Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS 80195
Hospital Charge Code 30000047
Hospital Revenue Code 300
Min. Negotiated Rate $24.70
Max. Negotiated Rate $182.40
Rate for Payer: Aetna Commercial $146.30
Rate for Payer: Anthem POS/PPO/Traditional $152.57
Rate for Payer: Cash Price $95.00
Rate for Payer: Cigna Commercial $157.70
Rate for Payer: First Health Commercial $180.50
Rate for Payer: Humana Commercial $161.50
Rate for Payer: Medical Mutual Of Ohio HMO $155.80
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $140.22
Rate for Payer: Molina Healthcare Benefit Exchange $57.00
Rate for Payer: Ohio Health Choice Commercial $167.20
Rate for Payer: Ohio Health Group HMO $142.50
Rate for Payer: Ohio Health Group PPO Differential $38.00
Rate for Payer: Ohio Health Group PPO No Differential $24.70
Rate for Payer: Ohio Health Group PPO SOMC Employees $58.90
Rate for Payer: PHCS Commercial $182.40
Rate for Payer: United Healthcare All Payer $167.20
Service Code HCPCS 86003
Hospital Charge Code 30000694
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 30000694
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 86592
Hospital Charge Code 30001106
Hospital Revenue Code 300
Min. Negotiated Rate $7.80
Max. Negotiated Rate $57.60
Rate for Payer: Aetna Commercial $46.20
Rate for Payer: Anthem POS/PPO/Traditional $48.18
Rate for Payer: Cash Price $30.00
Rate for Payer: Cigna Commercial $49.80
Rate for Payer: First Health Commercial $57.00
Rate for Payer: Humana Commercial $51.00
Rate for Payer: Medical Mutual Of Ohio HMO $49.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $44.28
Rate for Payer: Molina Healthcare Benefit Exchange $18.00
Rate for Payer: Ohio Health Choice Commercial $52.80
Rate for Payer: Ohio Health Group HMO $45.00
Rate for Payer: Ohio Health Group PPO Differential $12.00
Rate for Payer: Ohio Health Group PPO No Differential $7.80
Rate for Payer: Ohio Health Group PPO SOMC Employees $18.60
Rate for Payer: PHCS Commercial $57.60
Rate for Payer: United Healthcare All Payer $52.80
Service Code HCPCS 86592
Hospital Charge Code 30001106
Hospital Revenue Code 300
Min. Negotiated Rate $4.27
Max. Negotiated Rate $57.60
Rate for Payer: Aetna Commercial $46.20
Rate for Payer: Anthem Medicaid $4.27
Rate for Payer: Anthem Medicare Advantage/PPO $4.27
Rate for Payer: Anthem POS/PPO/Traditional $48.18
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $5.98
Rate for Payer: CareSource Just4Me Medicare $4.27
Rate for Payer: Cash Price $30.00
Rate for Payer: Cash Price $30.00
Rate for Payer: Cigna Commercial $49.80
Rate for Payer: First Health Commercial $57.00
Rate for Payer: Humana Commercial $51.00
Rate for Payer: Humana KY Medicaid $4.27
Rate for Payer: Humana Medicare Advantage $4.27
Rate for Payer: Kentucky WC Medicaid $4.31
Rate for Payer: Medical Mutual Of Ohio HMO $49.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $44.28
Rate for Payer: Molina Healthcare Benefit Exchange $5.12
Rate for Payer: Molina Healthcare Medicaid $4.36
Rate for Payer: Ohio Health Choice Commercial $52.80
Rate for Payer: Ohio Health Group HMO $45.00
Rate for Payer: Ohio Health Group PPO Differential $12.00
Rate for Payer: Ohio Health Group PPO No Differential $7.80
Rate for Payer: Ohio Health Group PPO SOMC Employees $18.60
Rate for Payer: PHCS Commercial $57.60
Rate for Payer: United Healthcare All Payer $52.80
Service Code HCPCS 86003
Hospital Charge Code 30000807
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 30000807
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 84244
Hospital Charge Code 30000506
Hospital Revenue Code 300
Min. Negotiated Rate $26.65
Max. Negotiated Rate $196.80
Rate for Payer: Aetna Commercial $157.85
Rate for Payer: Anthem POS/PPO/Traditional $164.62
Rate for Payer: Cash Price $102.50
Rate for Payer: Cigna Commercial $170.15
