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Service Code HCPCS 84166
Hospital Charge Code 30000497
Hospital Revenue Code 300
Min. Negotiated Rate $17.42
Max. Negotiated Rate $128.64
Rate for Payer: Aetna Commercial $103.18
Rate for Payer: Anthem Medicaid $17.83
Rate for Payer: Anthem Medicare Advantage/PPO $17.83
Rate for Payer: Anthem POS/PPO/Traditional $107.60
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24.96
Rate for Payer: CareSource Just4Me Medicare $17.83
Rate for Payer: Cash Price $67.00
Rate for Payer: Cash Price $67.00
Rate for Payer: Cigna Commercial $111.22
Rate for Payer: First Health Commercial $127.30
Rate for Payer: Humana Commercial $113.90
Rate for Payer: Humana KY Medicaid $17.83
Rate for Payer: Humana Medicare Advantage $17.83
Rate for Payer: Kentucky WC Medicaid $18.01
Rate for Payer: Medical Mutual Of Ohio HMO $109.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $98.89
Rate for Payer: Molina Healthcare Benefit Exchange $21.40
Rate for Payer: Molina Healthcare Medicaid $18.19
Rate for Payer: Ohio Health Choice Commercial $117.92
Rate for Payer: Ohio Health Group HMO $100.50
Rate for Payer: Ohio Health Group PPO Differential $26.80
Rate for Payer: Ohio Health Group PPO No Differential $17.42
Rate for Payer: Ohio Health Group PPO SOMC Employees $41.54
Rate for Payer: PHCS Commercial $128.64
Rate for Payer: United Healthcare All Payer $117.92
Service Code HCPCS 84165
Hospital Charge Code 30000496
Hospital Revenue Code 300
Min. Negotiated Rate $10.74
Max. Negotiated Rate $122.88
Rate for Payer: Aetna Commercial $98.56
Rate for Payer: Anthem Medicaid $10.74
Rate for Payer: Anthem Medicare Advantage/PPO $10.74
Rate for Payer: Anthem POS/PPO/Traditional $102.78
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $15.04
Rate for Payer: CareSource Just4Me Medicare $10.74
Rate for Payer: Cash Price $64.00
Rate for Payer: Cash Price $64.00
Rate for Payer: Cigna Commercial $106.24
Rate for Payer: First Health Commercial $121.60
Rate for Payer: Humana Commercial $108.80
Rate for Payer: Humana KY Medicaid $10.74
Rate for Payer: Humana Medicare Advantage $10.74
Rate for Payer: Kentucky WC Medicaid $10.85
Rate for Payer: Medical Mutual Of Ohio HMO $104.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $94.46
Rate for Payer: Molina Healthcare Benefit Exchange $12.89
Rate for Payer: Molina Healthcare Medicaid $10.95
Rate for Payer: Ohio Health Choice Commercial $112.64
Rate for Payer: Ohio Health Group HMO $96.00
Rate for Payer: Ohio Health Group PPO Differential $25.60
Rate for Payer: Ohio Health Group PPO No Differential $16.64
Rate for Payer: Ohio Health Group PPO SOMC Employees $39.68
Rate for Payer: PHCS Commercial $122.88
Rate for Payer: United Healthcare All Payer $112.64
Service Code HCPCS 84165
Hospital Charge Code 30000496
Hospital Revenue Code 300
Min. Negotiated Rate $16.64
Max. Negotiated Rate $122.88
Rate for Payer: Aetna Commercial $98.56
Rate for Payer: Anthem POS/PPO/Traditional $102.78
Rate for Payer: Cash Price $64.00
Rate for Payer: Cigna Commercial $106.24
Rate for Payer: First Health Commercial $121.60
Rate for Payer: Humana Commercial $108.80
Rate for Payer: Medical Mutual Of Ohio HMO $104.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $94.46
Rate for Payer: Molina Healthcare Benefit Exchange $38.40
Rate for Payer: Ohio Health Choice Commercial $112.64
Rate for Payer: Ohio Health Group HMO $96.00
Rate for Payer: Ohio Health Group PPO Differential $25.60
Rate for Payer: Ohio Health Group PPO No Differential $16.64
