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Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $241.75
Max. Negotiated Rate $1,785.22
Rate for Payer: Aetna Commercial $1,431.89
Rate for Payer: Anthem Medicaid $639.52
Rate for Payer: Anthem POS/PPO/Traditional $1,450.49
Rate for Payer: Cash Price $929.80
Rate for Payer: Cigna Commercial $1,543.47
Rate for Payer: First Health Commercial $1,766.62
Rate for Payer: Humana Commercial $1,580.66
Rate for Payer: Humana KY Medicaid $639.52
Rate for Payer: Kentucky WC Medicaid $646.03
Rate for Payer: Medical Mutual Of Ohio HMO $1,524.87
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,372.38
Rate for Payer: Molina Healthcare Benefit Exchange $557.88
Rate for Payer: Molina Healthcare Medicaid $652.35
Rate for Payer: Ohio Health Choice Commercial $1,636.45
Rate for Payer: Ohio Health Group HMO $1,394.70
Rate for Payer: Ohio Health Group PPO Differential $371.92
Rate for Payer: Ohio Health Group PPO No Differential $241.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $576.48
Rate for Payer: PHCS Commercial $1,785.22
Rate for Payer: United Healthcare All Payer $1,636.45
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $684.12
Max. Negotiated Rate $5,052.00
Rate for Payer: Aetna Commercial $4,052.12
Rate for Payer: Anthem POS/PPO/Traditional $4,104.75
Rate for Payer: Cash Price $2,631.25
Rate for Payer: Cigna Commercial $4,367.88
Rate for Payer: First Health Commercial $4,999.38
Rate for Payer: Humana Commercial $4,473.12
Rate for Payer: Medical Mutual Of Ohio HMO $4,315.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,883.72
Rate for Payer: Molina Healthcare Benefit Exchange $1,578.75
Rate for Payer: Ohio Health Choice Commercial $4,631.00
Rate for Payer: Ohio Health Group HMO $3,946.88
Rate for Payer: Ohio Health Group PPO Differential $1,052.50
Rate for Payer: Ohio Health Group PPO No Differential $684.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,631.38
Rate for Payer: PHCS Commercial $5,052.00
Rate for Payer: United Healthcare All Payer $4,631.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $684.12
Max. Negotiated Rate $5,052.00
Rate for Payer: Aetna Commercial $4,052.12
Rate for Payer: Anthem Medicaid $1,809.77
Rate for Payer: Anthem POS/PPO/Traditional $4,104.75
Rate for Payer: Cash Price $2,631.25
Rate for Payer: Cigna Commercial $4,367.88
Rate for Payer: First Health Commercial $4,999.38
Rate for Payer: Humana Commercial $4,473.12
Rate for Payer: Humana KY Medicaid $1,809.77
Rate for Payer: Kentucky WC Medicaid $1,828.19
Rate for Payer: Medical Mutual Of Ohio HMO $4,315.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,883.72
Rate for Payer: Molina Healthcare Benefit Exchange $1,578.75
Rate for Payer: Molina Healthcare Medicaid $1,846.08
Rate for Payer: Ohio Health Choice Commercial $4,631.00
Rate for Payer: Ohio Health Group HMO $3,946.88
Rate for Payer: Ohio Health Group PPO Differential $1,052.50
Rate for Payer: Ohio Health Group PPO No Differential $684.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,631.38
Rate for Payer: PHCS Commercial $5,052.00
Rate for Payer: United Healthcare All Payer $4,631.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $672.75
Max. Negotiated Rate $4,968.00
Rate for Payer: Aetna Commercial $3,984.75
Rate for Payer: Anthem POS/PPO/Traditional $4,036.50
Rate for Payer: Cash Price $2,587.50
Rate for Payer: Cigna Commercial $4,295.25
Rate for Payer: First Health Commercial $4,916.25
Rate for Payer: Humana Commercial $4,398.75
Rate for Payer: Medical Mutual Of Ohio HMO $4,243.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,819.15
Rate for Payer: Molina Healthcare Benefit Exchange $1,552.50
Rate for Payer: Ohio Health Choice Commercial $4,554.00
Rate for Payer: Ohio Health Group HMO $3,881.25
Rate for Payer: Ohio Health Group PPO Differential $1,035.00
