|
PARAFFIN BATH
|
Facility
|
IP
|
$89.00
|
|
|
Service Code
|
HCPCS 97018
|
| Hospital Charge Code |
42000009
|
|
Hospital Revenue Code
|
420
|
| Min. Negotiated Rate |
$26.70 |
| Max. Negotiated Rate |
$85.44 |
| Rate for Payer: Aetna Commercial |
$68.53
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$69.42
|
| Rate for Payer: Cash Price |
$44.50
|
| Rate for Payer: Cigna Commercial |
$73.87
|
| Rate for Payer: First Health Commercial |
$84.55
|
| Rate for Payer: Humana Commercial |
$75.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$72.98
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$65.68
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$26.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$78.32
|
| Rate for Payer: Ohio Health Group HMO |
$66.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$71.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$77.43
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$61.41
|
| Rate for Payer: PHCS Commercial |
$85.44
|
| Rate for Payer: United Healthcare All Payer |
$78.32
|
|
|
PARAGARD IUD
|
Facility
|
IP
|
$3,082.48
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
25002484
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$924.74 |
| Max. Negotiated Rate |
$2,959.18 |
| Rate for Payer: Aetna Commercial |
$2,373.51
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.33
|
| Rate for Payer: Cash Price |
$1,541.24
|
| Rate for Payer: Cigna Commercial |
$2,558.46
|
| Rate for Payer: First Health Commercial |
$2,928.36
|
| Rate for Payer: Humana Commercial |
$2,620.11
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.63
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,274.87
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.58
|
| Rate for Payer: Ohio Health Group HMO |
$2,311.86
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,465.98
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,681.76
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,126.91
|
| Rate for Payer: PHCS Commercial |
$2,959.18
|
| Rate for Payer: United Healthcare All Payer |
$2,712.58
|
|
|
PARAGARD IUD
|
Facility
|
OP
|
$3,082.48
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
25002484
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$924.74 |
| Max. Negotiated Rate |
$2,959.18 |
| Rate for Payer: Aetna Commercial |
$2,373.51
|
| Rate for Payer: Anthem Medicaid |
$1,060.06
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,404.33
|
| Rate for Payer: Cash Price |
$1,541.24
|
| Rate for Payer: Cigna Commercial |
$2,558.46
|
| Rate for Payer: First Health Commercial |
$2,928.36
|
| Rate for Payer: Humana Commercial |
$2,620.11
|
| Rate for Payer: Humana KY Medicaid |
$1,060.06
|
| Rate for Payer: Kentucky WC Medicaid |
$1,070.85
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,527.63
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,274.87
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$924.74
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,081.33
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,712.58
|
| Rate for Payer: Ohio Health Group HMO |
$2,311.86
|
| Rate for Payer: Ohio Health Group PPO Differential |
$2,465.98
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$2,681.76
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$2,126.91
|
| Rate for Payer: PHCS Commercial |
$2,959.18
|
| Rate for Payer: United Healthcare All Payer |
$2,712.58
|
|
|
PARAGARD T380A
|
Facility
|
IP
|
$1,750.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
25002484
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: Aetna Commercial |
$1,347.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,365.00
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Cigna Commercial |
$1,452.50
|
| Rate for Payer: First Health Commercial |
$1,662.50
|
| Rate for Payer: Humana Commercial |
$1,487.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,435.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,291.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$525.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,540.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,312.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,522.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,207.50
|
| Rate for Payer: PHCS Commercial |
$1,680.00
|
| Rate for Payer: United Healthcare All Payer |
$1,540.00
|
|
|
PARAGARD T380A
|
Facility
|
OP
|
$1,750.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
25002484
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: Aetna Commercial |
$1,347.50
|
| Rate for Payer: Anthem Medicaid |
$601.83
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,365.00
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Cigna Commercial |
$1,452.50
|
| Rate for Payer: First Health Commercial |
$1,662.50
|
| Rate for Payer: Humana Commercial |
$1,487.50
|
| Rate for Payer: Humana KY Medicaid |
$601.83
|
