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Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $147.18
Max. Negotiated Rate $1,086.84
Rate for Payer: Aetna Commercial $871.73
Rate for Payer: Anthem POS/PPO/Traditional $883.05
Rate for Payer: Cash Price $566.06
Rate for Payer: Cigna Commercial $939.66
Rate for Payer: First Health Commercial $1,075.51
Rate for Payer: Humana Commercial $962.30
Rate for Payer: Medical Mutual Of Ohio HMO $928.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $835.50
Rate for Payer: Molina Healthcare Benefit Exchange $339.64
Rate for Payer: Ohio Health Choice Commercial $996.27
Rate for Payer: Ohio Health Group HMO $849.09
Rate for Payer: Ohio Health Group PPO Differential $226.42
Rate for Payer: Ohio Health Group PPO No Differential $147.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $350.96
Rate for Payer: PHCS Commercial $1,086.84
Rate for Payer: United Healthcare All Payer $996.27
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $148.53
Max. Negotiated Rate $1,096.87
Rate for Payer: Aetna Commercial $879.78
Rate for Payer: Anthem POS/PPO/Traditional $891.20
Rate for Payer: Cash Price $571.29
Rate for Payer: Cigna Commercial $948.33
Rate for Payer: First Health Commercial $1,085.44
Rate for Payer: Humana Commercial $971.18
Rate for Payer: Medical Mutual Of Ohio HMO $936.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $843.22
Rate for Payer: Molina Healthcare Benefit Exchange $342.77
Rate for Payer: Ohio Health Choice Commercial $1,005.46
Rate for Payer: Ohio Health Group HMO $856.93
Rate for Payer: Ohio Health Group PPO Differential $228.51
Rate for Payer: Ohio Health Group PPO No Differential $148.53
Rate for Payer: Ohio Health Group PPO SOMC Employees $354.20
Rate for Payer: PHCS Commercial $1,096.87
Rate for Payer: United Healthcare All Payer $1,005.46
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $148.53
Max. Negotiated Rate $1,096.87
Rate for Payer: Aetna Commercial $879.78
Rate for Payer: Anthem Medicaid $392.93
Rate for Payer: Anthem POS/PPO/Traditional $891.20
Rate for Payer: Cash Price $571.29
Rate for Payer: Cigna Commercial $948.33
Rate for Payer: First Health Commercial $1,085.44
Rate for Payer: Humana Commercial $971.18
Rate for Payer: Humana KY Medicaid $392.93
Rate for Payer: Kentucky WC Medicaid $396.93
Rate for Payer: Medical Mutual Of Ohio HMO $936.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $843.22
Rate for Payer: Molina Healthcare Benefit Exchange $342.77
Rate for Payer: Molina Healthcare Medicaid $400.81
Rate for Payer: Ohio Health Choice Commercial $1,005.46
Rate for Payer: Ohio Health Group HMO $856.93
Rate for Payer: Ohio Health Group PPO Differential $228.51
Rate for Payer: Ohio Health Group PPO No Differential $148.53
Rate for Payer: Ohio Health Group PPO SOMC Employees $354.20
Rate for Payer: PHCS Commercial $1,096.87
Rate for Payer: United Healthcare All Payer $1,005.46
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $152.03
Max. Negotiated Rate $1,122.71
Rate for Payer: Humana Commercial $994.07
Rate for Payer: Humana KY Medicaid $402.19
Rate for Payer: Kentucky WC Medicaid $406.28
Rate for Payer: Medical Mutual Of Ohio HMO $958.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $863.08
Rate for Payer: Molina Healthcare Benefit Exchange $350.85
Rate for Payer: Molina Healthcare Medicaid $410.26
Rate for Payer: Ohio Health Choice Commercial $1,029.15
Rate for Payer: Ohio Health Group HMO $877.12
Rate for Payer: Ohio Health Group PPO Differential $233.90
