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Service Code HCPCS G0480
Hospital Charge Code 30000173
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 G0480
Hospital Charge Code 30000172
Hospital Revenue Code 300
Min. Negotiated Rate $3.38
Max. Negotiated Rate $24.96
Rate for Payer: Aetna Commercial $20.02
Rate for Payer: Anthem POS/PPO/Traditional $20.88
Rate for Payer: Cash Price $13.00
Rate for Payer: Cigna Commercial $21.58
Rate for Payer: First Health Commercial $24.70
Rate for Payer: Humana Commercial $22.10
Rate for Payer: Medical Mutual Of Ohio HMO $21.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $19.19
Rate for Payer: Molina Healthcare Benefit Exchange $7.80
Rate for Payer: Ohio Health Choice Commercial $22.88
Rate for Payer: Ohio Health Group HMO $19.50
Rate for Payer: Ohio Health Group PPO Differential $5.20
Rate for Payer: Ohio Health Group PPO No Differential $3.38
Rate for Payer: Ohio Health Group PPO SOMC Employees $8.06
Rate for Payer: PHCS Commercial $24.96
Rate for Payer: United Healthcare All Payer $22.88
Service Code HCPCS G0480
Hospital Charge Code 30000172
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 81340
Hospital Charge Code 30000197
Hospital Revenue Code 300
Min. Negotiated Rate $99.84
Max. Negotiated Rate $737.28
Rate for Payer: Aetna Commercial $591.36
Rate for Payer: Anthem Medicaid $208.92
Rate for Payer: Anthem Medicare Advantage/PPO $208.92
Rate for Payer: Anthem POS/PPO/Traditional $616.70
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $292.49
Rate for Payer: CareSource Just4Me Medicare $208.92
Rate for Payer: Cash Price $384.00
Rate for Payer: Cash Price $384.00
Rate for Payer: Cigna Commercial $637.44
Rate for Payer: First Health Commercial $729.60
Rate for Payer: Humana Commercial $652.80
Rate for Payer: Humana KY Medicaid $208.92
Rate for Payer: Humana Medicare Advantage $208.92
Rate for Payer: Kentucky WC Medicaid $211.01
Rate for Payer: Medical Mutual Of Ohio HMO $629.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $566.78
Rate for Payer: Molina Healthcare Benefit Exchange $250.70
Rate for Payer: Molina Healthcare Medicaid $213.10
Rate for Payer: Ohio Health Choice Commercial $675.84
Rate for Payer: Ohio Health Group HMO $576.00
Rate for Payer: Ohio Health Group PPO Differential $153.60
Rate for Payer: Ohio Health Group PPO No Differential $99.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $238.08
Rate for Payer: PHCS Commercial $737.28
Rate for Payer: United Healthcare All Payer $675.84
Service Code HCPCS 81340
Hospital Charge Code 30000197
Hospital Revenue Code 300
Min. Negotiated Rate $99.84
Max. Negotiated Rate $737.28
Rate for Payer: Aetna Commercial $591.36
Rate for Payer: Anthem POS/PPO/Traditional $616.70
Rate for Payer: Cash Price $384.00
Rate for Payer: Cigna Commercial $637.44
Rate for Payer: First Health Commercial $729.60
Rate for Payer: Humana Commercial $652.80
Rate for Payer: Medical Mutual Of Ohio HMO $629.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $566.78
Rate for Payer: Molina Healthcare Benefit Exchange $230.40
Rate for Payer: Ohio Health Choice Commercial $675.84
Rate for Payer: Ohio Health Group HMO $576.00
Rate for Payer: Ohio Health Group PPO Differential $153.60
Rate for Payer: Ohio Health Group PPO No Differential $99.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $238.08
Rate for Payer: PHCS Commercial $737.28
Rate for Payer: United Healthcare All Payer $675.84
Service Code HCPCS 86003
Hospital Charge Code 30000961
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 30000961
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 30000751
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 30000751
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 81342
Hospital Charge Code 30000198
Hospital Revenue Code 300
Min. Negotiated Rate $99.84
Max. Negotiated Rate $737.28
