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Charge Type Setting Price  
Service Code MSDRG 229
Min. Negotiated Rate $25,239.89
Max. Negotiated Rate $37,195.63
Rate for Payer: Anthem Medicaid $25,239.89
Rate for Payer: Anthem Medicare Advantage/PPO $26,568.31
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $37,195.63
Rate for Payer: CareSource Just4Me Medicare $35,867.22
Rate for Payer: Humana KY Medicaid $25,239.89
Rate for Payer: Humana Medicare Advantage $26,568.31
Rate for Payer: Kentucky WC Medicaid $25,492.29
Rate for Payer: Molina Healthcare Benefit Exchange $31,881.97
Rate for Payer: Molina Healthcare Medicaid $25,744.69
Service Code MSDRG 315
Min. Negotiated Rate $7,678.50
Max. Negotiated Rate $11,315.68
Rate for Payer: Anthem Medicaid $7,678.50
Rate for Payer: Anthem Medicare Advantage/PPO $8,082.63
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $11,315.68
Rate for Payer: CareSource Just4Me Medicare $10,911.55
Rate for Payer: Humana KY Medicaid $7,678.50
Rate for Payer: Humana Medicare Advantage $8,082.63
Rate for Payer: Kentucky WC Medicaid $7,755.28
Rate for Payer: Molina Healthcare Benefit Exchange $9,699.16
Rate for Payer: Molina Healthcare Medicaid $7,832.07
Service Code MSDRG 314
Min. Negotiated Rate $16,618.35
Max. Negotiated Rate $24,490.20
Rate for Payer: Anthem Medicaid $16,618.35
Rate for Payer: Anthem Medicare Advantage/PPO $17,493.00
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $24,490.20
Rate for Payer: CareSource Just4Me Medicare $23,615.55
Rate for Payer: Humana KY Medicaid $16,618.35
Rate for Payer: Humana Medicare Advantage $17,493.00
Rate for Payer: Kentucky WC Medicaid $16,784.53
Rate for Payer: Molina Healthcare Benefit Exchange $20,991.60
Rate for Payer: Molina Healthcare Medicaid $16,950.72
Service Code MSDRG 316
Min. Negotiated Rate $5,498.69
Max. Negotiated Rate $8,103.33
Rate for Payer: Anthem Medicaid $5,498.69
Rate for Payer: Anthem Medicare Advantage/PPO $5,788.09
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $8,103.33
Rate for Payer: CareSource Just4Me Medicare $7,813.92
Rate for Payer: Humana KY Medicaid $5,498.69
Rate for Payer: Humana Medicare Advantage $5,788.09
Rate for Payer: Kentucky WC Medicaid $5,553.67
Rate for Payer: Molina Healthcare Benefit Exchange $6,945.71
Rate for Payer: Molina Healthcare Medicaid $5,608.66
Service Code MSDRG 264
Min. Negotiated Rate $25,925.74
Max. Negotiated Rate $38,206.35
Rate for Payer: Anthem Medicaid $25,925.74
Rate for Payer: Anthem Medicare Advantage/PPO $27,290.25
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $38,206.35
Rate for Payer: CareSource Just4Me Medicare $36,841.84
Rate for Payer: Humana KY Medicaid $25,925.74
Rate for Payer: Humana Medicare Advantage $27,290.25
Rate for Payer: Kentucky WC Medicaid $26,184.99
Rate for Payer: Molina Healthcare Benefit Exchange $32,748.30
Rate for Payer: Molina Healthcare Medicaid $26,444.25
Service Code MSDRG 394
Min. Negotiated Rate $7,437.18
Max. Negotiated Rate $10,960.05
Rate for Payer: Anthem Medicaid $7,437.18
Rate for Payer: Anthem Medicare Advantage/PPO $7,828.61
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $10,960.05
Rate for Payer: CareSource Just4Me Medicare $10,568.62
Rate for Payer: Humana KY Medicaid $7,437.18
Rate for Payer: Humana Medicare Advantage $7,828.61
Rate for Payer: Kentucky WC Medicaid $7,511.55
Rate for Payer: Molina Healthcare Benefit Exchange $9,394.33
Rate for Payer: Molina Healthcare Medicaid $7,585.92
Service Code MSDRG 393
Min. Negotiated Rate $12,856.50
Max. Negotiated Rate $18,946.42
