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Service Code HCPCS 88360
Hospital Charge Code 30001994
Hospital Revenue Code 310
Min. Negotiated Rate $53.04
Max. Negotiated Rate $391.68
Rate for Payer: Aetna Commercial $314.16
Rate for Payer: Anthem Medicaid $140.31
Rate for Payer: Anthem Medicare Advantage/PPO $147.70
Rate for Payer: Anthem POS/PPO/Traditional $327.62
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $206.78
Rate for Payer: CareSource Just4Me Medicare $199.40
Rate for Payer: Cash Price $204.00
Rate for Payer: Cash Price $204.00
Rate for Payer: Cigna Commercial $338.64
Rate for Payer: First Health Commercial $387.60
Rate for Payer: Humana Commercial $346.80
Rate for Payer: Humana KY Medicaid $140.31
Rate for Payer: Humana Medicare Advantage $147.70
Rate for Payer: Kentucky WC Medicaid $141.74
Rate for Payer: Medical Mutual Of Ohio HMO $334.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $301.10
Rate for Payer: Molina Healthcare Benefit Exchange $177.24
Rate for Payer: Molina Healthcare Medicaid $143.13
Rate for Payer: Ohio Health Choice Commercial $359.04
Rate for Payer: Ohio Health Group HMO $306.00
Rate for Payer: Ohio Health Group PPO Differential $81.60
Rate for Payer: Ohio Health Group PPO No Differential $53.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $126.48
Rate for Payer: PHCS Commercial $391.68
Rate for Payer: United Healthcare All Payer $359.04
Service Code HCPCS 88360
Hospital Charge Code 30001994
Hospital Revenue Code 310
Min. Negotiated Rate $53.04
Max. Negotiated Rate $391.68
Rate for Payer: Aetna Commercial $314.16
Rate for Payer: Anthem POS/PPO/Traditional $327.62
Rate for Payer: Cash Price $204.00
Rate for Payer: Cigna Commercial $338.64
Rate for Payer: First Health Commercial $387.60
Rate for Payer: Humana Commercial $346.80
Rate for Payer: Medical Mutual Of Ohio HMO $334.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $301.10
Rate for Payer: Molina Healthcare Benefit Exchange $122.40
Rate for Payer: Ohio Health Choice Commercial $359.04
Rate for Payer: Ohio Health Group HMO $306.00
Rate for Payer: Ohio Health Group PPO Differential $81.60
Rate for Payer: Ohio Health Group PPO No Differential $53.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $126.48
Rate for Payer: PHCS Commercial $391.68
Rate for Payer: United Healthcare All Payer $359.04
Service Code HCPCS 81301
Hospital Charge Code 30001992
Hospital Revenue Code 300
Min. Negotiated Rate $166.14
Max. Negotiated Rate $1,226.88
Rate for Payer: Aetna Commercial $984.06
Rate for Payer: Anthem Medicaid $348.56
Rate for Payer: Anthem Medicare Advantage/PPO $348.56
Rate for Payer: Anthem POS/PPO/Traditional $1,026.23
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $487.98
Rate for Payer: CareSource Just4Me Medicare $348.56
Rate for Payer: Cash Price $639.00
Rate for Payer: Cash Price $639.00
Rate for Payer: Cigna Commercial $1,060.74
Rate for Payer: First Health Commercial $1,214.10
Rate for Payer: Humana Commercial $1,086.30
Rate for Payer: Humana KY Medicaid $348.56
Rate for Payer: Humana Medicare Advantage $348.56
Rate for Payer: Kentucky WC Medicaid $352.05
Rate for Payer: Medical Mutual Of Ohio HMO $1,047.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $943.16
Rate for Payer: Molina Healthcare Benefit Exchange $418.27
Rate for Payer: Molina Healthcare Medicaid $355.53
Rate for Payer: Ohio Health Choice Commercial $1,124.64
Rate for Payer: Ohio Health Group HMO $958.50
Rate for Payer: Ohio Health Group PPO Differential $255.60
Rate for Payer: Ohio Health Group PPO No Differential $166.14
Rate for Payer: Ohio Health Group PPO SOMC Employees $396.18
Rate for Payer: PHCS Commercial $1,226.88
