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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $957.12
Max. Negotiated Rate $7,068.00
Rate for Payer: Aetna Commercial $5,669.12
Rate for Payer: Anthem Medicaid $2,531.96
Rate for Payer: Anthem POS/PPO/Traditional $5,742.75
Rate for Payer: Cash Price $3,681.25
Rate for Payer: Cigna Commercial $6,110.88
Rate for Payer: First Health Commercial $6,994.38
Rate for Payer: Humana Commercial $6,258.12
Rate for Payer: Humana KY Medicaid $2,531.96
Rate for Payer: Kentucky WC Medicaid $2,557.73
Rate for Payer: Medical Mutual Of Ohio HMO $6,037.25
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,433.52
Rate for Payer: Molina Healthcare Benefit Exchange $2,208.75
Rate for Payer: Molina Healthcare Medicaid $2,582.76
Rate for Payer: Ohio Health Choice Commercial $6,479.00
Rate for Payer: Ohio Health Group HMO $5,521.88
Rate for Payer: Ohio Health Group PPO Differential $1,472.50
Rate for Payer: Ohio Health Group PPO No Differential $957.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,282.38
Rate for Payer: PHCS Commercial $7,068.00
Rate for Payer: United Healthcare All Payer $6,479.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,565.90
Max. Negotiated Rate $11,563.58
Rate for Payer: Aetna Commercial $9,274.96
Rate for Payer: Anthem POS/PPO/Traditional $9,395.41
Rate for Payer: Cash Price $6,022.70
Rate for Payer: Cigna Commercial $9,997.68
Rate for Payer: First Health Commercial $11,443.13
Rate for Payer: Humana Commercial $10,238.59
Rate for Payer: Medical Mutual Of Ohio HMO $9,877.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,889.51
Rate for Payer: Molina Healthcare Benefit Exchange $3,613.62
Rate for Payer: Ohio Health Choice Commercial $10,599.95
Rate for Payer: Ohio Health Group HMO $9,034.05
Rate for Payer: Ohio Health Group PPO Differential $2,409.08
Rate for Payer: Ohio Health Group PPO No Differential $1,565.90
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,734.07
Rate for Payer: PHCS Commercial $11,563.58
Rate for Payer: United Healthcare All Payer $10,599.95
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,565.90
Max. Negotiated Rate $11,563.58
Rate for Payer: Aetna Commercial $9,274.96
Rate for Payer: Anthem Medicaid $4,142.41
Rate for Payer: Anthem POS/PPO/Traditional $9,395.41
Rate for Payer: Cash Price $6,022.70
Rate for Payer: Cigna Commercial $9,997.68
Rate for Payer: First Health Commercial $11,443.13
Rate for Payer: Humana Commercial $10,238.59
Rate for Payer: Humana KY Medicaid $4,142.41
Rate for Payer: Kentucky WC Medicaid $4,184.57
Rate for Payer: Medical Mutual Of Ohio HMO $9,877.23
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $8,889.51
Rate for Payer: Molina Healthcare Benefit Exchange $3,613.62
Rate for Payer: Molina Healthcare Medicaid $4,225.53
Rate for Payer: Ohio Health Choice Commercial $10,599.95
Rate for Payer: Ohio Health Group HMO $9,034.05
Rate for Payer: Ohio Health Group PPO Differential $2,409.08
Rate for Payer: Ohio Health Group PPO No Differential $1,565.90
Rate for Payer: Ohio Health Group PPO SOMC Employees $3,734.07
Rate for Payer: PHCS Commercial $11,563.58
Rate for Payer: United Healthcare All Payer $10,599.95
Service Code HCPCS 90887
Hospital Charge Code 90000013
Hospital Revenue Code 900
Min. Negotiated Rate $87.62
Max. Negotiated Rate $354.50
Rate for Payer: Aetna Commercial $115.60
Rate for Payer: Buckeye Medicare Advantage $354.50
Rate for Payer: Cash Price $177.25
Rate for Payer: Cash Price $177.25
Rate for Payer: Cigna Commercial $107.17
Rate for Payer: Healthspan PPO $99.52
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $87.62
Rate for Payer: Multiplan PHCS $212.70
Rate for Payer: Ohio Health Choice Preferred Health Choice $248.15
Rate for Payer: UHCCP Medicaid $124.08
Service Code HCPCS 90887
Hospital Charge Code 90000013
Hospital Revenue Code 900
Min. Negotiated Rate $46.08
Max. Negotiated Rate $340.32
Rate for Payer: Aetna Commercial $272.96
Rate for Payer: Anthem POS/PPO/Traditional $276.51
Rate for Payer: Cash Price $177.25
Rate for Payer: Cigna Commercial $294.24
Rate for Payer: First Health Commercial $336.78
Rate for Payer: Humana Commercial $301.32
Rate for Payer: Medical Mutual Of Ohio HMO $290.69
