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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $724.57
Max. Negotiated Rate $5,350.70
Rate for Payer: Aetna Commercial $4,291.71
Rate for Payer: Anthem Medicaid $1,916.78
Rate for Payer: Anthem POS/PPO/Traditional $4,347.45
Rate for Payer: Cash Price $2,786.82
Rate for Payer: Cigna Commercial $4,626.13
Rate for Payer: First Health Commercial $5,294.97
Rate for Payer: Humana Commercial $4,737.60
Rate for Payer: Humana KY Medicaid $1,916.78
Rate for Payer: Kentucky WC Medicaid $1,936.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,570.39
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,113.35
Rate for Payer: Molina Healthcare Benefit Exchange $1,672.10
Rate for Payer: Molina Healthcare Medicaid $1,955.24
Rate for Payer: Ohio Health Choice Commercial $4,904.81
Rate for Payer: Ohio Health Group HMO $4,180.24
Rate for Payer: Ohio Health Group PPO Differential $1,114.73
Rate for Payer: Ohio Health Group PPO No Differential $724.57
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,727.83
Rate for Payer: PHCS Commercial $5,350.70
Rate for Payer: United Healthcare All Payer $4,904.81
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $724.57
Max. Negotiated Rate $5,350.70
Rate for Payer: Aetna Commercial $4,291.71
Rate for Payer: Anthem POS/PPO/Traditional $4,347.45
Rate for Payer: Cash Price $2,786.82
Rate for Payer: Cigna Commercial $4,626.13
Rate for Payer: First Health Commercial $5,294.97
Rate for Payer: Humana Commercial $4,737.60
Rate for Payer: Medical Mutual Of Ohio HMO $4,570.39
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,113.35
Rate for Payer: Molina Healthcare Benefit Exchange $1,672.10
Rate for Payer: Ohio Health Choice Commercial $4,904.81
Rate for Payer: Ohio Health Group HMO $4,180.24
Rate for Payer: Ohio Health Group PPO Differential $1,114.73
Rate for Payer: Ohio Health Group PPO No Differential $724.57
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,727.83
Rate for Payer: PHCS Commercial $5,350.70
Rate for Payer: United Healthcare All Payer $4,904.81
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $724.57
Max. Negotiated Rate $5,350.70
Rate for Payer: Aetna Commercial $4,291.71
Rate for Payer: Anthem Medicaid $1,916.78
Rate for Payer: Anthem POS/PPO/Traditional $4,347.45
Rate for Payer: Cash Price $2,786.82
Rate for Payer: Cigna Commercial $4,626.13
Rate for Payer: First Health Commercial $5,294.97
Rate for Payer: Humana Commercial $4,737.60
Rate for Payer: Humana KY Medicaid $1,916.78
Rate for Payer: Kentucky WC Medicaid $1,936.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,570.39
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,113.35
Rate for Payer: Molina Healthcare Benefit Exchange $1,672.10
Rate for Payer: Molina Healthcare Medicaid $1,955.24
Rate for Payer: Ohio Health Choice Commercial $4,904.81
Rate for Payer: Ohio Health Group HMO $4,180.24
Rate for Payer: Ohio Health Group PPO Differential $1,114.73
Rate for Payer: Ohio Health Group PPO No Differential $724.57
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,727.83
Rate for Payer: PHCS Commercial $5,350.70
Rate for Payer: United Healthcare All Payer $4,904.81
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $238.79
Max. Negotiated Rate $1,763.38
Rate for Payer: Aetna Commercial $1,414.37
Rate for Payer: Anthem Medicaid $631.69
Rate for Payer: Anthem POS/PPO/Traditional $1,432.74
Rate for Payer: Cash Price $918.42
Rate for Payer: Cigna Commercial $1,524.59
Rate for Payer: First Health Commercial $1,745.01
Rate for Payer: Humana Commercial $1,561.32
Rate for Payer: Humana KY Medicaid $631.69
Rate for Payer: Kentucky WC Medicaid $638.12
Rate for Payer: Medical Mutual Of Ohio HMO $1,506.22
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,355.60
Rate for Payer: Molina Healthcare Benefit Exchange $551.06
Rate for Payer: Molina Healthcare Medicaid $644.37
Rate for Payer: Ohio Health Choice Commercial $1,616.43
Rate for Payer: Ohio Health Group HMO $1,377.64
Rate for Payer: Ohio Health Group PPO Differential $367.37
Rate for Payer: Ohio Health Group PPO No Differential $238.79
Rate for Payer: Ohio Health Group PPO SOMC Employees $569.42
Rate for Payer: PHCS Commercial $1,763.38
Rate for Payer: United Healthcare All Payer $1,616.43
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $238.79
Max. Negotiated Rate $1,763.38
Rate for Payer: Aetna Commercial $1,414.37
Rate for Payer: Anthem POS/PPO/Traditional $1,432.74
Rate for Payer: Cash Price $918.42
Rate for Payer: Cigna Commercial $1,524.59
Rate for Payer: First Health Commercial $1,745.01
Rate for Payer: Humana Commercial $1,561.32
Rate for Payer: Medical Mutual Of Ohio HMO $1,506.22
