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Service Code HCPCS 84270
Hospital Charge Code 30000510
Hospital Revenue Code 300
Min. Negotiated Rate $17.16
Max. Negotiated Rate $126.72
Rate for Payer: Aetna Commercial $101.64
Rate for Payer: Anthem POS/PPO/Traditional $106.00
Rate for Payer: Cash Price $66.00
Rate for Payer: Cigna Commercial $109.56
Rate for Payer: First Health Commercial $125.40
Rate for Payer: Humana Commercial $112.20
Rate for Payer: Medical Mutual Of Ohio HMO $108.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $97.42
Rate for Payer: Molina Healthcare Benefit Exchange $39.60
Rate for Payer: Ohio Health Choice Commercial $116.16
Rate for Payer: Ohio Health Group HMO $99.00
Rate for Payer: Ohio Health Group PPO Differential $26.40
Rate for Payer: Ohio Health Group PPO No Differential $17.16
Rate for Payer: Ohio Health Group PPO SOMC Employees $40.92
Rate for Payer: PHCS Commercial $126.72
Rate for Payer: United Healthcare All Payer $116.16
Service Code HCPCS 84270
Hospital Charge Code 30000510
Hospital Revenue Code 300
Min. Negotiated Rate $17.16
Max. Negotiated Rate $126.72
Rate for Payer: Aetna Commercial $101.64
Rate for Payer: Anthem Medicaid $21.73
Rate for Payer: Anthem Medicare Advantage/PPO $21.73
Rate for Payer: Anthem POS/PPO/Traditional $106.00
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $30.42
Rate for Payer: CareSource Just4Me Medicare $21.73
Rate for Payer: Cash Price $66.00
Rate for Payer: Cash Price $66.00
Rate for Payer: Cigna Commercial $109.56
Rate for Payer: First Health Commercial $125.40
Rate for Payer: Humana Commercial $112.20
Rate for Payer: Humana KY Medicaid $21.73
Rate for Payer: Humana Medicare Advantage $21.73
Rate for Payer: Kentucky WC Medicaid $21.95
Rate for Payer: Medical Mutual Of Ohio HMO $108.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $97.42
Rate for Payer: Molina Healthcare Benefit Exchange $26.08
Rate for Payer: Molina Healthcare Medicaid $22.16
Rate for Payer: Ohio Health Choice Commercial $116.16
Rate for Payer: Ohio Health Group HMO $99.00
Rate for Payer: Ohio Health Group PPO Differential $26.40
Rate for Payer: Ohio Health Group PPO No Differential $17.16
Rate for Payer: Ohio Health Group PPO SOMC Employees $40.92
Rate for Payer: PHCS Commercial $126.72
Rate for Payer: United Healthcare All Payer $116.16
Service Code HCPCS 83520
Hospital Charge Code 30000411
Hospital Revenue Code 300
Min. Negotiated Rate $20.93
Max. Negotiated Rate $154.56
Rate for Payer: Aetna Commercial $123.97
Rate for Payer: Anthem POS/PPO/Traditional $129.28
Rate for Payer: Cash Price $80.50
Rate for Payer: Cigna Commercial $133.63
Rate for Payer: First Health Commercial $152.95
Rate for Payer: Humana Commercial $136.85
Rate for Payer: Medical Mutual Of Ohio HMO $132.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $118.82
Rate for Payer: Molina Healthcare Benefit Exchange $48.30
Rate for Payer: Ohio Health Choice Commercial $141.68
Rate for Payer: Ohio Health Group HMO $120.75
Rate for Payer: Ohio Health Group PPO Differential $32.20
Rate for Payer: Ohio Health Group PPO No Differential $20.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $49.91
Rate for Payer: PHCS Commercial $154.56
Rate for Payer: United Healthcare All Payer $141.68
Service Code HCPCS 83520
Hospital Charge Code 30000411
Hospital Revenue Code 300
Min. Negotiated Rate $17.27
Max. Negotiated Rate $154.56
Rate for Payer: Aetna Commercial $123.97
Rate for Payer: Anthem Medicaid $17.27
Rate for Payer: Anthem Medicare Advantage/PPO $17.27