Rate for Payer: Ohio Health Group PPO SOMC Employees $39.68
Rate for Payer: PHCS Commercial $122.88
Rate for Payer: United Healthcare All Payer $112.64
Service Code HCPCS 85306
Hospital Charge Code 30000594
Hospital Revenue Code 305
Min. Negotiated Rate $43.55
Max. Negotiated Rate $321.60
Rate for Payer: Aetna Commercial $257.95
Rate for Payer: Anthem POS/PPO/Traditional $269.00
Rate for Payer: Cash Price $167.50
Rate for Payer: Cigna Commercial $278.05
Rate for Payer: First Health Commercial $318.25
Rate for Payer: Humana Commercial $284.75
Rate for Payer: Medical Mutual Of Ohio HMO $274.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $247.23
Rate for Payer: Molina Healthcare Benefit Exchange $100.50
Rate for Payer: Ohio Health Choice Commercial $294.80
Rate for Payer: Ohio Health Group HMO $251.25
Rate for Payer: Ohio Health Group PPO Differential $67.00
Rate for Payer: Ohio Health Group PPO No Differential $43.55
Rate for Payer: Ohio Health Group PPO SOMC Employees $103.85
Rate for Payer: PHCS Commercial $321.60
Rate for Payer: United Healthcare All Payer $294.80
Service Code HCPCS 85306
Hospital Charge Code 30000594
Hospital Revenue Code 305
Min. Negotiated Rate $15.32
Max. Negotiated Rate $321.60
Rate for Payer: Aetna Commercial $257.95
Rate for Payer: Anthem Medicaid $15.32
Rate for Payer: Anthem Medicare Advantage/PPO $15.32
Rate for Payer: Anthem POS/PPO/Traditional $269.00
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $21.45
Rate for Payer: CareSource Just4Me Medicare $15.32
Rate for Payer: Cash Price $167.50
Rate for Payer: Cash Price $167.50
Rate for Payer: Cigna Commercial $278.05
Rate for Payer: First Health Commercial $318.25
Rate for Payer: Humana Commercial $284.75
Rate for Payer: Humana KY Medicaid $15.32
Rate for Payer: Humana Medicare Advantage $15.32
Rate for Payer: Kentucky WC Medicaid $15.47
Rate for Payer: Medical Mutual Of Ohio HMO $274.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $247.23
Rate for Payer: Molina Healthcare Benefit Exchange $18.38
Rate for Payer: Molina Healthcare Medicaid $15.63
Rate for Payer: Ohio Health Choice Commercial $294.80
Rate for Payer: Ohio Health Group HMO $251.25
Rate for Payer: Ohio Health Group PPO Differential $67.00
Rate for Payer: Ohio Health Group PPO No Differential $43.55
Rate for Payer: Ohio Health Group PPO SOMC Employees $103.85
Rate for Payer: PHCS Commercial $321.60
Rate for Payer: United Healthcare All Payer $294.80
Service Code HCPCS 85305
Hospital Charge Code 30000593
Hospital Revenue Code 305
Min. Negotiated Rate $70.98
Max. Negotiated Rate $524.16
Rate for Payer: Aetna Commercial $420.42
Rate for Payer: Anthem POS/PPO/Traditional $438.44
Rate for Payer: Cash Price $273.00
Rate for Payer: Cigna Commercial $453.18
Rate for Payer: First Health Commercial $518.70
Rate for Payer: Humana Commercial $464.10
Rate for Payer: Medical Mutual Of Ohio HMO $447.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $402.95
Rate for Payer: Molina Healthcare Benefit Exchange $163.80
Rate for Payer: Ohio Health Choice Commercial $480.48
Rate for Payer: Ohio Health Group HMO $409.50
Rate for Payer: Ohio Health Group PPO Differential $109.20
Rate for Payer: Ohio Health Group PPO No Differential $70.98
Rate for Payer: Ohio Health Group PPO SOMC Employees $169.26
Rate for Payer: PHCS Commercial $524.16
Rate for Payer: United Healthcare All Payer $480.48
Service Code HCPCS 85305
Hospital Charge Code 30000593
Hospital Revenue Code 305
Min. Negotiated Rate $11.61
Max. Negotiated Rate $524.16
Rate for Payer: Aetna Commercial $420.42
