|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
OP
|
$9,805.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
761T1446
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,371.94 |
| Max. Negotiated Rate |
$9,412.80 |
| Rate for Payer: Aetna Commercial |
$7,549.85
|
| Rate for Payer: Anthem Medicaid |
$3,371.94
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,994.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$7,647.90
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,992.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,742.93
|
| Rate for Payer: Cash Price |
$4,902.50
|
| Rate for Payer: Cash Price |
$4,902.50
|
| Rate for Payer: Cigna Commercial |
$8,138.15
|
| Rate for Payer: First Health Commercial |
$9,314.75
|
| Rate for Payer: Humana Commercial |
$8,334.25
|
| Rate for Payer: Humana KY Medicaid |
$3,371.94
|
| Rate for Payer: Humana Medicare Advantage |
$4,994.76
|
| Rate for Payer: Kentucky WC Medicaid |
$3,406.26
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$8,040.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$7,236.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,993.71
|
| Rate for Payer: Molina Healthcare Medicaid |
$3,439.59
|
| Rate for Payer: Ohio Health Choice Commercial |
$8,628.40
|
| Rate for Payer: Ohio Health Group HMO |
$7,353.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$7,844.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$8,530.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$6,765.45
|
| Rate for Payer: PHCS Commercial |
$9,412.80
|
| Rate for Payer: United Healthcare All Payer |
$8,628.40
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Professional
|
Both
|
$2,000.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
761P1445
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.24 |
| Max. Negotiated Rate |
$1,861.09 |
| Rate for Payer: Ambetter Exchange |
$312.73
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$185.24
|
| Rate for Payer: Anthem Medicaid |
$1,213.67
|
| Rate for Payer: Buckeye Individual/Medicaid |
$312.73
|
| Rate for Payer: Buckeye Medicare Advantage |
$312.73
|
| Rate for Payer: CareSource Just4Me Medicare |
$375.28
|
| Rate for Payer: Cash Price |
$1,000.00
|
| Rate for Payer: Cash Price |
$1,000.00
|
| Rate for Payer: Cigna Commercial |
$590.71
|
| Rate for Payer: Healthspan PPO |
$1,861.09
|
| Rate for Payer: Humana Medicaid |
$1,213.67
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$400.74
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$312.73
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$312.73
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$1,237.94
|
| Rate for Payer: Molina Healthcare Passport |
$1,213.67
|
| Rate for Payer: Multiplan PHCS |
$1,200.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$406.55
|
| Rate for Payer: UHCCP Medicaid |
$194.50
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$1,225.81
|
| Rate for Payer: Wellcare Medicare Advantage |
$312.73
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Professional
|
Both
|
$13,805.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
76101446
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.24 |
| Max. Negotiated Rate |
$8,283.00 |
| Rate for Payer: Ambetter Exchange |
$312.73
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$185.24
|
| Rate for Payer: Anthem Medicaid |
$1,213.67
|
| Rate for Payer: Buckeye Individual/Medicaid |
$312.73
|
| Rate for Payer: Buckeye Medicare Advantage |
$312.73
|
| Rate for Payer: CareSource Just4Me Medicare |
$375.28
|
| Rate for Payer: Cash Price |
$6,902.50
|
| Rate for Payer: Cash Price |
$6,902.50
|
| Rate for Payer: Cigna Commercial |
$590.71
|
| Rate for Payer: Healthspan PPO |
$1,861.09
|
| Rate for Payer: Humana Medicaid |
$1,213.67
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$400.74
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$312.73
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$312.73
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$1,237.94
|
| Rate for Payer: Molina Healthcare Passport |
$1,213.67
|
| Rate for Payer: Multiplan PHCS |
$8,283.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$406.55
|
| Rate for Payer: UHCCP Medicaid |
$194.50
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$1,225.81
|
| Rate for Payer: Wellcare Medicare Advantage |
$312.73
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
OP
|
$11,805.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
76101445
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,059.74 |
| Max. Negotiated Rate |
$11,332.80 |
| Rate for Payer: Aetna Commercial |
$9,089.85
|
| Rate for Payer: Anthem Medicaid |
$4,059.74
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,994.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,207.90
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,992.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,742.93
|
| Rate for Payer: Cash Price |
$5,902.50
|
| Rate for Payer: Cash Price |
$5,902.50
|
| Rate for Payer: Cigna Commercial |
