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Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $437.82
Max. Negotiated Rate $3,233.16
Rate for Payer: Aetna Commercial $2,593.27
Rate for Payer: Anthem POS/PPO/Traditional $2,626.95
Rate for Payer: Cash Price $1,683.94
Rate for Payer: Cigna Commercial $2,795.34
Rate for Payer: First Health Commercial $3,199.49
Rate for Payer: Humana Commercial $2,862.70
Rate for Payer: Medical Mutual Of Ohio HMO $2,761.66
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,485.50
Rate for Payer: Molina Healthcare Benefit Exchange $1,010.36
Rate for Payer: Ohio Health Choice Commercial $2,963.73
Rate for Payer: Ohio Health Group HMO $2,525.91
Rate for Payer: Ohio Health Group PPO Differential $673.58
Rate for Payer: Ohio Health Group PPO No Differential $437.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,044.04
Rate for Payer: PHCS Commercial $3,233.16
Rate for Payer: United Healthcare All Payer $2,963.73
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $508.44
Max. Negotiated Rate $3,754.64
Rate for Payer: Anthem Medicaid $1,345.02
Rate for Payer: Anthem POS/PPO/Traditional $3,050.64
Rate for Payer: Cash Price $1,955.54
Rate for Payer: Cigna Commercial $3,246.20
Rate for Payer: First Health Commercial $3,715.53
Rate for Payer: Humana Commercial $3,324.42
Rate for Payer: Humana KY Medicaid $1,345.02
Rate for Payer: Kentucky WC Medicaid $1,358.71
Rate for Payer: Medical Mutual Of Ohio HMO $3,207.09
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,886.38
Rate for Payer: Molina Healthcare Benefit Exchange $1,173.32
Rate for Payer: Molina Healthcare Medicaid $1,372.01
Rate for Payer: Ohio Health Choice Commercial $3,441.75
Rate for Payer: Ohio Health Group HMO $2,933.31
Rate for Payer: Ohio Health Group PPO Differential $782.22
Rate for Payer: Ohio Health Group PPO No Differential $508.44
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,212.43
Rate for Payer: PHCS Commercial $3,754.64
Rate for Payer: United Healthcare All Payer $3,441.75
Rate for Payer: Aetna Commercial $3,011.53
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $508.44
Max. Negotiated Rate $3,754.64
Rate for Payer: Aetna Commercial $3,011.53
Rate for Payer: Anthem POS/PPO/Traditional $3,050.64
Rate for Payer: Cash Price $1,955.54
Rate for Payer: Cigna Commercial $3,246.20
Rate for Payer: First Health Commercial $3,715.53
Rate for Payer: Humana Commercial $3,324.42
Rate for Payer: Medical Mutual Of Ohio HMO $3,207.09
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,886.38
Rate for Payer: Molina Healthcare Benefit Exchange $1,173.32
Rate for Payer: Ohio Health Choice Commercial $3,441.75
Rate for Payer: Ohio Health Group HMO $2,933.31
Rate for Payer: Ohio Health Group PPO Differential $782.22
Rate for Payer: Ohio Health Group PPO No Differential $508.44
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,212.43
Rate for Payer: PHCS Commercial $3,754.64
Rate for Payer: United Healthcare All Payer $3,441.75
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $635.60
Max. Negotiated Rate $4,693.69
Rate for Payer: Aetna Commercial $3,764.73
Rate for Payer: Anthem Medicaid $1,681.42
Rate for Payer: Anthem POS/PPO/Traditional $3,813.62
Rate for Payer: Cash Price $2,444.63
Rate for Payer: Cigna Commercial $4,058.09
Rate for Payer: First Health Commercial $4,644.80
Rate for Payer: Humana Commercial $4,155.87
Rate for Payer: Humana KY Medicaid $1,681.42
Rate for Payer: Kentucky WC Medicaid $1,698.53
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.19
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.27
