|
ECH PP HA SZ 18 190MM +15 CAL
|
Facility
|
IP
|
$30,212.58
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,927.64 |
| Max. Negotiated Rate |
$29,004.08 |
| Rate for Payer: Aetna Commercial |
$23,263.69
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$23,565.81
|
| Rate for Payer: Cash Price |
$15,106.29
|
| Rate for Payer: Cigna Commercial |
$25,076.44
|
| Rate for Payer: First Health Commercial |
$28,701.95
|
| Rate for Payer: Humana Commercial |
$25,680.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$24,774.32
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,296.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,063.77
|
| Rate for Payer: Ohio Health Choice Commercial |
$26,587.07
|
| Rate for Payer: Ohio Health Group HMO |
$22,659.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$6,042.52
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,927.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,365.90
|
| Rate for Payer: PHCS Commercial |
$29,004.08
|
| Rate for Payer: United Healthcare All Payer |
$26,587.07
|
|
|
ECH PP HA SZ 19 190MM +15 CAL
|
Facility
|
OP
|
$30,212.58
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,927.64 |
| Max. Negotiated Rate |
$29,004.08 |
| Rate for Payer: Aetna Commercial |
$23,263.69
|
| Rate for Payer: Anthem Medicaid |
$10,390.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$23,565.81
|
| Rate for Payer: Cash Price |
$15,106.29
|
| Rate for Payer: Cigna Commercial |
$25,076.44
|
| Rate for Payer: First Health Commercial |
$28,701.95
|
| Rate for Payer: Humana Commercial |
$25,680.69
|
| Rate for Payer: Humana KY Medicaid |
$10,390.11
|
| Rate for Payer: Kentucky WC Medicaid |
$10,495.85
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$24,774.32
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,296.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,063.77
|
| Rate for Payer: Molina Healthcare Medicaid |
$10,598.57
|
| Rate for Payer: Ohio Health Choice Commercial |
$26,587.07
|
| Rate for Payer: Ohio Health Group HMO |
$22,659.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$6,042.52
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,927.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,365.90
|
| Rate for Payer: PHCS Commercial |
$29,004.08
|
| Rate for Payer: United Healthcare All Payer |
$26,587.07
|
|
|
ECH PP HA SZ 19 190MM +15 CAL
|
Facility
|
IP
|
$30,212.58
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,927.64 |
| Max. Negotiated Rate |
$29,004.08 |
| Rate for Payer: Aetna Commercial |
$23,263.69
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$23,565.81
|
| Rate for Payer: Cash Price |
$15,106.29
|
| Rate for Payer: Cigna Commercial |
$25,076.44
|
| Rate for Payer: First Health Commercial |
$28,701.95
|
| Rate for Payer: Humana Commercial |
$25,680.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$24,774.32
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,296.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,063.77
|
| Rate for Payer: Ohio Health Choice Commercial |
$26,587.07
|
| Rate for Payer: Ohio Health Group HMO |
$22,659.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$6,042.52
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,927.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,365.90
|
| Rate for Payer: PHCS Commercial |
$29,004.08
|
| Rate for Payer: United Healthcare All Payer |
$26,587.07
|
|
|
ECH PP HA SZ 20 190MM +15 CAL
|
Facility
|
IP
|
$30,212.58
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,927.64 |
| Max. Negotiated Rate |
$29,004.08 |
| Rate for Payer: Aetna Commercial |
$23,263.69
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$23,565.81
|
| Rate for Payer: Cash Price |
$15,106.29
|
| Rate for Payer: Cigna Commercial |
$25,076.44
|
| Rate for Payer: First Health Commercial |
$28,701.95
|
| Rate for Payer: Humana Commercial |
$25,680.69
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$24,774.32
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,296.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,063.77
|
| Rate for Payer: Ohio Health Choice Commercial |
$26,587.07
|
| Rate for Payer: Ohio Health Group HMO |