Rate for Payer: Anthem Medicaid $11.61
Rate for Payer: Anthem Medicare Advantage/PPO $11.61
Rate for Payer: Anthem POS/PPO/Traditional $438.44
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.25
Rate for Payer: CareSource Just4Me Medicare $11.61
Rate for Payer: Cash Price $273.00
Rate for Payer: Cash Price $273.00
Rate for Payer: Cigna Commercial $453.18
Rate for Payer: First Health Commercial $518.70
Rate for Payer: Humana Commercial $464.10
Rate for Payer: Humana KY Medicaid $11.61
Rate for Payer: Humana Medicare Advantage $11.61
Rate for Payer: Kentucky WC Medicaid $11.73
Rate for Payer: Medical Mutual Of Ohio HMO $447.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $402.95
Rate for Payer: Molina Healthcare Benefit Exchange $13.93
Rate for Payer: Molina Healthcare Medicaid $11.84
Rate for Payer: Ohio Health Choice Commercial $480.48
Rate for Payer: Ohio Health Group HMO $409.50
Rate for Payer: Ohio Health Group PPO Differential $109.20
Rate for Payer: Ohio Health Group PPO No Differential $70.98
Rate for Payer: Ohio Health Group PPO SOMC Employees $169.26
Rate for Payer: PHCS Commercial $524.16
Rate for Payer: United Healthcare All Payer $480.48
Service Code HCPCS 84155
Hospital Charge Code 30001829
Hospital Revenue Code 300
Min. Negotiated Rate $3.67
Max. Negotiated Rate $63.36
Rate for Payer: Aetna Commercial $50.82
Rate for Payer: Anthem Medicaid $3.67
Rate for Payer: Anthem Medicare Advantage/PPO $3.67
Rate for Payer: Anthem POS/PPO/Traditional $53.00
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $5.14
Rate for Payer: CareSource Just4Me Medicare $3.67
Rate for Payer: Cash Price $33.00
Rate for Payer: Cash Price $33.00
Rate for Payer: Cigna Commercial $54.78
Rate for Payer: First Health Commercial $62.70
Rate for Payer: Humana Commercial $56.10
Rate for Payer: Humana KY Medicaid $3.67
Rate for Payer: Humana Medicare Advantage $3.67
Rate for Payer: Kentucky WC Medicaid $3.71
Rate for Payer: Medical Mutual Of Ohio HMO $54.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $48.71
Rate for Payer: Molina Healthcare Benefit Exchange $4.40
Rate for Payer: Molina Healthcare Medicaid $3.74
Rate for Payer: Ohio Health Choice Commercial $58.08
Rate for Payer: Ohio Health Group HMO $49.50
Rate for Payer: Ohio Health Group PPO Differential $13.20
Rate for Payer: Ohio Health Group PPO No Differential $8.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.46
Rate for Payer: PHCS Commercial $63.36
Rate for Payer: United Healthcare All Payer $58.08
Service Code HCPCS 84155
Hospital Charge Code 30001829
Hospital Revenue Code 300
Min. Negotiated Rate $8.58
Max. Negotiated Rate $63.36
Rate for Payer: Aetna Commercial $50.82
Rate for Payer: Anthem POS/PPO/Traditional $53.00
Rate for Payer: Cash Price $33.00
Rate for Payer: Cigna Commercial $54.78
Rate for Payer: First Health Commercial $62.70
Rate for Payer: Humana Commercial $56.10
Rate for Payer: Medical Mutual Of Ohio HMO $54.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $48.71
Rate for Payer: Molina Healthcare Benefit Exchange $19.80
Rate for Payer: Ohio Health Choice Commercial $58.08
Rate for Payer: Ohio Health Group HMO $49.50
Rate for Payer: Ohio Health Group PPO Differential $13.20
Rate for Payer: Ohio Health Group PPO No Differential $8.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.46
Rate for Payer: PHCS Commercial $63.36
Rate for Payer: United Healthcare All Payer $58.08
Service Code HCPCS 84156
Hospital Charge Code 30000493
Hospital Revenue Code 300
Min. Negotiated Rate $8.97
Max. Negotiated Rate $66.24