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.78
Rate for Payer: Molina Healthcare Medicaid $1,715.15
Rate for Payer: Ohio Health Choice Commercial $4,302.55
Rate for Payer: Ohio Health Group HMO $3,666.94
Rate for Payer: Ohio Health Group PPO Differential $977.85
Rate for Payer: Ohio Health Group PPO No Differential $635.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.67
Rate for Payer: PHCS Commercial $4,693.69
Rate for Payer: United Healthcare All Payer $4,302.55
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $635.60
Max. Negotiated Rate $4,693.69
Rate for Payer: Aetna Commercial $3,764.73
Rate for Payer: Anthem POS/PPO/Traditional $3,813.62
Rate for Payer: Cash Price $2,444.63
Rate for Payer: Cigna Commercial $4,058.09
Rate for Payer: First Health Commercial $4,644.80
Rate for Payer: Humana Commercial $4,155.87
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.19
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.27
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.78
Rate for Payer: Ohio Health Choice Commercial $4,302.55
Rate for Payer: Ohio Health Group HMO $3,666.94
Rate for Payer: Ohio Health Group PPO Differential $977.85
Rate for Payer: Ohio Health Group PPO No Differential $635.60
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.67
Rate for Payer: PHCS Commercial $4,693.69
Rate for Payer: United Healthcare All Payer $4,302.55
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $640.90
Max. Negotiated Rate $4,732.80
Rate for Payer: Aetna Commercial $3,796.10
Rate for Payer: Anthem Medicaid $1,695.43
Rate for Payer: Anthem POS/PPO/Traditional $3,845.40
Rate for Payer: Cash Price $2,465.00
Rate for Payer: Cigna Commercial $4,091.90
Rate for Payer: First Health Commercial $4,683.50
Rate for Payer: Humana Commercial $4,190.50
Rate for Payer: Humana KY Medicaid $1,695.43
Rate for Payer: Kentucky WC Medicaid $1,712.68
Rate for Payer: Medical Mutual Of Ohio HMO $4,042.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,638.34
Rate for Payer: Molina Healthcare Benefit Exchange $1,479.00
Rate for Payer: Molina Healthcare Medicaid $1,729.44
Rate for Payer: Ohio Health Choice Commercial $4,338.40
Rate for Payer: Ohio Health Group HMO $3,697.50
Rate for Payer: Ohio Health Group PPO Differential $986.00
Rate for Payer: Ohio Health Group PPO No Differential $640.90
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,528.30
Rate for Payer: PHCS Commercial $4,732.80
Rate for Payer: United Healthcare All Payer $4,338.40
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $640.90
Max. Negotiated Rate $4,732.80
Rate for Payer: Aetna Commercial $3,796.10
Rate for Payer: Anthem POS/PPO/Traditional $3,845.40
Rate for Payer: Cash Price $2,465.00
Rate for Payer: Cigna Commercial $4,091.90
Rate for Payer: First Health Commercial $4,683.50
Rate for Payer: Humana Commercial $4,190.50
Rate for Payer: Medical Mutual Of Ohio HMO $4,042.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,638.34
Rate for Payer: Molina Healthcare Benefit Exchange $1,479.00
Rate for Payer: Ohio Health Choice Commercial $4,338.40
Rate for Payer: Ohio Health Group HMO $3,697.50
Rate for Payer: Ohio Health Group PPO Differential $986.00
Rate for Payer: Ohio Health Group PPO No Differential $640.90
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,528.30
Rate for Payer: PHCS Commercial $4,732.80
Rate for Payer: United Healthcare All Payer $4,338.40
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $660.97
Max. Negotiated Rate $4,880.98
Rate for Payer: Aetna Commercial $3,914.95
Rate for Payer: Anthem Medicaid $1,748.51