| Rate for Payer: Kentucky WC Medicaid |
$607.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,435.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,291.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$525.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$613.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,540.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,312.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,522.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,207.50
|
| Rate for Payer: PHCS Commercial |
$1,680.00
|
| Rate for Payer: United Healthcare All Payer |
$1,540.00
|
|
|
PARAGARD T380A
|
Facility
|
OP
|
$1,750.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
63600072
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: Aetna Commercial |
$1,347.50
|
| Rate for Payer: Anthem Medicaid |
$601.83
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,365.00
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Cigna Commercial |
$1,452.50
|
| Rate for Payer: First Health Commercial |
$1,662.50
|
| Rate for Payer: Humana Commercial |
$1,487.50
|
| Rate for Payer: Humana KY Medicaid |
$601.83
|
| Rate for Payer: Kentucky WC Medicaid |
$607.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,435.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,291.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$525.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$613.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,540.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,312.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,522.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,207.50
|
| Rate for Payer: PHCS Commercial |
$1,680.00
|
| Rate for Payer: United Healthcare All Payer |
$1,540.00
|
|
|
PARAGARD T380A
|
Professional
|
Both
|
$1,750.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
63600072
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$0.60 |
| Max. Negotiated Rate |
$1,281.68 |
| Rate for Payer: Aetna Commercial |
$1,281.68
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Healthspan PPO |
$0.60
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,279.38
|
| Rate for Payer: Multiplan PHCS |
$1,050.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,225.00
|
| Rate for Payer: UHCCP Medicaid |
$612.50
|
|
|
PARAGARD T380A
|
Facility
|
IP
|
$1,750.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
636T0072
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: Aetna Commercial |
$1,347.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,365.00
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Cigna Commercial |
$1,452.50
|
| Rate for Payer: First Health Commercial |
$1,662.50
|
| Rate for Payer: Humana Commercial |
$1,487.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,435.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,291.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$525.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,540.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,312.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,522.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,207.50
|
| Rate for Payer: PHCS Commercial |
$1,680.00
|
| Rate for Payer: United Healthcare All Payer |
$1,540.00
|
|
|
PARAGARD T380A
|
Facility
|
IP
|
$1,750.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
63600072
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: Aetna Commercial |
$1,347.50
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,365.00
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Cigna Commercial |
$1,452.50
|
| Rate for Payer: First Health Commercial |
$1,662.50
|
| Rate for Payer: Humana Commercial |
$1,487.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,435.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,291.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$525.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,540.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,312.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,522.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,207.50
|
| Rate for Payer: PHCS Commercial |
$1,680.00
|
| Rate for Payer: United Healthcare All Payer |
$1,540.00
|
|
|
PARAGARD T380A
|
Facility
|
OP
|
$1,750.00
|
|
|
Service Code
|
HCPCS J7300
|
| Hospital Charge Code |
636T0072
|
|
Hospital Revenue Code
|
636
|
| Min. Negotiated Rate |
$525.00 |
| Max. Negotiated Rate |
$1,680.00 |
| Rate for Payer: Aetna Commercial |
$1,347.50
|
| Rate for Payer: Anthem Medicaid |
$601.83
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,365.00
|
| Rate for Payer: Cash Price |
$875.00
|
| Rate for Payer: Cigna Commercial |
$1,452.50
|
| Rate for Payer: First Health Commercial |
$1,662.50
|
| Rate for Payer: Humana Commercial |
$1,487.50
|
| Rate for Payer: Humana KY Medicaid |
$601.83
|
| Rate for Payer: Kentucky WC Medicaid |
$607.95
