Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS 86003
Hospital Charge Code 30000667
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 30000667
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 85810
Hospital Charge Code 30000634
Hospital Revenue Code 305
Min. Negotiated Rate $11.70
Max. Negotiated Rate $86.40
Rate for Payer: Aetna Commercial $69.30
Rate for Payer: Anthem POS/PPO/Traditional $72.27
Rate for Payer: Cash Price $45.00
Rate for Payer: Cigna Commercial $74.70
Rate for Payer: First Health Commercial $85.50
Rate for Payer: Humana Commercial $76.50
Rate for Payer: Medical Mutual Of Ohio HMO $73.80
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $66.42
Rate for Payer: Molina Healthcare Benefit Exchange $27.00
Rate for Payer: Ohio Health Choice Commercial $79.20
Rate for Payer: Ohio Health Group HMO $67.50
Rate for Payer: Ohio Health Group PPO Differential $18.00
Rate for Payer: Ohio Health Group PPO No Differential $11.70
Rate for Payer: Ohio Health Group PPO SOMC Employees $27.90
Rate for Payer: PHCS Commercial $86.40
Rate for Payer: United Healthcare All Payer $79.20
Service Code HCPCS 85810
Hospital Charge Code 30000634
Hospital Revenue Code 305
Min. Negotiated Rate $11.67
Max. Negotiated Rate $86.40
Rate for Payer: Aetna Commercial $69.30
Rate for Payer: Anthem Medicaid $11.67
Rate for Payer: Anthem Medicare Advantage/PPO $11.67
Rate for Payer: Anthem POS/PPO/Traditional $72.27
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.34
Rate for Payer: CareSource Just4Me Medicare $11.67
Rate for Payer: Cash Price $45.00
Rate for Payer: Cash Price $45.00
Rate for Payer: Cigna Commercial $74.70
Rate for Payer: First Health Commercial $85.50
Rate for Payer: Humana Commercial $76.50
Rate for Payer: Humana KY Medicaid $11.67
Rate for Payer: Humana Medicare Advantage $11.67
Rate for Payer: Kentucky WC Medicaid $11.79
Rate for Payer: Medical Mutual Of Ohio HMO $73.80
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $66.42
Rate for Payer: Molina Healthcare Benefit Exchange $14.00
Rate for Payer: Molina Healthcare Medicaid $11.90
Rate for Payer: Ohio Health Choice Commercial $79.20
Rate for Payer: Ohio Health Group HMO $67.50
Rate for Payer: Ohio Health Group PPO Differential $18.00
Rate for Payer: Ohio Health Group PPO No Differential $11.70
Rate for Payer: Ohio Health Group PPO SOMC Employees $27.90
Rate for Payer: PHCS Commercial $86.40
Rate for Payer: United Healthcare All Payer $79.20
Service Code HCPCS 84590
Hospital Charge Code 30000556
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 84590
Hospital Charge Code 30000556
Hospital Revenue Code 300
Min. Negotiated Rate $11.61
Max. Negotiated Rate $178.56
Rate for Payer: Aetna Commercial $143.22
Rate for Payer: Anthem Medicaid $11.61
Rate for Payer: Anthem Medicare Advantage/PPO $11.61
Rate for Payer: Anthem POS/PPO/Traditional $149.36
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16.25
Rate for Payer: CareSource Just4Me Medicare $11.61
Rate for Payer: Cash Price $93.00
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 $11.61
Rate for Payer: Humana Medicare Advantage $11.61
Rate for Payer: Kentucky WC Medicaid $11.73
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 $13.93
Rate for Payer: Molina Healthcare Medicaid $11.84
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 84207
Hospital Charge Code 30000504
Hospital Revenue Code 300
Min. Negotiated Rate $47.45
Max. Negotiated Rate $350.40
Rate for Payer: Aetna Commercial $281.05
Rate for Payer: Anthem POS/PPO/Traditional $293.10
Rate for Payer: Cash Price $182.50
Rate for Payer: Cigna Commercial $302.95