Rate for Payer: Aetna Commercial $53.13
Rate for Payer: Anthem POS/PPO/Traditional $55.41
Rate for Payer: Cash Price $34.50
Rate for Payer: Cigna Commercial $57.27
Rate for Payer: First Health Commercial $65.55
Rate for Payer: Humana Commercial $58.65
Rate for Payer: Medical Mutual Of Ohio HMO $56.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $50.92
Rate for Payer: Molina Healthcare Benefit Exchange $20.70
Rate for Payer: Ohio Health Choice Commercial $60.72
Rate for Payer: Ohio Health Group HMO $51.75
Rate for Payer: Ohio Health Group PPO Differential $13.80
Rate for Payer: Ohio Health Group PPO No Differential $8.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $21.39
Rate for Payer: PHCS Commercial $66.24
Rate for Payer: United Healthcare All Payer $60.72
Service Code HCPCS 84156
Hospital Charge Code 30000493
Hospital Revenue Code 300
Min. Negotiated Rate $3.67
Max. Negotiated Rate $66.24
Rate for Payer: Aetna Commercial $53.13
Rate for Payer: Anthem Medicaid $3.67
Rate for Payer: Anthem Medicare Advantage/PPO $3.67
Rate for Payer: Anthem POS/PPO/Traditional $55.41
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $5.14
Rate for Payer: CareSource Just4Me Medicare $3.67
Rate for Payer: Cash Price $34.50
Rate for Payer: Cash Price $34.50
Rate for Payer: Cigna Commercial $57.27
Rate for Payer: First Health Commercial $65.55
Rate for Payer: Humana Commercial $58.65
Rate for Payer: Humana KY Medicaid $3.67
Rate for Payer: Humana Medicare Advantage $3.67
Rate for Payer: Kentucky WC Medicaid $3.71
Rate for Payer: Medical Mutual Of Ohio HMO $56.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $50.92
Rate for Payer: Molina Healthcare Benefit Exchange $4.40
Rate for Payer: Molina Healthcare Medicaid $3.74
Rate for Payer: Ohio Health Choice Commercial $60.72
Rate for Payer: Ohio Health Group HMO $51.75
Rate for Payer: Ohio Health Group PPO Differential $13.80
Rate for Payer: Ohio Health Group PPO No Differential $8.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $21.39
Rate for Payer: PHCS Commercial $66.24
Rate for Payer: United Healthcare All Payer $60.72
Service Code HCPCS 81240
Hospital Charge Code 30001815
Hospital Revenue Code 300
Min. Negotiated Rate $25.74
Max. Negotiated Rate $190.08
Rate for Payer: Aetna Commercial $152.46
Rate for Payer: Anthem Medicaid $65.69
Rate for Payer: Anthem Medicare Advantage/PPO $65.69
Rate for Payer: Anthem POS/PPO/Traditional $158.99
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $91.97
Rate for Payer: CareSource Just4Me Medicare $65.69
Rate for Payer: Cash Price $99.00
Rate for Payer: Cash Price $99.00
Rate for Payer: Cigna Commercial $164.34
Rate for Payer: First Health Commercial $188.10
Rate for Payer: Humana Commercial $168.30
Rate for Payer: Humana KY Medicaid $65.69
Rate for Payer: Humana Medicare Advantage $65.69
Rate for Payer: Kentucky WC Medicaid $66.35
Rate for Payer: Medical Mutual Of Ohio HMO $162.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $146.12
Rate for Payer: Molina Healthcare Benefit Exchange $78.83
Rate for Payer: Molina Healthcare Medicaid $67.00
Rate for Payer: Ohio Health Choice Commercial $174.24
Rate for Payer: Ohio Health Group HMO $148.50
Rate for Payer: Ohio Health Group PPO Differential $39.60
Rate for Payer: Ohio Health Group PPO No Differential $25.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $61.38
Rate for Payer: PHCS Commercial $190.08
Rate for Payer: United Healthcare All Payer $174.24
Service Code HCPCS 81240
Hospital Charge Code 30000186
Hospital Revenue Code 300
Min. Negotiated Rate $26.91
