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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 Medicaid $11.53
Rate for Payer: Anthem Medicare Advantage/PPO $11.53
Rate for Payer: Anthem POS/PPO/Traditional $42.56
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.14
Rate for Payer: CareSource Just4Me Medicare $11.53
Rate for Payer: Cash Price $26.50
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: 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 $43.46
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $39.11
Rate for Payer: Molina Healthcare Benefit Exchange $13.84
Rate for Payer: Molina Healthcare Medicaid $11.76
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
Service Code HCPCS 86003
Hospital Charge Code 30000680
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 30000680
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 80201
Hospital Charge Code 30000051
Hospital Revenue Code 300
Min. Negotiated Rate $25.22
Max. Negotiated Rate $186.24
Rate for Payer: Aetna Commercial $149.38
Rate for Payer: Anthem POS/PPO/Traditional $155.78
Rate for Payer: Cash Price $97.00
Rate for Payer: Cigna Commercial $161.02
Rate for Payer: First Health Commercial $184.30
Rate for Payer: Humana Commercial $164.90
Rate for Payer: Medical Mutual Of Ohio HMO $159.08
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $143.17
Rate for Payer: Molina Healthcare Benefit Exchange $58.20
Rate for Payer: Ohio Health Choice Commercial $170.72
Rate for Payer: Ohio Health Group HMO $145.50
Rate for Payer: Ohio Health Group PPO Differential $38.80
Rate for Payer: Ohio Health Group PPO No Differential $25.22
Rate for Payer: Ohio Health Group PPO SOMC Employees $60.14
Rate for Payer: PHCS Commercial $186.24
Rate for Payer: United Healthcare All Payer $170.72
Service Code HCPCS 80201
Hospital Charge Code 30000051
Hospital Revenue Code 300
Min. Negotiated Rate $11.92
Max. Negotiated Rate $186.24
Rate for Payer: Aetna Commercial $149.38
Rate for Payer: Anthem Medicaid $11.92
Rate for Payer: Anthem Medicare Advantage/PPO $11.92
Rate for Payer: Anthem POS/PPO/Traditional $155.78
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.69
Rate for Payer: CareSource Just4Me Medicare $11.92
Rate for Payer: Cash Price $97.00
Rate for Payer: Cash Price $97.00
Rate for Payer: Cigna Commercial $161.02
Rate for Payer: First Health Commercial $184.30
Rate for Payer: Humana Commercial $164.90
Rate for Payer: Humana KY Medicaid $11.92
Rate for Payer: Humana Medicare Advantage $11.92
Rate for Payer: Kentucky WC Medicaid $12.04
Rate for Payer: Medical Mutual Of Ohio HMO $159.08
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $143.17
Rate for Payer: Molina Healthcare Benefit Exchange $14.30
Rate for Payer: Molina Healthcare Medicaid $12.16
Rate for Payer: Ohio Health Choice Commercial $170.72
Rate for Payer: Ohio Health Group HMO $145.50
Rate for Payer: Ohio Health Group PPO Differential $38.80
Rate for Payer: Ohio Health Group PPO No Differential $25.22
Rate for Payer: Ohio Health Group PPO SOMC Employees $60.14
Rate for Payer: PHCS Commercial $186.24
Rate for Payer: United Healthcare All Payer $170.72
Service Code HCPCS 84075
Hospital Charge Code 30000472
Hospital Revenue Code 300
Min. Negotiated Rate $5.18
Max. Negotiated Rate $88.32
Rate for Payer: Aetna Commercial $70.84
Rate for Payer: Anthem Medicaid $5.18
Rate for Payer: Anthem Medicare Advantage/PPO $5.18
Rate for Payer: Anthem POS/PPO/Traditional $73.88
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7.25
Rate for Payer: CareSource Just4Me Medicare $5.18
Rate for Payer: Cash Price $46.00
Rate for Payer: Cash Price $46.00
Rate for Payer: Cigna Commercial $76.36
Rate for Payer: First Health Commercial $87.40
Rate for Payer: Humana Commercial $78.20
Rate for Payer: Humana KY Medicaid $5.18
Rate for Payer: Humana Medicare Advantage $5.18
Rate for Payer: Kentucky WC Medicaid $5.23
Rate for Payer: Medical Mutual Of Ohio HMO $75.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $67.90
Rate for Payer: Molina Healthcare Benefit Exchange $6.22
