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Service Code HCPCS 82530
Hospital Charge Code 30000287
Hospital Revenue Code 300
Min. Negotiated Rate $30.16
Max. Negotiated Rate $222.72
Rate for Payer: Aetna Commercial $178.64
Rate for Payer: Anthem POS/PPO/Traditional $186.30
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: 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 $69.60
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
Service Code HCPCS 84105
Hospital Charge Code 30000476
Hospital Revenue Code 300
Min. Negotiated Rate $9.10
Max. Negotiated Rate $67.20
Rate for Payer: Aetna Commercial $53.90
Rate for Payer: Anthem POS/PPO/Traditional $56.21
Rate for Payer: Cash Price $35.00
Rate for Payer: Cigna Commercial $58.10
Rate for Payer: First Health Commercial $66.50
Rate for Payer: Humana Commercial $59.50
Rate for Payer: Medical Mutual Of Ohio HMO $57.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $51.66
Rate for Payer: Molina Healthcare Benefit Exchange $21.00
Rate for Payer: Ohio Health Choice Commercial $61.60
Rate for Payer: Ohio Health Group HMO $52.50
Rate for Payer: Ohio Health Group PPO Differential $14.00
Rate for Payer: Ohio Health Group PPO No Differential $9.10
Rate for Payer: Ohio Health Group PPO SOMC Employees $21.70
Rate for Payer: PHCS Commercial $67.20
Rate for Payer: United Healthcare All Payer $61.60
Service Code HCPCS 84105
Hospital Charge Code 30000476
Hospital Revenue Code 300
Min. Negotiated Rate $5.78
Max. Negotiated Rate $67.20
Rate for Payer: Aetna Commercial $53.90
Rate for Payer: Anthem Medicaid $5.78
Rate for Payer: Anthem Medicare Advantage/PPO $5.78
Rate for Payer: Anthem POS/PPO/Traditional $56.21
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $8.09
Rate for Payer: CareSource Just4Me Medicare $5.78
Rate for Payer: Cash Price $35.00
Rate for Payer: Cash Price $35.00
Rate for Payer: Cigna Commercial $58.10
Rate for Payer: First Health Commercial $66.50
Rate for Payer: Humana Commercial $59.50
Rate for Payer: Humana KY Medicaid $5.78
Rate for Payer: Humana Medicare Advantage $5.78
Rate for Payer: Kentucky WC Medicaid $5.84
Rate for Payer: Medical Mutual Of Ohio HMO $57.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $51.66
Rate for Payer: Molina Healthcare Benefit Exchange $6.94
Rate for Payer: Molina Healthcare Medicaid $5.90
Rate for Payer: Ohio Health Choice Commercial $61.60
Rate for Payer: Ohio Health Group HMO $52.50
Rate for Payer: Ohio Health Group PPO Differential $14.00
Rate for Payer: Ohio Health Group PPO No Differential $9.10
Rate for Payer: Ohio Health Group PPO SOMC Employees $21.70
Rate for Payer: PHCS Commercial $67.20
Rate for Payer: United Healthcare All Payer $61.60
Service Code HCPCS 83497
Hospital Charge Code 30000371
Hospital Revenue Code 300
Min. Negotiated Rate $20.28
Max. Negotiated Rate $149.76
Rate for Payer: Aetna Commercial $120.12
Rate for Payer: Anthem POS/PPO/Traditional $125.27
Rate for Payer: Cash Price $78.00
Rate for Payer: Cigna Commercial $129.48
Rate for Payer: First Health Commercial $148.20
Rate for Payer: Humana Commercial $132.60
Rate for Payer: Medical Mutual Of Ohio HMO $127.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.13
Rate for Payer: Molina Healthcare Benefit Exchange $46.80
Rate for Payer: Ohio Health Choice Commercial $137.28
Rate for Payer: Ohio Health Group HMO $117.00
Rate for Payer: Ohio Health Group PPO Differential $31.20
