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Service Code HCPCS J2794
Hospital Charge Code 636T0219
Hospital Revenue Code 636
Min. Negotiated Rate $8.39
Max. Negotiated Rate $61.96
Rate for Payer: Aetna Commercial $49.70
Rate for Payer: Anthem POS/PPO/Traditional $50.34
Rate for Payer: Cash Price $32.27
Rate for Payer: Cigna Commercial $53.57
Rate for Payer: First Health Commercial $61.31
Rate for Payer: Humana Commercial $54.86
Rate for Payer: Medical Mutual Of Ohio HMO $52.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.63
Rate for Payer: Molina Healthcare Benefit Exchange $19.36
Rate for Payer: Ohio Health Choice Commercial $56.80
Rate for Payer: Ohio Health Group HMO $48.40
Rate for Payer: Ohio Health Group PPO Differential $12.91
Rate for Payer: Ohio Health Group PPO No Differential $8.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.01
Rate for Payer: PHCS Commercial $61.96
Rate for Payer: United Healthcare All Payer $56.80
Service Code HCPCS J2794
Hospital Charge Code 636T0219
Hospital Revenue Code 636
Min. Negotiated Rate $8.39
Max. Negotiated Rate $61.96
Rate for Payer: Aetna Commercial $49.70
Rate for Payer: Anthem Medicaid $22.20
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $50.34
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $32.27
Rate for Payer: Cash Price $32.27
Rate for Payer: Cigna Commercial $53.57
Rate for Payer: First Health Commercial $61.31
Rate for Payer: Humana Commercial $54.86
Rate for Payer: Humana KY Medicaid $22.20
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $22.42
Rate for Payer: Medical Mutual Of Ohio HMO $52.92
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.63
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $22.64
Rate for Payer: Ohio Health Choice Commercial $56.80
Rate for Payer: Ohio Health Group HMO $48.40
Rate for Payer: Ohio Health Group PPO Differential $12.91
Rate for Payer: Ohio Health Group PPO No Differential $8.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.01
Rate for Payer: PHCS Commercial $61.96
Rate for Payer: United Healthcare All Payer $56.80
Service Code HCPCS J2794
Hospital Charge Code 25002345
Hospital Revenue Code 636
Min. Negotiated Rate $12.15
Max. Negotiated Rate $1,607.85
Rate for Payer: Aetna Commercial $1,289.63
Rate for Payer: Anthem Medicaid $575.98
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $1,306.38
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $837.42
Rate for Payer: Cash Price $837.42
Rate for Payer: Cigna Commercial $1,390.12
Rate for Payer: First Health Commercial $1,591.10
Rate for Payer: Humana Commercial $1,423.61
Rate for Payer: Humana KY Medicaid $575.98
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $581.84
Rate for Payer: Medical Mutual Of Ohio HMO $1,373.37
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,236.03
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $587.53
Rate for Payer: Ohio Health Choice Commercial $1,473.86
Rate for Payer: Ohio Health Group HMO $1,256.13
Rate for Payer: Ohio Health Group PPO Differential $334.97
Rate for Payer: Ohio Health Group PPO No Differential $217.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $519.20
Rate for Payer: PHCS Commercial $1,607.85
Rate for Payer: United Healthcare All Payer $1,473.86
Service Code HCPCS J2794
Hospital Charge Code 25002345
Hospital Revenue Code 636
Min. Negotiated Rate $217.73
Max. Negotiated Rate $1,607.85
Rate for Payer: Aetna Commercial $1,289.63
Rate for Payer: Anthem POS/PPO/Traditional $1,306.38
Rate for Payer: Cash Price $837.42
Rate for Payer: Cigna Commercial $1,390.12
Rate for Payer: First Health Commercial $1,591.10
Rate for Payer: Humana Commercial $1,423.61
Rate for Payer: Medical Mutual Of Ohio HMO $1,373.37
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,236.03
Rate for Payer: Molina Healthcare Benefit Exchange $502.45
Rate for Payer: Ohio Health Choice Commercial $1,473.86
Rate for Payer: Ohio Health Group HMO $1,256.13
Rate for Payer: Ohio Health Group PPO Differential $334.97
Rate for Payer: Ohio Health Group PPO No Differential $217.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $519.20
