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Service Code HCPCS 84402
Hospital Charge Code 30000521
Hospital Revenue Code 301
Min. Negotiated Rate $33.54
Max. Negotiated Rate $247.68
Rate for Payer: Aetna Commercial $198.66
Rate for Payer: Anthem POS/PPO/Traditional $207.17
Rate for Payer: Cash Price $129.00
Rate for Payer: Cigna Commercial $214.14
Rate for Payer: First Health Commercial $245.10
Rate for Payer: Humana Commercial $219.30
Rate for Payer: Medical Mutual Of Ohio HMO $211.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $190.40
Rate for Payer: Molina Healthcare Benefit Exchange $77.40
Rate for Payer: Ohio Health Choice Commercial $227.04
Rate for Payer: Ohio Health Group HMO $193.50
Rate for Payer: Ohio Health Group PPO Differential $51.60
Rate for Payer: Ohio Health Group PPO No Differential $33.54
Rate for Payer: Ohio Health Group PPO SOMC Employees $79.98
Rate for Payer: PHCS Commercial $247.68
Rate for Payer: United Healthcare All Payer $227.04
Service Code HCPCS 84402
Hospital Charge Code 30000521
Hospital Revenue Code 301
Min. Negotiated Rate $15.28
Max. Negotiated Rate $258.00
Rate for Payer: Aetna Commercial $48.99
Rate for Payer: Buckeye Medicare Advantage $258.00
Rate for Payer: Cash Price $129.00
Rate for Payer: Cash Price $129.00
Rate for Payer: Cigna Commercial $22.54
Rate for Payer: Healthspan PPO $26.68
Rate for Payer: Multiplan PHCS $154.80
Rate for Payer: Ohio Health Choice Preferred Health Choice $180.60
Rate for Payer: UHCCP Medicaid $90.30
Rate for Payer: Wellcare CHIP/Medicaid $15.28
Service Code HCPCS 84402
Hospital Charge Code 30000521
Hospital Revenue Code 301
Min. Negotiated Rate $25.47
Max. Negotiated Rate $247.68
Rate for Payer: Aetna Commercial $198.66
Rate for Payer: Anthem Medicaid $25.47
Rate for Payer: Anthem Medicare Advantage/PPO $25.47
Rate for Payer: Anthem POS/PPO/Traditional $207.17
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $35.66
Rate for Payer: CareSource Just4Me Medicare $25.47
Rate for Payer: Cash Price $129.00
Rate for Payer: Cash Price $129.00
Rate for Payer: Cigna Commercial $214.14
Rate for Payer: First Health Commercial $245.10
Rate for Payer: Humana Commercial $219.30
Rate for Payer: Humana KY Medicaid $25.47
Rate for Payer: Humana Medicare Advantage $25.47
Rate for Payer: Kentucky WC Medicaid $25.72
Rate for Payer: Medical Mutual Of Ohio HMO $211.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $190.40
Rate for Payer: Molina Healthcare Benefit Exchange $30.56
Rate for Payer: Molina Healthcare Medicaid $25.98
Rate for Payer: Ohio Health Choice Commercial $227.04
Rate for Payer: Ohio Health Group HMO $193.50
Rate for Payer: Ohio Health Group PPO Differential $51.60
Rate for Payer: Ohio Health Group PPO No Differential $33.54
Rate for Payer: Ohio Health Group PPO SOMC Employees $79.98
Rate for Payer: PHCS Commercial $247.68
Rate for Payer: United Healthcare All Payer $227.04
Service Code HCPCS 84403
Hospital Charge Code 30000523
Hospital Revenue Code 300
Min. Negotiated Rate $33.93
Max. Negotiated Rate $250.56
Rate for Payer: Aetna Commercial $200.97
Rate for Payer: Anthem POS/PPO/Traditional $209.58
Rate for Payer: Cash Price $130.50
Rate for Payer: Cigna Commercial $216.63
Rate for Payer: First Health Commercial $247.95
Rate for Payer: Humana Commercial $221.85
Rate for Payer: Medical Mutual Of Ohio HMO $214.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $192.62
