Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS 86376
Hospital Charge Code 30001089
Hospital Revenue Code 300
Min. Negotiated Rate $15.47
Max. Negotiated Rate $114.24
Rate for Payer: Aetna Commercial $91.63
Rate for Payer: Anthem POS/PPO/Traditional $95.56
Rate for Payer: Cash Price $59.50
Rate for Payer: Cigna Commercial $98.77
Rate for Payer: First Health Commercial $113.05
Rate for Payer: Humana Commercial $101.15
Rate for Payer: Medical Mutual Of Ohio HMO $97.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.82
Rate for Payer: Molina Healthcare Benefit Exchange $35.70
Rate for Payer: Ohio Health Choice Commercial $104.72
Rate for Payer: Ohio Health Group HMO $89.25
Rate for Payer: Ohio Health Group PPO Differential $23.80
Rate for Payer: Ohio Health Group PPO No Differential $15.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.89
Rate for Payer: PHCS Commercial $114.24
Rate for Payer: United Healthcare All Payer $104.72
Service Code HCPCS 86376
Hospital Charge Code 30001089
Hospital Revenue Code 300
Min. Negotiated Rate $14.55
Max. Negotiated Rate $114.24
Rate for Payer: Aetna Commercial $91.63
Rate for Payer: Anthem Medicaid $14.55
Rate for Payer: Anthem Medicare Advantage/PPO $14.55
Rate for Payer: Anthem POS/PPO/Traditional $95.56
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.37
Rate for Payer: CareSource Just4Me Medicare $14.55
Rate for Payer: Cash Price $59.50
Rate for Payer: Cash Price $59.50
Rate for Payer: Cigna Commercial $98.77
Rate for Payer: First Health Commercial $113.05
Rate for Payer: Humana Commercial $101.15
Rate for Payer: Humana KY Medicaid $14.55
Rate for Payer: Humana Medicare Advantage $14.55
Rate for Payer: Kentucky WC Medicaid $14.70
Rate for Payer: Medical Mutual Of Ohio HMO $97.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.82
Rate for Payer: Molina Healthcare Benefit Exchange $17.46
Rate for Payer: Molina Healthcare Medicaid $14.84
Rate for Payer: Ohio Health Choice Commercial $104.72
Rate for Payer: Ohio Health Group HMO $89.25
Rate for Payer: Ohio Health Group PPO Differential $23.80
Rate for Payer: Ohio Health Group PPO No Differential $15.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.89
Rate for Payer: PHCS Commercial $114.24
Rate for Payer: United Healthcare All Payer $104.72
Service Code HCPCS 83519
Hospital Charge Code 30000392
Hospital Revenue Code 300
Min. Negotiated Rate $18.40
Max. Negotiated Rate $227.52
Rate for Payer: Aetna Commercial $182.49
Rate for Payer: Anthem Medicaid $18.40
Rate for Payer: Anthem Medicare Advantage/PPO $18.40
Rate for Payer: Anthem POS/PPO/Traditional $190.31
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.76
Rate for Payer: CareSource Just4Me Medicare $18.40
Rate for Payer: Cash Price $118.50
Rate for Payer: Cash Price $118.50
Rate for Payer: Cigna Commercial $196.71
Rate for Payer: First Health Commercial $225.15
Rate for Payer: Humana Commercial $201.45
Rate for Payer: Humana KY Medicaid $18.40
Rate for Payer: Humana Medicare Advantage $18.40
Rate for Payer: Kentucky WC Medicaid $18.58
Rate for Payer: Medical Mutual Of Ohio HMO $194.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $174.91
Rate for Payer: Molina Healthcare Benefit Exchange $22.08
Rate for Payer: Molina Healthcare Medicaid $18.77
Rate for Payer: Ohio Health Choice Commercial $208.56
Rate for Payer: Ohio Health Group HMO $177.75
Rate for Payer: Ohio Health Group PPO Differential $47.40
Rate for Payer: Ohio Health Group PPO No Differential $30.81
Rate for Payer: Ohio Health Group PPO SOMC Employees $73.47
Rate for Payer: PHCS Commercial $227.52
Rate for Payer: United Healthcare All Payer $208.56
Service Code HCPCS 83519
Hospital Charge Code 30000392
Hospital Revenue Code 300
Min. Negotiated Rate $30.81
Max. Negotiated Rate $227.52