Rate for Payer: PHCS Commercial $1,607.85
Rate for Payer: United Healthcare All Payer $1,473.86
Service Code HCPCS J2794
Hospital Charge Code 25002347
Hospital Revenue Code 636
Min. Negotiated Rate $12.15
Max. Negotiated Rate $4,823.28
Rate for Payer: Aetna Commercial $3,868.67
Rate for Payer: Anthem Medicaid $1,727.84
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $3,918.92
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $2,512.12
Rate for Payer: Cash Price $2,512.12
Rate for Payer: Cigna Commercial $4,170.13
Rate for Payer: First Health Commercial $4,773.04
Rate for Payer: Humana Commercial $4,270.61
Rate for Payer: Humana KY Medicaid $1,727.84
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $1,745.42
Rate for Payer: Medical Mutual Of Ohio HMO $4,119.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,707.90
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $1,762.51
Rate for Payer: Ohio Health Choice Commercial $4,421.34
Rate for Payer: Ohio Health Group HMO $3,768.19
Rate for Payer: Ohio Health Group PPO Differential $1,004.85
Rate for Payer: Ohio Health Group PPO No Differential $653.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,557.52
Rate for Payer: PHCS Commercial $4,823.28
Rate for Payer: United Healthcare All Payer $4,421.34
Service Code HCPCS J2794
Hospital Charge Code 25002347
Hospital Revenue Code 636
Min. Negotiated Rate $653.15
Max. Negotiated Rate $4,823.28
Rate for Payer: Aetna Commercial $3,868.67
Rate for Payer: Anthem POS/PPO/Traditional $3,918.92
Rate for Payer: Cash Price $2,512.12
Rate for Payer: Cigna Commercial $4,170.13
Rate for Payer: First Health Commercial $4,773.04
Rate for Payer: Humana Commercial $4,270.61
Rate for Payer: Medical Mutual Of Ohio HMO $4,119.88
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,707.90
Rate for Payer: Molina Healthcare Benefit Exchange $1,507.28
Rate for Payer: Ohio Health Choice Commercial $4,421.34
Rate for Payer: Ohio Health Group HMO $3,768.19
Rate for Payer: Ohio Health Group PPO Differential $1,004.85
Rate for Payer: Ohio Health Group PPO No Differential $653.15
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,557.52
Rate for Payer: PHCS Commercial $4,823.28
Rate for Payer: United Healthcare All Payer $4,421.34
Service Code HCPCS J2794
Hospital Charge Code 25002348
Hospital Revenue Code 636
Min. Negotiated Rate $435.42
Max. Negotiated Rate $3,215.38
Rate for Payer: Aetna Commercial $2,579.00
Rate for Payer: Anthem POS/PPO/Traditional $2,612.49
Rate for Payer: Cash Price $1,674.67
Rate for Payer: Cigna Commercial $2,779.96
Rate for Payer: First Health Commercial $3,181.88
Rate for Payer: Humana Commercial $2,846.95
Rate for Payer: Medical Mutual Of Ohio HMO $2,746.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,471.82
Rate for Payer: Molina Healthcare Benefit Exchange $1,004.80
Rate for Payer: Ohio Health Choice Commercial $2,947.43
Rate for Payer: Ohio Health Group HMO $2,512.01
Rate for Payer: Ohio Health Group PPO Differential $669.87
Rate for Payer: Ohio Health Group PPO No Differential $435.42
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,038.30
Rate for Payer: PHCS Commercial $3,215.38
Rate for Payer: United Healthcare All Payer $2,947.43
Service Code HCPCS J2794
Hospital Charge Code 636T0058
Hospital Revenue Code 636
Min. Negotiated Rate $3.91
Max. Negotiated Rate $28.89
Rate for Payer: Aetna Commercial $23.17
Rate for Payer: Anthem Medicaid $10.35
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $23.47
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $15.04
Rate for Payer: Cash Price $15.04
Rate for Payer: Cigna Commercial $24.97
Rate for Payer: First Health Commercial $28.59
Rate for Payer: Humana Commercial $25.58
Rate for Payer: Humana KY Medicaid $10.35
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $10.45
Rate for Payer: Medical Mutual Of Ohio HMO $24.67
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $22.21
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $10.56
Rate for Payer: Ohio Health Choice Commercial $26.48
Rate for Payer: Ohio Health Group HMO $22.57