Rate for Payer: Ohio Health Group PPO No Differential $672.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,604.25
Rate for Payer: PHCS Commercial $4,968.00
Rate for Payer: United Healthcare All Payer $4,554.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $672.75
Max. Negotiated Rate $4,968.00
Rate for Payer: Aetna Commercial $3,984.75
Rate for Payer: Anthem Medicaid $1,779.68
Rate for Payer: Anthem POS/PPO/Traditional $4,036.50
Rate for Payer: Cash Price $2,587.50
Rate for Payer: Cigna Commercial $4,295.25
Rate for Payer: First Health Commercial $4,916.25
Rate for Payer: Humana Commercial $4,398.75
Rate for Payer: Humana KY Medicaid $1,779.68
Rate for Payer: Kentucky WC Medicaid $1,797.80
Rate for Payer: Medical Mutual Of Ohio HMO $4,243.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,819.15
Rate for Payer: Molina Healthcare Benefit Exchange $1,552.50
Rate for Payer: Molina Healthcare Medicaid $1,815.39
Rate for Payer: Ohio Health Choice Commercial $4,554.00
Rate for Payer: Ohio Health Group HMO $3,881.25
Rate for Payer: Ohio Health Group PPO Differential $1,035.00
Rate for Payer: Ohio Health Group PPO No Differential $672.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,604.25
Rate for Payer: PHCS Commercial $4,968.00
Rate for Payer: United Healthcare All Payer $4,554.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $536.25
Max. Negotiated Rate $3,960.00
Rate for Payer: Aetna Commercial $3,176.25
Rate for Payer: Aetna Commercial $3,434.29
Rate for Payer: Anthem Medicaid $1,418.59
Rate for Payer: Anthem Medicaid $1,533.84
Rate for Payer: Anthem POS/PPO/Traditional $3,217.50
Rate for Payer: Anthem POS/PPO/Traditional $3,478.89
Rate for Payer: Cash Price $2,062.50
Rate for Payer: Cash Price $2,230.06
Rate for Payer: Cigna Commercial $3,701.90
Rate for Payer: Cigna Commercial $3,423.75
Rate for Payer: First Health Commercial $4,237.11
Rate for Payer: First Health Commercial $3,918.75
Rate for Payer: Humana Commercial $3,506.25
Rate for Payer: Humana Commercial $3,791.10
Rate for Payer: Humana KY Medicaid $1,418.59
Rate for Payer: Humana KY Medicaid $1,533.84
Rate for Payer: Kentucky WC Medicaid $1,549.45
Rate for Payer: Kentucky WC Medicaid $1,433.02
Rate for Payer: Medical Mutual Of Ohio HMO $3,382.50
Rate for Payer: Medical Mutual Of Ohio HMO $3,657.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,291.57
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,044.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,338.04
Rate for Payer: Molina Healthcare Benefit Exchange $1,237.50
Rate for Payer: Molina Healthcare Medicaid $1,447.05
Rate for Payer: Molina Healthcare Medicaid $1,564.61
Rate for Payer: Ohio Health Choice Commercial $3,630.00
Rate for Payer: Ohio Health Choice Commercial $3,924.91
Rate for Payer: Ohio Health Group HMO $3,093.75
Rate for Payer: Ohio Health Group HMO $3,345.09
Rate for Payer: Ohio Health Group PPO Differential $825.00
Rate for Payer: Ohio Health Group PPO Differential $892.02
Rate for Payer: Ohio Health Group PPO No Differential $536.25
Rate for Payer: Ohio Health Group PPO No Differential $579.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,278.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,382.64
Rate for Payer: PHCS Commercial $4,281.72
Rate for Payer: PHCS Commercial $3,960.00
Rate for Payer: United Healthcare All Payer $3,924.91
Rate for Payer: United Healthcare All Payer $3,630.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $536.25
Max. Negotiated Rate $3,960.00
Rate for Payer: Aetna Commercial $3,176.25
Rate for Payer: Aetna Commercial $3,434.29
Rate for Payer: Anthem POS/PPO/Traditional $3,217.50
Rate for Payer: Anthem POS/PPO/Traditional $3,478.89
Rate for Payer: Cash Price $2,062.50
Rate for Payer: Cash Price $2,230.06
Rate for Payer: Cigna Commercial $3,423.75
Rate for Payer: Cigna Commercial $3,701.90
Rate for Payer: First Health Commercial $4,237.11
