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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 POS/PPO/Traditional $250.54
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: 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 $93.60
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
Service Code HCPCS 86003
Hospital Charge Code 30000852
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 30000852
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 30000838
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 30000838
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 83006
Hospital Charge Code 30000356
Hospital Revenue Code 300
Min. Negotiated Rate $33.80
Max. Negotiated Rate $249.60
Rate for Payer: Aetna Commercial $200.20
Rate for Payer: Anthem POS/PPO/Traditional $208.78
Rate for Payer: Cash Price $130.00
Rate for Payer: Cigna Commercial $215.80
Rate for Payer: First Health Commercial $247.00
Rate for Payer: Humana Commercial $221.00
Rate for Payer: Medical Mutual Of Ohio HMO $213.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $191.88
Rate for Payer: Molina Healthcare Benefit Exchange $78.00
Rate for Payer: Ohio Health Choice Commercial $228.80
Rate for Payer: Ohio Health Group HMO $195.00
Rate for Payer: Ohio Health Group PPO Differential $52.00
Rate for Payer: Ohio Health Group PPO No Differential $33.80
Rate for Payer: Ohio Health Group PPO SOMC Employees $80.60
Rate for Payer: PHCS Commercial $249.60
Rate for Payer: United Healthcare All Payer $228.80
Service Code HCPCS 83006
Hospital Charge Code 30000356
Hospital Revenue Code 300
Min. Negotiated Rate $33.80
Max. Negotiated Rate $249.60
Rate for Payer: Aetna Commercial $200.20
Rate for Payer: Anthem Medicaid $75.60
Rate for Payer: Anthem Medicare Advantage/PPO $75.60
Rate for Payer: Anthem POS/PPO/Traditional $208.78
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $105.84
Rate for Payer: CareSource Just4Me Medicare $75.60
Rate for Payer: Cash Price $130.00
Rate for Payer: Cash Price $130.00
Rate for Payer: Cigna Commercial $215.80
Rate for Payer: First Health Commercial $247.00
Rate for Payer: Humana Commercial $221.00
Rate for Payer: Humana KY Medicaid $75.60
Rate for Payer: Humana Medicare Advantage $75.60
Rate for Payer: Kentucky WC Medicaid $76.36
Rate for Payer: Medical Mutual Of Ohio HMO $213.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $191.88
Rate for Payer: Molina Healthcare Benefit Exchange $90.72
Rate for Payer: Molina Healthcare Medicaid $77.11
Rate for Payer: Ohio Health Choice Commercial $228.80
Rate for Payer: Ohio Health Group HMO $195.00
Rate for Payer: Ohio Health Group PPO Differential $52.00
Rate for Payer: Ohio Health Group PPO No Differential $33.80
Rate for Payer: Ohio Health Group PPO SOMC Employees $80.60
Rate for Payer: PHCS Commercial $249.60
Rate for Payer: United Healthcare All Payer $228.80
Service Code HCPCS 85598
Hospital Charge Code 30000617
Hospital Revenue Code 300
Min. Negotiated Rate $40.43
Max. Negotiated Rate $298.56
Rate for Payer: Aetna Commercial $239.47
Rate for Payer: Anthem POS/PPO/Traditional $249.73
Rate for Payer: Cash Price $155.50
Rate for Payer: Cigna Commercial $258.13
Rate for Payer: First Health Commercial $295.45
Rate for Payer: Humana Commercial $264.35
Rate for Payer: Medical Mutual Of Ohio HMO $255.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $229.52
Rate for Payer: Molina Healthcare Benefit Exchange $93.30
Rate for Payer: Ohio Health Choice Commercial $273.68
Rate for Payer: Ohio Health Group HMO $233.25
Rate for Payer: Ohio Health Group PPO Differential $62.20
Rate for Payer: Ohio Health Group PPO No Differential $40.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $96.41
Rate for Payer: PHCS Commercial $298.56
Rate for Payer: United Healthcare All Payer $273.68
