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Charge Type Setting Price  
Service Code MSDRG 804
Min. Negotiated Rate $9,608.24
Max. Negotiated Rate $14,159.52
Rate for Payer: Molina Healthcare Medicaid $9,800.41
Rate for Payer: Anthem Medicaid $9,608.24
Rate for Payer: Anthem Medicare Advantage/PPO $10,113.94
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $14,159.52
Rate for Payer: CareSource Just4Me Medicare $13,653.82
Rate for Payer: Humana KY Medicaid $9,608.24
Rate for Payer: Humana Medicare Advantage $10,113.94
Rate for Payer: Kentucky WC Medicaid $9,704.33
Rate for Payer: Molina Healthcare Benefit Exchange $12,136.73
Service Code MSDRG 205
Min. Negotiated Rate $14,370.28
Max. Negotiated Rate $21,177.25
Rate for Payer: Anthem Medicaid $14,370.28
Rate for Payer: Anthem Medicare Advantage/PPO $15,126.61
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $21,177.25
Rate for Payer: CareSource Just4Me Medicare $20,420.92
Rate for Payer: Humana KY Medicaid $14,370.28
Rate for Payer: Humana Medicare Advantage $15,126.61
Rate for Payer: Kentucky WC Medicaid $14,513.98
Rate for Payer: Molina Healthcare Benefit Exchange $18,151.93
Rate for Payer: Molina Healthcare Medicaid $14,657.69
Service Code MSDRG 206
Min. Negotiated Rate $7,251.43
Max. Negotiated Rate $10,686.31
Rate for Payer: Anthem Medicaid $7,251.43
Rate for Payer: Anthem Medicare Advantage/PPO $7,633.08
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $10,686.31
Rate for Payer: CareSource Just4Me Medicare $10,304.66
Rate for Payer: Humana KY Medicaid $7,251.43
Rate for Payer: Humana Medicare Advantage $7,633.08
Rate for Payer: Kentucky WC Medicaid $7,323.94
Rate for Payer: Molina Healthcare Benefit Exchange $9,159.70
Rate for Payer: Molina Healthcare Medicaid $7,396.45
Service Code MSDRG 167
Min. Negotiated Rate $14,445.70
Max. Negotiated Rate $21,288.40
Rate for Payer: Anthem Medicaid $14,445.70
Rate for Payer: Anthem Medicare Advantage/PPO $15,206.00
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $21,288.40
Rate for Payer: CareSource Just4Me Medicare $20,528.10
Rate for Payer: Humana KY Medicaid $14,445.70
Rate for Payer: Humana Medicare Advantage $15,206.00
Rate for Payer: Kentucky WC Medicaid $14,590.16
Rate for Payer: Molina Healthcare Benefit Exchange $18,247.20
Rate for Payer: Molina Healthcare Medicaid $14,734.61
Service Code MSDRG 166
Min. Negotiated Rate $32,211.09
Max. Negotiated Rate $47,468.97
Rate for Payer: Anthem Medicaid $32,211.09
Rate for Payer: Anthem Medicare Advantage/PPO $33,906.41
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $47,468.97
Rate for Payer: CareSource Just4Me Medicare $45,773.65
Rate for Payer: Humana KY Medicaid $32,211.09
Rate for Payer: Humana Medicare Advantage $33,906.41
Rate for Payer: Kentucky WC Medicaid $32,533.20
Rate for Payer: Molina Healthcare Benefit Exchange $40,687.69
Rate for Payer: Molina Healthcare Medicaid $32,855.31
Service Code MSDRG 168
Min. Negotiated Rate $10,761.64
Max. Negotiated Rate $15,859.26
Rate for Payer: Anthem Medicaid $10,761.64
Rate for Payer: Anthem Medicare Advantage/PPO $11,328.04
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $15,859.26
Rate for Payer: CareSource Just4Me Medicare $15,292.85
Rate for Payer: Humana KY Medicaid $10,761.64
Rate for Payer: Humana Medicare Advantage $11,328.04
Rate for Payer: Kentucky WC Medicaid $10,869.25
Rate for Payer: Molina Healthcare Benefit Exchange $13,593.65
Rate for Payer: Molina Healthcare Medicaid $10,976.87
Service Code MSDRG 580
Min. Negotiated Rate $13,864.61
Max. Negotiated Rate $20,432.06
Rate for Payer: Anthem Medicaid $13,864.61