Rate for Payer: First Health Commercial $3,918.75
Rate for Payer: Humana Commercial $3,791.10
Rate for Payer: Humana Commercial $3,506.25
Rate for Payer: Medical Mutual Of Ohio HMO $3,382.50
Rate for Payer: Medical Mutual Of Ohio HMO $3,657.30
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,044.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,291.57
Rate for Payer: Molina Healthcare Benefit Exchange $1,338.04
Rate for Payer: Molina Healthcare Benefit Exchange $1,237.50
Rate for Payer: Ohio Health Choice Commercial $3,630.00
Rate for Payer: Ohio Health Choice Commercial $3,924.91
Rate for Payer: Ohio Health Group HMO $3,093.75
Rate for Payer: Ohio Health Group HMO $3,345.09
Rate for Payer: Ohio Health Group PPO Differential $825.00
Rate for Payer: Ohio Health Group PPO Differential $892.02
Rate for Payer: Ohio Health Group PPO No Differential $536.25
Rate for Payer: Ohio Health Group PPO No Differential $579.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,382.64
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,278.75
Rate for Payer: PHCS Commercial $3,960.00
Rate for Payer: PHCS Commercial $4,281.72
Rate for Payer: United Healthcare All Payer $3,630.00
Rate for Payer: United Healthcare All Payer $3,924.91
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $615.88
Max. Negotiated Rate $4,548.00
Rate for Payer: Aetna Commercial $3,647.88
Rate for Payer: Anthem POS/PPO/Traditional $3,695.25
Rate for Payer: Cash Price $2,368.75
Rate for Payer: Cigna Commercial $3,932.12
Rate for Payer: First Health Commercial $4,500.62
Rate for Payer: Humana Commercial $4,026.88
Rate for Payer: Medical Mutual Of Ohio HMO $3,884.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,496.28
Rate for Payer: Molina Healthcare Benefit Exchange $1,421.25
Rate for Payer: Ohio Health Choice Commercial $4,169.00
Rate for Payer: Ohio Health Group HMO $3,553.12
Rate for Payer: Ohio Health Group PPO Differential $947.50
Rate for Payer: Ohio Health Group PPO No Differential $615.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,468.62
Rate for Payer: PHCS Commercial $4,548.00
Rate for Payer: United Healthcare All Payer $4,169.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $615.88
Max. Negotiated Rate $4,548.00
Rate for Payer: Aetna Commercial $3,647.88
Rate for Payer: Anthem Medicaid $1,629.23
Rate for Payer: Anthem POS/PPO/Traditional $3,695.25
Rate for Payer: Cash Price $2,368.75
Rate for Payer: Cigna Commercial $3,932.12
Rate for Payer: First Health Commercial $4,500.62
Rate for Payer: Humana Commercial $4,026.88
Rate for Payer: Humana KY Medicaid $1,629.23
Rate for Payer: Kentucky WC Medicaid $1,645.81
Rate for Payer: Medical Mutual Of Ohio HMO $3,884.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,496.28
Rate for Payer: Molina Healthcare Benefit Exchange $1,421.25
Rate for Payer: Molina Healthcare Medicaid $1,661.92
Rate for Payer: Ohio Health Choice Commercial $4,169.00
Rate for Payer: Ohio Health Group HMO $3,553.12
Rate for Payer: Ohio Health Group PPO Differential $947.50
Rate for Payer: Ohio Health Group PPO No Differential $615.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,468.62
Rate for Payer: PHCS Commercial $4,548.00
Rate for Payer: United Healthcare All Payer $4,169.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $615.88
Max. Negotiated Rate $4,548.00
Rate for Payer: Aetna Commercial $3,647.88
Rate for Payer: Anthem POS/PPO/Traditional $3,695.25
Rate for Payer: Cash Price $2,368.75
Rate for Payer: Cigna Commercial $3,932.12
Rate for Payer: First Health Commercial $4,500.62
Rate for Payer: Humana Commercial $4,026.88
Rate for Payer: Medical Mutual Of Ohio HMO $3,884.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,496.28
Rate for Payer: Molina Healthcare Benefit Exchange $1,421.25
Rate for Payer: Ohio Health Choice Commercial $4,169.00