Max. Negotiated Rate $198.72
Rate for Payer: Aetna Commercial $159.39
Rate for Payer: Anthem POS/PPO/Traditional $166.22
Rate for Payer: Cash Price $103.50
Rate for Payer: Cigna Commercial $171.81
Rate for Payer: First Health Commercial $196.65
Rate for Payer: Humana Commercial $175.95
Rate for Payer: Medical Mutual Of Ohio HMO $169.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $152.77
Rate for Payer: Molina Healthcare Benefit Exchange $62.10
Rate for Payer: Ohio Health Choice Commercial $182.16
Rate for Payer: Ohio Health Group HMO $155.25
Rate for Payer: Ohio Health Group PPO Differential $41.40
Rate for Payer: Ohio Health Group PPO No Differential $26.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $64.17
Rate for Payer: PHCS Commercial $198.72
Rate for Payer: United Healthcare All Payer $182.16
Service Code HCPCS 81240
Hospital Charge Code 30001815
Hospital Revenue Code 300
Min. Negotiated Rate $25.74
Max. Negotiated Rate $190.08
Rate for Payer: Aetna Commercial $152.46
Rate for Payer: Anthem POS/PPO/Traditional $158.99
Rate for Payer: Cash Price $99.00
Rate for Payer: Cigna Commercial $164.34
Rate for Payer: First Health Commercial $188.10
Rate for Payer: Humana Commercial $168.30
Rate for Payer: Medical Mutual Of Ohio HMO $162.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $146.12
Rate for Payer: Molina Healthcare Benefit Exchange $59.40
Rate for Payer: Ohio Health Choice Commercial $174.24
Rate for Payer: Ohio Health Group HMO $148.50
Rate for Payer: Ohio Health Group PPO Differential $39.60
Rate for Payer: Ohio Health Group PPO No Differential $25.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $61.38
Rate for Payer: PHCS Commercial $190.08
Rate for Payer: United Healthcare All Payer $174.24
Service Code HCPCS 81240
Hospital Charge Code 30000186
Hospital Revenue Code 300
Min. Negotiated Rate $26.91
Max. Negotiated Rate $198.72
Rate for Payer: Aetna Commercial $159.39
Rate for Payer: Anthem Medicaid $65.69
Rate for Payer: Anthem Medicare Advantage/PPO $65.69
Rate for Payer: Anthem POS/PPO/Traditional $166.22
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $91.97
Rate for Payer: CareSource Just4Me Medicare $65.69
Rate for Payer: Cash Price $103.50
Rate for Payer: Cash Price $103.50
Rate for Payer: Cigna Commercial $171.81
Rate for Payer: First Health Commercial $196.65
Rate for Payer: Humana Commercial $175.95
Rate for Payer: Humana KY Medicaid $65.69
Rate for Payer: Humana Medicare Advantage $65.69
Rate for Payer: Kentucky WC Medicaid $66.35
Rate for Payer: Medical Mutual Of Ohio HMO $169.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $152.77
Rate for Payer: Molina Healthcare Benefit Exchange $78.83
Rate for Payer: Molina Healthcare Medicaid $67.00
Rate for Payer: Ohio Health Choice Commercial $182.16
Rate for Payer: Ohio Health Group HMO $155.25
Rate for Payer: Ohio Health Group PPO Differential $41.40
Rate for Payer: Ohio Health Group PPO No Differential $26.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $64.17
Rate for Payer: PHCS Commercial $198.72
Rate for Payer: United Healthcare All Payer $182.16
Service Code HCPCS 85610
Hospital Charge Code 30000619
Hospital Revenue Code 300
Min. Negotiated Rate $4.29
Max. Negotiated Rate $197.76
Rate for Payer: Aetna Commercial $158.62
Rate for Payer: Anthem Medicaid $4.29
Rate for Payer: Anthem Medicare Advantage/PPO $4.29
Rate for Payer: Anthem POS/PPO/Traditional $165.42
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $6.01
Rate for Payer: CareSource Just4Me Medicare $4.29
Rate for Payer: Cash Price $103.00