Rate for Payer: Ohio Health Group PPO No Differential $152.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $362.54
Rate for Payer: PHCS Commercial $1,122.71
Rate for Payer: United Healthcare All Payer $1,029.15
Rate for Payer: Aetna Commercial $900.51
Rate for Payer: Anthem Medicaid $402.19
Rate for Payer: Anthem POS/PPO/Traditional $912.20
Rate for Payer: Cash Price $584.74
Rate for Payer: Cigna Commercial $970.68
Rate for Payer: First Health Commercial $1,111.02
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $152.03
Max. Negotiated Rate $1,122.71
Rate for Payer: Aetna Commercial $900.51
Rate for Payer: Anthem POS/PPO/Traditional $912.20
Rate for Payer: Cash Price $584.74
Rate for Payer: Cigna Commercial $970.68
Rate for Payer: First Health Commercial $1,111.02
Rate for Payer: Humana Commercial $994.07
Rate for Payer: Medical Mutual Of Ohio HMO $958.98
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $863.08
Rate for Payer: Molina Healthcare Benefit Exchange $350.85
Rate for Payer: Ohio Health Choice Commercial $1,029.15
Rate for Payer: Ohio Health Group HMO $877.12
Rate for Payer: Ohio Health Group PPO Differential $233.90
Rate for Payer: Ohio Health Group PPO No Differential $152.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $362.54
Rate for Payer: PHCS Commercial $1,122.71
Rate for Payer: United Healthcare All Payer $1,029.15
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $151.66
Max. Negotiated Rate $1,119.98
Rate for Payer: Aetna Commercial $898.32
Rate for Payer: Anthem Medicaid $401.21
Rate for Payer: Anthem POS/PPO/Traditional $909.99
Rate for Payer: Cash Price $583.33
Rate for Payer: Cigna Commercial $968.32
Rate for Payer: First Health Commercial $1,108.32
Rate for Payer: Humana Commercial $991.65
Rate for Payer: Humana KY Medicaid $401.21
Rate for Payer: Kentucky WC Medicaid $405.29
Rate for Payer: Medical Mutual Of Ohio HMO $956.65
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $860.99
Rate for Payer: Molina Healthcare Benefit Exchange $350.00
Rate for Payer: Molina Healthcare Medicaid $409.26
Rate for Payer: Ohio Health Choice Commercial $1,026.65
Rate for Payer: Ohio Health Group HMO $874.99
Rate for Payer: Ohio Health Group PPO Differential $233.33
Rate for Payer: Ohio Health Group PPO No Differential $151.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $361.66
Rate for Payer: PHCS Commercial $1,119.98
Rate for Payer: United Healthcare All Payer $1,026.65
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $151.66
Max. Negotiated Rate $1,119.98
Rate for Payer: Aetna Commercial $898.32
Rate for Payer: Anthem POS/PPO/Traditional $909.99
Rate for Payer: Cash Price $583.33
Rate for Payer: Cigna Commercial $968.32
Rate for Payer: First Health Commercial $1,108.32
Rate for Payer: Humana Commercial $991.65
Rate for Payer: Medical Mutual Of Ohio HMO $956.65
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $860.99
Rate for Payer: Molina Healthcare Benefit Exchange $350.00
Rate for Payer: Ohio Health Choice Commercial $1,026.65
Rate for Payer: Ohio Health Group HMO $874.99
Rate for Payer: Ohio Health Group PPO Differential $233.33
Rate for Payer: Ohio Health Group PPO No Differential $151.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $361.66
Rate for Payer: PHCS Commercial $1,119.98
Rate for Payer: United Healthcare All Payer $1,026.65
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $552.44
Max. Negotiated Rate $4,079.52
Rate for Payer: Aetna Commercial $3,272.12
Rate for Payer: Anthem POS/PPO/Traditional $3,314.61
Rate for Payer: Cash Price $2,124.75
Rate for Payer: Cigna Commercial $3,527.08
