Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS 87106
Hospital Charge Code 30001277
Hospital Revenue Code 306
Min. Negotiated Rate $18.98
Max. Negotiated Rate $140.16
Rate for Payer: Aetna Commercial $112.42
Rate for Payer: Anthem POS/PPO/Traditional $117.24
Rate for Payer: Cash Price $73.00
Rate for Payer: Cigna Commercial $121.18
Rate for Payer: First Health Commercial $138.70
Rate for Payer: Humana Commercial $124.10
Rate for Payer: Medical Mutual Of Ohio HMO $119.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $107.75
Rate for Payer: Molina Healthcare Benefit Exchange $43.80
Rate for Payer: Ohio Health Choice Commercial $128.48
Rate for Payer: Ohio Health Group HMO $109.50
Rate for Payer: Ohio Health Group PPO Differential $29.20
Rate for Payer: Ohio Health Group PPO No Differential $18.98
Rate for Payer: Ohio Health Group PPO SOMC Employees $45.26
Rate for Payer: PHCS Commercial $140.16
Rate for Payer: United Healthcare All Payer $128.48
Service Code HCPCS 87106
Hospital Charge Code 30001277
Hospital Revenue Code 306
Min. Negotiated Rate $10.32
Max. Negotiated Rate $140.16
Rate for Payer: Aetna Commercial $112.42
Rate for Payer: Anthem Medicaid $10.32
Rate for Payer: Anthem Medicare Advantage/PPO $10.32
Rate for Payer: Anthem POS/PPO/Traditional $117.24
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $14.45
Rate for Payer: CareSource Just4Me Medicare $10.32
Rate for Payer: Cash Price $73.00
Rate for Payer: Cash Price $73.00
Rate for Payer: Cigna Commercial $121.18
Rate for Payer: First Health Commercial $138.70
Rate for Payer: Humana Commercial $124.10
Rate for Payer: Humana KY Medicaid $10.32
Rate for Payer: Humana Medicare Advantage $10.32
Rate for Payer: Kentucky WC Medicaid $10.42
Rate for Payer: Medical Mutual Of Ohio HMO $119.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $107.75
Rate for Payer: Molina Healthcare Benefit Exchange $12.38
Rate for Payer: Molina Healthcare Medicaid $10.53
Rate for Payer: Ohio Health Choice Commercial $128.48
Rate for Payer: Ohio Health Group HMO $109.50
Rate for Payer: Ohio Health Group PPO Differential $29.20
Rate for Payer: Ohio Health Group PPO No Differential $18.98
Rate for Payer: Ohio Health Group PPO SOMC Employees $45.26
Rate for Payer: PHCS Commercial $140.16
Rate for Payer: United Healthcare All Payer $128.48
Service Code HCPCS 84630
Hospital Charge Code 30000558
Hospital Revenue Code 300
Min. Negotiated Rate $15.60
Max. Negotiated Rate $115.20
Rate for Payer: Aetna Commercial $92.40
Rate for Payer: Anthem POS/PPO/Traditional $96.36
Rate for Payer: Cash Price $60.00
Rate for Payer: Cigna Commercial $99.60
Rate for Payer: First Health Commercial $114.00
Rate for Payer: Humana Commercial $102.00
Rate for Payer: Medical Mutual Of Ohio HMO $98.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $88.56
Rate for Payer: Molina Healthcare Benefit Exchange $36.00
Rate for Payer: Ohio Health Choice Commercial $105.60
Rate for Payer: Ohio Health Group HMO $90.00
Rate for Payer: Ohio Health Group PPO Differential $24.00
Rate for Payer: Ohio Health Group PPO No Differential $15.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $37.20
Rate for Payer: PHCS Commercial $115.20
Rate for Payer: United Healthcare All Payer $105.60
Service Code HCPCS 84630
Hospital Charge Code 30000558
Hospital Revenue Code 300
Min. Negotiated Rate $11.39
Max. Negotiated Rate $115.20
Rate for Payer: Aetna Commercial $92.40
Rate for Payer: Anthem Medicaid $11.39
Rate for Payer: Anthem Medicare Advantage/PPO $11.39
Rate for Payer: Anthem POS/PPO/Traditional $96.36
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $15.95
Rate for Payer: CareSource Just4Me Medicare $11.39