$9,798.15
|
| Rate for Payer: First Health Commercial |
$11,214.75
|
| Rate for Payer: Humana Commercial |
$10,034.25
|
| Rate for Payer: Humana KY Medicaid |
$4,059.74
|
| Rate for Payer: Humana Medicare Advantage |
$4,994.76
|
| Rate for Payer: Kentucky WC Medicaid |
$4,101.06
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$9,680.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$8,712.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,993.71
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,141.19
|
| Rate for Payer: Ohio Health Choice Commercial |
$10,388.40
|
| Rate for Payer: Ohio Health Group HMO |
$8,853.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$9,444.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,270.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,145.45
|
| Rate for Payer: PHCS Commercial |
$11,332.80
|
| Rate for Payer: United Healthcare All Payer |
$10,388.40
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
IP
|
$13,428.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
36000039
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,028.40 |
| Max. Negotiated Rate |
$12,890.88 |
| Rate for Payer: Aetna Commercial |
$10,339.56
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,473.84
|
| Rate for Payer: Cash Price |
$6,714.00
|
| Rate for Payer: Cigna Commercial |
$11,145.24
|
| Rate for Payer: First Health Commercial |
$12,756.60
|
| Rate for Payer: Humana Commercial |
$11,413.80
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$11,010.96
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,909.86
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$4,028.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,816.64
|
| Rate for Payer: Ohio Health Group HMO |
$10,071.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,742.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,682.36
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,265.32
|
| Rate for Payer: PHCS Commercial |
$12,890.88
|
| Rate for Payer: United Healthcare All Payer |
$11,816.64
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
OP
|
$12,609.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$4,336.24 |
| Max. Negotiated Rate |
$12,104.64 |
| Rate for Payer: Aetna Commercial |
$9,708.93
|
| Rate for Payer: Anthem Medicaid |
$4,336.24
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,994.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,835.02
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,992.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,742.93
|
| Rate for Payer: Cash Price |
$6,304.50
|
| Rate for Payer: Cash Price |
$6,304.50
|
| Rate for Payer: Cigna Commercial |
$10,465.47
|
| Rate for Payer: First Health Commercial |
$11,978.55
|
| Rate for Payer: Humana Commercial |
$10,717.65
|
| Rate for Payer: Humana KY Medicaid |
$4,336.24
|
| Rate for Payer: Humana Medicare Advantage |
$4,994.76
|
| Rate for Payer: Kentucky WC Medicaid |
$4,380.37
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,339.38
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,305.44
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,993.71
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,423.24
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,095.92
|
| Rate for Payer: Ohio Health Group HMO |
$9,456.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,087.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,969.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,700.21
|
| Rate for Payer: PHCS Commercial |
$12,104.64
|
| Rate for Payer: United Healthcare All Payer |
$11,095.92
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
IP
|
$12,609.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
48100017
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,782.70 |
| Max. Negotiated Rate |
$12,104.64 |
| Rate for Payer: Aetna Commercial |
$9,708.93
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,835.02
|
| Rate for Payer: Cash Price |
$6,304.50
|
| Rate for Payer: Cigna Commercial |
$10,465.47
|
| Rate for Payer: First Health Commercial |
$11,978.55
|
| Rate for Payer: Humana Commercial |
$10,717.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,339.38
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,305.44
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,782.70
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,095.92
|
| Rate for Payer: Ohio Health Group HMO |
$9,456.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,087.20
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,969.83
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,700.21
|
| Rate for Payer: PHCS Commercial |
$12,104.64
|
| Rate for Payer: United Healthcare All Payer |
$11,095.92
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
OP
|
$13,428.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
36000039
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,617.89 |
| Max. Negotiated Rate |
$12,890.88 |
| Rate for Payer: Aetna Commercial |
$10,339.56
|
| Rate for Payer: Anthem Medicaid |
$4,617.89