Rate for Payer: First Health Commercial $4,037.02
Rate for Payer: Humana Commercial $3,612.08
Rate for Payer: Medical Mutual Of Ohio HMO $3,484.59
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,136.13
Rate for Payer: Molina Healthcare Benefit Exchange $1,274.85
Rate for Payer: Ohio Health Choice Commercial $3,739.56
Rate for Payer: Ohio Health Group HMO $3,187.12
Rate for Payer: Ohio Health Group PPO Differential $849.90
Rate for Payer: Ohio Health Group PPO No Differential $552.44
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,317.34
Rate for Payer: PHCS Commercial $4,079.52
Rate for Payer: United Healthcare All Payer $3,739.56
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $552.44
Max. Negotiated Rate $4,079.52
Rate for Payer: Aetna Commercial $3,272.12
Rate for Payer: Anthem Medicaid $1,461.40
Rate for Payer: Anthem POS/PPO/Traditional $3,314.61
Rate for Payer: Cash Price $2,124.75
Rate for Payer: Cigna Commercial $3,527.08
Rate for Payer: First Health Commercial $4,037.02
Rate for Payer: Humana Commercial $3,612.08
Rate for Payer: Humana KY Medicaid $1,461.40
Rate for Payer: Kentucky WC Medicaid $1,476.28
Rate for Payer: Medical Mutual Of Ohio HMO $3,484.59
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,136.13
Rate for Payer: Molina Healthcare Benefit Exchange $1,274.85
Rate for Payer: Molina Healthcare Medicaid $1,490.72
Rate for Payer: Ohio Health Choice Commercial $3,739.56
Rate for Payer: Ohio Health Group HMO $3,187.12
Rate for Payer: Ohio Health Group PPO Differential $849.90
Rate for Payer: Ohio Health Group PPO No Differential $552.44
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,317.34
Rate for Payer: PHCS Commercial $4,079.52
Rate for Payer: United Healthcare All Payer $3,739.56
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $571.75
Max. Negotiated Rate $4,222.15
Rate for Payer: Aetna Commercial $3,386.51
Rate for Payer: Anthem POS/PPO/Traditional $3,430.49
Rate for Payer: Cash Price $2,199.03
Rate for Payer: Cigna Commercial $3,650.40
Rate for Payer: First Health Commercial $4,178.17
Rate for Payer: Humana Commercial $3,738.36
Rate for Payer: Medical Mutual Of Ohio HMO $3,606.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,245.78
Rate for Payer: Molina Healthcare Benefit Exchange $1,319.42
Rate for Payer: Ohio Health Choice Commercial $3,870.30
Rate for Payer: Ohio Health Group HMO $3,298.55
Rate for Payer: Ohio Health Group PPO Differential $879.61
Rate for Payer: Ohio Health Group PPO No Differential $571.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,363.40
Rate for Payer: PHCS Commercial $4,222.15
Rate for Payer: United Healthcare All Payer $3,870.30
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $571.75
Max. Negotiated Rate $4,222.15
Rate for Payer: Aetna Commercial $3,386.51
Rate for Payer: Anthem Medicaid $1,512.50
Rate for Payer: Anthem POS/PPO/Traditional $3,430.49
Rate for Payer: Cash Price $2,199.03
Rate for Payer: Cigna Commercial $3,650.40
Rate for Payer: First Health Commercial $4,178.17
Rate for Payer: Humana Commercial $3,738.36
Rate for Payer: Humana KY Medicaid $1,512.50
Rate for Payer: Kentucky WC Medicaid $1,527.89
Rate for Payer: Medical Mutual Of Ohio HMO $3,606.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,245.78
Rate for Payer: Molina Healthcare Benefit Exchange $1,319.42
Rate for Payer: Molina Healthcare Medicaid $1,542.84
Rate for Payer: Ohio Health Choice Commercial $3,870.30
Rate for Payer: Ohio Health Group HMO $3,298.55
Rate for Payer: Ohio Health Group PPO Differential $879.61