Rate for Payer: Anthem POS/PPO/Traditional $129.28
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24.18
Rate for Payer: CareSource Just4Me Medicare $17.27
Rate for Payer: Cash Price $80.50
Rate for Payer: Cash Price $80.50
Rate for Payer: Cigna Commercial $133.63
Rate for Payer: First Health Commercial $152.95
Rate for Payer: Humana Commercial $136.85
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 $132.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $118.82
Rate for Payer: Molina Healthcare Benefit Exchange $20.72
Rate for Payer: Molina Healthcare Medicaid $17.62
Rate for Payer: Ohio Health Choice Commercial $141.68
Rate for Payer: Ohio Health Group HMO $120.75
Rate for Payer: Ohio Health Group PPO Differential $32.20
Rate for Payer: Ohio Health Group PPO No Differential $20.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $49.91
Rate for Payer: PHCS Commercial $154.56
Rate for Payer: United Healthcare All Payer $141.68
Service Code HCPCS 86003
Hospital Charge Code 30001958
Hospital Revenue Code 300
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 30001958
Hospital Revenue Code 300
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 81330
Hospital Charge Code 30001918
Hospital Revenue Code 300
Min. Negotiated Rate $6.24
Max. Negotiated Rate $65.80
Rate for Payer: Aetna Commercial $36.96
Rate for Payer: Anthem Medicaid $47.00
Rate for Payer: Anthem Medicare Advantage/PPO $47.00
Rate for Payer: Anthem POS/PPO/Traditional $38.54
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $65.80
Rate for Payer: CareSource Just4Me Medicare $47.00
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 $47.00
Rate for Payer: Humana Medicare Advantage $47.00
Rate for Payer: Kentucky WC Medicaid $47.47
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 $56.40
Rate for Payer: Molina Healthcare Medicaid $47.94
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 81330
Hospital Charge Code 30001918
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 84302
Hospital Charge Code 30000513
Hospital Revenue Code 300
Min. Negotiated Rate $8.32
Max. Negotiated Rate $61.44
Rate for Payer: Aetna Commercial $49.28
Rate for Payer: Anthem POS/PPO/Traditional $51.39
Rate for Payer: Cash Price $32.00
Rate for Payer: Cigna Commercial $53.12
Rate for Payer: First Health Commercial $60.80
Rate for Payer: Humana Commercial $54.40
Rate for Payer: Medical Mutual Of Ohio HMO $52.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.23
Rate for Payer: Molina Healthcare Benefit Exchange $19.20
Rate for Payer: Ohio Health Choice Commercial $56.32
Rate for Payer: Ohio Health Group HMO $48.00
Rate for Payer: Ohio Health Group PPO Differential $12.80
Rate for Payer: Ohio Health Group PPO No Differential $8.32
Rate for Payer: Ohio Health Group PPO SOMC Employees $19.84
Rate for Payer: PHCS Commercial $61.44
Rate for Payer: United Healthcare All Payer $56.32
Service Code HCPCS 84302
Hospital Charge Code 30000513
Hospital Revenue Code 300
Min. Negotiated Rate $4.86
Max. Negotiated Rate $61.44
Rate for Payer: Aetna Commercial $49.28
Rate for Payer: Anthem Medicaid $4.86
Rate for Payer: Anthem Medicare Advantage/PPO $4.86
Rate for Payer: Anthem POS/PPO/Traditional $51.39
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $6.80
Rate for Payer: CareSource Just4Me Medicare $4.86
Rate for Payer: Cash Price $32.00
Rate for Payer: Cash Price $32.00
Rate for Payer: Cigna Commercial $53.12
Rate for Payer: First Health Commercial $60.80
Rate for Payer: Humana Commercial $54.40
Rate for Payer: Humana KY Medicaid $4.86