$22,659.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$6,042.52
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,927.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,365.90
|
| Rate for Payer: PHCS Commercial |
$29,004.08
|
| Rate for Payer: United Healthcare All Payer |
$26,587.07
|
|
|
ECH PP HA SZ 20 190MM +15 CAL
|
Facility
|
OP
|
$30,212.58
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,927.64 |
| Max. Negotiated Rate |
$29,004.08 |
| Rate for Payer: Aetna Commercial |
$23,263.69
|
| Rate for Payer: Anthem Medicaid |
$10,390.11
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$23,565.81
|
| Rate for Payer: Cash Price |
$15,106.29
|
| Rate for Payer: Cigna Commercial |
$25,076.44
|
| Rate for Payer: First Health Commercial |
$28,701.95
|
| Rate for Payer: Humana Commercial |
$25,680.69
|
| Rate for Payer: Humana KY Medicaid |
$10,390.11
|
| Rate for Payer: Kentucky WC Medicaid |
$10,495.85
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$24,774.32
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$22,296.88
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$9,063.77
|
| Rate for Payer: Molina Healthcare Medicaid |
$10,598.57
|
| Rate for Payer: Ohio Health Choice Commercial |
$26,587.07
|
| Rate for Payer: Ohio Health Group HMO |
$22,659.44
|
| Rate for Payer: Ohio Health Group PPO Differential |
$6,042.52
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,927.64
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$9,365.90
|
| Rate for Payer: PHCS Commercial |
$29,004.08
|
| Rate for Payer: United Healthcare All Payer |
$26,587.07
|
|
|
ECH PRI FEM COMP HO SZ 10
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM COMP HO SZ 10
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ12
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ12
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ13
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ13
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ14
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ14
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ15
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ15
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ16
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ16
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ17
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ17
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ18
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ18
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ19
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM HI OFS 12/14 SZ19
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM STDOFS 12/14 SZ 11
|
Facility
|
IP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
|
ECH PRI FEM STDOFS 12/14 SZ 11
|
Facility
|
OP
|
$25,034.51
|
|
|
Service Code
|
HCPCS C1776
|
| Hospital Charge Code |
27000011
|
|
Hospital Revenue Code
|
278
|
| Min. Negotiated Rate |
$3,254.49 |
| Max. Negotiated Rate |
$24,033.13 |
| Rate for Payer: Aetna Commercial |
$19,276.57
|
| Rate for Payer: Anthem Medicaid |
$8,609.37
|
| Rate for Payer: Anthem POS/PPO/Traditional |
$19,526.92
|
| Rate for Payer: Cash Price |
$12,517.25
|
| Rate for Payer: Cigna Commercial |
$20,778.64
|
| Rate for Payer: First Health Commercial |
$23,782.78
|
| Rate for Payer: Humana Commercial |
$21,279.33
|
| Rate for Payer: Humana KY Medicaid |
$8,609.37
|
| Rate for Payer: Kentucky WC Medicaid |
$8,696.99
|
| Rate for Payer: Medical Mutual Of Ohio HMO |
$20,528.30
|
| Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional |
$18,475.47
|
| Rate for Payer: Molina Healthcare Benefit Exchange |
$7,510.35
|
| Rate for Payer: Molina Healthcare Medicaid |
$8,782.11
|
| Rate for Payer: Ohio Health Choice Commercial |
$22,030.37
|
| Rate for Payer: Ohio Health Group HMO |
$18,775.88
|
| Rate for Payer: Ohio Health Group PPO Differential |
$5,006.90
|
| Rate for Payer: Ohio Health Group PPO No Differential |
$3,254.49
|
| Rate for Payer: Ohio Health Group PPO SOMC Employees |
$7,760.70
|
| Rate for Payer: PHCS Commercial |
$24,033.13
|
| Rate for Payer: United Healthcare All Payer |
$22,030.37
|
|