Rate for Payer: Cash Price $60.00
Rate for Payer: Cash Price $60.00
Rate for Payer: Cigna Commercial $99.60
Rate for Payer: First Health Commercial $114.00
Rate for Payer: Humana Commercial $102.00
Rate for Payer: Humana KY Medicaid $11.39
Rate for Payer: Humana Medicare Advantage $11.39
Rate for Payer: Kentucky WC Medicaid $11.50
Rate for Payer: Medical Mutual Of Ohio HMO $98.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $88.56
Rate for Payer: Molina Healthcare Benefit Exchange $13.67
Rate for Payer: Molina Healthcare Medicaid $11.62
Rate for Payer: Ohio Health Choice Commercial $105.60
Rate for Payer: Ohio Health Group HMO $90.00
Rate for Payer: Ohio Health Group PPO Differential $24.00
Rate for Payer: Ohio Health Group PPO No Differential $15.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $37.20
Rate for Payer: PHCS Commercial $115.20
Rate for Payer: United Healthcare All Payer $105.60
Service Code HCPCS 84202
Hospital Charge Code 30000502
Hospital Revenue Code 300
Min. Negotiated Rate $16.90
Max. Negotiated Rate $124.80
Rate for Payer: Aetna Commercial $100.10
Rate for Payer: Anthem POS/PPO/Traditional $104.39
Rate for Payer: Cash Price $65.00
Rate for Payer: Cigna Commercial $107.90
Rate for Payer: First Health Commercial $123.50
Rate for Payer: Humana Commercial $110.50
Rate for Payer: Medical Mutual Of Ohio HMO $106.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $95.94
Rate for Payer: Molina Healthcare Benefit Exchange $39.00
Rate for Payer: Ohio Health Choice Commercial $114.40
Rate for Payer: Ohio Health Group HMO $97.50
Rate for Payer: Ohio Health Group PPO Differential $26.00
Rate for Payer: Ohio Health Group PPO No Differential $16.90
Rate for Payer: Ohio Health Group PPO SOMC Employees $40.30
Rate for Payer: PHCS Commercial $124.80
Rate for Payer: United Healthcare All Payer $114.40
Service Code HCPCS 84202
Hospital Charge Code 30000502
Hospital Revenue Code 300
Min. Negotiated Rate $14.35
Max. Negotiated Rate $124.80
Rate for Payer: Aetna Commercial $100.10
Rate for Payer: Anthem Medicaid $14.35
Rate for Payer: Anthem Medicare Advantage/PPO $14.35
Rate for Payer: Anthem POS/PPO/Traditional $104.39
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20.09
Rate for Payer: CareSource Just4Me Medicare $14.35
Rate for Payer: Cash Price $65.00
Rate for Payer: Cash Price $65.00
Rate for Payer: Cigna Commercial $107.90
Rate for Payer: First Health Commercial $123.50
Rate for Payer: Humana Commercial $110.50
Rate for Payer: Humana KY Medicaid $14.35
Rate for Payer: Humana Medicare Advantage $14.35
Rate for Payer: Kentucky WC Medicaid $14.49
Rate for Payer: Medical Mutual Of Ohio HMO $106.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $95.94
Rate for Payer: Molina Healthcare Benefit Exchange $17.22
Rate for Payer: Molina Healthcare Medicaid $14.64
Rate for Payer: Ohio Health Choice Commercial $114.40
Rate for Payer: Ohio Health Group HMO $97.50
Rate for Payer: Ohio Health Group PPO Differential $26.00
Rate for Payer: Ohio Health Group PPO No Differential $16.90
Rate for Payer: Ohio Health Group PPO SOMC Employees $40.30
Rate for Payer: PHCS Commercial $124.80
Rate for Payer: United Healthcare All Payer $114.40
Service Code HCPCS 80203
Hospital Charge Code 30000053
Hospital Revenue Code 300
Min. Negotiated Rate $28.34
Max. Negotiated Rate $209.28
Rate for Payer: Aetna Commercial $167.86
Rate for Payer: Anthem POS/PPO/Traditional $175.05
Rate for Payer: Cash Price $109.00
Rate for Payer: Cigna Commercial $180.94
Rate for Payer: First Health Commercial $207.10
Rate for Payer: Humana Commercial $185.30
Rate for Payer: Medical Mutual Of Ohio HMO $178.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $160.88