Rate for Payer: Anthem POS/PPO/Traditional $3,965.79
Rate for Payer: Cash Price $2,542.18
Rate for Payer: Cigna Commercial $4,220.01
Rate for Payer: First Health Commercial $4,830.13
Rate for Payer: Humana Commercial $4,321.70
Rate for Payer: Humana KY Medicaid $1,748.51
Rate for Payer: Kentucky WC Medicaid $1,766.30
Rate for Payer: Medical Mutual Of Ohio HMO $4,169.17
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,752.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,525.30
Rate for Payer: Molina Healthcare Medicaid $1,783.59
Rate for Payer: Ohio Health Choice Commercial $4,474.23
Rate for Payer: Ohio Health Group HMO $3,813.26
Rate for Payer: Ohio Health Group PPO Differential $1,016.87
Rate for Payer: Ohio Health Group PPO No Differential $660.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,576.15
Rate for Payer: PHCS Commercial $4,880.98
Rate for Payer: United Healthcare All Payer $4,474.23
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $660.97
Max. Negotiated Rate $4,880.98
Rate for Payer: Aetna Commercial $3,914.95
Rate for Payer: Anthem POS/PPO/Traditional $3,965.79
Rate for Payer: Cash Price $2,542.18
Rate for Payer: Cigna Commercial $4,220.01
Rate for Payer: First Health Commercial $4,830.13
Rate for Payer: Humana Commercial $4,321.70
Rate for Payer: Medical Mutual Of Ohio HMO $4,169.17
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,752.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,525.30
Rate for Payer: Ohio Health Choice Commercial $4,474.23
Rate for Payer: Ohio Health Group HMO $3,813.26
Rate for Payer: Ohio Health Group PPO Differential $1,016.87
Rate for Payer: Ohio Health Group PPO No Differential $660.97
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,576.15
Rate for Payer: PHCS Commercial $4,880.98
Rate for Payer: United Healthcare All Payer $4,474.23
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $734.13
Max. Negotiated Rate $5,421.26
Rate for Payer: Aetna Commercial $4,348.31
Rate for Payer: Anthem Medicaid $1,942.05
Rate for Payer: Anthem POS/PPO/Traditional $4,404.78
Rate for Payer: Cash Price $2,823.57
Rate for Payer: Cigna Commercial $4,687.13
Rate for Payer: First Health Commercial $5,364.79
Rate for Payer: Humana Commercial $4,800.08
Rate for Payer: Humana KY Medicaid $1,942.05
Rate for Payer: Kentucky WC Medicaid $1,961.82
Rate for Payer: Medical Mutual Of Ohio HMO $4,630.66
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,167.60
Rate for Payer: Molina Healthcare Benefit Exchange $1,694.14
Rate for Payer: Molina Healthcare Medicaid $1,981.02
Rate for Payer: Ohio Health Choice Commercial $4,969.49
Rate for Payer: Ohio Health Group HMO $4,235.36
Rate for Payer: Ohio Health Group PPO Differential $1,129.43
Rate for Payer: Ohio Health Group PPO No Differential $734.13
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,750.62
Rate for Payer: PHCS Commercial $5,421.26
Rate for Payer: United Healthcare All Payer $4,969.49
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $734.13
Max. Negotiated Rate $5,421.26
Rate for Payer: Aetna Commercial $4,348.31
Rate for Payer: Anthem POS/PPO/Traditional $4,404.78
Rate for Payer: Cash Price $2,823.57
Rate for Payer: Cigna Commercial $4,687.13
Rate for Payer: First Health Commercial $5,364.79
Rate for Payer: Humana Commercial $4,800.08
Rate for Payer: Medical Mutual Of Ohio HMO $4,630.66
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,167.60
Rate for Payer: Molina Healthcare Benefit Exchange $1,694.14
Rate for Payer: Ohio Health Choice Commercial $4,969.49
Rate for Payer: Ohio Health Group HMO $4,235.36