Rate for Payer: First Health Commercial $194.75
Rate for Payer: Humana Commercial $174.25
Rate for Payer: Medical Mutual Of Ohio HMO $168.10
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $151.29
Rate for Payer: Molina Healthcare Benefit Exchange $61.50
Rate for Payer: Ohio Health Choice Commercial $180.40
Rate for Payer: Ohio Health Group HMO $153.75
Rate for Payer: Ohio Health Group PPO Differential $41.00
Rate for Payer: Ohio Health Group PPO No Differential $26.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.55
Rate for Payer: PHCS Commercial $196.80
Rate for Payer: United Healthcare All Payer $180.40
Service Code HCPCS 84244
Hospital Charge Code 30000506
Hospital Revenue Code 300
Min. Negotiated Rate $21.99
Max. Negotiated Rate $196.80
Rate for Payer: Aetna Commercial $157.85
Rate for Payer: Anthem Medicaid $21.99
Rate for Payer: Anthem Medicare Advantage/PPO $21.99
Rate for Payer: Anthem POS/PPO/Traditional $164.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $30.79
Rate for Payer: CareSource Just4Me Medicare $21.99
Rate for Payer: Cash Price $102.50
Rate for Payer: Cash Price $102.50
Rate for Payer: Cigna Commercial $170.15
Rate for Payer: First Health Commercial $194.75
Rate for Payer: Humana Commercial $174.25
Rate for Payer: Humana KY Medicaid $21.99
Rate for Payer: Humana Medicare Advantage $21.99
Rate for Payer: Kentucky WC Medicaid $22.21
Rate for Payer: Medical Mutual Of Ohio HMO $168.10
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $151.29
Rate for Payer: Molina Healthcare Benefit Exchange $26.39
Rate for Payer: Molina Healthcare Medicaid $22.43
Rate for Payer: Ohio Health Choice Commercial $180.40
Rate for Payer: Ohio Health Group HMO $153.75
Rate for Payer: Ohio Health Group PPO Differential $41.00
Rate for Payer: Ohio Health Group PPO No Differential $26.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.55
Rate for Payer: PHCS Commercial $196.80
Rate for Payer: United Healthcare All Payer $180.40
Service Code HCPCS 85635
Hospital Charge Code 30000624
Hospital Revenue Code 300
Min. Negotiated Rate $9.85
Max. Negotiated Rate $226.56
Rate for Payer: Aetna Commercial $181.72
Rate for Payer: Anthem Medicaid $9.85
Rate for Payer: Anthem Medicare Advantage/PPO $9.85
Rate for Payer: Anthem POS/PPO/Traditional $189.51
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $13.79
Rate for Payer: CareSource Just4Me Medicare $9.85
Rate for Payer: Cash Price $118.00
Rate for Payer: Cash Price $118.00
Rate for Payer: Cigna Commercial $195.88
Rate for Payer: First Health Commercial $224.20
Rate for Payer: Humana Commercial $200.60
Rate for Payer: Humana KY Medicaid $9.85
Rate for Payer: Humana Medicare Advantage $9.85
Rate for Payer: Kentucky WC Medicaid $9.95
Rate for Payer: Medical Mutual Of Ohio HMO $193.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $174.17
Rate for Payer: Molina Healthcare Benefit Exchange $11.82
Rate for Payer: Molina Healthcare Medicaid $10.05
Rate for Payer: Ohio Health Choice Commercial $207.68
Rate for Payer: Ohio Health Group HMO $177.00
Rate for Payer: Ohio Health Group PPO Differential $47.20
Rate for Payer: Ohio Health Group PPO No Differential $30.68
Rate for Payer: Ohio Health Group PPO SOMC Employees $73.16
Rate for Payer: PHCS Commercial $226.56
Rate for Payer: United Healthcare All Payer $207.68
Service Code HCPCS 85635
Hospital Charge Code 30000624
Hospital Revenue Code 300
Min. Negotiated Rate $30.68
Max. Negotiated Rate $226.56
Rate for Payer: Aetna Commercial $181.72
Rate for Payer: Anthem POS/PPO/Traditional $189.51
Rate for Payer: Cash Price $118.00
Rate for Payer: Cigna Commercial $195.88
Rate for Payer: First Health Commercial $224.20
Rate for Payer: Humana Commercial $200.60
Rate for Payer: Medical Mutual Of Ohio HMO $193.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $174.17
Rate for Payer: Molina Healthcare Benefit Exchange $70.80