Rate for Payer: Aetna Commercial $591.36
Rate for Payer: Anthem Medicaid $201.50
Rate for Payer: Anthem Medicare Advantage/PPO $201.50
Rate for Payer: Anthem POS/PPO/Traditional $616.70
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $282.10
Rate for Payer: CareSource Just4Me Medicare $201.50
Rate for Payer: Cash Price $384.00
Rate for Payer: Cash Price $384.00
Rate for Payer: Cigna Commercial $637.44
Rate for Payer: First Health Commercial $729.60
Rate for Payer: Humana Commercial $652.80
Rate for Payer: Humana KY Medicaid $201.50
Rate for Payer: Humana Medicare Advantage $201.50
Rate for Payer: Kentucky WC Medicaid $203.52
Rate for Payer: Medical Mutual Of Ohio HMO $629.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $566.78
Rate for Payer: Molina Healthcare Benefit Exchange $241.80
Rate for Payer: Molina Healthcare Medicaid $205.53
Rate for Payer: Ohio Health Choice Commercial $675.84
Rate for Payer: Ohio Health Group HMO $576.00
Rate for Payer: Ohio Health Group PPO Differential $153.60
Rate for Payer: Ohio Health Group PPO No Differential $99.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $238.08
Rate for Payer: PHCS Commercial $737.28
Rate for Payer: United Healthcare All Payer $675.84
Service Code HCPCS 81342
Hospital Charge Code 30000198
Hospital Revenue Code 300
Min. Negotiated Rate $99.84
Max. Negotiated Rate $737.28
Rate for Payer: Aetna Commercial $591.36
Rate for Payer: Anthem POS/PPO/Traditional $616.70
Rate for Payer: Cash Price $384.00
Rate for Payer: Cigna Commercial $637.44
Rate for Payer: First Health Commercial $729.60
Rate for Payer: Humana Commercial $652.80
Rate for Payer: Medical Mutual Of Ohio HMO $629.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $566.78
Rate for Payer: Molina Healthcare Benefit Exchange $230.40
Rate for Payer: Ohio Health Choice Commercial $675.84
Rate for Payer: Ohio Health Group HMO $576.00
Rate for Payer: Ohio Health Group PPO Differential $153.60
Rate for Payer: Ohio Health Group PPO No Differential $99.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $238.08
Rate for Payer: PHCS Commercial $737.28
Rate for Payer: United Healthcare All Payer $675.84
Service Code HCPCS 86003
Hospital Charge Code 30000757
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 30000757
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 30000879
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 30000879
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 G0480
Hospital Charge Code 30000097
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 G0480
Hospital Charge Code 30000097
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 30000096
Hospital Revenue Code 300
Min. Negotiated Rate $45.24
Max. Negotiated Rate $334.08
Rate for Payer: Aetna Commercial $267.96
Rate for Payer: Anthem Medicaid $114.43
Rate for Payer: Anthem Medicare Advantage/PPO $114.43
Rate for Payer: Anthem POS/PPO/Traditional $279.44
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $160.20
Rate for Payer: CareSource Just4Me Medicare $114.43
Rate for Payer: Cash Price $174.00
Rate for Payer: Cash Price $174.00
Rate for Payer: Cigna Commercial $288.84
Rate for Payer: First Health Commercial $330.60
Rate for Payer: Humana Commercial $295.80
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 $285.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $256.82
Rate for Payer: Molina Healthcare Benefit Exchange $137.32
Rate for Payer: Molina Healthcare Medicaid $116.72
Rate for Payer: Ohio Health Choice Commercial $306.24
Rate for Payer: Ohio Health Group HMO $261.00
Rate for Payer: Ohio Health Group PPO Differential $69.60
Rate for Payer: Ohio Health Group PPO No Differential $45.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $107.88
Rate for Payer: PHCS Commercial $334.08
Rate for Payer: United Healthcare All Payer $306.24
Service Code HCPCS G0480