Rate for Payer: First Health Commercial $346.75
Rate for Payer: Humana Commercial $310.25
Rate for Payer: Medical Mutual Of Ohio HMO $299.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $269.37
Rate for Payer: Molina Healthcare Benefit Exchange $109.50
Rate for Payer: Ohio Health Choice Commercial $321.20
Rate for Payer: Ohio Health Group HMO $273.75
Rate for Payer: Ohio Health Group PPO Differential $73.00
Rate for Payer: Ohio Health Group PPO No Differential $47.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $113.15
Rate for Payer: PHCS Commercial $350.40
Rate for Payer: United Healthcare All Payer $321.20
Service Code HCPCS 84207
Hospital Charge Code 30000504
Hospital Revenue Code 300
Min. Negotiated Rate $28.10
Max. Negotiated Rate $350.40
Rate for Payer: Aetna Commercial $281.05
Rate for Payer: Anthem Medicaid $28.10
Rate for Payer: Anthem Medicare Advantage/PPO $28.10
Rate for Payer: Anthem POS/PPO/Traditional $293.10
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $39.34
Rate for Payer: CareSource Just4Me Medicare $28.10
Rate for Payer: Cash Price $182.50
Rate for Payer: Cash Price $182.50
Rate for Payer: Cigna Commercial $302.95
Rate for Payer: First Health Commercial $346.75
Rate for Payer: Humana Commercial $310.25
Rate for Payer: Humana KY Medicaid $28.10
Rate for Payer: Humana Medicare Advantage $28.10
Rate for Payer: Kentucky WC Medicaid $28.38
Rate for Payer: Medical Mutual Of Ohio HMO $299.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $269.37
Rate for Payer: Molina Healthcare Benefit Exchange $33.72
Rate for Payer: Molina Healthcare Medicaid $28.66
Rate for Payer: Ohio Health Choice Commercial $321.20
Rate for Payer: Ohio Health Group HMO $273.75
Rate for Payer: Ohio Health Group PPO Differential $73.00
Rate for Payer: Ohio Health Group PPO No Differential $47.45
Rate for Payer: Ohio Health Group PPO SOMC Employees $113.15
Rate for Payer: PHCS Commercial $350.40
Rate for Payer: United Healthcare All Payer $321.20
Service Code HCPCS 84591
Hospital Charge Code 30001820
Hospital Revenue Code 300
Min. Negotiated Rate $17.06
Max. Negotiated Rate $170.88
Rate for Payer: Aetna Commercial $137.06
Rate for Payer: Anthem Medicaid $17.06
Rate for Payer: Anthem Medicare Advantage/PPO $17.06
Rate for Payer: Anthem POS/PPO/Traditional $142.93
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $23.88
Rate for Payer: CareSource Just4Me Medicare $17.06
Rate for Payer: Cash Price $89.00
Rate for Payer: Cash Price $89.00
Rate for Payer: Cigna Commercial $147.74
Rate for Payer: First Health Commercial $169.10
Rate for Payer: Humana Commercial $151.30
Rate for Payer: Humana KY Medicaid $17.06
Rate for Payer: Humana Medicare Advantage $17.06
Rate for Payer: Kentucky WC Medicaid $17.23
Rate for Payer: Medical Mutual Of Ohio HMO $145.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $131.36
Rate for Payer: Molina Healthcare Benefit Exchange $20.47
Rate for Payer: Molina Healthcare Medicaid $17.40
Rate for Payer: Ohio Health Choice Commercial $156.64
Rate for Payer: Ohio Health Group HMO $133.50
Rate for Payer: Ohio Health Group PPO Differential $35.60
Rate for Payer: Ohio Health Group PPO No Differential $23.14
Rate for Payer: Ohio Health Group PPO SOMC Employees $55.18
Rate for Payer: PHCS Commercial $170.88
Rate for Payer: United Healthcare All Payer $156.64
Service Code HCPCS 84591
Hospital Charge Code 30001820
Hospital Revenue Code 300
Min. Negotiated Rate $23.14
Max. Negotiated Rate $170.88
Rate for Payer: Aetna Commercial $137.06
Rate for Payer: Anthem POS/PPO/Traditional $142.93
Rate for Payer: Cash Price $89.00