Rate for Payer: Humana Medicare Advantage $4.86
Rate for Payer: Kentucky WC Medicaid $4.91
Rate for Payer: Medical Mutual Of Ohio HMO $52.48
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.23
Rate for Payer: Molina Healthcare Benefit Exchange $5.83
Rate for Payer: Molina Healthcare Medicaid $4.96
Rate for Payer: Ohio Health Choice Commercial $56.32
Rate for Payer: Ohio Health Group HMO $48.00
Rate for Payer: Ohio Health Group PPO Differential $12.80
Rate for Payer: Ohio Health Group PPO No Differential $8.32
Rate for Payer: Ohio Health Group PPO SOMC Employees $19.84
Rate for Payer: PHCS Commercial $61.44
Rate for Payer: United Healthcare All Payer $56.32
Service Code HCPCS 85366
Hospital Charge Code 30000600
Hospital Revenue Code 300
Min. Negotiated Rate $48.10
Max. Negotiated Rate $355.20
Rate for Payer: Aetna Commercial $284.90
Rate for Payer: Anthem Medicaid $80.46
Rate for Payer: Anthem Medicare Advantage/PPO $80.46
Rate for Payer: Anthem POS/PPO/Traditional $297.11
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $112.64
Rate for Payer: CareSource Just4Me Medicare $80.46
Rate for Payer: Cash Price $185.00
Rate for Payer: Cash Price $185.00
Rate for Payer: Cigna Commercial $307.10
Rate for Payer: First Health Commercial $351.50
Rate for Payer: Humana Commercial $314.50
Rate for Payer: Humana KY Medicaid $80.46
Rate for Payer: Humana Medicare Advantage $80.46
Rate for Payer: Kentucky WC Medicaid $81.26
Rate for Payer: Medical Mutual Of Ohio HMO $303.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $273.06
Rate for Payer: Molina Healthcare Benefit Exchange $96.55
Rate for Payer: Molina Healthcare Medicaid $82.07
Rate for Payer: Ohio Health Choice Commercial $325.60
Rate for Payer: Ohio Health Group HMO $277.50
Rate for Payer: Ohio Health Group PPO Differential $74.00
Rate for Payer: Ohio Health Group PPO No Differential $48.10
Rate for Payer: Ohio Health Group PPO SOMC Employees $114.70
Rate for Payer: PHCS Commercial $355.20
Rate for Payer: United Healthcare All Payer $325.60
Service Code HCPCS 85366
Hospital Charge Code 30000600
Hospital Revenue Code 300
Min. Negotiated Rate $48.10
Max. Negotiated Rate $355.20
Rate for Payer: Aetna Commercial $284.90
Rate for Payer: Anthem POS/PPO/Traditional $297.11
Rate for Payer: Cash Price $185.00
Rate for Payer: Cigna Commercial $307.10
Rate for Payer: First Health Commercial $351.50
Rate for Payer: Humana Commercial $314.50
Rate for Payer: Medical Mutual Of Ohio HMO $303.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $273.06
Rate for Payer: Molina Healthcare Benefit Exchange $111.00
Rate for Payer: Ohio Health Choice Commercial $325.60
Rate for Payer: Ohio Health Group HMO $277.50
Rate for Payer: Ohio Health Group PPO Differential $74.00
Rate for Payer: Ohio Health Group PPO No Differential $48.10
Rate for Payer: Ohio Health Group PPO SOMC Employees $114.70
Rate for Payer: PHCS Commercial $355.20
Rate for Payer: United Healthcare All Payer $325.60
Service Code HCPCS 84238
Hospital Charge Code 30001774
Hospital Revenue Code 300
Min. Negotiated Rate $8.06
Max. Negotiated Rate $59.52
Rate for Payer: Aetna Commercial $47.74
Rate for Payer: Anthem Medicaid $36.57
Rate for Payer: Anthem Medicare Advantage/PPO $36.57
Rate for Payer: Anthem POS/PPO/Traditional $49.79
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $51.20
Rate for Payer: CareSource Just4Me Medicare $36.57
Rate for Payer: Cash Price $31.00
Rate for Payer: Cash Price $31.00
Rate for Payer: Cigna Commercial $51.46
Rate for Payer: First Health Commercial $58.90