Service Code HCPCS 85598
Hospital Charge Code 30000617
Hospital Revenue Code 300
Min. Negotiated Rate $17.98
Max. Negotiated Rate $298.56
Rate for Payer: Aetna Commercial $239.47
Rate for Payer: Anthem Medicaid $17.98
Rate for Payer: Anthem Medicare Advantage/PPO $17.98
Rate for Payer: Anthem POS/PPO/Traditional $249.73
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.17
Rate for Payer: CareSource Just4Me Medicare $17.98
Rate for Payer: Cash Price $155.50
Rate for Payer: Cash Price $155.50
Rate for Payer: Cigna Commercial $258.13
Rate for Payer: First Health Commercial $295.45
Rate for Payer: Humana Commercial $264.35
Rate for Payer: Humana KY Medicaid $17.98
Rate for Payer: Humana Medicare Advantage $17.98
Rate for Payer: Kentucky WC Medicaid $18.16
Rate for Payer: Medical Mutual Of Ohio HMO $255.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $229.52
Rate for Payer: Molina Healthcare Benefit Exchange $21.58
Rate for Payer: Molina Healthcare Medicaid $18.34
Rate for Payer: Ohio Health Choice Commercial $273.68
Rate for Payer: Ohio Health Group HMO $233.25
Rate for Payer: Ohio Health Group PPO Differential $62.20
Rate for Payer: Ohio Health Group PPO No Differential $40.43
Rate for Payer: Ohio Health Group PPO SOMC Employees $96.41
Rate for Payer: PHCS Commercial $298.56
Rate for Payer: United Healthcare All Payer $273.68
Service Code HCPCS 81479
Hospital Charge Code 30000211
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 81479
Hospital Charge Code 30000211
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 Medicaid $55.37
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: Humana KY Medicaid $55.37
Rate for Payer: Kentucky WC Medicaid $55.93
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: Molina Healthcare Medicaid $56.48
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 G0480
Hospital Charge Code 30001899
Hospital Revenue Code 300
Min. Negotiated Rate $11.70
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $69.30
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $72.27
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $45.00
Rate for Payer: Cash Price $45.00
Rate for Payer: Cigna Commercial $74.70
Rate for Payer: First Health Commercial $85.50
Rate for Payer: Humana Commercial $76.50
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 $73.80
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $66.42
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $79.20
Rate for Payer: Ohio Health Group HMO $67.50
Rate for Payer: Ohio Health Group PPO Differential $18.00
Rate for Payer: Ohio Health Group PPO No Differential $11.70
Rate for Payer: Ohio Health Group PPO SOMC Employees $27.90
Rate for Payer: PHCS Commercial $86.40
Rate for Payer: United Healthcare All Payer $79.20
Service Code HCPCS G0480
Hospital Charge Code 30001899
Hospital Revenue Code 300
Min. Negotiated Rate $11.70
Max. Negotiated Rate $86.40
Rate for Payer: Aetna Commercial $69.30
Rate for Payer: Anthem POS/PPO/Traditional $72.27
Rate for Payer: Cash Price $45.00
Rate for Payer: Cigna Commercial $74.70
Rate for Payer: First Health Commercial $85.50
Rate for Payer: Humana Commercial $76.50
Rate for Payer: Medical Mutual Of Ohio HMO $73.80
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $66.42
Rate for Payer: Molina Healthcare Benefit Exchange $27.00
Rate for Payer: Ohio Health Choice Commercial $79.20
Rate for Payer: Ohio Health Group HMO $67.50
Rate for Payer: Ohio Health Group PPO Differential $18.00
Rate for Payer: Ohio Health Group PPO No Differential $11.70
Rate for Payer: Ohio Health Group PPO SOMC Employees $27.90
Rate for Payer: PHCS Commercial $86.40
Rate for Payer: United Healthcare All Payer $79.20
Service Code HCPCS G0480
Hospital Charge Code 30000168
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 80371