Rate for Payer: Ohio Health Group PPO Differential $1,129.43
Rate for Payer: Ohio Health Group PPO No Differential $734.13
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,750.62
Rate for Payer: PHCS Commercial $5,421.26
Rate for Payer: United Healthcare All Payer $4,969.49
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $679.26
Max. Negotiated Rate $5,016.05
Rate for Payer: Aetna Commercial $4,023.29
Rate for Payer: Anthem Medicaid $1,796.89
Rate for Payer: Anthem POS/PPO/Traditional $4,075.54
Rate for Payer: Cash Price $2,612.52
Rate for Payer: Cigna Commercial $4,336.79
Rate for Payer: First Health Commercial $4,963.80
Rate for Payer: Humana Commercial $4,441.29
Rate for Payer: Humana KY Medicaid $1,796.89
Rate for Payer: Kentucky WC Medicaid $1,815.18
Rate for Payer: Medical Mutual Of Ohio HMO $4,284.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,856.09
Rate for Payer: Molina Healthcare Benefit Exchange $1,567.52
Rate for Payer: Molina Healthcare Medicaid $1,832.95
Rate for Payer: Ohio Health Choice Commercial $4,598.04
Rate for Payer: Ohio Health Group HMO $3,918.79
Rate for Payer: Ohio Health Group PPO Differential $1,045.01
Rate for Payer: Ohio Health Group PPO No Differential $679.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,619.77
Rate for Payer: PHCS Commercial $5,016.05
Rate for Payer: United Healthcare All Payer $4,598.04
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $679.26
Max. Negotiated Rate $5,016.05
Rate for Payer: Aetna Commercial $4,023.29
Rate for Payer: Anthem POS/PPO/Traditional $4,075.54
Rate for Payer: Cash Price $2,612.52
Rate for Payer: Cigna Commercial $4,336.79
Rate for Payer: First Health Commercial $4,963.80
Rate for Payer: Humana Commercial $4,441.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,284.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,856.09
Rate for Payer: Molina Healthcare Benefit Exchange $1,567.52
Rate for Payer: Ohio Health Choice Commercial $4,598.04
Rate for Payer: Ohio Health Group HMO $3,918.79
Rate for Payer: Ohio Health Group PPO Differential $1,045.01
Rate for Payer: Ohio Health Group PPO No Differential $679.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,619.77
Rate for Payer: PHCS Commercial $5,016.05
Rate for Payer: United Healthcare All Payer $4,598.04
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $679.26
Max. Negotiated Rate $5,016.05
Rate for Payer: Aetna Commercial $4,023.29
Rate for Payer: Anthem Medicaid $1,796.89
Rate for Payer: Anthem POS/PPO/Traditional $4,075.54
Rate for Payer: Cash Price $2,612.52
Rate for Payer: Cigna Commercial $4,336.79
Rate for Payer: First Health Commercial $4,963.80
Rate for Payer: Humana Commercial $4,441.29
Rate for Payer: Humana KY Medicaid $1,796.89
Rate for Payer: Kentucky WC Medicaid $1,815.18
Rate for Payer: Medical Mutual Of Ohio HMO $4,284.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,856.09
Rate for Payer: Molina Healthcare Benefit Exchange $1,567.52
Rate for Payer: Molina Healthcare Medicaid $1,832.95
Rate for Payer: Ohio Health Choice Commercial $4,598.04
Rate for Payer: Ohio Health Group HMO $3,918.79
Rate for Payer: Ohio Health Group PPO Differential $1,045.01
Rate for Payer: Ohio Health Group PPO No Differential $679.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,619.77
Rate for Payer: PHCS Commercial $5,016.05
Rate for Payer: United Healthcare All Payer $4,598.04
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $679.26
Max. Negotiated Rate $5,016.05
Rate for Payer: Aetna Commercial $4,023.29
Rate for Payer: Anthem POS/PPO/Traditional $4,075.54
Rate for Payer: Cash Price $2,612.52