Rate for Payer: Ohio Health Group PPO No Differential $20.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.36
Rate for Payer: PHCS Commercial $149.76
Rate for Payer: United Healthcare All Payer $137.28
Service Code HCPCS 83497
Hospital Charge Code 30000371
Hospital Revenue Code 300
Min. Negotiated Rate $12.90
Max. Negotiated Rate $149.76
Rate for Payer: Aetna Commercial $120.12
Rate for Payer: Anthem Medicaid $12.90
Rate for Payer: Anthem Medicare Advantage/PPO $12.90
Rate for Payer: Anthem POS/PPO/Traditional $125.27
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.06
Rate for Payer: CareSource Just4Me Medicare $12.90
Rate for Payer: Cash Price $78.00
Rate for Payer: Cash Price $78.00
Rate for Payer: Cigna Commercial $129.48
Rate for Payer: First Health Commercial $148.20
Rate for Payer: Humana Commercial $132.60
Rate for Payer: Humana KY Medicaid $12.90
Rate for Payer: Humana Medicare Advantage $12.90
Rate for Payer: Kentucky WC Medicaid $13.03
Rate for Payer: Medical Mutual Of Ohio HMO $127.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $115.13
Rate for Payer: Molina Healthcare Benefit Exchange $15.48
Rate for Payer: Molina Healthcare Medicaid $13.16
Rate for Payer: Ohio Health Choice Commercial $137.28
Rate for Payer: Ohio Health Group HMO $117.00
Rate for Payer: Ohio Health Group PPO Differential $31.20
Rate for Payer: Ohio Health Group PPO No Differential $20.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $48.36
Rate for Payer: PHCS Commercial $149.76
Rate for Payer: United Healthcare All Payer $137.28
Service Code HCPCS 80165
Hospital Charge Code 30000028
Hospital Revenue Code 300
Min. Negotiated Rate $13.54
Max. Negotiated Rate $123.84
Rate for Payer: Aetna Commercial $99.33
Rate for Payer: Anthem Medicaid $13.54
Rate for Payer: Anthem Medicare Advantage/PPO $13.54
Rate for Payer: Anthem POS/PPO/Traditional $103.59
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.96
Rate for Payer: CareSource Just4Me Medicare $13.54
Rate for Payer: Cash Price $64.50
Rate for Payer: Cash Price $64.50
Rate for Payer: Cigna Commercial $107.07
Rate for Payer: First Health Commercial $122.55
Rate for Payer: Humana Commercial $109.65
Rate for Payer: Humana KY Medicaid $13.54
Rate for Payer: Humana Medicare Advantage $13.54
Rate for Payer: Kentucky WC Medicaid $13.68
Rate for Payer: Medical Mutual Of Ohio HMO $105.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $95.20
Rate for Payer: Molina Healthcare Benefit Exchange $16.25
Rate for Payer: Molina Healthcare Medicaid $13.81
Rate for Payer: Ohio Health Choice Commercial $113.52
Rate for Payer: Ohio Health Group HMO $96.75
Rate for Payer: Ohio Health Group PPO Differential $25.80
Rate for Payer: Ohio Health Group PPO No Differential $16.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $39.99
Rate for Payer: PHCS Commercial $123.84
Rate for Payer: United Healthcare All Payer $113.52
Service Code HCPCS 80165
Hospital Charge Code 30000028
Hospital Revenue Code 300
Min. Negotiated Rate $16.77
Max. Negotiated Rate $123.84
Rate for Payer: Aetna Commercial $99.33
Rate for Payer: Anthem POS/PPO/Traditional $103.59
Rate for Payer: Cash Price $64.50
Rate for Payer: Cigna Commercial $107.07
Rate for Payer: First Health Commercial $122.55
Rate for Payer: Humana Commercial $109.65
Rate for Payer: Medical Mutual Of Ohio HMO $105.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $95.20
Rate for Payer: Molina Healthcare Benefit Exchange $38.70
Rate for Payer: Ohio Health Choice Commercial $113.52