Hospital Charge Code 30000168
Hospital Revenue Code 300
Min. Negotiated Rate $9.10
Max. Negotiated Rate $26.00
Rate for Payer: Buckeye Medicare Advantage $26.00
Rate for Payer: Cash Price $13.00
Rate for Payer: Multiplan PHCS $15.60
Rate for Payer: Ohio Health Choice Preferred Health Choice $18.20
Rate for Payer: UHCCP Medicaid $9.10
Service Code HCPCS G0480
Hospital Charge Code 30000168
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 86653
Hospital Charge Code 30001147
Hospital Revenue Code 300
Min. Negotiated Rate $13.19
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem Medicaid $13.19
Rate for Payer: Anthem Medicare Advantage/PPO $13.19
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.47
Rate for Payer: CareSource Just4Me Medicare $13.19
Rate for Payer: Cash Price $59.00
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Humana KY Medicaid $13.19
Rate for Payer: Humana Medicare Advantage $13.19
Rate for Payer: Kentucky WC Medicaid $13.32
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $15.83
Rate for Payer: Molina Healthcare Medicaid $13.45
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 86653
Hospital Charge Code 30001147
Hospital Revenue Code 300
Min. Negotiated Rate $15.34
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $35.40
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 86653
Hospital Charge Code 30001148
Hospital Revenue Code 300
Min. Negotiated Rate $15.34
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $35.40
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 86653
Hospital Charge Code 30001148
Hospital Revenue Code 300
Min. Negotiated Rate $13.19
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem Medicaid $13.19
Rate for Payer: Anthem Medicare Advantage/PPO $13.19
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.47
Rate for Payer: CareSource Just4Me Medicare $13.19
Rate for Payer: Cash Price $59.00
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Humana KY Medicaid $13.19
Rate for Payer: Humana Medicare Advantage $13.19
Rate for Payer: Kentucky WC Medicaid $13.32
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $15.83
Rate for Payer: Molina Healthcare Medicaid $13.45
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 82365
Hospital Charge Code 30000262
Hospital Revenue Code 300
Min. Negotiated Rate $18.07
Max. Negotiated Rate $133.44
Rate for Payer: Aetna Commercial $107.03
Rate for Payer: Anthem POS/PPO/Traditional $111.62
Rate for Payer: Cash Price $69.50
Rate for Payer: Cigna Commercial $115.37
Rate for Payer: First Health Commercial $132.05
Rate for Payer: Humana Commercial $118.15
Rate for Payer: Medical Mutual Of Ohio HMO $113.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $102.58
Rate for Payer: Molina Healthcare Benefit Exchange $41.70
Rate for Payer: Ohio Health Choice Commercial $122.32
Rate for Payer: Ohio Health Group HMO $104.25
Rate for Payer: Ohio Health Group PPO Differential $27.80
Rate for Payer: Ohio Health Group PPO No Differential $18.07
Rate for Payer: Ohio Health Group PPO SOMC Employees $43.09
Rate for Payer: PHCS Commercial $133.44
Rate for Payer: United Healthcare All Payer $122.32
Service Code HCPCS 82365
Hospital Charge Code 30000262
Hospital Revenue Code 300
Min. Negotiated Rate $12.90
Max. Negotiated Rate $133.44
Rate for Payer: Aetna Commercial $107.03
Rate for Payer: Anthem Medicaid $12.90
Rate for Payer: Anthem Medicare Advantage/PPO $12.90
Rate for Payer: Anthem POS/PPO/Traditional $111.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.06
Rate for Payer: CareSource Just4Me Medicare $12.90
Rate for Payer: Cash Price $69.50
Rate for Payer: Cash Price $69.50
Rate for Payer: Cigna Commercial $115.37
Rate for Payer: First Health Commercial $132.05
Rate for Payer: Humana Commercial $118.15
Rate for Payer: Humana KY Medicaid $12.90