Rate for Payer: Humana Commercial $52.70
Rate for Payer: Humana KY Medicaid $36.57
Rate for Payer: Humana Medicare Advantage $36.57
Rate for Payer: Kentucky WC Medicaid $36.94
Rate for Payer: Medical Mutual Of Ohio HMO $50.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $45.76
Rate for Payer: Molina Healthcare Benefit Exchange $43.88
Rate for Payer: Molina Healthcare Medicaid $37.30
Rate for Payer: Ohio Health Choice Commercial $54.56
Rate for Payer: Ohio Health Group HMO $46.50
Rate for Payer: Ohio Health Group PPO Differential $12.40
Rate for Payer: Ohio Health Group PPO No Differential $8.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $19.22
Rate for Payer: PHCS Commercial $59.52
Rate for Payer: United Healthcare All Payer $54.56
Service Code HCPCS 84238
Hospital Charge Code 30001774
Hospital Revenue Code 300
Min. Negotiated Rate $8.06
Max. Negotiated Rate $59.52
Rate for Payer: Aetna Commercial $47.74
Rate for Payer: Anthem POS/PPO/Traditional $49.79
Rate for Payer: Cash Price $31.00
Rate for Payer: Cigna Commercial $51.46
Rate for Payer: First Health Commercial $58.90
Rate for Payer: Humana Commercial $52.70
Rate for Payer: Medical Mutual Of Ohio HMO $50.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $45.76
Rate for Payer: Molina Healthcare Benefit Exchange $18.60
Rate for Payer: Ohio Health Choice Commercial $54.56
Rate for Payer: Ohio Health Group HMO $46.50
Rate for Payer: Ohio Health Group PPO Differential $12.40
Rate for Payer: Ohio Health Group PPO No Differential $8.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $19.22
Rate for Payer: PHCS Commercial $59.52
Rate for Payer: United Healthcare All Payer $54.56
Service Code HCPCS G0480
Hospital Charge Code 30000165
Hospital Revenue Code 300
Min. Negotiated Rate $3.38
Max. Negotiated Rate $24.96
Rate for Payer: Aetna Commercial $20.02
Rate for Payer: Anthem POS/PPO/Traditional $20.88
Rate for Payer: Cash Price $13.00
Rate for Payer: Cigna Commercial $21.58
Rate for Payer: First Health Commercial $24.70
Rate for Payer: Humana Commercial $22.10
Rate for Payer: Medical Mutual Of Ohio HMO $21.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $19.19
Rate for Payer: Molina Healthcare Benefit Exchange $7.80
Rate for Payer: Ohio Health Choice Commercial $22.88
Rate for Payer: Ohio Health Group HMO $19.50
Rate for Payer: Ohio Health Group PPO Differential $5.20
Rate for Payer: Ohio Health Group PPO No Differential $3.38
Rate for Payer: Ohio Health Group PPO SOMC Employees $8.06
Rate for Payer: PHCS Commercial $24.96
Rate for Payer: United Healthcare All Payer $22.88
Service Code HCPCS G0480
Hospital Charge Code 30000165
Hospital Revenue Code 300
Min. Negotiated Rate $3.38
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $20.02
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $20.88
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $13.00
Rate for Payer: Cash Price $13.00
Rate for Payer: Cigna Commercial $21.58
Rate for Payer: First Health Commercial $24.70
Rate for Payer: Humana Commercial $22.10
Rate for Payer: Humana KY Medicaid $114.43
Rate for Payer: Humana Medicare Advantage $114.43
Rate for Payer: Kentucky WC Medicaid $115.57
Rate for Payer: Medical Mutual Of Ohio HMO $21.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $19.19
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $22.88
Rate for Payer: Ohio Health Group HMO $19.50
Rate for Payer: Ohio Health Group PPO Differential $5.20
Rate for Payer: Ohio Health Group PPO No Differential $3.38