Rate for Payer: Ohio Health Choice Commercial $207.68
Rate for Payer: Ohio Health Group HMO $177.00
Rate for Payer: Ohio Health Group PPO Differential $47.20
Rate for Payer: Ohio Health Group PPO No Differential $30.68
Rate for Payer: Ohio Health Group PPO SOMC Employees $73.16
Rate for Payer: PHCS Commercial $226.56
Rate for Payer: United Healthcare All Payer $207.68
Service Code HCPCS 86756
Hospital Charge Code 30001204
Hospital Revenue Code 300
Min. Negotiated Rate $14.04
Max. Negotiated Rate $103.68
Rate for Payer: Aetna Commercial $83.16
Rate for Payer: Anthem Medicaid $15.89
Rate for Payer: Anthem Medicare Advantage/PPO $15.89
Rate for Payer: Anthem POS/PPO/Traditional $86.72
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $22.25
Rate for Payer: CareSource Just4Me Medicare $15.89
Rate for Payer: Cash Price $54.00
Rate for Payer: Cash Price $54.00
Rate for Payer: Cigna Commercial $89.64
Rate for Payer: First Health Commercial $102.60
Rate for Payer: Humana Commercial $91.80
Rate for Payer: Humana KY Medicaid $15.89
Rate for Payer: Humana Medicare Advantage $15.89
Rate for Payer: Kentucky WC Medicaid $16.05
Rate for Payer: Medical Mutual Of Ohio HMO $88.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $79.70
Rate for Payer: Molina Healthcare Benefit Exchange $19.07
Rate for Payer: Molina Healthcare Medicaid $16.21
Rate for Payer: Ohio Health Choice Commercial $95.04
Rate for Payer: Ohio Health Group HMO $81.00
Rate for Payer: Ohio Health Group PPO Differential $21.60
Rate for Payer: Ohio Health Group PPO No Differential $14.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $33.48
Rate for Payer: PHCS Commercial $103.68
Rate for Payer: United Healthcare All Payer $95.04
Service Code HCPCS 86756
Hospital Charge Code 30001204
Hospital Revenue Code 300
Min. Negotiated Rate $14.04
Max. Negotiated Rate $103.68
Rate for Payer: Aetna Commercial $83.16
Rate for Payer: Anthem POS/PPO/Traditional $86.72
Rate for Payer: Cash Price $54.00
Rate for Payer: Cigna Commercial $89.64
Rate for Payer: First Health Commercial $102.60
Rate for Payer: Humana Commercial $91.80
Rate for Payer: Medical Mutual Of Ohio HMO $88.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $79.70
Rate for Payer: Molina Healthcare Benefit Exchange $32.40
Rate for Payer: Ohio Health Choice Commercial $95.04
Rate for Payer: Ohio Health Group HMO $81.00
Rate for Payer: Ohio Health Group PPO Differential $21.60
Rate for Payer: Ohio Health Group PPO No Differential $14.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $33.48
Rate for Payer: PHCS Commercial $103.68
Rate for Payer: United Healthcare All Payer $95.04
Service Code HCPCS 86756
Hospital Charge Code 30001203
Hospital Revenue Code 300
Min. Negotiated Rate $14.04
Max. Negotiated Rate $103.68
Rate for Payer: Aetna Commercial $83.16
Rate for Payer: Anthem Medicaid $15.89
Rate for Payer: Anthem Medicare Advantage/PPO $15.89
Rate for Payer: Anthem POS/PPO/Traditional $86.72
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $22.25
Rate for Payer: CareSource Just4Me Medicare $15.89
Rate for Payer: Cash Price $54.00
Rate for Payer: Cash Price $54.00
Rate for Payer: Cigna Commercial $89.64
Rate for Payer: First Health Commercial $102.60
Rate for Payer: Humana Commercial $91.80
Rate for Payer: Humana KY Medicaid $15.89
Rate for Payer: Humana Medicare Advantage $15.89
Rate for Payer: Kentucky WC Medicaid $16.05
Rate for Payer: Medical Mutual Of Ohio HMO $88.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $79.70
Rate for Payer: Molina Healthcare Benefit Exchange $19.07
Rate for Payer: Molina Healthcare Medicaid $16.21
Rate for Payer: Ohio Health Choice Commercial $95.04
Rate for Payer: Ohio Health Group HMO $81.00
Rate for Payer: Ohio Health Group PPO Differential $21.60