Rate for Payer: Cash Price $103.00
Rate for Payer: Cigna Commercial $170.98
Rate for Payer: First Health Commercial $195.70
Rate for Payer: Humana Commercial $175.10
Rate for Payer: Humana KY Medicaid $4.29
Rate for Payer: Humana Medicare Advantage $4.29
Rate for Payer: Kentucky WC Medicaid $4.33
Rate for Payer: Medical Mutual Of Ohio HMO $168.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $152.03
Rate for Payer: Molina Healthcare Benefit Exchange $5.15
Rate for Payer: Molina Healthcare Medicaid $4.38
Rate for Payer: Ohio Health Choice Commercial $181.28
Rate for Payer: Ohio Health Group HMO $154.50
Rate for Payer: Ohio Health Group PPO Differential $41.20
Rate for Payer: Ohio Health Group PPO No Differential $26.78
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.86
Rate for Payer: PHCS Commercial $197.76
Rate for Payer: United Healthcare All Payer $181.28
Service Code HCPCS 85610
Hospital Charge Code 30000619
Hospital Revenue Code 300
Min. Negotiated Rate $26.78
Max. Negotiated Rate $197.76
Rate for Payer: Aetna Commercial $158.62
Rate for Payer: Anthem POS/PPO/Traditional $165.42
Rate for Payer: Cash Price $103.00
Rate for Payer: Cigna Commercial $170.98
Rate for Payer: First Health Commercial $195.70
Rate for Payer: Humana Commercial $175.10
Rate for Payer: Medical Mutual Of Ohio HMO $168.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $152.03
Rate for Payer: Molina Healthcare Benefit Exchange $61.80
Rate for Payer: Ohio Health Choice Commercial $181.28
Rate for Payer: Ohio Health Group HMO $154.50
Rate for Payer: Ohio Health Group PPO Differential $41.20
Rate for Payer: Ohio Health Group PPO No Differential $26.78
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.86
Rate for Payer: PHCS Commercial $197.76
Rate for Payer: United Healthcare All Payer $181.28
Service Code HCPCS 84154
Hospital Charge Code 30000491
Hospital Revenue Code 300
Min. Negotiated Rate $19.76
Max. Negotiated Rate $145.92
Rate for Payer: Aetna Commercial $117.04
Rate for Payer: Anthem POS/PPO/Traditional $122.06
Rate for Payer: Cash Price $76.00
Rate for Payer: Cigna Commercial $126.16
Rate for Payer: First Health Commercial $144.40
Rate for Payer: Humana Commercial $129.20
Rate for Payer: Medical Mutual Of Ohio HMO $124.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $112.18
Rate for Payer: Molina Healthcare Benefit Exchange $45.60
Rate for Payer: Ohio Health Choice Commercial $133.76
Rate for Payer: Ohio Health Group HMO $114.00
Rate for Payer: Ohio Health Group PPO Differential $30.40
Rate for Payer: Ohio Health Group PPO No Differential $19.76
Rate for Payer: Ohio Health Group PPO SOMC Employees $47.12
Rate for Payer: PHCS Commercial $145.92
Rate for Payer: United Healthcare All Payer $133.76
Service Code HCPCS 84154
Hospital Charge Code 30000491
Hospital Revenue Code 300
Min. Negotiated Rate $18.39
Max. Negotiated Rate $145.92
Rate for Payer: Aetna Commercial $117.04
Rate for Payer: Anthem Medicaid $18.39
Rate for Payer: Anthem Medicare Advantage/PPO $18.39
Rate for Payer: Anthem POS/PPO/Traditional $122.06
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.75
Rate for Payer: CareSource Just4Me Medicare $18.39
Rate for Payer: Cash Price $76.00
Rate for Payer: Cash Price $76.00
Rate for Payer: Cigna Commercial $126.16
Rate for Payer: First Health Commercial $144.40
Rate for Payer: Humana Commercial $129.20
Rate for Payer: Humana KY Medicaid $18.39
Rate for Payer: Humana Medicare Advantage $18.39
Rate for Payer: Kentucky WC Medicaid $18.57
