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Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem Medicaid $266.69
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Humana KY Medicaid $266.69
Rate for Payer: Kentucky WC Medicaid $269.41
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Molina Healthcare Medicaid $272.05
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem Medicaid $266.69
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Humana KY Medicaid $266.69
Rate for Payer: Kentucky WC Medicaid $269.41
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Molina Healthcare Medicaid $272.05
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $101.98
Max. Negotiated Rate $753.12
Rate for Payer: Aetna Commercial $604.06
Rate for Payer: Anthem POS/PPO/Traditional $611.91
Rate for Payer: Cash Price $392.25
Rate for Payer: Cigna Commercial $651.14
Rate for Payer: First Health Commercial $745.28
Rate for Payer: Humana Commercial $666.82
Rate for Payer: Medical Mutual Of Ohio HMO $643.29
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $578.96
Rate for Payer: Molina Healthcare Benefit Exchange $235.35
Rate for Payer: Ohio Health Choice Commercial $690.36
Rate for Payer: Ohio Health Group HMO $588.38
Rate for Payer: Ohio Health Group PPO Differential $156.90
Rate for Payer: Ohio Health Group PPO No Differential $101.98
Rate for Payer: Ohio Health Group PPO SOMC Employees $243.20
Rate for Payer: PHCS Commercial $753.12
Rate for Payer: United Healthcare All Payer $690.36
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $101.98
Max. Negotiated Rate $753.12
Rate for Payer: Aetna Commercial $604.06
Rate for Payer: Anthem Medicaid $269.79
Rate for Payer: Anthem POS/PPO/Traditional $611.91
Rate for Payer: Cash Price $392.25
Rate for Payer: Cigna Commercial $651.14
Rate for Payer: First Health Commercial $745.28
Rate for Payer: Humana Commercial $666.82
Rate for Payer: Humana KY Medicaid $269.79
Rate for Payer: Kentucky WC Medicaid $272.54
Rate for Payer: Medical Mutual Of Ohio HMO $643.29
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $578.96
Rate for Payer: Molina Healthcare Benefit Exchange $235.35
Rate for Payer: Molina Healthcare Medicaid $275.20
Rate for Payer: Ohio Health Choice Commercial $690.36
Rate for Payer: Ohio Health Group HMO $588.38
Rate for Payer: Ohio Health Group PPO Differential $156.90
Rate for Payer: Ohio Health Group PPO No Differential $101.98
Rate for Payer: Ohio Health Group PPO SOMC Employees $243.20
Rate for Payer: PHCS Commercial $753.12
Rate for Payer: United Healthcare All Payer $690.36
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem Medicaid $266.69
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Humana KY Medicaid $266.69
Rate for Payer: Kentucky WC Medicaid $269.41
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Molina Healthcare Medicaid $272.05
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem Medicaid $266.69
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Humana KY Medicaid $266.69
Rate for Payer: Kentucky WC Medicaid $269.41
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Molina Healthcare Medicaid $272.05
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS C1887
Hospital Charge Code 27000243
Hospital Revenue Code 272
Min. Negotiated Rate $100.82
Max. Negotiated Rate $744.48
Rate for Payer: Aetna Commercial $597.14
Rate for Payer: Anthem Medicaid $266.69