Rate for Payer: Ohio Health Group PPO No Differential $571.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,363.40
Rate for Payer: PHCS Commercial $4,222.15
Rate for Payer: United Healthcare All Payer $3,870.30
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $571.75
Max. Negotiated Rate $4,222.15
Rate for Payer: Aetna Commercial $3,386.51
Rate for Payer: Anthem POS/PPO/Traditional $3,430.49
Rate for Payer: Cash Price $2,199.03
Rate for Payer: Cigna Commercial $3,650.40
Rate for Payer: First Health Commercial $4,178.17
Rate for Payer: Humana Commercial $3,738.36
Rate for Payer: Medical Mutual Of Ohio HMO $3,606.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,245.78
Rate for Payer: Molina Healthcare Benefit Exchange $1,319.42
Rate for Payer: Ohio Health Choice Commercial $3,870.30
Rate for Payer: Ohio Health Group HMO $3,298.55
Rate for Payer: Ohio Health Group PPO Differential $879.61
Rate for Payer: Ohio Health Group PPO No Differential $571.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,363.40
Rate for Payer: PHCS Commercial $4,222.15
Rate for Payer: United Healthcare All Payer $3,870.30
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $571.75
Max. Negotiated Rate $4,222.15
Rate for Payer: Aetna Commercial $3,386.51
Rate for Payer: Anthem Medicaid $1,512.50
Rate for Payer: Anthem POS/PPO/Traditional $3,430.49
Rate for Payer: Cash Price $2,199.03
Rate for Payer: Cigna Commercial $3,650.40
Rate for Payer: First Health Commercial $4,178.17
Rate for Payer: Humana Commercial $3,738.36
Rate for Payer: Humana KY Medicaid $1,512.50
Rate for Payer: Kentucky WC Medicaid $1,527.89
Rate for Payer: Medical Mutual Of Ohio HMO $3,606.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,245.78
Rate for Payer: Molina Healthcare Benefit Exchange $1,319.42
Rate for Payer: Molina Healthcare Medicaid $1,542.84
Rate for Payer: Ohio Health Choice Commercial $3,870.30
Rate for Payer: Ohio Health Group HMO $3,298.55
Rate for Payer: Ohio Health Group PPO Differential $879.61
Rate for Payer: Ohio Health Group PPO No Differential $571.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,363.40
Rate for Payer: PHCS Commercial $4,222.15
Rate for Payer: United Healthcare All Payer $3,870.30
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $727.60
Max. Negotiated Rate $5,373.04
Rate for Payer: Aetna Commercial $4,309.63
Rate for Payer: Anthem POS/PPO/Traditional $4,365.60
Rate for Payer: Cash Price $2,798.46
Rate for Payer: Cigna Commercial $4,645.44
Rate for Payer: First Health Commercial $5,317.07
Rate for Payer: Humana Commercial $4,757.38
Rate for Payer: Medical Mutual Of Ohio HMO $4,589.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,130.53
Rate for Payer: Molina Healthcare Benefit Exchange $1,679.08
Rate for Payer: Ohio Health Choice Commercial $4,925.29
Rate for Payer: Ohio Health Group HMO $4,197.69
Rate for Payer: Ohio Health Group PPO Differential $1,119.38
Rate for Payer: Ohio Health Group PPO No Differential $727.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,735.05
Rate for Payer: PHCS Commercial $5,373.04
Rate for Payer: United Healthcare All Payer $4,925.29
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $727.60
Max. Negotiated Rate $5,373.04
Rate for Payer: Aetna Commercial $4,309.63
Rate for Payer: Anthem Medicaid $1,924.78
Rate for Payer: Anthem POS/PPO/Traditional $4,365.60
Rate for Payer: Cash Price $2,798.46
Rate for Payer: Cigna Commercial $4,645.44
Rate for Payer: First Health Commercial $5,317.07
Rate for Payer: Humana Commercial $4,757.38
Rate for Payer: Humana KY Medicaid $1,924.78
