payer: Anthem Medicaid $24.09
Rate for Payer: Anthem Medicare Advantage/PPO $24.09
Rate for Payer: Anthem POS/PPO/Traditional $85.12
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $33.73
Rate for Payer: CareSource Just4Me Medicare $24.09
Rate for Payer: Cash Price $53.00
Rate for Payer: Cash Price $53.00
Rate for Payer: Cigna Commercial $87.98
Rate for Payer: First Health Commercial $100.70
Rate for Payer: Humana Commercial $90.10
Rate for Payer: Humana KY Medicaid $24.09
Rate for Payer: Humana Medicare Advantage $24.09
Rate for Payer: Kentucky WC Medicaid $24.33
Rate for Payer: Medical Mutual Of Ohio HMO $86.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $78.23
Rate for Payer: Molina Healthcare Benefit Exchange $28.91
Rate for Payer: Molina Healthcare Medicaid $24.57
Rate for Payer: Ohio Health Choice Commercial $93.28
Rate for Payer: Ohio Health Group HMO $79.50
Rate for Payer: Ohio Health Group PPO Differential $21.20
Rate for Payer: Ohio Health Group PPO No Differential $13.78
Rate for Payer: Ohio Health Group PPO SOMC Employees $32.86
Rate for Payer: PHCS Commercial $101.76
Rate for Payer: United Healthcare All Payer $93.28