Rate for Payer: Anthem POS/PPO/Traditional $604.89
Rate for Payer: Cash Price $387.75
Rate for Payer: Cigna Commercial $643.66
Rate for Payer: First Health Commercial $736.72
Rate for Payer: Humana Commercial $659.18
Rate for Payer: Humana KY Medicaid $266.69
Rate for Payer: Kentucky WC Medicaid $269.41
Rate for Payer: Medical Mutual Of Ohio HMO $635.91
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $572.32
Rate for Payer: Molina Healthcare Benefit Exchange $232.65
Rate for Payer: Molina Healthcare Medicaid $272.05
Rate for Payer: Ohio Health Choice Commercial $682.44
Rate for Payer: Ohio Health Group HMO $581.62
Rate for Payer: Ohio Health Group PPO Differential $155.10
Rate for Payer: Ohio Health Group PPO No Differential $100.82
Rate for Payer: Ohio Health Group PPO SOMC Employees $240.40
Rate for Payer: PHCS Commercial $744.48
Rate for Payer: United Healthcare All Payer $682.44
Service Code HCPCS 86665
Hospital Charge Code 30001156
Hospital Revenue Code 300
Min. Negotiated Rate $2.47
Max. Negotiated Rate $25.40
Rate for Payer: Aetna Commercial $14.63
Rate for Payer: Anthem Medicaid $18.14
Rate for Payer: Anthem Medicare Advantage/PPO $18.14
Rate for Payer: Anthem POS/PPO/Traditional $15.26
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.40
Rate for Payer: CareSource Just4Me Medicare $18.14
Rate for Payer: Cash Price $9.50
Rate for Payer: Cash Price $9.50
Rate for Payer: Cigna Commercial $15.77
Rate for Payer: First Health Commercial $18.05
Rate for Payer: Humana Commercial $16.15
Rate for Payer: Humana KY Medicaid $18.14
Rate for Payer: Humana Medicare Advantage $18.14
Rate for Payer: Kentucky WC Medicaid $18.32
Rate for Payer: Medical Mutual Of Ohio HMO $15.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $14.02
Rate for Payer: Molina Healthcare Benefit Exchange $21.77
Rate for Payer: Molina Healthcare Medicaid $18.50
Rate for Payer: Ohio Health Choice Commercial $16.72
Rate for Payer: Ohio Health Group HMO $14.25
Rate for Payer: Ohio Health Group PPO Differential $3.80
Rate for Payer: Ohio Health Group PPO No Differential $2.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.89
Rate for Payer: PHCS Commercial $18.24
Rate for Payer: United Healthcare All Payer $16.72
Service Code HCPCS 86665
Hospital Charge Code 30001156
Hospital Revenue Code 300
Min. Negotiated Rate $2.47
Max. Negotiated Rate $18.24
Rate for Payer: Aetna Commercial $14.63
Rate for Payer: Anthem POS/PPO/Traditional $15.26
Rate for Payer: Cash Price $9.50
Rate for Payer: Cigna Commercial $15.77
Rate for Payer: First Health Commercial $18.05
Rate for Payer: Humana Commercial $16.15
Rate for Payer: Medical Mutual Of Ohio HMO $15.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $14.02
Rate for Payer: Molina Healthcare Benefit Exchange $5.70
Rate for Payer: Ohio Health Choice Commercial $16.72
Rate for Payer: Ohio Health Group HMO $14.25
Rate for Payer: Ohio Health Group PPO Differential $3.80
Rate for Payer: Ohio Health Group PPO No Differential $2.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.89
Rate for Payer: PHCS Commercial $18.24
Rate for Payer: United Healthcare All Payer $16.72
Service Code HCPCS 86665
Hospital Charge Code 30001154
Hospital Revenue Code 300
Min. Negotiated Rate $2.47
Max. Negotiated Rate $18.24
Rate for Payer: Aetna Commercial $14.63
Rate for Payer: Anthem POS/PPO/Traditional $15.26
Rate for Payer: Cash Price $9.50
Rate for Payer: Cigna Commercial $15.77
Rate for Payer: First Health Commercial $18.05