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,994.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,473.84
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,992.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,742.93
|
| Rate for Payer: Cash Price |
$6,714.00
|
| Rate for Payer: Cash Price |
$6,714.00
|
| Rate for Payer: Cigna Commercial |
$11,145.24
|
| Rate for Payer: First Health Commercial |
$12,756.60
|
| Rate for Payer: Humana Commercial |
$11,413.80
|
| Rate for Payer: Humana KY Medicaid |
$4,617.89
|
| Rate for Payer: Humana Medicare Advantage |
$4,994.76
|
| Rate for Payer: Kentucky WC Medicaid |
$4,664.89
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$11,010.96
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,909.86
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,993.71
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,710.54
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,816.64
|
| Rate for Payer: Ohio Health Group HMO |
$10,071.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,742.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,682.36
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,265.32
|
| Rate for Payer: PHCS Commercial |
$12,890.88
|
| Rate for Payer: United Healthcare All Payer |
$11,816.64
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
IP
|
$11,805.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
76101445
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,541.50 |
| Max. Negotiated Rate |
$11,332.80 |
| Rate for Payer: Aetna Commercial |
$9,089.85
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,207.90
|
| Rate for Payer: Cash Price |
$5,902.50
|
| Rate for Payer: Cigna Commercial |
$9,798.15
|
| Rate for Payer: First Health Commercial |
$11,214.75
|
| Rate for Payer: Humana Commercial |
$10,034.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$9,680.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$8,712.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,541.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$10,388.40
|
| Rate for Payer: Ohio Health Group HMO |
$8,853.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$9,444.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,270.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,145.45
|
| Rate for Payer: PHCS Commercial |
$11,332.80
|
| Rate for Payer: United Healthcare All Payer |
$10,388.40
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Professional
|
Both
|
$4,000.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
761P1446
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$185.24 |
| Max. Negotiated Rate |
$2,400.00 |
| Rate for Payer: Ambetter Exchange |
$312.73
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$185.24
|
| Rate for Payer: Anthem Medicaid |
$1,213.67
|
| Rate for Payer: Buckeye Individual/Medicaid |
$312.73
|
| Rate for Payer: Buckeye Medicare Advantage |
$312.73
|
| Rate for Payer: CareSource Just4Me Medicare |
$375.28
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cash Price |
$2,000.00
|
| Rate for Payer: Cigna Commercial |
$590.71
|
| Rate for Payer: Healthspan PPO |
$1,861.09
|
| Rate for Payer: Humana Medicaid |
$1,213.67
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$400.74
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$312.73
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$312.73
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$1,237.94
|
| Rate for Payer: Molina Healthcare Passport |
$1,213.67
|
| Rate for Payer: Multiplan PHCS |
$2,400.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$406.55
|
| Rate for Payer: UHCCP Medicaid |
$194.50
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$1,225.81
|
| Rate for Payer: Wellcare Medicare Advantage |
$312.73
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
OP
|
$9,805.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
761T1445
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,371.94 |
| Max. Negotiated Rate |
$9,412.80 |
| Rate for Payer: Aetna Commercial |
$7,549.85
|
| Rate for Payer: Anthem Medicaid |
$3,371.94
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,994.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$7,647.90
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,992.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,742.93
|
| Rate for Payer: Cash Price |
$4,902.50
|
| Rate for Payer: Cash Price |
$4,902.50
|
| Rate for Payer: Cigna Commercial |
$8,138.15
|
| Rate for Payer: First Health Commercial |
$9,314.75
|
| Rate for Payer: Humana Commercial |
$8,334.25
|
| Rate for Payer: Humana KY Medicaid |
$3,371.94
|
| Rate for Payer: Humana Medicare Advantage |
$4,994.76
|
| Rate for Payer: Kentucky WC Medicaid |
$3,406.26
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$8,040.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$7,236.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,993.71
|
| Rate for Payer: Molina Healthcare Medicaid |
$3,439.59
|
| Rate for Payer: Ohio Health Choice Commercial |
$8,628.40
|
