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Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,500.58
Max. Negotiated Rate $11,081.22
Rate for Payer: Aetna Commercial $8,888.06
Rate for Payer: Anthem Medicaid $3,969.62
Rate for Payer: Anthem POS/PPO/Traditional $9,003.49
Rate for Payer: Cash Price $5,771.47
Rate for Payer: Cigna Commercial $9,580.64
Rate for Payer: First Health Commercial $10,965.79
Rate for Payer: Humana Commercial $9,811.50
Rate for Payer: Humana KY Medicaid $3,969.62
Rate for Payer: Kentucky WC Medicaid $4,010.02
Rate for Payer: Medical Mutual Of Ohio HMO $9,465.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,518.69
Rate for Payer: Molina Healthcare Benefit Exchange $3,462.88
Rate for Payer: Molina Healthcare Medicaid $4,049.26
Rate for Payer: Ohio Health Choice Commercial $10,157.79
Rate for Payer: Ohio Health Group HMO $8,657.20
Rate for Payer: Ohio Health Group PPO Differential $2,308.59
Rate for Payer: Ohio Health Group PPO No Differential $1,500.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,578.31
Rate for Payer: PHCS Commercial $11,081.22
Rate for Payer: United Healthcare All Payer $10,157.79
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,500.58
Max. Negotiated Rate $11,081.22
Rate for Payer: Aetna Commercial $8,888.06
Rate for Payer: Anthem POS/PPO/Traditional $9,003.49
Rate for Payer: Cash Price $5,771.47
Rate for Payer: Cigna Commercial $9,580.64
Rate for Payer: First Health Commercial $10,965.79
Rate for Payer: Humana Commercial $9,811.50
Rate for Payer: Medical Mutual Of Ohio HMO $9,465.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,518.69
Rate for Payer: Molina Healthcare Benefit Exchange $3,462.88
Rate for Payer: Ohio Health Choice Commercial $10,157.79
Rate for Payer: Ohio Health Group HMO $8,657.20
Rate for Payer: Ohio Health Group PPO Differential $2,308.59
Rate for Payer: Ohio Health Group PPO No Differential $1,500.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,578.31
Rate for Payer: PHCS Commercial $11,081.22
Rate for Payer: United Healthcare All Payer $10,157.79
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,548.01
Max. Negotiated Rate $11,431.49
Rate for Payer: Aetna Commercial $9,169.01
Rate for Payer: Anthem Medicaid $4,095.09
Rate for Payer: Anthem POS/PPO/Traditional $9,288.08
Rate for Payer: Cash Price $5,953.90
Rate for Payer: Cigna Commercial $9,883.47
Rate for Payer: First Health Commercial $11,312.41
Rate for Payer: Humana Commercial $10,121.63
Rate for Payer: Humana KY Medicaid $4,095.09
Rate for Payer: Kentucky WC Medicaid $4,136.77
Rate for Payer: Medical Mutual Of Ohio HMO $9,764.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,787.96
Rate for Payer: Molina Healthcare Benefit Exchange $3,572.34
Rate for Payer: Molina Healthcare Medicaid $4,177.26
Rate for Payer: Ohio Health Choice Commercial $10,478.86
Rate for Payer: Ohio Health Group HMO $8,930.85
Rate for Payer: Ohio Health Group PPO Differential $2,381.56
Rate for Payer: Ohio Health Group PPO No Differential $1,548.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,691.42
Rate for Payer: PHCS Commercial $11,431.49
Rate for Payer: United Healthcare All Payer $10,478.86
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,548.01
Max. Negotiated Rate $11,431.49
Rate for Payer: Aetna Commercial $9,169.01
Rate for Payer: Anthem POS/PPO/Traditional $9,288.08
Rate for Payer: Cash Price $5,953.90
Rate for Payer: Cigna Commercial $9,883.47
Rate for Payer: First Health Commercial $11,312.41
Rate for Payer: Humana Commercial $10,121.63
Rate for Payer: Medical Mutual Of Ohio HMO $9,764.40
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,787.96