Rate for Payer: Aetna Commercial $182.49
Rate for Payer: Anthem POS/PPO/Traditional $190.31
Rate for Payer: Cash Price $118.50
Rate for Payer: Cigna Commercial $196.71
Rate for Payer: First Health Commercial $225.15
Rate for Payer: Humana Commercial $201.45
Rate for Payer: Medical Mutual Of Ohio HMO $194.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $174.91
Rate for Payer: Molina Healthcare Benefit Exchange $71.10
Rate for Payer: Ohio Health Choice Commercial $208.56
Rate for Payer: Ohio Health Group HMO $177.75
Rate for Payer: Ohio Health Group PPO Differential $47.40
Rate for Payer: Ohio Health Group PPO No Differential $30.81
Rate for Payer: Ohio Health Group PPO SOMC Employees $73.47
Rate for Payer: PHCS Commercial $227.52
Rate for Payer: United Healthcare All Payer $208.56
Service Code HCPCS 84442
Hospital Charge Code 30000529
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 Medicaid $14.78
Rate for Payer: Anthem Medicare Advantage/PPO $14.78
Rate for Payer: Anthem POS/PPO/Traditional $51.39
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.69
Rate for Payer: CareSource Just4Me Medicare $14.78
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 $14.78
Rate for Payer: Humana Medicare Advantage $14.78
Rate for Payer: Kentucky WC Medicaid $14.93
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 $17.74
Rate for Payer: Molina Healthcare Medicaid $15.08
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 84442
Hospital Charge Code 30000529
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 84479
Hospital Charge Code 30001590
Hospital Revenue Code 300
Min. Negotiated Rate $6.47
Max. Negotiated Rate $153.60
Rate for Payer: Aetna Commercial $123.20
Rate for Payer: Anthem Medicaid $6.47
Rate for Payer: Anthem Medicare Advantage/PPO $6.47
Rate for Payer: Anthem POS/PPO/Traditional $128.48
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $9.06
Rate for Payer: CareSource Just4Me Medicare $6.47
Rate for Payer: Cash Price $80.00
Rate for Payer: Cash Price $80.00
Rate for Payer: Cigna Commercial $132.80
Rate for Payer: First Health Commercial $152.00
Rate for Payer: Humana Commercial $136.00
Rate for Payer: Humana KY Medicaid $6.47
Rate for Payer: Humana Medicare Advantage $6.47
Rate for Payer: Kentucky WC Medicaid $6.53
Rate for Payer: Medical Mutual Of Ohio HMO $131.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $118.08
Rate for Payer: Molina Healthcare Benefit Exchange $7.76
Rate for Payer: Molina Healthcare Medicaid $6.60
Rate for Payer: Ohio Health Choice Commercial $140.80
Rate for Payer: Ohio Health Group HMO $120.00
Rate for Payer: Ohio Health Group PPO Differential $32.00
Rate for Payer: Ohio Health Group PPO No Differential $20.80
Rate for Payer: Ohio Health Group PPO SOMC Employees $49.60
Rate for Payer: PHCS Commercial $153.60
Rate for Payer: United Healthcare All Payer $140.80
Service Code HCPCS 84479
Hospital Charge Code 30001590
Hospital Revenue Code 300
Min. Negotiated Rate $20.80
Max. Negotiated Rate $153.60
Rate for Payer: Aetna Commercial $123.20
Rate for Payer: Anthem POS/PPO/Traditional $128.48
Rate for Payer: Cash Price $80.00
Rate for Payer: Cigna Commercial $132.80
Rate for Payer: First Health Commercial $152.00
Rate for Payer: Humana Commercial $136.00
Rate for Payer: Medical Mutual Of Ohio HMO $131.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $118.08
Rate for Payer: Molina Healthcare Benefit Exchange $48.00
Rate for Payer: Ohio Health Choice Commercial $140.80
Rate for Payer: Ohio Health Group HMO $120.00
Rate for Payer: Ohio Health Group PPO Differential $32.00
Rate for Payer: Ohio Health Group PPO No Differential $20.80
Rate for Payer: Ohio Health Group PPO SOMC Employees $49.60
Rate for Payer: PHCS Commercial $153.60
Rate for Payer: United Healthcare All Payer $140.80