Rate for Payer: Molina Healthcare Medicaid $5.28
Rate for Payer: Ohio Health Choice Commercial $80.96
Rate for Payer: Ohio Health Group HMO $69.00
Rate for Payer: Ohio Health Group PPO Differential $18.40
Rate for Payer: Ohio Health Group PPO No Differential $11.96
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.52
Rate for Payer: PHCS Commercial $88.32
Rate for Payer: United Healthcare All Payer $80.96
Service Code HCPCS 84075
Hospital Charge Code 30000472
Hospital Revenue Code 300
Min. Negotiated Rate $11.96
Max. Negotiated Rate $88.32
Rate for Payer: Aetna Commercial $70.84
Rate for Payer: Anthem POS/PPO/Traditional $73.88
Rate for Payer: Cash Price $46.00
Rate for Payer: Cigna Commercial $76.36
Rate for Payer: First Health Commercial $87.40
Rate for Payer: Humana Commercial $78.20
Rate for Payer: Medical Mutual Of Ohio HMO $75.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $67.90
Rate for Payer: Molina Healthcare Benefit Exchange $27.60
Rate for Payer: Ohio Health Choice Commercial $80.96
Rate for Payer: Ohio Health Group HMO $69.00
Rate for Payer: Ohio Health Group PPO Differential $18.40
Rate for Payer: Ohio Health Group PPO No Differential $11.96
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.52
Rate for Payer: PHCS Commercial $88.32
Rate for Payer: United Healthcare All Payer $80.96
Service Code HCPCS G0481
Hospital Charge Code 30001777
Hospital Revenue Code 300
Min. Negotiated Rate $35.62
Max. Negotiated Rate $263.04
Rate for Payer: Aetna Commercial $210.98
Rate for Payer: Anthem POS/PPO/Traditional $220.02
Rate for Payer: Cash Price $137.00
Rate for Payer: Cigna Commercial $227.42
Rate for Payer: First Health Commercial $260.30
Rate for Payer: Humana Commercial $232.90
Rate for Payer: Medical Mutual Of Ohio HMO $224.68
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $202.21
Rate for Payer: Molina Healthcare Benefit Exchange $82.20
Rate for Payer: Ohio Health Choice Commercial $241.12
Rate for Payer: Ohio Health Group HMO $205.50
Rate for Payer: Ohio Health Group PPO Differential $54.80
Rate for Payer: Ohio Health Group PPO No Differential $35.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $84.94
Rate for Payer: PHCS Commercial $263.04
Rate for Payer: United Healthcare All Payer $241.12
Service Code HCPCS G0481
Hospital Charge Code 30001777
Hospital Revenue Code 300
Min. Negotiated Rate $35.62
Max. Negotiated Rate $263.04
Rate for Payer: Aetna Commercial $210.98
Rate for Payer: Anthem Medicaid $156.59
Rate for Payer: Anthem Medicare Advantage/PPO $156.59
Rate for Payer: Anthem POS/PPO/Traditional $220.02
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $219.23
Rate for Payer: CareSource Just4Me Medicare $156.59
Rate for Payer: Cash Price $137.00
Rate for Payer: Cash Price $137.00
Rate for Payer: Cigna Commercial $227.42
Rate for Payer: First Health Commercial $260.30
Rate for Payer: Humana Commercial $232.90
Rate for Payer: Humana KY Medicaid $156.59
Rate for Payer: Humana Medicare Advantage $156.59
Rate for Payer: Kentucky WC Medicaid $158.16
Rate for Payer: Medical Mutual Of Ohio HMO $224.68
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $202.21
Rate for Payer: Molina Healthcare Benefit Exchange $187.91
Rate for Payer: Molina Healthcare Medicaid $159.72
Rate for Payer: Ohio Health Choice Commercial $241.12
Rate for Payer: Ohio Health Group HMO $205.50
Rate for Payer: Ohio Health Group PPO Differential $54.80
Rate for Payer: Ohio Health Group PPO No Differential $35.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $84.94
Rate for Payer: PHCS Commercial $263.04
Rate for Payer: United Healthcare All Payer $241.12
Service Code HCPCS 86682
Hospital Charge Code 30001163
Hospital Revenue Code 300
Min. Negotiated Rate $38.74
Max. Negotiated Rate $286.08
Rate for Payer: Aetna Commercial $229.46
Rate for Payer: Anthem POS/PPO/Traditional $239.29
Rate for Payer: Cash Price $149.00
Rate for Payer: Cigna Commercial $247.34
Rate for Payer: First Health Commercial $283.10
Rate for Payer: Humana Commercial $253.30