Rate for Payer: Molina Healthcare Benefit Exchange $78.30
Rate for Payer: Ohio Health Choice Commercial $229.68
Rate for Payer: Ohio Health Group HMO $195.75
Rate for Payer: Ohio Health Group PPO Differential $52.20
Rate for Payer: Ohio Health Group PPO No Differential $33.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $80.91
Rate for Payer: PHCS Commercial $250.56
Rate for Payer: United Healthcare All Payer $229.68
Service Code HCPCS 84403
Hospital Charge Code 30000523
Hospital Revenue Code 300
Min. Negotiated Rate $15.49
Max. Negotiated Rate $261.00
Rate for Payer: Aetna Commercial $47.61
Rate for Payer: Buckeye Medicare Advantage $261.00
Rate for Payer: Cash Price $130.50
Rate for Payer: Cash Price $130.50
Rate for Payer: Cigna Commercial $22.78
Rate for Payer: Healthspan PPO $21.34
Rate for Payer: Multiplan PHCS $156.60
Rate for Payer: Ohio Health Choice Preferred Health Choice $182.70
Rate for Payer: UHCCP Medicaid $91.35
Rate for Payer: Wellcare CHIP/Medicaid $15.49
Service Code HCPCS 84403
Hospital Charge Code 30000523
Hospital Revenue Code 300
Min. Negotiated Rate $25.81
Max. Negotiated Rate $250.56
Rate for Payer: Aetna Commercial $200.97
Rate for Payer: Anthem Medicaid $25.81
Rate for Payer: Anthem Medicare Advantage/PPO $25.81
Rate for Payer: Anthem POS/PPO/Traditional $209.58
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $36.13
Rate for Payer: CareSource Just4Me Medicare $25.81
Rate for Payer: Cash Price $130.50
Rate for Payer: Cash Price $130.50
Rate for Payer: Cigna Commercial $216.63
Rate for Payer: First Health Commercial $247.95
Rate for Payer: Humana Commercial $221.85
Rate for Payer: Humana KY Medicaid $25.81
Rate for Payer: Humana Medicare Advantage $25.81
Rate for Payer: Kentucky WC Medicaid $26.07
Rate for Payer: Medical Mutual Of Ohio HMO $214.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $192.62
Rate for Payer: Molina Healthcare Benefit Exchange $30.97
Rate for Payer: Molina Healthcare Medicaid $26.33
Rate for Payer: Ohio Health Choice Commercial $229.68
Rate for Payer: Ohio Health Group HMO $195.75
Rate for Payer: Ohio Health Group PPO Differential $52.20
Rate for Payer: Ohio Health Group PPO No Differential $33.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $80.91
Rate for Payer: PHCS Commercial $250.56
Rate for Payer: United Healthcare All Payer $229.68
Service Code HCPCS 86774
Hospital Charge Code 30001213
Hospital Revenue Code 300
Min. Negotiated Rate $21.58
Max. Negotiated Rate $159.36
Rate for Payer: Aetna Commercial $127.82
Rate for Payer: Anthem POS/PPO/Traditional $133.30
Rate for Payer: Cash Price $83.00
Rate for Payer: Cigna Commercial $137.78
Rate for Payer: First Health Commercial $157.70
Rate for Payer: Humana Commercial $141.10
Rate for Payer: Medical Mutual Of Ohio HMO $136.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $122.51
Rate for Payer: Molina Healthcare Benefit Exchange $49.80
Rate for Payer: Ohio Health Choice Commercial $146.08
Rate for Payer: Ohio Health Group HMO $124.50
Rate for Payer: Ohio Health Group PPO Differential $33.20
Rate for Payer: Ohio Health Group PPO No Differential $21.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $51.46
Rate for Payer: PHCS Commercial $159.36
Rate for Payer: United Healthcare All Payer $146.08
Service Code HCPCS 86774
Hospital Charge Code 30001213
Hospital Revenue Code 300
Min. Negotiated Rate $14.80
Max. Negotiated Rate $159.36