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $494.21
Max. Negotiated Rate $3,649.54
Rate for Payer: Aetna Commercial $2,927.23
Rate for Payer: Anthem Medicaid $1,307.37
Rate for Payer: Anthem POS/PPO/Traditional $2,965.25
Rate for Payer: Cash Price $1,900.80
Rate for Payer: Cigna Commercial $3,155.33
Rate for Payer: First Health Commercial $3,611.52
Rate for Payer: Humana Commercial $3,231.36
Rate for Payer: Humana KY Medicaid $1,307.37
Rate for Payer: Kentucky WC Medicaid $1,320.68
Rate for Payer: Medical Mutual Of Ohio HMO $3,117.31
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,805.58
Rate for Payer: Molina Healthcare Benefit Exchange $1,140.48
Rate for Payer: Molina Healthcare Medicaid $1,333.60
Rate for Payer: Ohio Health Choice Commercial $3,345.41
Rate for Payer: Ohio Health Group HMO $2,851.20
Rate for Payer: Ohio Health Group PPO Differential $760.32
Rate for Payer: Ohio Health Group PPO No Differential $494.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,178.50
Rate for Payer: PHCS Commercial $3,649.54
Rate for Payer: United Healthcare All Payer $3,345.41
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $494.21
Max. Negotiated Rate $3,649.54
Rate for Payer: Aetna Commercial $2,927.23
Rate for Payer: Anthem POS/PPO/Traditional $2,965.25
Rate for Payer: Cash Price $1,900.80
Rate for Payer: Cigna Commercial $3,155.33
Rate for Payer: First Health Commercial $3,611.52
Rate for Payer: Humana Commercial $3,231.36
Rate for Payer: Medical Mutual Of Ohio HMO $3,117.31
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,805.58
Rate for Payer: Molina Healthcare Benefit Exchange $1,140.48
Rate for Payer: Ohio Health Choice Commercial $3,345.41
Rate for Payer: Ohio Health Group HMO $2,851.20
Rate for Payer: Ohio Health Group PPO Differential $760.32
Rate for Payer: Ohio Health Group PPO No Differential $494.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,178.50
Rate for Payer: PHCS Commercial $3,649.54
Rate for Payer: United Healthcare All Payer $3,345.41
Service Code HCPCS 88233
Hospital Charge Code 30001462
Hospital Revenue Code 300
Min. Negotiated Rate $128.05
Max. Negotiated Rate $945.60
Rate for Payer: Aetna Commercial $758.45
Rate for Payer: Anthem POS/PPO/Traditional $790.96
Rate for Payer: Cash Price $492.50
Rate for Payer: Cigna Commercial $817.55
Rate for Payer: First Health Commercial $935.75
Rate for Payer: Humana Commercial $837.25
Rate for Payer: Medical Mutual Of Ohio HMO $807.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $726.93
Rate for Payer: Molina Healthcare Benefit Exchange $295.50
Rate for Payer: Ohio Health Choice Commercial $866.80
Rate for Payer: Ohio Health Group HMO $738.75
Rate for Payer: Ohio Health Group PPO Differential $197.00
Rate for Payer: Ohio Health Group PPO No Differential $128.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $305.35
Rate for Payer: PHCS Commercial $945.60
Rate for Payer: United Healthcare All Payer $866.80
Service Code HCPCS 88233
Hospital Charge Code 30001462
Hospital Revenue Code 300
Min. Negotiated Rate $128.05
Max. Negotiated Rate $945.60
Rate for Payer: Aetna Commercial $758.45
Rate for Payer: Anthem Medicaid $140.73
Rate for Payer: Anthem Medicare Advantage/PPO $140.73
Rate for Payer: Anthem POS/PPO/Traditional $790.96
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $197.02
Rate for Payer: CareSource Just4Me Medicare $140.73
Rate for Payer: Cash Price $492.50
Rate for Payer: Cash Price $492.50
Rate for Payer: Cigna Commercial $817.55
Rate for Payer: First Health Commercial $935.75
Rate for Payer: Humana Commercial $837.25
Rate for Payer: Humana KY Medicaid $140.73
Rate for Payer: Humana Medicare Advantage $140.73
Rate for Payer: Kentucky WC Medicaid $142.14
Rate for Payer: Medical Mutual Of Ohio HMO $807.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $726.93