Rate for Payer: Anthem Medicare Advantage/PPO $14,594.33
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20,432.06
Rate for Payer: CareSource Just4Me Medicare $19,702.35
Rate for Payer: Humana KY Medicaid $13,864.61
Rate for Payer: Humana Medicare Advantage $14,594.33
Rate for Payer: Kentucky WC Medicaid $14,003.26
Rate for Payer: Molina Healthcare Benefit Exchange $17,513.20
Rate for Payer: Molina Healthcare Medicaid $14,141.91
Service Code MSDRG 579
Min. Negotiated Rate $26,530.62
Max. Negotiated Rate $39,097.76
Rate for Payer: Anthem Medicaid $26,530.62
Rate for Payer: Anthem Medicare Advantage/PPO $27,926.97
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $39,097.76
Rate for Payer: CareSource Just4Me Medicare $37,701.41
Rate for Payer: Humana KY Medicaid $26,530.62
Rate for Payer: Humana Medicare Advantage $27,926.97
Rate for Payer: Kentucky WC Medicaid $26,795.93
Rate for Payer: Molina Healthcare Benefit Exchange $33,512.36
Rate for Payer: Molina Healthcare Medicaid $27,061.23
Service Code MSDRG 581
Min. Negotiated Rate $10,690.19
Max. Negotiated Rate $15,753.96
Rate for Payer: Anthem Medicaid $10,690.19
Rate for Payer: Anthem Medicare Advantage/PPO $11,252.83
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $15,753.96
Rate for Payer: CareSource Just4Me Medicare $15,191.32
Rate for Payer: Humana KY Medicaid $10,690.19
Rate for Payer: Humana Medicare Advantage $11,252.83
Rate for Payer: Kentucky WC Medicaid $10,797.09
Rate for Payer: Molina Healthcare Benefit Exchange $13,503.40
Rate for Payer: Molina Healthcare Medicaid $10,903.99
Service Code MSDRG 253
Min. Negotiated Rate $20,250.80
Max. Negotiated Rate $29,843.28
Rate for Payer: Anthem Medicaid $20,250.80
Rate for Payer: Anthem Medicare Advantage/PPO $21,316.63
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $29,843.28
Rate for Payer: CareSource Just4Me Medicare $28,777.45
Rate for Payer: Humana KY Medicaid $20,250.80
Rate for Payer: Humana Medicare Advantage $21,316.63
Rate for Payer: Kentucky WC Medicaid $20,453.31
Rate for Payer: Molina Healthcare Benefit Exchange $25,579.96
Rate for Payer: Molina Healthcare Medicaid $20,655.81
Service Code MSDRG 252
Min. Negotiated Rate $26,622.70
Max. Negotiated Rate $39,233.45
Rate for Payer: Anthem Medicaid $26,622.70
Rate for Payer: Anthem Medicare Advantage/PPO $28,023.89
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $39,233.45
Rate for Payer: CareSource Just4Me Medicare $37,832.25
Rate for Payer: Humana KY Medicaid $26,622.70
Rate for Payer: Humana Medicare Advantage $28,023.89
Rate for Payer: Kentucky WC Medicaid $26,888.92
Rate for Payer: Molina Healthcare Benefit Exchange $33,628.67
Rate for Payer: Molina Healthcare Medicaid $27,155.15
Service Code MSDRG 254
Min. Negotiated Rate $13,773.35
Max. Negotiated Rate $20,297.56
Rate for Payer: Anthem Medicaid $13,773.35
Rate for Payer: Anthem Medicare Advantage/PPO $14,498.26
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $20,297.56
Rate for Payer: CareSource Just4Me Medicare $19,572.65
Rate for Payer: Humana KY Medicaid $13,773.35
Rate for Payer: Humana Medicare Advantage $14,498.26
Rate for Payer: Kentucky WC Medicaid $13,911.08
Rate for Payer: Molina Healthcare Benefit Exchange $17,397.91
Rate for Payer: Molina Healthcare Medicaid $14,048.81
Service Code MSDRG 152
Min. Negotiated Rate $9,432.01
Max. Negotiated Rate $13,899.80
Rate for Payer: Anthem Medicaid $9,432.01
Rate for Payer: Anthem Medicare Advantage/PPO $9,928.43
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $13,899.80
Rate for Payer: CareSource Just4Me Medicare $13,403.38