Rate for Payer: United Healthcare All Payer $1,124.64
Service Code HCPCS 81301
Hospital Charge Code 30001992
Hospital Revenue Code 300
Min. Negotiated Rate $166.14
Max. Negotiated Rate $1,226.88
Rate for Payer: Aetna Commercial $984.06
Rate for Payer: Anthem POS/PPO/Traditional $1,026.23
Rate for Payer: Cash Price $639.00
Rate for Payer: Cigna Commercial $1,060.74
Rate for Payer: First Health Commercial $1,214.10
Rate for Payer: Humana Commercial $1,086.30
Rate for Payer: Medical Mutual Of Ohio HMO $1,047.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $943.16
Rate for Payer: Molina Healthcare Benefit Exchange $383.40
Rate for Payer: Ohio Health Choice Commercial $1,124.64
Rate for Payer: Ohio Health Group HMO $958.50
Rate for Payer: Ohio Health Group PPO Differential $255.60
Rate for Payer: Ohio Health Group PPO No Differential $166.14
Rate for Payer: Ohio Health Group PPO SOMC Employees $396.18
Rate for Payer: PHCS Commercial $1,226.88
Rate for Payer: United Healthcare All Payer $1,124.64
Service Code HCPCS 86003
Hospital Charge Code 30000789
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 30000789
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 30000881
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 30000881
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 30000755
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 30000755
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 86757
Hospital Charge Code 30001206
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $69.12
Rate for Payer: Aetna Commercial $55.44
Rate for Payer: Anthem Medicaid $19.35
Rate for Payer: Anthem Medicare Advantage/PPO $19.35
Rate for Payer: Anthem POS/PPO/Traditional $57.82
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $27.09
Rate for Payer: CareSource Just4Me Medicare $19.35
Rate for Payer: Cash Price $36.00
Rate for Payer: Cash Price $36.00
Rate for Payer: Cigna Commercial $59.76
Rate for Payer: First Health Commercial $68.40
Rate for Payer: Humana Commercial $61.20
Rate for Payer: Humana KY Medicaid $19.35
Rate for Payer: Humana Medicare Advantage $19.35
Rate for Payer: Kentucky WC Medicaid $19.54
Rate for Payer: Medical Mutual Of Ohio HMO $59.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $53.14
Rate for Payer: Molina Healthcare Benefit Exchange $23.22
Rate for Payer: Molina Healthcare Medicaid $19.74
Rate for Payer: Ohio Health Choice Commercial $63.36
Rate for Payer: Ohio Health Group HMO $54.00
Rate for Payer: Ohio Health Group PPO Differential $14.40
Rate for Payer: Ohio Health Group PPO No Differential $9.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $22.32
Rate for Payer: PHCS Commercial $69.12
Rate for Payer: United Healthcare All Payer $63.36
Service Code HCPCS 86757
Hospital Charge Code 30001206
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $69.12
Rate for Payer: Aetna Commercial $55.44
Rate for Payer: Anthem POS/PPO/Traditional $57.82
Rate for Payer: Cash Price $36.00
Rate for Payer: Cigna Commercial $59.76
Rate for Payer: First Health Commercial $68.40
Rate for Payer: Humana Commercial $61.20
Rate for Payer: Medical Mutual Of Ohio HMO $59.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $53.14
Rate for Payer: Molina Healthcare Benefit Exchange $21.60
Rate for Payer: Ohio Health Choice Commercial $63.36
Rate for Payer: Ohio Health Group HMO $54.00
Rate for Payer: Ohio Health Group PPO Differential $14.40
Rate for Payer: Ohio Health Group PPO No Differential $9.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $22.32
Rate for Payer: PHCS Commercial $69.12
Rate for Payer: United Healthcare All Payer $63.36
Service Code HCPCS 86757
Hospital Charge Code 30001205
