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Service Code HCPCS 83520
Hospital Charge Code 30000416
Hospital Revenue Code 300
Min. Negotiated Rate $17.27
Max. Negotiated Rate $158.40
Rate for Payer: Aetna Commercial $127.05
Rate for Payer: Anthem Medicaid $17.27
Rate for Payer: Anthem Medicare Advantage/PPO $17.27
Rate for Payer: Anthem POS/PPO/Traditional $132.50
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24.18
Rate for Payer: CareSource Just4Me Medicare $17.27
Rate for Payer: Cash Price $82.50
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: 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 $135.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $121.77
Rate for Payer: Molina Healthcare Benefit Exchange $20.72
Rate for Payer: Molina Healthcare Medicaid $17.62
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
Service Code HCPCS 86003
Hospital Charge Code 30000848
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 30000848
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 85245
Hospital Charge Code 30000580
Hospital Revenue Code 300
Min. Negotiated Rate $22.94
Max. Negotiated Rate $216.00
Rate for Payer: Aetna Commercial $173.25
Rate for Payer: Anthem Medicaid $22.94
Rate for Payer: Anthem Medicare Advantage/PPO $22.94
Rate for Payer: Anthem POS/PPO/Traditional $180.68
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $32.12
Rate for Payer: CareSource Just4Me Medicare $22.94
Rate for Payer: Cash Price $112.50
Rate for Payer: Cash Price $112.50
Rate for Payer: Cigna Commercial $186.75
Rate for Payer: First Health Commercial $213.75
Rate for Payer: Humana Commercial $191.25
Rate for Payer: Humana KY Medicaid $22.94
Rate for Payer: Humana Medicare Advantage $22.94
Rate for Payer: Kentucky WC Medicaid $23.17
Rate for Payer: Medical Mutual Of Ohio HMO $184.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $166.05
Rate for Payer: Molina Healthcare Benefit Exchange $27.53
Rate for Payer: Molina Healthcare Medicaid $23.40
Rate for Payer: Ohio Health Choice Commercial $198.00
Rate for Payer: Ohio Health Group HMO $168.75
Rate for Payer: Ohio Health Group PPO Differential $45.00
Rate for Payer: Ohio Health Group PPO No Differential $29.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $69.75
Rate for Payer: PHCS Commercial $216.00
Rate for Payer: United Healthcare All Payer $198.00
Service Code HCPCS 85245
Hospital Charge Code 30000580
Hospital Revenue Code 300
Min. Negotiated Rate $29.25
Max. Negotiated Rate $216.00
Rate for Payer: Aetna Commercial $173.25
Rate for Payer: Anthem POS/PPO/Traditional $180.68
Rate for Payer: Cash Price $112.50
Rate for Payer: Cigna Commercial $186.75
Rate for Payer: First Health Commercial $213.75
Rate for Payer: Humana Commercial $191.25
Rate for Payer: Medical Mutual Of Ohio HMO $184.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $166.05
Rate for Payer: Molina Healthcare Benefit Exchange $67.50
Rate for Payer: Ohio Health Choice Commercial $198.00
Rate for Payer: Ohio Health Group HMO $168.75
Rate for Payer: Ohio Health Group PPO Differential $45.00
Rate for Payer: Ohio Health Group PPO No Differential $29.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $69.75
Rate for Payer: PHCS Commercial $216.00
Rate for Payer: United Healthcare All Payer $198.00
Service Code HCPCS 86757
Hospital Charge Code 30001207
Hospital Revenue Code 302
Min. Negotiated Rate $10.01
Max. Negotiated Rate $73.92
Rate for Payer: Aetna Commercial $59.29
Rate for Payer: Anthem Medicaid $19.35
Rate for Payer: Anthem Medicare Advantage/PPO $19.35
Rate for Payer: Anthem POS/PPO/Traditional $61.83
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $27.09
Rate for Payer: CareSource Just4Me Medicare $19.35
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 $19.35
Rate for Payer: Humana Medicare Advantage $19.35
Rate for Payer: Kentucky WC Medicaid $19.54
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 $23.22
Rate for Payer: Molina Healthcare Medicaid $19.74
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 86757