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,355.60
Rate for Payer: Molina Healthcare Benefit Exchange $551.06
Rate for Payer: Ohio Health Choice Commercial $1,616.43
Rate for Payer: Ohio Health Group HMO $1,377.64
Rate for Payer: Ohio Health Group PPO Differential $367.37
Rate for Payer: Ohio Health Group PPO No Differential $238.79
Rate for Payer: Ohio Health Group PPO SOMC Employees $569.42
Rate for Payer: PHCS Commercial $1,763.38
Rate for Payer: United Healthcare All Payer $1,616.43
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $276.94
Max. Negotiated Rate $2,045.11
Rate for Payer: Aetna Commercial $1,640.35
Rate for Payer: Anthem Medicaid $732.62
Rate for Payer: Anthem POS/PPO/Traditional $1,661.65
Rate for Payer: Cash Price $1,065.16
Rate for Payer: Cigna Commercial $1,768.17
Rate for Payer: First Health Commercial $2,023.80
Rate for Payer: Humana Commercial $1,810.77
Rate for Payer: Humana KY Medicaid $732.62
Rate for Payer: Kentucky WC Medicaid $740.07
Rate for Payer: Medical Mutual Of Ohio HMO $1,746.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,572.18
Rate for Payer: Molina Healthcare Benefit Exchange $639.10
Rate for Payer: Molina Healthcare Medicaid $747.32
Rate for Payer: Ohio Health Choice Commercial $1,874.68
Rate for Payer: Ohio Health Group HMO $1,597.74
Rate for Payer: Ohio Health Group PPO Differential $426.06
Rate for Payer: Ohio Health Group PPO No Differential $276.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $660.40
Rate for Payer: PHCS Commercial $2,045.11
Rate for Payer: United Healthcare All Payer $1,874.68
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $276.94
Max. Negotiated Rate $2,045.11
Rate for Payer: Aetna Commercial $1,640.35
Rate for Payer: Anthem POS/PPO/Traditional $1,661.65
Rate for Payer: Cash Price $1,065.16
Rate for Payer: Cigna Commercial $1,768.17
Rate for Payer: First Health Commercial $2,023.80
Rate for Payer: Humana Commercial $1,810.77
Rate for Payer: Medical Mutual Of Ohio HMO $1,746.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,572.18
Rate for Payer: Molina Healthcare Benefit Exchange $639.10
Rate for Payer: Ohio Health Choice Commercial $1,874.68
Rate for Payer: Ohio Health Group HMO $1,597.74
Rate for Payer: Ohio Health Group PPO Differential $426.06
Rate for Payer: Ohio Health Group PPO No Differential $276.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $660.40
Rate for Payer: PHCS Commercial $2,045.11
Rate for Payer: United Healthcare All Payer $1,874.68
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $276.94
Max. Negotiated Rate $2,045.11
Rate for Payer: Aetna Commercial $1,640.35
Rate for Payer: Anthem Medicaid $732.62
Rate for Payer: Anthem POS/PPO/Traditional $1,661.65
Rate for Payer: Cash Price $1,065.16
Rate for Payer: Cigna Commercial $1,768.17
Rate for Payer: First Health Commercial $2,023.80
Rate for Payer: Humana Commercial $1,810.77
Rate for Payer: Humana KY Medicaid $732.62
Rate for Payer: Kentucky WC Medicaid $740.07
Rate for Payer: Medical Mutual Of Ohio HMO $1,746.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,572.18
Rate for Payer: Molina Healthcare Benefit Exchange $639.10
Rate for Payer: Molina Healthcare Medicaid $747.32
Rate for Payer: Ohio Health Choice Commercial $1,874.68
Rate for Payer: Ohio Health Group HMO $1,597.74
Rate for Payer: Ohio Health Group PPO Differential $426.06
Rate for Payer: Ohio Health Group PPO No Differential $276.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $660.40
Rate for Payer: PHCS Commercial $2,045.11
Rate for Payer: United Healthcare All Payer $1,874.68
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $276.94
Max. Negotiated Rate $2,045.11
Rate for Payer: Aetna Commercial $1,640.35
Rate for Payer: Anthem POS/PPO/Traditional $1,661.65
Rate for Payer: Cash Price $1,065.16
Rate for Payer: Cigna Commercial $1,768.17
Rate for Payer: First Health Commercial $2,023.80
Rate for Payer: Humana Commercial $1,810.77
Rate for Payer: Medical Mutual Of Ohio HMO $1,746.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,572.18
Rate for Payer: Molina Healthcare Benefit Exchange $639.10
Rate for Payer: Ohio Health Choice Commercial $1,874.68
Rate for Payer: Ohio Health Group HMO $1,597.74
Rate for Payer: Ohio Health Group PPO Differential $426.06
Rate for Payer: Ohio Health Group PPO No Differential $276.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $660.40
Rate for Payer: PHCS Commercial $2,045.11
Rate for Payer: United Healthcare All Payer $1,874.68
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,449.82
Max. Negotiated Rate $10,706.33
Rate for Payer: Aetna Commercial $8,587.37
Rate for Payer: Anthem POS/PPO/Traditional $8,698.90