Rate for Payer: Aetna Commercial $127.82
Rate for Payer: Anthem Medicaid $14.80
Rate for Payer: Anthem Medicare Advantage/PPO $14.80
Rate for Payer: Anthem POS/PPO/Traditional $133.30
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.72
Rate for Payer: CareSource Just4Me Medicare $14.80
Rate for Payer: Cash Price $83.00
Rate for Payer: Cash Price $83.00
Rate for Payer: Cigna Commercial $137.78
Rate for Payer: First Health Commercial $157.70
Rate for Payer: Humana Commercial $141.10
Rate for Payer: Humana KY Medicaid $14.80
Rate for Payer: Humana Medicare Advantage $14.80
Rate for Payer: Kentucky WC Medicaid $14.95
Rate for Payer: Medical Mutual Of Ohio HMO $136.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $122.51
Rate for Payer: Molina Healthcare Benefit Exchange $17.76
Rate for Payer: Molina Healthcare Medicaid $15.10
Rate for Payer: Ohio Health Choice Commercial $146.08
Rate for Payer: Ohio Health Group HMO $124.50
Rate for Payer: Ohio Health Group PPO Differential $33.20
Rate for Payer: Ohio Health Group PPO No Differential $21.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $51.46
Rate for Payer: PHCS Commercial $159.36
Rate for Payer: United Healthcare All Payer $146.08
Service Code HCPCS G0480
Hospital Charge Code 30000121
Hospital Revenue Code 300
Min. Negotiated Rate $12.09
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $71.61
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $74.68
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $46.50
Rate for Payer: Cash Price $46.50
Rate for Payer: Cigna Commercial $77.19
Rate for Payer: First Health Commercial $88.35
Rate for Payer: Humana Commercial $79.05
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 $76.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $68.63
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $81.84
Rate for Payer: Ohio Health Group HMO $69.75
Rate for Payer: Ohio Health Group PPO Differential $18.60
Rate for Payer: Ohio Health Group PPO No Differential $12.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.83
Rate for Payer: PHCS Commercial $89.28
Rate for Payer: United Healthcare All Payer $81.84
Service Code HCPCS G0480
Hospital Charge Code 30000121
Hospital Revenue Code 300
Min. Negotiated Rate $12.09
Max. Negotiated Rate $89.28
Rate for Payer: Aetna Commercial $71.61
Rate for Payer: Anthem POS/PPO/Traditional $74.68
Rate for Payer: Cash Price $46.50
Rate for Payer: Cigna Commercial $77.19
Rate for Payer: First Health Commercial $88.35
Rate for Payer: Humana Commercial $79.05
Rate for Payer: Medical Mutual Of Ohio HMO $76.26
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $68.63
Rate for Payer: Molina Healthcare Benefit Exchange $27.90
Rate for Payer: Ohio Health Choice Commercial $81.84
Rate for Payer: Ohio Health Group HMO $69.75
Rate for Payer: Ohio Health Group PPO Differential $18.60
Rate for Payer: Ohio Health Group PPO No Differential $12.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.83
Rate for Payer: PHCS Commercial $89.28
Rate for Payer: United Healthcare All Payer $81.84
Service Code HCPCS G0480
Hospital Charge Code 30000122
Hospital Revenue Code 300
Min. Negotiated Rate $2.86
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $16.94
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $17.67
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $11.00
Rate for Payer: Cash Price $11.00
