|
THYROGLOBULIN ANTIBODY
|
Facility
|
IP
|
$137.00
|
|
|
Service Code
|
HCPCS 86800
|
| Hospital Charge Code |
30001221
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$17.81 |
| Max. Negotiated Rate |
$131.52 |
| Rate for Payer: Aetna Commercial |
$105.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$110.01
|
| Rate for Payer: Cash Price |
$68.50
|
| Rate for Payer: Cigna Commercial |
$113.71
|
| Rate for Payer: First Health Commercial |
$130.15
|
| Rate for Payer: Humana Commercial |
$116.45
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$112.34
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$101.11
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$41.10
|
| Rate for Payer: Ohio Health Choice Commercial |
$120.56
|
| Rate for Payer: Ohio Health Group HMO |
$102.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$27.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$17.81
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$42.47
|
| Rate for Payer: PHCS Commercial |
$131.52
|
| Rate for Payer: United Healthcare All Payer |
$120.56
|
|
|
THYROGLOBULIN ANTIBODY
|
Professional
|
Both
|
$137.00
|
|
|
Service Code
|
HCPCS 86800
|
| Hospital Charge Code |
30001221
|
|
Hospital Revenue Code
|
300
|
| Min. Negotiated Rate |
$10.87 |
| Max. Negotiated Rate |
$137.00 |
| Rate for Payer: Aetna Commercial |
$10.87
|
| Rate for Payer: Buckeye Medicare Advantage |
$137.00
|
| Rate for Payer: Cash Price |
$68.50
|
| Rate for Payer: Cash Price |
$68.50
|
| Rate for Payer: Cigna Commercial |
$14.16
|
| Rate for Payer: Healthspan PPO |
$16.66
|
| Rate for Payer: Multiplan PHCS |
$82.20
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$95.90
|
| Rate for Payer: UHCCP Medicaid |
$47.95
|
|
|
THYROID 60 MG TABLET 60MG/1TAB
|
Facility
|
IP
|
$4.96
|
|
|
Service Code
|
NDC 42192033001
|
| Hospital Charge Code |
25001544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.64 |
| Max. Negotiated Rate |
$4.76 |
| Rate for Payer: Aetna Commercial |
$3.82
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3.87
|
| Rate for Payer: Cash Price |
$2.48
|
| Rate for Payer: Cigna Commercial |
$4.12
|
| Rate for Payer: First Health Commercial |
$4.71
|
| Rate for Payer: Humana Commercial |
$4.22
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4.07
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3.66
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1.49
|
| Rate for Payer: Ohio Health Choice Commercial |
$4.36
|
| Rate for Payer: Ohio Health Group HMO |
$3.72
|
| Rate for Payer: Ohio Health Group PPO Differential |
$0.99
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$0.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1.54
|
| Rate for Payer: PHCS Commercial |
$4.76
|
| Rate for Payer: United Healthcare All Payer |
$4.36
|
|
|
THYROID 60 MG TABLET 60MG/1TAB
|
Facility
|
OP
|
$4.96
|
|
|
Service Code
|
NDC 42192033001
|
| Hospital Charge Code |
25001544
|
|
Hospital Revenue Code
|
637
|
| Min. Negotiated Rate |
$0.64 |
| Max. Negotiated Rate |
$4.76 |
| Rate for Payer: Aetna Commercial |
$3.82
|
| Rate for Payer: Anthem Medicaid |
$1.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$3.87
|
| Rate for Payer: Cash Price |
$2.48
|
| Rate for Payer: Cigna Commercial |
$4.12
|
| Rate for Payer: First Health Commercial |
$4.71
|
| Rate for Payer: Humana Commercial |
$4.22
|
| Rate for Payer: Humana KY Medicaid |
$1.71
|
| Rate for Payer: Kentucky WC Medicaid |
$1.72
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$4.07
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$3.66
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$1.49
|
| Rate for Payer: Molina Healthcare Medicaid |
$1.74
|
| Rate for Payer: Ohio Health Choice Commercial |
$4.36
|
| Rate for Payer: Ohio Health Group HMO |
$3.72
|
| Rate for Payer: Ohio Health Group PPO Differential |
$0.99
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$0.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1.54
|
| Rate for Payer: PHCS Commercial |
$4.76
|
| Rate for Payer: United Healthcare All Payer |