| Rate for Payer: Ohio Health Group HMO |
$7,353.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$7,844.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$8,530.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$6,765.45
|
| Rate for Payer: PHCS Commercial |
$9,412.80
|
| Rate for Payer: United Healthcare All Payer |
$8,628.40
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
IP
|
$9,805.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
761T1445
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,941.50 |
| Max. Negotiated Rate |
$9,412.80 |
| Rate for Payer: Aetna Commercial |
$7,549.85
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$7,647.90
|
| Rate for Payer: Cash Price |
$4,902.50
|
| Rate for Payer: Cigna Commercial |
$8,138.15
|
| Rate for Payer: First Health Commercial |
$9,314.75
|
| Rate for Payer: Humana Commercial |
$8,334.25
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$8,040.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$7,236.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,941.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$8,628.40
|
| Rate for Payer: Ohio Health Group HMO |
$7,353.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$7,844.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$8,530.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$6,765.45
|
| Rate for Payer: PHCS Commercial |
$9,412.80
|
| Rate for Payer: United Healthcare All Payer |
$8,628.40
|
|
|
CATH COM CAR N ART UNIL WEXTCR
|
Facility
|
OP
|
$13,805.00
|
|
|
Service Code
|
HCPCS 36223
|
| Hospital Charge Code |
76101446
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$4,747.54 |
| Max. Negotiated Rate |
$13,252.80 |
| Rate for Payer: Aetna Commercial |
$10,629.85
|
| Rate for Payer: Anthem Medicaid |
$4,747.54
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$4,994.76
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,767.90
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$6,992.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$6,742.93
|
| Rate for Payer: Cash Price |
$6,902.50
|
| Rate for Payer: Cash Price |
$6,902.50
|
| Rate for Payer: Cigna Commercial |
$11,458.15
|
| Rate for Payer: First Health Commercial |
$13,114.75
|
| Rate for Payer: Humana Commercial |
$11,734.25
|
| Rate for Payer: Humana KY Medicaid |
$4,747.54
|
| Rate for Payer: Humana Medicare Advantage |
$4,994.76
|
| Rate for Payer: Kentucky WC Medicaid |
$4,795.86
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$11,320.10
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$10,188.09
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$5,993.71
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,842.79
|
| Rate for Payer: Ohio Health Choice Commercial |
$12,148.40
|
| Rate for Payer: Ohio Health Group HMO |
$10,353.75
|
| Rate for Payer: Ohio Health Group PPO Differential |
$11,044.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$12,010.35
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,525.45
|
| Rate for Payer: PHCS Commercial |
$13,252.80
|
| Rate for Payer: United Healthcare All Payer |
$12,148.40
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
IP
|
$11,608.50
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
76101444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$3,482.55 |
| Max. Negotiated Rate |
$11,144.16 |
| Rate for Payer: Aetna Commercial |
$8,938.55
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,054.63
|
| Rate for Payer: Cash Price |
$5,804.25
|
| Rate for Payer: Cigna Commercial |
$9,635.06
|
| Rate for Payer: First Health Commercial |
$11,028.08
|
| Rate for Payer: Humana Commercial |
$9,867.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$9,518.97
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$8,567.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,482.55
|
| Rate for Payer: Ohio Health Choice Commercial |
$10,215.48
|
| Rate for Payer: Ohio Health Group HMO |
$8,706.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$9,286.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,099.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,009.86
|
| Rate for Payer: PHCS Commercial |
$11,144.16
|
| Rate for Payer: United Healthcare All Payer |
$10,215.48
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Professional
|
Both
|
$11,608.50
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
76101444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$171.33 |
| Max. Negotiated Rate |
$6,965.10 |
| Rate for Payer: Ambetter Exchange |
$269.33
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$171.33
|
| Rate for Payer: Anthem Medicaid |
$1,113.58
|
| Rate for Payer: Buckeye Individual/Medicaid |
$269.33
|
| Rate for Payer: Buckeye Medicare Advantage |
$269.33
|
| Rate for Payer: CareSource Just4Me Medicare |
$323.20
|
| Rate for Payer: Cash Price |
$5,804.25
|
| Rate for Payer: Cash Price |
$5,804.25
|
| Rate for Payer: Cigna Commercial |
$546.34
|
| Rate for Payer: Healthspan PPO |
$1,707.72
|
| Rate for Payer: Humana Medicaid |
$1,113.58