Rate for Payer: Ohio Health Group HMO $3,553.12
Rate for Payer: Ohio Health Group PPO Differential $947.50
Rate for Payer: Ohio Health Group PPO No Differential $615.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,468.62
Rate for Payer: PHCS Commercial $4,548.00
Rate for Payer: United Healthcare All Payer $4,169.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $615.88
Max. Negotiated Rate $4,548.00
Rate for Payer: Aetna Commercial $3,647.88
Rate for Payer: Anthem Medicaid $1,629.23
Rate for Payer: Anthem POS/PPO/Traditional $3,695.25
Rate for Payer: Cash Price $2,368.75
Rate for Payer: Cigna Commercial $3,932.12
Rate for Payer: First Health Commercial $4,500.62
Rate for Payer: Humana Commercial $4,026.88
Rate for Payer: Humana KY Medicaid $1,629.23
Rate for Payer: Kentucky WC Medicaid $1,645.81
Rate for Payer: Medical Mutual Of Ohio HMO $3,884.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,496.28
Rate for Payer: Molina Healthcare Benefit Exchange $1,421.25
Rate for Payer: Molina Healthcare Medicaid $1,661.92
Rate for Payer: Ohio Health Choice Commercial $4,169.00
Rate for Payer: Ohio Health Group HMO $3,553.12
Rate for Payer: Ohio Health Group PPO Differential $947.50
Rate for Payer: Ohio Health Group PPO No Differential $615.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,468.62
Rate for Payer: PHCS Commercial $4,548.00
Rate for Payer: United Healthcare All Payer $4,169.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $647.72
Max. Negotiated Rate $4,783.20
Rate for Payer: Aetna Commercial $3,836.52
Rate for Payer: Anthem POS/PPO/Traditional $3,886.35
Rate for Payer: Cash Price $2,491.25
Rate for Payer: Cigna Commercial $4,135.48
Rate for Payer: First Health Commercial $4,733.38
Rate for Payer: Humana Commercial $4,235.12
Rate for Payer: Medical Mutual Of Ohio HMO $4,085.65
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,677.08
Rate for Payer: Molina Healthcare Benefit Exchange $1,494.75
Rate for Payer: Ohio Health Choice Commercial $4,384.60
Rate for Payer: Ohio Health Group HMO $3,736.88
Rate for Payer: Ohio Health Group PPO Differential $996.50
Rate for Payer: Ohio Health Group PPO No Differential $647.72
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,544.58
Rate for Payer: PHCS Commercial $4,783.20
Rate for Payer: United Healthcare All Payer $4,384.60
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $647.72
Max. Negotiated Rate $4,783.20
Rate for Payer: Aetna Commercial $3,836.52
Rate for Payer: Anthem Medicaid $1,713.48
Rate for Payer: Anthem POS/PPO/Traditional $3,886.35
Rate for Payer: Cash Price $2,491.25
Rate for Payer: Cigna Commercial $4,135.48
Rate for Payer: First Health Commercial $4,733.38
Rate for Payer: Humana Commercial $4,235.12
Rate for Payer: Humana KY Medicaid $1,713.48
Rate for Payer: Kentucky WC Medicaid $1,730.92
Rate for Payer: Medical Mutual Of Ohio HMO $4,085.65
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,677.08
Rate for Payer: Molina Healthcare Benefit Exchange $1,494.75
Rate for Payer: Molina Healthcare Medicaid $1,747.86
Rate for Payer: Ohio Health Choice Commercial $4,384.60
Rate for Payer: Ohio Health Group HMO $3,736.88
Rate for Payer: Ohio Health Group PPO Differential $996.50
Rate for Payer: Ohio Health Group PPO No Differential $647.72
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,544.58
Rate for Payer: PHCS Commercial $4,783.20
Rate for Payer: United Healthcare All Payer $4,384.60
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $536.25
Max. Negotiated Rate $3,960.00
Rate for Payer: Aetna Commercial $3,176.25
Rate for Payer: Anthem POS/PPO/Traditional $3,217.50
Rate for Payer: Cash Price $2,062.50
Rate for Payer: Cigna Commercial $3,423.75
Rate for Payer: First Health Commercial $3,918.75
Rate for Payer: Humana Commercial $3,506.25
Rate for Payer: Medical Mutual Of Ohio HMO $3,382.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,044.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,237.50