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $69.12
Rate for Payer: Aetna Commercial $55.44
Rate for Payer: Anthem Medicaid $19.35
Rate for Payer: Anthem Medicare Advantage/PPO $19.35
Rate for Payer: Anthem POS/PPO/Traditional $57.82
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $27.09
Rate for Payer: CareSource Just4Me Medicare $19.35
Rate for Payer: Cash Price $36.00
Rate for Payer: Cash Price $36.00
Rate for Payer: Cigna Commercial $59.76
Rate for Payer: First Health Commercial $68.40
Rate for Payer: Humana Commercial $61.20
Rate for Payer: Humana KY Medicaid $19.35
Rate for Payer: Humana Medicare Advantage $19.35
Rate for Payer: Kentucky WC Medicaid $19.54
Rate for Payer: Medical Mutual Of Ohio HMO $59.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $53.14
Rate for Payer: Molina Healthcare Benefit Exchange $23.22
Rate for Payer: Molina Healthcare Medicaid $19.74
Rate for Payer: Ohio Health Choice Commercial $63.36
Rate for Payer: Ohio Health Group HMO $54.00
Rate for Payer: Ohio Health Group PPO Differential $14.40
Rate for Payer: Ohio Health Group PPO No Differential $9.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $22.32
Rate for Payer: PHCS Commercial $69.12
Rate for Payer: United Healthcare All Payer $63.36
Service Code HCPCS 86757
Hospital Charge Code 30001205
Hospital Revenue Code 300
Min. Negotiated Rate $9.36
Max. Negotiated Rate $69.12
Rate for Payer: Aetna Commercial $55.44
Rate for Payer: Anthem POS/PPO/Traditional $57.82
Rate for Payer: Cash Price $36.00
Rate for Payer: Cigna Commercial $59.76
Rate for Payer: First Health Commercial $68.40
Rate for Payer: Humana Commercial $61.20
Rate for Payer: Medical Mutual Of Ohio HMO $59.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $53.14
Rate for Payer: Molina Healthcare Benefit Exchange $21.60
Rate for Payer: Ohio Health Choice Commercial $63.36
Rate for Payer: Ohio Health Group HMO $54.00
Rate for Payer: Ohio Health Group PPO Differential $14.40
Rate for Payer: Ohio Health Group PPO No Differential $9.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $22.32
Rate for Payer: PHCS Commercial $69.12
Rate for Payer: United Healthcare All Payer $63.36
Service Code HCPCS 84510
Hospital Charge Code 30000546
Hospital Revenue Code 300
Min. Negotiated Rate $18.46
Max. Negotiated Rate $136.32
Rate for Payer: Aetna Commercial $109.34
Rate for Payer: Anthem POS/PPO/Traditional $114.03
Rate for Payer: Cash Price $71.00
Rate for Payer: Cigna Commercial $117.86
Rate for Payer: First Health Commercial $134.90
Rate for Payer: Humana Commercial $120.70
Rate for Payer: Medical Mutual Of Ohio HMO $116.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $104.80
Rate for Payer: Molina Healthcare Benefit Exchange $42.60
Rate for Payer: Ohio Health Choice Commercial $124.96
Rate for Payer: Ohio Health Group HMO $106.50
Rate for Payer: Ohio Health Group PPO Differential $28.40
Rate for Payer: Ohio Health Group PPO No Differential $18.46
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.02
Rate for Payer: PHCS Commercial $136.32
Rate for Payer: United Healthcare All Payer $124.96
Service Code HCPCS 84510
Hospital Charge Code 30000546
Hospital Revenue Code 300
Min. Negotiated Rate $10.63
Max. Negotiated Rate $136.32
Rate for Payer: Aetna Commercial $109.34
Rate for Payer: Anthem Medicaid $10.63
Rate for Payer: Anthem Medicare Advantage/PPO $10.63
Rate for Payer: Anthem POS/PPO/Traditional $114.03
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $14.88
Rate for Payer: CareSource Just4Me Medicare $10.63
Rate for Payer: Cash Price $71.00
Rate for Payer: Cash Price $71.00
Rate for Payer: Cigna Commercial $117.86
Rate for Payer: First Health Commercial $134.90
