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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem Medicaid $3,677.47
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Humana KY Medicaid $3,677.47
Rate for Payer: Kentucky WC Medicaid $3,714.90
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Molina Healthcare Medicaid $3,751.26
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem Medicaid $3,677.47
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Humana KY Medicaid $3,677.47
Rate for Payer: Kentucky WC Medicaid $3,714.90
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Molina Healthcare Medicaid $3,751.26
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem Medicaid $3,677.47
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Humana KY Medicaid $3,677.47
Rate for Payer: Kentucky WC Medicaid $3,714.90
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Molina Healthcare Medicaid $3,751.26
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem Medicaid $3,677.47
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Humana KY Medicaid $3,677.47
Rate for Payer: Kentucky WC Medicaid $3,714.90
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Molina Healthcare Medicaid $3,751.26
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem Medicaid $3,677.47
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Humana KY Medicaid $3,677.47
Rate for Payer: Kentucky WC Medicaid $3,714.90
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Molina Healthcare Medicaid $3,751.26
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem Medicaid $3,677.47
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Humana KY Medicaid $3,677.47
Rate for Payer: Kentucky WC Medicaid $3,714.90
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Molina Healthcare Medicaid $3,751.26
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem Medicaid $3,677.47
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Humana KY Medicaid $3,677.47
Rate for Payer: Kentucky WC Medicaid $3,714.90
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Molina Healthcare Medicaid $3,751.26
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,390.15
Max. Negotiated Rate $10,265.70
Rate for Payer: Aetna Commercial $8,233.95
Rate for Payer: Anthem POS/PPO/Traditional $8,340.88
Rate for Payer: Cash Price $5,346.72
Rate for Payer: Cigna Commercial $8,875.56
Rate for Payer: First Health Commercial $10,158.77
Rate for Payer: Humana Commercial $9,089.42
Rate for Payer: Medical Mutual Of Ohio HMO $8,768.62
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,891.76
Rate for Payer: Molina Healthcare Benefit Exchange $3,208.03
Rate for Payer: Ohio Health Choice Commercial $9,410.23
Rate for Payer: Ohio Health Group HMO $8,020.08
Rate for Payer: Ohio Health Group PPO Differential $2,138.69
Rate for Payer: Ohio Health Group PPO No Differential $1,390.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,314.97
Rate for Payer: PHCS Commercial $10,265.70
Rate for Payer: United Healthcare All Payer $9,410.23
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $66.88
Max. Negotiated Rate $493.92
Rate for Payer: Aetna Commercial $396.16
Rate for Payer: Anthem POS/PPO/Traditional $401.31
Rate for Payer: Cash Price $257.25
Rate for Payer: Cigna Commercial $427.04
Rate for Payer: First Health Commercial $488.78
Rate for Payer: Humana Commercial $437.32
Rate for Payer: Medical Mutual Of Ohio HMO $421.89
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $379.70
Rate for Payer: Molina Healthcare Benefit Exchange $154.35
Rate for Payer: Ohio Health Choice Commercial $452.76
Rate for Payer: Ohio Health Group HMO $385.88
Rate for Payer: Ohio Health Group PPO Differential $102.90
Rate for Payer: Ohio Health Group PPO No Differential $66.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $159.50
Rate for Payer: PHCS Commercial $493.92
Rate for Payer: United Healthcare All Payer $452.76
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $66.88
Max. Negotiated Rate $493.92
Rate for Payer: Aetna Commercial $396.16
Rate for Payer: Anthem Medicaid $176.94
Rate for Payer: Anthem POS/PPO/Traditional $401.31
Rate for Payer: Cash Price $257.25
Rate for Payer: Cigna Commercial $427.04
Rate for Payer: First Health Commercial $488.78