Hospital Charge Code 30001207
Hospital Revenue Code 302
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 86757
Hospital Charge Code 30001208
Hospital Revenue Code 302
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 86757
Hospital Charge Code 30001208
Hospital Revenue Code 302
Min. Negotiated Rate $10.01
Max. Negotiated Rate $73.92
Rate for Payer: Aetna Commercial $59.29
Rate for Payer: Anthem Medicaid $19.35
Rate for Payer: Anthem Medicare Advantage/PPO $19.35
Rate for Payer: Anthem POS/PPO/Traditional $61.83
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $27.09
Rate for Payer: CareSource Just4Me Medicare $19.35
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 $19.35
Rate for Payer: Humana Medicare Advantage $19.35
Rate for Payer: Kentucky WC Medicaid $19.54
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 $23.22
Rate for Payer: Molina Healthcare Medicaid $19.74
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 86003
Hospital Charge Code 30000647
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 30000647
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 86762
Hospital Charge Code 30001209
Hospital Revenue Code 300
Min. Negotiated Rate $19.50
Max. Negotiated Rate $144.00
Rate for Payer: Aetna Commercial $115.50
Rate for Payer: Anthem POS/PPO/Traditional $120.45
Rate for Payer: Cash Price $75.00
Rate for Payer: Cigna Commercial $124.50
Rate for Payer: First Health Commercial $142.50
Rate for Payer: Humana Commercial $127.50
Rate for Payer: Medical Mutual Of Ohio HMO $123.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $110.70
Rate for Payer: Molina Healthcare Benefit Exchange $45.00
Rate for Payer: Ohio Health Choice Commercial $132.00
Rate for Payer: Ohio Health Group HMO $112.50
Rate for Payer: Ohio Health Group PPO Differential $30.00
Rate for Payer: Ohio Health Group PPO No Differential $19.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $46.50
Rate for Payer: PHCS Commercial $144.00
Rate for Payer: United Healthcare All Payer $132.00
Service Code HCPCS 86762
Hospital Charge Code 30001209
Hospital Revenue Code 300
Min. Negotiated Rate $14.39
Max. Negotiated Rate $144.00
Rate for Payer: Aetna Commercial $115.50
Rate for Payer: Anthem Medicaid $14.39
Rate for Payer: Anthem Medicare Advantage/PPO $14.39
Rate for Payer: Anthem POS/PPO/Traditional $120.45
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.15
Rate for Payer: CareSource Just4Me Medicare $14.39
Rate for Payer: Cash Price $75.00
Rate for Payer: Cash Price $75.00
Rate for Payer: Cigna Commercial $124.50
Rate for Payer: First Health Commercial $142.50
Rate for Payer: Humana Commercial $127.50
Rate for Payer: Humana KY Medicaid $14.39
Rate for Payer: Humana Medicare Advantage $14.39
Rate for Payer: Kentucky WC Medicaid $14.53
Rate for Payer: Medical Mutual Of Ohio HMO $123.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $110.70
Rate for Payer: Molina Healthcare Benefit Exchange $17.27
Rate for Payer: Molina Healthcare Medicaid $14.68
Rate for Payer: Ohio Health Choice Commercial $132.00
Rate for Payer: Ohio Health Group HMO $112.50
Rate for Payer: Ohio Health Group PPO Differential $30.00
Rate for Payer: Ohio Health Group PPO No Differential $19.50
Rate for Payer: Ohio Health Group PPO SOMC Employees $46.50
Rate for Payer: PHCS Commercial $144.00
Rate for Payer: United Healthcare All Payer $132.00
Service Code HCPCS 86765
Hospital Charge Code 30001211
Hospital Revenue Code 300
Min. Negotiated Rate $12.88
Max. Negotiated Rate $161.28
Rate for Payer: Aetna Commercial $129.36
Rate for Payer: Anthem Medicaid $12.88
Rate for Payer: Anthem Medicare Advantage/PPO $12.88
Rate for Payer: Anthem POS/PPO/Traditional $134.90
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.03
Rate for Payer: CareSource Just4Me Medicare $12.88
Rate for Payer: Cash Price $84.00
Rate for Payer: Cash Price $84.00
Rate for Payer: Cigna Commercial $139.44
Rate for Payer: First Health Commercial $159.60
Rate for Payer: Humana Commercial $142.80
Rate for Payer: Humana KY Medicaid $12.88