Rate for Payer: Humana KY Medicaid $9,432.01
Rate for Payer: Humana Medicare Advantage $9,928.43
Rate for Payer: Kentucky WC Medicaid $9,526.33
Rate for Payer: Molina Healthcare Benefit Exchange $11,914.12
Rate for Payer: Molina Healthcare Medicaid $9,620.65
Service Code MSDRG 153
Min. Negotiated Rate $5,832.90
Max. Negotiated Rate $8,595.85
Rate for Payer: Anthem Medicaid $5,832.90
Rate for Payer: Anthem Medicare Advantage/PPO $6,139.89
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $8,595.85
Rate for Payer: CareSource Just4Me Medicare $8,288.85
Rate for Payer: Humana KY Medicaid $5,832.90
Rate for Payer: Humana Medicare Advantage $6,139.89
Rate for Payer: Kentucky WC Medicaid $5,891.22
Rate for Payer: Molina Healthcare Benefit Exchange $7,367.87
Rate for Payer: Molina Healthcare Medicaid $5,949.55
Service Code HCPCS 92502
Hospital Charge Code 76102449
Hospital Revenue Code 761
Min. Negotiated Rate $426.86
Max. Negotiated Rate $3,152.23
Rate for Payer: Aetna Commercial $2,528.35
Rate for Payer: Anthem POS/PPO/Traditional $2,561.18
Rate for Payer: Cash Price $1,641.79
Rate for Payer: Cigna Commercial $2,725.36
Rate for Payer: First Health Commercial $3,119.39
Rate for Payer: Humana Commercial $2,791.03
Rate for Payer: Medical Mutual Of Ohio HMO $2,692.53
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,423.27
Rate for Payer: Molina Healthcare Benefit Exchange $985.07
Rate for Payer: Ohio Health Choice Commercial $2,889.54
Rate for Payer: Ohio Health Group HMO $2,462.68
Rate for Payer: Ohio Health Group PPO Differential $656.71
Rate for Payer: Ohio Health Group PPO No Differential $426.86
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,017.91
Rate for Payer: PHCS Commercial $3,152.23
Rate for Payer: United Healthcare All Payer $2,889.54
Service Code HCPCS 92502
Hospital Charge Code 76102449
Hospital Revenue Code 761
Min. Negotiated Rate $426.86
Max. Negotiated Rate $3,152.23
Rate for Payer: Aetna Commercial $2,528.35
Rate for Payer: Anthem Medicaid $1,129.22
Rate for Payer: Anthem Medicare Advantage/PPO $475.79
Rate for Payer: Anthem POS/PPO/Traditional $2,561.18
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $666.11
Rate for Payer: CareSource Just4Me Medicare $642.32
Rate for Payer: Cash Price $1,641.79
Rate for Payer: Cash Price $1,641.79
Rate for Payer: Cigna Commercial $2,725.36
Rate for Payer: First Health Commercial $3,119.39
Rate for Payer: Humana Commercial $2,791.03
Rate for Payer: Humana KY Medicaid $1,129.22
Rate for Payer: Humana Medicare Advantage $475.79
Rate for Payer: Kentucky WC Medicaid $1,140.71
Rate for Payer: Medical Mutual Of Ohio HMO $2,692.53
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,423.27
Rate for Payer: Molina Healthcare Benefit Exchange $570.95
Rate for Payer: Molina Healthcare Medicaid $1,151.88
Rate for Payer: Ohio Health Choice Commercial $2,889.54
Rate for Payer: Ohio Health Group HMO $2,462.68
Rate for Payer: Ohio Health Group PPO Differential $656.71
Rate for Payer: Ohio Health Group PPO No Differential $426.86
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,017.91
Rate for Payer: PHCS Commercial $3,152.23
Rate for Payer: United Healthcare All Payer $2,889.54
Service Code HCPCS 92502
Hospital Charge Code 76102449
Hospital Revenue Code 761
Min. Negotiated Rate $77.27
Max. Negotiated Rate $3,283.57
Rate for Payer: Aetna Commercial $121.26
Rate for Payer: Anthem Medicaid $77.27
Rate for Payer: Buckeye Medicare Advantage $3,283.57
Rate for Payer: Cash Price $1,641.79
Rate for Payer: Cash Price $1,641.79
Rate for Payer: Cigna Commercial $143.58
Rate for Payer: Healthspan PPO $116.73
