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Service Code HCPCS 82542
Hospital Charge Code 30002027
Hospital Revenue Code 301
Min. Negotiated Rate $24.09
Max. Negotiated Rate $511.68
Rate for Payer: Aetna Commercial $410.41
Rate for Payer: Anthem Medicaid $24.09
Rate for Payer: Anthem Medicare Advantage/PPO $24.09
Rate for Payer: Anthem POS/PPO/Traditional $428.00
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $33.73
Rate for Payer: CareSource Just4Me Medicare $24.09
Rate for Payer: Cash Price $266.50
Rate for Payer: Cash Price $266.50
Rate for Payer: Cigna Commercial $442.39
Rate for Payer: First Health Commercial $506.35
Rate for Payer: Humana Commercial $453.05
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 $437.06
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $393.35
Rate for Payer: Molina Healthcare Benefit Exchange $28.91
Rate for Payer: Molina Healthcare Medicaid $24.57
Rate for Payer: Ohio Health Choice Commercial $469.04
Rate for Payer: Ohio Health Group HMO $399.75
Rate for Payer: Ohio Health Group PPO Differential $106.60
Rate for Payer: Ohio Health Group PPO No Differential $69.29
Rate for Payer: Ohio Health Group PPO SOMC Employees $165.23
Rate for Payer: PHCS Commercial $511.68
Rate for Payer: United Healthcare All Payer $469.04
Service Code HCPCS 82542
Hospital Charge Code 30002027
Hospital Revenue Code 301
Min. Negotiated Rate $69.29
Max. Negotiated Rate $511.68
Rate for Payer: Aetna Commercial $410.41
Rate for Payer: Anthem POS/PPO/Traditional $428.00
Rate for Payer: Cash Price $266.50
Rate for Payer: Cigna Commercial $442.39
Rate for Payer: First Health Commercial $506.35
Rate for Payer: Humana Commercial $453.05
Rate for Payer: Medical Mutual Of Ohio HMO $437.06
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $393.35
Rate for Payer: Molina Healthcare Benefit Exchange $159.90
Rate for Payer: Ohio Health Choice Commercial $469.04
Rate for Payer: Ohio Health Group HMO $399.75
Rate for Payer: Ohio Health Group PPO Differential $106.60
Rate for Payer: Ohio Health Group PPO No Differential $69.29
Rate for Payer: Ohio Health Group PPO SOMC Employees $165.23
Rate for Payer: PHCS Commercial $511.68
Rate for Payer: United Healthcare All Payer $469.04
Service Code HCPCS 86317
Hospital Charge Code 30001057
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001057
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001056
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001056
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001054
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001054
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001059
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001059
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001049
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001049
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001058
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001058
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001065
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001065
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001052
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001052
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001045
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001045
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001061
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001061
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001060
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $20.99
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem Medicaid $14.99
Rate for Payer: Anthem Medicare Advantage/PPO $14.99
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.99
Rate for Payer: CareSource Just4Me Medicare $14.99
Rate for Payer: Cash Price $7.00
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Humana KY Medicaid $14.99
Rate for Payer: Humana Medicare Advantage $14.99
Rate for Payer: Kentucky WC Medicaid $15.14
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $17.99
Rate for Payer: Molina Healthcare Medicaid $15.29
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001060
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32
Service Code HCPCS 86317
Hospital Charge Code 30001062
Hospital Revenue Code 300
Min. Negotiated Rate $1.82
Max. Negotiated Rate $13.44
Rate for Payer: Aetna Commercial $10.78
Rate for Payer: Anthem POS/PPO/Traditional $11.24
Rate for Payer: Cash Price $7.00
Rate for Payer: Cigna Commercial $11.62
Rate for Payer: First Health Commercial $13.30
Rate for Payer: Humana Commercial $11.90
Rate for Payer: Medical Mutual Of Ohio HMO $11.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10.33
Rate for Payer: Molina Healthcare Benefit Exchange $4.20
Rate for Payer: Ohio Health Choice Commercial $12.32
Rate for Payer: Ohio Health Group HMO $10.50
Rate for Payer: Ohio Health Group PPO Differential $2.80
Rate for Payer: Ohio Health Group PPO No Differential $1.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $4.34
Rate for Payer: PHCS Commercial $13.44
Rate for Payer: United Healthcare All Payer $12.32