Rate for Payer: Anthem Medicaid $12,856.50
Rate for Payer: Anthem Medicare Advantage/PPO $13,533.16
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $18,946.42
Rate for Payer: CareSource Just4Me Medicare $18,269.77
Rate for Payer: Humana KY Medicaid $12,856.50
Rate for Payer: Humana Medicare Advantage $13,533.16
Rate for Payer: Kentucky WC Medicaid $12,985.07
Rate for Payer: Molina Healthcare Benefit Exchange $16,239.79
Rate for Payer: Molina Healthcare Medicaid $13,113.63
Service Code MSDRG 395
Min. Negotiated Rate $5,139.89
Max. Negotiated Rate $7,574.57
Rate for Payer: Anthem Medicaid $5,139.89
Rate for Payer: Anthem Medicare Advantage/PPO $5,410.41
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7,574.57
Rate for Payer: CareSource Just4Me Medicare $7,304.05
Rate for Payer: Humana KY Medicaid $5,139.89
Rate for Payer: Humana Medicare Advantage $5,410.41
Rate for Payer: Kentucky WC Medicaid $5,191.29
Rate for Payer: Molina Healthcare Benefit Exchange $6,492.49
Rate for Payer: Molina Healthcare Medicaid $5,242.69
Service Code MSDRG 357
Min. Negotiated Rate $17,438.35
Max. Negotiated Rate $25,698.62
Rate for Payer: Anthem Medicaid $17,438.35
Rate for Payer: Anthem Medicare Advantage/PPO $18,356.16
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25,698.62
Rate for Payer: CareSource Just4Me Medicare $24,780.82
Rate for Payer: Humana KY Medicaid $17,438.35
Rate for Payer: Humana Medicare Advantage $18,356.16
Rate for Payer: Kentucky WC Medicaid $17,612.74
Rate for Payer: Molina Healthcare Benefit Exchange $22,027.39
Rate for Payer: Molina Healthcare Medicaid $17,787.12
Service Code MSDRG 356
Min. Negotiated Rate $33,964.62
Max. Negotiated Rate $50,053.12
Rate for Payer: Anthem Medicaid $33,964.62
Rate for Payer: Anthem Medicare Advantage/PPO $35,752.23
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $50,053.12
Rate for Payer: CareSource Just4Me Medicare $48,265.51
Rate for Payer: Humana KY Medicaid $33,964.62
Rate for Payer: Humana Medicare Advantage $35,752.23
Rate for Payer: Kentucky WC Medicaid $34,304.26
Rate for Payer: Molina Healthcare Benefit Exchange $42,902.68
Rate for Payer: Molina Healthcare Medicaid $34,643.91
Service Code MSDRG 358
Min. Negotiated Rate $10,169.46
Max. Negotiated Rate $14,986.57
Rate for Payer: Anthem Medicaid $10,169.46
Rate for Payer: Anthem Medicare Advantage/PPO $10,704.69
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $14,986.57
Rate for Payer: CareSource Just4Me Medicare $14,451.33
Rate for Payer: Humana KY Medicaid $10,169.46
Rate for Payer: Humana Medicare Advantage $10,704.69
Rate for Payer: Kentucky WC Medicaid $10,271.15
Rate for Payer: Molina Healthcare Benefit Exchange $12,845.63
Rate for Payer: Molina Healthcare Medicaid $10,372.84
Service Code MSDRG 092
Min. Negotiated Rate $8,145.25
Max. Negotiated Rate $12,003.53
Rate for Payer: Anthem Medicaid $8,145.25
Rate for Payer: Anthem Medicare Advantage/PPO $8,573.95
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $12,003.53
Rate for Payer: CareSource Just4Me Medicare $11,574.83
Rate for Payer: Humana KY Medicaid $8,145.25
Rate for Payer: Humana Medicare Advantage $8,573.95
Rate for Payer: Kentucky WC Medicaid $8,226.71
Rate for Payer: Molina Healthcare Benefit Exchange $10,288.74
Rate for Payer: Molina Healthcare Medicaid $8,308.16
Service Code MSDRG 091
Min. Negotiated Rate $14,202.79
Max. Negotiated Rate $20,930.43
Rate for Payer: Anthem Medicaid $14,202.79
Rate for Payer: Anthem Medicare Advantage/PPO $14,950.31
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20,930.43