Rate for Payer: Humana Medicare Advantage $12.90
Rate for Payer: Kentucky WC Medicaid $13.03
Rate for Payer: Medical Mutual Of Ohio HMO $113.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $102.58
Rate for Payer: Molina Healthcare Benefit Exchange $15.48
Rate for Payer: Molina Healthcare Medicaid $13.16
Rate for Payer: Ohio Health Choice Commercial $122.32
Rate for Payer: Ohio Health Group HMO $104.25
Rate for Payer: Ohio Health Group PPO Differential $27.80
Rate for Payer: Ohio Health Group PPO No Differential $18.07
Rate for Payer: Ohio Health Group PPO SOMC Employees $43.09
Rate for Payer: PHCS Commercial $133.44
Rate for Payer: United Healthcare All Payer $122.32
Service Code HCPCS 87046
Hospital Charge Code 30002028
Hospital Revenue Code 306
Min. Negotiated Rate $24.18
Max. Negotiated Rate $178.56
Rate for Payer: Aetna Commercial $143.22
Rate for Payer: Anthem POS/PPO/Traditional $149.36
Rate for Payer: Cash Price $93.00
Rate for Payer: Cigna Commercial $154.38
Rate for Payer: First Health Commercial $176.70
Rate for Payer: Humana Commercial $158.10
Rate for Payer: Medical Mutual Of Ohio HMO $152.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $137.27
Rate for Payer: Molina Healthcare Benefit Exchange $55.80
Rate for Payer: Ohio Health Choice Commercial $163.68
Rate for Payer: Ohio Health Group HMO $139.50
Rate for Payer: Ohio Health Group PPO Differential $37.20
Rate for Payer: Ohio Health Group PPO No Differential $24.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.66
Rate for Payer: PHCS Commercial $178.56
Rate for Payer: United Healthcare All Payer $163.68
Service Code HCPCS 87046
Hospital Charge Code 30002028
Hospital Revenue Code 306
Min. Negotiated Rate $9.44
Max. Negotiated Rate $178.56
Rate for Payer: Aetna Commercial $143.22
Rate for Payer: Anthem Medicaid $9.44
Rate for Payer: Anthem Medicare Advantage/PPO $9.44
Rate for Payer: Anthem POS/PPO/Traditional $149.36
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $13.22
Rate for Payer: CareSource Just4Me Medicare $9.44
Rate for Payer: Cash Price $93.00
Rate for Payer: Cash Price $93.00
Rate for Payer: Cigna Commercial $154.38
Rate for Payer: First Health Commercial $176.70
Rate for Payer: Humana Commercial $158.10
Rate for Payer: Humana KY Medicaid $9.44
Rate for Payer: Humana Medicare Advantage $9.44
Rate for Payer: Kentucky WC Medicaid $9.53
Rate for Payer: Medical Mutual Of Ohio HMO $152.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $137.27
Rate for Payer: Molina Healthcare Benefit Exchange $11.33
Rate for Payer: Molina Healthcare Medicaid $9.63
Rate for Payer: Ohio Health Choice Commercial $163.68
Rate for Payer: Ohio Health Group HMO $139.50
Rate for Payer: Ohio Health Group PPO Differential $37.20
Rate for Payer: Ohio Health Group PPO No Differential $24.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.66
Rate for Payer: PHCS Commercial $178.56
Rate for Payer: United Healthcare All Payer $163.68
Service Code HCPCS 86255
Hospital Charge Code 30000401
Hospital Revenue Code 300
Min. Negotiated Rate $12.05
Max. Negotiated Rate $158.40
Rate for Payer: Aetna Commercial $127.05
Rate for Payer: Anthem Medicaid $12.05
Rate for Payer: Anthem Medicare Advantage/PPO $12.05
Rate for Payer: Anthem POS/PPO/Traditional $132.50
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.87
Rate for Payer: CareSource Just4Me Medicare $12.05
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 $12.05
Rate for Payer: Humana Medicare Advantage $12.05
Rate for Payer: Kentucky WC Medicaid $12.17
Rate for Payer: Medical Mutual Of Ohio HMO $135.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $121.77
Rate for Payer: Molina Healthcare Benefit Exchange $14.46
Rate for Payer: Molina Healthcare Medicaid $12.29
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