|
REUNION HUMERAL HEAD SZ40*17MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ40*20MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ40*20MM
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ 44*16M
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ 44*16M
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ 44*19M
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ 44*19M
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ44*22MM
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ44*22MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ48*15MM
|
Facility
|
IP
|
$9,415.50
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,824.65 |
| Max. Negotiated Rate |
$9,038.88 |
| Rate for Payer: Aetna Commercial |
$7,249.94
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$7,344.09
|
| Rate for Payer: Cash Price |
$4,707.75
|
| Rate for Payer: Cigna Commercial |
$7,814.86
|
| Rate for Payer: First Health Commercial |
$8,944.73
|
| Rate for Payer: Humana Commercial |
$8,003.18
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$7,720.71
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$6,948.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,824.65
|
| Rate for Payer: Ohio Health Choice Commercial |
$8,285.64
|
| Rate for Payer: Ohio Health Group HMO |
$7,061.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$7,532.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$8,191.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$6,496.69
|
| Rate for Payer: PHCS Commercial |
$9,038.88
|
| Rate for Payer: United Healthcare All Payer |
$8,285.64
|
|
|
REUNION HUMERAL HEAD SZ48*15MM
|
Facility
|
OP
|
$9,415.50
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$2,824.65 |
| Max. Negotiated Rate |
$9,038.88 |
| Rate for Payer: Aetna Commercial |
$7,249.94
|
| Rate for Payer: Anthem Medicaid |
$3,237.99
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$7,344.09
|
| Rate for Payer: Cash Price |
$4,707.75
|
| Rate for Payer: Cigna Commercial |
$7,814.86
|
| Rate for Payer: First Health Commercial |
$8,944.73
|
| Rate for Payer: Humana Commercial |
$8,003.18
|
| Rate for Payer: Humana KY Medicaid |
$3,237.99
|
| Rate for Payer: Kentucky WC Medicaid |
$3,270.94
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$7,720.71
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$6,948.64
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,824.65
|
| Rate for Payer: Molina Healthcare Medicaid |
$3,302.96
|
| Rate for Payer: Ohio Health Choice Commercial |
$8,285.64
|
| Rate for Payer: Ohio Health Group HMO |
$7,061.62
|
| Rate for Payer: Ohio Health Group PPO Differential |
$7,532.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$8,191.48
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$6,496.69
|
| Rate for Payer: PHCS Commercial |
$9,038.88
|
| Rate for Payer: United Healthcare All Payer |
$8,285.64
|
|
|
REUNION HUMERAL HEAD SZ 48*18M
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ 48*18M
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ48*21MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ48*21MM
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ 48*24M
|
Facility
|
IP
|
$6,652.92
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,995.88 |
| Max. Negotiated Rate |
$6,386.80 |
| Rate for Payer: Aetna Commercial |
$5,122.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$5,189.28
|
| Rate for Payer: Cash Price |
$3,326.46
|
| Rate for Payer: Cigna Commercial |
$5,521.92
|
| Rate for Payer: First Health Commercial |
$6,320.27
|
| Rate for Payer: Humana Commercial |
$5,654.98
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$5,455.39
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$4,909.85
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,995.88
|
| Rate for Payer: Ohio Health Choice Commercial |
$5,854.57
|
| Rate for Payer: Ohio Health Group HMO |
$4,989.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,322.34
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$5,788.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$4,590.51
|
| Rate for Payer: PHCS Commercial |
$6,386.80
|
| Rate for Payer: United Healthcare All Payer |
$5,854.57
|
|
|
REUNION HUMERAL HEAD SZ 48*24M
|
Facility
|
OP
|
$6,652.92
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$1,995.88 |
| Max. Negotiated Rate |
$6,386.80 |
| Rate for Payer: Aetna Commercial |
$5,122.75
|
| Rate for Payer: Anthem Medicaid |
$2,287.94
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$5,189.28
|
| Rate for Payer: Cash Price |
$3,326.46
|
| Rate for Payer: Cigna Commercial |
$5,521.92
|
| Rate for Payer: First Health Commercial |
$6,320.27
|
| Rate for Payer: Humana Commercial |
$5,654.98
|
| Rate for Payer: Humana KY Medicaid |
$2,287.94
|
| Rate for Payer: Kentucky WC Medicaid |
$2,311.22
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$5,455.39
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$4,909.85
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1,995.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$2,333.84
|
| Rate for Payer: Ohio Health Choice Commercial |
$5,854.57
|
| Rate for Payer: Ohio Health Group HMO |
$4,989.69
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,322.34
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$5,788.04
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$4,590.51
|
| Rate for Payer: PHCS Commercial |
$6,386.80
|
| Rate for Payer: United Healthcare All Payer |
$5,854.57
|
|
|
REUNION HUMERAL HEAD SZ52*17MM
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ52*17MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ52*20MM
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ52*20MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ52*23MM
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ52*23MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ52*26MM
|
Facility
|
IP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
|
REUNION HUMERAL HEAD SZ52*26MM
|
Facility
|
OP
|
$12,825.47
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,847.64 |
| Max. Negotiated Rate |
$12,312.45 |
| Rate for Payer: Aetna Commercial |
$9,875.61
|
| Rate for Payer: Anthem Medicaid |
$4,410.68
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,003.87
|
| Rate for Payer: Cash Price |
$6,412.74
|
| Rate for Payer: Cigna Commercial |
$10,645.14
|
| Rate for Payer: First Health Commercial |
$12,184.20
|
| Rate for Payer: Humana Commercial |
$10,901.65
|
| Rate for Payer: Humana KY Medicaid |
$4,410.68
|
| Rate for Payer: Kentucky WC Medicaid |
$4,455.57
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,516.89
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,465.20
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,847.64
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,499.17
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,286.41
|
| Rate for Payer: Ohio Health Group HMO |
$9,619.10
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,260.38
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,158.16
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,849.57
|
| Rate for Payer: PHCS Commercial |
$12,312.45
|
| Rate for Payer: United Healthcare All Payer |
$11,286.41
|
|
