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Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $262.09
Max. Negotiated Rate $1,935.41
Rate for Payer: Aetna Commercial $1,552.36
Rate for Payer: Anthem Medicaid $693.32
Rate for Payer: Anthem POS/PPO/Traditional $1,572.52
Rate for Payer: Cash Price $1,008.02
Rate for Payer: Cigna Commercial $1,673.32
Rate for Payer: First Health Commercial $1,915.25
Rate for Payer: Humana Commercial $1,713.64
Rate for Payer: Humana KY Medicaid $693.32
Rate for Payer: Kentucky WC Medicaid $700.38
Rate for Payer: Medical Mutual Of Ohio HMO $1,653.16
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,487.84
Rate for Payer: Molina Healthcare Benefit Exchange $604.82
Rate for Payer: Molina Healthcare Medicaid $707.23
Rate for Payer: Ohio Health Choice Commercial $1,774.12
Rate for Payer: Ohio Health Group HMO $1,512.04
Rate for Payer: Ohio Health Group PPO Differential $403.21
Rate for Payer: Ohio Health Group PPO No Differential $262.09
Rate for Payer: Ohio Health Group PPO SOMC Employees $624.98
Rate for Payer: PHCS Commercial $1,935.41
Rate for Payer: United Healthcare All Payer $1,774.12
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $404.76
Max. Negotiated Rate $2,988.96
Rate for Payer: Anthem POS/PPO/Traditional $2,428.53
Rate for Payer: Cash Price $1,556.75
Rate for Payer: Cigna Commercial $2,584.20
Rate for Payer: First Health Commercial $2,957.82
Rate for Payer: Humana Commercial $2,646.48
Rate for Payer: Humana KY Medicaid $1,070.73
Rate for Payer: Kentucky WC Medicaid $1,081.63
Rate for Payer: Medical Mutual Of Ohio HMO $2,553.07
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,297.76
Rate for Payer: Molina Healthcare Benefit Exchange $934.05
Rate for Payer: Molina Healthcare Medicaid $1,092.22
Rate for Payer: Ohio Health Choice Commercial $2,739.88
Rate for Payer: Ohio Health Group HMO $2,335.12
Rate for Payer: Ohio Health Group PPO Differential $622.70
Rate for Payer: Ohio Health Group PPO No Differential $404.76
Rate for Payer: Ohio Health Group PPO SOMC Employees $965.18
Rate for Payer: PHCS Commercial $2,988.96
Rate for Payer: United Healthcare All Payer $2,739.88
Rate for Payer: Aetna Commercial $2,397.40
Rate for Payer: Anthem Medicaid $1,070.73
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $404.76
Max. Negotiated Rate $2,988.96
Rate for Payer: Aetna Commercial $2,397.40
Rate for Payer: Anthem POS/PPO/Traditional $2,428.53
Rate for Payer: Cash Price $1,556.75
Rate for Payer: Cigna Commercial $2,584.20
Rate for Payer: First Health Commercial $2,957.82
Rate for Payer: Humana Commercial $2,646.48
Rate for Payer: Medical Mutual Of Ohio HMO $2,553.07
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,297.76
Rate for Payer: Molina Healthcare Benefit Exchange $934.05
Rate for Payer: Ohio Health Choice Commercial $2,739.88
Rate for Payer: Ohio Health Group HMO $2,335.12
Rate for Payer: Ohio Health Group PPO Differential $622.70
Rate for Payer: Ohio Health Group PPO No Differential $404.76
Rate for Payer: Ohio Health Group PPO SOMC Employees $965.18
Rate for Payer: PHCS Commercial $2,988.96
Rate for Payer: United Healthcare All Payer $2,739.88
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $445.66
Max. Negotiated Rate $3,291.02
Rate for Payer: Aetna Commercial $2,639.68
Rate for Payer: Anthem POS/PPO/Traditional $2,673.96
Rate for Payer: Cash Price $1,714.08
Rate for Payer: Cigna Commercial $2,845.36
Rate for Payer: First Health Commercial $3,256.74
Rate for Payer: Humana Commercial $2,913.93
Rate for Payer: Medical Mutual Of Ohio HMO $2,811.08
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,529.97
Rate for Payer: Molina Healthcare Benefit Exchange $1,028.44