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,435.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,291.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$525.00
|
| Rate for Payer: Molina Healthcare Medicaid |
$613.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,540.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,312.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,400.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,522.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,207.50
|
| Rate for Payer: PHCS Commercial |
$1,680.00
|
| Rate for Payer: United Healthcare All Payer |
$1,540.00
|
|
|
PARASITE IDENTIFICATION
|
Facility
|
OP
|
$83.00
|
|
|
Service Code
|
HCPCS 87169
|
| Hospital Charge Code |
30001313
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$4.31 |
| Max. Negotiated Rate |
$79.68 |
| Rate for Payer: Aetna Commercial |
$63.91
|
| Rate for Payer: Anthem Medicaid |
$4.31
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4.31
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$66.65
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6.03
|
| Rate for Payer: CareSource Just4Me Medicare |
$4.31
|
| Rate for Payer: Cash Price |
$41.50
|
| Rate for Payer: Cash Price |
$41.50
|
| Rate for Payer: Cigna Commercial |
$68.89
|
| Rate for Payer: First Health Commercial |
$78.85
|
| Rate for Payer: Humana Commercial |
$70.55
|
| Rate for Payer: Humana KY Medicaid |
$4.31
|
| Rate for Payer: Humana Medicare Advantage |
$4.31
|
| Rate for Payer: Kentucky WC Medicaid |
$4.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$68.06
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$61.25
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5.17
|
| Rate for Payer: Molina Healthcare Medicaid |
$4.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$73.04
|
| Rate for Payer: Ohio Health Group HMO |
$62.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$66.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$72.21
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$57.27
|
| Rate for Payer: PHCS Commercial |
$79.68
|
| Rate for Payer: United Healthcare All Payer |
$73.04
|
|
|
PARASITE IDENTIFICATION
|
Facility
|
IP
|
$83.00
|
|
|
Service Code
|
HCPCS 87169
|
| Hospital Charge Code |
30001313
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$24.90 |
| Max. Negotiated Rate |
$79.68 |
| Rate for Payer: Aetna Commercial |
$63.91
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$66.65
|
| Rate for Payer: Cash Price |
$41.50
|
| Rate for Payer: Cigna Commercial |
$68.89
|
| Rate for Payer: First Health Commercial |
$78.85
|
| Rate for Payer: Humana Commercial |
$70.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$68.06
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$61.25
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$24.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$73.04
|
| Rate for Payer: Ohio Health Group HMO |
$62.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$66.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$72.21
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$57.27
|
| Rate for Payer: PHCS Commercial |
$79.68
|
| Rate for Payer: United Healthcare All Payer |
$73.04
|
|
|
PARATHYRD PLANAR W/WO SUBTRJ
|
Facility
|
OP
|
$1,766.10
|
|
|
Service Code
|
HCPCS 78071
|
| Hospital Charge Code |
34000075
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$371.28 |
| Max. Negotiated Rate |
$1,695.46 |
| Rate for Payer: Aetna Commercial |
$1,359.90
|
| Rate for Payer: Anthem Medicaid |
$607.36
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$371.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,377.56
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$519.79
|
| Rate for Payer: CareSource Just4Me Medicare |
$501.23
|
| Rate for Payer: Cash Price |
$883.05
|
| Rate for Payer: Cash Price |
$883.05
|
| Rate for Payer: Cigna Commercial |
$1,465.86
|
| Rate for Payer: First Health Commercial |
$1,677.80
|
| Rate for Payer: Humana Commercial |
$1,501.18
|
| Rate for Payer: Humana KY Medicaid |
$607.36
|
| Rate for Payer: Humana Medicare Advantage |
$371.28
|
| Rate for Payer: Kentucky WC Medicaid |
$613.54
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,448.20
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,303.38
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$445.54
|
| Rate for Payer: Molina Healthcare Medicaid |
$619.55
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,554.17
|
| Rate for Payer: Ohio Health Group HMO |
$1,324.58
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,412.88
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,536.51
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,218.61
|
| Rate for Payer: PHCS Commercial |
$1,695.46
|
| Rate for Payer: United Healthcare All Payer |
$1,554.17
|
|
|
PARATHYRD PLANAR W/WO SUBTRJ
|
Professional
|
Both
|
$1,766.10
|
|
|
Service Code