Rate for Payer: Ohio Health Group HMO $96.75
Rate for Payer: Ohio Health Group PPO Differential $25.80
Rate for Payer: Ohio Health Group PPO No Differential $16.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $39.99
Rate for Payer: PHCS Commercial $123.84
Rate for Payer: United Healthcare All Payer $113.52
Service Code HCPCS 80164
Hospital Charge Code 30000027
Hospital Revenue Code 300
Min. Negotiated Rate $13.54
Max. Negotiated Rate $123.84
Rate for Payer: Aetna Commercial $99.33
Rate for Payer: Anthem Medicaid $13.54
Rate for Payer: Anthem Medicare Advantage/PPO $13.54
Rate for Payer: Anthem POS/PPO/Traditional $103.59
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.96
Rate for Payer: CareSource Just4Me Medicare $13.54
Rate for Payer: Cash Price $64.50
Rate for Payer: Cash Price $64.50
Rate for Payer: Cigna Commercial $107.07
Rate for Payer: First Health Commercial $122.55
Rate for Payer: Humana Commercial $109.65
Rate for Payer: Humana KY Medicaid $13.54
Rate for Payer: Humana Medicare Advantage $13.54
Rate for Payer: Kentucky WC Medicaid $13.68
Rate for Payer: Medical Mutual Of Ohio HMO $105.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $95.20
Rate for Payer: Molina Healthcare Benefit Exchange $16.25
Rate for Payer: Molina Healthcare Medicaid $13.81
Rate for Payer: Ohio Health Choice Commercial $113.52
Rate for Payer: Ohio Health Group HMO $96.75
Rate for Payer: Ohio Health Group PPO Differential $25.80
Rate for Payer: Ohio Health Group PPO No Differential $16.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $39.99
Rate for Payer: PHCS Commercial $123.84
Rate for Payer: United Healthcare All Payer $113.52
Service Code HCPCS 80164
Hospital Charge Code 30000027
Hospital Revenue Code 300
Min. Negotiated Rate $16.77
Max. Negotiated Rate $123.84
Rate for Payer: Aetna Commercial $99.33
Rate for Payer: Anthem POS/PPO/Traditional $103.59
Rate for Payer: Cash Price $64.50
Rate for Payer: Cigna Commercial $107.07
Rate for Payer: First Health Commercial $122.55
Rate for Payer: Humana Commercial $109.65
Rate for Payer: Medical Mutual Of Ohio HMO $105.78
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $95.20
Rate for Payer: Molina Healthcare Benefit Exchange $38.70
Rate for Payer: Ohio Health Choice Commercial $113.52
Rate for Payer: Ohio Health Group HMO $96.75
Rate for Payer: Ohio Health Group PPO Differential $25.80
Rate for Payer: Ohio Health Group PPO No Differential $16.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $39.99
Rate for Payer: PHCS Commercial $123.84
Rate for Payer: United Healthcare All Payer $113.52
Service Code HCPCS 87798
Hospital Charge Code 30001397
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 30001397
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 84586
Hospital Charge Code 30000554
Hospital Revenue Code 301
Min. Negotiated Rate $11.83
Max. Negotiated Rate $87.36
Rate for Payer: Aetna Commercial $70.07
Rate for Payer: Anthem POS/PPO/Traditional $73.07
Rate for Payer: Cash Price $45.50
Rate for Payer: Cigna Commercial $75.53
Rate for Payer: First Health Commercial $86.45
Rate for Payer: Humana Commercial $77.35
Rate for Payer: Medical Mutual Of Ohio HMO $74.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $67.16
Rate for Payer: Molina Healthcare Benefit Exchange $27.30
Rate for Payer: Ohio Health Choice Commercial $80.08
Rate for Payer: Ohio Health Group HMO $68.25
Rate for Payer: Ohio Health Group PPO Differential $18.20
Rate for Payer: Ohio Health Group PPO No Differential $11.83