Rate for Payer: Humana Commercial $16.15
Rate for Payer: Medical Mutual Of Ohio HMO $15.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $14.02
Rate for Payer: Molina Healthcare Benefit Exchange $5.70
Rate for Payer: Ohio Health Choice Commercial $16.72
Rate for Payer: Ohio Health Group HMO $14.25
Rate for Payer: Ohio Health Group PPO Differential $3.80
Rate for Payer: Ohio Health Group PPO No Differential $2.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.89
Rate for Payer: PHCS Commercial $18.24
Rate for Payer: United Healthcare All Payer $16.72
Service Code HCPCS 86665
Hospital Charge Code 30001154
Hospital Revenue Code 300
Min. Negotiated Rate $2.47
Max. Negotiated Rate $25.40
Rate for Payer: Aetna Commercial $14.63
Rate for Payer: Anthem Medicaid $18.14
Rate for Payer: Anthem Medicare Advantage/PPO $18.14
Rate for Payer: Anthem POS/PPO/Traditional $15.26
Rate for Payer: Buckeye Individual/Medicaid/Medicare Advantage $25.40
Rate for Payer: CareSource Just4Me Medicare $18.14
Rate for Payer: Cash Price $9.50
Rate for Payer: Cash Price $9.50
Rate for Payer: Cigna Commercial $15.77
Rate for Payer: First Health Commercial $18.05
Rate for Payer: Humana Commercial $16.15
Rate for Payer: Humana KY Medicaid $18.14
Rate for Payer: Humana Medicare Advantage $18.14
Rate for Payer: Kentucky WC Medicaid $18.32
Rate for Payer: Medical Mutual Of Ohio HMO $15.58
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $14.02
Rate for Payer: Molina Healthcare Benefit Exchange $21.77
Rate for Payer: Molina Healthcare Medicaid $18.50
Rate for Payer: Ohio Health Choice Commercial $16.72
Rate for Payer: Ohio Health Group HMO $14.25
Rate for Payer: Ohio Health Group PPO Differential $3.80
Rate for Payer: Ohio Health Group PPO No Differential $2.47
Rate for Payer: Ohio Health Group PPO SOMC Employees $5.89
Rate for Payer: PHCS Commercial $18.24
Rate for Payer: United Healthcare All Payer $16.72
Service Code HCPCS G0403
Hospital Charge Code 73000004
Hospital Revenue Code 730
Min. Negotiated Rate $4.03
Max. Negotiated Rate $29.76
Rate for Payer: Aetna Commercial $23.87
Rate for Payer: Anthem Medicaid $10.66
Rate for Payer: Anthem POS/PPO/Traditional $24.18
Rate for Payer: Cash Price $15.50
Rate for Payer: Cigna Commercial $25.73
Rate for Payer: First Health Commercial $29.45
Rate for Payer: Humana Commercial $26.35
Rate for Payer: Humana KY Medicaid $10.66
Rate for Payer: Kentucky WC Medicaid $10.77
Rate for Payer: Medical Mutual Of Ohio HMO $25.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $22.88
Rate for Payer: Molina Healthcare Benefit Exchange $9.30
Rate for Payer: Molina Healthcare Medicaid $10.87
Rate for Payer: Ohio Health Choice Commercial $27.28
Rate for Payer: Ohio Health Group HMO $23.25
Rate for Payer: Ohio Health Group PPO Differential $6.20
Rate for Payer: Ohio Health Group PPO No Differential $4.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $9.61
Rate for Payer: PHCS Commercial $29.76
Rate for Payer: United Healthcare All Payer $27.28
Service Code HCPCS G0403
Hospital Charge Code 73000004
Hospital Revenue Code 730
Min. Negotiated Rate $4.03
Max. Negotiated Rate $29.76
Rate for Payer: Aetna Commercial $23.87
Rate for Payer: Anthem POS/PPO/Traditional $24.18
Rate for Payer: Cash Price $15.50
Rate for Payer: Cigna Commercial $25.73
Rate for Payer: First Health Commercial $29.45
Rate for Payer: Humana Commercial $26.35
Rate for Payer: Medical Mutual Of Ohio HMO $25.42