|
HCPCS 78071
|
| Hospital Charge Code |
34000075
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$63.53 |
| Max. Negotiated Rate |
$1,059.66 |
| Rate for Payer: Ambetter Exchange |
$281.40
|
| Rate for Payer: Anthem Medicaid |
$279.24
|
| Rate for Payer: Buckeye Individual/Medicaid |
$281.40
|
| Rate for Payer: Buckeye Medicare Advantage |
$281.40
|
| Rate for Payer: CareSource Just4Me Medicare |
$337.68
|
| Rate for Payer: Cash Price |
$883.05
|
| Rate for Payer: Cash Price |
$883.05
|
| Rate for Payer: Cigna Commercial |
$589.37
|
| Rate for Payer: Healthspan PPO |
$400.56
|
| Rate for Payer: Humana Medicaid |
$279.24
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$63.53
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$281.40
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$281.40
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$284.82
|
| Rate for Payer: Molina Healthcare Passport |
$279.24
|
| Rate for Payer: Multiplan PHCS |
$1,059.66
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$365.82
|
| Rate for Payer: UHCCP Medicaid |
$618.13
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$282.03
|
| Rate for Payer: Wellcare Medicare Advantage |
$281.40
|
|
|
PARATHYRD PLANAR W/WO SUBTRJ
|
Facility
|
IP
|
$1,766.10
|
|
|
Service Code
|
HCPCS 78071
|
| Hospital Charge Code |
34000075
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$529.83 |
| Max. Negotiated Rate |
$1,695.46 |
| Rate for Payer: Aetna Commercial |
$1,359.90
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,377.56
|
| Rate for Payer: Cash Price |
$883.05
|
| Rate for Payer: Cigna Commercial |
$1,465.86
|
| Rate for Payer: First Health Commercial |
$1,677.80
|
| Rate for Payer: Humana Commercial |
$1,501.18
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,448.20
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,303.38
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$529.83
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,554.17
|
| Rate for Payer: Ohio Health Group HMO |
$1,324.58
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,412.88
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,536.51
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,218.61
|
| Rate for Payer: PHCS Commercial |
$1,695.46
|
| Rate for Payer: United Healthcare All Payer |
$1,554.17
|
|
|
PARATHYRD PLANAR W/WO SUBTR(P
|
Professional
|
Both
|
$140.00
|
|
|
Service Code
|
HCPCS 78071
|
| Hospital Charge Code |
340P0075
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$49.00 |
| Max. Negotiated Rate |
$589.37 |
| Rate for Payer: Ambetter Exchange |
$281.40
|
| Rate for Payer: Anthem Medicaid |
$279.24
|
| Rate for Payer: Buckeye Individual/Medicaid |
$281.40
|
| Rate for Payer: Buckeye Medicare Advantage |
$281.40
|
| Rate for Payer: CareSource Just4Me Medicare |
$337.68
|
| Rate for Payer: Cash Price |
$70.00
|
| Rate for Payer: Cash Price |
$70.00
|
| Rate for Payer: Cigna Commercial |
$589.37
|
| Rate for Payer: Healthspan PPO |
$400.56
|
| Rate for Payer: Humana Medicaid |
$279.24
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$63.53
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$281.40
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$281.40
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$284.82
|
| Rate for Payer: Molina Healthcare Passport |
$279.24
|
| Rate for Payer: Multiplan PHCS |
$84.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$365.82
|
| Rate for Payer: UHCCP Medicaid |
$49.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$282.03
|
| Rate for Payer: Wellcare Medicare Advantage |
$281.40
|
|
|
PARATHYRD PLANAR W/WO SUBTR(T
|
Facility
|
OP
|
$1,626.10
|
|
|
Service Code
|
HCPCS 78071
|
| Hospital Charge Code |
340T0075
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$371.28 |
| Max. Negotiated Rate |
$1,561.06 |
| Rate for Payer: Aetna Commercial |
$1,252.10
|
| Rate for Payer: Anthem Medicaid |
$559.22
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$371.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,268.36
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$519.79
|
| Rate for Payer: CareSource Just4Me Medicare |
$501.23
|
| Rate for Payer: Cash Price |
$813.05
|
| Rate for Payer: Cash Price |
$813.05
|
| Rate for Payer: Cigna Commercial |
$1,349.66
|
| Rate for Payer: First Health Commercial |
$1,544.80
|
| Rate for Payer: Humana Commercial |
$1,382.18
|
| Rate for Payer: Humana KY Medicaid |
$559.22
|
| Rate for Payer: Humana Medicare Advantage |
$371.28
|
| Rate for Payer: Kentucky WC Medicaid |
$564.91
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,333.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,200.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$445.54
|
| Rate for Payer: Molina Healthcare Medicaid |
$570.44
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,430.97
|
| Rate for Payer: Ohio Health Group HMO |
$1,219.58
