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Service Code HCPCS 86787
Hospital Charge Code 30001218
Hospital Revenue Code 300
Min. Negotiated Rate $21.84
Max. Negotiated Rate $161.28
Rate for Payer: Aetna Commercial $129.36
Rate for Payer: Anthem POS/PPO/Traditional $134.90
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: 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 $50.40
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
Service Code HCPCS 86003
Hospital Charge Code 30000793
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 30000793
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 30000791
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 30000791
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 30000684
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 30000684
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 86654
Hospital Charge Code 30001150
Hospital Revenue Code 300
Min. Negotiated Rate $15.34
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $35.40
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 86654
Hospital Charge Code 30001150
Hospital Revenue Code 300
Min. Negotiated Rate $13.19
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem Medicaid $13.19
Rate for Payer: Anthem Medicare Advantage/PPO $13.19
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.47
Rate for Payer: CareSource Just4Me Medicare $13.19
Rate for Payer: Cash Price $59.00
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Humana KY Medicaid $13.19
Rate for Payer: Humana Medicare Advantage $13.19
Rate for Payer: Kentucky WC Medicaid $13.32
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $15.83
Rate for Payer: Molina Healthcare Medicaid $13.45
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 86654
Hospital Charge Code 30001149
Hospital Revenue Code 300
Min. Negotiated Rate $15.34
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $35.40
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 86654
Hospital Charge Code 30001149
Hospital Revenue Code 300
Min. Negotiated Rate $13.19
Max. Negotiated Rate $113.28
Rate for Payer: Aetna Commercial $90.86
Rate for Payer: Anthem Medicaid $13.19
Rate for Payer: Anthem Medicare Advantage/PPO $13.19
Rate for Payer: Anthem POS/PPO/Traditional $94.75
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.47
Rate for Payer: CareSource Just4Me Medicare $13.19
Rate for Payer: Cash Price $59.00
Rate for Payer: Cash Price $59.00
Rate for Payer: Cigna Commercial $97.94
Rate for Payer: First Health Commercial $112.10
Rate for Payer: Humana Commercial $100.30
Rate for Payer: Humana KY Medicaid $13.19
Rate for Payer: Humana Medicare Advantage $13.19
Rate for Payer: Kentucky WC Medicaid $13.32
Rate for Payer: Medical Mutual Of Ohio HMO $96.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $87.08
Rate for Payer: Molina Healthcare Benefit Exchange $15.83
Rate for Payer: Molina Healthcare Medicaid $13.45
Rate for Payer: Ohio Health Choice Commercial $103.84
Rate for Payer: Ohio Health Group HMO $88.50
Rate for Payer: Ohio Health Group PPO Differential $23.60
Rate for Payer: Ohio Health Group PPO No Differential $15.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.58
Rate for Payer: PHCS Commercial $113.28
Rate for Payer: United Healthcare All Payer $103.84
Service Code HCPCS 84181
Hospital Charge Code 30000498
Hospital Revenue Code 300
Min. Negotiated Rate $12.61
Max. Negotiated Rate $93.12
Rate for Payer: Aetna Commercial $74.69
Rate for Payer: Anthem POS/PPO/Traditional $77.89
Rate for Payer: Cash Price $48.50
Rate for Payer: Cigna Commercial $80.51
Rate for Payer: First Health Commercial $92.15
Rate for Payer: Humana Commercial $82.45
Rate for Payer: Medical Mutual Of Ohio HMO $79.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $71.59
Rate for Payer: Molina Healthcare Benefit Exchange $29.10
Rate for Payer: Ohio Health Choice Commercial $85.36
Rate for Payer: Ohio Health Group HMO $72.75
Rate for Payer: Ohio Health Group PPO Differential $19.40
Rate for Payer: Ohio Health Group PPO No Differential $12.61
Rate for Payer: Ohio Health Group PPO SOMC Employees $30.07
Rate for Payer: PHCS Commercial $93.12
Rate for Payer: United Healthcare All Payer $85.36
Service Code HCPCS 84181
Hospital Charge Code 30000498
Hospital Revenue Code 300
Min. Negotiated Rate $12.61