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.21
Rate for Payer: PHCS Commercial $87.36
Rate for Payer: United Healthcare All Payer $80.08
Service Code HCPCS 84586
Hospital Charge Code 30000554
Hospital Revenue Code 301
Min. Negotiated Rate $11.83
Max. Negotiated Rate $87.36
Rate for Payer: Aetna Commercial $70.07
Rate for Payer: Anthem Medicaid $35.33
Rate for Payer: Anthem Medicare Advantage/PPO $35.33
Rate for Payer: Anthem POS/PPO/Traditional $73.07
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $49.46
Rate for Payer: CareSource Just4Me Medicare $35.33
Rate for Payer: Cash Price $45.50
Rate for Payer: Cash Price $45.50
Rate for Payer: Cigna Commercial $75.53
Rate for Payer: First Health Commercial $86.45
Rate for Payer: Humana Commercial $77.35
Rate for Payer: Humana KY Medicaid $35.33
Rate for Payer: Humana Medicare Advantage $35.33
Rate for Payer: Kentucky WC Medicaid $35.68
Rate for Payer: Medical Mutual Of Ohio HMO $74.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $67.16
Rate for Payer: Molina Healthcare Benefit Exchange $42.40
Rate for Payer: Molina Healthcare Medicaid $36.04
Rate for Payer: Ohio Health Choice Commercial $80.08
Rate for Payer: Ohio Health Group HMO $68.25
Rate for Payer: Ohio Health Group PPO Differential $18.20
Rate for Payer: Ohio Health Group PPO No Differential $11.83
Rate for Payer: Ohio Health Group PPO SOMC Employees $28.21
Rate for Payer: PHCS Commercial $87.36
Rate for Payer: United Healthcare All Payer $80.08
Service Code HCPCS 86665
Hospital Charge Code 30001155
Hospital Revenue Code 300
Min. Negotiated Rate $11.05
Max. Negotiated Rate $81.60
Rate for Payer: Aetna Commercial $65.45
Rate for Payer: Anthem POS/PPO/Traditional $68.26
Rate for Payer: Cash Price $42.50
Rate for Payer: Cigna Commercial $70.55
Rate for Payer: First Health Commercial $80.75
Rate for Payer: Humana Commercial $72.25
Rate for Payer: Medical Mutual Of Ohio HMO $69.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $62.73
Rate for Payer: Molina Healthcare Benefit Exchange $25.50
Rate for Payer: Ohio Health Choice Commercial $74.80
Rate for Payer: Ohio Health Group HMO $63.75
Rate for Payer: Ohio Health Group PPO Differential $17.00
Rate for Payer: Ohio Health Group PPO No Differential $11.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $26.35
Rate for Payer: PHCS Commercial $81.60
Rate for Payer: United Healthcare All Payer $74.80
Service Code HCPCS 86665
Hospital Charge Code 30001155
Hospital Revenue Code 300
Min. Negotiated Rate $10.88
Max. Negotiated Rate $85.00
Rate for Payer: Aetna Commercial $14.12
Rate for Payer: Buckeye Medicare Advantage $85.00
Rate for Payer: Cash Price $42.50
Rate for Payer: Cash Price $42.50
Rate for Payer: Cigna Commercial $16.06
Rate for Payer: Healthspan PPO $14.41
Rate for Payer: Multiplan PHCS $51.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $59.50
Rate for Payer: UHCCP Medicaid $29.75
Rate for Payer: Wellcare CHIP/Medicaid $10.88
Service Code HCPCS 86665
Hospital Charge Code 30001155
Hospital Revenue Code 300
Min. Negotiated Rate $11.05
Max. Negotiated Rate $81.60
Rate for Payer: Aetna Commercial $65.45
Rate for Payer: Anthem Medicaid $18.14
Rate for Payer: Anthem Medicare Advantage/PPO $18.14
Rate for Payer: Anthem POS/PPO/Traditional $68.26
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.40
Rate for Payer: CareSource Just4Me Medicare $18.14
Rate for Payer: Cash Price $42.50
Rate for Payer: Cash Price $42.50