Rate for Payer: Ohio Health Group PPO Differential $6.02
Rate for Payer: Ohio Health Group PPO No Differential $3.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $9.33
Rate for Payer: PHCS Commercial $28.89
Rate for Payer: United Healthcare All Payer $26.48
Service Code HCPCS J2794
Hospital Charge Code 25002348
Hospital Revenue Code 636
Min. Negotiated Rate $12.15
Max. Negotiated Rate $3,215.38
Rate for Payer: Aetna Commercial $2,579.00
Rate for Payer: Anthem Medicaid $1,151.84
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $2,612.49
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $1,674.67
Rate for Payer: Cash Price $1,674.67
Rate for Payer: Cigna Commercial $2,779.96
Rate for Payer: First Health Commercial $3,181.88
Rate for Payer: Humana Commercial $2,846.95
Rate for Payer: Humana KY Medicaid $1,151.84
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $1,163.56
Rate for Payer: Medical Mutual Of Ohio HMO $2,746.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,471.82
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $1,174.95
Rate for Payer: Ohio Health Choice Commercial $2,947.43
Rate for Payer: Ohio Health Group HMO $2,512.01
Rate for Payer: Ohio Health Group PPO Differential $669.87
Rate for Payer: Ohio Health Group PPO No Differential $435.42
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,038.30
Rate for Payer: PHCS Commercial $3,215.38
Rate for Payer: United Healthcare All Payer $2,947.43
Service Code HCPCS J2794
Hospital Charge Code 63600058
Hospital Revenue Code 636
Min. Negotiated Rate $10.53
Max. Negotiated Rate $30.09
Rate for Payer: Aetna Commercial $15.10
Rate for Payer: Buckeye Medicare Advantage $30.09
Rate for Payer: Cash Price $15.04
Rate for Payer: Cash Price $15.04
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $14.93
Rate for Payer: Multiplan PHCS $18.05
Rate for Payer: Ohio Health Choice Preferred Health Choice $21.06
Rate for Payer: UHCCP Medicaid $10.53
Service Code HCPCS J2794
Hospital Charge Code 63600058
Hospital Revenue Code 636
Min. Negotiated Rate $3.91
Max. Negotiated Rate $28.89
Rate for Payer: Aetna Commercial $23.17
Rate for Payer: Anthem Medicaid $10.35
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $23.47
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $15.04
Rate for Payer: Cash Price $15.04
Rate for Payer: Cigna Commercial $24.97
Rate for Payer: First Health Commercial $28.59
Rate for Payer: Humana Commercial $25.58
Rate for Payer: Humana KY Medicaid $10.35
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $10.45
Rate for Payer: Medical Mutual Of Ohio HMO $24.67
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $22.21
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $10.56
Rate for Payer: Ohio Health Choice Commercial $26.48
Rate for Payer: Ohio Health Group HMO $22.57
Rate for Payer: Ohio Health Group PPO Differential $6.02
Rate for Payer: Ohio Health Group PPO No Differential $3.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $9.33
Rate for Payer: PHCS Commercial $28.89
Rate for Payer: United Healthcare All Payer $26.48
Service Code HCPCS J2794
Hospital Charge Code 636T0058
Hospital Revenue Code 636
Min. Negotiated Rate $3.91
Max. Negotiated Rate $28.89
Rate for Payer: Aetna Commercial $23.17
Rate for Payer: Anthem POS/PPO/Traditional $23.47
Rate for Payer: Cash Price $15.04
Rate for Payer: Cigna Commercial $24.97
Rate for Payer: First Health Commercial $28.59
Rate for Payer: Humana Commercial $25.58
Rate for Payer: Medical Mutual Of Ohio HMO $24.67
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $22.21
Rate for Payer: Molina Healthcare Benefit Exchange $9.03
Rate for Payer: Ohio Health Choice Commercial $26.48
Rate for Payer: Ohio Health Group HMO $22.57
Rate for Payer: Ohio Health Group PPO Differential $6.02
Rate for Payer: Ohio Health Group PPO No Differential $3.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $9.33
Rate for Payer: PHCS Commercial $28.89
Rate for Payer: United Healthcare All Payer $26.48
Service Code HCPCS J2794
Hospital Charge Code 63600058
Hospital Revenue Code 636
Min. Negotiated Rate $3.91