$4.36
|
|
|
THYROID CANCE METASTIC IMAG (P
|
Professional
|
Both
|
$790.00
|
|
|
Service Code
|
HCPCS 78018
|
| Hospital Charge Code |
340P0003
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$47.26 |
| Max. Negotiated Rate |
$790.00 |
| Rate for Payer: Aetna Commercial |
$468.11
|
| Rate for Payer: Anthem Medicaid |
$187.55
|
| Rate for Payer: Buckeye Medicare Advantage |
$790.00
|
| Rate for Payer: Cash Price |
$395.00
|
| Rate for Payer: Cash Price |
$395.00
|
| Rate for Payer: Cigna Commercial |
$403.85
|
| Rate for Payer: Healthspan PPO |
$467.87
|
| Rate for Payer: Humana Medicaid |
$187.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$47.26
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$191.30
|
| Rate for Payer: Molina Healthcare Passport |
$187.55
|
| Rate for Payer: Multiplan PHCS |
$474.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$553.00
|
| Rate for Payer: UHCCP Medicaid |
$276.50
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$189.43
|
|
|
THYROID CANCE METASTIC IMAG (T
|
Facility
|
IP
|
$1,033.00
|
|
|
Service Code
|
HCPCS 78018
|
| Hospital Charge Code |
340T0003
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$134.29 |
| Max. Negotiated Rate |
$991.68 |
| Rate for Payer: Aetna Commercial |
$795.41
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$805.74
|
| Rate for Payer: Cash Price |
$516.50
|
| Rate for Payer: Cigna Commercial |
$857.39
|
| Rate for Payer: First Health Commercial |
$981.35
|
| Rate for Payer: Humana Commercial |
$878.05
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$847.06
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$762.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$309.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$909.04
|
| Rate for Payer: Ohio Health Group HMO |
$774.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$206.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$134.29
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$320.23
|
| Rate for Payer: PHCS Commercial |
$991.68
|
| Rate for Payer: United Healthcare All Payer |
$909.04
|
|
|
THYROID CANCE METASTIC IMAG (T
|
Facility
|
OP
|
$1,033.00
|
|
|
Service Code
|
HCPCS 78018
|
| Hospital Charge Code |
340T0003
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$134.29 |
| Max. Negotiated Rate |
$991.68 |
| Rate for Payer: Aetna Commercial |
$795.41
|
| Rate for Payer: Anthem Medicaid |
$355.25
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$467.40
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$805.74
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$654.36
|
| Rate for Payer: CareSource Just4Me Medicare |
$630.99
|
| Rate for Payer: Cash Price |
$516.50
|
| Rate for Payer: Cash Price |
$516.50
|
| Rate for Payer: Cigna Commercial |
$857.39
|
| Rate for Payer: First Health Commercial |
$981.35
|
| Rate for Payer: Humana Commercial |
$878.05
|
| Rate for Payer: Humana KY Medicaid |
$355.25
|
| Rate for Payer: Humana Medicare Advantage |
$467.40
|
| Rate for Payer: Kentucky WC Medicaid |
$358.86
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$847.06
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$762.35
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$560.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$362.38
|
| Rate for Payer: Ohio Health Choice Commercial |
$909.04
|
| Rate for Payer: Ohio Health Group HMO |
$774.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$206.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$134.29
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$320.23
|
| Rate for Payer: PHCS Commercial |
$991.68
|
| Rate for Payer: United Healthcare All Payer |
$909.04
|
|
|
THYROID CANCE METASTIC IMAG W
|
Professional
|
Both
|
$1,823.00
|
|
|
Service Code
|
HCPCS 78018
|
| Hospital Charge Code |
34000003
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$47.26 |
| Max. Negotiated Rate |
$1,823.00 |
| Rate for Payer: Aetna Commercial |
$468.11
|
| Rate for Payer: Anthem Medicaid |
$187.55
|
| Rate for Payer: Buckeye Medicare Advantage |
$1,823.00