Rate for Payer: Cigna Commercial $147.74
Rate for Payer: First Health Commercial $169.10
Rate for Payer: Humana Commercial $151.30
Rate for Payer: Medical Mutual Of Ohio HMO $145.96
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $131.36
Rate for Payer: Molina Healthcare Benefit Exchange $53.40
Rate for Payer: Ohio Health Choice Commercial $156.64
Rate for Payer: Ohio Health Group HMO $133.50
Rate for Payer: Ohio Health Group PPO Differential $35.60
Rate for Payer: Ohio Health Group PPO No Differential $23.14
Rate for Payer: Ohio Health Group PPO SOMC Employees $55.18
Rate for Payer: PHCS Commercial $170.88
Rate for Payer: United Healthcare All Payer $156.64
Service Code HCPCS 84446
Hospital Charge Code 30000533
Hospital Revenue Code 300
Min. Negotiated Rate $14.18
Max. Negotiated Rate $167.04
Rate for Payer: Aetna Commercial $133.98
Rate for Payer: Anthem Medicaid $14.18
Rate for Payer: Anthem Medicare Advantage/PPO $14.18
Rate for Payer: Anthem POS/PPO/Traditional $139.72
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $19.85
Rate for Payer: CareSource Just4Me Medicare $14.18
Rate for Payer: Cash Price $87.00
Rate for Payer: Cash Price $87.00
Rate for Payer: Cigna Commercial $144.42
Rate for Payer: First Health Commercial $165.30
Rate for Payer: Humana Commercial $147.90
Rate for Payer: Humana KY Medicaid $14.18
Rate for Payer: Humana Medicare Advantage $14.18
Rate for Payer: Kentucky WC Medicaid $14.32
Rate for Payer: Medical Mutual Of Ohio HMO $142.68
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $128.41
Rate for Payer: Molina Healthcare Benefit Exchange $17.02
Rate for Payer: Molina Healthcare Medicaid $14.46
Rate for Payer: Ohio Health Choice Commercial $153.12
Rate for Payer: Ohio Health Group HMO $130.50
Rate for Payer: Ohio Health Group PPO Differential $34.80
Rate for Payer: Ohio Health Group PPO No Differential $22.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.94
Rate for Payer: PHCS Commercial $167.04
Rate for Payer: United Healthcare All Payer $153.12
Service Code HCPCS 84446
Hospital Charge Code 30000533
Hospital Revenue Code 300
Min. Negotiated Rate $22.62
Max. Negotiated Rate $167.04
Rate for Payer: Aetna Commercial $133.98
Rate for Payer: Anthem POS/PPO/Traditional $139.72
Rate for Payer: Cash Price $87.00
Rate for Payer: Cigna Commercial $144.42
Rate for Payer: First Health Commercial $165.30
Rate for Payer: Humana Commercial $147.90
Rate for Payer: Medical Mutual Of Ohio HMO $142.68
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $128.41
Rate for Payer: Molina Healthcare Benefit Exchange $52.20
Rate for Payer: Ohio Health Choice Commercial $153.12
Rate for Payer: Ohio Health Group HMO $130.50
Rate for Payer: Ohio Health Group PPO Differential $34.80
Rate for Payer: Ohio Health Group PPO No Differential $22.62
Rate for Payer: Ohio Health Group PPO SOMC Employees $53.94
Rate for Payer: PHCS Commercial $167.04
Rate for Payer: United Healthcare All Payer $153.12
Service Code HCPCS 82652
Hospital Charge Code 30000305
Hospital Revenue Code 300
Min. Negotiated Rate $38.50
Max. Negotiated Rate $323.52
Rate for Payer: Aetna Commercial $259.49
Rate for Payer: Anthem Medicaid $38.50
Rate for Payer: Anthem Medicare Advantage/PPO $38.50
Rate for Payer: Anthem POS/PPO/Traditional $270.61
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $53.90
Rate for Payer: CareSource Just4Me Medicare $38.50
Rate for Payer: Cash Price $168.50
Rate for Payer: Cash Price $168.50
Rate for Payer: Cigna Commercial $279.71
Rate for Payer: First Health Commercial $320.15
Rate for Payer: Humana Commercial $286.45