Rate for Payer: Ohio Health Group PPO SOMC Employees $8.06
Rate for Payer: PHCS Commercial $24.96
Rate for Payer: United Healthcare All Payer $22.88
Service Code HCPCS 85390
Hospital Charge Code 30000605
Hospital Revenue Code 305
Min. Negotiated Rate $25.87
Max. Negotiated Rate $191.04
Rate for Payer: Aetna Commercial $153.23
Rate for Payer: Anthem POS/PPO/Traditional $159.80
Rate for Payer: Cash Price $99.50
Rate for Payer: Cigna Commercial $165.17
Rate for Payer: First Health Commercial $189.05
Rate for Payer: Humana Commercial $169.15
Rate for Payer: Medical Mutual Of Ohio HMO $163.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $146.86
Rate for Payer: Molina Healthcare Benefit Exchange $59.70
Rate for Payer: Ohio Health Choice Commercial $175.12
Rate for Payer: Ohio Health Group HMO $149.25
Rate for Payer: Ohio Health Group PPO Differential $39.80
Rate for Payer: Ohio Health Group PPO No Differential $25.87
Rate for Payer: Ohio Health Group PPO SOMC Employees $61.69
Rate for Payer: PHCS Commercial $191.04
Rate for Payer: United Healthcare All Payer $175.12
Service Code HCPCS 85390
Hospital Charge Code 30000605
Hospital Revenue Code 305
Min. Negotiated Rate $15.48
Max. Negotiated Rate $191.04
Rate for Payer: Aetna Commercial $153.23
Rate for Payer: Anthem Medicaid $15.48
Rate for Payer: Anthem Medicare Advantage/PPO $15.48
Rate for Payer: Anthem POS/PPO/Traditional $159.80
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $21.67
Rate for Payer: CareSource Just4Me Medicare $15.48
Rate for Payer: Cash Price $99.50
Rate for Payer: Cash Price $99.50
Rate for Payer: Cigna Commercial $165.17
Rate for Payer: First Health Commercial $189.05
Rate for Payer: Humana Commercial $169.15
Rate for Payer: Humana KY Medicaid $15.48
Rate for Payer: Humana Medicare Advantage $15.48
Rate for Payer: Kentucky WC Medicaid $15.63
Rate for Payer: Medical Mutual Of Ohio HMO $163.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $146.86
Rate for Payer: Molina Healthcare Benefit Exchange $18.58
Rate for Payer: Molina Healthcare Medicaid $15.79
Rate for Payer: Ohio Health Choice Commercial $175.12
Rate for Payer: Ohio Health Group HMO $149.25
Rate for Payer: Ohio Health Group PPO Differential $39.80
Rate for Payer: Ohio Health Group PPO No Differential $25.87
Rate for Payer: Ohio Health Group PPO SOMC Employees $61.69
Rate for Payer: PHCS Commercial $191.04
Rate for Payer: United Healthcare All Payer $175.12
Service Code HCPCS 88313
Hospital Charge Code 30001514
Hospital Revenue Code 300
Min. Negotiated Rate $81.77
Max. Negotiated Rate $603.84
Rate for Payer: Aetna Commercial $484.33
Rate for Payer: Anthem POS/PPO/Traditional $505.09
Rate for Payer: Cash Price $314.50
Rate for Payer: Cigna Commercial $522.07
Rate for Payer: First Health Commercial $597.55
Rate for Payer: Humana Commercial $534.65
Rate for Payer: Medical Mutual Of Ohio HMO $515.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $464.20
Rate for Payer: Molina Healthcare Benefit Exchange $188.70
Rate for Payer: Ohio Health Choice Commercial $553.52
Rate for Payer: Ohio Health Group HMO $471.75
Rate for Payer: Ohio Health Group PPO Differential $125.80
Rate for Payer: Ohio Health Group PPO No Differential $81.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $194.99
Rate for Payer: PHCS Commercial $603.84
Rate for Payer: United Healthcare All Payer $553.52
Service Code HCPCS 88313
Hospital Charge Code 30001514
Hospital Revenue Code 300
Min. Negotiated Rate $52.89
Max. Negotiated Rate $603.84
Rate for Payer: Aetna Commercial $484.33
