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Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem Medicaid $2,845.77
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Humana KY Medicaid $2,845.77
Rate for Payer: Kentucky WC Medicaid $2,874.74
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Molina Healthcare Medicaid $2,902.87
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem Medicaid $2,845.77
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Humana KY Medicaid $2,845.77
Rate for Payer: Kentucky WC Medicaid $2,874.74
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Molina Healthcare Medicaid $2,902.87
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem Medicaid $2,845.77
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Humana KY Medicaid $2,845.77
Rate for Payer: Kentucky WC Medicaid $2,874.74
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Molina Healthcare Medicaid $2,902.87
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem Medicaid $2,845.77
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Humana KY Medicaid $2,845.77
Rate for Payer: Kentucky WC Medicaid $2,874.74
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Molina Healthcare Medicaid $2,902.87
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem Medicaid $2,845.77
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Humana KY Medicaid $2,845.77
Rate for Payer: Kentucky WC Medicaid $2,874.74
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Molina Healthcare Medicaid $2,902.87
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem Medicaid $2,845.77
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Humana KY Medicaid $2,845.77
Rate for Payer: Kentucky WC Medicaid $2,874.74
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Molina Healthcare Medicaid $2,902.87
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem Medicaid $2,845.77
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Humana KY Medicaid $2,845.77
Rate for Payer: Kentucky WC Medicaid $2,874.74
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Molina Healthcare Medicaid $2,902.87
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $1,075.75
Max. Negotiated Rate $7,944.00
Rate for Payer: Aetna Commercial $6,371.75
Rate for Payer: Anthem POS/PPO/Traditional $6,454.50
Rate for Payer: Cash Price $4,137.50
Rate for Payer: Cigna Commercial $6,868.25
Rate for Payer: First Health Commercial $7,861.25
Rate for Payer: Humana Commercial $7,033.75
Rate for Payer: Medical Mutual Of Ohio HMO $6,785.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $6,106.95
Rate for Payer: Molina Healthcare Benefit Exchange $2,482.50
Rate for Payer: Ohio Health Choice Commercial $7,282.00
Rate for Payer: Ohio Health Group HMO $6,206.25
Rate for Payer: Ohio Health Group PPO Differential $1,655.00
Rate for Payer: Ohio Health Group PPO No Differential $1,075.75
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,565.25
Rate for Payer: PHCS Commercial $7,944.00
Rate for Payer: United Healthcare All Payer $7,282.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem Medicaid $2,469.20
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Humana KY Medicaid $2,469.20
Rate for Payer: Kentucky WC Medicaid $2,494.33
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Molina Healthcare Medicaid $2,518.74
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem Medicaid $2,469.20
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Humana KY Medicaid $2,469.20
Rate for Payer: Kentucky WC Medicaid $2,494.33
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Molina Healthcare Medicaid $2,518.74
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem Medicaid $2,469.20
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Humana KY Medicaid $2,469.20
Rate for Payer: Kentucky WC Medicaid $2,494.33
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Molina Healthcare Medicaid $2,518.74
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem Medicaid $2,469.20
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Humana KY Medicaid $2,469.20
Rate for Payer: Kentucky WC Medicaid $2,494.33
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Molina Healthcare Medicaid $2,518.74
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem Medicaid $2,469.20
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Humana KY Medicaid $2,469.20
Rate for Payer: Kentucky WC Medicaid $2,494.33
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Molina Healthcare Medicaid $2,518.74
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem Medicaid $2,469.20
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Humana KY Medicaid $2,469.20
Rate for Payer: Kentucky WC Medicaid $2,494.33
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Molina Healthcare Medicaid $2,518.74
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $933.40
Max. Negotiated Rate $6,892.80
Rate for Payer: Aetna Commercial $5,528.60
Rate for Payer: Anthem POS/PPO/Traditional $5,600.40
Rate for Payer: Cash Price $3,590.00
Rate for Payer: Cigna Commercial $5,959.40
Rate for Payer: First Health Commercial $6,821.00
Rate for Payer: Humana Commercial $6,103.00
Rate for Payer: Medical Mutual Of Ohio HMO $5,887.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $5,298.84
Rate for Payer: Molina Healthcare Benefit Exchange $2,154.00
Rate for Payer: Ohio Health Choice Commercial $6,318.40
Rate for Payer: Ohio Health Group HMO $5,385.00
Rate for Payer: Ohio Health Group PPO Differential $1,436.00
Rate for Payer: Ohio Health Group PPO No Differential $933.40
Rate for Payer: Ohio Health Group PPO SOMC Employees $2,225.80
Rate for Payer: PHCS Commercial $6,892.80
Rate for Payer: United Healthcare All Payer $6,318.40