Rate for Payer: Ohio Health Choice Commercial $3,630.00
Rate for Payer: Ohio Health Group HMO $3,093.75
Rate for Payer: Ohio Health Group PPO Differential $825.00
Rate for Payer: Ohio Health Group PPO No Differential $536.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,278.75
Rate for Payer: PHCS Commercial $3,960.00
Rate for Payer: United Healthcare All Payer $3,630.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $536.25
Max. Negotiated Rate $3,960.00
Rate for Payer: Aetna Commercial $3,176.25
Rate for Payer: Anthem Medicaid $1,418.59
Rate for Payer: Anthem POS/PPO/Traditional $3,217.50
Rate for Payer: Cash Price $2,062.50
Rate for Payer: Cigna Commercial $3,423.75
Rate for Payer: First Health Commercial $3,918.75
Rate for Payer: Humana Commercial $3,506.25
Rate for Payer: Humana KY Medicaid $1,418.59
Rate for Payer: Kentucky WC Medicaid $1,433.02
Rate for Payer: Medical Mutual Of Ohio HMO $3,382.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,044.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,237.50
Rate for Payer: Molina Healthcare Medicaid $1,447.05
Rate for Payer: Ohio Health Choice Commercial $3,630.00
Rate for Payer: Ohio Health Group HMO $3,093.75
Rate for Payer: Ohio Health Group PPO Differential $825.00
Rate for Payer: Ohio Health Group PPO No Differential $536.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,278.75
Rate for Payer: PHCS Commercial $3,960.00
Rate for Payer: United Healthcare All Payer $3,630.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $581.75
Max. Negotiated Rate $4,296.00
Rate for Payer: Aetna Commercial $3,445.75
Rate for Payer: Anthem Medicaid $1,538.95
Rate for Payer: Anthem POS/PPO/Traditional $3,490.50
Rate for Payer: Cash Price $2,237.50
Rate for Payer: Cigna Commercial $3,714.25
Rate for Payer: First Health Commercial $4,251.25
Rate for Payer: Humana Commercial $3,803.75
Rate for Payer: Humana KY Medicaid $1,538.95
Rate for Payer: Kentucky WC Medicaid $1,554.62
Rate for Payer: Medical Mutual Of Ohio HMO $3,669.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,302.55
Rate for Payer: Molina Healthcare Benefit Exchange $1,342.50
Rate for Payer: Molina Healthcare Medicaid $1,569.83
Rate for Payer: Ohio Health Choice Commercial $3,938.00
Rate for Payer: Ohio Health Group HMO $3,356.25
Rate for Payer: Ohio Health Group PPO Differential $895.00
Rate for Payer: Ohio Health Group PPO No Differential $581.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,387.25
Rate for Payer: PHCS Commercial $4,296.00
Rate for Payer: United Healthcare All Payer $3,938.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $581.75
Max. Negotiated Rate $4,296.00
Rate for Payer: Aetna Commercial $3,445.75
Rate for Payer: Anthem POS/PPO/Traditional $3,490.50
Rate for Payer: Cash Price $2,237.50
Rate for Payer: Cigna Commercial $3,714.25
Rate for Payer: First Health Commercial $4,251.25
Rate for Payer: Humana Commercial $3,803.75
Rate for Payer: Medical Mutual Of Ohio HMO $3,669.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,302.55
Rate for Payer: Molina Healthcare Benefit Exchange $1,342.50
Rate for Payer: Ohio Health Choice Commercial $3,938.00
Rate for Payer: Ohio Health Group HMO $3,356.25
Rate for Payer: Ohio Health Group PPO Differential $895.00
Rate for Payer: Ohio Health Group PPO No Differential $581.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,387.25
Rate for Payer: PHCS Commercial $4,296.00
Rate for Payer: United Healthcare All Payer $3,938.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $615.88
Max. Negotiated Rate $4,548.00
Rate for Payer: Aetna Commercial $3,647.88
Rate for Payer: Anthem POS/PPO/Traditional $3,695.25
Rate for Payer: Cash Price $2,368.75
Rate for Payer: Cigna Commercial $3,932.12
Rate for Payer: First Health Commercial $4,500.62