Rate for Payer: Molina Healthcare Benefit Exchange $3,572.34
Rate for Payer: Ohio Health Choice Commercial $10,478.86
Rate for Payer: Ohio Health Group HMO $8,930.85
Rate for Payer: Ohio Health Group PPO Differential $2,381.56
Rate for Payer: Ohio Health Group PPO No Differential $1,548.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,691.42
Rate for Payer: PHCS Commercial $11,431.49
Rate for Payer: United Healthcare All Payer $10,478.86
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,217.33
Max. Negotiated Rate $8,989.53
Rate for Payer: Aetna Commercial $7,210.35
Rate for Payer: Anthem POS/PPO/Traditional $7,303.99
Rate for Payer: Cash Price $4,682.04
Rate for Payer: Cigna Commercial $7,772.19
Rate for Payer: First Health Commercial $8,895.89
Rate for Payer: Humana Commercial $7,959.48
Rate for Payer: Medical Mutual Of Ohio HMO $7,678.55
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,910.70
Rate for Payer: Molina Healthcare Benefit Exchange $2,809.23
Rate for Payer: Ohio Health Choice Commercial $8,240.40
Rate for Payer: Ohio Health Group HMO $7,023.07
Rate for Payer: Ohio Health Group PPO Differential $1,872.82
Rate for Payer: Ohio Health Group PPO No Differential $1,217.33
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,902.87
Rate for Payer: PHCS Commercial $8,989.53
Rate for Payer: United Healthcare All Payer $8,240.40
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,217.33
Max. Negotiated Rate $8,989.53
Rate for Payer: Aetna Commercial $7,210.35
Rate for Payer: Anthem Medicaid $3,220.31
Rate for Payer: Anthem POS/PPO/Traditional $7,303.99
Rate for Payer: Cash Price $4,682.04
Rate for Payer: Cigna Commercial $7,772.19
Rate for Payer: First Health Commercial $8,895.89
Rate for Payer: Humana Commercial $7,959.48
Rate for Payer: Humana KY Medicaid $3,220.31
Rate for Payer: Kentucky WC Medicaid $3,253.08
Rate for Payer: Medical Mutual Of Ohio HMO $7,678.55
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,910.70
Rate for Payer: Molina Healthcare Benefit Exchange $2,809.23
Rate for Payer: Molina Healthcare Medicaid $3,284.92
Rate for Payer: Ohio Health Choice Commercial $8,240.40
Rate for Payer: Ohio Health Group HMO $7,023.07
Rate for Payer: Ohio Health Group PPO Differential $1,872.82
Rate for Payer: Ohio Health Group PPO No Differential $1,217.33
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,902.87
Rate for Payer: PHCS Commercial $8,989.53
Rate for Payer: United Healthcare All Payer $8,240.40
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,072.35
Max. Negotiated Rate $7,918.88
Rate for Payer: Aetna Commercial $6,351.60
Rate for Payer: Anthem Medicaid $2,836.77
Rate for Payer: Anthem POS/PPO/Traditional $6,434.09
Rate for Payer: Cash Price $4,124.41
Rate for Payer: Cigna Commercial $6,846.53
Rate for Payer: First Health Commercial $7,836.39
Rate for Payer: Humana Commercial $7,011.51
Rate for Payer: Humana KY Medicaid $2,836.77
Rate for Payer: Kentucky WC Medicaid $2,865.64
Rate for Payer: Medical Mutual Of Ohio HMO $6,764.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,087.64
Rate for Payer: Molina Healthcare Benefit Exchange $2,474.65
Rate for Payer: Molina Healthcare Medicaid $2,893.69
Rate for Payer: Ohio Health Choice Commercial $7,258.97
Rate for Payer: Ohio Health Group HMO $6,186.62
Rate for Payer: Ohio Health Group PPO Differential $1,649.77
Rate for Payer: Ohio Health Group PPO No Differential $1,072.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,557.14
Rate for Payer: PHCS Commercial $7,918.88
Rate for Payer: United Healthcare All Payer $7,258.97
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,072.35