Rate for Payer: Molina Healthcare Benefit Exchange $65.40
Rate for Payer: Ohio Health Choice Commercial $191.84
Rate for Payer: Ohio Health Group HMO $163.50
Rate for Payer: Ohio Health Group PPO Differential $43.60
Rate for Payer: Ohio Health Group PPO No Differential $28.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $67.58
Rate for Payer: PHCS Commercial $209.28
Rate for Payer: United Healthcare All Payer $191.84
Service Code HCPCS 80203
Hospital Charge Code 30000053
Hospital Revenue Code 300
Min. Negotiated Rate $13.25
Max. Negotiated Rate $209.28
Rate for Payer: Aetna Commercial $167.86
Rate for Payer: Anthem Medicaid $13.25
Rate for Payer: Anthem Medicare Advantage/PPO $13.25
Rate for Payer: Anthem POS/PPO/Traditional $175.05
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18.55
Rate for Payer: CareSource Just4Me Medicare $13.25
Rate for Payer: Cash Price $109.00
Rate for Payer: Cash Price $109.00
Rate for Payer: Cigna Commercial $180.94
Rate for Payer: First Health Commercial $207.10
Rate for Payer: Humana Commercial $185.30
Rate for Payer: Humana KY Medicaid $13.25
Rate for Payer: Humana Medicare Advantage $13.25
Rate for Payer: Kentucky WC Medicaid $13.38
Rate for Payer: Medical Mutual Of Ohio HMO $178.76
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $160.88
Rate for Payer: Molina Healthcare Benefit Exchange $15.90
Rate for Payer: Molina Healthcare Medicaid $13.52
Rate for Payer: Ohio Health Choice Commercial $191.84
Rate for Payer: Ohio Health Group HMO $163.50
Rate for Payer: Ohio Health Group PPO Differential $43.60
Rate for Payer: Ohio Health Group PPO No Differential $28.34
Rate for Payer: Ohio Health Group PPO SOMC Employees $67.58
Rate for Payer: PHCS Commercial $209.28
Rate for Payer: United Healthcare All Payer $191.84
Service Code HCPCS 97535
Hospital Charge Code 43000024
Hospital Revenue Code 430
Min. Negotiated Rate $13.26
Max. Negotiated Rate $97.92
Rate for Payer: Aetna Commercial $78.54
Rate for Payer: Anthem POS/PPO/Traditional $79.56
Rate for Payer: Cash Price $51.00
Rate for Payer: Cigna Commercial $84.66
Rate for Payer: First Health Commercial $96.90
Rate for Payer: Humana Commercial $86.70
Rate for Payer: Medical Mutual Of Ohio HMO $83.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $75.28
Rate for Payer: Molina Healthcare Benefit Exchange $30.60
Rate for Payer: Ohio Health Choice Commercial $89.76
Rate for Payer: Ohio Health Group HMO $76.50
Rate for Payer: Ohio Health Group PPO Differential $20.40
Rate for Payer: Ohio Health Group PPO No Differential $13.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $31.62
Rate for Payer: PHCS Commercial $97.92
Rate for Payer: United Healthcare All Payer $89.76
Service Code HCPCS 97535
Hospital Charge Code 43000024
Hospital Revenue Code 430
Min. Negotiated Rate $13.26
Max. Negotiated Rate $97.92
Rate for Payer: Aetna Commercial $78.54
Rate for Payer: Anthem Medicaid $35.08
Rate for Payer: Anthem POS/PPO/Traditional $79.56
Rate for Payer: Cash Price $51.00
Rate for Payer: Cigna Commercial $84.66
Rate for Payer: First Health Commercial $96.90
Rate for Payer: Humana Commercial $86.70
Rate for Payer: Humana KY Medicaid $35.08
Rate for Payer: Kentucky WC Medicaid $35.43
Rate for Payer: Medical Mutual Of Ohio HMO $83.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $75.28
Rate for Payer: Molina Healthcare Benefit Exchange $30.60
Rate for Payer: Molina Healthcare Medicaid $35.78
Rate for Payer: Ohio Health Choice Commercial $89.76
Rate for Payer: Ohio Health Group HMO $76.50
Rate for Payer: Ohio Health Group PPO Differential $20.40
