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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,671.94
Max. Negotiated Rate $19,731.26
Rate for Payer: Aetna Commercial $15,826.12
Rate for Payer: Anthem POS/PPO/Traditional $16,031.65
Rate for Payer: Cash Price $10,276.70
Rate for Payer: Cigna Commercial $17,059.32
Rate for Payer: First Health Commercial $19,525.73
Rate for Payer: Humana Commercial $17,470.39
Rate for Payer: Medical Mutual Of Ohio HMO $16,853.79
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,168.41
Rate for Payer: Molina Healthcare Benefit Exchange $6,166.02
Rate for Payer: Ohio Health Choice Commercial $18,086.99
Rate for Payer: Ohio Health Group HMO $15,415.05
Rate for Payer: Ohio Health Group PPO Differential $4,110.68
Rate for Payer: Ohio Health Group PPO No Differential $2,671.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,371.55
Rate for Payer: PHCS Commercial $19,731.26
Rate for Payer: United Healthcare All Payer $18,086.99
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,671.94
Max. Negotiated Rate $19,731.26
Rate for Payer: Aetna Commercial $15,826.12
Rate for Payer: Anthem Medicaid $7,068.31
Rate for Payer: Anthem POS/PPO/Traditional $16,031.65
Rate for Payer: Cash Price $10,276.70
Rate for Payer: Cigna Commercial $17,059.32
Rate for Payer: First Health Commercial $19,525.73
Rate for Payer: Humana Commercial $17,470.39
Rate for Payer: Humana KY Medicaid $7,068.31
Rate for Payer: Kentucky WC Medicaid $7,140.25
Rate for Payer: Medical Mutual Of Ohio HMO $16,853.79
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,168.41
Rate for Payer: Molina Healthcare Benefit Exchange $6,166.02
Rate for Payer: Molina Healthcare Medicaid $7,210.13
Rate for Payer: Ohio Health Choice Commercial $18,086.99
Rate for Payer: Ohio Health Group HMO $15,415.05
Rate for Payer: Ohio Health Group PPO Differential $4,110.68
Rate for Payer: Ohio Health Group PPO No Differential $2,671.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,371.55
Rate for Payer: PHCS Commercial $19,731.26
Rate for Payer: United Healthcare All Payer $18,086.99
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,835.93
Max. Negotiated Rate $20,942.25
Rate for Payer: Aetna Commercial $16,797.43
Rate for Payer: Anthem POS/PPO/Traditional $17,015.58
Rate for Payer: Cash Price $10,907.42
Rate for Payer: Cigna Commercial $18,106.32
Rate for Payer: First Health Commercial $20,724.10
Rate for Payer: Humana Commercial $18,542.61
Rate for Payer: Medical Mutual Of Ohio HMO $17,888.17
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,099.35
Rate for Payer: Molina Healthcare Benefit Exchange $6,544.45
Rate for Payer: Ohio Health Choice Commercial $19,197.06
Rate for Payer: Ohio Health Group HMO $16,361.13
Rate for Payer: Ohio Health Group PPO Differential $4,362.97
Rate for Payer: Ohio Health Group PPO No Differential $2,835.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,762.60
Rate for Payer: PHCS Commercial $20,942.25
Rate for Payer: United Healthcare All Payer $19,197.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,835.93
Max. Negotiated Rate $20,942.25
Rate for Payer: Aetna Commercial $16,797.43
Rate for Payer: Anthem Medicaid $7,502.12
Rate for Payer: Anthem POS/PPO/Traditional $17,015.58
Rate for Payer: Cash Price $10,907.42
Rate for Payer: Cigna Commercial $18,106.32
Rate for Payer: First Health Commercial $20,724.10
Rate for Payer: Humana Commercial $18,542.61
Rate for Payer: Humana KY Medicaid $7,502.12
Rate for Payer: Kentucky WC Medicaid $7,578.48
Rate for Payer: Medical Mutual Of Ohio HMO $17,888.17
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,099.35
Rate for Payer: Molina Healthcare Benefit Exchange $6,544.45
Rate for Payer: Molina Healthcare Medicaid $7,652.65
Rate for Payer: Ohio Health Choice Commercial $19,197.06
Rate for Payer: Ohio Health Group HMO $16,361.13
Rate for Payer: Ohio Health Group PPO Differential $4,362.97
Rate for Payer: Ohio Health Group PPO No Differential $2,835.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,762.60
Rate for Payer: PHCS Commercial $20,942.25
Rate for Payer: United Healthcare All Payer $19,197.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem Medicaid $8,044.38