Rate for Payer: Molina Healthcare Benefit Exchange $168.88
Rate for Payer: Molina Healthcare Medicaid $143.54
Rate for Payer: Ohio Health Choice Commercial $866.80
Rate for Payer: Ohio Health Group HMO $738.75
Rate for Payer: Ohio Health Group PPO Differential $197.00
Rate for Payer: Ohio Health Group PPO No Differential $128.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $305.35
Rate for Payer: PHCS Commercial $945.60
Rate for Payer: United Healthcare All Payer $866.80
Service Code HCPCS 86364
Hospital Charge Code 30000385
Hospital Revenue Code 300
Min. Negotiated Rate $11.53
Max. Negotiated Rate $145.92
Rate for Payer: Aetna Commercial $117.04
Rate for Payer: Anthem Medicaid $11.53
Rate for Payer: Anthem Medicare Advantage/PPO $11.53
Rate for Payer: Anthem POS/PPO/Traditional $122.06
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.14
Rate for Payer: CareSource Just4Me Medicare $11.53
Rate for Payer: Cash Price $76.00
Rate for Payer: Cash Price $76.00
Rate for Payer: Cigna Commercial $126.16
Rate for Payer: First Health Commercial $144.40
Rate for Payer: Humana Commercial $129.20
Rate for Payer: Humana KY Medicaid $11.53
Rate for Payer: Humana Medicare Advantage $11.53
Rate for Payer: Kentucky WC Medicaid $11.65
Rate for Payer: Medical Mutual Of Ohio HMO $124.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $112.18
Rate for Payer: Molina Healthcare Benefit Exchange $13.84
Rate for Payer: Molina Healthcare Medicaid $11.76
Rate for Payer: Ohio Health Choice Commercial $133.76
Rate for Payer: Ohio Health Group HMO $114.00
Rate for Payer: Ohio Health Group PPO Differential $30.40
Rate for Payer: Ohio Health Group PPO No Differential $19.76
Rate for Payer: Ohio Health Group PPO SOMC Employees $47.12
Rate for Payer: PHCS Commercial $145.92
Rate for Payer: United Healthcare All Payer $133.76
Service Code HCPCS 86364
Hospital Charge Code 30000385
Hospital Revenue Code 300
Min. Negotiated Rate $19.76
Max. Negotiated Rate $145.92
Rate for Payer: Aetna Commercial $117.04
Rate for Payer: Anthem POS/PPO/Traditional $122.06
Rate for Payer: Cash Price $76.00
Rate for Payer: Cigna Commercial $126.16
Rate for Payer: First Health Commercial $144.40
Rate for Payer: Humana Commercial $129.20
Rate for Payer: Medical Mutual Of Ohio HMO $124.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $112.18
Rate for Payer: Molina Healthcare Benefit Exchange $45.60
Rate for Payer: Ohio Health Choice Commercial $133.76
Rate for Payer: Ohio Health Group HMO $114.00
Rate for Payer: Ohio Health Group PPO Differential $30.40
Rate for Payer: Ohio Health Group PPO No Differential $19.76
Rate for Payer: Ohio Health Group PPO SOMC Employees $47.12
Rate for Payer: PHCS Commercial $145.92
Rate for Payer: United Healthcare All Payer $133.76
Service Code HCPCS 88235
Hospital Charge Code 30001463
Hospital Revenue Code 300
Min. Negotiated Rate $55.51
Max. Negotiated Rate $409.92
Rate for Payer: Aetna Commercial $328.79
Rate for Payer: Anthem Medicaid $150.30
Rate for Payer: Anthem Medicare Advantage/PPO $150.30
Rate for Payer: Anthem POS/PPO/Traditional $342.88
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $210.42
Rate for Payer: CareSource Just4Me Medicare $150.30
Rate for Payer: Cash Price $213.50
Rate for Payer: Cash Price $213.50
Rate for Payer: Cigna Commercial $354.41
Rate for Payer: First Health Commercial $405.65
Rate for Payer: Humana Commercial $362.95
Rate for Payer: Humana KY Medicaid $150.30
Rate for Payer: Humana Medicare Advantage $150.30
Rate for Payer: Kentucky WC Medicaid $151.80
Rate for Payer: Medical Mutual Of Ohio HMO $350.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $315.13
Rate for Payer: Molina Healthcare Benefit Exchange $180.36
Rate for Payer: Molina Healthcare Medicaid $153.31