Rate for Payer: Ohio Health Choice Commercial $3,016.77
Rate for Payer: Ohio Health Group HMO $2,571.11
Rate for Payer: Ohio Health Group PPO Differential $685.63
Rate for Payer: Ohio Health Group PPO No Differential $445.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,062.73
Rate for Payer: PHCS Commercial $3,291.02
Rate for Payer: United Healthcare All Payer $3,016.77
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $445.66
Max. Negotiated Rate $3,291.02
Rate for Payer: Aetna Commercial $2,639.68
Rate for Payer: Anthem Medicaid $1,178.94
Rate for Payer: Anthem POS/PPO/Traditional $2,673.96
Rate for Payer: Cash Price $1,714.08
Rate for Payer: Cigna Commercial $2,845.36
Rate for Payer: First Health Commercial $3,256.74
Rate for Payer: Humana Commercial $2,913.93
Rate for Payer: Humana KY Medicaid $1,178.94
Rate for Payer: Kentucky WC Medicaid $1,190.94
Rate for Payer: Medical Mutual Of Ohio HMO $2,811.08
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,529.97
Rate for Payer: Molina Healthcare Benefit Exchange $1,028.44
Rate for Payer: Molina Healthcare Medicaid $1,202.60
Rate for Payer: Ohio Health Choice Commercial $3,016.77
Rate for Payer: Ohio Health Group HMO $2,571.11
Rate for Payer: Ohio Health Group PPO Differential $685.63
Rate for Payer: Ohio Health Group PPO No Differential $445.66
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,062.73
Rate for Payer: PHCS Commercial $3,291.02
Rate for Payer: United Healthcare All Payer $3,016.77
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $248.30
Max. Negotiated Rate $1,833.60
Rate for Payer: Aetna Commercial $1,470.70
Rate for Payer: Anthem Medicaid $656.85
Rate for Payer: Anthem POS/PPO/Traditional $1,489.80
Rate for Payer: Cash Price $955.00
Rate for Payer: Cigna Commercial $1,585.30
Rate for Payer: First Health Commercial $1,814.50
Rate for Payer: Humana Commercial $1,623.50
Rate for Payer: Humana KY Medicaid $656.85
Rate for Payer: Kentucky WC Medicaid $663.53
Rate for Payer: Medical Mutual Of Ohio HMO $1,566.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,409.58
Rate for Payer: Molina Healthcare Benefit Exchange $573.00
Rate for Payer: Molina Healthcare Medicaid $670.03
Rate for Payer: Ohio Health Choice Commercial $1,680.80
Rate for Payer: Ohio Health Group HMO $1,432.50
Rate for Payer: Ohio Health Group PPO Differential $382.00
Rate for Payer: Ohio Health Group PPO No Differential $248.30
Rate for Payer: Ohio Health Group PPO SOMC Employees $592.10
Rate for Payer: PHCS Commercial $1,833.60
Rate for Payer: United Healthcare All Payer $1,680.80
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $248.30
Max. Negotiated Rate $1,833.60
Rate for Payer: Aetna Commercial $1,470.70
Rate for Payer: Anthem POS/PPO/Traditional $1,489.80
Rate for Payer: Cash Price $955.00
Rate for Payer: Cigna Commercial $1,585.30
Rate for Payer: First Health Commercial $1,814.50
Rate for Payer: Humana Commercial $1,623.50
Rate for Payer: Medical Mutual Of Ohio HMO $1,566.20
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,409.58
Rate for Payer: Molina Healthcare Benefit Exchange $573.00
Rate for Payer: Ohio Health Choice Commercial $1,680.80
Rate for Payer: Ohio Health Group HMO $1,432.50
Rate for Payer: Ohio Health Group PPO Differential $382.00
Rate for Payer: Ohio Health Group PPO No Differential $248.30
Rate for Payer: Ohio Health Group PPO SOMC Employees $592.10
Rate for Payer: PHCS Commercial $1,833.60
Rate for Payer: United Healthcare All Payer $1,680.80
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $223.28
Max. Negotiated Rate $1,648.80
Rate for Payer: Aetna Commercial $1,322.48
Rate for Payer: Anthem Medicaid $590.65