Rate for Payer: Medical Mutual Of Ohio HMO $244.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $219.92
Rate for Payer: Molina Healthcare Benefit Exchange $89.40
Rate for Payer: Ohio Health Choice Commercial $262.24
Rate for Payer: Ohio Health Group HMO $223.50
Rate for Payer: Ohio Health Group PPO Differential $59.60
Rate for Payer: Ohio Health Group PPO No Differential $38.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $92.38
Rate for Payer: PHCS Commercial $286.08
Rate for Payer: United Healthcare All Payer $262.24
Service Code HCPCS 86682
Hospital Charge Code 30001163
Hospital Revenue Code 300
Min. Negotiated Rate $13.01
Max. Negotiated Rate $286.08
Rate for Payer: Aetna Commercial $229.46
Rate for Payer: Anthem Medicaid $13.01
Rate for Payer: Anthem Medicare Advantage/PPO $13.01
Rate for Payer: Anthem POS/PPO/Traditional $239.29
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.21
Rate for Payer: CareSource Just4Me Medicare $13.01
Rate for Payer: Cash Price $149.00
Rate for Payer: Cash Price $149.00
Rate for Payer: Cigna Commercial $247.34
Rate for Payer: First Health Commercial $283.10
Rate for Payer: Humana Commercial $253.30
Rate for Payer: Humana KY Medicaid $13.01
Rate for Payer: Humana Medicare Advantage $13.01
Rate for Payer: Kentucky WC Medicaid $13.14
Rate for Payer: Medical Mutual Of Ohio HMO $244.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $219.92
Rate for Payer: Molina Healthcare Benefit Exchange $15.61
Rate for Payer: Molina Healthcare Medicaid $13.27
Rate for Payer: Ohio Health Choice Commercial $262.24
Rate for Payer: Ohio Health Group HMO $223.50
Rate for Payer: Ohio Health Group PPO Differential $59.60
Rate for Payer: Ohio Health Group PPO No Differential $38.74
Rate for Payer: Ohio Health Group PPO SOMC Employees $92.38
Rate for Payer: PHCS Commercial $286.08
Rate for Payer: United Healthcare All Payer $262.24
Service Code HCPCS 86778
Hospital Charge Code 30001215
Hospital Revenue Code 300
Min. Negotiated Rate $14.41
Max. Negotiated Rate $196.80
Rate for Payer: Aetna Commercial $157.85
Rate for Payer: Anthem Medicaid $14.41
Rate for Payer: Anthem Medicare Advantage/PPO $14.41
Rate for Payer: Anthem POS/PPO/Traditional $164.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.17
Rate for Payer: CareSource Just4Me Medicare $14.41
Rate for Payer: Cash Price $102.50
Rate for Payer: Cash Price $102.50
Rate for Payer: Cigna Commercial $170.15
Rate for Payer: First Health Commercial $194.75
Rate for Payer: Humana Commercial $174.25
Rate for Payer: Humana KY Medicaid $14.41
Rate for Payer: Humana Medicare Advantage $14.41
Rate for Payer: Kentucky WC Medicaid $14.55
Rate for Payer: Medical Mutual Of Ohio HMO $168.10
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $151.29
Rate for Payer: Molina Healthcare Benefit Exchange $17.29
Rate for Payer: Molina Healthcare Medicaid $14.70
Rate for Payer: Ohio Health Choice Commercial $180.40
Rate for Payer: Ohio Health Group HMO $153.75
Rate for Payer: Ohio Health Group PPO Differential $41.00
Rate for Payer: Ohio Health Group PPO No Differential $26.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.55
Rate for Payer: PHCS Commercial $196.80
Rate for Payer: United Healthcare All Payer $180.40
Service Code HCPCS 86778
Hospital Charge Code 30001215
Hospital Revenue Code 300
Min. Negotiated Rate $26.65
Max. Negotiated Rate $196.80
Rate for Payer: Aetna Commercial $157.85
Rate for Payer: Anthem POS/PPO/Traditional $164.62
Rate for Payer: Cash Price $102.50
Rate for Payer: Cigna Commercial $170.15
Rate for Payer: First Health Commercial $194.75
Rate for Payer: Humana Commercial $174.25
Rate for Payer: Medical Mutual Of Ohio HMO $168.10
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $151.29
Rate for Payer: Molina Healthcare Benefit Exchange $61.50
Rate for Payer: Ohio Health Choice Commercial $180.40
Rate for Payer: Ohio Health Group HMO $153.75
Rate for Payer: Ohio Health Group PPO Differential $41.00
Rate for Payer: Ohio Health Group PPO No Differential $26.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.55
Rate for Payer: PHCS Commercial $196.80