Max. Negotiated Rate $7,918.88
Rate for Payer: Aetna Commercial $6,351.60
Rate for Payer: Anthem POS/PPO/Traditional $6,434.09
Rate for Payer: Cash Price $4,124.41
Rate for Payer: Cigna Commercial $6,846.53
Rate for Payer: First Health Commercial $7,836.39
Rate for Payer: Humana Commercial $7,011.51
Rate for Payer: Medical Mutual Of Ohio HMO $6,764.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,087.64
Rate for Payer: Molina Healthcare Benefit Exchange $2,474.65
Rate for Payer: Ohio Health Choice Commercial $7,258.97
Rate for Payer: Ohio Health Group HMO $6,186.62
Rate for Payer: Ohio Health Group PPO Differential $1,649.77
Rate for Payer: Ohio Health Group PPO No Differential $1,072.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,557.14
Rate for Payer: PHCS Commercial $7,918.88
Rate for Payer: United Healthcare All Payer $7,258.97
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,072.35
Max. Negotiated Rate $7,918.88
Rate for Payer: Anthem Medicaid $2,836.77
Rate for Payer: Anthem POS/PPO/Traditional $6,434.09
Rate for Payer: Cash Price $4,124.41
Rate for Payer: Cigna Commercial $6,846.53
Rate for Payer: First Health Commercial $7,836.39
Rate for Payer: Humana Commercial $7,011.51
Rate for Payer: Humana KY Medicaid $2,836.77
Rate for Payer: Kentucky WC Medicaid $2,865.64
Rate for Payer: Medical Mutual Of Ohio HMO $6,764.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,087.64
Rate for Payer: Molina Healthcare Benefit Exchange $2,474.65
Rate for Payer: Molina Healthcare Medicaid $2,893.69
Rate for Payer: Ohio Health Choice Commercial $7,258.97
Rate for Payer: Ohio Health Group HMO $6,186.62
Rate for Payer: Ohio Health Group PPO Differential $1,649.77
Rate for Payer: Ohio Health Group PPO No Differential $1,072.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,557.14
Rate for Payer: PHCS Commercial $7,918.88
Rate for Payer: United Healthcare All Payer $7,258.97
Rate for Payer: Aetna Commercial $6,351.60
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,072.35
Max. Negotiated Rate $7,918.88
Rate for Payer: Aetna Commercial $6,351.60
Rate for Payer: Anthem POS/PPO/Traditional $6,434.09
Rate for Payer: Cash Price $4,124.41
Rate for Payer: Cigna Commercial $6,846.53
Rate for Payer: First Health Commercial $7,836.39
Rate for Payer: Humana Commercial $7,011.51
Rate for Payer: Medical Mutual Of Ohio HMO $6,764.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,087.64
Rate for Payer: Molina Healthcare Benefit Exchange $2,474.65
Rate for Payer: Ohio Health Choice Commercial $7,258.97
Rate for Payer: Ohio Health Group HMO $6,186.62
Rate for Payer: Ohio Health Group PPO Differential $1,649.77
Rate for Payer: Ohio Health Group PPO No Differential $1,072.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,557.14
Rate for Payer: PHCS Commercial $7,918.88
Rate for Payer: United Healthcare All Payer $7,258.97
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,072.35
Max. Negotiated Rate $7,918.88
Rate for Payer: Aetna Commercial $6,351.60
Rate for Payer: Anthem Medicaid $2,836.77
Rate for Payer: Anthem POS/PPO/Traditional $6,434.09
Rate for Payer: Cash Price $4,124.41
Rate for Payer: Cigna Commercial $6,846.53
Rate for Payer: First Health Commercial $7,836.39
Rate for Payer: Humana Commercial $7,011.51
Rate for Payer: Humana KY Medicaid $2,836.77
Rate for Payer: Kentucky WC Medicaid $2,865.64
Rate for Payer: Medical Mutual Of Ohio HMO $6,764.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,087.64
Rate for Payer: Molina Healthcare Benefit Exchange $2,474.65
Rate for Payer: Molina Healthcare Medicaid $2,893.69
Rate for Payer: Ohio Health Choice Commercial $7,258.97