Rate for Payer: Cigna Commercial $18.26
Rate for Payer: First Health Commercial $20.90
Rate for Payer: Humana Commercial $18.70
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 $18.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.24
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $19.36
Rate for Payer: Ohio Health Group HMO $16.50
Rate for Payer: Ohio Health Group PPO Differential $4.40
Rate for Payer: Ohio Health Group PPO No Differential $2.86
Rate for Payer: Ohio Health Group PPO SOMC Employees $6.82
Rate for Payer: PHCS Commercial $21.12
Rate for Payer: United Healthcare All Payer $19.36
Service Code HCPCS G0480
Hospital Charge Code 30000122
Hospital Revenue Code 300
Min. Negotiated Rate $2.86
Max. Negotiated Rate $21.12
Rate for Payer: Aetna Commercial $16.94
Rate for Payer: Anthem POS/PPO/Traditional $17.67
Rate for Payer: Cash Price $11.00
Rate for Payer: Cigna Commercial $18.26
Rate for Payer: First Health Commercial $20.90
Rate for Payer: Humana Commercial $18.70
Rate for Payer: Medical Mutual Of Ohio HMO $18.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.24
Rate for Payer: Molina Healthcare Benefit Exchange $6.60
Rate for Payer: Ohio Health Choice Commercial $19.36
Rate for Payer: Ohio Health Group HMO $16.50
Rate for Payer: Ohio Health Group PPO Differential $4.40
Rate for Payer: Ohio Health Group PPO No Differential $2.86
Rate for Payer: Ohio Health Group PPO SOMC Employees $6.82
Rate for Payer: PHCS Commercial $21.12
Rate for Payer: United Healthcare All Payer $19.36
Service Code HCPCS 84425
Hospital Charge Code 30000524
Hospital Revenue Code 300
Min. Negotiated Rate $21.23
Max. Negotiated Rate $181.44
Rate for Payer: Aetna Commercial $145.53
Rate for Payer: Anthem Medicaid $21.23
Rate for Payer: Anthem Medicare Advantage/PPO $21.23
Rate for Payer: Anthem POS/PPO/Traditional $151.77
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $29.72
Rate for Payer: CareSource Just4Me Medicare $21.23
Rate for Payer: Cash Price $94.50
Rate for Payer: Cash Price $94.50
Rate for Payer: Cigna Commercial $156.87
Rate for Payer: First Health Commercial $179.55
Rate for Payer: Humana Commercial $160.65
Rate for Payer: Humana KY Medicaid $21.23
Rate for Payer: Humana Medicare Advantage $21.23
Rate for Payer: Kentucky WC Medicaid $21.44
Rate for Payer: Medical Mutual Of Ohio HMO $154.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $139.48
Rate for Payer: Molina Healthcare Benefit Exchange $25.48
Rate for Payer: Molina Healthcare Medicaid $21.65
Rate for Payer: Ohio Health Choice Commercial $166.32
Rate for Payer: Ohio Health Group HMO $141.75
Rate for Payer: Ohio Health Group PPO Differential $37.80
Rate for Payer: Ohio Health Group PPO No Differential $24.57
Rate for Payer: Ohio Health Group PPO SOMC Employees $58.59
Rate for Payer: PHCS Commercial $181.44
Rate for Payer: United Healthcare All Payer $166.32
Service Code HCPCS 84425
Hospital Charge Code 30000524
Hospital Revenue Code 300
Min. Negotiated Rate $24.57
Max. Negotiated Rate $181.44
Rate for Payer: Aetna Commercial $145.53
Rate for Payer: Anthem POS/PPO/Traditional $151.77
Rate for Payer: Cash Price $94.50
Rate for Payer: Cigna Commercial $156.87
Rate for Payer: First Health Commercial $179.55
Rate for Payer: Humana Commercial $160.65
Rate for Payer: Medical Mutual Of Ohio HMO $154.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $139.48