Rate for Payer: Humana Medicaid $77.27
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $112.64
Rate for Payer: Molina Healthcare CHIP/Medicaid $78.82
Rate for Payer: Molina Healthcare Passport $77.27
Rate for Payer: Multiplan PHCS $1,970.14
Rate for Payer: Ohio Health Choice Preferred Health Choice $2,298.50
Rate for Payer: UHCCP Medicaid $1,149.25
Rate for Payer: Wellcare CHIP/Medicaid $78.04
Service Code HCPCS 92502
Hospital Charge Code 761P2449
Hospital Revenue Code 761
Min. Negotiated Rate $77.27
Max. Negotiated Rate $300.00
Rate for Payer: Aetna Commercial $121.26
Rate for Payer: Anthem Medicaid $77.27
Rate for Payer: Buckeye Medicare Advantage $300.00
Rate for Payer: Cash Price $150.00
Rate for Payer: Cash Price $150.00
Rate for Payer: Cigna Commercial $143.58
Rate for Payer: Healthspan PPO $116.73
Rate for Payer: Humana Medicaid $77.27
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $112.64
Rate for Payer: Molina Healthcare CHIP/Medicaid $78.82
Rate for Payer: Molina Healthcare Passport $77.27
Rate for Payer: Multiplan PHCS $180.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $210.00
Rate for Payer: UHCCP Medicaid $105.00
Rate for Payer: Wellcare CHIP/Medicaid $78.04
Service Code HCPCS 92502
Hospital Charge Code 761T2449
Hospital Revenue Code 761
Min. Negotiated Rate $387.86
Max. Negotiated Rate $2,864.23
Rate for Payer: Aetna Commercial $2,297.35
Rate for Payer: Anthem Medicaid $1,026.05
Rate for Payer: Anthem Medicare Advantage/PPO $475.79
Rate for Payer: Anthem POS/PPO/Traditional $2,327.18
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $666.11
Rate for Payer: CareSource Just4Me Medicare $642.32
Rate for Payer: Cash Price $1,491.79
Rate for Payer: Cash Price $1,491.79
Rate for Payer: Cigna Commercial $2,476.36
Rate for Payer: First Health Commercial $2,834.39
Rate for Payer: Humana Commercial $2,536.03
Rate for Payer: Humana KY Medicaid $1,026.05
Rate for Payer: Humana Medicare Advantage $475.79
Rate for Payer: Kentucky WC Medicaid $1,036.49
Rate for Payer: Medical Mutual Of Ohio HMO $2,446.53
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,201.87
Rate for Payer: Molina Healthcare Benefit Exchange $570.95
Rate for Payer: Molina Healthcare Medicaid $1,046.64
Rate for Payer: Ohio Health Choice Commercial $2,625.54
Rate for Payer: Ohio Health Group HMO $2,237.68
Rate for Payer: Ohio Health Group PPO Differential $596.71
Rate for Payer: Ohio Health Group PPO No Differential $387.86
Rate for Payer: Ohio Health Group PPO SOMC Employees $924.91
Rate for Payer: PHCS Commercial $2,864.23
Rate for Payer: United Healthcare All Payer $2,625.54
Service Code HCPCS 92502
Hospital Charge Code 761T2449
Hospital Revenue Code 761
Min. Negotiated Rate $387.86
Max. Negotiated Rate $2,864.23
Rate for Payer: Aetna Commercial $2,297.35
Rate for Payer: Anthem POS/PPO/Traditional $2,327.18
Rate for Payer: Cash Price $1,491.79
Rate for Payer: Cigna Commercial $2,476.36
Rate for Payer: First Health Commercial $2,834.39
Rate for Payer: Humana Commercial $2,536.03
Rate for Payer: Medical Mutual Of Ohio HMO $2,446.53
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,201.87
Rate for Payer: Molina Healthcare Benefit Exchange $895.07
Rate for Payer: Ohio Health Choice Commercial $2,625.54
Rate for Payer: Ohio Health Group HMO $2,237.68
Rate for Payer: Ohio Health Group PPO Differential $596.71
Rate for Payer: Ohio Health Group PPO No Differential $387.86
Rate for Payer: Ohio Health Group PPO SOMC Employees $924.91
Rate for Payer: PHCS Commercial $2,864.23
Rate for Payer: United Healthcare All Payer $2,625.54
Hospital Charge Code 22200043