Rate for Payer: Humana KY Medicaid $38.50
Rate for Payer: Humana Medicare Advantage $38.50
Rate for Payer: Kentucky WC Medicaid $38.88
Rate for Payer: Medical Mutual Of Ohio HMO $276.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $248.71
Rate for Payer: Molina Healthcare Benefit Exchange $46.20
Rate for Payer: Molina Healthcare Medicaid $39.27
Rate for Payer: Ohio Health Choice Commercial $296.56
Rate for Payer: Ohio Health Group HMO $252.75
Rate for Payer: Ohio Health Group PPO Differential $67.40
Rate for Payer: Ohio Health Group PPO No Differential $43.81
Rate for Payer: Ohio Health Group PPO SOMC Employees $104.47
Rate for Payer: PHCS Commercial $323.52
Rate for Payer: United Healthcare All Payer $296.56
Service Code HCPCS 82652
Hospital Charge Code 30000305
Hospital Revenue Code 300
Min. Negotiated Rate $43.81
Max. Negotiated Rate $323.52
Rate for Payer: Aetna Commercial $259.49
Rate for Payer: Anthem POS/PPO/Traditional $270.61
Rate for Payer: Cash Price $168.50
Rate for Payer: Cigna Commercial $279.71
Rate for Payer: First Health Commercial $320.15
Rate for Payer: Humana Commercial $286.45
Rate for Payer: Medical Mutual Of Ohio HMO $276.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $248.71
Rate for Payer: Molina Healthcare Benefit Exchange $101.10
Rate for Payer: Ohio Health Choice Commercial $296.56
Rate for Payer: Ohio Health Group HMO $252.75
Rate for Payer: Ohio Health Group PPO Differential $67.40
Rate for Payer: Ohio Health Group PPO No Differential $43.81
Rate for Payer: Ohio Health Group PPO SOMC Employees $104.47
Rate for Payer: PHCS Commercial $323.52
Rate for Payer: United Healthcare All Payer $296.56
Service Code HCPCS 84585
Hospital Charge Code 30000553
Hospital Revenue Code 300
Min. Negotiated Rate $21.71
Max. Negotiated Rate $160.32
Rate for Payer: Aetna Commercial $128.59
Rate for Payer: Anthem POS/PPO/Traditional $134.10
Rate for Payer: Cash Price $83.50
Rate for Payer: Cigna Commercial $138.61
Rate for Payer: First Health Commercial $158.65
Rate for Payer: Humana Commercial $141.95
Rate for Payer: Medical Mutual Of Ohio HMO $136.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $123.25
Rate for Payer: Molina Healthcare Benefit Exchange $50.10
Rate for Payer: Ohio Health Choice Commercial $146.96
Rate for Payer: Ohio Health Group HMO $125.25
Rate for Payer: Ohio Health Group PPO Differential $33.40
Rate for Payer: Ohio Health Group PPO No Differential $21.71
Rate for Payer: Ohio Health Group PPO SOMC Employees $51.77
Rate for Payer: PHCS Commercial $160.32
Rate for Payer: United Healthcare All Payer $146.96
Service Code HCPCS 84585
Hospital Charge Code 30000553
Hospital Revenue Code 300
Min. Negotiated Rate $15.50
Max. Negotiated Rate $160.32
Rate for Payer: Aetna Commercial $128.59
Rate for Payer: Anthem Medicaid $15.50
Rate for Payer: Anthem Medicare Advantage/PPO $15.50
Rate for Payer: Anthem POS/PPO/Traditional $134.10
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $21.70
Rate for Payer: CareSource Just4Me Medicare $15.50
Rate for Payer: Cash Price $83.50
Rate for Payer: Cash Price $83.50
Rate for Payer: Cigna Commercial $138.61
Rate for Payer: First Health Commercial $158.65
Rate for Payer: Humana Commercial $141.95
Rate for Payer: Humana KY Medicaid $15.50
Rate for Payer: Humana Medicare Advantage $15.50
Rate for Payer: Kentucky WC Medicaid $15.66
Rate for Payer: Medical Mutual Of Ohio HMO $136.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $123.25
Rate for Payer: Molina Healthcare Benefit Exchange $18.60
Rate for Payer: Molina Healthcare Medicaid $15.81
Rate for Payer: Ohio Health Choice Commercial $146.96