Rate for Payer: Ohio Health Group HMO $6,186.62
Rate for Payer: Ohio Health Group PPO Differential $1,649.77
Rate for Payer: Ohio Health Group PPO No Differential $1,072.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,557.14
Rate for Payer: PHCS Commercial $7,918.88
Rate for Payer: United Healthcare All Payer $7,258.97
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,072.35
Max. Negotiated Rate $7,918.88
Rate for Payer: Aetna Commercial $6,351.60
Rate for Payer: Anthem POS/PPO/Traditional $6,434.09
Rate for Payer: Cash Price $4,124.41
Rate for Payer: Cigna Commercial $6,846.53
Rate for Payer: First Health Commercial $7,836.39
Rate for Payer: Humana Commercial $7,011.51
Rate for Payer: Medical Mutual Of Ohio HMO $6,764.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,087.64
Rate for Payer: Molina Healthcare Benefit Exchange $2,474.65
Rate for Payer: Ohio Health Choice Commercial $7,258.97
Rate for Payer: Ohio Health Group HMO $6,186.62
Rate for Payer: Ohio Health Group PPO Differential $1,649.77
Rate for Payer: Ohio Health Group PPO No Differential $1,072.35
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,557.14
Rate for Payer: PHCS Commercial $7,918.88
Rate for Payer: United Healthcare All Payer $7,258.97
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,292.66
Max. Negotiated Rate $9,545.82
Rate for Payer: Aetna Commercial $7,656.54
Rate for Payer: Anthem POS/PPO/Traditional $7,755.98
Rate for Payer: Cash Price $4,971.78
Rate for Payer: Cigna Commercial $8,253.15
Rate for Payer: First Health Commercial $9,446.38
Rate for Payer: Humana Commercial $8,452.03
Rate for Payer: Medical Mutual Of Ohio HMO $8,153.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,338.35
Rate for Payer: Molina Healthcare Benefit Exchange $2,983.07
Rate for Payer: Ohio Health Choice Commercial $8,750.33
Rate for Payer: Ohio Health Group HMO $7,457.67
Rate for Payer: Ohio Health Group PPO Differential $1,988.71
Rate for Payer: Ohio Health Group PPO No Differential $1,292.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,082.50
Rate for Payer: PHCS Commercial $9,545.82
Rate for Payer: United Healthcare All Payer $8,750.33
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,292.66
Max. Negotiated Rate $9,545.82
Rate for Payer: Aetna Commercial $7,656.54
Rate for Payer: Anthem Medicaid $3,419.59
Rate for Payer: Anthem POS/PPO/Traditional $7,755.98
Rate for Payer: Cash Price $4,971.78
Rate for Payer: Cigna Commercial $8,253.15
Rate for Payer: First Health Commercial $9,446.38
Rate for Payer: Humana Commercial $8,452.03
Rate for Payer: Humana KY Medicaid $3,419.59
Rate for Payer: Kentucky WC Medicaid $3,454.39
Rate for Payer: Medical Mutual Of Ohio HMO $8,153.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,338.35
Rate for Payer: Molina Healthcare Benefit Exchange $2,983.07
Rate for Payer: Molina Healthcare Medicaid $3,488.20
Rate for Payer: Ohio Health Choice Commercial $8,750.33
Rate for Payer: Ohio Health Group HMO $7,457.67
Rate for Payer: Ohio Health Group PPO Differential $1,988.71
Rate for Payer: Ohio Health Group PPO No Differential $1,292.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,082.50
Rate for Payer: PHCS Commercial $9,545.82
Rate for Payer: United Healthcare All Payer $8,750.33
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,957.02
Max. Negotiated Rate $14,451.84
Rate for Payer: Aetna Commercial $11,591.58
Rate for Payer: Anthem Medicaid $5,177.07
Rate for Payer: Anthem POS/PPO/Traditional $11,742.12
Rate for Payer: Cash Price $7,527.00
Rate for Payer: Cigna Commercial $12,494.82
Rate for Payer: First Health Commercial $14,301.30
Rate for Payer: Humana Commercial $12,795.90