Rate for Payer: Ohio Health Group PPO No Differential $13.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $31.62
Rate for Payer: PHCS Commercial $97.92
Rate for Payer: United Healthcare All Payer $89.76
Service Code HCPCS 97537
Hospital Charge Code 43000025
Hospital Revenue Code 430
Min. Negotiated Rate $11.70
Max. Negotiated Rate $86.40
Rate for Payer: Aetna Commercial $69.30
Rate for Payer: Anthem POS/PPO/Traditional $70.20
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 97537
Hospital Charge Code 43000025
Hospital Revenue Code 430
Min. Negotiated Rate $11.70
Max. Negotiated Rate $86.40
Rate for Payer: Aetna Commercial $69.30
Rate for Payer: Anthem Medicaid $30.95
Rate for Payer: Anthem POS/PPO/Traditional $70.20
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 $30.95
Rate for Payer: Kentucky WC Medicaid $31.27
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: Molina Healthcare Medicaid $31.57
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 97167
Hospital Charge Code 43000021
Hospital Revenue Code 434
Min. Negotiated Rate $40.69
Max. Negotiated Rate $300.48
Rate for Payer: Aetna Commercial $241.01
Rate for Payer: Anthem POS/PPO/Traditional $244.14
Rate for Payer: Cash Price $156.50
Rate for Payer: Cigna Commercial $259.79
Rate for Payer: First Health Commercial $297.35
Rate for Payer: Humana Commercial $266.05
Rate for Payer: Medical Mutual Of Ohio HMO $256.66
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $230.99
Rate for Payer: Molina Healthcare Benefit Exchange $93.90
Rate for Payer: Ohio Health Choice Commercial $275.44
Rate for Payer: Ohio Health Group HMO $234.75
Rate for Payer: Ohio Health Group PPO Differential $62.60
Rate for Payer: Ohio Health Group PPO No Differential $40.69
Rate for Payer: Ohio Health Group PPO SOMC Employees $97.03
Rate for Payer: PHCS Commercial $300.48
Rate for Payer: United Healthcare All Payer $275.44
Service Code HCPCS 97167
Hospital Charge Code 43000021
Hospital Revenue Code 434
Min. Negotiated Rate $40.69
Max. Negotiated Rate $300.48
Rate for Payer: Aetna Commercial $241.01
Rate for Payer: Anthem Medicaid $107.64
Rate for Payer: Anthem POS/PPO/Traditional $244.14
Rate for Payer: Cash Price $156.50
Rate for Payer: Cigna Commercial $259.79
Rate for Payer: First Health Commercial $297.35
Rate for Payer: Humana Commercial $266.05
Rate for Payer: Humana KY Medicaid $107.64
Rate for Payer: Kentucky WC Medicaid $108.74
Rate for Payer: Medical Mutual Of Ohio HMO $256.66
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $230.99
Rate for Payer: Molina Healthcare Benefit Exchange $93.90
Rate for Payer: Molina Healthcare Medicaid $109.80
Rate for Payer: Ohio Health Choice Commercial $275.44
Rate for Payer: Ohio Health Group HMO $234.75
Rate for Payer: Ohio Health Group PPO Differential $62.60
Rate for Payer: Ohio Health Group PPO No Differential $40.69
Rate for Payer: Ohio Health Group PPO SOMC Employees $97.03
Rate for Payer: PHCS Commercial $300.48
Rate for Payer: United Healthcare All Payer $275.44
Service Code HCPCS 97165
Hospital Charge Code 43000019
Hospital Revenue Code 434
Min. Negotiated Rate $38.48
Max. Negotiated Rate $284.16
Rate for Payer: Aetna Commercial $227.92
Rate for Payer: Anthem Medicaid $101.79
Rate for Payer: Anthem POS/PPO/Traditional $230.88
Rate for Payer: Cash Price $148.00
Rate for Payer: Cigna Commercial $245.68
Rate for Payer: First Health Commercial $281.20
Rate for Payer: Humana Commercial $251.60
Rate for Payer: Humana KY Medicaid $101.79
Rate for Payer: Kentucky WC Medicaid $102.83
Rate for Payer: Medical Mutual Of Ohio HMO $242.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $218.45
Rate for Payer: Molina Healthcare Benefit Exchange $88.80