Rate for Payer: Humana Commercial $120.70
Rate for Payer: Humana KY Medicaid $10.63
Rate for Payer: Humana Medicare Advantage $10.63
Rate for Payer: Kentucky WC Medicaid $10.74
Rate for Payer: Medical Mutual Of Ohio HMO $116.44
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $104.80
Rate for Payer: Molina Healthcare Benefit Exchange $12.76
Rate for Payer: Molina Healthcare Medicaid $10.84
Rate for Payer: Ohio Health Choice Commercial $124.96
Rate for Payer: Ohio Health Group HMO $106.50
Rate for Payer: Ohio Health Group PPO Differential $28.40
Rate for Payer: Ohio Health Group PPO No Differential $18.46
Rate for Payer: Ohio Health Group PPO SOMC Employees $44.02
Rate for Payer: PHCS Commercial $136.32
Rate for Payer: United Healthcare All Payer $124.96
Service Code HCPCS 81479
Hospital Charge Code 30001985
Hospital Revenue Code 300
Min. Negotiated Rate $24.18
Max. Negotiated Rate $178.56
Rate for Payer: Aetna Commercial $143.22
Rate for Payer: Anthem Medicaid $63.97
Rate for Payer: Anthem POS/PPO/Traditional $149.36
Rate for Payer: Cash Price $93.00
Rate for Payer: Cigna Commercial $154.38
Rate for Payer: First Health Commercial $176.70
Rate for Payer: Humana Commercial $158.10
Rate for Payer: Humana KY Medicaid $63.97
Rate for Payer: Kentucky WC Medicaid $64.62
Rate for Payer: Medical Mutual Of Ohio HMO $152.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $137.27
Rate for Payer: Molina Healthcare Benefit Exchange $55.80
Rate for Payer: Molina Healthcare Medicaid $65.25
Rate for Payer: Ohio Health Choice Commercial $163.68
Rate for Payer: Ohio Health Group HMO $139.50
Rate for Payer: Ohio Health Group PPO Differential $37.20
Rate for Payer: Ohio Health Group PPO No Differential $24.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.66
Rate for Payer: PHCS Commercial $178.56
Rate for Payer: United Healthcare All Payer $163.68
Service Code HCPCS 81479
Hospital Charge Code 30001985
Hospital Revenue Code 300
Min. Negotiated Rate $24.18
Max. Negotiated Rate $178.56
Rate for Payer: Aetna Commercial $143.22
Rate for Payer: Anthem POS/PPO/Traditional $149.36
Rate for Payer: Cash Price $93.00
Rate for Payer: Cigna Commercial $154.38
Rate for Payer: First Health Commercial $176.70
Rate for Payer: Humana Commercial $158.10
Rate for Payer: Medical Mutual Of Ohio HMO $152.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $137.27
Rate for Payer: Molina Healthcare Benefit Exchange $55.80
Rate for Payer: Ohio Health Choice Commercial $163.68
Rate for Payer: Ohio Health Group HMO $139.50
Rate for Payer: Ohio Health Group PPO Differential $37.20
Rate for Payer: Ohio Health Group PPO No Differential $24.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $57.66
Rate for Payer: PHCS Commercial $178.56
Rate for Payer: United Healthcare All Payer $163.68
Service Code HCPCS 86003
Hospital Charge Code 30000720
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 30000720
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 83068
Hospital Charge Code 30000365
Hospital Revenue Code 300
Min. Negotiated Rate $9.47
Max. Negotiated Rate $89.28
Rate for Payer: Aetna Commercial $71.61
Rate for Payer: Anthem Medicaid $9.47
Rate for Payer: Anthem Medicare Advantage/PPO $9.47
Rate for Payer: Anthem POS/PPO/Traditional $74.68
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $13.26
Rate for Payer: CareSource Just4Me Medicare $9.47
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 $9.47
Rate for Payer: Humana Medicare Advantage $9.47
Rate for Payer: Kentucky WC Medicaid $9.56
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 $11.36
Rate for Payer: Molina Healthcare Medicaid $9.66
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 83068