Rate for Payer: Kentucky WC Medicaid $1,944.37
Rate for Payer: Medical Mutual Of Ohio HMO $4,589.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,130.53
Rate for Payer: Molina Healthcare Benefit Exchange $1,679.08
Rate for Payer: Molina Healthcare Medicaid $1,963.40
Rate for Payer: Ohio Health Choice Commercial $4,925.29
Rate for Payer: Ohio Health Group HMO $4,197.69
Rate for Payer: Ohio Health Group PPO Differential $1,119.38
Rate for Payer: Ohio Health Group PPO No Differential $727.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,735.05
Rate for Payer: PHCS Commercial $5,373.04
Rate for Payer: United Healthcare All Payer $4,925.29
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $933.07
Max. Negotiated Rate $6,890.34
Rate for Payer: Aetna Commercial $5,526.63
Rate for Payer: Anthem POS/PPO/Traditional $5,598.40
Rate for Payer: Cash Price $3,588.72
Rate for Payer: Cigna Commercial $5,957.28
Rate for Payer: First Health Commercial $6,818.57
Rate for Payer: Humana Commercial $6,100.82
Rate for Payer: Medical Mutual Of Ohio HMO $5,885.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,296.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,153.23
Rate for Payer: Ohio Health Choice Commercial $6,316.15
Rate for Payer: Ohio Health Group HMO $5,383.08
Rate for Payer: Ohio Health Group PPO Differential $1,435.49
Rate for Payer: Ohio Health Group PPO No Differential $933.07
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.01
Rate for Payer: PHCS Commercial $6,890.34
Rate for Payer: United Healthcare All Payer $6,316.15
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $933.07
Max. Negotiated Rate $6,890.34
Rate for Payer: Aetna Commercial $5,526.63
Rate for Payer: Anthem Medicaid $2,468.32
Rate for Payer: Anthem POS/PPO/Traditional $5,598.40
Rate for Payer: Cash Price $3,588.72
Rate for Payer: Cigna Commercial $5,957.28
Rate for Payer: First Health Commercial $6,818.57
Rate for Payer: Humana Commercial $6,100.82
Rate for Payer: Humana KY Medicaid $2,468.32
Rate for Payer: Kentucky WC Medicaid $2,493.44
Rate for Payer: Medical Mutual Of Ohio HMO $5,885.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,296.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,153.23
Rate for Payer: Molina Healthcare Medicaid $2,517.85
Rate for Payer: Ohio Health Choice Commercial $6,316.15
Rate for Payer: Ohio Health Group HMO $5,383.08
Rate for Payer: Ohio Health Group PPO Differential $1,435.49
Rate for Payer: Ohio Health Group PPO No Differential $933.07
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.01
Rate for Payer: PHCS Commercial $6,890.34
Rate for Payer: United Healthcare All Payer $6,316.15
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $727.60
Max. Negotiated Rate $5,373.04
Rate for Payer: Aetna Commercial $4,309.63
Rate for Payer: Anthem Medicaid $1,924.78
Rate for Payer: Anthem POS/PPO/Traditional $4,365.60
Rate for Payer: Cash Price $2,798.46
Rate for Payer: Cigna Commercial $4,645.44
Rate for Payer: First Health Commercial $5,317.07
Rate for Payer: Humana Commercial $4,757.38
Rate for Payer: Humana KY Medicaid $1,924.78
Rate for Payer: Kentucky WC Medicaid $1,944.37
Rate for Payer: Medical Mutual Of Ohio HMO $4,589.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,130.53
Rate for Payer: Molina Healthcare Benefit Exchange $1,679.08
Rate for Payer: Molina Healthcare Medicaid $1,963.40
Rate for Payer: Ohio Health Choice Commercial $4,925.29
Rate for Payer: Ohio Health Group HMO $4,197.69
Rate for Payer: Ohio Health Group PPO Differential $1,119.38