Rate for Payer: Medical Mutual Of Ohio HMO $124.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $112.18
Rate for Payer: Molina Healthcare Benefit Exchange $22.07
Rate for Payer: Molina Healthcare Medicaid $18.76
Rate for Payer: Ohio Health Choice Commercial $133.76
Rate for Payer: Ohio Health Group HMO $114.00
Rate for Payer: Ohio Health Group PPO Differential $30.40
Rate for Payer: Ohio Health Group PPO No Differential $19.76
Rate for Payer: Ohio Health Group PPO SOMC Employees $47.12
Rate for Payer: PHCS Commercial $145.92
Rate for Payer: United Healthcare All Payer $133.76
Service Code HCPCS 84153
Hospital Charge Code 30000489
Hospital Revenue Code 300
Min. Negotiated Rate $21.58
Max. Negotiated Rate $159.36
Rate for Payer: Aetna Commercial $127.82
Rate for Payer: Anthem POS/PPO/Traditional $133.30
Rate for Payer: Cash Price $83.00
Rate for Payer: Cigna Commercial $137.78
Rate for Payer: First Health Commercial $157.70
Rate for Payer: Humana Commercial $141.10
Rate for Payer: Medical Mutual Of Ohio HMO $136.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $122.51
Rate for Payer: Molina Healthcare Benefit Exchange $49.80
Rate for Payer: Ohio Health Choice Commercial $146.08
Rate for Payer: Ohio Health Group HMO $124.50
Rate for Payer: Ohio Health Group PPO Differential $33.20
Rate for Payer: Ohio Health Group PPO No Differential $21.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $51.46
Rate for Payer: PHCS Commercial $159.36
Rate for Payer: United Healthcare All Payer $146.08
Service Code HCPCS 84153
Hospital Charge Code 30000489
Hospital Revenue Code 300
Min. Negotiated Rate $18.39
Max. Negotiated Rate $159.36
Rate for Payer: Aetna Commercial $127.82
Rate for Payer: Anthem Medicaid $18.39
Rate for Payer: Anthem Medicare Advantage/PPO $18.39
Rate for Payer: Anthem POS/PPO/Traditional $133.30
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.75
Rate for Payer: CareSource Just4Me Medicare $18.39
Rate for Payer: Cash Price $83.00
Rate for Payer: Cash Price $83.00
Rate for Payer: Cigna Commercial $137.78
Rate for Payer: First Health Commercial $157.70
Rate for Payer: Humana Commercial $141.10
Rate for Payer: Humana KY Medicaid $18.39
Rate for Payer: Humana Medicare Advantage $18.39
Rate for Payer: Kentucky WC Medicaid $18.57
Rate for Payer: Medical Mutual Of Ohio HMO $136.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $122.51
Rate for Payer: Molina Healthcare Benefit Exchange $22.07
Rate for Payer: Molina Healthcare Medicaid $18.76
Rate for Payer: Ohio Health Choice Commercial $146.08
Rate for Payer: Ohio Health Group HMO $124.50
Rate for Payer: Ohio Health Group PPO Differential $33.20
Rate for Payer: Ohio Health Group PPO No Differential $21.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $51.46
Rate for Payer: PHCS Commercial $159.36
Rate for Payer: United Healthcare All Payer $146.08
Service Code HCPCS 82480
Hospital Charge Code 30000282
Hospital Revenue Code 300
Min. Negotiated Rate $8.97
Max. Negotiated Rate $66.24
Rate for Payer: Aetna Commercial $53.13
Rate for Payer: Anthem POS/PPO/Traditional $55.41
Rate for Payer: Cash Price $34.50
Rate for Payer: Cigna Commercial $57.27
Rate for Payer: First Health Commercial $65.55
Rate for Payer: Humana Commercial $58.65
Rate for Payer: Medical Mutual Of Ohio HMO $56.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $50.92
Rate for Payer: Molina Healthcare Benefit Exchange $20.70
Rate for Payer: Ohio Health Choice Commercial $60.72
Rate for Payer: Ohio Health Group HMO $51.75
Rate for Payer: Ohio Health Group PPO Differential $13.80