Rate for Payer: United Healthcare All Payer $180.40
Service Code HCPCS 87798
Hospital Charge Code 30001394
Hospital Revenue Code 300
Min. Negotiated Rate $52.39
Max. Negotiated Rate $386.88
Rate for Payer: Aetna Commercial $310.31
Rate for Payer: Anthem POS/PPO/Traditional $323.61
Rate for Payer: Cash Price $201.50
Rate for Payer: Cigna Commercial $334.49
Rate for Payer: First Health Commercial $382.85
Rate for Payer: Humana Commercial $342.55
Rate for Payer: Medical Mutual Of Ohio HMO $330.46
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $297.41
Rate for Payer: Molina Healthcare Benefit Exchange $120.90
Rate for Payer: Ohio Health Choice Commercial $354.64
Rate for Payer: Ohio Health Group HMO $302.25
Rate for Payer: Ohio Health Group PPO Differential $80.60
Rate for Payer: Ohio Health Group PPO No Differential $52.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $124.93
Rate for Payer: PHCS Commercial $386.88
Rate for Payer: United Healthcare All Payer $354.64
Service Code HCPCS 87798
Hospital Charge Code 30001394
Hospital Revenue Code 300
Min. Negotiated Rate $35.09
Max. Negotiated Rate $386.88
Rate for Payer: Aetna Commercial $310.31
Rate for Payer: Anthem Medicaid $35.09
Rate for Payer: Anthem Medicare Advantage/PPO $35.09
Rate for Payer: Anthem POS/PPO/Traditional $323.61
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $49.13
Rate for Payer: CareSource Just4Me Medicare $35.09
Rate for Payer: Cash Price $201.50
Rate for Payer: Cash Price $201.50
Rate for Payer: Cigna Commercial $334.49
Rate for Payer: First Health Commercial $382.85
Rate for Payer: Humana Commercial $342.55
Rate for Payer: Humana KY Medicaid $35.09
Rate for Payer: Humana Medicare Advantage $35.09
Rate for Payer: Kentucky WC Medicaid $35.44
Rate for Payer: Medical Mutual Of Ohio HMO $330.46
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $297.41
Rate for Payer: Molina Healthcare Benefit Exchange $42.11
Rate for Payer: Molina Healthcare Medicaid $35.79
Rate for Payer: Ohio Health Choice Commercial $354.64
Rate for Payer: Ohio Health Group HMO $302.25
Rate for Payer: Ohio Health Group PPO Differential $80.60
Rate for Payer: Ohio Health Group PPO No Differential $52.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $124.93
Rate for Payer: PHCS Commercial $386.88
Rate for Payer: United Healthcare All Payer $354.64
Service Code HCPCS 81352
Hospital Charge Code 30001908
Hospital Revenue Code 300
Min. Negotiated Rate $119.34
Max. Negotiated Rate $881.28
Rate for Payer: Aetna Commercial $706.86
Rate for Payer: Anthem Medicaid $329.51
Rate for Payer: Anthem Medicare Advantage/PPO $329.51
Rate for Payer: Anthem POS/PPO/Traditional $737.15
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $461.31
Rate for Payer: CareSource Just4Me Medicare $329.51
Rate for Payer: Cash Price $459.00
Rate for Payer: Cash Price $459.00
Rate for Payer: Cigna Commercial $761.94
Rate for Payer: First Health Commercial $872.10
Rate for Payer: Humana Commercial $780.30
Rate for Payer: Humana KY Medicaid $329.51
Rate for Payer: Humana Medicare Advantage $329.51
Rate for Payer: Kentucky WC Medicaid $332.81
Rate for Payer: Medical Mutual Of Ohio HMO $752.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $677.48
Rate for Payer: Molina Healthcare Benefit Exchange $395.41
Rate for Payer: Molina Healthcare Medicaid $336.10
Rate for Payer: Ohio Health Choice Commercial $807.84
Rate for Payer: Ohio Health Group HMO $688.50
Rate for Payer: Ohio Health Group PPO Differential $183.60
Rate for Payer: Ohio Health Group PPO No Differential $119.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $284.58
Rate for Payer: PHCS Commercial $881.28
Rate for Payer: United Healthcare All Payer $807.84
Service Code HCPCS 81352
Hospital Charge Code 30001908
Hospital Revenue Code 300
Min. Negotiated Rate $119.34
Max. Negotiated Rate $881.28
Rate for Payer: Aetna Commercial $706.86
Rate for Payer: Anthem POS/PPO/Traditional $737.15
Rate for Payer: Cash Price $459.00
Rate for Payer: Cigna Commercial $761.94
Rate for Payer: First Health Commercial $872.10