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$370.63
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$269.33
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$269.33
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$1,135.85
|
| Rate for Payer: Molina Healthcare Passport |
$1,113.58
|
| Rate for Payer: Multiplan PHCS |
$6,965.10
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$350.13
|
| Rate for Payer: UHCCP Medicaid |
$179.90
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$1,124.72
|
| Rate for Payer: Wellcare Medicare Advantage |
$269.33
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Professional
|
Both
|
$3,000.00
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
761P1444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$171.33 |
| Max. Negotiated Rate |
$1,800.00 |
| Rate for Payer: Ambetter Exchange |
$269.33
|
| Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional |
$171.33
|
| Rate for Payer: Anthem Medicaid |
$1,113.58
|
| Rate for Payer: Buckeye Individual/Medicaid |
$269.33
|
| Rate for Payer: Buckeye Medicare Advantage |
$269.33
|
| Rate for Payer: CareSource Just4Me Medicare |
$323.20
|
| Rate for Payer: Cash Price |
$1,500.00
|
| Rate for Payer: Cash Price |
$1,500.00
|
| Rate for Payer: Cigna Commercial |
$546.34
|
| Rate for Payer: Healthspan PPO |
$1,707.72
|
| Rate for Payer: Humana Medicaid |
$1,113.58
|
| Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation |
$370.63
|
| Rate for Payer: Medical Mutual Of Ohio Medicare Advantage |
$269.33
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$269.33
|
| Rate for Payer: Molina Healthcare CHIP/Medicaid |
$1,135.85
|
| Rate for Payer: Molina Healthcare Passport |
$1,113.58
|
| Rate for Payer: Multiplan PHCS |
$1,800.00
|
| Rate for Payer: Ohio Health Choice Preferred Health Choice |
$350.13
|
| Rate for Payer: UHCCP Medicaid |
$179.90
|
| Rate for Payer: Wellcare CHIP/Medicaid |
$1,124.72
|
| Rate for Payer: Wellcare Medicare Advantage |
$269.33
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
IP
|
$13,428.00
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
36000038
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$4,028.40 |
| Max. Negotiated Rate |
$12,890.88 |
| Rate for Payer: Aetna Commercial |
$10,339.56
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,473.84
|
| Rate for Payer: Cash Price |
$6,714.00
|
| Rate for Payer: Cigna Commercial |
$11,145.24
|
| Rate for Payer: First Health Commercial |
$12,756.60
|
| Rate for Payer: Humana Commercial |
$11,413.80
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$11,010.96
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,909.86
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$4,028.40
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,816.64
|
| Rate for Payer: Ohio Health Group HMO |
$10,071.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,742.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,682.36
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,265.32
|
| Rate for Payer: PHCS Commercial |
$12,890.88
|
| Rate for Payer: United Healthcare All Payer |
$11,816.64
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
IP
|
$12,975.00
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,892.50 |
| Max. Negotiated Rate |
$12,456.00 |
| Rate for Payer: Aetna Commercial |
$9,990.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,120.50
|
| Rate for Payer: Cash Price |
$6,487.50
|
| Rate for Payer: Cigna Commercial |
$10,769.25
|
| Rate for Payer: First Health Commercial |
$12,326.25
|
| Rate for Payer: Humana Commercial |
$11,028.75
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,639.50
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,575.55
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,892.50
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,418.00
|
| Rate for Payer: Ohio Health Group HMO |
$9,731.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,380.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,288.25
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,952.75
|
| Rate for Payer: PHCS Commercial |
$12,456.00
|
| Rate for Payer: United Healthcare All Payer |
$11,418.00
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
OP
|
$11,608.50
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
76101444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,908.23 |
| Max. Negotiated Rate |
$11,144.16 |
| Rate for Payer: Aetna Commercial |
$8,938.55
|
| Rate for Payer: Anthem Medicaid |
$3,992.16
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$2,908.23
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,054.63
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$4,071.52
|
| Rate for Payer: CareSource Just4Me Medicare |
$3,926.11
|
| Rate for Payer: Cash Price |
$5,804.25
|
| Rate for Payer: Cash Price |
$5,804.25
|
| Rate for Payer: Cigna Commercial |
$9,635.06
|
| Rate for Payer: First Health Commercial |
$11,028.08
|
| Rate for Payer: Humana Commercial |
$9,867.23
|
| Rate for Payer: Humana KY Medicaid |
$3,992.16