Rate for Payer: Ohio Health Group PPO No Differential $8.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $21.39
Rate for Payer: PHCS Commercial $66.24
Rate for Payer: United Healthcare All Payer $60.72
Service Code HCPCS 82480
Hospital Charge Code 30000282
Hospital Revenue Code 300
Min. Negotiated Rate $7.87
Max. Negotiated Rate $66.24
Rate for Payer: Aetna Commercial $53.13
Rate for Payer: Anthem Medicaid $7.87
Rate for Payer: Anthem Medicare Advantage/PPO $7.87
Rate for Payer: Anthem POS/PPO/Traditional $55.41
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $11.02
Rate for Payer: CareSource Just4Me Medicare $7.87
Rate for Payer: Cash Price $34.50
Rate for Payer: Cash Price $34.50
Rate for Payer: Cigna Commercial $57.27
Rate for Payer: First Health Commercial $65.55
Rate for Payer: Humana Commercial $58.65
Rate for Payer: Humana KY Medicaid $7.87
Rate for Payer: Humana Medicare Advantage $7.87
Rate for Payer: Kentucky WC Medicaid $7.95
Rate for Payer: Medical Mutual Of Ohio HMO $56.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $50.92
Rate for Payer: Molina Healthcare Benefit Exchange $9.44
Rate for Payer: Molina Healthcare Medicaid $8.03
Rate for Payer: Ohio Health Choice Commercial $60.72
Rate for Payer: Ohio Health Group HMO $51.75
Rate for Payer: Ohio Health Group PPO Differential $13.80
Rate for Payer: Ohio Health Group PPO No Differential $8.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $21.39
Rate for Payer: PHCS Commercial $66.24
Rate for Payer: United Healthcare All Payer $60.72
Service Code HCPCS 81479
Hospital Charge Code 30002005
Hospital Revenue Code 300
Min. Negotiated Rate $22.88
Max. Negotiated Rate $168.96
Rate for Payer: Aetna Commercial $135.52
Rate for Payer: Anthem Medicaid $60.53
Rate for Payer: Anthem POS/PPO/Traditional $141.33
Rate for Payer: Cash Price $88.00
Rate for Payer: Cigna Commercial $146.08
Rate for Payer: First Health Commercial $167.20
Rate for Payer: Humana Commercial $149.60
Rate for Payer: Humana KY Medicaid $60.53
Rate for Payer: Kentucky WC Medicaid $61.14
Rate for Payer: Medical Mutual Of Ohio HMO $144.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $129.89
Rate for Payer: Molina Healthcare Benefit Exchange $52.80
Rate for Payer: Molina Healthcare Medicaid $61.74
Rate for Payer: Ohio Health Choice Commercial $154.88
Rate for Payer: Ohio Health Group HMO $132.00
Rate for Payer: Ohio Health Group PPO Differential $35.20
Rate for Payer: Ohio Health Group PPO No Differential $22.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.56
Rate for Payer: PHCS Commercial $168.96
Rate for Payer: United Healthcare All Payer $154.88
Service Code HCPCS 81479
Hospital Charge Code 30002005
Hospital Revenue Code 300
Min. Negotiated Rate $22.88
Max. Negotiated Rate $168.96
Rate for Payer: Aetna Commercial $135.52
Rate for Payer: Anthem POS/PPO/Traditional $141.33
Rate for Payer: Cash Price $88.00
Rate for Payer: Cigna Commercial $146.08
Rate for Payer: First Health Commercial $167.20
Rate for Payer: Humana Commercial $149.60
Rate for Payer: Medical Mutual Of Ohio HMO $144.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $129.89
Rate for Payer: Molina Healthcare Benefit Exchange $52.80
Rate for Payer: Ohio Health Choice Commercial $154.88
Rate for Payer: Ohio Health Group HMO $132.00
Rate for Payer: Ohio Health Group PPO Differential $35.20
Rate for Payer: Ohio Health Group PPO No Differential $22.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $54.56
Rate for Payer: PHCS Commercial $168.96
Rate for Payer: United Healthcare All Payer $154.88