Rate for Payer: CareSource Just4Me Medicare $20,182.92
Rate for Payer: Humana KY Medicaid $14,202.79
Rate for Payer: Humana Medicare Advantage $14,950.31
Rate for Payer: Kentucky WC Medicaid $14,344.82
Rate for Payer: Molina Healthcare Benefit Exchange $17,940.37
Rate for Payer: Molina Healthcare Medicaid $14,486.85
Service Code MSDRG 093
Min. Negotiated Rate $6,147.24
Max. Negotiated Rate $9,059.09
Rate for Payer: Anthem Medicaid $6,147.24
Rate for Payer: Anthem Medicare Advantage/PPO $6,470.78
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $9,059.09
Rate for Payer: CareSource Just4Me Medicare $8,735.55
Rate for Payer: Humana KY Medicaid $6,147.24
Rate for Payer: Humana Medicare Advantage $6,470.78
Rate for Payer: Kentucky WC Medicaid $6,208.71
Rate for Payer: Molina Healthcare Benefit Exchange $7,764.94
Rate for Payer: Molina Healthcare Medicaid $6,270.19
Service Code MSDRG 124
Min. Negotiated Rate $10,493.35
Max. Negotiated Rate $15,463.88
Rate for Payer: Anthem Medicaid $10,493.35
Rate for Payer: Anthem Medicare Advantage/PPO $11,045.63
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $15,463.88
Rate for Payer: CareSource Just4Me Medicare $14,911.60
Rate for Payer: Humana KY Medicaid $10,493.35
Rate for Payer: Humana Medicare Advantage $11,045.63
Rate for Payer: Kentucky WC Medicaid $10,598.28
Rate for Payer: Molina Healthcare Benefit Exchange $13,254.76
Rate for Payer: Molina Healthcare Medicaid $10,703.22
Service Code MSDRG 125
Min. Negotiated Rate $6,330.62
Max. Negotiated Rate $9,329.33
Rate for Payer: Anthem Medicaid $6,330.62
Rate for Payer: Anthem Medicare Advantage/PPO $6,663.81
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $9,329.33
Rate for Payer: CareSource Just4Me Medicare $8,996.14
Rate for Payer: Humana KY Medicaid $6,330.62
Rate for Payer: Humana Medicare Advantage $6,663.81
Rate for Payer: Kentucky WC Medicaid $6,393.93
Rate for Payer: Molina Healthcare Benefit Exchange $7,996.57
Rate for Payer: Molina Healthcare Medicaid $6,457.23
Service Code MSDRG 155
Min. Negotiated Rate $7,514.18
Max. Negotiated Rate $11,073.52
Rate for Payer: Anthem Medicaid $7,514.18
Rate for Payer: Anthem Medicare Advantage/PPO $7,909.66
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $11,073.52
Rate for Payer: CareSource Just4Me Medicare $10,678.04
Rate for Payer: Humana KY Medicaid $7,514.18
Rate for Payer: Humana Medicare Advantage $7,909.66
Rate for Payer: Kentucky WC Medicaid $7,589.32
Rate for Payer: Molina Healthcare Benefit Exchange $9,491.59
Rate for Payer: Molina Healthcare Medicaid $7,664.46
Service Code MSDRG 154
Min. Negotiated Rate $12,210.33
Max. Negotiated Rate $17,994.17
Rate for Payer: Anthem Medicaid $12,210.33
Rate for Payer: Anthem Medicare Advantage/PPO $12,852.98
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17,994.17
Rate for Payer: CareSource Just4Me Medicare $17,351.52
Rate for Payer: Humana KY Medicaid $12,210.33
Rate for Payer: Humana Medicare Advantage $12,852.98
Rate for Payer: Kentucky WC Medicaid $12,332.43
Rate for Payer: Molina Healthcare Benefit Exchange $15,423.58
Rate for Payer: Molina Healthcare Medicaid $12,454.54
Service Code MSDRG 156
Min. Negotiated Rate $5,203.41
Max. Negotiated Rate $7,668.18
Rate for Payer: Anthem Medicaid $5,203.41
Rate for Payer: Anthem Medicare Advantage/PPO $5,477.27
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $7,668.18
Rate for Payer: CareSource Just4Me Medicare $7,394.31
Rate for Payer: Humana KY Medicaid $5,203.41
Rate for Payer: Humana Medicare Advantage $5,477.27