Max. Negotiated Rate $93.12
Rate for Payer: Aetna Commercial $74.69
Rate for Payer: Anthem Medicaid $17.03
Rate for Payer: Anthem Medicare Advantage/PPO $17.03
Rate for Payer: Anthem POS/PPO/Traditional $77.89
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $23.84
Rate for Payer: CareSource Just4Me Medicare $17.03
Rate for Payer: Cash Price $48.50
Rate for Payer: Cash Price $48.50
Rate for Payer: Cigna Commercial $80.51
Rate for Payer: First Health Commercial $92.15
Rate for Payer: Humana Commercial $82.45
Rate for Payer: Humana KY Medicaid $17.03
Rate for Payer: Humana Medicare Advantage $17.03
Rate for Payer: Kentucky WC Medicaid $17.20
Rate for Payer: Medical Mutual Of Ohio HMO $79.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $71.59
Rate for Payer: Molina Healthcare Benefit Exchange $20.44
Rate for Payer: Molina Healthcare Medicaid $17.37
Rate for Payer: Ohio Health Choice Commercial $85.36
Rate for Payer: Ohio Health Group HMO $72.75
Rate for Payer: Ohio Health Group PPO Differential $19.40
Rate for Payer: Ohio Health Group PPO No Differential $12.61
Rate for Payer: Ohio Health Group PPO SOMC Employees $30.07
Rate for Payer: PHCS Commercial $93.12
Rate for Payer: United Healthcare All Payer $85.36
Service Code HCPCS 86789
Hospital Charge Code 30001220
Hospital Revenue Code 300
Min. Negotiated Rate $15.21
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $35.10
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86789
Hospital Charge Code 30001220
Hospital Revenue Code 300
Min. Negotiated Rate $14.39
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem Medicaid $14.39
Rate for Payer: Anthem Medicare Advantage/PPO $14.39
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.15
Rate for Payer: CareSource Just4Me Medicare $14.39
Rate for Payer: Cash Price $58.50
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Humana KY Medicaid $14.39
Rate for Payer: Humana Medicare Advantage $14.39
Rate for Payer: Kentucky WC Medicaid $14.53
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $17.27
Rate for Payer: Molina Healthcare Medicaid $14.68
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86788
Hospital Charge Code 30001219
Hospital Revenue Code 300
Min. Negotiated Rate $15.21
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem Medicaid $16.85
Rate for Payer: Anthem Medicare Advantage/PPO $16.85
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $23.59
Rate for Payer: CareSource Just4Me Medicare $16.85
Rate for Payer: Cash Price $58.50
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Humana KY Medicaid $16.85
Rate for Payer: Humana Medicare Advantage $16.85
Rate for Payer: Kentucky WC Medicaid $17.02
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $20.22
Rate for Payer: Molina Healthcare Medicaid $17.19
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86788
Hospital Charge Code 30001219
Hospital Revenue Code 300
Min. Negotiated Rate $15.21
Max. Negotiated Rate $112.32
Rate for Payer: Aetna Commercial $90.09
Rate for Payer: Anthem POS/PPO/Traditional $93.95
Rate for Payer: Cash Price $58.50
Rate for Payer: Cigna Commercial $97.11
Rate for Payer: First Health Commercial $111.15
Rate for Payer: Humana Commercial $99.45
Rate for Payer: Medical Mutual Of Ohio HMO $95.94
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $86.35
Rate for Payer: Molina Healthcare Benefit Exchange $35.10
Rate for Payer: Ohio Health Choice Commercial $102.96
Rate for Payer: Ohio Health Group HMO $87.75
Rate for Payer: Ohio Health Group PPO Differential $23.40
Rate for Payer: Ohio Health Group PPO No Differential $15.21
Rate for Payer: Ohio Health Group PPO SOMC Employees $36.27
Rate for Payer: PHCS Commercial $112.32
Rate for Payer: United Healthcare All Payer $102.96
Service Code HCPCS 86003
Hospital Charge Code 30000746
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 30000746
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 30000790
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 30000790
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 30000861
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 30000861
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 30000834
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 30000834
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