Rate for Payer: Humana Commercial $780.30
Rate for Payer: Medical Mutual Of Ohio HMO $752.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $677.48
Rate for Payer: Molina Healthcare Benefit Exchange $275.40
Rate for Payer: Ohio Health Choice Commercial $807.84
Rate for Payer: Ohio Health Group HMO $688.50
Rate for Payer: Ohio Health Group PPO Differential $183.60
Rate for Payer: Ohio Health Group PPO No Differential $119.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $284.58
Rate for Payer: PHCS Commercial $881.28
Rate for Payer: United Healthcare All Payer $807.84
Service Code HCPCS 86376
Hospital Charge Code 30001092
Hospital Revenue Code 300
Min. Negotiated Rate $15.60
Max. Negotiated Rate $115.20
Rate for Payer: Aetna Commercial $92.40
Rate for Payer: Anthem POS/PPO/Traditional $96.36
Rate for Payer: Cash Price $60.00
Rate for Payer: Cigna Commercial $99.60
Rate for Payer: First Health Commercial $114.00
Rate for Payer: Humana Commercial $102.00
Rate for Payer: Medical Mutual Of Ohio HMO $98.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $88.56
Rate for Payer: Molina Healthcare Benefit Exchange $36.00
Rate for Payer: Ohio Health Choice Commercial $105.60
Rate for Payer: Ohio Health Group HMO $90.00
Rate for Payer: Ohio Health Group PPO Differential $24.00
Rate for Payer: Ohio Health Group PPO No Differential $15.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $37.20
Rate for Payer: PHCS Commercial $115.20
Rate for Payer: United Healthcare All Payer $105.60
Service Code HCPCS 86376
Hospital Charge Code 30001092
Hospital Revenue Code 300
Min. Negotiated Rate $14.55
Max. Negotiated Rate $115.20
Rate for Payer: Aetna Commercial $92.40
Rate for Payer: Anthem Medicaid $14.55
Rate for Payer: Anthem Medicare Advantage/PPO $14.55
Rate for Payer: Anthem POS/PPO/Traditional $96.36
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.37
Rate for Payer: CareSource Just4Me Medicare $14.55
Rate for Payer: Cash Price $60.00
Rate for Payer: Cash Price $60.00
Rate for Payer: Cigna Commercial $99.60
Rate for Payer: First Health Commercial $114.00
Rate for Payer: Humana Commercial $102.00
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 $98.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $88.56
Rate for Payer: Molina Healthcare Benefit Exchange $17.46
Rate for Payer: Molina Healthcare Medicaid $14.84
Rate for Payer: Ohio Health Choice Commercial $105.60
Rate for Payer: Ohio Health Group HMO $90.00
Rate for Payer: Ohio Health Group PPO Differential $24.00
Rate for Payer: Ohio Health Group PPO No Differential $15.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $37.20
Rate for Payer: PHCS Commercial $115.20
Rate for Payer: United Healthcare All Payer $105.60
Service Code HCPCS 80307
Hospital Charge Code 30000077
Hospital Revenue Code 300
Min. Negotiated Rate $27.30
Max. Negotiated Rate $201.60
Rate for Payer: Aetna Commercial $161.70
Rate for Payer: Anthem POS/PPO/Traditional $168.63
Rate for Payer: Cash Price $105.00
Rate for Payer: Cigna Commercial $174.30
Rate for Payer: First Health Commercial $199.50
Rate for Payer: Humana Commercial $178.50
Rate for Payer: Medical Mutual Of Ohio HMO $172.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $154.98
Rate for Payer: Molina Healthcare Benefit Exchange $63.00
Rate for Payer: Ohio Health Choice Commercial $184.80
Rate for Payer: Ohio Health Group HMO $157.50
Rate for Payer: Ohio Health Group PPO Differential $42.00
Rate for Payer: Ohio Health Group PPO No Differential $27.30
Rate for Payer: Ohio Health Group PPO SOMC Employees $65.10
Rate for Payer: PHCS Commercial $201.60
Rate for Payer: United Healthcare All Payer $184.80
Service Code HCPCS G0480
Hospital Charge Code 30000171
Hospital Revenue Code 300
Min. Negotiated Rate $2.34
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $13.86
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $14.45
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $9.00
Rate for Payer: Cash Price $9.00
Rate for Payer: Cigna Commercial $14.94
Rate for Payer: First Health Commercial $17.10
Rate for Payer: Humana Commercial $15.30