Rate for Payer: Kentucky WC Medicaid $5,255.44
Rate for Payer: Molina Healthcare Benefit Exchange $6,572.72
Rate for Payer: Molina Healthcare Medicaid $5,307.47
Service Code MSDRG 144
Min. Negotiated Rate $13,736.83
Max. Negotiated Rate $20,243.75
Rate for Payer: Anthem Medicaid $13,736.83
Rate for Payer: Anthem Medicare Advantage/PPO $14,459.82
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20,243.75
Rate for Payer: CareSource Just4Me Medicare $19,520.76
Rate for Payer: Humana KY Medicaid $13,736.83
Rate for Payer: Humana Medicare Advantage $14,459.82
Rate for Payer: Kentucky WC Medicaid $13,874.20
Rate for Payer: Molina Healthcare Benefit Exchange $17,351.78
Rate for Payer: Molina Healthcare Medicaid $14,011.57
Service Code MSDRG 143
Min. Negotiated Rate $26,398.86
Max. Negotiated Rate $38,903.58
Rate for Payer: Anthem Medicaid $26,398.86
Rate for Payer: Anthem Medicare Advantage/PPO $27,788.27
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $38,903.58
Rate for Payer: CareSource Just4Me Medicare $37,514.16
Rate for Payer: Humana KY Medicaid $26,398.86
Rate for Payer: Humana Medicare Advantage $27,788.27
Rate for Payer: Kentucky WC Medicaid $26,662.85
Rate for Payer: Molina Healthcare Benefit Exchange $33,345.92
Rate for Payer: Molina Healthcare Medicaid $26,926.83
Service Code MSDRG 145
Min. Negotiated Rate $9,693.17
Max. Negotiated Rate $14,284.68
Rate for Payer: Anthem Medicaid $9,693.17
Rate for Payer: Anthem Medicare Advantage/PPO $10,203.34
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $14,284.68
Rate for Payer: CareSource Just4Me Medicare $13,774.51
Rate for Payer: Humana KY Medicaid $9,693.17
Rate for Payer: Humana Medicare Advantage $10,203.34
Rate for Payer: Kentucky WC Medicaid $9,790.10
Rate for Payer: Molina Healthcare Benefit Exchange $12,244.01
Rate for Payer: Molina Healthcare Medicaid $9,887.04
Service Code MSDRG 629
Min. Negotiated Rate $17,962.27
Max. Negotiated Rate $26,470.71
Rate for Payer: Anthem Medicaid $17,962.27
Rate for Payer: Anthem Medicare Advantage/PPO $18,907.65
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $26,470.71
Rate for Payer: CareSource Just4Me Medicare $25,525.33
Rate for Payer: Humana KY Medicaid $17,962.27
Rate for Payer: Humana Medicare Advantage $18,907.65
Rate for Payer: Kentucky WC Medicaid $18,141.89
Rate for Payer: Molina Healthcare Benefit Exchange $22,689.18
Rate for Payer: Molina Healthcare Medicaid $18,321.51
Service Code MSDRG 628
Min. Negotiated Rate $31,867.38
Max. Negotiated Rate $46,962.45
Rate for Payer: Anthem Medicaid $31,867.38
Rate for Payer: Anthem Medicare Advantage/PPO $33,544.61
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $46,962.45
Rate for Payer: CareSource Just4Me Medicare $45,285.22
Rate for Payer: Humana KY Medicaid $31,867.38
Rate for Payer: Humana Medicare Advantage $33,544.61
Rate for Payer: Kentucky WC Medicaid $32,186.05
Rate for Payer: Molina Healthcare Benefit Exchange $40,253.53
Rate for Payer: Molina Healthcare Medicaid $32,504.73
Service Code MSDRG 630
Min. Negotiated Rate $11,083.93
Max. Negotiated Rate $16,334.21
Rate for Payer: Anthem Medicaid $11,083.93
Rate for Payer: Anthem Medicare Advantage/PPO $11,667.29
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $16,334.21
Rate for Payer: CareSource Just4Me Medicare $15,750.84
Rate for Payer: Humana KY Medicaid $11,083.93
Rate for Payer: Humana Medicare Advantage $11,667.29
Rate for Payer: Kentucky WC Medicaid $11,194.76
Rate for Payer: Molina Healthcare Benefit Exchange $14,000.75
Rate for Payer: Molina Healthcare Medicaid $11,305.60