|
| Rate for Payer: Cash Price |
$911.50
|
| Rate for Payer: Cash Price |
$911.50
|
| Rate for Payer: Cigna Commercial |
$403.85
|
| Rate for Payer: Healthspan PPO |
$467.87
|
| Rate for Payer: Humana Medicaid |
$187.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$47.26
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$191.30
|
| Rate for Payer: Molina Healthcare Passport |
$187.55
|
| Rate for Payer: Multiplan PHCS |
$1,093.80
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,276.10
|
| Rate for Payer: UHCCP Medicaid |
$638.05
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$189.43
|
|
|
THYROID CANCE METASTIC IMAG W
|
Facility
|
IP
|
$1,823.00
|
|
|
Service Code
|
HCPCS 78018
|
| Hospital Charge Code |
34000003
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$236.99 |
| Max. Negotiated Rate |
$1,750.08 |
| Rate for Payer: Aetna Commercial |
$1,403.71
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,421.94
|
| Rate for Payer: Cash Price |
$911.50
|
| Rate for Payer: Cigna Commercial |
$1,513.09
|
| Rate for Payer: First Health Commercial |
$1,731.85
|
| Rate for Payer: Humana Commercial |
$1,549.55
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,494.86
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.37
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$546.90
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$364.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$236.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$565.13
|
| Rate for Payer: PHCS Commercial |
$1,750.08
|
| Rate for Payer: United Healthcare All Payer |
$1,604.24
|
|
|
THYROID CANCE METASTIC IMAG W
|
Facility
|
OP
|
$1,823.00
|
|
|
Service Code
|
HCPCS 78018
|
| Hospital Charge Code |
34000003
|
|
Hospital Revenue Code
|
340
|
| Min. Negotiated Rate |
$236.99 |
| Max. Negotiated Rate |
$1,750.08 |
| Rate for Payer: Aetna Commercial |
$1,403.71
|
| Rate for Payer: Anthem Medicaid |
$626.93
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$467.40
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,421.94
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$654.36
|
| Rate for Payer: CareSource Just4Me Medicare |
$630.99
|
| Rate for Payer: Cash Price |
$911.50
|
| Rate for Payer: Cash Price |
$911.50
|
| Rate for Payer: Cigna Commercial |
$1,513.09
|
| Rate for Payer: First Health Commercial |
$1,731.85
|
| Rate for Payer: Humana Commercial |
$1,549.55
|
| Rate for Payer: Humana KY Medicaid |
$626.93
|
| Rate for Payer: Humana Medicare Advantage |
$467.40
|
| Rate for Payer: Kentucky WC Medicaid |
$633.31
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,494.86
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,345.37
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$560.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$639.51
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,604.24
|
| Rate for Payer: Ohio Health Group HMO |
$1,367.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$364.60
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$236.99
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$565.13
|
| Rate for Payer: PHCS Commercial |
$1,750.08
|
| Rate for Payer: United Healthcare All Payer |
$1,604.24
|
|
|
THYROIDECTOMY
|
Facility
|
OP
|
$2,500.00
|
|
|
Service Code
|
HCPCS 60240
|
| Hospital Charge Code |
76102275
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$325.00 |
| Max. Negotiated Rate |
$6,985.45 |
| Rate for Payer: Aetna Commercial |
$1,925.00
|
| Rate for Payer: Anthem Medicaid |
$859.75
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,989.61
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,950.00
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,985.45
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,735.97
|
| Rate for Payer: Cash Price |
$1,250.00
|
| Rate for Payer: Cash Price |
$1,250.00
|
| Rate for Payer: Cigna Commercial |
$2,075.00
|
| Rate for Payer: First Health Commercial |
$2,375.00
|
| Rate for Payer: Humana Commercial |
$2,125.00
|
| Rate for Payer: Humana KY Medicaid |
$859.75