Rate for Payer: Ohio Health Choice Commercial $375.76
Rate for Payer: Ohio Health Group HMO $320.25
Rate for Payer: Ohio Health Group PPO Differential $85.40
Rate for Payer: Ohio Health Group PPO No Differential $55.51
Rate for Payer: Ohio Health Group PPO SOMC Employees $132.37
Rate for Payer: PHCS Commercial $409.92
Rate for Payer: United Healthcare All Payer $375.76
Service Code HCPCS 88235
Hospital Charge Code 30001463
Hospital Revenue Code 300
Min. Negotiated Rate $55.51
Max. Negotiated Rate $409.92
Rate for Payer: Aetna Commercial $328.79
Rate for Payer: Anthem POS/PPO/Traditional $342.88
Rate for Payer: Cash Price $213.50
Rate for Payer: Cigna Commercial $354.41
Rate for Payer: First Health Commercial $405.65
Rate for Payer: Humana Commercial $362.95
Rate for Payer: Medical Mutual Of Ohio HMO $350.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $315.13
Rate for Payer: Molina Healthcare Benefit Exchange $128.10
Rate for Payer: Ohio Health Choice Commercial $375.76
Rate for Payer: Ohio Health Group HMO $320.25
Rate for Payer: Ohio Health Group PPO Differential $85.40
Rate for Payer: Ohio Health Group PPO No Differential $55.51
Rate for Payer: Ohio Health Group PPO SOMC Employees $132.37
Rate for Payer: PHCS Commercial $409.92
Rate for Payer: United Healthcare All Payer $375.76
Service Code HCPCS 88230
Hospital Charge Code 30001941
Hospital Revenue Code 300
Min. Negotiated Rate $73.58
Max. Negotiated Rate $543.36
Rate for Payer: Aetna Commercial $435.82
Rate for Payer: Anthem POS/PPO/Traditional $454.50
Rate for Payer: Cash Price $283.00
Rate for Payer: Cigna Commercial $469.78
Rate for Payer: First Health Commercial $537.70
Rate for Payer: Humana Commercial $481.10
Rate for Payer: Medical Mutual Of Ohio HMO $464.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $417.71
Rate for Payer: Molina Healthcare Benefit Exchange $169.80
Rate for Payer: Ohio Health Choice Commercial $498.08
Rate for Payer: Ohio Health Group HMO $424.50
Rate for Payer: Ohio Health Group PPO Differential $113.20
Rate for Payer: Ohio Health Group PPO No Differential $73.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $175.46
Rate for Payer: PHCS Commercial $543.36
Rate for Payer: United Healthcare All Payer $498.08
Service Code HCPCS 88230
Hospital Charge Code 30001941
Hospital Revenue Code 300
Min. Negotiated Rate $73.58
Max. Negotiated Rate $543.36
Rate for Payer: Aetna Commercial $435.82
Rate for Payer: Anthem Medicaid $116.49
Rate for Payer: Anthem Medicare Advantage/PPO $116.49
Rate for Payer: Anthem POS/PPO/Traditional $454.50
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $163.09
Rate for Payer: CareSource Just4Me Medicare $116.49
Rate for Payer: Cash Price $283.00
Rate for Payer: Cash Price $283.00
Rate for Payer: Cigna Commercial $469.78
Rate for Payer: First Health Commercial $537.70
Rate for Payer: Humana Commercial $481.10
Rate for Payer: Humana KY Medicaid $116.49
Rate for Payer: Humana Medicare Advantage $116.49
Rate for Payer: Kentucky WC Medicaid $117.65
Rate for Payer: Medical Mutual Of Ohio HMO $464.12
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $417.71
Rate for Payer: Molina Healthcare Benefit Exchange $139.79
Rate for Payer: Molina Healthcare Medicaid $118.82
Rate for Payer: Ohio Health Choice Commercial $498.08
Rate for Payer: Ohio Health Group HMO $424.50
Rate for Payer: Ohio Health Group PPO Differential $113.20
Rate for Payer: Ohio Health Group PPO No Differential $73.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $175.46
Rate for Payer: PHCS Commercial $543.36
Rate for Payer: United Healthcare All Payer $498.08
Service Code HCPCS 88237
Hospital Charge Code 30001465
Hospital Revenue Code 300
Min. Negotiated Rate $101.92
Max. Negotiated Rate $752.64
Rate for Payer: Aetna Commercial $603.68