Rate for Payer: Humana Commercial $4,026.88
Rate for Payer: Medical Mutual Of Ohio HMO $3,884.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,496.28
Rate for Payer: Molina Healthcare Benefit Exchange $1,421.25
Rate for Payer: Ohio Health Choice Commercial $4,169.00
Rate for Payer: Ohio Health Group HMO $3,553.12
Rate for Payer: Ohio Health Group PPO Differential $947.50
Rate for Payer: Ohio Health Group PPO No Differential $615.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,468.62
Rate for Payer: PHCS Commercial $4,548.00
Rate for Payer: United Healthcare All Payer $4,169.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $615.88
Max. Negotiated Rate $4,548.00
Rate for Payer: Aetna Commercial $3,647.88
Rate for Payer: Anthem Medicaid $1,629.23
Rate for Payer: Anthem POS/PPO/Traditional $3,695.25
Rate for Payer: Cash Price $2,368.75
Rate for Payer: Cigna Commercial $3,932.12
Rate for Payer: First Health Commercial $4,500.62
Rate for Payer: Humana Commercial $4,026.88
Rate for Payer: Humana KY Medicaid $1,629.23
Rate for Payer: Kentucky WC Medicaid $1,645.81
Rate for Payer: Medical Mutual Of Ohio HMO $3,884.75
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,496.28
Rate for Payer: Molina Healthcare Benefit Exchange $1,421.25
Rate for Payer: Molina Healthcare Medicaid $1,661.92
Rate for Payer: Ohio Health Choice Commercial $4,169.00
Rate for Payer: Ohio Health Group HMO $3,553.12
Rate for Payer: Ohio Health Group PPO Differential $947.50
Rate for Payer: Ohio Health Group PPO No Differential $615.88
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,468.62
Rate for Payer: PHCS Commercial $4,548.00
Rate for Payer: United Healthcare All Payer $4,169.00
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $647.72
Max. Negotiated Rate $4,783.20
Rate for Payer: Aetna Commercial $3,836.52
Rate for Payer: Anthem POS/PPO/Traditional $3,886.35
Rate for Payer: Cash Price $2,491.25
Rate for Payer: Cigna Commercial $4,135.48
Rate for Payer: First Health Commercial $4,733.38
Rate for Payer: Humana Commercial $4,235.12
Rate for Payer: Medical Mutual Of Ohio HMO $4,085.65
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,677.08
Rate for Payer: Molina Healthcare Benefit Exchange $1,494.75
Rate for Payer: Ohio Health Choice Commercial $4,384.60
Rate for Payer: Ohio Health Group HMO $3,736.88
Rate for Payer: Ohio Health Group PPO Differential $996.50
Rate for Payer: Ohio Health Group PPO No Differential $647.72
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,544.58
Rate for Payer: PHCS Commercial $4,783.20
Rate for Payer: United Healthcare All Payer $4,384.60
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $647.72
Max. Negotiated Rate $4,783.20
Rate for Payer: Aetna Commercial $3,836.52
Rate for Payer: Anthem Medicaid $1,713.48
Rate for Payer: Anthem POS/PPO/Traditional $3,886.35
Rate for Payer: Cash Price $2,491.25
Rate for Payer: Cigna Commercial $4,135.48
Rate for Payer: First Health Commercial $4,733.38
Rate for Payer: Humana Commercial $4,235.12
Rate for Payer: Humana KY Medicaid $1,713.48
Rate for Payer: Kentucky WC Medicaid $1,730.92
Rate for Payer: Medical Mutual Of Ohio HMO $4,085.65
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,677.08
Rate for Payer: Molina Healthcare Benefit Exchange $1,494.75
Rate for Payer: Molina Healthcare Medicaid $1,747.86
Rate for Payer: Ohio Health Choice Commercial $4,384.60
Rate for Payer: Ohio Health Group HMO $3,736.88
Rate for Payer: Ohio Health Group PPO Differential $996.50
Rate for Payer: Ohio Health Group PPO No Differential $647.72
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,544.58
Rate for Payer: PHCS Commercial $4,783.20
Rate for Payer: United Healthcare All Payer $4,384.60
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $704.03
Max. Negotiated Rate $5,199.00
Rate for Payer: Aetna Commercial $4,170.03
Rate for Payer: Anthem Medicaid $1,862.43