|
| Rate for Payer: Humana Medicare Advantage |
$4,989.61
|
| Rate for Payer: Kentucky WC Medicaid |
$868.50
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,050.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,845.00
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,987.53
|
| Rate for Payer: Molina Healthcare Medicaid |
$877.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,200.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,875.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$500.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$325.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$775.00
|
| Rate for Payer: PHCS Commercial |
$2,400.00
|
| Rate for Payer: United Healthcare All Payer |
$2,200.00
|
|
|
THYROIDECTOMY
|
Facility
|
OP
|
$2,600.00
|
|
|
Service Code
|
HCPCS 60271
|
| Hospital Charge Code |
76102278
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$338.00 |
| Max. Negotiated Rate |
$7,089.80 |
| Rate for Payer: Aetna Commercial |
$2,002.00
|
| Rate for Payer: Anthem Medicaid |
$894.14
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$5,064.14
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,028.00
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$7,089.80
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,836.59
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cigna Commercial |
$2,158.00
|
| Rate for Payer: First Health Commercial |
$2,470.00
|
| Rate for Payer: Humana Commercial |
$2,210.00
|
| Rate for Payer: Humana KY Medicaid |
$894.14
|
| Rate for Payer: Humana Medicare Advantage |
$5,064.14
|
| Rate for Payer: Kentucky WC Medicaid |
$903.24
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,132.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,918.80
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,076.97
|
| Rate for Payer: Molina Healthcare Medicaid |
$912.08
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,288.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,950.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$520.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$338.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$806.00
|
| Rate for Payer: PHCS Commercial |
$2,496.00
|
| Rate for Payer: United Healthcare All Payer |
$2,288.00
|
|
|
THYROIDECTOMY
|
Facility
|
IP
|
$2,600.00
|
|
|
Service Code
|
HCPCS 60271
|
| Hospital Charge Code |
76102278
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$338.00 |
| Max. Negotiated Rate |
$2,496.00 |
| Rate for Payer: Aetna Commercial |
$2,002.00
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,028.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cigna Commercial |
$2,158.00
|
| Rate for Payer: First Health Commercial |
$2,470.00
|
| Rate for Payer: Humana Commercial |
$2,210.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,132.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,918.80
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$780.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,288.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,950.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$520.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$338.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$806.00
|
| Rate for Payer: PHCS Commercial |
$2,496.00
|
| Rate for Payer: United Healthcare All Payer |
$2,288.00
|
|
|
THYROIDECTOMY
|
Professional
|
Both
|
$2,600.00
|
|
|
Service Code
|
HCPCS 60271
|
| Hospital Charge Code |
76102278
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$795.80 |
| Max. Negotiated Rate |
$2,600.00 |
| Rate for Payer: Aetna Commercial |
$1,556.24
|
| Rate for Payer: Anthem Medicaid |
$795.80
|
| Rate for Payer: Buckeye Medicare Advantage |
$2,600.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cigna Commercial |
$1,479.69
|
| Rate for Payer: Healthspan PPO |
$1,312.40
|
| Rate for Payer: Humana Medicaid |
$795.80
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,362.16
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$811.72
|