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Humana KY Medicaid $8,044.38
Rate for Payer: Kentucky WC Medicaid $8,126.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Molina Healthcare Medicaid $8,205.79
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem Medicaid $8,044.38
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Humana KY Medicaid $8,044.38
Rate for Payer: Kentucky WC Medicaid $8,126.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Molina Healthcare Medicaid $8,205.79
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,671.94
Max. Negotiated Rate $19,731.26
Rate for Payer: Aetna Commercial $15,826.12
Rate for Payer: Anthem POS/PPO/Traditional $16,031.65
Rate for Payer: Cash Price $10,276.70
Rate for Payer: Cigna Commercial $17,059.32
Rate for Payer: First Health Commercial $19,525.73
Rate for Payer: Humana Commercial $17,470.39
Rate for Payer: Medical Mutual Of Ohio HMO $16,853.79
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,168.41
Rate for Payer: Molina Healthcare Benefit Exchange $6,166.02
Rate for Payer: Ohio Health Choice Commercial $18,086.99
Rate for Payer: Ohio Health Group HMO $15,415.05
Rate for Payer: Ohio Health Group PPO Differential $4,110.68
Rate for Payer: Ohio Health Group PPO No Differential $2,671.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,371.55
Rate for Payer: PHCS Commercial $19,731.26
Rate for Payer: United Healthcare All Payer $18,086.99
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,671.94
Max. Negotiated Rate $19,731.26
Rate for Payer: Aetna Commercial $15,826.12
Rate for Payer: Anthem Medicaid $7,068.31
Rate for Payer: Anthem POS/PPO/Traditional $16,031.65
Rate for Payer: Cash Price $10,276.70
Rate for Payer: Cigna Commercial $17,059.32
Rate for Payer: First Health Commercial $19,525.73
Rate for Payer: Humana Commercial $17,470.39
Rate for Payer: Humana KY Medicaid $7,068.31
Rate for Payer: Kentucky WC Medicaid $7,140.25
Rate for Payer: Medical Mutual Of Ohio HMO $16,853.79
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $15,168.41
Rate for Payer: Molina Healthcare Benefit Exchange $6,166.02
Rate for Payer: Molina Healthcare Medicaid $7,210.13
Rate for Payer: Ohio Health Choice Commercial $18,086.99
Rate for Payer: Ohio Health Group HMO $15,415.05
Rate for Payer: Ohio Health Group PPO Differential $4,110.68
Rate for Payer: Ohio Health Group PPO No Differential $2,671.94
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,371.55
Rate for Payer: PHCS Commercial $19,731.26
Rate for Payer: United Healthcare All Payer $18,086.99
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,835.93
Max. Negotiated Rate $20,942.25
Rate for Payer: Aetna Commercial $16,797.43
Rate for Payer: Anthem Medicaid $7,502.12
Rate for Payer: Anthem POS/PPO/Traditional $17,015.58
Rate for Payer: Cash Price $10,907.42
Rate for Payer: Cigna Commercial $18,106.32
Rate for Payer: First Health Commercial $20,724.10
Rate for Payer: Humana Commercial $18,542.61
Rate for Payer: Humana KY Medicaid $7,502.12
Rate for Payer: Kentucky WC Medicaid $7,578.48
Rate for Payer: Medical Mutual Of Ohio HMO $17,888.17
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,099.35
Rate for Payer: Molina Healthcare Benefit Exchange $6,544.45
Rate for Payer: Molina Healthcare Medicaid $7,652.65
Rate for Payer: Ohio Health Choice Commercial $19,197.06
Rate for Payer: Ohio Health Group HMO $16,361.13
Rate for Payer: Ohio Health Group PPO Differential $4,362.97
Rate for Payer: Ohio Health Group PPO No Differential $2,835.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,762.60
Rate for Payer: PHCS Commercial $20,942.25
Rate for Payer: United Healthcare All Payer $19,197.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2,835.93
Max. Negotiated Rate $20,942.25
Rate for Payer: Aetna Commercial $16,797.43
Rate for Payer: Anthem POS/PPO/Traditional $17,015.58
Rate for Payer: Cash Price $10,907.42
Rate for Payer: Cigna Commercial $18,106.32
Rate for Payer: First Health Commercial $20,724.10
Rate for Payer: Humana Commercial $18,542.61
Rate for Payer: Medical Mutual Of Ohio HMO $17,888.17
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,099.35
Rate for Payer: Molina Healthcare Benefit Exchange $6,544.45
Rate for Payer: Ohio Health Choice Commercial $19,197.06