Rate for Payer: Ohio Health Group PPO No Differential $727.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,735.05
Rate for Payer: PHCS Commercial $5,373.04
Rate for Payer: United Healthcare All Payer $4,925.29
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $727.60
Max. Negotiated Rate $5,373.04
Rate for Payer: Aetna Commercial $4,309.63
Rate for Payer: Anthem POS/PPO/Traditional $4,365.60
Rate for Payer: Cash Price $2,798.46
Rate for Payer: Cigna Commercial $4,645.44
Rate for Payer: First Health Commercial $5,317.07
Rate for Payer: Humana Commercial $4,757.38
Rate for Payer: Medical Mutual Of Ohio HMO $4,589.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,130.53
Rate for Payer: Molina Healthcare Benefit Exchange $1,679.08
Rate for Payer: Ohio Health Choice Commercial $4,925.29
Rate for Payer: Ohio Health Group HMO $4,197.69
Rate for Payer: Ohio Health Group PPO Differential $1,119.38
Rate for Payer: Ohio Health Group PPO No Differential $727.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,735.05
Rate for Payer: PHCS Commercial $5,373.04
Rate for Payer: United Healthcare All Payer $4,925.29
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $581.41
Max. Negotiated Rate $4,293.48
Rate for Payer: Aetna Commercial $3,443.73
Rate for Payer: Anthem POS/PPO/Traditional $3,488.46
Rate for Payer: Cash Price $2,236.19
Rate for Payer: Cigna Commercial $3,712.08
Rate for Payer: First Health Commercial $4,248.76
Rate for Payer: Humana Commercial $3,801.52
Rate for Payer: Medical Mutual Of Ohio HMO $3,667.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,300.62
Rate for Payer: Molina Healthcare Benefit Exchange $1,341.71
Rate for Payer: Ohio Health Choice Commercial $3,935.69
Rate for Payer: Ohio Health Group HMO $3,354.28
Rate for Payer: Ohio Health Group PPO Differential $894.48
Rate for Payer: Ohio Health Group PPO No Differential $581.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,386.44
Rate for Payer: PHCS Commercial $4,293.48
Rate for Payer: United Healthcare All Payer $3,935.69
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $581.41
Max. Negotiated Rate $4,293.48
Rate for Payer: Anthem Medicaid $1,538.05
Rate for Payer: Anthem POS/PPO/Traditional $3,488.46
Rate for Payer: Cash Price $2,236.19
Rate for Payer: Cigna Commercial $3,712.08
Rate for Payer: First Health Commercial $4,248.76
Rate for Payer: Humana Commercial $3,801.52
Rate for Payer: Humana KY Medicaid $1,538.05
Rate for Payer: Kentucky WC Medicaid $1,553.70
Rate for Payer: Medical Mutual Of Ohio HMO $3,667.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,300.62
Rate for Payer: Molina Healthcare Benefit Exchange $1,341.71
Rate for Payer: Molina Healthcare Medicaid $1,568.91
Rate for Payer: Ohio Health Choice Commercial $3,935.69
Rate for Payer: Ohio Health Group HMO $3,354.28
Rate for Payer: Ohio Health Group PPO Differential $894.48
Rate for Payer: Ohio Health Group PPO No Differential $581.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,386.44
Rate for Payer: PHCS Commercial $4,293.48
Rate for Payer: United Healthcare All Payer $3,935.69
Rate for Payer: Aetna Commercial $3,443.73
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $581.41
Max. Negotiated Rate $4,293.48
Rate for Payer: Aetna Commercial $3,443.73
Rate for Payer: Anthem POS/PPO/Traditional $3,488.46
Rate for Payer: Cash Price $2,236.19
Rate for Payer: Cigna Commercial $3,712.08
Rate for Payer: First Health Commercial $4,248.76
Rate for Payer: Humana Commercial $3,801.52
Rate for Payer: Medical Mutual Of Ohio HMO $3,667.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,300.62