Hospital Revenue Code 222
Min. Negotiated Rate $280.00
Max. Negotiated Rate $800.00
Rate for Payer: Buckeye Medicare Advantage $800.00
Rate for Payer: Cash Price $400.00
Rate for Payer: Multiplan PHCS $480.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $560.00
Rate for Payer: UHCCP Medicaid $280.00
Hospital Charge Code 22200376
Hospital Revenue Code 222
Min. Negotiated Rate $140.00
Max. Negotiated Rate $400.00
Rate for Payer: Buckeye Medicare Advantage $400.00
Rate for Payer: Cash Price $200.00
Rate for Payer: Multiplan PHCS $240.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $280.00
Rate for Payer: UHCCP Medicaid $140.00
Service Code HCPCS 97168
Hospital Charge Code 43000022
Hospital Revenue Code 434
Min. Negotiated Rate $17.55
Max. Negotiated Rate $129.60
Rate for Payer: Aetna Commercial $103.95
Rate for Payer: Anthem POS/PPO/Traditional $105.30
Rate for Payer: Cash Price $67.50
Rate for Payer: Cigna Commercial $112.05
Rate for Payer: First Health Commercial $128.25
Rate for Payer: Humana Commercial $114.75
Rate for Payer: Medical Mutual Of Ohio HMO $110.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $99.63
Rate for Payer: Molina Healthcare Benefit Exchange $40.50
Rate for Payer: Ohio Health Choice Commercial $118.80
Rate for Payer: Ohio Health Group HMO $101.25
Rate for Payer: Ohio Health Group PPO Differential $27.00
Rate for Payer: Ohio Health Group PPO No Differential $17.55
Rate for Payer: Ohio Health Group PPO SOMC Employees $41.85
Rate for Payer: PHCS Commercial $129.60
Rate for Payer: United Healthcare All Payer $118.80
Service Code HCPCS 97168
Hospital Charge Code 43000022
Hospital Revenue Code 434
Min. Negotiated Rate $17.55
Max. Negotiated Rate $129.60
Rate for Payer: Aetna Commercial $103.95
Rate for Payer: Anthem Medicaid $46.43
Rate for Payer: Anthem POS/PPO/Traditional $105.30
Rate for Payer: Cash Price $67.50
Rate for Payer: Cigna Commercial $112.05
Rate for Payer: First Health Commercial $128.25
Rate for Payer: Humana Commercial $114.75
Rate for Payer: Humana KY Medicaid $46.43
Rate for Payer: Kentucky WC Medicaid $46.90
Rate for Payer: Medical Mutual Of Ohio HMO $110.70
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $99.63
Rate for Payer: Molina Healthcare Benefit Exchange $40.50
Rate for Payer: Molina Healthcare Medicaid $47.36
Rate for Payer: Ohio Health Choice Commercial $118.80
Rate for Payer: Ohio Health Group HMO $101.25
Rate for Payer: Ohio Health Group PPO Differential $27.00
Rate for Payer: Ohio Health Group PPO No Differential $17.55
Rate for Payer: Ohio Health Group PPO SOMC Employees $41.85
Rate for Payer: PHCS Commercial $129.60
Rate for Payer: United Healthcare All Payer $118.80
Service Code HCPCS 97022
Hospital Charge Code 43000007
Hospital Revenue Code 431
Min. Negotiated Rate $19.37
Max. Negotiated Rate $143.04
Rate for Payer: Aetna Commercial $114.73
Rate for Payer: Anthem POS/PPO/Traditional $116.22
Rate for Payer: Cash Price $74.50
Rate for Payer: Cigna Commercial $123.67
Rate for Payer: First Health Commercial $141.55
Rate for Payer: Humana Commercial $126.65
Rate for Payer: Medical Mutual Of Ohio HMO $122.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $109.96
Rate for Payer: Molina Healthcare Benefit Exchange $44.70
Rate for Payer: Ohio Health Choice Commercial $131.12
Rate for Payer: Ohio Health Group HMO $111.75
Rate for Payer: Ohio Health Group PPO Differential $29.80
Rate for Payer: Ohio Health Group PPO No Differential $19.37
Rate for Payer: Ohio Health Group PPO SOMC Employees $46.19
Rate for Payer: PHCS Commercial $143.04
Rate for Payer: United Healthcare All Payer $131.12