Hospital Charge Code 30000365
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 82340
Hospital Charge Code 30000261
Hospital Revenue Code 301
Min. Negotiated Rate $10.27
Max. Negotiated Rate $75.84
Rate for Payer: Aetna Commercial $60.83
Rate for Payer: Anthem POS/PPO/Traditional $63.44
Rate for Payer: Cash Price $39.50
Rate for Payer: Cigna Commercial $65.57
Rate for Payer: First Health Commercial $75.05
Rate for Payer: Humana Commercial $67.15
Rate for Payer: Medical Mutual Of Ohio HMO $64.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $58.30
Rate for Payer: Molina Healthcare Benefit Exchange $23.70
Rate for Payer: Ohio Health Choice Commercial $69.52
Rate for Payer: Ohio Health Group HMO $59.25
Rate for Payer: Ohio Health Group PPO Differential $15.80
Rate for Payer: Ohio Health Group PPO No Differential $10.27
Rate for Payer: Ohio Health Group PPO SOMC Employees $24.49
Rate for Payer: PHCS Commercial $75.84
Rate for Payer: United Healthcare All Payer $69.52
Service Code HCPCS 82340
Hospital Charge Code 30000261
Hospital Revenue Code 301
Min. Negotiated Rate $6.03
Max. Negotiated Rate $75.84
Rate for Payer: Aetna Commercial $60.83
Rate for Payer: Anthem Medicaid $6.03
Rate for Payer: Anthem Medicare Advantage/PPO $6.03
Rate for Payer: Anthem POS/PPO/Traditional $63.44
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $8.44
Rate for Payer: CareSource Just4Me Medicare $6.03
Rate for Payer: Cash Price $39.50
Rate for Payer: Cash Price $39.50
Rate for Payer: Cigna Commercial $65.57
Rate for Payer: First Health Commercial $75.05
Rate for Payer: Humana Commercial $67.15
Rate for Payer: Humana KY Medicaid $6.03
Rate for Payer: Humana Medicare Advantage $6.03
Rate for Payer: Kentucky WC Medicaid $6.09
Rate for Payer: Medical Mutual Of Ohio HMO $64.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $58.30
Rate for Payer: Molina Healthcare Benefit Exchange $7.24
Rate for Payer: Molina Healthcare Medicaid $6.15
Rate for Payer: Ohio Health Choice Commercial $69.52
Rate for Payer: Ohio Health Group HMO $59.25
Rate for Payer: Ohio Health Group PPO Differential $15.80
Rate for Payer: Ohio Health Group PPO No Differential $10.27
Rate for Payer: Ohio Health Group PPO SOMC Employees $24.49
Rate for Payer: PHCS Commercial $75.84
Rate for Payer: United Healthcare All Payer $69.52
Service Code HCPCS 82530
Hospital Charge Code 30000287
Hospital Revenue Code 300
Min. Negotiated Rate $16.71
Max. Negotiated Rate $222.72
Rate for Payer: Aetna Commercial $178.64
Rate for Payer: Anthem Medicaid $16.71
Rate for Payer: Anthem Medicare Advantage/PPO $16.71
Rate for Payer: Anthem POS/PPO/Traditional $186.30
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $23.39
Rate for Payer: CareSource Just4Me Medicare $16.71
Rate for Payer: Cash Price $116.00
Rate for Payer: Cash Price $116.00
Rate for Payer: Cigna Commercial $192.56
Rate for Payer: First Health Commercial $220.40
Rate for Payer: Humana Commercial $197.20
Rate for Payer: Humana KY Medicaid $16.71
Rate for Payer: Humana Medicare Advantage $16.71
Rate for Payer: Kentucky WC Medicaid $16.88
Rate for Payer: Medical Mutual Of Ohio HMO $190.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $171.22
Rate for Payer: Molina Healthcare Benefit Exchange $20.05
Rate for Payer: Molina Healthcare Medicaid $17.04
Rate for Payer: Ohio Health Choice Commercial $204.16
Rate for Payer: Ohio Health Group HMO $174.00
Rate for Payer: Ohio Health Group PPO Differential $46.40
Rate for Payer: Ohio Health Group PPO No Differential $30.16
Rate for Payer: Ohio Health Group PPO SOMC Employees $71.92
Rate for Payer: PHCS Commercial $222.72
Rate for Payer: United Healthcare All Payer $204.16