Rate for Payer: Ohio Health Group HMO $16,361.13
Rate for Payer: Ohio Health Group PPO Differential $4,362.97
Rate for Payer: Ohio Health Group PPO No Differential $2,835.93
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,762.60
Rate for Payer: PHCS Commercial $20,942.25
Rate for Payer: United Healthcare All Payer $19,197.06
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem Medicaid $8,044.38
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Humana KY Medicaid $8,044.38
Rate for Payer: Kentucky WC Medicaid $8,126.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Molina Healthcare Medicaid $8,205.79
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $3,040.91
Max. Negotiated Rate $22,455.97
Rate for Payer: Aetna Commercial $18,011.56
Rate for Payer: Anthem Medicaid $8,044.38
Rate for Payer: Anthem POS/PPO/Traditional $18,245.48
Rate for Payer: Cash Price $11,695.82
Rate for Payer: Cigna Commercial $19,415.06
Rate for Payer: First Health Commercial $22,222.06
Rate for Payer: Humana Commercial $19,882.89
Rate for Payer: Humana KY Medicaid $8,044.38
Rate for Payer: Kentucky WC Medicaid $8,126.26
Rate for Payer: Medical Mutual Of Ohio HMO $19,181.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $17,263.03
Rate for Payer: Molina Healthcare Benefit Exchange $7,017.49
Rate for Payer: Molina Healthcare Medicaid $8,205.79
Rate for Payer: Ohio Health Choice Commercial $20,584.64
Rate for Payer: Ohio Health Group HMO $17,543.73
Rate for Payer: Ohio Health Group PPO Differential $4,678.33
Rate for Payer: Ohio Health Group PPO No Differential $3,040.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,251.41
Rate for Payer: PHCS Commercial $22,455.97
Rate for Payer: United Healthcare All Payer $20,584.64
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,816.06
Max. Negotiated Rate $13,410.89
Rate for Payer: Aetna Commercial $10,756.65
Rate for Payer: Anthem POS/PPO/Traditional $10,896.35
Rate for Payer: Cash Price $6,984.84
Rate for Payer: Cigna Commercial $11,594.83
Rate for Payer: First Health Commercial $13,271.20
Rate for Payer: Humana Commercial $11,874.23
Rate for Payer: Medical Mutual Of Ohio HMO $11,455.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10,309.62
Rate for Payer: Molina Healthcare Benefit Exchange $4,190.90
Rate for Payer: Ohio Health Choice Commercial $12,293.32
Rate for Payer: Ohio Health Group HMO $10,477.26
Rate for Payer: Ohio Health Group PPO Differential $2,793.94
Rate for Payer: Ohio Health Group PPO No Differential $1,816.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,330.60
Rate for Payer: PHCS Commercial $13,410.89
Rate for Payer: United Healthcare All Payer $12,293.32
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,816.06
Max. Negotiated Rate $13,410.89
Rate for Payer: Aetna Commercial $10,756.65
Rate for Payer: Anthem Medicaid $4,804.17
Rate for Payer: Anthem POS/PPO/Traditional $10,896.35
Rate for Payer: Cash Price $6,984.84
Rate for Payer: Cigna Commercial $11,594.83
Rate for Payer: First Health Commercial $13,271.20
Rate for Payer: Humana Commercial $11,874.23
Rate for Payer: Humana KY Medicaid $4,804.17
Rate for Payer: Kentucky WC Medicaid $4,853.07
Rate for Payer: Medical Mutual Of Ohio HMO $11,455.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10,309.62
Rate for Payer: Molina Healthcare Benefit Exchange $4,190.90
Rate for Payer: Molina Healthcare Medicaid $4,900.56
Rate for Payer: Ohio Health Choice Commercial $12,293.32
Rate for Payer: Ohio Health Group HMO $10,477.26
Rate for Payer: Ohio Health Group PPO Differential $2,793.94
Rate for Payer: Ohio Health Group PPO No Differential $1,816.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,330.60
Rate for Payer: PHCS Commercial $13,410.89
Rate for Payer: United Healthcare All Payer $12,293.32
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,816.06
Max. Negotiated Rate $13,410.89
Rate for Payer: Aetna Commercial $10,756.65
Rate for Payer: Anthem POS/PPO/Traditional $10,896.35
Rate for Payer: Cash Price $6,984.84
Rate for Payer: Cigna Commercial $11,594.83
Rate for Payer: First Health Commercial $13,271.20
Rate for Payer: Humana Commercial $11,874.23
Rate for Payer: Medical Mutual Of Ohio HMO $11,455.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10,309.62