Rate for Payer: Ohio Health Group PPO No Differential $14.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $33.48
Rate for Payer: PHCS Commercial $103.68
Rate for Payer: United Healthcare All Payer $95.04
Service Code HCPCS 86756
Hospital Charge Code 30001203
Hospital Revenue Code 300
Min. Negotiated Rate $14.04
Max. Negotiated Rate $103.68
Rate for Payer: Aetna Commercial $83.16
Rate for Payer: Anthem POS/PPO/Traditional $86.72
Rate for Payer: Cash Price $54.00
Rate for Payer: Cigna Commercial $89.64
Rate for Payer: First Health Commercial $102.60
Rate for Payer: Humana Commercial $91.80
Rate for Payer: Medical Mutual Of Ohio HMO $88.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $79.70
Rate for Payer: Molina Healthcare Benefit Exchange $32.40
Rate for Payer: Ohio Health Choice Commercial $95.04
Rate for Payer: Ohio Health Group HMO $81.00
Rate for Payer: Ohio Health Group PPO Differential $21.60
Rate for Payer: Ohio Health Group PPO No Differential $14.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $33.48
Rate for Payer: PHCS Commercial $103.68
Rate for Payer: United Healthcare All Payer $95.04
Service Code HCPCS 86255
Hospital Charge Code 30001010
Hospital Revenue Code 300
Min. Negotiated Rate $7.23
Max. Negotiated Rate $156.00
Rate for Payer: Aetna Commercial $12.21
Rate for Payer: Buckeye Medicare Advantage $156.00
Rate for Payer: Cash Price $78.00
Rate for Payer: Cash Price $78.00
Rate for Payer: Cigna Commercial $22.62
Rate for Payer: Healthspan PPO $12.63
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $10.44
Rate for Payer: Multiplan PHCS $93.60
Rate for Payer: Ohio Health Choice Preferred Health Choice $109.20
Rate for Payer: UHCCP Medicaid $54.60
Rate for Payer: Wellcare CHIP/Medicaid $7.23
Service Code HCPCS 86255
Hospital Charge Code 30001010
Hospital Revenue Code 300
Min. Negotiated Rate $12.05
Max. Negotiated Rate $149.76
Rate for Payer: Aetna Commercial $120.12
Rate for Payer: Anthem Medicaid $12.05
Rate for Payer: Anthem Medicare Advantage/PPO $12.05
Rate for Payer: Anthem POS/PPO/Traditional $125.27
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.87
Rate for Payer: CareSource Just4Me Medicare $12.05
Rate for Payer: Cash Price $78.00
Rate for Payer: Cash Price $78.00
Rate for Payer: Cigna Commercial $129.48
Rate for Payer: First Health Commercial $148.20
Rate for Payer: Humana Commercial $132.60
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 $127.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.13
Rate for Payer: Molina Healthcare Benefit Exchange $14.46
Rate for Payer: Molina Healthcare Medicaid $12.29
Rate for Payer: Ohio Health Choice Commercial $137.28
Rate for Payer: Ohio Health Group HMO $117.00
Rate for Payer: Ohio Health Group PPO Differential $31.20
Rate for Payer: Ohio Health Group PPO No Differential $20.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.36
Rate for Payer: PHCS Commercial $149.76
Rate for Payer: United Healthcare All Payer $137.28
Service Code HCPCS 86255
Hospital Charge Code 30001010
Hospital Revenue Code 300
Min. Negotiated Rate $20.28
Max. Negotiated Rate $149.76
Rate for Payer: Aetna Commercial $120.12
Rate for Payer: Anthem POS/PPO/Traditional $125.27
Rate for Payer: Cash Price $78.00
Rate for Payer: Cigna Commercial $129.48
Rate for Payer: First Health Commercial $148.20
Rate for Payer: Humana Commercial $132.60
Rate for Payer: Medical Mutual Of Ohio HMO $127.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.13
Rate for Payer: Molina Healthcare Benefit Exchange $46.80
Rate for Payer: Ohio Health Choice Commercial $137.28
Rate for Payer: Ohio Health Group HMO $117.00
Rate for Payer: Ohio Health Group PPO Differential $31.20
Rate for Payer: Ohio Health Group PPO No Differential $20.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.36
Rate for Payer: PHCS Commercial $149.76
Rate for Payer: United Healthcare All Payer $137.28