Rate for Payer: Molina Healthcare Benefit Exchange $56.70
Rate for Payer: Ohio Health Choice Commercial $166.32
Rate for Payer: Ohio Health Group HMO $141.75
Rate for Payer: Ohio Health Group PPO Differential $37.80
Rate for Payer: Ohio Health Group PPO No Differential $24.57
Rate for Payer: Ohio Health Group PPO SOMC Employees $58.59
Rate for Payer: PHCS Commercial $181.44
Rate for Payer: United Healthcare All Payer $166.32
Service Code HCPCS 85670
Hospital Charge Code 30000628
Hospital Revenue Code 300
Min. Negotiated Rate $13.91
Max. Negotiated Rate $102.72
Rate for Payer: Aetna Commercial $82.39
Rate for Payer: Anthem POS/PPO/Traditional $85.92
Rate for Payer: Cash Price $53.50
Rate for Payer: Cigna Commercial $88.81
Rate for Payer: First Health Commercial $101.65
Rate for Payer: Humana Commercial $90.95
Rate for Payer: Medical Mutual Of Ohio HMO $87.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $78.97
Rate for Payer: Molina Healthcare Benefit Exchange $32.10
Rate for Payer: Ohio Health Choice Commercial $94.16
Rate for Payer: Ohio Health Group HMO $80.25
Rate for Payer: Ohio Health Group PPO Differential $21.40
Rate for Payer: Ohio Health Group PPO No Differential $13.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $33.17
Rate for Payer: PHCS Commercial $102.72
Rate for Payer: United Healthcare All Payer $94.16
Service Code HCPCS 85670
Hospital Charge Code 30000628
Hospital Revenue Code 300
Min. Negotiated Rate $5.77
Max. Negotiated Rate $102.72
Rate for Payer: Aetna Commercial $82.39
Rate for Payer: Anthem Medicaid $5.77
Rate for Payer: Anthem Medicare Advantage/PPO $5.77
Rate for Payer: Anthem POS/PPO/Traditional $85.92
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $8.08
Rate for Payer: CareSource Just4Me Medicare $5.77
Rate for Payer: Cash Price $53.50
Rate for Payer: Cash Price $53.50
Rate for Payer: Cigna Commercial $88.81
Rate for Payer: First Health Commercial $101.65
Rate for Payer: Humana Commercial $90.95
Rate for Payer: Humana KY Medicaid $5.77
Rate for Payer: Humana Medicare Advantage $5.77
Rate for Payer: Kentucky WC Medicaid $5.83
Rate for Payer: Medical Mutual Of Ohio HMO $87.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $78.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.92
Rate for Payer: Molina Healthcare Medicaid $5.89
Rate for Payer: Ohio Health Choice Commercial $94.16
Rate for Payer: Ohio Health Group HMO $80.25
Rate for Payer: Ohio Health Group PPO Differential $21.40
Rate for Payer: Ohio Health Group PPO No Differential $13.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $33.17
Rate for Payer: PHCS Commercial $102.72
Rate for Payer: United Healthcare All Payer $94.16
Service Code HCPCS 86003
Hospital Charge Code 30000833
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 30000833
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 86800
Hospital Charge Code 30001805
Hospital Revenue Code 300
Min. Negotiated Rate $15.91
Max. Negotiated Rate $131.52
Rate for Payer: Aetna Commercial $105.49
Rate for Payer: Anthem Medicaid $15.91
Rate for Payer: Anthem Medicare Advantage/PPO $15.91
Rate for Payer: Anthem POS/PPO/Traditional $110.01
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $22.27
Rate for Payer: CareSource Just4Me Medicare $15.91
Rate for Payer: Cash Price $68.50
Rate for Payer: Cash Price $68.50
Rate for Payer: Cigna Commercial $113.71
Rate for Payer: First Health Commercial $130.15