Hospital Charge Code 30000096
Hospital Revenue Code 300
Min. Negotiated Rate $45.24
Max. Negotiated Rate $334.08
Rate for Payer: Aetna Commercial $267.96
Rate for Payer: Anthem POS/PPO/Traditional $279.44
Rate for Payer: Cash Price $174.00
Rate for Payer: Cigna Commercial $288.84
Rate for Payer: First Health Commercial $330.60
Rate for Payer: Humana Commercial $295.80
Rate for Payer: Medical Mutual Of Ohio HMO $285.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $256.82
Rate for Payer: Molina Healthcare Benefit Exchange $104.40
Rate for Payer: Ohio Health Choice Commercial $306.24
Rate for Payer: Ohio Health Group HMO $261.00
Rate for Payer: Ohio Health Group PPO Differential $69.60
Rate for Payer: Ohio Health Group PPO No Differential $45.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $107.88
Rate for Payer: PHCS Commercial $334.08
Rate for Payer: United Healthcare All Payer $306.24
Service Code HCPCS 84478
Hospital Charge Code 30000540
Hospital Revenue Code 300
Min. Negotiated Rate $5.74
Max. Negotiated Rate $58.56
Rate for Payer: Aetna Commercial $46.97
Rate for Payer: Anthem Medicaid $5.74
Rate for Payer: Anthem Medicare Advantage/PPO $5.74
Rate for Payer: Anthem POS/PPO/Traditional $48.98
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $8.04
Rate for Payer: CareSource Just4Me Medicare $5.74
Rate for Payer: Cash Price $30.50
Rate for Payer: Cash Price $30.50
Rate for Payer: Cigna Commercial $50.63
Rate for Payer: First Health Commercial $57.95
Rate for Payer: Humana Commercial $51.85
Rate for Payer: Humana KY Medicaid $5.74
Rate for Payer: Humana Medicare Advantage $5.74
Rate for Payer: Kentucky WC Medicaid $5.80
Rate for Payer: Medical Mutual Of Ohio HMO $50.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $45.02
Rate for Payer: Molina Healthcare Benefit Exchange $6.89
Rate for Payer: Molina Healthcare Medicaid $5.85
Rate for Payer: Ohio Health Choice Commercial $53.68
Rate for Payer: Ohio Health Group HMO $45.75
Rate for Payer: Ohio Health Group PPO Differential $12.20
Rate for Payer: Ohio Health Group PPO No Differential $7.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $18.91
Rate for Payer: PHCS Commercial $58.56
Rate for Payer: United Healthcare All Payer $53.68
Service Code HCPCS 84478
Hospital Charge Code 30000540
Hospital Revenue Code 300
Min. Negotiated Rate $7.93
Max. Negotiated Rate $58.56
Rate for Payer: Aetna Commercial $46.97
Rate for Payer: Anthem POS/PPO/Traditional $48.98
Rate for Payer: Cash Price $30.50
Rate for Payer: Cigna Commercial $50.63
Rate for Payer: First Health Commercial $57.95
Rate for Payer: Humana Commercial $51.85
Rate for Payer: Medical Mutual Of Ohio HMO $50.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $45.02
Rate for Payer: Molina Healthcare Benefit Exchange $18.30
Rate for Payer: Ohio Health Choice Commercial $53.68
Rate for Payer: Ohio Health Group HMO $45.75
Rate for Payer: Ohio Health Group PPO Differential $12.20
Rate for Payer: Ohio Health Group PPO No Differential $7.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $18.91
Rate for Payer: PHCS Commercial $58.56
Rate for Payer: United Healthcare All Payer $53.68
Service Code HCPCS 83520
Hospital Charge Code 30000428
Hospital Revenue Code 300
Min. Negotiated Rate $22.23
Max. Negotiated Rate $164.16
Rate for Payer: Aetna Commercial $131.67
Rate for Payer: Anthem POS/PPO/Traditional $137.31
Rate for Payer: Cash Price $85.50
Rate for Payer: Cigna Commercial $141.93
Rate for Payer: First Health Commercial $162.45
Rate for Payer: Humana Commercial $145.35
Rate for Payer: Medical Mutual Of Ohio HMO $140.22
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $126.20
Rate for Payer: Molina Healthcare Benefit Exchange $51.30
Rate for Payer: Ohio Health Choice Commercial $150.48
Rate for Payer: Ohio Health Group HMO $128.25
Rate for Payer: Ohio Health Group PPO Differential $34.20
