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Service Code HCPCS 86317
Hospital Charge Code 30001062
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 30001048
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 30001048
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 30001063
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 30001063
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 30001053
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 30001053
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 30001043
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 30001043
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 30001051
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 30001051
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 30001046
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 30001046
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 30001055
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 30001055
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 30001047
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 30001047
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 30001044
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 30001044
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 30001050
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 30001050
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 30001064
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 30001064
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 81332
Hospital Charge Code 30000196
Hospital Revenue Code 300
Min. Negotiated Rate $43.65
Max. Negotiated Rate $339.84
Rate for Payer: Aetna Commercial $272.58
Rate for Payer: Anthem Medicaid $43.65
Rate for Payer: Anthem Medicare Advantage/PPO $43.65
Rate for Payer: Anthem POS/PPO/Traditional $284.26
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $61.11
Rate for Payer: CareSource Just4Me Medicare $43.65
Rate for Payer: Cash Price $177.00
Rate for Payer: Cash Price $177.00
Rate for Payer: Cigna Commercial $293.82
Rate for Payer: First Health Commercial $336.30
Rate for Payer: Humana Commercial $300.90
Rate for Payer: Humana KY Medicaid $43.65
Rate for Payer: Humana Medicare Advantage $43.65
Rate for Payer: Kentucky WC Medicaid $44.09
Rate for Payer: Medical Mutual Of Ohio HMO $290.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $261.25
Rate for Payer: Molina Healthcare Benefit Exchange $52.38
Rate for Payer: Molina Healthcare Medicaid $44.52
Rate for Payer: Ohio Health Choice Commercial $311.52
Rate for Payer: Ohio Health Group HMO $265.50
Rate for Payer: Ohio Health Group PPO Differential $70.80
Rate for Payer: Ohio Health Group PPO No Differential $46.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $109.74
Rate for Payer: PHCS Commercial $339.84
Rate for Payer: United Healthcare All Payer $311.52
Service Code HCPCS 81332
Hospital Charge Code 30000196
Hospital Revenue Code 300
Min. Negotiated Rate $46.02
Max. Negotiated Rate $339.84
Rate for Payer: Aetna Commercial $272.58
Rate for Payer: Anthem POS/PPO/Traditional $284.26
Rate for Payer: Cash Price $177.00
Rate for Payer: Cigna Commercial $293.82
Rate for Payer: First Health Commercial $336.30
Rate for Payer: Humana Commercial $300.90
Rate for Payer: Medical Mutual Of Ohio HMO $290.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $261.25
Rate for Payer: Molina Healthcare Benefit Exchange $106.20
Rate for Payer: Ohio Health Choice Commercial $311.52
Rate for Payer: Ohio Health Group HMO $265.50
Rate for Payer: Ohio Health Group PPO Differential $70.80
Rate for Payer: Ohio Health Group PPO No Differential $46.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $109.74
Rate for Payer: PHCS Commercial $339.84
Rate for Payer: United Healthcare All Payer $311.52