Max. Negotiated Rate $28.89
Rate for Payer: Aetna Commercial $23.17
Rate for Payer: Anthem POS/PPO/Traditional $23.47
Rate for Payer: Cash Price $15.04
Rate for Payer: Cigna Commercial $24.97
Rate for Payer: First Health Commercial $28.59
Rate for Payer: Humana Commercial $25.58
Rate for Payer: Medical Mutual Of Ohio HMO $24.67
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $22.21
Rate for Payer: Molina Healthcare Benefit Exchange $9.03
Rate for Payer: Ohio Health Choice Commercial $26.48
Rate for Payer: Ohio Health Group HMO $22.57
Rate for Payer: Ohio Health Group PPO Differential $6.02
Rate for Payer: Ohio Health Group PPO No Differential $3.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $9.33
Rate for Payer: PHCS Commercial $28.89
Rate for Payer: United Healthcare All Payer $26.48
Service Code HCPCS J2794
Hospital Charge Code 636T0218
Hospital Revenue Code 636
Min. Negotiated Rate $3.73
Max. Negotiated Rate $27.52
Rate for Payer: Aetna Commercial $22.08
Rate for Payer: Anthem POS/PPO/Traditional $22.36
Rate for Payer: Cash Price $14.34
Rate for Payer: Cigna Commercial $23.80
Rate for Payer: First Health Commercial $27.24
Rate for Payer: Humana Commercial $24.37
Rate for Payer: Medical Mutual Of Ohio HMO $23.51
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $21.16
Rate for Payer: Molina Healthcare Benefit Exchange $8.60
Rate for Payer: Ohio Health Choice Commercial $25.23
Rate for Payer: Ohio Health Group HMO $21.50
Rate for Payer: Ohio Health Group PPO Differential $5.73
Rate for Payer: Ohio Health Group PPO No Differential $3.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $8.89
Rate for Payer: PHCS Commercial $27.52
Rate for Payer: United Healthcare All Payer $25.23
Service Code HCPCS J2794
Hospital Charge Code 63600218
Hospital Revenue Code 636
Min. Negotiated Rate $3.73
Max. Negotiated Rate $27.52
Rate for Payer: Aetna Commercial $22.08
Rate for Payer: Anthem POS/PPO/Traditional $22.36
Rate for Payer: Cash Price $14.34
Rate for Payer: Cigna Commercial $23.80
Rate for Payer: First Health Commercial $27.24
Rate for Payer: Humana Commercial $24.37
Rate for Payer: Medical Mutual Of Ohio HMO $23.51
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $21.16
Rate for Payer: Molina Healthcare Benefit Exchange $8.60
Rate for Payer: Ohio Health Choice Commercial $25.23
Rate for Payer: Ohio Health Group HMO $21.50
Rate for Payer: Ohio Health Group PPO Differential $5.73
Rate for Payer: Ohio Health Group PPO No Differential $3.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $8.89
Rate for Payer: PHCS Commercial $27.52
Rate for Payer: United Healthcare All Payer $25.23
Service Code HCPCS J2794
Hospital Charge Code 636T0218
Hospital Revenue Code 636
Min. Negotiated Rate $3.73
Max. Negotiated Rate $27.52
Rate for Payer: Aetna Commercial $22.08
Rate for Payer: Anthem Medicaid $9.86
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $22.36
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $14.34
Rate for Payer: Cash Price $14.34
Rate for Payer: Cigna Commercial $23.80
Rate for Payer: First Health Commercial $27.24
Rate for Payer: Humana Commercial $24.37
Rate for Payer: Humana KY Medicaid $9.86
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $9.96
Rate for Payer: Medical Mutual Of Ohio HMO $23.51
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $21.16
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $10.06
Rate for Payer: Ohio Health Choice Commercial $25.23
Rate for Payer: Ohio Health Group HMO $21.50
Rate for Payer: Ohio Health Group PPO Differential $5.73
Rate for Payer: Ohio Health Group PPO No Differential $3.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $8.89
Rate for Payer: PHCS Commercial $27.52
Rate for Payer: United Healthcare All Payer $25.23
Service Code HCPCS J2794
Hospital Charge Code 63600218
Hospital Revenue Code 636
Min. Negotiated Rate $10.03
Max. Negotiated Rate $28.67
Rate for Payer: Aetna Commercial $15.10
Rate for Payer: Buckeye Medicare Advantage $28.67
Rate for Payer: Cash Price $14.34
Rate for Payer: Cash Price $14.34
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $14.93
