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Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem Medicaid $2,262.28
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Humana KY Medicaid $2,262.28
Rate for Payer: Kentucky WC Medicaid $2,285.30
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Molina Healthcare Medicaid $2,307.67
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
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 $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem Medicaid $2,262.28
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Humana KY Medicaid $2,262.28
Rate for Payer: Kentucky WC Medicaid $2,285.30
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Molina Healthcare Medicaid $2,307.67
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem Medicaid $2,262.28
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Humana KY Medicaid $2,262.28
Rate for Payer: Kentucky WC Medicaid $2,285.30
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Molina Healthcare Medicaid $2,307.67
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
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 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: 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
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 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 $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 $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: 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
Rate for Payer: Aetna Commercial $4,023.29
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $855.18
Max. Negotiated Rate $6,315.17
Rate for Payer: Aetna Commercial $5,065.29
Rate for Payer: Anthem Medicaid $2,262.28
Rate for Payer: Anthem POS/PPO/Traditional $5,131.07
Rate for Payer: Cash Price $3,289.15
Rate for Payer: Cigna Commercial $5,459.99
Rate for Payer: First Health Commercial $6,249.38
Rate for Payer: Humana Commercial $5,591.56
Rate for Payer: Humana KY Medicaid $2,262.28
Rate for Payer: Kentucky WC Medicaid $2,285.30
Rate for Payer: Medical Mutual Of Ohio HMO $5,394.21
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,854.79
Rate for Payer: Molina Healthcare Benefit Exchange $1,973.49
Rate for Payer: Molina Healthcare Medicaid $2,307.67
Rate for Payer: Ohio Health Choice Commercial $5,788.90
Rate for Payer: Ohio Health Group HMO $4,933.72
Rate for Payer: Ohio Health Group PPO Differential $1,315.66
Rate for Payer: Ohio Health Group PPO No Differential $855.18
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,039.27
Rate for Payer: PHCS Commercial $6,315.17
Rate for Payer: United Healthcare All Payer $5,788.90
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $586.28
Max. Negotiated Rate $4,329.43
Rate for Payer: Aetna Commercial $3,472.56
Rate for Payer: Anthem POS/PPO/Traditional $3,517.66
Rate for Payer: Cash Price $2,254.91
Rate for Payer: Cigna Commercial $3,743.15
Rate for Payer: First Health Commercial $4,284.33
Rate for Payer: Humana Commercial $3,833.35
Rate for Payer: Medical Mutual Of Ohio HMO $3,698.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,328.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,352.95
Rate for Payer: Ohio Health Choice Commercial $3,968.64
Rate for Payer: Ohio Health Group HMO $3,382.36
Rate for Payer: Ohio Health Group PPO Differential $901.96
Rate for Payer: Ohio Health Group PPO No Differential $586.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,398.04
Rate for Payer: PHCS Commercial $4,329.43
Rate for Payer: United Healthcare All Payer $3,968.64
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $586.28
Max. Negotiated Rate $4,329.43
Rate for Payer: Aetna Commercial $3,472.56
Rate for Payer: Anthem Medicaid $1,550.93
Rate for Payer: Anthem POS/PPO/Traditional $3,517.66
Rate for Payer: Cash Price $2,254.91
Rate for Payer: Cigna Commercial $3,743.15
Rate for Payer: First Health Commercial $4,284.33
Rate for Payer: Humana Commercial $3,833.35
Rate for Payer: Humana KY Medicaid $1,550.93
Rate for Payer: Kentucky WC Medicaid $1,566.71
Rate for Payer: Medical Mutual Of Ohio HMO $3,698.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,328.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,352.95
Rate for Payer: Molina Healthcare Medicaid $1,582.04
Rate for Payer: Ohio Health Choice Commercial $3,968.64
Rate for Payer: Ohio Health Group HMO $3,382.36
Rate for Payer: Ohio Health Group PPO Differential $901.96
Rate for Payer: Ohio Health Group PPO No Differential $586.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,398.04
Rate for Payer: PHCS Commercial $4,329.43
Rate for Payer: United Healthcare All Payer $3,968.64
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $510.06
Max. Negotiated Rate $3,766.63
Rate for Payer: Aetna Commercial $3,021.15
Rate for Payer: Anthem POS/PPO/Traditional $3,060.38
Rate for Payer: Cash Price $1,961.79
Rate for Payer: Cigna Commercial $3,256.56
Rate for Payer: First Health Commercial $3,727.39
Rate for Payer: Humana Commercial $3,335.03
Rate for Payer: Medical Mutual Of Ohio HMO $3,217.33
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,895.59
Rate for Payer: Molina Healthcare Benefit Exchange $1,177.07
Rate for Payer: Ohio Health Choice Commercial $3,452.74
Rate for Payer: Ohio Health Group HMO $2,942.68
Rate for Payer: Ohio Health Group PPO Differential $784.71
Rate for Payer: Ohio Health Group PPO No Differential $510.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,216.31
Rate for Payer: PHCS Commercial $3,766.63
Rate for Payer: United Healthcare All Payer $3,452.74
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $510.06
Max. Negotiated Rate $3,766.63
Rate for Payer: Aetna Commercial $3,021.15
Rate for Payer: Anthem Medicaid $1,349.32
Rate for Payer: Anthem POS/PPO/Traditional $3,060.38
Rate for Payer: Cash Price $1,961.79
Rate for Payer: Cigna Commercial $3,256.56
Rate for Payer: First Health Commercial $3,727.39
Rate for Payer: Humana Commercial $3,335.03
Rate for Payer: Humana KY Medicaid $1,349.32
Rate for Payer: Kentucky WC Medicaid $1,363.05
Rate for Payer: Medical Mutual Of Ohio HMO $3,217.33
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,895.59
Rate for Payer: Molina Healthcare Benefit Exchange $1,177.07
Rate for Payer: Molina Healthcare Medicaid $1,376.39
Rate for Payer: Ohio Health Choice Commercial $3,452.74
Rate for Payer: Ohio Health Group HMO $2,942.68
Rate for Payer: Ohio Health Group PPO Differential $784.71
Rate for Payer: Ohio Health Group PPO No Differential $510.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,216.31
Rate for Payer: PHCS Commercial $3,766.63
Rate for Payer: United Healthcare All Payer $3,452.74
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $586.28
Max. Negotiated Rate $4,329.43
Rate for Payer: Aetna Commercial $3,472.56
Rate for Payer: Anthem POS/PPO/Traditional $3,517.66
Rate for Payer: Cash Price $2,254.91
Rate for Payer: Cigna Commercial $3,743.15
Rate for Payer: First Health Commercial $4,284.33
Rate for Payer: Humana Commercial $3,833.35
Rate for Payer: Medical Mutual Of Ohio HMO $3,698.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,328.25
Rate for Payer: Molina Healthcare Benefit Exchange $1,352.95
Rate for Payer: Ohio Health Choice Commercial $3,968.64
Rate for Payer: Ohio Health Group HMO $3,382.36
Rate for Payer: Ohio Health Group PPO Differential $901.96
Rate for Payer: Ohio Health Group PPO No Differential $586.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,398.04
Rate for Payer: PHCS Commercial $4,329.43
Rate for Payer: United Healthcare All Payer $3,968.64