Service Code HCPCS 86431
Hospital Charge Code 30001098
Hospital Revenue Code 300
Min. Negotiated Rate $13.26
Max. Negotiated Rate $97.92
Rate for Payer: Aetna Commercial $78.54
Rate for Payer: Anthem POS/PPO/Traditional $81.91
Rate for Payer: Cash Price $51.00
Rate for Payer: Cigna Commercial $84.66
Rate for Payer: First Health Commercial $96.90
Rate for Payer: Humana Commercial $86.70
Rate for Payer: Medical Mutual Of Ohio HMO $83.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $75.28
Rate for Payer: Molina Healthcare Benefit Exchange $30.60
Rate for Payer: Ohio Health Choice Commercial $89.76
Rate for Payer: Ohio Health Group HMO $76.50
Rate for Payer: Ohio Health Group PPO Differential $20.40
Rate for Payer: Ohio Health Group PPO No Differential $13.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $31.62
Rate for Payer: PHCS Commercial $97.92
Rate for Payer: United Healthcare All Payer $89.76
Service Code HCPCS 86431
Hospital Charge Code 30001098
Hospital Revenue Code 300
Min. Negotiated Rate $5.67
Max. Negotiated Rate $97.92
Rate for Payer: Aetna Commercial $78.54
Rate for Payer: Anthem Medicaid $5.67
Rate for Payer: Anthem Medicare Advantage/PPO $5.67
Rate for Payer: Anthem POS/PPO/Traditional $81.91
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.94
Rate for Payer: CareSource Just4Me Medicare $5.67
Rate for Payer: Cash Price $51.00
Rate for Payer: Cash Price $51.00
Rate for Payer: Cigna Commercial $84.66
Rate for Payer: First Health Commercial $96.90
Rate for Payer: Humana Commercial $86.70
Rate for Payer: Humana KY Medicaid $5.67
Rate for Payer: Humana Medicare Advantage $5.67
Rate for Payer: Kentucky WC Medicaid $5.73
Rate for Payer: Medical Mutual Of Ohio HMO $83.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $75.28
Rate for Payer: Molina Healthcare Benefit Exchange $6.80
Rate for Payer: Molina Healthcare Medicaid $5.78
Rate for Payer: Ohio Health Choice Commercial $89.76
Rate for Payer: Ohio Health Group HMO $76.50
Rate for Payer: Ohio Health Group PPO Differential $20.40
Rate for Payer: Ohio Health Group PPO No Differential $13.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $31.62
Rate for Payer: PHCS Commercial $97.92
Rate for Payer: United Healthcare All Payer $89.76
Service Code HCPCS 86431
Hospital Charge Code 30001101
Hospital Revenue Code 300
Min. Negotiated Rate $5.67
Max. Negotiated Rate $97.92
Rate for Payer: Aetna Commercial $78.54
Rate for Payer: Anthem Medicaid $5.67
Rate for Payer: Anthem Medicare Advantage/PPO $5.67
Rate for Payer: Anthem POS/PPO/Traditional $81.91
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.94
Rate for Payer: CareSource Just4Me Medicare $5.67
Rate for Payer: Cash Price $51.00
Rate for Payer: Cash Price $51.00
Rate for Payer: Cigna Commercial $84.66
Rate for Payer: First Health Commercial $96.90
Rate for Payer: Humana Commercial $86.70
Rate for Payer: Humana KY Medicaid $5.67
Rate for Payer: Humana Medicare Advantage $5.67
Rate for Payer: Kentucky WC Medicaid $5.73
Rate for Payer: Medical Mutual Of Ohio HMO $83.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $75.28
Rate for Payer: Molina Healthcare Benefit Exchange $6.80
Rate for Payer: Molina Healthcare Medicaid $5.78
Rate for Payer: Ohio Health Choice Commercial $89.76
Rate for Payer: Ohio Health Group HMO $76.50
Rate for Payer: Ohio Health Group PPO Differential $20.40
Rate for Payer: Ohio Health Group PPO No Differential $13.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $31.62
Rate for Payer: PHCS Commercial $97.92
Rate for Payer: United Healthcare All Payer $89.76
Service Code HCPCS 86431
Hospital Charge Code 30001101
Hospital Revenue Code 300
Min. Negotiated Rate $13.26
Max. Negotiated Rate $97.92
Rate for Payer: Aetna Commercial $78.54
Rate for Payer: Anthem POS/PPO/Traditional $81.91
Rate for Payer: Cash Price $51.00
Rate for Payer: Cigna Commercial $84.66