Rate for Payer: Cigna Commercial $4,336.79
Rate for Payer: First Health Commercial $4,963.80
Rate for Payer: Humana Commercial $4,441.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,284.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,856.09
Rate for Payer: Molina Healthcare Benefit Exchange $1,567.52
Rate for Payer: Ohio Health Choice Commercial $4,598.04
Rate for Payer: Ohio Health Group HMO $3,918.79
Rate for Payer: Ohio Health Group PPO Differential $1,045.01
Rate for Payer: Ohio Health Group PPO No Differential $679.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,619.77
Rate for Payer: PHCS Commercial $5,016.05
Rate for Payer: United Healthcare All Payer $4,598.04
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $522.26
Max. Negotiated Rate $3,856.68
Rate for Payer: Humana Commercial $3,414.77
Rate for Payer: Medical Mutual Of Ohio HMO $3,294.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,964.83
Rate for Payer: Molina Healthcare Benefit Exchange $1,205.21
Rate for Payer: Ohio Health Choice Commercial $3,535.29
Rate for Payer: Ohio Health Group HMO $3,013.04
Rate for Payer: Ohio Health Group PPO Differential $803.48
Rate for Payer: Ohio Health Group PPO No Differential $522.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,245.39
Rate for Payer: PHCS Commercial $3,856.68
Rate for Payer: United Healthcare All Payer $3,535.29
Rate for Payer: Aetna Commercial $3,093.38
Rate for Payer: Anthem POS/PPO/Traditional $3,133.56
Rate for Payer: Cash Price $2,008.69
Rate for Payer: Cigna Commercial $3,334.43
Rate for Payer: First Health Commercial $3,816.51
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $522.26
Max. Negotiated Rate $3,856.68
Rate for Payer: Aetna Commercial $3,093.38
Rate for Payer: Anthem Medicaid $1,381.58
Rate for Payer: Anthem POS/PPO/Traditional $3,133.56
Rate for Payer: Cash Price $2,008.69
Rate for Payer: Cigna Commercial $3,334.43
Rate for Payer: First Health Commercial $3,816.51
Rate for Payer: Humana Commercial $3,414.77
Rate for Payer: Humana KY Medicaid $1,381.58
Rate for Payer: Kentucky WC Medicaid $1,395.64
Rate for Payer: Medical Mutual Of Ohio HMO $3,294.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,964.83
Rate for Payer: Molina Healthcare Benefit Exchange $1,205.21
Rate for Payer: Molina Healthcare Medicaid $1,409.30
Rate for Payer: Ohio Health Choice Commercial $3,535.29
Rate for Payer: Ohio Health Group HMO $3,013.04
Rate for Payer: Ohio Health Group PPO Differential $803.48
Rate for Payer: Ohio Health Group PPO No Differential $522.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,245.39
Rate for Payer: PHCS Commercial $3,856.68
Rate for Payer: United Healthcare All Payer $3,535.29
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $600.00
Max. Negotiated Rate $4,430.74
Rate for Payer: Aetna Commercial $3,553.82
Rate for Payer: Anthem Medicaid $1,587.22
Rate for Payer: Anthem POS/PPO/Traditional $3,599.97
Rate for Payer: Cash Price $2,307.68
Rate for Payer: Cigna Commercial $3,830.74
Rate for Payer: First Health Commercial $4,384.58
Rate for Payer: Humana Commercial $3,923.05
Rate for Payer: Humana KY Medicaid $1,587.22
Rate for Payer: Kentucky WC Medicaid $1,603.37
Rate for Payer: Medical Mutual Of Ohio HMO $3,784.59
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,406.13
Rate for Payer: Molina Healthcare Benefit Exchange $1,384.60
Rate for Payer: Molina Healthcare Medicaid $1,619.06
Rate for Payer: Ohio Health Choice Commercial $4,061.51
Rate for Payer: Ohio Health Group HMO $3,461.51
Rate for Payer: Ohio Health Group PPO Differential $923.07