Rate for Payer: Anthem POS/PPO/Traditional $1,339.65
Rate for Payer: Cash Price $858.75
Rate for Payer: Cigna Commercial $1,425.52
Rate for Payer: First Health Commercial $1,631.62
Rate for Payer: Humana Commercial $1,459.88
Rate for Payer: Humana KY Medicaid $590.65
Rate for Payer: Kentucky WC Medicaid $596.66
Rate for Payer: Medical Mutual Of Ohio HMO $1,408.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,267.52
Rate for Payer: Molina Healthcare Benefit Exchange $515.25
Rate for Payer: Molina Healthcare Medicaid $602.50
Rate for Payer: Ohio Health Choice Commercial $1,511.40
Rate for Payer: Ohio Health Group HMO $1,288.12
Rate for Payer: Ohio Health Group PPO Differential $343.50
Rate for Payer: Ohio Health Group PPO No Differential $223.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $532.42
Rate for Payer: PHCS Commercial $1,648.80
Rate for Payer: United Healthcare All Payer $1,511.40
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $223.28
Max. Negotiated Rate $1,648.80
Rate for Payer: Aetna Commercial $1,322.48
Rate for Payer: Anthem POS/PPO/Traditional $1,339.65
Rate for Payer: Cash Price $858.75
Rate for Payer: Cigna Commercial $1,425.52
Rate for Payer: First Health Commercial $1,631.62
Rate for Payer: Humana Commercial $1,459.88
Rate for Payer: Medical Mutual Of Ohio HMO $1,408.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,267.52
Rate for Payer: Molina Healthcare Benefit Exchange $515.25
Rate for Payer: Ohio Health Choice Commercial $1,511.40
Rate for Payer: Ohio Health Group HMO $1,288.12
Rate for Payer: Ohio Health Group PPO Differential $343.50
Rate for Payer: Ohio Health Group PPO No Differential $223.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $532.42
Rate for Payer: PHCS Commercial $1,648.80
Rate for Payer: United Healthcare All Payer $1,511.40
Service Code HCPCS L2795
Hospital Charge Code 27000024
Hospital Revenue Code 272
Min. Negotiated Rate $223.28
Max. Negotiated Rate $1,648.80
Rate for Payer: Aetna Commercial $1,322.48
Rate for Payer: Anthem POS/PPO/Traditional $1,339.65
Rate for Payer: Cash Price $858.75
Rate for Payer: Cigna Commercial $1,425.52
Rate for Payer: First Health Commercial $1,631.62
Rate for Payer: Humana Commercial $1,459.88
Rate for Payer: Medical Mutual Of Ohio HMO $1,408.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,267.52
Rate for Payer: Molina Healthcare Benefit Exchange $515.25
Rate for Payer: Ohio Health Choice Commercial $1,511.40
Rate for Payer: Ohio Health Group HMO $1,288.12
Rate for Payer: Ohio Health Group PPO Differential $343.50
Rate for Payer: Ohio Health Group PPO No Differential $223.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $532.42
Rate for Payer: PHCS Commercial $1,648.80
Rate for Payer: United Healthcare All Payer $1,511.40
Service Code HCPCS L2795
Hospital Charge Code 27000024
Hospital Revenue Code 272
Min. Negotiated Rate $223.28
Max. Negotiated Rate $1,648.80
Rate for Payer: Aetna Commercial $1,322.48
Rate for Payer: Anthem Medicaid $590.65
Rate for Payer: Anthem POS/PPO/Traditional $1,339.65
Rate for Payer: Cash Price $858.75
Rate for Payer: Cigna Commercial $1,425.52
Rate for Payer: First Health Commercial $1,631.62
Rate for Payer: Humana Commercial $1,459.88
Rate for Payer: Humana KY Medicaid $590.65
Rate for Payer: Kentucky WC Medicaid $596.66
Rate for Payer: Medical Mutual Of Ohio HMO $1,408.35
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,267.52
Rate for Payer: Molina Healthcare Benefit Exchange $515.25
Rate for Payer: Molina Healthcare Medicaid $602.50
Rate for Payer: Ohio Health Choice Commercial $1,511.40
Rate for Payer: Ohio Health Group HMO $1,288.12
Rate for Payer: Ohio Health Group PPO Differential $343.50