Rate for Payer: Ohio Health Group HMO $125.25
Rate for Payer: Ohio Health Group PPO Differential $33.40
Rate for Payer: Ohio Health Group PPO No Differential $21.71
Rate for Payer: Ohio Health Group PPO SOMC Employees $51.77
Rate for Payer: PHCS Commercial $160.32
Rate for Payer: United Healthcare All Payer $146.96
Service Code HCPCS 85246
Hospital Charge Code 30000581
Hospital Revenue Code 300
Min. Negotiated Rate $22.94
Max. Negotiated Rate $283.20
Rate for Payer: Aetna Commercial $227.15
Rate for Payer: Anthem Medicaid $22.94
Rate for Payer: Anthem Medicare Advantage/PPO $22.94
Rate for Payer: Anthem POS/PPO/Traditional $236.88
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $32.12
Rate for Payer: CareSource Just4Me Medicare $22.94
Rate for Payer: Cash Price $147.50
Rate for Payer: Cash Price $147.50
Rate for Payer: Cigna Commercial $244.85
Rate for Payer: First Health Commercial $280.25
Rate for Payer: Humana Commercial $250.75
Rate for Payer: Humana KY Medicaid $22.94
Rate for Payer: Humana Medicare Advantage $22.94
Rate for Payer: Kentucky WC Medicaid $23.17
Rate for Payer: Medical Mutual Of Ohio HMO $241.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $217.71
Rate for Payer: Molina Healthcare Benefit Exchange $27.53
Rate for Payer: Molina Healthcare Medicaid $23.40
Rate for Payer: Ohio Health Choice Commercial $259.60
Rate for Payer: Ohio Health Group HMO $221.25
Rate for Payer: Ohio Health Group PPO Differential $59.00
Rate for Payer: Ohio Health Group PPO No Differential $38.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $91.45
Rate for Payer: PHCS Commercial $283.20
Rate for Payer: United Healthcare All Payer $259.60
Service Code HCPCS 85246
Hospital Charge Code 30000581
Hospital Revenue Code 300
Min. Negotiated Rate $38.35
Max. Negotiated Rate $283.20
Rate for Payer: Aetna Commercial $227.15
Rate for Payer: Anthem POS/PPO/Traditional $236.88
Rate for Payer: Cash Price $147.50
Rate for Payer: Cigna Commercial $244.85
Rate for Payer: First Health Commercial $280.25
Rate for Payer: Humana Commercial $250.75
Rate for Payer: Medical Mutual Of Ohio HMO $241.90
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $217.71
Rate for Payer: Molina Healthcare Benefit Exchange $88.50
Rate for Payer: Ohio Health Choice Commercial $259.60
Rate for Payer: Ohio Health Group HMO $221.25
Rate for Payer: Ohio Health Group PPO Differential $59.00
Rate for Payer: Ohio Health Group PPO No Differential $38.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $91.45
Rate for Payer: PHCS Commercial $283.20
Rate for Payer: United Healthcare All Payer $259.60
Service Code HCPCS 85397
Hospital Charge Code 30000606
Hospital Revenue Code 300
Min. Negotiated Rate $30.86
Max. Negotiated Rate $250.56
Rate for Payer: Aetna Commercial $200.97
Rate for Payer: Anthem Medicaid $30.86
Rate for Payer: Anthem Medicare Advantage/PPO $30.86
Rate for Payer: Anthem POS/PPO/Traditional $209.58
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $43.20
Rate for Payer: CareSource Just4Me Medicare $30.86
Rate for Payer: Cash Price $130.50
Rate for Payer: Cash Price $130.50
Rate for Payer: Cigna Commercial $216.63
Rate for Payer: First Health Commercial $247.95
Rate for Payer: Humana Commercial $221.85
Rate for Payer: Humana KY Medicaid $30.86
Rate for Payer: Humana Medicare Advantage $30.86
Rate for Payer: Kentucky WC Medicaid $31.17
Rate for Payer: Medical Mutual Of Ohio HMO $214.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $192.62
Rate for Payer: Molina Healthcare Benefit Exchange $37.03
Rate for Payer: Molina Healthcare Medicaid $31.48