|
| Rate for Payer: Humana Medicare Advantage |
$2,908.23
|
| Rate for Payer: Kentucky WC Medicaid |
$4,032.79
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$9,518.97
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$8,567.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,489.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,072.26
|
| Rate for Payer: Ohio Health Choice Commercial |
$10,215.48
|
| Rate for Payer: Ohio Health Group HMO |
$8,706.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$9,286.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,099.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,009.86
|
| Rate for Payer: PHCS Commercial |
$11,144.16
|
| Rate for Payer: United Healthcare All Payer |
$10,215.48
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
IP
|
$8,608.50
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
761T1444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,582.55 |
| Max. Negotiated Rate |
$8,264.16 |
| Rate for Payer: Aetna Commercial |
$6,628.55
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$6,714.63
|
| Rate for Payer: Cash Price |
$4,304.25
|
| Rate for Payer: Cigna Commercial |
$7,145.06
|
| Rate for Payer: First Health Commercial |
$8,178.07
|
| Rate for Payer: Humana Commercial |
$7,317.23
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$7,058.97
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$6,353.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$2,582.55
|
| Rate for Payer: Ohio Health Choice Commercial |
$7,575.48
|
| Rate for Payer: Ohio Health Group HMO |
$6,456.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$6,886.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$7,489.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$5,939.86
|
| Rate for Payer: PHCS Commercial |
$8,264.16
|
| Rate for Payer: United Healthcare All Payer |
$7,575.48
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
OP
|
$12,975.00
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
48100016
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,908.23 |
| Max. Negotiated Rate |
$12,456.00 |
| Rate for Payer: Aetna Commercial |
$9,990.75
|
| Rate for Payer: Anthem Medicaid |
$4,462.10
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$2,908.23
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,120.50
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$4,071.52
|
| Rate for Payer: CareSource Just4Me Medicare |
$3,926.11
|
| Rate for Payer: Cash Price |
$6,487.50
|
| Rate for Payer: Cash Price |
$6,487.50
|
| Rate for Payer: Cigna Commercial |
$10,769.25
|
| Rate for Payer: First Health Commercial |
$12,326.25
|
| Rate for Payer: Humana Commercial |
$11,028.75
|
| Rate for Payer: Humana KY Medicaid |
$4,462.10
|
| Rate for Payer: Humana Medicare Advantage |
$2,908.23
|
| Rate for Payer: Kentucky WC Medicaid |
$4,507.52
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,639.50
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,575.55
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,489.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,551.63
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,418.00
|
| Rate for Payer: Ohio Health Group HMO |
$9,731.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,380.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,288.25
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,952.75
|
| Rate for Payer: PHCS Commercial |
$12,456.00
|
| Rate for Payer: United Healthcare All Payer |
$11,418.00
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
OP
|
$13,428.00
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
36000038
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,908.23 |
| Max. Negotiated Rate |
$12,890.88 |
| Rate for Payer: Aetna Commercial |
$10,339.56
|
| Rate for Payer: Anthem Medicaid |
$4,617.89
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$2,908.23
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$10,473.84
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$4,071.52
|
| Rate for Payer: CareSource Just4Me Medicare |
$3,926.11
|
| Rate for Payer: Cash Price |
$6,714.00
|
| Rate for Payer: Cash Price |
$6,714.00
|
| Rate for Payer: Cigna Commercial |
$11,145.24
|
| Rate for Payer: First Health Commercial |
$12,756.60
|
| Rate for Payer: Humana Commercial |
$11,413.80
|
| Rate for Payer: Humana KY Medicaid |
$4,617.89
|
| Rate for Payer: Humana Medicare Advantage |
$2,908.23
|
| Rate for Payer: Kentucky WC Medicaid |
$4,664.89
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$11,010.96
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,909.86
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,489.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,710.54
|
| Rate for Payer: Ohio Health Choice Commercial |
$11,816.64
|
| Rate for Payer: Ohio Health Group HMO |
$10,071.00
|
| Rate for Payer: Ohio Health Group PPO Differential |
$10,742.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$11,682.36
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,265.32