Rate for Payer: Humana KY Medicaid $5,177.07
Rate for Payer: Kentucky WC Medicaid $5,229.76
Rate for Payer: Medical Mutual Of Ohio HMO $12,344.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $11,109.85
Rate for Payer: Molina Healthcare Benefit Exchange $4,516.20
Rate for Payer: Molina Healthcare Medicaid $5,280.94
Rate for Payer: Ohio Health Choice Commercial $13,247.52
Rate for Payer: Ohio Health Group HMO $11,290.50
Rate for Payer: Ohio Health Group PPO Differential $3,010.80
Rate for Payer: Ohio Health Group PPO No Differential $1,957.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,666.74
Rate for Payer: PHCS Commercial $14,451.84
Rate for Payer: United Healthcare All Payer $13,247.52
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,957.02
Max. Negotiated Rate $14,451.84
Rate for Payer: Aetna Commercial $11,591.58
Rate for Payer: Anthem POS/PPO/Traditional $11,742.12
Rate for Payer: Cash Price $7,527.00
Rate for Payer: Cigna Commercial $12,494.82
Rate for Payer: First Health Commercial $14,301.30
Rate for Payer: Humana Commercial $12,795.90
Rate for Payer: Medical Mutual Of Ohio HMO $12,344.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $11,109.85
Rate for Payer: Molina Healthcare Benefit Exchange $4,516.20
Rate for Payer: Ohio Health Choice Commercial $13,247.52
Rate for Payer: Ohio Health Group HMO $11,290.50
Rate for Payer: Ohio Health Group PPO Differential $3,010.80
Rate for Payer: Ohio Health Group PPO No Differential $1,957.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,666.74
Rate for Payer: PHCS Commercial $14,451.84
Rate for Payer: United Healthcare All Payer $13,247.52
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,292.66
Max. Negotiated Rate $9,545.82
Rate for Payer: Aetna Commercial $7,656.54
Rate for Payer: Anthem POS/PPO/Traditional $7,755.98
Rate for Payer: Cash Price $4,971.78
Rate for Payer: Cigna Commercial $8,253.15
Rate for Payer: First Health Commercial $9,446.38
Rate for Payer: Humana Commercial $8,452.03
Rate for Payer: Medical Mutual Of Ohio HMO $8,153.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,338.35
Rate for Payer: Molina Healthcare Benefit Exchange $2,983.07
Rate for Payer: Ohio Health Choice Commercial $8,750.33
Rate for Payer: Ohio Health Group HMO $7,457.67
Rate for Payer: Ohio Health Group PPO Differential $1,988.71
Rate for Payer: Ohio Health Group PPO No Differential $1,292.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,082.50
Rate for Payer: PHCS Commercial $9,545.82
Rate for Payer: United Healthcare All Payer $8,750.33
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,292.66
Max. Negotiated Rate $9,545.82
Rate for Payer: Aetna Commercial $7,656.54
Rate for Payer: Anthem Medicaid $3,419.59
Rate for Payer: Anthem POS/PPO/Traditional $7,755.98
Rate for Payer: Cash Price $4,971.78
Rate for Payer: Cigna Commercial $8,253.15
Rate for Payer: First Health Commercial $9,446.38
Rate for Payer: Humana Commercial $8,452.03
Rate for Payer: Humana KY Medicaid $3,419.59
Rate for Payer: Kentucky WC Medicaid $3,454.39
Rate for Payer: Medical Mutual Of Ohio HMO $8,153.72
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $7,338.35
Rate for Payer: Molina Healthcare Benefit Exchange $2,983.07
Rate for Payer: Molina Healthcare Medicaid $3,488.20
Rate for Payer: Ohio Health Choice Commercial $8,750.33
Rate for Payer: Ohio Health Group HMO $7,457.67
Rate for Payer: Ohio Health Group PPO Differential $1,988.71
Rate for Payer: Ohio Health Group PPO No Differential $1,292.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,082.50
Rate for Payer: PHCS Commercial $9,545.82
Rate for Payer: United Healthcare All Payer $8,750.33