Rate for Payer: Humana Medicare Advantage $12.88
Rate for Payer: Kentucky WC Medicaid $13.01
Rate for Payer: Medical Mutual Of Ohio HMO $137.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $123.98
Rate for Payer: Molina Healthcare Benefit Exchange $15.46
Rate for Payer: Molina Healthcare Medicaid $13.14
Rate for Payer: Ohio Health Choice Commercial $147.84
Rate for Payer: Ohio Health Group HMO $126.00
Rate for Payer: Ohio Health Group PPO Differential $33.60
Rate for Payer: Ohio Health Group PPO No Differential $21.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $52.08
Rate for Payer: PHCS Commercial $161.28
Rate for Payer: United Healthcare All Payer $147.84
Service Code HCPCS 86765
Hospital Charge Code 30001211
Hospital Revenue Code 300
Min. Negotiated Rate $21.84
Max. Negotiated Rate $161.28
Rate for Payer: Aetna Commercial $129.36
Rate for Payer: Anthem POS/PPO/Traditional $134.90
Rate for Payer: Cash Price $84.00
Rate for Payer: Cigna Commercial $139.44
Rate for Payer: First Health Commercial $159.60
Rate for Payer: Humana Commercial $142.80
Rate for Payer: Medical Mutual Of Ohio HMO $137.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $123.98
Rate for Payer: Molina Healthcare Benefit Exchange $50.40
Rate for Payer: Ohio Health Choice Commercial $147.84
Rate for Payer: Ohio Health Group HMO $126.00
Rate for Payer: Ohio Health Group PPO Differential $33.60
Rate for Payer: Ohio Health Group PPO No Differential $21.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $52.08
Rate for Payer: PHCS Commercial $161.28
Rate for Payer: United Healthcare All Payer $147.84
Service Code HCPCS 86003
Hospital Charge Code 30000820
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 30000820
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 82397
Hospital Charge Code 30000273
Hospital Revenue Code 300
Min. Negotiated Rate $6.24
Max. Negotiated Rate $46.08
Rate for Payer: Aetna Commercial $36.96
Rate for Payer: Anthem POS/PPO/Traditional $38.54
Rate for Payer: Cash Price $24.00
Rate for Payer: Cigna Commercial $39.84
Rate for Payer: First Health Commercial $45.60
Rate for Payer: Humana Commercial $40.80
Rate for Payer: Medical Mutual Of Ohio HMO $39.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $35.42
Rate for Payer: Molina Healthcare Benefit Exchange $14.40
Rate for Payer: Ohio Health Choice Commercial $42.24
Rate for Payer: Ohio Health Group HMO $36.00
Rate for Payer: Ohio Health Group PPO Differential $9.60
Rate for Payer: Ohio Health Group PPO No Differential $6.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $14.88
Rate for Payer: PHCS Commercial $46.08
Rate for Payer: United Healthcare All Payer $42.24
Service Code HCPCS 82397
Hospital Charge Code 30000273
Hospital Revenue Code 300
Min. Negotiated Rate $6.24
Max. Negotiated Rate $46.08
Rate for Payer: Aetna Commercial $36.96
Rate for Payer: Anthem Medicaid $14.12
Rate for Payer: Anthem Medicare Advantage/PPO $14.12
Rate for Payer: Anthem POS/PPO/Traditional $38.54
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $19.77
Rate for Payer: CareSource Just4Me Medicare $14.12
Rate for Payer: Cash Price $24.00
Rate for Payer: Cash Price $24.00
Rate for Payer: Cigna Commercial $39.84
Rate for Payer: First Health Commercial $45.60
Rate for Payer: Humana Commercial $40.80
Rate for Payer: Humana KY Medicaid $14.12
Rate for Payer: Humana Medicare Advantage $14.12
Rate for Payer: Kentucky WC Medicaid $14.26
Rate for Payer: Medical Mutual Of Ohio HMO $39.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $35.42
Rate for Payer: Molina Healthcare Benefit Exchange $16.94
Rate for Payer: Molina Healthcare Medicaid $14.40
Rate for Payer: Ohio Health Choice Commercial $42.24
Rate for Payer: Ohio Health Group HMO $36.00
Rate for Payer: Ohio Health Group PPO Differential $9.60
Rate for Payer: Ohio Health Group PPO No Differential $6.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $14.88
Rate for Payer: PHCS Commercial $46.08
Rate for Payer: United Healthcare All Payer $42.24
Service Code HCPCS 86671