Rate for Payer: First Health Commercial $96.90
Rate for Payer: Humana Commercial $86.70
Rate for Payer: Medical Mutual Of Ohio HMO $83.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $75.28
Rate for Payer: Molina Healthcare Benefit Exchange $30.60
Rate for Payer: Ohio Health Choice Commercial $89.76
Rate for Payer: Ohio Health Group HMO $76.50
Rate for Payer: Ohio Health Group PPO Differential $20.40
Rate for Payer: Ohio Health Group PPO No Differential $13.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $31.62
Rate for Payer: PHCS Commercial $97.92
Rate for Payer: United Healthcare All Payer $89.76
Service Code HCPCS 84252
Hospital Charge Code 30000507
Hospital Revenue Code 300
Min. Negotiated Rate $20.24
Max. Negotiated Rate $258.24
Rate for Payer: Aetna Commercial $207.13
Rate for Payer: Anthem Medicaid $20.24
Rate for Payer: Anthem Medicare Advantage/PPO $20.24
Rate for Payer: Anthem POS/PPO/Traditional $216.01
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $28.34
Rate for Payer: CareSource Just4Me Medicare $20.24
Rate for Payer: Cash Price $134.50
Rate for Payer: Cash Price $134.50
Rate for Payer: Cigna Commercial $223.27
Rate for Payer: First Health Commercial $255.55
Rate for Payer: Humana Commercial $228.65
Rate for Payer: Humana KY Medicaid $20.24
Rate for Payer: Humana Medicare Advantage $20.24
Rate for Payer: Kentucky WC Medicaid $20.44
Rate for Payer: Medical Mutual Of Ohio HMO $220.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $198.52
Rate for Payer: Molina Healthcare Benefit Exchange $24.29
Rate for Payer: Molina Healthcare Medicaid $20.64
Rate for Payer: Ohio Health Choice Commercial $236.72
Rate for Payer: Ohio Health Group HMO $201.75
Rate for Payer: Ohio Health Group PPO Differential $53.80
Rate for Payer: Ohio Health Group PPO No Differential $34.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $83.39
Rate for Payer: PHCS Commercial $258.24
Rate for Payer: United Healthcare All Payer $236.72
Service Code HCPCS 84252
Hospital Charge Code 30000507
Hospital Revenue Code 300
Min. Negotiated Rate $34.97
Max. Negotiated Rate $258.24
Rate for Payer: Aetna Commercial $207.13
Rate for Payer: Anthem POS/PPO/Traditional $216.01
Rate for Payer: Cash Price $134.50
Rate for Payer: Cigna Commercial $223.27
Rate for Payer: First Health Commercial $255.55
Rate for Payer: Humana Commercial $228.65
Rate for Payer: Medical Mutual Of Ohio HMO $220.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $198.52
Rate for Payer: Molina Healthcare Benefit Exchange $80.70
Rate for Payer: Ohio Health Choice Commercial $236.72
Rate for Payer: Ohio Health Group HMO $201.75
Rate for Payer: Ohio Health Group PPO Differential $53.80
Rate for Payer: Ohio Health Group PPO No Differential $34.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $83.39
Rate for Payer: PHCS Commercial $258.24
Rate for Payer: United Healthcare All Payer $236.72
Service Code HCPCS 83520
Hospital Charge Code 30000416
Hospital Revenue Code 300
Min. Negotiated Rate $21.45
Max. Negotiated Rate $158.40
Rate for Payer: Aetna Commercial $127.05
Rate for Payer: Anthem POS/PPO/Traditional $132.50
Rate for Payer: Cash Price $82.50
Rate for Payer: Cigna Commercial $136.95
Rate for Payer: First Health Commercial $156.75
Rate for Payer: Humana Commercial $140.25
Rate for Payer: Medical Mutual Of Ohio HMO $135.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $121.77
Rate for Payer: Molina Healthcare Benefit Exchange $49.50
Rate for Payer: Ohio Health Choice Commercial $145.20
Rate for Payer: Ohio Health Group HMO $123.75
Rate for Payer: Ohio Health Group PPO Differential $33.00
Rate for Payer: Ohio Health Group PPO No Differential $21.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $51.15
Rate for Payer: PHCS Commercial $158.40
Rate for Payer: United Healthcare All Payer $145.20