| Rate for Payer: Molina Healthcare Passport |
$795.80
|
| Rate for Payer: Multiplan PHCS |
$1,560.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,820.00
|
| Rate for Payer: UHCCP Medicaid |
$910.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$803.76
|
|
|
THYROIDECTOMY
|
Professional
|
Both
|
$2,500.00
|
|
|
Service Code
|
HCPCS 60240
|
| Hospital Charge Code |
76102275
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$790.92 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Aetna Commercial |
$1,437.38
|
| Rate for Payer: Anthem Medicaid |
$790.92
|
| Rate for Payer: Buckeye Medicare Advantage |
$2,500.00
|
| Rate for Payer: Cash Price |
$1,250.00
|
| Rate for Payer: Cash Price |
$1,250.00
|
| Rate for Payer: Cigna Commercial |
$1,363.13
|
| Rate for Payer: Healthspan PPO |
$1,212.16
|
| Rate for Payer: Humana Medicaid |
$790.92
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,252.00
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$806.74
|
| Rate for Payer: Molina Healthcare Passport |
$790.92
|
| Rate for Payer: Multiplan PHCS |
$1,500.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,750.00
|
| Rate for Payer: UHCCP Medicaid |
$875.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$798.83
|
|
|
THYROIDECTOMY
|
Facility
|
IP
|
$2,500.00
|
|
|
Service Code
|
HCPCS 60240
|
| Hospital Charge Code |
76102275
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$325.00 |
| Max. Negotiated Rate |
$2,400.00 |
| Rate for Payer: Aetna Commercial |
$1,925.00
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,950.00
|
| Rate for Payer: Cash Price |
$1,250.00
|
| Rate for Payer: Cigna Commercial |
$2,075.00
|
| Rate for Payer: First Health Commercial |
$2,375.00
|
| Rate for Payer: Humana Commercial |
$2,125.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,050.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,845.00
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$750.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$2,200.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,875.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$500.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$325.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$775.00
|
| Rate for Payer: PHCS Commercial |
$2,400.00
|
| Rate for Payer: United Healthcare All Payer |
$2,200.00
|
|
|
THYROIDECTOMY(P
|
Professional
|
Both
|
$2,500.00
|
|
|
Service Code
|
HCPCS 60240
|
| Hospital Charge Code |
761P2275
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$790.92 |
| Max. Negotiated Rate |
$2,500.00 |
| Rate for Payer: Aetna Commercial |
$1,437.38
|
| Rate for Payer: Anthem Medicaid |
$790.92
|
| Rate for Payer: Buckeye Medicare Advantage |
$2,500.00
|
| Rate for Payer: Cash Price |
$1,250.00
|
| Rate for Payer: Cash Price |
$1,250.00
|
| Rate for Payer: Cigna Commercial |
$1,363.13
|
| Rate for Payer: Healthspan PPO |
$1,212.16
|
| Rate for Payer: Humana Medicaid |
$790.92
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,252.00
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$806.74
|
| Rate for Payer: Molina Healthcare Passport |
$790.92
|
| Rate for Payer: Multiplan PHCS |
$1,500.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,750.00
|
| Rate for Payer: UHCCP Medicaid |
$875.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$798.83
|
|
|
THYROIDECTOMY(P
|
Professional
|
Both
|
$2,600.00
|
|
|
Service Code
|
HCPCS 60271
|
| Hospital Charge Code |
761P2278
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$795.80 |
| Max. Negotiated Rate |
$2,600.00 |
| Rate for Payer: Aetna Commercial |
$1,556.24
|
| Rate for Payer: Anthem Medicaid |
$795.80
|
| Rate for Payer: Buckeye Medicare Advantage |
$2,600.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cash Price |
$1,300.00
|
| Rate for Payer: Cigna Commercial |
$1,479.69
|
| Rate for Payer: Healthspan PPO |
$1,312.40
|
| Rate for Payer: Humana Medicaid |
$795.80
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,362.16
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$811.72
|
| Rate for Payer: Molina Healthcare Passport |