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,300.88
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,414.71
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,122.01
|
| Rate for Payer: PHCS Commercial |
$1,561.06
|
| Rate for Payer: United Healthcare All Payer |
$1,430.97
|
|
|
PARATHYRD PLANAR W/WO SUBTR(T
|
Facility
|
IP
|
$1,626.10
|
|
|
Service Code
|
HCPCS 78071
|
| Hospital Charge Code |
340T0075
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$487.83 |
| Max. Negotiated Rate |
$1,561.06 |
| Rate for Payer: Aetna Commercial |
$1,252.10
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,268.36
|
| Rate for Payer: Cash Price |
$813.05
|
| Rate for Payer: Cigna Commercial |
$1,349.66
|
| Rate for Payer: First Health Commercial |
$1,544.80
|
| Rate for Payer: Humana Commercial |
$1,382.18
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,333.40
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,200.06
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$487.83
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,430.97
|
| Rate for Payer: Ohio Health Group HMO |
$1,219.58
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,300.88
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,414.71
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,122.01
|
| Rate for Payer: PHCS Commercial |
$1,561.06
|
| Rate for Payer: United Healthcare All Payer |
$1,430.97
|
|
|
PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S);
|
Facility
|
OP
|
$7,652.33
|
|
|
Service Code
|
CPT 60500
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,465.95 |
| Max. Negotiated Rate |
$7,652.33 |
| Rate for Payer: Anthem Medicare Advantage/PPO |
$5,465.95
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$7,652.33
|
| Rate for Payer: CareSource Just4Me Medicare |
$7,379.03
|
| Rate for Payer: Humana Medicare Advantage |
$5,465.95
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,559.14
|
|
|
PARATHYROID HORMONE (INTACT)
|
Facility
|
IP
|
$248.00
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
30000465
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$74.40 |
| Max. Negotiated Rate |
$238.08 |
| Rate for Payer: Aetna Commercial |
$190.96
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$199.14
|
| Rate for Payer: Cash Price |
$124.00
|
| Rate for Payer: Cigna Commercial |
$205.84
|
| Rate for Payer: First Health Commercial |
$235.60
|
| Rate for Payer: Humana Commercial |
$210.80
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$203.36
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$183.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$74.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$218.24
|
| Rate for Payer: Ohio Health Group HMO |
$186.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$198.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$215.76
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$171.12
|
| Rate for Payer: PHCS Commercial |
$238.08
|
| Rate for Payer: United Healthcare All Payer |
$218.24
|
|
|
PARATHYROID HORMONE (INTACT)
|
Facility
|
OP
|
$248.00
|
|
|
Service Code
|
HCPCS 83970
|
| Hospital Charge Code |
30000465
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$41.28 |
| Max. Negotiated Rate |
$238.08 |
| Rate for Payer: Aetna Commercial |
$190.96
|
| Rate for Payer: Anthem Medicaid |
$41.28
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$41.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$199.14
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$57.79
|
| Rate for Payer: CareSource Just4Me Medicare |
$41.28
|
| Rate for Payer: Cash Price |
$124.00
|
| Rate for Payer: Cash Price |
$124.00
|
| Rate for Payer: Cigna Commercial |
$205.84
|
| Rate for Payer: First Health Commercial |
$235.60
|
| Rate for Payer: Humana Commercial |
$210.80
|
| Rate for Payer: Humana KY Medicaid |
$41.28
|
| Rate for Payer: Humana Medicare Advantage |
$41.28
|
| Rate for Payer: Kentucky WC Medicaid |
$41.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$203.36
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$183.02
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$49.54
|
| Rate for Payer: Molina Healthcare Medicaid |
$42.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$218.24
|
| Rate for Payer: Ohio Health Group HMO |
$186.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$198.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$215.76
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$171.12
|
| Rate for Payer: PHCS Commercial |
$238.08
|
| Rate for Payer: United Healthcare All Payer |
$218.24
|
|
|
PARATHYROID IMAGING
|
Facility
|
OP
|
$1,551.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
34000074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$371.28 |
| Max. Negotiated Rate |
$1,488.96 |
| Rate for Payer: Aetna Commercial |
$1,194.27
|
| Rate for Payer: Anthem Medicaid |
$533.39