Rate for Payer: Anthem POS/PPO/Traditional $4,224.18
Rate for Payer: Cash Price $2,707.81
Rate for Payer: Cigna Commercial $4,494.96
Rate for Payer: First Health Commercial $5,144.84
Rate for Payer: Humana Commercial $4,603.28
Rate for Payer: Humana KY Medicaid $1,862.43
Rate for Payer: Kentucky WC Medicaid $1,881.39
Rate for Payer: Medical Mutual Of Ohio HMO $4,440.81
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,996.73
Rate for Payer: Molina Healthcare Benefit Exchange $1,624.69
Rate for Payer: Molina Healthcare Medicaid $1,899.80
Rate for Payer: Ohio Health Choice Commercial $4,765.75
Rate for Payer: Ohio Health Group HMO $4,061.72
Rate for Payer: Ohio Health Group PPO Differential $1,083.12
Rate for Payer: Ohio Health Group PPO No Differential $704.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,678.84
Rate for Payer: PHCS Commercial $5,199.00
Rate for Payer: United Healthcare All Payer $4,765.75
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $704.03
Max. Negotiated Rate $5,199.00
Rate for Payer: Aetna Commercial $4,170.03
Rate for Payer: Anthem POS/PPO/Traditional $4,224.18
Rate for Payer: Cash Price $2,707.81
Rate for Payer: Cigna Commercial $4,494.96
Rate for Payer: First Health Commercial $5,144.84
Rate for Payer: Humana Commercial $4,603.28
Rate for Payer: Medical Mutual Of Ohio HMO $4,440.81
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,996.73
Rate for Payer: Molina Healthcare Benefit Exchange $1,624.69
Rate for Payer: Ohio Health Choice Commercial $4,765.75
Rate for Payer: Ohio Health Group HMO $4,061.72
Rate for Payer: Ohio Health Group PPO Differential $1,083.12
Rate for Payer: Ohio Health Group PPO No Differential $704.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,678.84
Rate for Payer: PHCS Commercial $5,199.00
Rate for Payer: United Healthcare All Payer $4,765.75
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $617.70
Max. Negotiated Rate $4,561.44
Rate for Payer: Aetna Commercial $3,658.66
Rate for Payer: Anthem POS/PPO/Traditional $3,706.17
Rate for Payer: Cash Price $2,375.75
Rate for Payer: Cigna Commercial $3,943.74
Rate for Payer: First Health Commercial $4,513.92
Rate for Payer: Humana Commercial $4,038.78
Rate for Payer: Medical Mutual Of Ohio HMO $3,896.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,506.61
Rate for Payer: Molina Healthcare Benefit Exchange $1,425.45
Rate for Payer: Ohio Health Choice Commercial $4,181.32
Rate for Payer: Ohio Health Group HMO $3,563.62
Rate for Payer: Ohio Health Group PPO Differential $950.30
Rate for Payer: Ohio Health Group PPO No Differential $617.70
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,472.96
Rate for Payer: PHCS Commercial $4,561.44
Rate for Payer: United Healthcare All Payer $4,181.32
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $617.70
Max. Negotiated Rate $4,561.44
Rate for Payer: Aetna Commercial $3,658.66
Rate for Payer: Anthem Medicaid $1,634.04
Rate for Payer: Anthem POS/PPO/Traditional $3,706.17
Rate for Payer: Cash Price $2,375.75
Rate for Payer: Cigna Commercial $3,943.74
Rate for Payer: First Health Commercial $4,513.92
Rate for Payer: Humana Commercial $4,038.78
Rate for Payer: Humana KY Medicaid $1,634.04
Rate for Payer: Kentucky WC Medicaid $1,650.67
Rate for Payer: Medical Mutual Of Ohio HMO $3,896.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,506.61
Rate for Payer: Molina Healthcare Benefit Exchange $1,425.45
Rate for Payer: Molina Healthcare Medicaid $1,666.83
Rate for Payer: Ohio Health Choice Commercial $4,181.32
Rate for Payer: Ohio Health Group HMO $3,563.62
Rate for Payer: Ohio Health Group PPO Differential $950.30
Rate for Payer: Ohio Health Group PPO No Differential $617.70
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,472.96
Rate for Payer: PHCS Commercial $4,561.44
Rate for Payer: United Healthcare All Payer $4,181.32