$795.80
|
| Rate for Payer: Multiplan PHCS |
$1,560.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,820.00
|
| Rate for Payer: UHCCP Medicaid |
$910.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$803.76
|
|
|
THYROIDECTOMY - REMOVAL OF AL
|
Professional
|
Both
|
$2,200.00
|
|
|
Service Code
|
HCPCS 60260
|
| Hospital Charge Code |
76102277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$517.67 |
| Max. Negotiated Rate |
$2,200.00 |
| Rate for Payer: Aetna Commercial |
$1,615.27
|
| Rate for Payer: Anthem Medicaid |
$517.67
|
| Rate for Payer: Buckeye Medicare Advantage |
$2,200.00
|
| Rate for Payer: Cash Price |
$1,100.00
|
| Rate for Payer: Cash Price |
$1,100.00
|
| Rate for Payer: Cigna Commercial |
$1,529.63
|
| Rate for Payer: Healthspan PPO |
$1,362.19
|
| Rate for Payer: Humana Medicaid |
$517.67
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,410.90
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$528.02
|
| Rate for Payer: Molina Healthcare Passport |
$517.67
|
| Rate for Payer: Multiplan PHCS |
$1,320.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,540.00
|
| Rate for Payer: UHCCP Medicaid |
$770.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$522.85
|
|
|
THYROIDECTOMY - REMOVAL OF AL
|
Facility
|
OP
|
$2,200.00
|
|
|
Service Code
|
HCPCS 60260
|
| Hospital Charge Code |
76102277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$286.00 |
| Max. Negotiated Rate |
$7,089.80 |
| Rate for Payer: Aetna Commercial |
$1,694.00
|
| Rate for Payer: Anthem Medicaid |
$756.58
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$5,064.14
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,716.00
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$7,089.80
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,836.59
|
| Rate for Payer: Cash Price |
$1,100.00
|
| Rate for Payer: Cash Price |
$1,100.00
|
| Rate for Payer: Cigna Commercial |
$1,826.00
|
| Rate for Payer: First Health Commercial |
$2,090.00
|
| Rate for Payer: Humana Commercial |
$1,870.00
|
| Rate for Payer: Humana KY Medicaid |
$756.58
|
| Rate for Payer: Humana Medicare Advantage |
$5,064.14
|
| Rate for Payer: Kentucky WC Medicaid |
$764.28
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,804.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,623.60
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,076.97
|
| Rate for Payer: Molina Healthcare Medicaid |
$771.76
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,936.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,650.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$440.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$286.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$682.00
|
| Rate for Payer: PHCS Commercial |
$2,112.00
|
| Rate for Payer: United Healthcare All Payer |
$1,936.00
|
|
|
THYROIDECTOMY - REMOVAL OF AL
|
Facility
|
IP
|
$2,200.00
|
|
|
Service Code
|
HCPCS 60260
|
| Hospital Charge Code |
76102277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$286.00 |
| Max. Negotiated Rate |
$2,112.00 |
| Rate for Payer: Aetna Commercial |
$1,694.00
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$1,716.00
|
| Rate for Payer: Cash Price |
$1,100.00
|
| Rate for Payer: Cigna Commercial |
$1,826.00
|
| Rate for Payer: First Health Commercial |
$2,090.00
|
| Rate for Payer: Humana Commercial |
$1,870.00
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$1,804.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$1,623.60
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$660.00
|
| Rate for Payer: Ohio Health Choice Commercial |
$1,936.00
|
| Rate for Payer: Ohio Health Group HMO |
$1,650.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$440.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$286.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$682.00
|
| Rate for Payer: PHCS Commercial |
$2,112.00
|
| Rate for Payer: United Healthcare All Payer |
$1,936.00
|
|
|
THYROIDECTOMY - REMOVAL OF A(P
|
Professional
|
Both
|
$2,200.00
|
|
|
Service Code