Rate for Payer: Anthem Medicaid $216.31
Rate for Payer: Anthem Medicare Advantage/PPO $52.89
Rate for Payer: Anthem POS/PPO/Traditional $505.09
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $74.05
Rate for Payer: CareSource Just4Me Medicare $71.40
Rate for Payer: Cash Price $314.50
Rate for Payer: Cash Price $314.50
Rate for Payer: Cigna Commercial $522.07
Rate for Payer: First Health Commercial $597.55
Rate for Payer: Humana Commercial $534.65
Rate for Payer: Humana KY Medicaid $216.31
Rate for Payer: Humana Medicare Advantage $52.89
Rate for Payer: Kentucky WC Medicaid $218.51
Rate for Payer: Medical Mutual Of Ohio HMO $515.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $464.20
Rate for Payer: Molina Healthcare Benefit Exchange $63.47
Rate for Payer: Molina Healthcare Medicaid $220.65
Rate for Payer: Ohio Health Choice Commercial $553.52
Rate for Payer: Ohio Health Group HMO $471.75
Rate for Payer: Ohio Health Group PPO Differential $125.80
Rate for Payer: Ohio Health Group PPO No Differential $81.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $194.99
Rate for Payer: PHCS Commercial $603.84
Rate for Payer: United Healthcare All Payer $553.52
Service Code HCPCS 88312
Hospital Charge Code 30001849
Hospital Revenue Code 300
Min. Negotiated Rate $28.08
Max. Negotiated Rate $207.36
Rate for Payer: Aetna Commercial $166.32
Rate for Payer: Anthem POS/PPO/Traditional $173.45
Rate for Payer: Cash Price $108.00
Rate for Payer: Cigna Commercial $179.28
Rate for Payer: First Health Commercial $205.20
Rate for Payer: Humana Commercial $183.60
Rate for Payer: Medical Mutual Of Ohio HMO $177.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $159.41
Rate for Payer: Molina Healthcare Benefit Exchange $64.80
Rate for Payer: Ohio Health Choice Commercial $190.08
Rate for Payer: Ohio Health Group HMO $162.00
Rate for Payer: Ohio Health Group PPO Differential $43.20
Rate for Payer: Ohio Health Group PPO No Differential $28.08
Rate for Payer: Ohio Health Group PPO SOMC Employees $66.96
Rate for Payer: PHCS Commercial $207.36
Rate for Payer: United Healthcare All Payer $190.08
Service Code HCPCS 88312
Hospital Charge Code 30001849
Hospital Revenue Code 300
Min. Negotiated Rate $28.08
Max. Negotiated Rate $207.36
Rate for Payer: Aetna Commercial $166.32
Rate for Payer: Anthem Medicaid $74.28
Rate for Payer: Anthem Medicare Advantage/PPO $46.86
Rate for Payer: Anthem POS/PPO/Traditional $173.45
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $65.60
Rate for Payer: CareSource Just4Me Medicare $63.26
Rate for Payer: Cash Price $108.00
Rate for Payer: Cash Price $108.00
Rate for Payer: Cigna Commercial $179.28
Rate for Payer: First Health Commercial $205.20
Rate for Payer: Humana Commercial $183.60
Rate for Payer: Humana KY Medicaid $74.28
Rate for Payer: Humana Medicare Advantage $46.86
Rate for Payer: Kentucky WC Medicaid $75.04
Rate for Payer: Medical Mutual Of Ohio HMO $177.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $159.41
Rate for Payer: Molina Healthcare Benefit Exchange $56.23
Rate for Payer: Molina Healthcare Medicaid $75.77
Rate for Payer: Ohio Health Choice Commercial $190.08
Rate for Payer: Ohio Health Group HMO $162.00
Rate for Payer: Ohio Health Group PPO Differential $43.20
Rate for Payer: Ohio Health Group PPO No Differential $28.08
Rate for Payer: Ohio Health Group PPO SOMC Employees $66.96
Rate for Payer: PHCS Commercial $207.36
Rate for Payer: United Healthcare All Payer $190.08
Service Code HCPCS 89325
Hospital Charge Code 30001844
Hospital Revenue Code 300