Rate for Payer: Molina Healthcare Medicaid $103.84
Rate for Payer: Ohio Health Choice Commercial $260.48
Rate for Payer: Ohio Health Group HMO $222.00
Rate for Payer: Ohio Health Group PPO Differential $59.20
Rate for Payer: Ohio Health Group PPO No Differential $38.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $91.76
Rate for Payer: PHCS Commercial $284.16
Rate for Payer: United Healthcare All Payer $260.48
Service Code HCPCS 97165
Hospital Charge Code 43000019
Hospital Revenue Code 434
Min. Negotiated Rate $38.48
Max. Negotiated Rate $284.16
Rate for Payer: Aetna Commercial $227.92
Rate for Payer: Anthem POS/PPO/Traditional $230.88
Rate for Payer: Cash Price $148.00
Rate for Payer: Cigna Commercial $245.68
Rate for Payer: First Health Commercial $281.20
Rate for Payer: Humana Commercial $251.60
Rate for Payer: Medical Mutual Of Ohio HMO $242.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $218.45
Rate for Payer: Molina Healthcare Benefit Exchange $88.80
Rate for Payer: Ohio Health Choice Commercial $260.48
Rate for Payer: Ohio Health Group HMO $222.00
Rate for Payer: Ohio Health Group PPO Differential $59.20
Rate for Payer: Ohio Health Group PPO No Differential $38.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $91.76
Rate for Payer: PHCS Commercial $284.16
Rate for Payer: United Healthcare All Payer $260.48
Service Code HCPCS 97166
Hospital Charge Code 43000020
Hospital Revenue Code 434
Min. Negotiated Rate $39.26
Max. Negotiated Rate $289.92
Rate for Payer: Aetna Commercial $232.54
Rate for Payer: Anthem Medicaid $103.86
Rate for Payer: Anthem POS/PPO/Traditional $235.56
Rate for Payer: Cash Price $151.00
Rate for Payer: Cigna Commercial $250.66
Rate for Payer: First Health Commercial $286.90
Rate for Payer: Humana Commercial $256.70
Rate for Payer: Humana KY Medicaid $103.86
Rate for Payer: Kentucky WC Medicaid $104.91
Rate for Payer: Medical Mutual Of Ohio HMO $247.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $222.88
Rate for Payer: Molina Healthcare Benefit Exchange $90.60
Rate for Payer: Molina Healthcare Medicaid $105.94
Rate for Payer: Ohio Health Choice Commercial $265.76
Rate for Payer: Ohio Health Group HMO $226.50
Rate for Payer: Ohio Health Group PPO Differential $60.40
Rate for Payer: Ohio Health Group PPO No Differential $39.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $93.62
Rate for Payer: PHCS Commercial $289.92
Rate for Payer: United Healthcare All Payer $265.76
Service Code HCPCS 97166
Hospital Charge Code 43000020
Hospital Revenue Code 434
Min. Negotiated Rate $39.26
Max. Negotiated Rate $289.92
Rate for Payer: Aetna Commercial $232.54
Rate for Payer: Anthem POS/PPO/Traditional $235.56
Rate for Payer: Cash Price $151.00
Rate for Payer: Cigna Commercial $250.66
Rate for Payer: First Health Commercial $286.90
Rate for Payer: Humana Commercial $256.70
Rate for Payer: Medical Mutual Of Ohio HMO $247.64
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $222.88
Rate for Payer: Molina Healthcare Benefit Exchange $90.60
Rate for Payer: Ohio Health Choice Commercial $265.76
Rate for Payer: Ohio Health Group HMO $226.50
Rate for Payer: Ohio Health Group PPO Differential $60.40
Rate for Payer: Ohio Health Group PPO No Differential $39.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $93.62
Rate for Payer: PHCS Commercial $289.92
Rate for Payer: United Healthcare All Payer $265.76
Service Code MSDRG 818
Min. Negotiated Rate $11,360.17
Max. Negotiated Rate $16,741.30
Rate for Payer: Anthem Medicaid $11,360.17
Rate for Payer: Anthem Medicare Advantage/PPO $11,958.07
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16,741.30
