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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $2.99
Max. Negotiated Rate $22.08
Rate for Payer: Aetna Commercial $17.71
Rate for Payer: Anthem Medicaid $7.91
Rate for Payer: Anthem POS/PPO/Traditional $17.94
Rate for Payer: Cash Price $11.50
Rate for Payer: Cigna Commercial $19.09
Rate for Payer: First Health Commercial $21.85
Rate for Payer: Humana Commercial $19.55
Rate for Payer: Humana KY Medicaid $7.91
Rate for Payer: Kentucky WC Medicaid $7.99
Rate for Payer: Medical Mutual Of Ohio HMO $18.86
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16.97
Rate for Payer: Molina Healthcare Benefit Exchange $6.90
Rate for Payer: Molina Healthcare Medicaid $8.07
Rate for Payer: Ohio Health Choice Commercial $20.24
Rate for Payer: Ohio Health Group HMO $17.25
Rate for Payer: Ohio Health Group PPO Differential $4.60
Rate for Payer: Ohio Health Group PPO No Differential $2.99
Rate for Payer: Ohio Health Group PPO SOMC Employees $7.13
Rate for Payer: PHCS Commercial $22.08
Rate for Payer: United Healthcare All Payer $20.24
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,115.04
Max. Negotiated Rate $8,234.13
Rate for Payer: Aetna Commercial $6,604.46
Rate for Payer: Anthem Medicaid $2,949.71
Rate for Payer: Anthem POS/PPO/Traditional $6,690.23
Rate for Payer: Cash Price $4,288.61
Rate for Payer: Cigna Commercial $7,119.09
Rate for Payer: First Health Commercial $8,148.36
Rate for Payer: Humana Commercial $7,290.64
Rate for Payer: Humana KY Medicaid $2,949.71
Rate for Payer: Kentucky WC Medicaid $2,979.73
Rate for Payer: Medical Mutual Of Ohio HMO $7,033.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,329.99
Rate for Payer: Molina Healthcare Benefit Exchange $2,573.17
Rate for Payer: Molina Healthcare Medicaid $3,008.89
Rate for Payer: Ohio Health Choice Commercial $7,547.95
Rate for Payer: Ohio Health Group HMO $6,432.92
Rate for Payer: Ohio Health Group PPO Differential $1,715.44
Rate for Payer: Ohio Health Group PPO No Differential $1,115.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,658.94
Rate for Payer: PHCS Commercial $8,234.13
Rate for Payer: United Healthcare All Payer $7,547.95
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,115.04
Max. Negotiated Rate $8,234.13
Rate for Payer: Aetna Commercial $6,604.46
Rate for Payer: Anthem POS/PPO/Traditional $6,690.23
Rate for Payer: Cash Price $4,288.61
Rate for Payer: Cigna Commercial $7,119.09
Rate for Payer: First Health Commercial $8,148.36
Rate for Payer: Humana Commercial $7,290.64
Rate for Payer: Medical Mutual Of Ohio HMO $7,033.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,329.99
Rate for Payer: Molina Healthcare Benefit Exchange $2,573.17
Rate for Payer: Ohio Health Choice Commercial $7,547.95
Rate for Payer: Ohio Health Group HMO $6,432.92
Rate for Payer: Ohio Health Group PPO Differential $1,715.44
Rate for Payer: Ohio Health Group PPO No Differential $1,115.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,658.94
Rate for Payer: PHCS Commercial $8,234.13
Rate for Payer: United Healthcare All Payer $7,547.95
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,115.04
Max. Negotiated Rate $8,234.13
Rate for Payer: Aetna Commercial $6,604.46
Rate for Payer: Anthem POS/PPO/Traditional $6,690.23
Rate for Payer: Cash Price $4,288.61
Rate for Payer: Cigna Commercial $7,119.09
Rate for Payer: First Health Commercial $8,148.36
Rate for Payer: Humana Commercial $7,290.64
Rate for Payer: Medical Mutual Of Ohio HMO $7,033.32
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,329.99
Rate for Payer: Molina Healthcare Benefit Exchange $2,573.17
Rate for Payer: Ohio Health Choice Commercial $7,547.95
Rate for Payer: Ohio Health Group HMO $6,432.92
Rate for Payer: Ohio Health Group PPO Differential $1,715.44
Rate for Payer: Ohio Health Group PPO No Differential $1,115.04
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,658.94
Rate for Payer: PHCS Commercial $8,234.13
Rate for Payer: United Healthcare All Payer $7,547.95