Rate for Payer: Ohio Health Group PPO No Differential $223.28
Rate for Payer: Ohio Health Group PPO SOMC Employees $532.42
Rate for Payer: PHCS Commercial $1,648.80
Rate for Payer: United Healthcare All Payer $1,511.40
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $445.25
Max. Negotiated Rate $3,288.00
Rate for Payer: Aetna Commercial $2,637.25
Rate for Payer: Anthem POS/PPO/Traditional $2,671.50
Rate for Payer: Cash Price $1,712.50
Rate for Payer: Cigna Commercial $2,842.75
Rate for Payer: First Health Commercial $3,253.75
Rate for Payer: Humana Commercial $2,911.25
Rate for Payer: Medical Mutual Of Ohio HMO $2,808.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,527.65
Rate for Payer: Molina Healthcare Benefit Exchange $1,027.50
Rate for Payer: Ohio Health Choice Commercial $3,014.00
Rate for Payer: Ohio Health Group HMO $2,568.75
Rate for Payer: Ohio Health Group PPO Differential $685.00
Rate for Payer: Ohio Health Group PPO No Differential $445.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,061.75
Rate for Payer: PHCS Commercial $3,288.00
Rate for Payer: United Healthcare All Payer $3,014.00
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $445.25
Max. Negotiated Rate $3,288.00
Rate for Payer: Aetna Commercial $2,637.25
Rate for Payer: Anthem Medicaid $1,177.86
Rate for Payer: Anthem POS/PPO/Traditional $2,671.50
Rate for Payer: Cash Price $1,712.50
Rate for Payer: Cigna Commercial $2,842.75
Rate for Payer: First Health Commercial $3,253.75
Rate for Payer: Humana Commercial $2,911.25
Rate for Payer: Humana KY Medicaid $1,177.86
Rate for Payer: Kentucky WC Medicaid $1,189.84
Rate for Payer: Medical Mutual Of Ohio HMO $2,808.50
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $2,527.65
Rate for Payer: Molina Healthcare Benefit Exchange $1,027.50
Rate for Payer: Molina Healthcare Medicaid $1,201.49
Rate for Payer: Ohio Health Choice Commercial $3,014.00
Rate for Payer: Ohio Health Group HMO $2,568.75
Rate for Payer: Ohio Health Group PPO Differential $685.00
Rate for Payer: Ohio Health Group PPO No Differential $445.25
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,061.75
Rate for Payer: PHCS Commercial $3,288.00
Rate for Payer: United Healthcare All Payer $3,014.00
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $246.02
Max. Negotiated Rate $1,816.80
Rate for Payer: Aetna Commercial $1,457.22
Rate for Payer: Anthem POS/PPO/Traditional $1,476.15
Rate for Payer: Cash Price $946.25
Rate for Payer: Cigna Commercial $1,570.78
Rate for Payer: First Health Commercial $1,797.88
Rate for Payer: Humana Commercial $1,608.62
Rate for Payer: Medical Mutual Of Ohio HMO $1,551.85
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,396.66
Rate for Payer: Molina Healthcare Benefit Exchange $567.75
Rate for Payer: Ohio Health Choice Commercial $1,665.40
Rate for Payer: Ohio Health Group HMO $1,419.38
Rate for Payer: Ohio Health Group PPO Differential $378.50
Rate for Payer: Ohio Health Group PPO No Differential $246.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $586.68
Rate for Payer: PHCS Commercial $1,816.80
Rate for Payer: United Healthcare All Payer $1,665.40
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $246.02
Max. Negotiated Rate $1,816.80
Rate for Payer: Aetna Commercial $1,457.22
Rate for Payer: Anthem Medicaid $650.83
Rate for Payer: Anthem POS/PPO/Traditional $1,476.15
Rate for Payer: Cash Price $946.25
Rate for Payer: Cigna Commercial $1,570.78
Rate for Payer: First Health Commercial $1,797.88
Rate for Payer: Humana Commercial $1,608.62
Rate for Payer: Humana KY Medicaid $650.83
Rate for Payer: Kentucky WC Medicaid $657.45