Rate for Payer: Ohio Health Choice Commercial $229.68
Rate for Payer: Ohio Health Group HMO $195.75
Rate for Payer: Ohio Health Group PPO Differential $52.20
Rate for Payer: Ohio Health Group PPO No Differential $33.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $80.91
Rate for Payer: PHCS Commercial $250.56
Rate for Payer: United Healthcare All Payer $229.68
Service Code HCPCS 85397
Hospital Charge Code 30000606
Hospital Revenue Code 300
Min. Negotiated Rate $33.93
Max. Negotiated Rate $250.56
Rate for Payer: Aetna Commercial $200.97
Rate for Payer: Anthem POS/PPO/Traditional $209.58
Rate for Payer: Cash Price $130.50
Rate for Payer: Cigna Commercial $216.63
Rate for Payer: First Health Commercial $247.95
Rate for Payer: Humana Commercial $221.85
Rate for Payer: Medical Mutual Of Ohio HMO $214.02
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $192.62
Rate for Payer: Molina Healthcare Benefit Exchange $78.30
Rate for Payer: Ohio Health Choice Commercial $229.68
Rate for Payer: Ohio Health Group HMO $195.75
Rate for Payer: Ohio Health Group PPO Differential $52.20
Rate for Payer: Ohio Health Group PPO No Differential $33.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $80.91
Rate for Payer: PHCS Commercial $250.56
Rate for Payer: United Healthcare All Payer $229.68
Service Code HCPCS 80285
Hospital Charge Code 30001874
Hospital Revenue Code 310
Min. Negotiated Rate $27.11
Max. Negotiated Rate $497.28
Rate for Payer: Aetna Commercial $398.86
Rate for Payer: Anthem Medicaid $27.11
Rate for Payer: Anthem Medicare Advantage/PPO $27.11
Rate for Payer: Anthem POS/PPO/Traditional $415.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $37.95
Rate for Payer: CareSource Just4Me Medicare $27.11
Rate for Payer: Cash Price $259.00
Rate for Payer: Cash Price $259.00
Rate for Payer: Cigna Commercial $429.94
Rate for Payer: First Health Commercial $492.10
Rate for Payer: Humana Commercial $440.30
Rate for Payer: Humana KY Medicaid $27.11
Rate for Payer: Humana Medicare Advantage $27.11
Rate for Payer: Kentucky WC Medicaid $27.38
Rate for Payer: Medical Mutual Of Ohio HMO $424.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $382.28
Rate for Payer: Molina Healthcare Benefit Exchange $32.53
Rate for Payer: Molina Healthcare Medicaid $27.65
Rate for Payer: Ohio Health Choice Commercial $455.84
Rate for Payer: Ohio Health Group HMO $388.50
Rate for Payer: Ohio Health Group PPO Differential $103.60
Rate for Payer: Ohio Health Group PPO No Differential $67.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $160.58
Rate for Payer: PHCS Commercial $497.28
Rate for Payer: United Healthcare All Payer $455.84
Service Code HCPCS 80285
Hospital Charge Code 30001874
Hospital Revenue Code 310
Min. Negotiated Rate $67.34
Max. Negotiated Rate $497.28
Rate for Payer: Aetna Commercial $398.86
Rate for Payer: Anthem POS/PPO/Traditional $415.95
Rate for Payer: Cash Price $259.00
Rate for Payer: Cigna Commercial $429.94
Rate for Payer: First Health Commercial $492.10
Rate for Payer: Humana Commercial $440.30
Rate for Payer: Medical Mutual Of Ohio HMO $424.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $382.28
Rate for Payer: Molina Healthcare Benefit Exchange $155.40
Rate for Payer: Ohio Health Choice Commercial $455.84
Rate for Payer: Ohio Health Group HMO $388.50
Rate for Payer: Ohio Health Group PPO Differential $103.60
Rate for Payer: Ohio Health Group PPO No Differential $67.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $160.58
Rate for Payer: PHCS Commercial $497.28
Rate for Payer: United Healthcare All Payer $455.84
Service Code HCPCS 85247