Hospital Charge Code 30001159
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
Service Code HCPCS 86671
Hospital Charge Code 30001159
Hospital Revenue Code 300
Min. Negotiated Rate $12.25
Max. Negotiated Rate $158.40
Rate for Payer: Aetna Commercial $127.05
Rate for Payer: Anthem Medicaid $12.25
Rate for Payer: Anthem Medicare Advantage/PPO $12.25
Rate for Payer: Anthem POS/PPO/Traditional $132.50
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.15
Rate for Payer: CareSource Just4Me Medicare $12.25
Rate for Payer: Cash Price $82.50
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: Humana KY Medicaid $12.25
Rate for Payer: Humana Medicare Advantage $12.25
Rate for Payer: Kentucky WC Medicaid $12.37
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 $14.70
Rate for Payer: Molina Healthcare Medicaid $12.50
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
Service Code HCPCS 86671
Hospital Charge Code 30001160
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
Service Code HCPCS 86671
Hospital Charge Code 30001160
Hospital Revenue Code 300
Min. Negotiated Rate $12.25
Max. Negotiated Rate $158.40
Rate for Payer: Aetna Commercial $127.05
Rate for Payer: Anthem Medicaid $12.25
Rate for Payer: Anthem Medicare Advantage/PPO $12.25
Rate for Payer: Anthem POS/PPO/Traditional $132.50
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.15
Rate for Payer: CareSource Just4Me Medicare $12.25
Rate for Payer: Cash Price $82.50
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: Humana KY Medicaid $12.25
Rate for Payer: Humana Medicare Advantage $12.25
Rate for Payer: Kentucky WC Medicaid $12.37
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 $14.70
Rate for Payer: Molina Healthcare Medicaid $12.50
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
Service Code HCPCS 80179
Hospital Charge Code 30001559
Hospital Revenue Code 300
Min. Negotiated Rate $5.46
Max. Negotiated Rate $40.32
Rate for Payer: Aetna Commercial $32.34
Rate for Payer: Anthem Medicaid $18.64
Rate for Payer: Anthem Medicare Advantage/PPO $18.64
Rate for Payer: Anthem POS/PPO/Traditional $33.73
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $26.10
Rate for Payer: CareSource Just4Me Medicare $18.64
Rate for Payer: Cash Price $21.00
Rate for Payer: Cash Price $21.00
Rate for Payer: Cigna Commercial $34.86
Rate for Payer: First Health Commercial $39.90
Rate for Payer: Humana Commercial $35.70
Rate for Payer: Humana KY Medicaid $18.64
Rate for Payer: Humana Medicare Advantage $18.64
Rate for Payer: Kentucky WC Medicaid $18.83
Rate for Payer: Medical Mutual Of Ohio HMO $34.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $31.00
Rate for Payer: Molina Healthcare Benefit Exchange $22.37
Rate for Payer: Molina Healthcare Medicaid $19.01
Rate for Payer: Ohio Health Choice Commercial $36.96
Rate for Payer: Ohio Health Group HMO $31.50
Rate for Payer: Ohio Health Group PPO Differential $8.40
Rate for Payer: Ohio Health Group PPO No Differential $5.46
Rate for Payer: Ohio Health Group PPO SOMC Employees $13.02
Rate for Payer: PHCS Commercial $40.32
Rate for Payer: United Healthcare All Payer $36.96
Service Code HCPCS 80179
Hospital Charge Code 30001559
Hospital Revenue Code 300
Min. Negotiated Rate $5.46
Max. Negotiated Rate $40.32
Rate for Payer: Aetna Commercial $32.34
Rate for Payer: Anthem POS/PPO/Traditional $33.73
Rate for Payer: Cash Price $21.00
Rate for Payer: Cigna Commercial $34.86
Rate for Payer: First Health Commercial $39.90
Rate for Payer: Humana Commercial $35.70
Rate for Payer: Medical Mutual Of Ohio HMO $34.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $31.00
Rate for Payer: Molina Healthcare Benefit Exchange $12.60
Rate for Payer: Ohio Health Choice Commercial $36.96
Rate for Payer: Ohio Health Group HMO $31.50
Rate for Payer: Ohio Health Group PPO Differential $8.40
Rate for Payer: Ohio Health Group PPO No Differential $5.46
Rate for Payer: Ohio Health Group PPO SOMC Employees $13.02
Rate for Payer: PHCS Commercial $40.32
Rate for Payer: United Healthcare All Payer $36.96