Rate for Payer: Medical Mutual Of Ohio HMO $1,551.85
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,396.66
Rate for Payer: Molina Healthcare Benefit Exchange $567.75
Rate for Payer: Molina Healthcare Medicaid $663.89
Rate for Payer: Ohio Health Choice Commercial $1,665.40
Rate for Payer: Ohio Health Group HMO $1,419.38
Rate for Payer: Ohio Health Group PPO Differential $378.50
Rate for Payer: Ohio Health Group PPO No Differential $246.02
Rate for Payer: Ohio Health Group PPO SOMC Employees $586.68
Rate for Payer: PHCS Commercial $1,816.80
Rate for Payer: United Healthcare All Payer $1,665.40
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $223.77
Max. Negotiated Rate $1,652.43
Rate for Payer: Aetna Commercial $1,325.39
Rate for Payer: Anthem Medicaid $591.95
Rate for Payer: Anthem POS/PPO/Traditional $1,342.60
Rate for Payer: Cash Price $860.64
Rate for Payer: Cigna Commercial $1,428.66
Rate for Payer: First Health Commercial $1,635.22
Rate for Payer: Humana Commercial $1,463.09
Rate for Payer: Humana KY Medicaid $591.95
Rate for Payer: Kentucky WC Medicaid $597.97
Rate for Payer: Medical Mutual Of Ohio HMO $1,411.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,270.30
Rate for Payer: Molina Healthcare Benefit Exchange $516.38
Rate for Payer: Molina Healthcare Medicaid $603.83
Rate for Payer: Ohio Health Choice Commercial $1,514.73
Rate for Payer: Ohio Health Group HMO $1,290.96
Rate for Payer: Ohio Health Group PPO Differential $344.26
Rate for Payer: Ohio Health Group PPO No Differential $223.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $533.60
Rate for Payer: PHCS Commercial $1,652.43
Rate for Payer: United Healthcare All Payer $1,514.73
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $223.77
Max. Negotiated Rate $1,652.43
Rate for Payer: Aetna Commercial $1,325.39
Rate for Payer: Anthem POS/PPO/Traditional $1,342.60
Rate for Payer: Cash Price $860.64
Rate for Payer: Cigna Commercial $1,428.66
Rate for Payer: First Health Commercial $1,635.22
Rate for Payer: Humana Commercial $1,463.09
Rate for Payer: Medical Mutual Of Ohio HMO $1,411.45
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,270.30
Rate for Payer: Molina Healthcare Benefit Exchange $516.38
Rate for Payer: Ohio Health Choice Commercial $1,514.73
Rate for Payer: Ohio Health Group HMO $1,290.96
Rate for Payer: Ohio Health Group PPO Differential $344.26
Rate for Payer: Ohio Health Group PPO No Differential $223.77
Rate for Payer: Ohio Health Group PPO SOMC Employees $533.60
Rate for Payer: PHCS Commercial $1,652.43
Rate for Payer: United Healthcare All Payer $1,514.73
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $227.82
Max. Negotiated Rate $1,682.40
Rate for Payer: Aetna Commercial $1,349.42
Rate for Payer: Anthem Medicaid $602.68
Rate for Payer: Anthem POS/PPO/Traditional $1,366.95
Rate for Payer: Cash Price $876.25
Rate for Payer: Cigna Commercial $1,454.58
Rate for Payer: First Health Commercial $1,664.88
Rate for Payer: Humana Commercial $1,489.62
Rate for Payer: Humana KY Medicaid $602.68
Rate for Payer: Kentucky WC Medicaid $608.82
Rate for Payer: Medical Mutual Of Ohio HMO $1,437.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,293.34
Rate for Payer: Molina Healthcare Benefit Exchange $525.75
Rate for Payer: Molina Healthcare Medicaid $614.78
Rate for Payer: Ohio Health Choice Commercial $1,542.20
Rate for Payer: Ohio Health Group HMO $1,314.38
Rate for Payer: Ohio Health Group PPO Differential $350.50
Rate for Payer: Ohio Health Group PPO No Differential $227.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $543.28
Rate for Payer: PHCS Commercial $1,682.40
Rate for Payer: United Healthcare All Payer $1,542.20