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 $14.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $13.28
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $15.84
Rate for Payer: Ohio Health Group HMO $13.50
Rate for Payer: Ohio Health Group PPO Differential $3.60
Rate for Payer: Ohio Health Group PPO No Differential $2.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.58
Rate for Payer: PHCS Commercial $17.28
Rate for Payer: United Healthcare All Payer $15.84
Service Code HCPCS 80373
Hospital Charge Code 30000171
Hospital Revenue Code 300
Min. Negotiated Rate $6.30
Max. Negotiated Rate $18.00
Rate for Payer: Buckeye Medicare Advantage $18.00
Rate for Payer: Cash Price $9.00
Rate for Payer: Multiplan PHCS $10.80
Rate for Payer: Ohio Health Choice Preferred Health Choice $12.60
Rate for Payer: UHCCP Medicaid $6.30
Service Code HCPCS 80307
Hospital Charge Code 30000077
Hospital Revenue Code 300
Min. Negotiated Rate $27.30
Max. Negotiated Rate $201.60
Rate for Payer: Aetna Commercial $161.70
Rate for Payer: Anthem Medicaid $62.14
Rate for Payer: Anthem Medicare Advantage/PPO $62.14
Rate for Payer: Anthem POS/PPO/Traditional $168.63
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $87.00
Rate for Payer: CareSource Just4Me Medicare $62.14
Rate for Payer: Cash Price $105.00
Rate for Payer: Cash Price $105.00
Rate for Payer: Cigna Commercial $174.30
Rate for Payer: First Health Commercial $199.50
Rate for Payer: Humana Commercial $178.50
Rate for Payer: Humana KY Medicaid $62.14
Rate for Payer: Humana Medicare Advantage $62.14
Rate for Payer: Kentucky WC Medicaid $62.76
Rate for Payer: Medical Mutual Of Ohio HMO $172.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $154.98
Rate for Payer: Molina Healthcare Benefit Exchange $74.57
Rate for Payer: Molina Healthcare Medicaid $63.38
Rate for Payer: Ohio Health Choice Commercial $184.80
Rate for Payer: Ohio Health Group HMO $157.50
Rate for Payer: Ohio Health Group PPO Differential $42.00
Rate for Payer: Ohio Health Group PPO No Differential $27.30
Rate for Payer: Ohio Health Group PPO SOMC Employees $65.10
Rate for Payer: PHCS Commercial $201.60
Rate for Payer: United Healthcare All Payer $184.80
Service Code HCPCS G0480
Hospital Charge Code 30000171
Hospital Revenue Code 300
Min. Negotiated Rate $2.34
Max. Negotiated Rate $17.28
Rate for Payer: Aetna Commercial $13.86
Rate for Payer: Anthem POS/PPO/Traditional $14.45
Rate for Payer: Cash Price $9.00
Rate for Payer: Cigna Commercial $14.94
Rate for Payer: First Health Commercial $17.10
Rate for Payer: Humana Commercial $15.30
Rate for Payer: Medical Mutual Of Ohio HMO $14.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $13.28
Rate for Payer: Molina Healthcare Benefit Exchange $5.40
Rate for Payer: Ohio Health Choice Commercial $15.84
Rate for Payer: Ohio Health Group HMO $13.50
Rate for Payer: Ohio Health Group PPO Differential $3.60
Rate for Payer: Ohio Health Group PPO No Differential $2.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.58
Rate for Payer: PHCS Commercial $17.28
Rate for Payer: United Healthcare All Payer $15.84
Service Code HCPCS G0480
Hospital Charge Code 30000173
Hospital Revenue Code 300
Min. Negotiated Rate $11.96
Max. Negotiated Rate $160.20
Rate for Payer: Aetna Commercial $70.84
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $73.88
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $46.00
Rate for Payer: Cash Price $46.00
Rate for Payer: Cigna Commercial $76.36
Rate for Payer: First Health Commercial $87.40
Rate for Payer: Humana Commercial $78.20
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 $75.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $67.90
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $80.96
Rate for Payer: Ohio Health Group HMO $69.00
Rate for Payer: Ohio Health Group PPO Differential $18.40
Rate for Payer: Ohio Health Group PPO No Differential $11.96
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.52
Rate for Payer: PHCS Commercial $88.32
Rate for Payer: United Healthcare All Payer $80.96