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $261.62
Rate for Payer: Molina Healthcare Benefit Exchange $106.35
Rate for Payer: Ohio Health Choice Commercial $311.96
Rate for Payer: Ohio Health Group HMO $265.88
Rate for Payer: Ohio Health Group PPO Differential $70.90
Rate for Payer: Ohio Health Group PPO No Differential $46.08
Rate for Payer: Ohio Health Group PPO SOMC Employees $109.90
Rate for Payer: PHCS Commercial $340.32
Rate for Payer: United Healthcare All Payer $311.96
Service Code HCPCS 90887
Hospital Charge Code 90000013
Hospital Revenue Code 900
Min. Negotiated Rate $46.08
Max. Negotiated Rate $340.32
Rate for Payer: Aetna Commercial $272.96
Rate for Payer: Anthem Medicaid $121.91
Rate for Payer: Anthem POS/PPO/Traditional $276.51
Rate for Payer: Cash Price $177.25
Rate for Payer: Cigna Commercial $294.24
Rate for Payer: First Health Commercial $336.78
Rate for Payer: Humana Commercial $301.32
Rate for Payer: Humana KY Medicaid $121.91
Rate for Payer: Kentucky WC Medicaid $123.15
Rate for Payer: Medical Mutual Of Ohio HMO $290.69
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $261.62
Rate for Payer: Molina Healthcare Benefit Exchange $106.35
Rate for Payer: Molina Healthcare Medicaid $124.36
Rate for Payer: Ohio Health Choice Commercial $311.96
Rate for Payer: Ohio Health Group HMO $265.88
Rate for Payer: Ohio Health Group PPO Differential $70.90
Rate for Payer: Ohio Health Group PPO No Differential $46.08
Rate for Payer: Ohio Health Group PPO SOMC Employees $109.90
Rate for Payer: PHCS Commercial $340.32
Rate for Payer: United Healthcare All Payer $311.96
Service Code HCPCS 90887
Hospital Charge Code 900P0013
Hospital Revenue Code 900
Min. Negotiated Rate $52.50
Max. Negotiated Rate $150.00
Rate for Payer: Aetna Commercial $115.60
Rate for Payer: Buckeye Medicare Advantage $150.00
Rate for Payer: Cash Price $75.00
Rate for Payer: Cash Price $75.00
Rate for Payer: Cigna Commercial $107.17
Rate for Payer: Healthspan PPO $99.52
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $87.62
Rate for Payer: Multiplan PHCS $90.00
Rate for Payer: Ohio Health Choice Preferred Health Choice $105.00
Rate for Payer: UHCCP Medicaid $52.50
Service Code HCPCS 90887
Hospital Charge Code 900T0013
Hospital Revenue Code 900
Min. Negotiated Rate $26.58
Max. Negotiated Rate $196.32
Rate for Payer: Aetna Commercial $157.46
Rate for Payer: Anthem Medicaid $70.33
Rate for Payer: Anthem POS/PPO/Traditional $159.51
Rate for Payer: Cash Price $102.25
Rate for Payer: Cigna Commercial $169.74
Rate for Payer: First Health Commercial $194.28
Rate for Payer: Humana Commercial $173.82
Rate for Payer: Humana KY Medicaid $70.33
Rate for Payer: Kentucky WC Medicaid $71.04
Rate for Payer: Medical Mutual Of Ohio HMO $167.69
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $150.92
Rate for Payer: Molina Healthcare Benefit Exchange $61.35
Rate for Payer: Molina Healthcare Medicaid $71.74
Rate for Payer: Ohio Health Choice Commercial $179.96
Rate for Payer: Ohio Health Group HMO $153.38
Rate for Payer: Ohio Health Group PPO Differential $40.90
Rate for Payer: Ohio Health Group PPO No Differential $26.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.40
Rate for Payer: PHCS Commercial $196.32
Rate for Payer: United Healthcare All Payer $179.96
Service Code HCPCS 90887
Hospital Charge Code 900T0013
Hospital Revenue Code 900
Min. Negotiated Rate $26.58
Max. Negotiated Rate $196.32
Rate for Payer: Aetna Commercial $157.46
Rate for Payer: Anthem POS/PPO/Traditional $159.51
Rate for Payer: Cash Price $102.25
Rate for Payer: Cigna Commercial $169.74
Rate for Payer: First Health Commercial $194.28
Rate for Payer: Humana Commercial $173.82
Rate for Payer: Medical Mutual Of Ohio HMO $167.69
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $150.92
Rate for Payer: Molina Healthcare Benefit Exchange $61.35
Rate for Payer: Ohio Health Choice Commercial $179.96
Rate for Payer: Ohio Health Group HMO $153.38
Rate for Payer: Ohio Health Group PPO Differential $40.90
Rate for Payer: Ohio Health Group PPO No Differential $26.58
Rate for Payer: Ohio Health Group PPO SOMC Employees $63.40
Rate for Payer: PHCS Commercial $196.32
Rate for Payer: United Healthcare All Payer $179.96