Hospital Charge Code 30000582
Hospital Revenue Code 300
Min. Negotiated Rate $37.05
Max. Negotiated Rate $273.60
Rate for Payer: Aetna Commercial $219.45
Rate for Payer: Anthem POS/PPO/Traditional $228.86
Rate for Payer: Cash Price $142.50
Rate for Payer: Cigna Commercial $236.55
Rate for Payer: First Health Commercial $270.75
Rate for Payer: Humana Commercial $242.25
Rate for Payer: Medical Mutual Of Ohio HMO $233.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $210.33
Rate for Payer: Molina Healthcare Benefit Exchange $85.50
Rate for Payer: Ohio Health Choice Commercial $250.80
Rate for Payer: Ohio Health Group HMO $213.75
Rate for Payer: Ohio Health Group PPO Differential $57.00
Rate for Payer: Ohio Health Group PPO No Differential $37.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $88.35
Rate for Payer: PHCS Commercial $273.60
Rate for Payer: United Healthcare All Payer $250.80
Service Code HCPCS 85247
Hospital Charge Code 30000582
Hospital Revenue Code 300
Min. Negotiated Rate $22.94
Max. Negotiated Rate $273.60
Rate for Payer: Aetna Commercial $219.45
Rate for Payer: Anthem Medicaid $22.94
Rate for Payer: Anthem Medicare Advantage/PPO $22.94
Rate for Payer: Anthem POS/PPO/Traditional $228.86
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $32.12
Rate for Payer: CareSource Just4Me Medicare $22.94
Rate for Payer: Cash Price $142.50
Rate for Payer: Cash Price $142.50
Rate for Payer: Cigna Commercial $236.55
Rate for Payer: First Health Commercial $270.75
Rate for Payer: Humana Commercial $242.25
Rate for Payer: Humana KY Medicaid $22.94
Rate for Payer: Humana Medicare Advantage $22.94
Rate for Payer: Kentucky WC Medicaid $23.17
Rate for Payer: Medical Mutual Of Ohio HMO $233.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $210.33
Rate for Payer: Molina Healthcare Benefit Exchange $27.53
Rate for Payer: Molina Healthcare Medicaid $23.40
Rate for Payer: Ohio Health Choice Commercial $250.80
Rate for Payer: Ohio Health Group HMO $213.75
Rate for Payer: Ohio Health Group PPO Differential $57.00
Rate for Payer: Ohio Health Group PPO No Differential $37.05
Rate for Payer: Ohio Health Group PPO SOMC Employees $88.35
Rate for Payer: PHCS Commercial $273.60
Rate for Payer: United Healthcare All Payer $250.80
Service Code HCPCS 86787
Hospital Charge Code 30001218
Hospital Revenue Code 300
Min. Negotiated Rate $12.88
Max. Negotiated Rate $161.28
Rate for Payer: Aetna Commercial $129.36
Rate for Payer: Anthem Medicaid $12.88
Rate for Payer: Anthem Medicare Advantage/PPO $12.88
Rate for Payer: Anthem POS/PPO/Traditional $134.90
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.03
Rate for Payer: CareSource Just4Me Medicare $12.88
Rate for Payer: Cash Price $84.00
Rate for Payer: Cash Price $84.00
Rate for Payer: Cigna Commercial $139.44
Rate for Payer: First Health Commercial $159.60
Rate for Payer: Humana Commercial $142.80
Rate for Payer: Humana KY Medicaid $12.88
Rate for Payer: Humana Medicare Advantage $12.88
Rate for Payer: Kentucky WC Medicaid $13.01
Rate for Payer: Medical Mutual Of Ohio HMO $137.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $123.98
Rate for Payer: Molina Healthcare Benefit Exchange $15.46
Rate for Payer: Molina Healthcare Medicaid $13.14
Rate for Payer: Ohio Health Choice Commercial $147.84
Rate for Payer: Ohio Health Group HMO $126.00
Rate for Payer: Ohio Health Group PPO Differential $33.60
Rate for Payer: Ohio Health Group PPO No Differential $21.84
Rate for Payer: Ohio Health Group PPO SOMC Employees $52.08
Rate for Payer: PHCS Commercial $161.28
Rate for Payer: United Healthcare All Payer $147.84