Rate for Payer: Humana Commercial $437.32
Rate for Payer: Humana KY Medicaid $176.94
Rate for Payer: Kentucky WC Medicaid $178.74
Rate for Payer: Medical Mutual Of Ohio HMO $421.89
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $379.70
Rate for Payer: Molina Healthcare Benefit Exchange $154.35
Rate for Payer: Molina Healthcare Medicaid $180.49
Rate for Payer: Ohio Health Choice Commercial $452.76
Rate for Payer: Ohio Health Group HMO $385.88
Rate for Payer: Ohio Health Group PPO Differential $102.90
Rate for Payer: Ohio Health Group PPO No Differential $66.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $159.50
Rate for Payer: PHCS Commercial $493.92
Rate for Payer: United Healthcare All Payer $452.76
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $65.20
Max. Negotiated Rate $481.44
Rate for Payer: Aetna Commercial $386.16
Rate for Payer: Anthem Medicaid $172.47
Rate for Payer: Anthem POS/PPO/Traditional $391.17
Rate for Payer: Cash Price $250.75
Rate for Payer: Cigna Commercial $416.24
Rate for Payer: First Health Commercial $476.42
Rate for Payer: Humana Commercial $426.28
Rate for Payer: Humana KY Medicaid $172.47
Rate for Payer: Kentucky WC Medicaid $174.22
Rate for Payer: Medical Mutual Of Ohio HMO $411.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $370.11
Rate for Payer: Molina Healthcare Benefit Exchange $150.45
Rate for Payer: Molina Healthcare Medicaid $175.93
Rate for Payer: Ohio Health Choice Commercial $441.32
Rate for Payer: Ohio Health Group HMO $376.12
Rate for Payer: Ohio Health Group PPO Differential $100.30
Rate for Payer: Ohio Health Group PPO No Differential $65.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $155.46
Rate for Payer: PHCS Commercial $481.44
Rate for Payer: United Healthcare All Payer $441.32
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $65.20
Max. Negotiated Rate $481.44
Rate for Payer: Aetna Commercial $386.16
Rate for Payer: Anthem POS/PPO/Traditional $391.17
Rate for Payer: Cash Price $250.75
Rate for Payer: Cigna Commercial $416.24
Rate for Payer: First Health Commercial $476.42
Rate for Payer: Humana Commercial $426.28
Rate for Payer: Medical Mutual Of Ohio HMO $411.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $370.11
Rate for Payer: Molina Healthcare Benefit Exchange $150.45
Rate for Payer: Ohio Health Choice Commercial $441.32
Rate for Payer: Ohio Health Group HMO $376.12
Rate for Payer: Ohio Health Group PPO Differential $100.30
Rate for Payer: Ohio Health Group PPO No Differential $65.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $155.46
Rate for Payer: PHCS Commercial $481.44
Rate for Payer: United Healthcare All Payer $441.32
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $65.20
Max. Negotiated Rate $481.44
Rate for Payer: Aetna Commercial $386.16
Rate for Payer: Anthem Medicaid $172.47
Rate for Payer: Anthem POS/PPO/Traditional $391.17
Rate for Payer: Cash Price $250.75
Rate for Payer: Cigna Commercial $416.24
Rate for Payer: First Health Commercial $476.42
Rate for Payer: Humana Commercial $426.28
Rate for Payer: Humana KY Medicaid $172.47
Rate for Payer: Kentucky WC Medicaid $174.22
Rate for Payer: Medical Mutual Of Ohio HMO $411.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $370.11
Rate for Payer: Molina Healthcare Benefit Exchange $150.45
Rate for Payer: Molina Healthcare Medicaid $175.93
Rate for Payer: Ohio Health Choice Commercial $441.32
Rate for Payer: Ohio Health Group HMO $376.12
Rate for Payer: Ohio Health Group PPO Differential $100.30
Rate for Payer: Ohio Health Group PPO No Differential $65.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $155.46
Rate for Payer: PHCS Commercial $481.44
Rate for Payer: United Healthcare All Payer $441.32
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $65.20
Max. Negotiated Rate $481.44
Rate for Payer: Aetna Commercial $386.16
Rate for Payer: Anthem POS/PPO/Traditional $391.17
Rate for Payer: Cash Price $250.75
Rate for Payer: Cigna Commercial $416.24
Rate for Payer: First Health Commercial $476.42
Rate for Payer: Humana Commercial $426.28
Rate for Payer: Medical Mutual Of Ohio HMO $411.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $370.11
Rate for Payer: Molina Healthcare Benefit Exchange $150.45
Rate for Payer: Ohio Health Choice Commercial $441.32