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $2,174.17
Max. Negotiated Rate $16,055.42
Rate for Payer: Aetna Commercial $12,877.79
Rate for Payer: Anthem POS/PPO/Traditional $13,045.03
Rate for Payer: Cash Price $8,362.20
Rate for Payer: Cigna Commercial $13,881.25
Rate for Payer: First Health Commercial $15,888.18
Rate for Payer: Humana Commercial $14,215.74
Rate for Payer: Medical Mutual Of Ohio HMO $13,714.01
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $12,342.61
Rate for Payer: Molina Healthcare Benefit Exchange $5,017.32
Rate for Payer: Ohio Health Choice Commercial $14,717.47
Rate for Payer: Ohio Health Group HMO $12,543.30
Rate for Payer: Ohio Health Group PPO Differential $3,344.88
Rate for Payer: Ohio Health Group PPO No Differential $2,174.17
Rate for Payer: Ohio Health Group PPO SOMC Employees $5,184.56
Rate for Payer: PHCS Commercial $16,055.42
Rate for Payer: United Healthcare All Payer $14,717.47
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $2,174.17
Max. Negotiated Rate $16,055.42
Rate for Payer: Aetna Commercial $12,877.79
Rate for Payer: Anthem Medicaid $5,751.52
Rate for Payer: Anthem POS/PPO/Traditional $13,045.03
Rate for Payer: Cash Price $8,362.20
Rate for Payer: Cigna Commercial $13,881.25
Rate for Payer: First Health Commercial $15,888.18
Rate for Payer: Humana Commercial $14,215.74
Rate for Payer: Humana KY Medicaid $5,751.52
Rate for Payer: Kentucky WC Medicaid $5,810.06
Rate for Payer: Medical Mutual Of Ohio HMO $13,714.01
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $12,342.61
Rate for Payer: Molina Healthcare Benefit Exchange $5,017.32
Rate for Payer: Molina Healthcare Medicaid $5,866.92
Rate for Payer: Ohio Health Choice Commercial $14,717.47
Rate for Payer: Ohio Health Group HMO $12,543.30
Rate for Payer: Ohio Health Group PPO Differential $3,344.88
Rate for Payer: Ohio Health Group PPO No Differential $2,174.17
Rate for Payer: Ohio Health Group PPO SOMC Employees $5,184.56
Rate for Payer: PHCS Commercial $16,055.42
Rate for Payer: United Healthcare All Payer $14,717.47
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,957.02
Max. Negotiated Rate $14,451.84
Rate for Payer: Aetna Commercial $11,591.58
Rate for Payer: Anthem Medicaid $5,177.07
Rate for Payer: Anthem POS/PPO/Traditional $11,742.12
Rate for Payer: Cash Price $7,527.00
Rate for Payer: Cigna Commercial $12,494.82
Rate for Payer: First Health Commercial $14,301.30
Rate for Payer: Humana Commercial $12,795.90
Rate for Payer: Humana KY Medicaid $5,177.07
Rate for Payer: Kentucky WC Medicaid $5,229.76
Rate for Payer: Medical Mutual Of Ohio HMO $12,344.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $11,109.85
Rate for Payer: Molina Healthcare Benefit Exchange $4,516.20
Rate for Payer: Molina Healthcare Medicaid $5,280.94
Rate for Payer: Ohio Health Choice Commercial $13,247.52
Rate for Payer: Ohio Health Group HMO $11,290.50
Rate for Payer: Ohio Health Group PPO Differential $3,010.80
Rate for Payer: Ohio Health Group PPO No Differential $1,957.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,666.74
Rate for Payer: PHCS Commercial $14,451.84
Rate for Payer: United Healthcare All Payer $13,247.52
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,957.02
Max. Negotiated Rate $14,451.84
Rate for Payer: Aetna Commercial $11,591.58
Rate for Payer: Anthem POS/PPO/Traditional $11,742.12
Rate for Payer: Cash Price $7,527.00
Rate for Payer: Cigna Commercial $12,494.82
Rate for Payer: First Health Commercial $14,301.30
Rate for Payer: Humana Commercial $12,795.90
Rate for Payer: Medical Mutual Of Ohio HMO $12,344.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $11,109.85