Hospital Charge Code 27000242
Hospital Revenue Code 272
Min. Negotiated Rate $227.82
Max. Negotiated Rate $1,682.40
Rate for Payer: Aetna Commercial $1,349.42
Rate for Payer: Anthem POS/PPO/Traditional $1,366.95
Rate for Payer: Cash Price $876.25
Rate for Payer: Cigna Commercial $1,454.58
Rate for Payer: First Health Commercial $1,664.88
Rate for Payer: Humana Commercial $1,489.62
Rate for Payer: Medical Mutual Of Ohio HMO $1,437.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,293.34
Rate for Payer: Molina Healthcare Benefit Exchange $525.75
Rate for Payer: Ohio Health Choice Commercial $1,542.20
Rate for Payer: Ohio Health Group HMO $1,314.38
Rate for Payer: Ohio Health Group PPO Differential $350.50
Rate for Payer: Ohio Health Group PPO No Differential $227.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $543.28
Rate for Payer: PHCS Commercial $1,682.40
Rate for Payer: United Healthcare All Payer $1,542.20
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $258.01
Max. Negotiated Rate $1,905.33
Rate for Payer: Aetna Commercial $1,528.23
Rate for Payer: Anthem Medicaid $682.55
Rate for Payer: Anthem POS/PPO/Traditional $1,548.08
Rate for Payer: Cash Price $992.36
Rate for Payer: Cigna Commercial $1,647.32
Rate for Payer: First Health Commercial $1,885.48
Rate for Payer: Humana Commercial $1,687.01
Rate for Payer: Humana KY Medicaid $682.55
Rate for Payer: Kentucky WC Medicaid $689.49
Rate for Payer: Medical Mutual Of Ohio HMO $1,627.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,464.72
Rate for Payer: Molina Healthcare Benefit Exchange $595.42
Rate for Payer: Molina Healthcare Medicaid $696.24
Rate for Payer: Ohio Health Choice Commercial $1,746.55
Rate for Payer: Ohio Health Group HMO $1,488.54
Rate for Payer: Ohio Health Group PPO Differential $396.94
Rate for Payer: Ohio Health Group PPO No Differential $258.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $615.26
Rate for Payer: PHCS Commercial $1,905.33
Rate for Payer: United Healthcare All Payer $1,746.55
Service Code HCPCS C1776
Hospital Charge Code 27000011
Hospital Revenue Code 278
Min. Negotiated Rate $258.01
Max. Negotiated Rate $1,905.33
Rate for Payer: Aetna Commercial $1,528.23
Rate for Payer: Anthem POS/PPO/Traditional $1,548.08
Rate for Payer: Cash Price $992.36
Rate for Payer: Cigna Commercial $1,647.32
Rate for Payer: First Health Commercial $1,885.48
Rate for Payer: Humana Commercial $1,687.01
Rate for Payer: Medical Mutual Of Ohio HMO $1,627.47
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,464.72
Rate for Payer: Molina Healthcare Benefit Exchange $595.42
Rate for Payer: Ohio Health Choice Commercial $1,746.55
Rate for Payer: Ohio Health Group HMO $1,488.54
Rate for Payer: Ohio Health Group PPO Differential $396.94
Rate for Payer: Ohio Health Group PPO No Differential $258.01
Rate for Payer: Ohio Health Group PPO SOMC Employees $615.26
Rate for Payer: PHCS Commercial $1,905.33
Rate for Payer: United Healthcare All Payer $1,746.55
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $226.00
Max. Negotiated Rate $1,668.96
Rate for Payer: Aetna Commercial $1,338.64
Rate for Payer: Anthem POS/PPO/Traditional $1,356.03
Rate for Payer: Cash Price $869.25
Rate for Payer: Cigna Commercial $1,442.96
Rate for Payer: First Health Commercial $1,651.58
Rate for Payer: Humana Commercial $1,477.72
Rate for Payer: Medical Mutual Of Ohio HMO $1,425.57
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,283.01
Rate for Payer: Molina Healthcare Benefit Exchange $521.55
Rate for Payer: Ohio Health Choice Commercial $1,529.88
Rate for Payer: Ohio Health Group HMO $1,303.88
Rate for Payer: Ohio Health Group PPO Differential $347.70