|
| Rate for Payer: PHCS Commercial |
$12,890.88
|
| Rate for Payer: United Healthcare All Payer |
$11,816.64
|
|
|
CATH COM CAROTI OR INOM ARTUNI
|
Facility
|
OP
|
$8,608.50
|
|
|
Service Code
|
HCPCS 36222
|
| Hospital Charge Code |
761T1444
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,908.23 |
| Max. Negotiated Rate |
$8,264.16 |
| Rate for Payer: Aetna Commercial |
$6,628.55
|
| Rate for Payer: Anthem Medicaid |
$2,960.46
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$2,908.23
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$6,714.63
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$4,071.52
|
| Rate for Payer: CareSource Just4Me Medicare |
$3,926.11
|
| Rate for Payer: Cash Price |
$4,304.25
|
| Rate for Payer: Cash Price |
$4,304.25
|
| Rate for Payer: Cigna Commercial |
$7,145.06
|
| Rate for Payer: First Health Commercial |
$8,178.07
|
| Rate for Payer: Humana Commercial |
$7,317.23
|
| Rate for Payer: Humana KY Medicaid |
$2,960.46
|
| Rate for Payer: Humana Medicare Advantage |
$2,908.23
|
| Rate for Payer: Kentucky WC Medicaid |
$2,990.59
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$7,058.97
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$6,353.07
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,489.88
|
| Rate for Payer: Molina Healthcare Medicaid |
$3,019.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$7,575.48
|
| Rate for Payer: Ohio Health Group HMO |
$6,456.38
|
| Rate for Payer: Ohio Health Group PPO Differential |
$6,886.80
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$7,489.40
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$5,939.86
|
| Rate for Payer: PHCS Commercial |
$8,264.16
|
| Rate for Payer: United Healthcare All Payer |
$7,575.48
|
|
|
CATH COR ART W/INJ & S&I
|
Facility
|
OP
|
$12,375.00
|
|
|
Service Code
|
HCPCS 93454
|
| Hospital Charge Code |
76102478
|
|
Hospital Revenue Code
|
761
|
| Min. Negotiated Rate |
$2,971.90 |
| Max. Negotiated Rate |
$11,880.00 |
| Rate for Payer: Aetna Commercial |
$9,528.75
|
| Rate for Payer: Anthem Medicaid |
$4,255.76
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$2,971.90
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,652.50
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$4,160.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$4,012.07
|
| Rate for Payer: Cash Price |
$6,187.50
|
| Rate for Payer: Cash Price |
$6,187.50
|
| Rate for Payer: Cigna Commercial |
$10,271.25
|
| Rate for Payer: First Health Commercial |
$11,756.25
|
| Rate for Payer: Humana Commercial |
$10,518.75
|
| Rate for Payer: Humana KY Medicaid |
$4,255.76
|
| Rate for Payer: Humana Medicare Advantage |
$2,971.90
|
| Rate for Payer: Kentucky WC Medicaid |
$4,299.07
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,147.50
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,132.75
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,566.28
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,341.15
|
| Rate for Payer: Ohio Health Choice Commercial |
$10,890.00
|
| Rate for Payer: Ohio Health Group HMO |
$9,281.25
|
| Rate for Payer: Ohio Health Group PPO Differential |
$9,900.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,766.25
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,538.75
|
| Rate for Payer: PHCS Commercial |
$11,880.00
|
| Rate for Payer: United Healthcare All Payer |
$10,890.00
|
|
|
CATH COR ART W/INJ & S&I
|
Facility
|
OP
|
$12,250.00
|
|
|
Service Code
|
HCPCS 93454
|
| Hospital Charge Code |
48100065
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,971.90 |
| Max. Negotiated Rate |
$11,760.00 |
| Rate for Payer: Aetna Commercial |
$9,432.50
|
| Rate for Payer: Anthem Medicaid |
$4,212.77
|
| Rate for Payer: Anthem Medicare Advantage/PPO |
$2,971.90
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$9,555.00
|
| Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage |
$4,160.66
|
| Rate for Payer: CareSource Just4Me Medicare |
$4,012.07
|
| Rate for Payer: Cash Price |
$6,125.00
|
| Rate for Payer: Cash Price |
$6,125.00
|
| Rate for Payer: Cigna Commercial |
$10,167.50
|
| Rate for Payer: First Health Commercial |
$11,637.50
|
| Rate for Payer: Humana Commercial |
$10,412.50
|
| Rate for Payer: Humana KY Medicaid |
$4,212.77
|
| Rate for Payer: Humana Medicare Advantage |
$2,971.90
|
| Rate for Payer: Kentucky WC Medicaid |
$4,255.65
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$10,045.00
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$9,040.50
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$3,566.28
|
| Rate for Payer: Molina Healthcare Medicaid |
$4,297.30
|
| Rate for Payer: Ohio Health Choice Commercial |
$10,780.00
|
| Rate for Payer: Ohio Health Group HMO |
$9,187.50
|
| Rate for Payer: Ohio Health Group PPO Differential |
$9,800.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$10,657.50
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$8,452.50
|
| Rate for Payer: PHCS Commercial |
$11,760.00
|
| Rate for Payer: United Healthcare All Payer |
$10,780.00
|
|