Rate for Payer: Molina Healthcare Benefit Exchange $4,516.20
Rate for Payer: Ohio Health Choice Commercial $13,247.52
Rate for Payer: Ohio Health Group HMO $11,290.50
Rate for Payer: Ohio Health Group PPO Differential $3,010.80
Rate for Payer: Ohio Health Group PPO No Differential $1,957.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,666.74
Rate for Payer: PHCS Commercial $14,451.84
Rate for Payer: United Healthcare All Payer $13,247.52
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,778.48
Max. Negotiated Rate $13,133.38
Rate for Payer: Aetna Commercial $10,534.06
Rate for Payer: Anthem POS/PPO/Traditional $10,670.87
Rate for Payer: Cash Price $6,840.30
Rate for Payer: Cigna Commercial $11,354.90
Rate for Payer: First Health Commercial $12,996.57
Rate for Payer: Humana Commercial $11,628.51
Rate for Payer: Medical Mutual Of Ohio HMO $11,218.09
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10,096.28
Rate for Payer: Molina Healthcare Benefit Exchange $4,104.18
Rate for Payer: Ohio Health Choice Commercial $12,038.93
Rate for Payer: Ohio Health Group HMO $10,260.45
Rate for Payer: Ohio Health Group PPO Differential $2,736.12
Rate for Payer: Ohio Health Group PPO No Differential $1,778.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,240.99
Rate for Payer: PHCS Commercial $13,133.38
Rate for Payer: United Healthcare All Payer $12,038.93
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,778.48
Max. Negotiated Rate $13,133.38
Rate for Payer: Aetna Commercial $10,534.06
Rate for Payer: Anthem Medicaid $4,704.76
Rate for Payer: Anthem POS/PPO/Traditional $10,670.87
Rate for Payer: Cash Price $6,840.30
Rate for Payer: Cigna Commercial $11,354.90
Rate for Payer: First Health Commercial $12,996.57
Rate for Payer: Humana Commercial $11,628.51
Rate for Payer: Humana KY Medicaid $4,704.76
Rate for Payer: Kentucky WC Medicaid $4,752.64
Rate for Payer: Medical Mutual Of Ohio HMO $11,218.09
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10,096.28
Rate for Payer: Molina Healthcare Benefit Exchange $4,104.18
Rate for Payer: Molina Healthcare Medicaid $4,799.15
Rate for Payer: Ohio Health Choice Commercial $12,038.93
Rate for Payer: Ohio Health Group HMO $10,260.45
Rate for Payer: Ohio Health Group PPO Differential $2,736.12
Rate for Payer: Ohio Health Group PPO No Differential $1,778.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,240.99
Rate for Payer: PHCS Commercial $13,133.38
Rate for Payer: United Healthcare All Payer $12,038.93
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $1,957.02
Max. Negotiated Rate $14,451.84
Rate for Payer: Aetna Commercial $11,591.58
Rate for Payer: Anthem Medicaid $5,177.07
Rate for Payer: Anthem POS/PPO/Traditional $11,742.12
Rate for Payer: Cash Price $7,527.00
Rate for Payer: Cigna Commercial $12,494.82
Rate for Payer: First Health Commercial $14,301.30
Rate for Payer: Humana Commercial $12,795.90
Rate for Payer: Humana KY Medicaid $5,177.07
Rate for Payer: Kentucky WC Medicaid $5,229.76
Rate for Payer: Medical Mutual Of Ohio HMO $12,344.28
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $11,109.85
Rate for Payer: Molina Healthcare Benefit Exchange $4,516.20
Rate for Payer: Molina Healthcare Medicaid $5,280.94
Rate for Payer: Ohio Health Choice Commercial $13,247.52
Rate for Payer: Ohio Health Group HMO $11,290.50
Rate for Payer: Ohio Health Group PPO Differential $3,010.80
Rate for Payer: Ohio Health Group PPO No Differential $1,957.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,666.74
Rate for Payer: PHCS Commercial $14,451.84
Rate for Payer: United Healthcare All Payer $13,247.52