Rate for Payer: Humana Commercial $116.45
Rate for Payer: Humana KY Medicaid $15.91
Rate for Payer: Humana Medicare Advantage $15.91
Rate for Payer: Kentucky WC Medicaid $16.07
Rate for Payer: Medical Mutual Of Ohio HMO $112.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $101.11
Rate for Payer: Molina Healthcare Benefit Exchange $19.09
Rate for Payer: Molina Healthcare Medicaid $16.23
Rate for Payer: Ohio Health Choice Commercial $120.56
Rate for Payer: Ohio Health Group HMO $102.75
Rate for Payer: Ohio Health Group PPO Differential $27.40
Rate for Payer: Ohio Health Group PPO No Differential $17.81
Rate for Payer: Ohio Health Group PPO SOMC Employees $42.47
Rate for Payer: PHCS Commercial $131.52
Rate for Payer: United Healthcare All Payer $120.56
Service Code HCPCS 86800
Hospital Charge Code 30001805
Hospital Revenue Code 300
Min. Negotiated Rate $17.81
Max. Negotiated Rate $131.52
Rate for Payer: Aetna Commercial $105.49
Rate for Payer: Anthem POS/PPO/Traditional $110.01
Rate for Payer: Cash Price $68.50
Rate for Payer: Cigna Commercial $113.71
Rate for Payer: First Health Commercial $130.15
Rate for Payer: Humana Commercial $116.45
Rate for Payer: Medical Mutual Of Ohio HMO $112.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $101.11
Rate for Payer: Molina Healthcare Benefit Exchange $41.10
Rate for Payer: Ohio Health Choice Commercial $120.56
Rate for Payer: Ohio Health Group HMO $102.75
Rate for Payer: Ohio Health Group PPO Differential $27.40
Rate for Payer: Ohio Health Group PPO No Differential $17.81
Rate for Payer: Ohio Health Group PPO SOMC Employees $42.47
Rate for Payer: PHCS Commercial $131.52
Rate for Payer: United Healthcare All Payer $120.56
Service Code HCPCS 86800
Hospital Charge Code 30001805
Hospital Revenue Code 300
Min. Negotiated Rate $9.55
Max. Negotiated Rate $137.00
Rate for Payer: Aetna Commercial $10.87
Rate for Payer: Buckeye Medicare Advantage $137.00
Rate for Payer: Cash Price $68.50
Rate for Payer: Cash Price $68.50
Rate for Payer: Cigna Commercial $14.16
Rate for Payer: Healthspan PPO $16.66
Rate for Payer: Multiplan PHCS $82.20
Rate for Payer: Ohio Health Choice Preferred Health Choice $95.90
Rate for Payer: UHCCP Medicaid $47.95
Rate for Payer: Wellcare CHIP/Medicaid $9.55
Service Code HCPCS 84432
Hospital Charge Code 30000525
Hospital Revenue Code 300
Min. Negotiated Rate $22.36
Max. Negotiated Rate $165.12
Rate for Payer: Aetna Commercial $132.44
Rate for Payer: Anthem POS/PPO/Traditional $138.12
Rate for Payer: Cash Price $86.00
Rate for Payer: Cigna Commercial $142.76
Rate for Payer: First Health Commercial $163.40
Rate for Payer: Humana Commercial $146.20
Rate for Payer: Medical Mutual Of Ohio HMO $141.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $126.94
Rate for Payer: Molina Healthcare Benefit Exchange $51.60
Rate for Payer: Ohio Health Choice Commercial $151.36
Rate for Payer: Ohio Health Group HMO $129.00
Rate for Payer: Ohio Health Group PPO Differential $34.40
Rate for Payer: Ohio Health Group PPO No Differential $22.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.32
Rate for Payer: PHCS Commercial $165.12
Rate for Payer: United Healthcare All Payer $151.36
Service Code HCPCS 84432
Hospital Charge Code 30000525
Hospital Revenue Code 300
Min. Negotiated Rate $16.06
Max. Negotiated Rate $165.12
Rate for Payer: Aetna Commercial $132.44
Rate for Payer: Anthem Medicaid $16.06