Rate for Payer: Ohio Health Group PPO No Differential $600.00
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,430.76
Rate for Payer: PHCS Commercial $4,430.74
Rate for Payer: United Healthcare All Payer $4,061.51
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $600.00
Max. Negotiated Rate $4,430.74
Rate for Payer: Aetna Commercial $3,553.82
Rate for Payer: Anthem POS/PPO/Traditional $3,599.97
Rate for Payer: Cash Price $2,307.68
Rate for Payer: Cigna Commercial $3,830.74
Rate for Payer: First Health Commercial $4,384.58
Rate for Payer: Humana Commercial $3,923.05
Rate for Payer: Medical Mutual Of Ohio HMO $3,784.59
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,406.13
Rate for Payer: Molina Healthcare Benefit Exchange $1,384.60
Rate for Payer: Ohio Health Choice Commercial $4,061.51
Rate for Payer: Ohio Health Group HMO $3,461.51
Rate for Payer: Ohio Health Group PPO Differential $923.07
Rate for Payer: Ohio Health Group PPO No Differential $600.00
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,430.76
Rate for Payer: PHCS Commercial $4,430.74
Rate for Payer: United Healthcare All Payer $4,061.51
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $560.36
Max. Negotiated Rate $4,138.08
Rate for Payer: Aetna Commercial $3,319.08
Rate for Payer: Anthem Medicaid $1,482.38
Rate for Payer: Anthem POS/PPO/Traditional $3,362.19
Rate for Payer: Cash Price $2,155.25
Rate for Payer: Cigna Commercial $3,577.72
Rate for Payer: First Health Commercial $4,094.98
Rate for Payer: Humana Commercial $3,663.92
Rate for Payer: Humana KY Medicaid $1,482.38
Rate for Payer: Kentucky WC Medicaid $1,497.47
Rate for Payer: Medical Mutual Of Ohio HMO $3,534.61
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,181.15
Rate for Payer: Molina Healthcare Benefit Exchange $1,293.15
Rate for Payer: Molina Healthcare Medicaid $1,512.12
Rate for Payer: Ohio Health Choice Commercial $3,793.24
Rate for Payer: Ohio Health Group HMO $3,232.88
Rate for Payer: Ohio Health Group PPO Differential $862.10
Rate for Payer: Ohio Health Group PPO No Differential $560.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,336.26
Rate for Payer: PHCS Commercial $4,138.08
Rate for Payer: United Healthcare All Payer $3,793.24
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $560.36
Max. Negotiated Rate $4,138.08
Rate for Payer: Aetna Commercial $3,319.08
Rate for Payer: Anthem POS/PPO/Traditional $3,362.19
Rate for Payer: Cash Price $2,155.25
Rate for Payer: Cigna Commercial $3,577.72
Rate for Payer: First Health Commercial $4,094.98
Rate for Payer: Humana Commercial $3,663.92
Rate for Payer: Medical Mutual Of Ohio HMO $3,534.61
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,181.15
Rate for Payer: Molina Healthcare Benefit Exchange $1,293.15
Rate for Payer: Ohio Health Choice Commercial $3,793.24
Rate for Payer: Ohio Health Group HMO $3,232.88
Rate for Payer: Ohio Health Group PPO Differential $862.10
Rate for Payer: Ohio Health Group PPO No Differential $560.36
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,336.26
Rate for Payer: PHCS Commercial $4,138.08
Rate for Payer: United Healthcare All Payer $3,793.24
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $639.63
Max. Negotiated Rate $4,723.39
Rate for Payer: Aetna Commercial $3,788.55
Rate for Payer: Anthem POS/PPO/Traditional $3,837.76
Rate for Payer: Cash Price $2,460.10
Rate for Payer: Cigna Commercial $4,083.77
Rate for Payer: First Health Commercial $4,674.19
Rate for Payer: Humana Commercial $4,182.17
Rate for Payer: Medical Mutual Of Ohio HMO $4,034.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,631.11