Rate for Payer: Anthem Medicaid $143.75
Rate for Payer: Anthem Medicare Advantage/PPO $143.75
Rate for Payer: Anthem POS/PPO/Traditional $629.55
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $201.25
Rate for Payer: CareSource Just4Me Medicare $143.75
Rate for Payer: Cash Price $392.00
Rate for Payer: Cash Price $392.00
Rate for Payer: Cigna Commercial $650.72
Rate for Payer: First Health Commercial $744.80
Rate for Payer: Humana Commercial $666.40
Rate for Payer: Humana KY Medicaid $143.75
Rate for Payer: Humana Medicare Advantage $143.75
Rate for Payer: Kentucky WC Medicaid $145.19
Rate for Payer: Medical Mutual Of Ohio HMO $642.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $578.59
Rate for Payer: Molina Healthcare Benefit Exchange $172.50
Rate for Payer: Molina Healthcare Medicaid $146.62
Rate for Payer: Ohio Health Choice Commercial $689.92
Rate for Payer: Ohio Health Group HMO $588.00
Rate for Payer: Ohio Health Group PPO Differential $156.80
Rate for Payer: Ohio Health Group PPO No Differential $101.92
Rate for Payer: Ohio Health Group PPO SOMC Employees $243.04
Rate for Payer: PHCS Commercial $752.64
Rate for Payer: United Healthcare All Payer $689.92
Service Code HCPCS 88237
Hospital Charge Code 30001465
Hospital Revenue Code 300
Min. Negotiated Rate $101.92
Max. Negotiated Rate $752.64
Rate for Payer: Aetna Commercial $603.68
Rate for Payer: Anthem POS/PPO/Traditional $629.55
Rate for Payer: Cash Price $392.00
Rate for Payer: Cigna Commercial $650.72
Rate for Payer: First Health Commercial $744.80
Rate for Payer: Humana Commercial $666.40
Rate for Payer: Medical Mutual Of Ohio HMO $642.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $578.59
Rate for Payer: Molina Healthcare Benefit Exchange $235.20
Rate for Payer: Ohio Health Choice Commercial $689.92
Rate for Payer: Ohio Health Group HMO $588.00
Rate for Payer: Ohio Health Group PPO Differential $156.80
Rate for Payer: Ohio Health Group PPO No Differential $101.92
Rate for Payer: Ohio Health Group PPO SOMC Employees $243.04
Rate for Payer: PHCS Commercial $752.64
Rate for Payer: United Healthcare All Payer $689.92
Service Code HCPCS 88305
Hospital Charge Code 30001953
Hospital Revenue Code 300
Min. Negotiated Rate $32.37
Max. Negotiated Rate $239.04
Rate for Payer: Aetna Commercial $191.73
Rate for Payer: Anthem POS/PPO/Traditional $199.95
Rate for Payer: Cash Price $124.50
Rate for Payer: Cigna Commercial $206.67
Rate for Payer: First Health Commercial $236.55
Rate for Payer: Humana Commercial $211.65
Rate for Payer: Medical Mutual Of Ohio HMO $204.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $183.76
Rate for Payer: Molina Healthcare Benefit Exchange $74.70
Rate for Payer: Ohio Health Choice Commercial $219.12
Rate for Payer: Ohio Health Group HMO $186.75
Rate for Payer: Ohio Health Group PPO Differential $49.80
Rate for Payer: Ohio Health Group PPO No Differential $32.37
Rate for Payer: Ohio Health Group PPO SOMC Employees $77.19
Rate for Payer: PHCS Commercial $239.04
Rate for Payer: United Healthcare All Payer $219.12
Service Code HCPCS 88305
Hospital Charge Code 30001953
Hospital Revenue Code 300
Min. Negotiated Rate $32.37
Max. Negotiated Rate $239.04
Rate for Payer: Aetna Commercial $191.73
Rate for Payer: Anthem Medicaid $85.63
Rate for Payer: Anthem Medicare Advantage/PPO $46.86
Rate for Payer: Anthem POS/PPO/Traditional $199.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $65.60
Rate for Payer: CareSource Just4Me Medicare $63.26
Rate for Payer: Cash Price $124.50
Rate for Payer: Cash Price $124.50
Rate for Payer: Cigna Commercial $206.67
Rate for Payer: First Health Commercial $236.55
Rate for Payer: Humana Commercial $211.65
Rate for Payer: Humana KY Medicaid $85.63
Rate for Payer: Humana Medicare Advantage $46.86
Rate for Payer: Kentucky WC Medicaid $86.50
