|
CORAIL2 LAT COXA VARA SIZE 12
|
Facility
|
IP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 13
|
Facility
|
IP
|
$22,156.89
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,647.07 |
| Max. Negotiated Rate |
$21,270.61 |
| Rate for Payer: Aetna Commercial |
$17,060.81
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$17,282.37
|
| Rate for Payer: Cash Price |
$11,078.44
|
| Rate for Payer: Cigna Commercial |
$18,390.22
|
| Rate for Payer: First Health Commercial |
$21,049.05
|
| Rate for Payer: Humana Commercial |
$18,833.36
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$18,168.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$16,351.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,647.07
|
| Rate for Payer: Ohio Health Choice Commercial |
$19,498.06
|
| Rate for Payer: Ohio Health Group HMO |
$16,617.67
|
| Rate for Payer: Ohio Health Group PPO Differential |
$17,725.51
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$19,276.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,288.25
|
| Rate for Payer: PHCS Commercial |
$21,270.61
|
| Rate for Payer: United Healthcare All Payer |
$19,498.06
|
|
|
CORAIL2 LAT COXA VARA SIZE 13
|
Facility
|
OP
|
$22,156.89
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,647.07 |
| Max. Negotiated Rate |
$21,270.61 |
| Rate for Payer: Aetna Commercial |
$17,060.81
|
| Rate for Payer: Anthem Medicaid |
$7,619.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$17,282.37
|
| Rate for Payer: Cash Price |
$11,078.44
|
| Rate for Payer: Cigna Commercial |
$18,390.22
|
| Rate for Payer: First Health Commercial |
$21,049.05
|
| Rate for Payer: Humana Commercial |
$18,833.36
|
| Rate for Payer: Humana KY Medicaid |
$7,619.75
|
| Rate for Payer: Kentucky WC Medicaid |
$7,697.30
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$18,168.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$16,351.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,647.07
|
| Rate for Payer: Molina Healthcare Medicaid |
$7,772.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$19,498.06
|
| Rate for Payer: Ohio Health Group HMO |
$16,617.67
|
| Rate for Payer: Ohio Health Group PPO Differential |
$17,725.51
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$19,276.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,288.25
|
| Rate for Payer: PHCS Commercial |
$21,270.61
|
| Rate for Payer: United Healthcare All Payer |
$19,498.06
|
|
|
CORAIL2 LAT COXA VARA SIZE 14
|
Facility
|
OP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem Medicaid |
$7,972.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Humana KY Medicaid |
$7,972.89
|
| Rate for Payer: Kentucky WC Medicaid |
$8,054.03
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,132.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 14
|
Facility
|
IP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 15
|
Facility
|
IP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 15
|
Facility
|
OP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem Medicaid |
$7,972.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Humana KY Medicaid |
$7,972.89
|
| Rate for Payer: Kentucky WC Medicaid |
$8,054.03
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,132.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 16
|
Facility
|
OP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem Medicaid |
$7,972.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Humana KY Medicaid |
$7,972.89
|
| Rate for Payer: Kentucky WC Medicaid |
$8,054.03
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,132.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 16
|
Facility
|
IP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 18
|
Facility
|
IP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 18
|
Facility
|
OP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem Medicaid |
$7,972.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Humana KY Medicaid |
$7,972.89
|
| Rate for Payer: Kentucky WC Medicaid |
$8,054.03
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,132.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 20
|
Facility
|
IP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 LAT COXA VARA SIZE 20
|
Facility
|
OP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem Medicaid |
$7,973.92
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Humana KY Medicaid |
$7,973.92
|
| Rate for Payer: Kentucky WC Medicaid |
$8,055.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,133.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 LAT COXA VARA SIZE 9
|
Facility
|
IP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 LAT COXA VARA SIZE 9
|
Facility
|
OP
|
$23,183.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,955.12 |
| Max. Negotiated Rate |
$22,256.40 |
| Rate for Payer: Aetna Commercial |
$17,851.49
|
| Rate for Payer: Anthem Medicaid |
$7,972.89
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,083.33
|
| Rate for Payer: Cash Price |
$11,591.88
|
| Rate for Payer: Cigna Commercial |
$19,242.51
|
| Rate for Payer: First Health Commercial |
$22,024.56
|
| Rate for Payer: Humana Commercial |
$19,706.19
|
| Rate for Payer: Humana KY Medicaid |
$7,972.89
|
| Rate for Payer: Kentucky WC Medicaid |
$8,054.03
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,010.67
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,109.61
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,955.12
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,132.86