|
HCPCS 60260
|
| Hospital Charge Code |
761P2277
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$517.67 |
| Max. Negotiated Rate |
$2,200.00 |
| Rate for Payer: Aetna Commercial |
$1,615.27
|
| Rate for Payer: Anthem Medicaid |
$517.67
|
| Rate for Payer: Buckeye Medicare Advantage |
$2,200.00
|
| Rate for Payer: Cash Price |
$1,100.00
|
| Rate for Payer: Cash Price |
$1,100.00
|
| Rate for Payer: Cigna Commercial |
$1,529.63
|
| Rate for Payer: Healthspan PPO |
$1,362.19
|
| Rate for Payer: Humana Medicaid |
$517.67
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,410.90
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$528.02
|
| Rate for Payer: Molina Healthcare Passport |
$517.67
|
| Rate for Payer: Multiplan PHCS |
$1,320.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$1,540.00
|
| Rate for Payer: UHCCP Medicaid |
$770.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$522.85
|
|
|
THYROIDECTOMY, TOTAL OR COMPLETE
|
Facility
|
OP
|
$6,985.45
|
|
|
Service Code
|
CPT 60240
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,989.61 |
| Max. Negotiated Rate |
$6,985.45 |
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,989.61
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,985.45
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,735.97
|
| Rate for Payer: Humana Medicare Advantage |
$4,989.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,987.53
|
|
|
THYROIDECTOMY - TOTAL OR SUB(P
|
Professional
|
Both
|
$3,500.00
|
|
|
Service Code
|
HCPCS 60252
|
| Hospital Charge Code |
761P2276
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$879.97 |
| Max. Negotiated Rate |
$3,500.00 |
| Rate for Payer: Aetna Commercial |
$1,933.71
|
| Rate for Payer: Anthem Medicaid |
$879.97
|
| Rate for Payer: Buckeye Medicare Advantage |
$3,500.00
|
| Rate for Payer: Cash Price |
$1,750.00
|
| Rate for Payer: Cash Price |
$1,750.00
|
| Rate for Payer: Cigna Commercial |
$1,826.04
|
| Rate for Payer: Healthspan PPO |
$1,630.73
|
| Rate for Payer: Humana Medicaid |
$879.97
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$1,697.28
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$897.57
|
| Rate for Payer: Molina Healthcare Passport |
$879.97
|
| Rate for Payer: Multiplan PHCS |
$2,100.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$2,450.00
|
| Rate for Payer: UHCCP Medicaid |
$1,225.00
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$888.77
|
|
|
THYROIDECTOMY - TOTAL OR SUBT
|
Facility
|
OP
|
$3,500.00
|
|
|
Service Code
|
HCPCS 60252
|
| Hospital Charge Code |
76102276
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$455.00 |
| Max. Negotiated Rate |
$7,089.80 |
| Rate for Payer: Aetna Commercial |
$2,695.00
|
| Rate for Payer: Anthem Medicaid |
$1,203.65
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$5,064.14
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$2,730.00
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$7,089.80
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,836.59
|
| Rate for Payer: Cash Price |
$1,750.00
|
| Rate for Payer: Cash Price |
$1,750.00
|
| Rate for Payer: Cigna Commercial |
$2,905.00
|
| Rate for Payer: First Health Commercial |
$3,325.00
|
| Rate for Payer: Humana Commercial |
$2,975.00
|
| Rate for Payer: Humana KY Medicaid |
$1,203.65
|
| Rate for Payer: Humana Medicare Advantage |
$5,064.14
|
| Rate for Payer: Kentucky WC Medicaid |
$1,215.90
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$2,870.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$2,583.00
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,076.97
|
| Rate for Payer: Molina Healthcare Medicaid |
$1,227.80
|
| Rate for Payer: Ohio Health Choice Commercial |
$3,080.00
|
| Rate for Payer: Ohio Health Group HMO |
$2,625.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$700.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$455.00
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$1,085.00
|
| Rate for Payer: PHCS Commercial |
$3,360.00
|
| Rate for Payer: United Healthcare All Payer |
$3,080.00
|
|