Rate for Payer: Anthem Medicare Advantage/PPO $16.06
Rate for Payer: Anthem POS/PPO/Traditional $138.12
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $22.48
Rate for Payer: CareSource Just4Me Medicare $16.06
Rate for Payer: Cash Price $86.00
Rate for Payer: Cash Price $86.00
Rate for Payer: Cigna Commercial $142.76
Rate for Payer: First Health Commercial $163.40
Rate for Payer: Humana Commercial $146.20
Rate for Payer: Humana KY Medicaid $16.06
Rate for Payer: Humana Medicare Advantage $16.06
Rate for Payer: Kentucky WC Medicaid $16.22
Rate for Payer: Medical Mutual Of Ohio HMO $141.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $126.94
Rate for Payer: Molina Healthcare Benefit Exchange $19.27
Rate for Payer: Molina Healthcare Medicaid $16.38
Rate for Payer: Ohio Health Choice Commercial $151.36
Rate for Payer: Ohio Health Group HMO $129.00
Rate for Payer: Ohio Health Group PPO Differential $34.40
Rate for Payer: Ohio Health Group PPO No Differential $22.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.32
Rate for Payer: PHCS Commercial $165.12
Rate for Payer: United Healthcare All Payer $151.36
Service Code HCPCS 84445
Hospital Charge Code 30000532
Hospital Revenue Code 300
Min. Negotiated Rate $75.14
Max. Negotiated Rate $554.88
Rate for Payer: Aetna Commercial $445.06
Rate for Payer: Anthem POS/PPO/Traditional $464.13
Rate for Payer: Cash Price $289.00
Rate for Payer: Cigna Commercial $479.74
Rate for Payer: First Health Commercial $549.10
Rate for Payer: Humana Commercial $491.30
Rate for Payer: Medical Mutual Of Ohio HMO $473.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $426.56
Rate for Payer: Molina Healthcare Benefit Exchange $173.40
Rate for Payer: Ohio Health Choice Commercial $508.64
Rate for Payer: Ohio Health Group HMO $433.50
Rate for Payer: Ohio Health Group PPO Differential $115.60
Rate for Payer: Ohio Health Group PPO No Differential $75.14
Rate for Payer: Ohio Health Group PPO SOMC Employees $179.18
Rate for Payer: PHCS Commercial $554.88
Rate for Payer: United Healthcare All Payer $508.64
Service Code HCPCS 84445
Hospital Charge Code 30000532
Hospital Revenue Code 300
Min. Negotiated Rate $50.86
Max. Negotiated Rate $554.88
Rate for Payer: Aetna Commercial $445.06
Rate for Payer: Anthem Medicaid $50.86
Rate for Payer: Anthem Medicare Advantage/PPO $50.86
Rate for Payer: Anthem POS/PPO/Traditional $464.13
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $71.20
Rate for Payer: CareSource Just4Me Medicare $50.86
Rate for Payer: Cash Price $289.00
Rate for Payer: Cash Price $289.00
Rate for Payer: Cigna Commercial $479.74
Rate for Payer: First Health Commercial $549.10
Rate for Payer: Humana Commercial $491.30
Rate for Payer: Humana KY Medicaid $50.86
Rate for Payer: Humana Medicare Advantage $50.86
Rate for Payer: Kentucky WC Medicaid $51.37
Rate for Payer: Medical Mutual Of Ohio HMO $473.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $426.56
Rate for Payer: Molina Healthcare Benefit Exchange $61.03
Rate for Payer: Molina Healthcare Medicaid $51.88
Rate for Payer: Ohio Health Choice Commercial $508.64
Rate for Payer: Ohio Health Group HMO $433.50
Rate for Payer: Ohio Health Group PPO Differential $115.60
Rate for Payer: Ohio Health Group PPO No Differential $75.14
Rate for Payer: Ohio Health Group PPO SOMC Employees $179.18
Rate for Payer: PHCS Commercial $554.88
Rate for Payer: United Healthcare All Payer $508.64