Rate for Payer: Cash Price $5,576.21
Rate for Payer: Cigna Commercial $9,256.52
Rate for Payer: First Health Commercial $10,594.81
Rate for Payer: Humana Commercial $9,479.57
Rate for Payer: Medical Mutual Of Ohio HMO $9,144.99
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,230.49
Rate for Payer: Molina Healthcare Benefit Exchange $3,345.73
Rate for Payer: Ohio Health Choice Commercial $9,814.14
Rate for Payer: Ohio Health Group HMO $8,364.32
Rate for Payer: Ohio Health Group PPO Differential $2,230.49
Rate for Payer: Ohio Health Group PPO No Differential $1,449.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,457.25
Rate for Payer: PHCS Commercial $10,706.33
Rate for Payer: United Healthcare All Payer $9,814.14
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,449.82
Max. Negotiated Rate $10,706.33
Rate for Payer: Aetna Commercial $8,587.37
Rate for Payer: Anthem Medicaid $3,835.32
Rate for Payer: Anthem POS/PPO/Traditional $8,698.90
Rate for Payer: Cash Price $5,576.21
Rate for Payer: Cigna Commercial $9,256.52
Rate for Payer: First Health Commercial $10,594.81
Rate for Payer: Humana Commercial $9,479.57
Rate for Payer: Humana KY Medicaid $3,835.32
Rate for Payer: Kentucky WC Medicaid $3,874.35
Rate for Payer: Medical Mutual Of Ohio HMO $9,144.99
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,230.49
Rate for Payer: Molina Healthcare Benefit Exchange $3,345.73
Rate for Payer: Molina Healthcare Medicaid $3,912.27
Rate for Payer: Ohio Health Choice Commercial $9,814.14
Rate for Payer: Ohio Health Group HMO $8,364.32
Rate for Payer: Ohio Health Group PPO Differential $2,230.49
Rate for Payer: Ohio Health Group PPO No Differential $1,449.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,457.25
Rate for Payer: PHCS Commercial $10,706.33
Rate for Payer: United Healthcare All Payer $9,814.14
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem Medicaid $4,211.95
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Humana KY Medicaid $4,211.95
Rate for Payer: Kentucky WC Medicaid $4,254.82
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Molina Healthcare Medicaid $4,296.46
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem Medicaid $4,211.95
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Humana KY Medicaid $4,211.95
Rate for Payer: Kentucky WC Medicaid $4,254.82
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Molina Healthcare Medicaid $4,296.46
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem Medicaid $4,211.95
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Humana KY Medicaid $4,211.95
Rate for Payer: Kentucky WC Medicaid $4,254.82
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Molina Healthcare Medicaid $4,296.46
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem Medicaid $4,211.95
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Humana KY Medicaid $4,211.95
Rate for Payer: Kentucky WC Medicaid $4,254.82
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Molina Healthcare Medicaid $4,296.46
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem Medicaid $4,211.95
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Humana KY Medicaid $4,211.95
Rate for Payer: Kentucky WC Medicaid $4,254.82
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Molina Healthcare Medicaid $4,296.46
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem Medicaid $4,211.95
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Humana KY Medicaid $4,211.95
Rate for Payer: Kentucky WC Medicaid $4,254.82
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Molina Healthcare Medicaid $4,296.46
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,592.19
Max. Negotiated Rate $11,757.71
Rate for Payer: Aetna Commercial $9,430.66
Rate for Payer: Anthem Medicaid $4,211.95
Rate for Payer: Anthem POS/PPO/Traditional $9,553.14
Rate for Payer: Cash Price $6,123.80
Rate for Payer: Cigna Commercial $10,165.52
Rate for Payer: First Health Commercial $11,635.23
Rate for Payer: Humana Commercial $10,410.47
Rate for Payer: Humana KY Medicaid $4,211.95
Rate for Payer: Kentucky WC Medicaid $4,254.82
Rate for Payer: Medical Mutual Of Ohio HMO $10,043.04
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $9,038.74
Rate for Payer: Molina Healthcare Benefit Exchange $3,674.28
Rate for Payer: Molina Healthcare Medicaid $4,296.46
Rate for Payer: Ohio Health Choice Commercial $10,777.90
Rate for Payer: Ohio Health Group HMO $9,185.71
Rate for Payer: Ohio Health Group PPO Differential $2,449.52
Rate for Payer: Ohio Health Group PPO No Differential $1,592.19
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,796.76
Rate for Payer: PHCS Commercial $11,757.71
Rate for Payer: United Healthcare All Payer $10,777.90