Rate for Payer: Ohio Health Group HMO $376.12
Rate for Payer: Ohio Health Group PPO Differential $100.30
Rate for Payer: Ohio Health Group PPO No Differential $65.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $155.46
Rate for Payer: PHCS Commercial $481.44
Rate for Payer: United Healthcare All Payer $441.32
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $65.20
Max. Negotiated Rate $481.44
Rate for Payer: Aetna Commercial $386.16
Rate for Payer: Anthem POS/PPO/Traditional $391.17
Rate for Payer: Cash Price $250.75
Rate for Payer: Cigna Commercial $416.24
Rate for Payer: First Health Commercial $476.42
Rate for Payer: Humana Commercial $426.28
Rate for Payer: Medical Mutual Of Ohio HMO $411.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $370.11
Rate for Payer: Molina Healthcare Benefit Exchange $150.45
Rate for Payer: Ohio Health Choice Commercial $441.32
Rate for Payer: Ohio Health Group HMO $376.12
Rate for Payer: Ohio Health Group PPO Differential $100.30
Rate for Payer: Ohio Health Group PPO No Differential $65.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $155.46
Rate for Payer: PHCS Commercial $481.44
Rate for Payer: United Healthcare All Payer $441.32
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $65.20
Max. Negotiated Rate $481.44
Rate for Payer: Aetna Commercial $386.16
Rate for Payer: Anthem Medicaid $172.47
Rate for Payer: Anthem POS/PPO/Traditional $391.17
Rate for Payer: Cash Price $250.75
Rate for Payer: Cigna Commercial $416.24
Rate for Payer: First Health Commercial $476.42
Rate for Payer: Humana Commercial $426.28
Rate for Payer: Humana KY Medicaid $172.47
Rate for Payer: Kentucky WC Medicaid $174.22
Rate for Payer: Medical Mutual Of Ohio HMO $411.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $370.11
Rate for Payer: Molina Healthcare Benefit Exchange $150.45
Rate for Payer: Molina Healthcare Medicaid $175.93
Rate for Payer: Ohio Health Choice Commercial $441.32
Rate for Payer: Ohio Health Group HMO $376.12
Rate for Payer: Ohio Health Group PPO Differential $100.30
Rate for Payer: Ohio Health Group PPO No Differential $65.20
Rate for Payer: Ohio Health Group PPO SOMC Employees $155.46
Rate for Payer: PHCS Commercial $481.44
Rate for Payer: United Healthcare All Payer $441.32
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $63.29
Max. Negotiated Rate $467.40
Rate for Payer: Aetna Commercial $374.90
Rate for Payer: Anthem Medicaid $167.44
Rate for Payer: Anthem POS/PPO/Traditional $379.77
Rate for Payer: Cash Price $243.44
Rate for Payer: Cigna Commercial $404.11
Rate for Payer: First Health Commercial $462.54
Rate for Payer: Humana Commercial $413.85
Rate for Payer: Humana KY Medicaid $167.44
Rate for Payer: Kentucky WC Medicaid $169.14
Rate for Payer: Medical Mutual Of Ohio HMO $399.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $359.32
Rate for Payer: Molina Healthcare Benefit Exchange $146.06
Rate for Payer: Molina Healthcare Medicaid $170.80
Rate for Payer: Ohio Health Choice Commercial $428.45
Rate for Payer: Ohio Health Group HMO $365.16
Rate for Payer: Ohio Health Group PPO Differential $97.38
Rate for Payer: Ohio Health Group PPO No Differential $63.29
Rate for Payer: Ohio Health Group PPO SOMC Employees $150.93
Rate for Payer: PHCS Commercial $467.40
Rate for Payer: United Healthcare All Payer $428.45
Service Code HCPCS C1894
Hospital Charge Code 27000113
Hospital Revenue Code 272
Min. Negotiated Rate $63.29
Max. Negotiated Rate $467.40
Rate for Payer: Aetna Commercial $374.90
Rate for Payer: Anthem POS/PPO/Traditional $379.77
Rate for Payer: Cash Price $243.44
Rate for Payer: Cigna Commercial $404.11
Rate for Payer: First Health Commercial $462.54
Rate for Payer: Humana Commercial $413.85
Rate for Payer: Medical Mutual Of Ohio HMO $399.24
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $359.32
Rate for Payer: Molina Healthcare Benefit Exchange $146.06
Rate for Payer: Ohio Health Choice Commercial $428.45
Rate for Payer: Ohio Health Group HMO $365.16
Rate for Payer: Ohio Health Group PPO Differential $97.38
Rate for Payer: Ohio Health Group PPO No Differential $63.29
Rate for Payer: Ohio Health Group PPO SOMC Employees $150.93
Rate for Payer: PHCS Commercial $467.40
Rate for Payer: United Healthcare All Payer $428.45