Min. Negotiated Rate $12.35
Max. Negotiated Rate $91.20
Rate for Payer: Aetna Commercial $73.15
Rate for Payer: Anthem POS/PPO/Traditional $76.28
Rate for Payer: Cash Price $47.50
Rate for Payer: Cigna Commercial $78.85
Rate for Payer: First Health Commercial $90.25
Rate for Payer: Humana Commercial $80.75
Rate for Payer: Medical Mutual Of Ohio HMO $77.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $70.11
Rate for Payer: Molina Healthcare Benefit Exchange $28.50
Rate for Payer: Ohio Health Choice Commercial $83.60
Rate for Payer: Ohio Health Group HMO $71.25
Rate for Payer: Ohio Health Group PPO Differential $19.00
Rate for Payer: Ohio Health Group PPO No Differential $12.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $29.45
Rate for Payer: PHCS Commercial $91.20
Rate for Payer: United Healthcare All Payer $83.60
Service Code HCPCS 89325
Hospital Charge Code 30001844
Hospital Revenue Code 300
Min. Negotiated Rate $10.67
Max. Negotiated Rate $91.20
Rate for Payer: Aetna Commercial $73.15
Rate for Payer: Anthem Medicaid $10.67
Rate for Payer: Anthem Medicare Advantage/PPO $10.67
Rate for Payer: Anthem POS/PPO/Traditional $76.28
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $14.94
Rate for Payer: CareSource Just4Me Medicare $10.67
Rate for Payer: Cash Price $47.50
Rate for Payer: Cash Price $47.50
Rate for Payer: Cigna Commercial $78.85
Rate for Payer: First Health Commercial $90.25
Rate for Payer: Humana Commercial $80.75
Rate for Payer: Humana KY Medicaid $10.67
Rate for Payer: Humana Medicare Advantage $10.67
Rate for Payer: Kentucky WC Medicaid $10.78
Rate for Payer: Medical Mutual Of Ohio HMO $77.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $70.11
Rate for Payer: Molina Healthcare Benefit Exchange $12.80
Rate for Payer: Molina Healthcare Medicaid $10.88
Rate for Payer: Ohio Health Choice Commercial $83.60
Rate for Payer: Ohio Health Group HMO $71.25
Rate for Payer: Ohio Health Group PPO Differential $19.00
Rate for Payer: Ohio Health Group PPO No Differential $12.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $29.45
Rate for Payer: PHCS Commercial $91.20
Rate for Payer: United Healthcare All Payer $83.60
Service Code HCPCS 81329
Hospital Charge Code 30000195
Hospital Revenue Code 300
Min. Negotiated Rate $40.56
Max. Negotiated Rate $299.52
Rate for Payer: Aetna Commercial $240.24
Rate for Payer: Anthem Medicaid $137.00
Rate for Payer: Anthem Medicare Advantage/PPO $137.00
Rate for Payer: Anthem POS/PPO/Traditional $250.54
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $191.80
Rate for Payer: CareSource Just4Me Medicare $137.00
Rate for Payer: Cash Price $156.00
Rate for Payer: Cash Price $156.00
Rate for Payer: Cigna Commercial $258.96
Rate for Payer: First Health Commercial $296.40
Rate for Payer: Humana Commercial $265.20
Rate for Payer: Humana KY Medicaid $137.00
Rate for Payer: Humana Medicare Advantage $137.00
Rate for Payer: Kentucky WC Medicaid $138.37
Rate for Payer: Medical Mutual Of Ohio HMO $255.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $230.26
Rate for Payer: Molina Healthcare Benefit Exchange $164.40
Rate for Payer: Molina Healthcare Medicaid $139.74
Rate for Payer: Ohio Health Choice Commercial $274.56
Rate for Payer: Ohio Health Group HMO $234.00
Rate for Payer: Ohio Health Group PPO Differential $62.40
Rate for Payer: Ohio Health Group PPO No Differential $40.56
Rate for Payer: Ohio Health Group PPO SOMC Employees $96.72
Rate for Payer: PHCS Commercial $299.52
Rate for Payer: United Healthcare All Payer $274.56