Rate for Payer: Ohio Health Group PPO No Differential $22.23
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.01
Rate for Payer: PHCS Commercial $164.16
Rate for Payer: United Healthcare All Payer $150.48
Service Code HCPCS 83520
Hospital Charge Code 30000428
Hospital Revenue Code 300
Min. Negotiated Rate $17.27
Max. Negotiated Rate $164.16
Rate for Payer: Aetna Commercial $131.67
Rate for Payer: Anthem Medicaid $17.27
Rate for Payer: Anthem Medicare Advantage/PPO $17.27
Rate for Payer: Anthem POS/PPO/Traditional $137.31
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24.18
Rate for Payer: CareSource Just4Me Medicare $17.27
Rate for Payer: Cash Price $85.50
Rate for Payer: Cash Price $85.50
Rate for Payer: Cigna Commercial $141.93
Rate for Payer: First Health Commercial $162.45
Rate for Payer: Humana Commercial $145.35
Rate for Payer: Humana KY Medicaid $17.27
Rate for Payer: Humana Medicare Advantage $17.27
Rate for Payer: Kentucky WC Medicaid $17.44
Rate for Payer: Medical Mutual Of Ohio HMO $140.22
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $126.20
Rate for Payer: Molina Healthcare Benefit Exchange $20.72
Rate for Payer: Molina Healthcare Medicaid $17.62
Rate for Payer: Ohio Health Choice Commercial $150.48
Rate for Payer: Ohio Health Group HMO $128.25
Rate for Payer: Ohio Health Group PPO Differential $34.20
Rate for Payer: Ohio Health Group PPO No Differential $22.23
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.01
Rate for Payer: PHCS Commercial $164.16
Rate for Payer: United Healthcare All Payer $150.48
Service Code HCPCS 84443
Hospital Charge Code 30000531
Hospital Revenue Code 300
Min. Negotiated Rate $24.05
Max. Negotiated Rate $177.60
Rate for Payer: Aetna Commercial $142.45
Rate for Payer: Anthem POS/PPO/Traditional $148.56
Rate for Payer: Cash Price $92.50
Rate for Payer: Cigna Commercial $153.55
Rate for Payer: First Health Commercial $175.75
Rate for Payer: Humana Commercial $157.25
Rate for Payer: Medical Mutual Of Ohio HMO $151.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $136.53
Rate for Payer: Molina Healthcare Benefit Exchange $55.50
Rate for Payer: Ohio Health Choice Commercial $162.80
Rate for Payer: Ohio Health Group HMO $138.75
Rate for Payer: Ohio Health Group PPO Differential $37.00
Rate for Payer: Ohio Health Group PPO No Differential $24.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.35
Rate for Payer: PHCS Commercial $177.60
Rate for Payer: United Healthcare All Payer $162.80
Service Code HCPCS 84443
Hospital Charge Code 30000531
Hospital Revenue Code 300
Min. Negotiated Rate $16.80
Max. Negotiated Rate $177.60
Rate for Payer: Aetna Commercial $142.45
Rate for Payer: Anthem Medicaid $16.80
Rate for Payer: Anthem Medicare Advantage/PPO $16.80
Rate for Payer: Anthem POS/PPO/Traditional $148.56
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $23.52
Rate for Payer: CareSource Just4Me Medicare $16.80
Rate for Payer: Cash Price $92.50
Rate for Payer: Cash Price $92.50
Rate for Payer: Cigna Commercial $153.55
Rate for Payer: First Health Commercial $175.75
Rate for Payer: Humana Commercial $157.25
Rate for Payer: Humana KY Medicaid $16.80
Rate for Payer: Humana Medicare Advantage $16.80
Rate for Payer: Kentucky WC Medicaid $16.97
Rate for Payer: Medical Mutual Of Ohio HMO $151.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $136.53
Rate for Payer: Molina Healthcare Benefit Exchange $20.16
Rate for Payer: Molina Healthcare Medicaid $17.14
Rate for Payer: Ohio Health Choice Commercial $162.80
Rate for Payer: Ohio Health Group HMO $138.75
Rate for Payer: Ohio Health Group PPO Differential $37.00
Rate for Payer: Ohio Health Group PPO No Differential $24.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.35
Rate for Payer: PHCS Commercial $177.60
Rate for Payer: United Healthcare All Payer $162.80