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $22.88
Rate for Payer: Molina Healthcare Benefit Exchange $9.30
Rate for Payer: Ohio Health Choice Commercial $27.28
Rate for Payer: Ohio Health Group HMO $23.25
Rate for Payer: Ohio Health Group PPO Differential $6.20
Rate for Payer: Ohio Health Group PPO No Differential $4.03
Rate for Payer: Ohio Health Group PPO SOMC Employees $9.61
Rate for Payer: PHCS Commercial $29.76
Rate for Payer: United Healthcare All Payer $27.28
Service Code HCPCS G0403
Hospital Charge Code 73000004
Hospital Revenue Code 730
Min. Negotiated Rate $10.85
Max. Negotiated Rate $32.29
Rate for Payer: Aetna Commercial $32.29
Rate for Payer: Buckeye Medicare Advantage $31.00
Rate for Payer: Cash Price $15.50
Rate for Payer: Cash Price $15.50
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $24.90
Rate for Payer: Multiplan PHCS $18.60
Rate for Payer: Ohio Health Choice Preferred Health Choice $21.70
Rate for Payer: UHCCP Medicaid $10.85
Service Code HCPCS 93224
Hospital Charge Code 48000072
Hospital Revenue Code 480
Min. Negotiated Rate $39.00
Max. Negotiated Rate $288.00
Rate for Payer: Aetna Commercial $231.00
Rate for Payer: Anthem Medicaid $103.17
Rate for Payer: Anthem POS/PPO/Traditional $234.00
Rate for Payer: Cash Price $150.00
Rate for Payer: Cigna Commercial $249.00
Rate for Payer: First Health Commercial $285.00
Rate for Payer: Humana Commercial $255.00
Rate for Payer: Humana KY Medicaid $103.17
Rate for Payer: Kentucky WC Medicaid $104.22
Rate for Payer: Medical Mutual Of Ohio HMO $246.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $221.40
Rate for Payer: Molina Healthcare Benefit Exchange $90.00
Rate for Payer: Molina Healthcare Medicaid $105.24
Rate for Payer: Ohio Health Choice Commercial $264.00
Rate for Payer: Ohio Health Group HMO $225.00
Rate for Payer: Ohio Health Group PPO Differential $60.00
Rate for Payer: Ohio Health Group PPO No Differential $39.00
Rate for Payer: Ohio Health Group PPO SOMC Employees $93.00
Rate for Payer: PHCS Commercial $288.00
Rate for Payer: United Healthcare All Payer $264.00
Service Code HCPCS 93224
Hospital Charge Code 48000072
Hospital Revenue Code 480
Min. Negotiated Rate $39.00
Max. Negotiated Rate $288.00
Rate for Payer: Aetna Commercial $231.00
Rate for Payer: Anthem POS/PPO/Traditional $234.00
Rate for Payer: Cash Price $150.00
Rate for Payer: Cigna Commercial $249.00
Rate for Payer: First Health Commercial $285.00
Rate for Payer: Humana Commercial $255.00
Rate for Payer: Medical Mutual Of Ohio HMO $246.00
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $221.40
Rate for Payer: Molina Healthcare Benefit Exchange $90.00
Rate for Payer: Ohio Health Choice Commercial $264.00
Rate for Payer: Ohio Health Group HMO $225.00
Rate for Payer: Ohio Health Group PPO Differential $60.00
Rate for Payer: Ohio Health Group PPO No Differential $39.00
Rate for Payer: Ohio Health Group PPO SOMC Employees $93.00
Rate for Payer: PHCS Commercial $288.00
Rate for Payer: United Healthcare All Payer $264.00
Service Code HCPCS 93268
Hospital Charge Code 48000075
Hospital Revenue Code 480
Min. Negotiated Rate $126.73
Max. Negotiated Rate $449.45
Rate for Payer: Aetna Commercial $421.10
Rate for Payer: Anthem Medicaid $126.73
Rate for Payer: Buckeye Medicare Advantage $412.00
Rate for Payer: Cash Price $206.00
Rate for Payer: Cash Price $206.00
Rate for Payer: Cigna Commercial $449.45