Rate for Payer: Molina Healthcare Benefit Exchange $4,190.90
Rate for Payer: Ohio Health Choice Commercial $12,293.32
Rate for Payer: Ohio Health Group HMO $10,477.26
Rate for Payer: Ohio Health Group PPO Differential $2,793.94
Rate for Payer: Ohio Health Group PPO No Differential $1,816.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,330.60
Rate for Payer: PHCS Commercial $13,410.89
Rate for Payer: United Healthcare All Payer $12,293.32
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,816.06
Max. Negotiated Rate $13,410.89
Rate for Payer: Aetna Commercial $10,756.65
Rate for Payer: Anthem Medicaid $4,804.17
Rate for Payer: Anthem POS/PPO/Traditional $10,896.35
Rate for Payer: Cash Price $6,984.84
Rate for Payer: Cigna Commercial $11,594.83
Rate for Payer: First Health Commercial $13,271.20
Rate for Payer: Humana Commercial $11,874.23
Rate for Payer: Humana KY Medicaid $4,804.17
Rate for Payer: Kentucky WC Medicaid $4,853.07
Rate for Payer: Medical Mutual Of Ohio HMO $11,455.14
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $10,309.62
Rate for Payer: Molina Healthcare Benefit Exchange $4,190.90
Rate for Payer: Molina Healthcare Medicaid $4,900.56
Rate for Payer: Ohio Health Choice Commercial $12,293.32
Rate for Payer: Ohio Health Group HMO $10,477.26
Rate for Payer: Ohio Health Group PPO Differential $2,793.94
Rate for Payer: Ohio Health Group PPO No Differential $1,816.06
Rate for Payer: Ohio Health Group PPO SOMC Employees $4,330.60
Rate for Payer: PHCS Commercial $13,410.89
Rate for Payer: United Healthcare All Payer $12,293.32
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $241.48
Max. Negotiated Rate $1,783.20
Rate for Payer: Aetna Commercial $1,430.28
Rate for Payer: Anthem POS/PPO/Traditional $1,448.85
Rate for Payer: Cash Price $928.75
Rate for Payer: Cigna Commercial $1,541.72
Rate for Payer: First Health Commercial $1,764.62
Rate for Payer: Humana Commercial $1,578.88
Rate for Payer: Medical Mutual Of Ohio HMO $1,523.15
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,370.84
Rate for Payer: Molina Healthcare Benefit Exchange $557.25
Rate for Payer: Ohio Health Choice Commercial $1,634.60
Rate for Payer: Ohio Health Group HMO $1,393.12
Rate for Payer: Ohio Health Group PPO Differential $371.50
Rate for Payer: Ohio Health Group PPO No Differential $241.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $575.82
Rate for Payer: PHCS Commercial $1,783.20
Rate for Payer: United Healthcare All Payer $1,634.60
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $241.48
Max. Negotiated Rate $1,783.20
Rate for Payer: Aetna Commercial $1,430.28
Rate for Payer: Anthem Medicaid $638.79
Rate for Payer: Anthem POS/PPO/Traditional $1,448.85
Rate for Payer: Cash Price $928.75
Rate for Payer: Cigna Commercial $1,541.72
Rate for Payer: First Health Commercial $1,764.62
Rate for Payer: Humana Commercial $1,578.88
Rate for Payer: Humana KY Medicaid $638.79
Rate for Payer: Kentucky WC Medicaid $645.30
Rate for Payer: Medical Mutual Of Ohio HMO $1,523.15
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,370.84
Rate for Payer: Molina Healthcare Benefit Exchange $557.25
Rate for Payer: Molina Healthcare Medicaid $651.61
Rate for Payer: Ohio Health Choice Commercial $1,634.60
Rate for Payer: Ohio Health Group HMO $1,393.12
Rate for Payer: Ohio Health Group PPO Differential $371.50
Rate for Payer: Ohio Health Group PPO No Differential $241.48
Rate for Payer: Ohio Health Group PPO SOMC Employees $575.82
Rate for Payer: PHCS Commercial $1,783.20
Rate for Payer: United Healthcare All Payer $1,634.60
Hospital Charge Code 22200024
Hospital Revenue Code 222
Min. Negotiated Rate $210.00
Max. Negotiated Rate $600.00
Rate for Payer: Buckeye Medicare Advantage $600.00
Rate for Payer: Cash Price $300.00
Rate for Payer: Multiplan PHCS $360.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $420.00
Rate for Payer: UHCCP Medicaid $210.00
Hospital Charge Code 22200029
Hospital Revenue Code 222
Min. Negotiated Rate $236.25
Max. Negotiated Rate $675.00
Rate for Payer: Buckeye Medicare Advantage $675.00
Rate for Payer: Cash Price $337.50
Rate for Payer: Multiplan PHCS $405.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $472.50
Rate for Payer: UHCCP Medicaid $236.25