Rate for Payer: Molina Healthcare Benefit Exchange $1,476.06
Rate for Payer: Ohio Health Choice Commercial $4,329.78
Rate for Payer: Ohio Health Group HMO $3,690.15
Rate for Payer: Ohio Health Group PPO Differential $984.04
Rate for Payer: Ohio Health Group PPO No Differential $639.63
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,525.26
Rate for Payer: PHCS Commercial $4,723.39
Rate for Payer: United Healthcare All Payer $4,329.78
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $639.63
Max. Negotiated Rate $4,723.39
Rate for Payer: Aetna Commercial $3,788.55
Rate for Payer: Anthem Medicaid $1,692.06
Rate for Payer: Anthem POS/PPO/Traditional $3,837.76
Rate for Payer: Cash Price $2,460.10
Rate for Payer: Cigna Commercial $4,083.77
Rate for Payer: First Health Commercial $4,674.19
Rate for Payer: Humana Commercial $4,182.17
Rate for Payer: Humana KY Medicaid $1,692.06
Rate for Payer: Kentucky WC Medicaid $1,709.28
Rate for Payer: Medical Mutual Of Ohio HMO $4,034.56
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,631.11
Rate for Payer: Molina Healthcare Benefit Exchange $1,476.06
Rate for Payer: Molina Healthcare Medicaid $1,726.01
Rate for Payer: Ohio Health Choice Commercial $4,329.78
Rate for Payer: Ohio Health Group HMO $3,690.15
Rate for Payer: Ohio Health Group PPO Differential $984.04
Rate for Payer: Ohio Health Group PPO No Differential $639.63
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,525.26
Rate for Payer: PHCS Commercial $4,723.39
Rate for Payer: United Healthcare All Payer $4,329.78
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $679.26
Max. Negotiated Rate $5,016.05
Rate for Payer: Aetna Commercial $4,023.29
Rate for Payer: Anthem POS/PPO/Traditional $4,075.54
Rate for Payer: Cash Price $2,612.52
Rate for Payer: Cigna Commercial $4,336.79
Rate for Payer: First Health Commercial $4,963.80
Rate for Payer: Humana Commercial $4,441.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,284.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,856.09
Rate for Payer: Molina Healthcare Benefit Exchange $1,567.52
Rate for Payer: Ohio Health Choice Commercial $4,598.04
Rate for Payer: Ohio Health Group HMO $3,918.79
Rate for Payer: Ohio Health Group PPO Differential $1,045.01
Rate for Payer: Ohio Health Group PPO No Differential $679.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,619.77
Rate for Payer: PHCS Commercial $5,016.05
Rate for Payer: United Healthcare All Payer $4,598.04
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $679.26
Max. Negotiated Rate $5,016.05
Rate for Payer: Humana Commercial $4,441.29
Rate for Payer: Humana KY Medicaid $1,796.89
Rate for Payer: Kentucky WC Medicaid $1,815.18
Rate for Payer: Medical Mutual Of Ohio HMO $4,284.54
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,856.09
Rate for Payer: Molina Healthcare Benefit Exchange $1,567.52
Rate for Payer: Molina Healthcare Medicaid $1,832.95
Rate for Payer: Ohio Health Choice Commercial $4,598.04
Rate for Payer: Ohio Health Group HMO $3,918.79
Rate for Payer: Ohio Health Group PPO Differential $1,045.01
Rate for Payer: Ohio Health Group PPO No Differential $679.26
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,619.77
Rate for Payer: PHCS Commercial $5,016.05
Rate for Payer: United Healthcare All Payer $4,598.04
Rate for Payer: Aetna Commercial $4,023.29
Rate for Payer: Anthem Medicaid $1,796.89
Rate for Payer: Anthem POS/PPO/Traditional $4,075.54
Rate for Payer: Cash Price $2,612.52
Rate for Payer: Cigna Commercial $4,336.79
Rate for Payer: First Health Commercial $4,963.80