Rate for Payer: Molina Healthcare Benefit Exchange $1,341.71
Rate for Payer: Ohio Health Choice Commercial $3,935.69
Rate for Payer: Ohio Health Group HMO $3,354.28
Rate for Payer: Ohio Health Group PPO Differential $894.48
Rate for Payer: Ohio Health Group PPO No Differential $581.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,386.44
Rate for Payer: PHCS Commercial $4,293.48
Rate for Payer: United Healthcare All Payer $3,935.69
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $581.41
Max. Negotiated Rate $4,293.48
Rate for Payer: Aetna Commercial $3,443.73
Rate for Payer: Anthem Medicaid $1,538.05
Rate for Payer: Anthem POS/PPO/Traditional $3,488.46
Rate for Payer: Cash Price $2,236.19
Rate for Payer: Cigna Commercial $3,712.08
Rate for Payer: First Health Commercial $4,248.76
Rate for Payer: Humana Commercial $3,801.52
Rate for Payer: Humana KY Medicaid $1,538.05
Rate for Payer: Kentucky WC Medicaid $1,553.70
Rate for Payer: Medical Mutual Of Ohio HMO $3,667.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,300.62
Rate for Payer: Molina Healthcare Benefit Exchange $1,341.71
Rate for Payer: Molina Healthcare Medicaid $1,568.91
Rate for Payer: Ohio Health Choice Commercial $3,935.69
Rate for Payer: Ohio Health Group HMO $3,354.28
Rate for Payer: Ohio Health Group PPO Differential $894.48
Rate for Payer: Ohio Health Group PPO No Differential $581.41
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,386.44
Rate for Payer: PHCS Commercial $4,293.48
Rate for Payer: United Healthcare All Payer $3,935.69
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $727.60
Max. Negotiated Rate $5,373.04
Rate for Payer: Aetna Commercial $4,309.63
Rate for Payer: Anthem POS/PPO/Traditional $4,365.60
Rate for Payer: Cash Price $2,798.46
Rate for Payer: Cigna Commercial $4,645.44
Rate for Payer: First Health Commercial $5,317.07
Rate for Payer: Humana Commercial $4,757.38
Rate for Payer: Medical Mutual Of Ohio HMO $4,589.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,130.53
Rate for Payer: Molina Healthcare Benefit Exchange $1,679.08
Rate for Payer: Ohio Health Choice Commercial $4,925.29
Rate for Payer: Ohio Health Group HMO $4,197.69
Rate for Payer: Ohio Health Group PPO Differential $1,119.38
Rate for Payer: Ohio Health Group PPO No Differential $727.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,735.05
Rate for Payer: PHCS Commercial $5,373.04
Rate for Payer: United Healthcare All Payer $4,925.29
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $727.60
Max. Negotiated Rate $5,373.04
Rate for Payer: Aetna Commercial $4,309.63
Rate for Payer: Anthem Medicaid $1,924.78
Rate for Payer: Anthem POS/PPO/Traditional $4,365.60
Rate for Payer: Cash Price $2,798.46
Rate for Payer: Cigna Commercial $4,645.44
Rate for Payer: First Health Commercial $5,317.07
Rate for Payer: Humana Commercial $4,757.38
Rate for Payer: Humana KY Medicaid $1,924.78
Rate for Payer: Kentucky WC Medicaid $1,944.37
Rate for Payer: Medical Mutual Of Ohio HMO $4,589.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,130.53
Rate for Payer: Molina Healthcare Benefit Exchange $1,679.08
Rate for Payer: Molina Healthcare Medicaid $1,963.40
Rate for Payer: Ohio Health Choice Commercial $4,925.29
Rate for Payer: Ohio Health Group HMO $4,197.69
Rate for Payer: Ohio Health Group PPO Differential $1,119.38
Rate for Payer: Ohio Health Group PPO No Differential $727.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,735.05
Rate for Payer: PHCS Commercial $5,373.04
Rate for Payer: United Healthcare All Payer $4,925.29