Rate for Payer: Cigna Commercial $70.55
Rate for Payer: First Health Commercial $80.75
Rate for Payer: Humana Commercial $72.25
Rate for Payer: Humana KY Medicaid $18.14
Rate for Payer: Humana Medicare Advantage $18.14
Rate for Payer: Kentucky WC Medicaid $18.32
Rate for Payer: Medical Mutual Of Ohio HMO $69.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $62.73
Rate for Payer: Molina Healthcare Benefit Exchange $21.77
Rate for Payer: Molina Healthcare Medicaid $18.50
Rate for Payer: Ohio Health Choice Commercial $74.80
Rate for Payer: Ohio Health Group HMO $63.75
Rate for Payer: Ohio Health Group PPO Differential $17.00
Rate for Payer: Ohio Health Group PPO No Differential $11.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $26.35
Rate for Payer: PHCS Commercial $81.60
Rate for Payer: United Healthcare All Payer $74.80
Service Code HCPCS 86665
Hospital Charge Code 30001153
Hospital Revenue Code 300
Min. Negotiated Rate $11.05
Max. Negotiated Rate $81.60
Rate for Payer: Aetna Commercial $65.45
Rate for Payer: Anthem Medicaid $18.14
Rate for Payer: Anthem Medicare Advantage/PPO $18.14
Rate for Payer: Anthem POS/PPO/Traditional $68.26
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.40
Rate for Payer: CareSource Just4Me Medicare $18.14
Rate for Payer: Cash Price $42.50
Rate for Payer: Cash Price $42.50
Rate for Payer: Cigna Commercial $70.55
Rate for Payer: First Health Commercial $80.75
Rate for Payer: Humana Commercial $72.25
Rate for Payer: Humana KY Medicaid $18.14
Rate for Payer: Humana Medicare Advantage $18.14
Rate for Payer: Kentucky WC Medicaid $18.32
Rate for Payer: Medical Mutual Of Ohio HMO $69.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $62.73
Rate for Payer: Molina Healthcare Benefit Exchange $21.77
Rate for Payer: Molina Healthcare Medicaid $18.50
Rate for Payer: Ohio Health Choice Commercial $74.80
Rate for Payer: Ohio Health Group HMO $63.75
Rate for Payer: Ohio Health Group PPO Differential $17.00
Rate for Payer: Ohio Health Group PPO No Differential $11.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $26.35
Rate for Payer: PHCS Commercial $81.60
Rate for Payer: United Healthcare All Payer $74.80
Service Code HCPCS 86665
Hospital Charge Code 30001153
Hospital Revenue Code 300
Min. Negotiated Rate $11.05
Max. Negotiated Rate $81.60
Rate for Payer: Aetna Commercial $65.45
Rate for Payer: Anthem POS/PPO/Traditional $68.26
Rate for Payer: Cash Price $42.50
Rate for Payer: Cigna Commercial $70.55
Rate for Payer: First Health Commercial $80.75
Rate for Payer: Humana Commercial $72.25
Rate for Payer: Medical Mutual Of Ohio HMO $69.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $62.73
Rate for Payer: Molina Healthcare Benefit Exchange $25.50
Rate for Payer: Ohio Health Choice Commercial $74.80
Rate for Payer: Ohio Health Group HMO $63.75
Rate for Payer: Ohio Health Group PPO Differential $17.00
Rate for Payer: Ohio Health Group PPO No Differential $11.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $26.35
Rate for Payer: PHCS Commercial $81.60
Rate for Payer: United Healthcare All Payer $74.80
Service Code HCPCS 86665
Hospital Charge Code 30001153
Hospital Revenue Code 300
Min. Negotiated Rate $10.88
Max. Negotiated Rate $85.00
Rate for Payer: Aetna Commercial $14.12
Rate for Payer: Buckeye Medicare Advantage $85.00
Rate for Payer: Cash Price $42.50
Rate for Payer: Cash Price $42.50
Rate for Payer: Cigna Commercial $16.06
Rate for Payer: Healthspan PPO $14.41