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$371.28
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,209.78
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$519.79
|
| Rate for Payer: CareSource Just4Me Medicare |
$501.23
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cigna Commercial |
$1,287.33
|
| Rate for Payer: First Health Commercial |
$1,473.45
|
| Rate for Payer: Humana Commercial |
$1,318.35
|
| Rate for Payer: Humana KY Medicaid |
$533.39
|
| Rate for Payer: Humana Medicare Advantage |
$371.28
|
| Rate for Payer: Kentucky WC Medicaid |
$538.82
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,271.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,144.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$445.54
|
| Rate for Payer: Molina Healthcare Medicaid |
$544.09
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,364.88
|
| Rate for Payer: Ohio Health Group HMO |
$1,163.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,240.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,349.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,070.19
|
| Rate for Payer: PHCS Commercial |
$1,488.96
|
| Rate for Payer: United Healthcare All Payer |
$1,364.88
|
|
|
PARATHYROID IMAGING
|
Facility
|
IP
|
$1,551.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
34000074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$465.30 |
| Max. Negotiated Rate |
$1,488.96 |
| Rate for Payer: Aetna Commercial |
$1,194.27
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,209.78
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cigna Commercial |
$1,287.33
|
| Rate for Payer: First Health Commercial |
$1,473.45
|
| Rate for Payer: Humana Commercial |
$1,318.35
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,271.82
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,144.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$465.30
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,364.88
|
| Rate for Payer: Ohio Health Group HMO |
$1,163.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$1,240.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$1,349.37
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,070.19
|
| Rate for Payer: PHCS Commercial |
$1,488.96
|
| Rate for Payer: United Healthcare All Payer |
$1,364.88
|
|
|
PARATHYROID IMAGING
|
Professional
|
Both
|
$1,551.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
34000074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$45.72 |
| Max. Negotiated Rate |
$930.60 |
| Rate for Payer: Aetna Commercial |
$259.25
|
| Rate for Payer: Ambetter Exchange |
$236.59
|
| Rate for Payer: Anthem Medicaid |
$71.18
|
| Rate for Payer: Buckeye Individual/Medicaid |
$236.59
|
| Rate for Payer: Buckeye Medicare Advantage |
$236.59
|
| Rate for Payer: CareSource Just4Me Medicare |
$283.91
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cash Price |
$775.50
|
| Rate for Payer: Cigna Commercial |
$284.35
|
| Rate for Payer: Healthspan PPO |
$259.12
|
| Rate for Payer: Humana Medicaid |
$71.18
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$45.72
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$236.59
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$236.59
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$72.60
|
| Rate for Payer: Molina Healthcare Passport |
$71.18
|
| Rate for Payer: Multiplan PHCS |
$930.60
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$307.57
|
| Rate for Payer: UHCCP Medicaid |
$542.85
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$71.89
|
| Rate for Payer: Wellcare Medicare Advantage |
$236.59
|
|
|
PARATHYROID IMAGING(P
|
Professional
|
Both
|
$150.00
|
|
|
Service Code
|
HCPCS 78070
|
| Hospital Charge Code |
340P0074
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$45.72 |
| Max. Negotiated Rate |
$307.57 |
| Rate for Payer: Aetna Commercial |
$259.25
|
| Rate for Payer: Ambetter Exchange |
$236.59
|
| Rate for Payer: Anthem Medicaid |
$71.18
|
| Rate for Payer: Buckeye Individual/Medicaid |
$236.59
|
| Rate for Payer: Buckeye Medicare Advantage |
$236.59
|
| Rate for Payer: CareSource Just4Me Medicare |
$283.91
|
| Rate for Payer: Cash Price |
$75.00
|
| Rate for Payer: Cash Price |
$75.00
|
| Rate for Payer: Cigna Commercial |
$284.35
|
| Rate for Payer: Healthspan PPO |
$259.12
|
| Rate for Payer: Humana Medicaid |
$71.18
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$45.72
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$236.59
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$236.59
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$72.60
|
| Rate for Payer: Molina Healthcare Passport |
$71.18
|
| Rate for Payer: Multiplan PHCS |
$90.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$307.57
|
| Rate for Payer: UHCCP Medicaid |
$52.50
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$71.89
|
| Rate for Payer: Wellcare Medicare Advantage |
$236.59
|
|