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,401.70
|
| Rate for Payer: Ohio Health Group HMO |
$17,387.81
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,547.00
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,169.86
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,996.79
|
| Rate for Payer: PHCS Commercial |
$22,256.40
|
| Rate for Payer: United Healthcare All Payer |
$20,401.70
|
|
|
CORAIL2 STD SIZE 10
|
Facility
|
IP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 10
|
Facility
|
OP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem Medicaid |
$7,973.92
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Humana KY Medicaid |
$7,973.92
|
| Rate for Payer: Kentucky WC Medicaid |
$8,055.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,133.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 11
|
Facility
|
OP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem Medicaid |
$7,973.92
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Humana KY Medicaid |
$7,973.92
|
| Rate for Payer: Kentucky WC Medicaid |
$8,055.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,133.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 11
|
Facility
|
IP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 12
|
Facility
|
IP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 12
|
Facility
|
OP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem Medicaid |
$7,973.92
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Humana KY Medicaid |
$7,973.92
|
| Rate for Payer: Kentucky WC Medicaid |
$8,055.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,133.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 13
|
Facility
|
OP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem Medicaid |
$7,973.92
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Humana KY Medicaid |
$7,973.92
|
| Rate for Payer: Kentucky WC Medicaid |
$8,055.08
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,133.91
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 13
|
Facility
|
IP
|
$23,186.75
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,956.02 |
| Max. Negotiated Rate |
$22,259.28 |
| Rate for Payer: Aetna Commercial |
$17,853.80
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$18,085.67
|
| Rate for Payer: Cash Price |
$11,593.38
|
| Rate for Payer: Cigna Commercial |
$19,245.00
|
| Rate for Payer: First Health Commercial |
$22,027.41
|
| Rate for Payer: Humana Commercial |
$19,708.74
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$19,013.13
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$17,111.82
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,956.02
|
| Rate for Payer: Ohio Health Choice Commercial |
$20,404.34
|
| Rate for Payer: Ohio Health Group HMO |
$17,390.06
|
| Rate for Payer: Ohio Health Group PPO Differential |
$18,549.40
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$20,172.47
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,998.86
|
| Rate for Payer: PHCS Commercial |
$22,259.28
|
| Rate for Payer: United Healthcare All Payer |
$20,404.34
|
|
|
CORAIL2 STD SIZE 14
|
Facility
|
OP
|
$22,156.89
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,647.07 |
| Max. Negotiated Rate |
$21,270.61 |
| Rate for Payer: Aetna Commercial |
$17,060.81
|
| Rate for Payer: Anthem Medicaid |
$7,619.75
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$17,282.37
|
| Rate for Payer: Cash Price |
$11,078.44
|
| Rate for Payer: Cigna Commercial |
$18,390.22
|
| Rate for Payer: First Health Commercial |
$21,049.05
|
| Rate for Payer: Humana Commercial |
$18,833.36
|
| Rate for Payer: Humana KY Medicaid |
$7,619.75
|
| Rate for Payer: Kentucky WC Medicaid |
$7,697.30
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$18,168.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$16,351.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,647.07
|
| Rate for Payer: Molina Healthcare Medicaid |
$7,772.64
|
| Rate for Payer: Ohio Health Choice Commercial |
$19,498.06
|
| Rate for Payer: Ohio Health Group HMO |
$16,617.67
|
| Rate for Payer: Ohio Health Group PPO Differential |
$17,725.51
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$19,276.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,288.25
|
| Rate for Payer: PHCS Commercial |
$21,270.61
|
| Rate for Payer: United Healthcare All Payer |
$19,498.06
|
|
|
CORAIL2 STD SIZE 14
|
Facility
|
IP
|
$22,156.89
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$6,647.07 |
| Max. Negotiated Rate |
$21,270.61 |
| Rate for Payer: Aetna Commercial |
$17,060.81
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$17,282.37
|
| Rate for Payer: Cash Price |
$11,078.44
|
| Rate for Payer: Cigna Commercial |
$18,390.22
|
| Rate for Payer: First Health Commercial |
$21,049.05
|
| Rate for Payer: Humana Commercial |
$18,833.36
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$18,168.65
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$16,351.78
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$6,647.07
|
| Rate for Payer: Ohio Health Choice Commercial |
$19,498.06
|
| Rate for Payer: Ohio Health Group HMO |
$16,617.67
|
| Rate for Payer: Ohio Health Group PPO Differential |
$17,725.51
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$19,276.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$15,288.25
|
| Rate for Payer: PHCS Commercial |
$21,270.61
|
| Rate for Payer: United Healthcare All Payer |
$19,498.06
|
|