Rate for Payer: Multiplan PHCS $51.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $59.50
Rate for Payer: UHCCP Medicaid $29.75
Rate for Payer: Wellcare CHIP/Medicaid $10.88
Service Code HCPCS 82397
Hospital Charge Code 30000272
Hospital Revenue Code 300
Min. Negotiated Rate $6.24
Max. Negotiated Rate $46.08
Rate for Payer: Aetna Commercial $36.96
Rate for Payer: Anthem POS/PPO/Traditional $38.54
Rate for Payer: Cash Price $24.00
Rate for Payer: Cigna Commercial $39.84
Rate for Payer: First Health Commercial $45.60
Rate for Payer: Humana Commercial $40.80
Rate for Payer: Medical Mutual Of Ohio HMO $39.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $35.42
Rate for Payer: Molina Healthcare Benefit Exchange $14.40
Rate for Payer: Ohio Health Choice Commercial $42.24
Rate for Payer: Ohio Health Group HMO $36.00
Rate for Payer: Ohio Health Group PPO Differential $9.60
Rate for Payer: Ohio Health Group PPO No Differential $6.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $14.88
Rate for Payer: PHCS Commercial $46.08
Rate for Payer: United Healthcare All Payer $42.24
Service Code HCPCS 82397
Hospital Charge Code 30000272
Hospital Revenue Code 300
Min. Negotiated Rate $6.24
Max. Negotiated Rate $46.08
Rate for Payer: Aetna Commercial $36.96
Rate for Payer: Anthem Medicaid $14.12
Rate for Payer: Anthem Medicare Advantage/PPO $14.12
Rate for Payer: Anthem POS/PPO/Traditional $38.54
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $19.77
Rate for Payer: CareSource Just4Me Medicare $14.12
Rate for Payer: Cash Price $24.00
Rate for Payer: Cash Price $24.00
Rate for Payer: Cigna Commercial $39.84
Rate for Payer: First Health Commercial $45.60
Rate for Payer: Humana Commercial $40.80
Rate for Payer: Humana KY Medicaid $14.12
Rate for Payer: Humana Medicare Advantage $14.12
Rate for Payer: Kentucky WC Medicaid $14.26
Rate for Payer: Medical Mutual Of Ohio HMO $39.36
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $35.42
Rate for Payer: Molina Healthcare Benefit Exchange $16.94
Rate for Payer: Molina Healthcare Medicaid $14.40
Rate for Payer: Ohio Health Choice Commercial $42.24
Rate for Payer: Ohio Health Group HMO $36.00
Rate for Payer: Ohio Health Group PPO Differential $9.60
Rate for Payer: Ohio Health Group PPO No Differential $6.24
Rate for Payer: Ohio Health Group PPO SOMC Employees $14.88
Rate for Payer: PHCS Commercial $46.08
Rate for Payer: United Healthcare All Payer $42.24
Service Code HCPCS 86592
Hospital Charge Code 30001104
Hospital Revenue Code 300
Min. Negotiated Rate $11.44
Max. Negotiated Rate $84.48
Rate for Payer: Aetna Commercial $67.76
Rate for Payer: Anthem POS/PPO/Traditional $70.66
Rate for Payer: Cash Price $44.00
Rate for Payer: Cigna Commercial $73.04
Rate for Payer: First Health Commercial $83.60
Rate for Payer: Humana Commercial $74.80
Rate for Payer: Medical Mutual Of Ohio HMO $72.16
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $64.94
Rate for Payer: Molina Healthcare Benefit Exchange $26.40
Rate for Payer: Ohio Health Choice Commercial $77.44
Rate for Payer: Ohio Health Group HMO $66.00
Rate for Payer: Ohio Health Group PPO Differential $17.60
Rate for Payer: Ohio Health Group PPO No Differential $11.44
Rate for Payer: Ohio Health Group PPO SOMC Employees $27.28
Rate for Payer: PHCS Commercial $84.48
Rate for Payer: United Healthcare All Payer $77.44
Service Code HCPCS 86592
Hospital Charge Code 30001104
Hospital Revenue Code 300
Min. Negotiated Rate $4.27
Max. Negotiated Rate $84.48