Rate for Payer: Multiplan PHCS $17.20
Rate for Payer: Ohio Health Choice Preferred Health Choice $20.07
Rate for Payer: UHCCP Medicaid $10.03
Service Code HCPCS J2794
Hospital Charge Code 63600218
Hospital Revenue Code 636
Min. Negotiated Rate $3.73
Max. Negotiated Rate $27.52
Rate for Payer: Aetna Commercial $22.08
Rate for Payer: Anthem Medicaid $9.86
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $22.36
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $14.34
Rate for Payer: Cash Price $14.34
Rate for Payer: Cigna Commercial $23.80
Rate for Payer: First Health Commercial $27.24
Rate for Payer: Humana Commercial $24.37
Rate for Payer: Humana KY Medicaid $9.86
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $9.96
Rate for Payer: Medical Mutual Of Ohio HMO $23.51
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $21.16
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $10.06
Rate for Payer: Ohio Health Choice Commercial $25.23
Rate for Payer: Ohio Health Group HMO $21.50
Rate for Payer: Ohio Health Group PPO Differential $5.73
Rate for Payer: Ohio Health Group PPO No Differential $3.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $8.89
Rate for Payer: PHCS Commercial $27.52
Rate for Payer: United Healthcare All Payer $25.23
Service Code HCPCS J2794
Hospital Charge Code 63600224
Hospital Revenue Code 636
Min. Negotiated Rate $14.93
Max. Negotiated Rate $64.53
Rate for Payer: Aetna Commercial $15.10
Rate for Payer: Buckeye Medicare Advantage $64.53
Rate for Payer: Cash Price $32.26
Rate for Payer: Cash Price $32.26
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $14.93
Rate for Payer: Multiplan PHCS $38.72
Rate for Payer: Ohio Health Choice Preferred Health Choice $45.17
Rate for Payer: UHCCP Medicaid $22.59
Service Code HCPCS J2794
Hospital Charge Code 63600224
Hospital Revenue Code 636
Min. Negotiated Rate $8.39
Max. Negotiated Rate $61.95
Rate for Payer: Aetna Commercial $49.69
Rate for Payer: Anthem Medicaid $22.19
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $50.33
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $32.26
Rate for Payer: Cash Price $32.26
Rate for Payer: Cigna Commercial $53.56
Rate for Payer: First Health Commercial $61.30
Rate for Payer: Humana Commercial $54.85
Rate for Payer: Humana KY Medicaid $22.19
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $22.42
Rate for Payer: Medical Mutual Of Ohio HMO $52.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.62
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $22.64
Rate for Payer: Ohio Health Choice Commercial $56.79
Rate for Payer: Ohio Health Group HMO $48.40
Rate for Payer: Ohio Health Group PPO Differential $12.91
Rate for Payer: Ohio Health Group PPO No Differential $8.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.00
Rate for Payer: PHCS Commercial $61.95
Rate for Payer: United Healthcare All Payer $56.79
Service Code HCPCS J2794
Hospital Charge Code 636T0224
Hospital Revenue Code 636
Min. Negotiated Rate $8.39
Max. Negotiated Rate $61.95
Rate for Payer: Aetna Commercial $49.69
Rate for Payer: Anthem Medicaid $22.19
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $50.33
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $32.26
Rate for Payer: Cash Price $32.26
Rate for Payer: Cigna Commercial $53.56
Rate for Payer: First Health Commercial $61.30
Rate for Payer: Humana Commercial $54.85
Rate for Payer: Humana KY Medicaid $22.19
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $22.42
Rate for Payer: Medical Mutual Of Ohio HMO $52.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.62
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $22.64
Rate for Payer: Ohio Health Choice Commercial $56.79
Rate for Payer: Ohio Health Group HMO $48.40
Rate for Payer: Ohio Health Group PPO Differential $12.91
Rate for Payer: Ohio Health Group PPO No Differential $8.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.00
Rate for Payer: PHCS Commercial $61.95
Rate for Payer: United Healthcare All Payer $56.79
Service Code HCPCS J2794
Hospital Charge Code 25004437
Hospital Revenue Code 636