Rate for Payer: CareSource Just4Me Medicare $16,143.39
Rate for Payer: Humana KY Medicaid $11,360.17
Rate for Payer: Humana Medicare Advantage $11,958.07
Rate for Payer: Kentucky WC Medicaid $11,473.77
Rate for Payer: Molina Healthcare Benefit Exchange $14,349.68
Rate for Payer: Molina Healthcare Medicaid $11,587.37
Service Code MSDRG 817
Min. Negotiated Rate $22,359.94
Max. Negotiated Rate $32,951.49
Rate for Payer: Anthem Medicaid $22,359.94
Rate for Payer: Anthem Medicare Advantage/PPO $23,536.78
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $32,951.49
Rate for Payer: CareSource Just4Me Medicare $31,774.65
Rate for Payer: Humana KY Medicaid $22,359.94
Rate for Payer: Humana Medicare Advantage $23,536.78
Rate for Payer: Kentucky WC Medicaid $22,583.54
Rate for Payer: Molina Healthcare Benefit Exchange $28,244.14
Rate for Payer: Molina Healthcare Medicaid $22,807.14
Service Code MSDRG 819
Min. Negotiated Rate $7,201.41
Max. Negotiated Rate $10,612.60
Rate for Payer: Anthem Medicaid $7,201.41
Rate for Payer: Anthem Medicare Advantage/PPO $7,580.43
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $10,612.60
Rate for Payer: CareSource Just4Me Medicare $10,233.58
Rate for Payer: Humana KY Medicaid $7,201.41
Rate for Payer: Humana Medicare Advantage $7,580.43
Rate for Payer: Kentucky WC Medicaid $7,273.42
Rate for Payer: Molina Healthcare Benefit Exchange $9,096.52
Rate for Payer: Molina Healthcare Medicaid $7,345.44
Service Code MSDRG 832
Min. Negotiated Rate $5,855.90
Max. Negotiated Rate $8,629.75
Rate for Payer: Anthem Medicaid $5,855.90
Rate for Payer: Anthem Medicare Advantage/PPO $6,164.11
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $8,629.75
Rate for Payer: CareSource Just4Me Medicare $8,321.55
Rate for Payer: Humana KY Medicaid $5,855.90
Rate for Payer: Humana Medicare Advantage $6,164.11
Rate for Payer: Kentucky WC Medicaid $5,914.46
Rate for Payer: Molina Healthcare Benefit Exchange $7,396.93
Rate for Payer: Molina Healthcare Medicaid $5,973.02
Service Code MSDRG 831
Min. Negotiated Rate $8,535.81
Max. Negotiated Rate $12,579.08
Rate for Payer: Anthem Medicaid $8,535.81
Rate for Payer: Anthem Medicare Advantage/PPO $8,985.06
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $12,579.08
Rate for Payer: CareSource Just4Me Medicare $12,129.83
Rate for Payer: Humana KY Medicaid $8,535.81
Rate for Payer: Humana Medicare Advantage $8,985.06
Rate for Payer: Kentucky WC Medicaid $8,621.17
Rate for Payer: Molina Healthcare Benefit Exchange $10,782.07
Rate for Payer: Molina Healthcare Medicaid $8,706.52
Service Code MSDRG 833
Min. Negotiated Rate $4,062.69
Max. Negotiated Rate $5,987.13
Rate for Payer: Anthem Medicaid $4,062.69
Rate for Payer: Anthem Medicare Advantage/PPO $4,276.52
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $5,987.13
Rate for Payer: CareSource Just4Me Medicare $5,773.30
Rate for Payer: Humana KY Medicaid $4,062.69
Rate for Payer: Humana Medicare Advantage $4,276.52
Rate for Payer: Kentucky WC Medicaid $4,103.32
Rate for Payer: Molina Healthcare Benefit Exchange $5,131.82
Rate for Payer: Molina Healthcare Medicaid $4,143.95
Service Code MSDRG 228
Min. Negotiated Rate $39,997.55
Max. Negotiated Rate $58,943.75
Rate for Payer: Anthem Medicaid $39,997.55
Rate for Payer: Anthem Medicare Advantage/PPO $42,102.68
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $58,943.75
Rate for Payer: CareSource Just4Me Medicare $56,838.62
Rate for Payer: Humana KY Medicaid $39,997.55
Rate for Payer: Humana Medicare Advantage $42,102.68
Rate for Payer: Kentucky WC Medicaid $40,397.52
Rate for Payer: Molina Healthcare Benefit Exchange $50,523.22
Rate for Payer: Molina Healthcare Medicaid $40,797.50