Rate for Payer: Ohio Health Group PPO No Differential $226.00
Rate for Payer: Ohio Health Group PPO SOMC Employees $538.94
Rate for Payer: PHCS Commercial $1,668.96
Rate for Payer: United Healthcare All Payer $1,529.88
Service Code HCPCS C1713
Hospital Charge Code 27000005
Hospital Revenue Code 278
Min. Negotiated Rate $226.00
Max. Negotiated Rate $1,668.96
Rate for Payer: Aetna Commercial $1,338.64
Rate for Payer: Anthem Medicaid $597.87
Rate for Payer: Anthem POS/PPO/Traditional $1,356.03
Rate for Payer: Cash Price $869.25
Rate for Payer: Cigna Commercial $1,442.96
Rate for Payer: First Health Commercial $1,651.58
Rate for Payer: Humana Commercial $1,477.72
Rate for Payer: Humana KY Medicaid $597.87
Rate for Payer: Kentucky WC Medicaid $603.95
Rate for Payer: Medical Mutual Of Ohio HMO $1,425.57
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $1,283.01
Rate for Payer: Molina Healthcare Benefit Exchange $521.55
Rate for Payer: Molina Healthcare Medicaid $609.87
Rate for Payer: Ohio Health Choice Commercial $1,529.88
Rate for Payer: Ohio Health Group HMO $1,303.88
Rate for Payer: Ohio Health Group PPO Differential $347.70
Rate for Payer: Ohio Health Group PPO No Differential $226.00
Rate for Payer: Ohio Health Group PPO SOMC Employees $538.94
Rate for Payer: PHCS Commercial $1,668.96
Rate for Payer: United Healthcare All Payer $1,529.88
Service Code HCPCS 69000
Hospital Charge Code 76102401
Hospital Revenue Code 761
Min. Negotiated Rate $146.12
Max. Negotiated Rate $1,079.04
Rate for Payer: Aetna Commercial $865.48
Rate for Payer: Anthem Medicaid $386.54
Rate for Payer: Anthem Medicare Advantage/PPO $608.42
Rate for Payer: Anthem POS/PPO/Traditional $876.72
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $851.79
Rate for Payer: CareSource Just4Me Medicare $821.37
Rate for Payer: Cash Price $562.00
Rate for Payer: Cash Price $562.00
Rate for Payer: Cigna Commercial $932.92
Rate for Payer: First Health Commercial $1,067.80
Rate for Payer: Humana Commercial $955.40
Rate for Payer: Humana KY Medicaid $386.54
Rate for Payer: Humana Medicare Advantage $608.42
Rate for Payer: Kentucky WC Medicaid $390.48
Rate for Payer: Medical Mutual Of Ohio HMO $921.68
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $829.51
Rate for Payer: Molina Healthcare Benefit Exchange $730.10
Rate for Payer: Molina Healthcare Medicaid $394.30
Rate for Payer: Ohio Health Choice Commercial $989.12
Rate for Payer: Ohio Health Group HMO $843.00
Rate for Payer: Ohio Health Group PPO Differential $224.80
Rate for Payer: Ohio Health Group PPO No Differential $146.12
Rate for Payer: Ohio Health Group PPO SOMC Employees $348.44
Rate for Payer: PHCS Commercial $1,079.04
Rate for Payer: United Healthcare All Payer $989.12
Service Code HCPCS 69000
Hospital Charge Code 76102401
Hospital Revenue Code 761
Min. Negotiated Rate $46.50
Max. Negotiated Rate $1,124.00
Rate for Payer: Aetna Commercial $165.67
Rate for Payer: Anthem HMO/Medicare Advantage/POS/PPO/Pathway Tiered Hospital/Pathway X Tiered Hospital/Traditional $63.50
Rate for Payer: Anthem Medicaid $46.50
Rate for Payer: Buckeye Medicare Advantage $1,124.00
Rate for Payer: Cash Price $562.00
Rate for Payer: Cash Price $562.00
Rate for Payer: Cigna Commercial $247.63
Rate for Payer: Healthspan PPO $219.11
Rate for Payer: Humana Medicaid $46.50
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $150.53
Rate for Payer: Molina Healthcare CHIP/Medicaid $47.43
Rate for Payer: Molina Healthcare Passport $46.50
Rate for Payer: Multiplan PHCS $674.40
Rate for Payer: Ohio Health Choice Preferred Health Choice $786.80
Rate for Payer: UHCCP Medicaid $66.68
Rate for Payer: Wellcare CHIP/Medicaid $46.96