Min. Negotiated Rate $870.89
Max. Negotiated Rate $6,431.22
Rate for Payer: Aetna Commercial $5,158.38
Rate for Payer: Anthem POS/PPO/Traditional $5,225.37
Rate for Payer: Cash Price $3,349.59
Rate for Payer: Cigna Commercial $5,560.33
Rate for Payer: First Health Commercial $6,364.23
Rate for Payer: Humana Commercial $5,694.31
Rate for Payer: Medical Mutual Of Ohio HMO $5,493.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,944.00
Rate for Payer: Molina Healthcare Benefit Exchange $2,009.76
Rate for Payer: Ohio Health Choice Commercial $5,895.29
Rate for Payer: Ohio Health Group HMO $5,024.39
Rate for Payer: Ohio Health Group PPO Differential $1,339.84
Rate for Payer: Ohio Health Group PPO No Differential $870.89
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,076.75
Rate for Payer: PHCS Commercial $6,431.22
Rate for Payer: United Healthcare All Payer $5,895.29
Service Code HCPCS J2794
Hospital Charge Code 25004437
Hospital Revenue Code 636
Min. Negotiated Rate $12.15
Max. Negotiated Rate $6,431.22
Rate for Payer: Aetna Commercial $5,158.38
Rate for Payer: Anthem Medicaid $2,303.85
Rate for Payer: Anthem Medicare Advantage/PPO $12.15
Rate for Payer: Anthem POS/PPO/Traditional $5,225.37
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $17.01
Rate for Payer: CareSource Just4Me Medicare $16.40
Rate for Payer: Cash Price $3,349.59
Rate for Payer: Cash Price $3,349.59
Rate for Payer: Cigna Commercial $5,560.33
Rate for Payer: First Health Commercial $6,364.23
Rate for Payer: Humana Commercial $5,694.31
Rate for Payer: Humana KY Medicaid $2,303.85
Rate for Payer: Humana Medicare Advantage $12.15
Rate for Payer: Kentucky WC Medicaid $2,327.30
Rate for Payer: Medical Mutual Of Ohio HMO $5,493.34
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $4,944.00
Rate for Payer: Molina Healthcare Benefit Exchange $14.58
Rate for Payer: Molina Healthcare Medicaid $2,350.08
Rate for Payer: Ohio Health Choice Commercial $5,895.29
Rate for Payer: Ohio Health Group HMO $5,024.39
Rate for Payer: Ohio Health Group PPO Differential $1,339.84
Rate for Payer: Ohio Health Group PPO No Differential $870.89
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,076.75
Rate for Payer: PHCS Commercial $6,431.22
Rate for Payer: United Healthcare All Payer $5,895.29
Service Code HCPCS J2794
Hospital Charge Code 636T0224
Hospital Revenue Code 636
Min. Negotiated Rate $8.39
Max. Negotiated Rate $61.95
Rate for Payer: Aetna Commercial $49.69
Rate for Payer: Anthem POS/PPO/Traditional $50.33
Rate for Payer: Cash Price $32.26
Rate for Payer: Cigna Commercial $53.56
Rate for Payer: First Health Commercial $61.30
Rate for Payer: Humana Commercial $54.85
Rate for Payer: Medical Mutual Of Ohio HMO $52.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.62
Rate for Payer: Molina Healthcare Benefit Exchange $19.36
Rate for Payer: Ohio Health Choice Commercial $56.79
Rate for Payer: Ohio Health Group HMO $48.40
Rate for Payer: Ohio Health Group PPO Differential $12.91
Rate for Payer: Ohio Health Group PPO No Differential $8.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.00
Rate for Payer: PHCS Commercial $61.95
Rate for Payer: United Healthcare All Payer $56.79
Service Code HCPCS J2794
Hospital Charge Code 63600224
Hospital Revenue Code 636
Min. Negotiated Rate $8.39
Max. Negotiated Rate $61.95
Rate for Payer: Aetna Commercial $49.69
Rate for Payer: Anthem POS/PPO/Traditional $50.33
Rate for Payer: Cash Price $32.26
Rate for Payer: Cigna Commercial $53.56
Rate for Payer: First Health Commercial $61.30
Rate for Payer: Humana Commercial $54.85
Rate for Payer: Medical Mutual Of Ohio HMO $52.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $47.62
Rate for Payer: Molina Healthcare Benefit Exchange $19.36
Rate for Payer: Ohio Health Choice Commercial $56.79
Rate for Payer: Ohio Health Group HMO $48.40
Rate for Payer: Ohio Health Group PPO Differential $12.91
Rate for Payer: Ohio Health Group PPO No Differential $8.39
Rate for Payer: Ohio Health Group PPO SOMC Employees $20.00
Rate for Payer: PHCS Commercial $61.95
Rate for Payer: United Healthcare All Payer $56.79