Rate for Payer: Medical Mutual Of Ohio HMO $204.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $183.76
Rate for Payer: Molina Healthcare Benefit Exchange $56.23
Rate for Payer: Molina Healthcare Medicaid $87.35
Rate for Payer: Ohio Health Choice Commercial $219.12
Rate for Payer: Ohio Health Group HMO $186.75
Rate for Payer: Ohio Health Group PPO Differential $49.80
Rate for Payer: Ohio Health Group PPO No Differential $32.37
Rate for Payer: Ohio Health Group PPO SOMC Employees $77.19
Rate for Payer: PHCS Commercial $239.04
Rate for Payer: United Healthcare All Payer $219.12
Service Code HCPCS 86364
Hospital Charge Code 30000379
Hospital Revenue Code 300
Min. Negotiated Rate $20.41
Max. Negotiated Rate $150.72
Rate for Payer: Aetna Commercial $120.89
Rate for Payer: Anthem POS/PPO/Traditional $126.07
Rate for Payer: Cash Price $78.50
Rate for Payer: Cigna Commercial $130.31
Rate for Payer: First Health Commercial $149.15
Rate for Payer: Humana Commercial $133.45
Rate for Payer: Medical Mutual Of Ohio HMO $128.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.87
Rate for Payer: Molina Healthcare Benefit Exchange $47.10
Rate for Payer: Ohio Health Choice Commercial $138.16
Rate for Payer: Ohio Health Group HMO $117.75
Rate for Payer: Ohio Health Group PPO Differential $31.40
Rate for Payer: Ohio Health Group PPO No Differential $20.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.67
Rate for Payer: PHCS Commercial $150.72
Rate for Payer: United Healthcare All Payer $138.16
Service Code HCPCS 86364
Hospital Charge Code 30000379
Hospital Revenue Code 300
Min. Negotiated Rate $11.53
Max. Negotiated Rate $150.72
Rate for Payer: Aetna Commercial $120.89
Rate for Payer: Anthem Medicaid $11.53
Rate for Payer: Anthem Medicare Advantage/PPO $11.53
Rate for Payer: Anthem POS/PPO/Traditional $126.07
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.14
Rate for Payer: CareSource Just4Me Medicare $11.53
Rate for Payer: Cash Price $78.50
Rate for Payer: Cash Price $78.50
Rate for Payer: Cigna Commercial $130.31
Rate for Payer: First Health Commercial $149.15
Rate for Payer: Humana Commercial $133.45
Rate for Payer: Humana KY Medicaid $11.53
Rate for Payer: Humana Medicare Advantage $11.53
Rate for Payer: Kentucky WC Medicaid $11.65
Rate for Payer: Medical Mutual Of Ohio HMO $128.74
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.87
Rate for Payer: Molina Healthcare Benefit Exchange $13.84
Rate for Payer: Molina Healthcare Medicaid $11.76
Rate for Payer: Ohio Health Choice Commercial $138.16
Rate for Payer: Ohio Health Group HMO $117.75
Rate for Payer: Ohio Health Group PPO Differential $31.40
Rate for Payer: Ohio Health Group PPO No Differential $20.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.67
Rate for Payer: PHCS Commercial $150.72
Rate for Payer: United Healthcare All Payer $138.16
Service Code HCPCS 86364
Hospital Charge Code 30000400
Hospital Revenue Code 300
Min. Negotiated Rate $6.89
Max. Negotiated Rate $50.88
Rate for Payer: Aetna Commercial $40.81
Rate for Payer: Anthem POS/PPO/Traditional $42.56
Rate for Payer: Cash Price $26.50
Rate for Payer: Cigna Commercial $43.99
Rate for Payer: First Health Commercial $50.35
Rate for Payer: Humana Commercial $45.05
Rate for Payer: Medical Mutual Of Ohio HMO $43.46
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $39.11
Rate for Payer: Molina Healthcare Benefit Exchange $15.90
Rate for Payer: Ohio Health Choice Commercial $46.64
Rate for Payer: Ohio Health Group HMO $39.75
Rate for Payer: Ohio Health Group PPO Differential $10.60
Rate for Payer: Ohio Health Group PPO No Differential $6.89
Rate for Payer: Ohio Health Group PPO SOMC Employees $16.43
Rate for Payer: PHCS Commercial $50.88
Rate for Payer: United Healthcare All Payer $46.64