Rate for Payer: Healthspan PPO $395.82
Rate for Payer: Humana Medicaid $126.73
Rate for Payer: Medical Mutual Of Ohio HMO/POS/PPO/Workers Compensation $322.49
Rate for Payer: Molina Healthcare CHIP/Medicaid $129.26
Rate for Payer: Molina Healthcare Passport $126.73
Rate for Payer: Multiplan PHCS $247.20
Rate for Payer: Ohio Health Choice Preferred Health Choice $288.40
Rate for Payer: UHCCP Medicaid $144.20
Rate for Payer: Wellcare CHIP/Medicaid $128.00
Service Code HCPCS 93268
Hospital Charge Code 48000075
Hospital Revenue Code 480
Min. Negotiated Rate $53.56
Max. Negotiated Rate $395.52
Rate for Payer: Aetna Commercial $317.24
Rate for Payer: Anthem Medicaid $141.69
Rate for Payer: Anthem POS/PPO/Traditional $321.36
Rate for Payer: Cash Price $206.00
Rate for Payer: Cigna Commercial $341.96
Rate for Payer: First Health Commercial $391.40
Rate for Payer: Humana Commercial $350.20
Rate for Payer: Humana KY Medicaid $141.69
Rate for Payer: Kentucky WC Medicaid $143.13
Rate for Payer: Medical Mutual Of Ohio HMO $337.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $304.06
Rate for Payer: Molina Healthcare Benefit Exchange $123.60
Rate for Payer: Molina Healthcare Medicaid $144.53
Rate for Payer: Ohio Health Choice Commercial $362.56
Rate for Payer: Ohio Health Group HMO $309.00
Rate for Payer: Ohio Health Group PPO Differential $82.40
Rate for Payer: Ohio Health Group PPO No Differential $53.56
Rate for Payer: Ohio Health Group PPO SOMC Employees $127.72
Rate for Payer: PHCS Commercial $395.52
Rate for Payer: United Healthcare All Payer $362.56
Service Code HCPCS 93268
Hospital Charge Code 48000075
Hospital Revenue Code 480
Min. Negotiated Rate $53.56
Max. Negotiated Rate $395.52
Rate for Payer: Aetna Commercial $317.24
Rate for Payer: Anthem POS/PPO/Traditional $321.36
Rate for Payer: Cash Price $206.00
Rate for Payer: Cigna Commercial $341.96
Rate for Payer: First Health Commercial $391.40
Rate for Payer: Humana Commercial $350.20
Rate for Payer: Medical Mutual Of Ohio HMO $337.84
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $304.06
Rate for Payer: Molina Healthcare Benefit Exchange $123.60
Rate for Payer: Ohio Health Choice Commercial $362.56
Rate for Payer: Ohio Health Group HMO $309.00
Rate for Payer: Ohio Health Group PPO Differential $82.40
Rate for Payer: Ohio Health Group PPO No Differential $53.56
Rate for Payer: Ohio Health Group PPO SOMC Employees $127.72
Rate for Payer: PHCS Commercial $395.52
Rate for Payer: United Healthcare All Payer $362.56
Service Code HCPCS 93226
Hospital Charge Code 73000006
Hospital Revenue Code 731
Min. Negotiated Rate $145.73
Max. Negotiated Rate $1,076.16
Rate for Payer: Aetna Commercial $863.17
Rate for Payer: Anthem POS/PPO/Traditional $874.38
Rate for Payer: Cash Price $560.50
Rate for Payer: Cigna Commercial $930.43
Rate for Payer: First Health Commercial $1,064.95
Rate for Payer: Humana Commercial $952.85
Rate for Payer: Medical Mutual Of Ohio HMO $919.22
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $827.30
Rate for Payer: Molina Healthcare Benefit Exchange $336.30
Rate for Payer: Ohio Health Choice Commercial $986.48
Rate for Payer: Ohio Health Group HMO $840.75
Rate for Payer: Ohio Health Group PPO Differential $224.20
Rate for Payer: Ohio Health Group PPO No Differential $145.73
Rate for Payer: Ohio Health Group PPO SOMC Employees $347.51
Rate for Payer: PHCS Commercial $1,076.16
Rate for Payer: United Healthcare All Payer $986.48