Rate for Payer: Aetna Commercial $67.76
Rate for Payer: Anthem Medicaid $4.27
Rate for Payer: Anthem Medicare Advantage/PPO $4.27
Rate for Payer: Anthem POS/PPO/Traditional $70.66
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $5.98
Rate for Payer: CareSource Just4Me Medicare $4.27
Rate for Payer: Cash Price $44.00
Rate for Payer: Cash Price $44.00
Rate for Payer: Cigna Commercial $73.04
Rate for Payer: First Health Commercial $83.60
Rate for Payer: Humana Commercial $74.80
Rate for Payer: Humana KY Medicaid $4.27
Rate for Payer: Humana Medicare Advantage $4.27
Rate for Payer: Kentucky WC Medicaid $4.31
Rate for Payer: Medical Mutual Of Ohio HMO $72.16
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $64.94
Rate for Payer: Molina Healthcare Benefit Exchange $5.12
Rate for Payer: Molina Healthcare Medicaid $4.36
Rate for Payer: Ohio Health Choice Commercial $77.44
Rate for Payer: Ohio Health Group HMO $66.00
Rate for Payer: Ohio Health Group PPO Differential $17.60
Rate for Payer: Ohio Health Group PPO No Differential $11.44
Rate for Payer: Ohio Health Group PPO SOMC Employees $27.28
Rate for Payer: PHCS Commercial $84.48
Rate for Payer: United Healthcare All Payer $77.44
Service Code HCPCS 82397
Hospital Charge Code 30000276
Hospital Revenue Code 300
Min. Negotiated Rate $5.72
Max. Negotiated Rate $42.24
Rate for Payer: Aetna Commercial $33.88
Rate for Payer: Anthem Medicaid $14.12
Rate for Payer: Anthem Medicare Advantage/PPO $14.12
Rate for Payer: Anthem POS/PPO/Traditional $35.33
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $19.77
Rate for Payer: CareSource Just4Me Medicare $14.12
Rate for Payer: Cash Price $22.00
Rate for Payer: Cash Price $22.00
Rate for Payer: Cigna Commercial $36.52
Rate for Payer: First Health Commercial $41.80
Rate for Payer: Humana Commercial $37.40
Rate for Payer: Humana KY Medicaid $14.12
Rate for Payer: Humana Medicare Advantage $14.12
Rate for Payer: Kentucky WC Medicaid $14.26
Rate for Payer: Medical Mutual Of Ohio HMO $36.08
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $32.47
Rate for Payer: Molina Healthcare Benefit Exchange $16.94
Rate for Payer: Molina Healthcare Medicaid $14.40
Rate for Payer: Ohio Health Choice Commercial $38.72
Rate for Payer: Ohio Health Group HMO $33.00
Rate for Payer: Ohio Health Group PPO Differential $8.80
Rate for Payer: Ohio Health Group PPO No Differential $5.72
Rate for Payer: Ohio Health Group PPO SOMC Employees $13.64
Rate for Payer: PHCS Commercial $42.24
Rate for Payer: United Healthcare All Payer $38.72
Service Code HCPCS 82397
Hospital Charge Code 30000276
Hospital Revenue Code 300
Min. Negotiated Rate $5.72
Max. Negotiated Rate $42.24
Rate for Payer: Aetna Commercial $33.88
Rate for Payer: Anthem POS/PPO/Traditional $35.33
Rate for Payer: Cash Price $22.00
Rate for Payer: Cigna Commercial $36.52
Rate for Payer: First Health Commercial $41.80
Rate for Payer: Humana Commercial $37.40
Rate for Payer: Medical Mutual Of Ohio HMO $36.08
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $32.47
Rate for Payer: Molina Healthcare Benefit Exchange $13.20
Rate for Payer: Ohio Health Choice Commercial $38.72
Rate for Payer: Ohio Health Group HMO $33.00
Rate for Payer: Ohio Health Group PPO Differential $8.80
Rate for Payer: Ohio Health Group PPO No Differential $5.72
Rate for Payer: Ohio Health Group PPO SOMC Employees $13.64
Rate for Payer: PHCS Commercial $42.24
Rate for Payer: United Healthcare All Payer $38.72