Price Transparency

Know your out-of-pocket cost for care.

search
Charge Type Setting Price  
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $2,925.32
Max. Negotiated Rate $21,602.40
Rate for Payer: Aetna Commercial $17,326.92
Rate for Payer: Anthem Medicaid $7,738.61
Rate for Payer: Anthem POS/PPO/Traditional $17,551.95
Rate for Payer: Cash Price $11,251.25
Rate for Payer: Cigna Commercial $18,677.08
Rate for Payer: First Health Commercial $21,377.38
Rate for Payer: Humana Commercial $19,127.12
Rate for Payer: Humana KY Medicaid $7,738.61
Rate for Payer: Kentucky WC Medicaid $7,817.37
Rate for Payer: Medical Mutual Of Ohio HMO $18,452.05
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,606.84
Rate for Payer: Molina Healthcare Benefit Exchange $6,750.75
Rate for Payer: Molina Healthcare Medicaid $7,893.88
Rate for Payer: Ohio Health Choice Commercial $19,802.20
Rate for Payer: Ohio Health Group HMO $16,876.88
Rate for Payer: Ohio Health Group PPO Differential $4,500.50
Rate for Payer: Ohio Health Group PPO No Differential $2,925.32
Rate for Payer: Ohio Health Group PPO SOMC Employees $6,975.78
Rate for Payer: PHCS Commercial $21,602.40
Rate for Payer: United Healthcare All Payer $19,802.20
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $2,960.91
Max. Negotiated Rate $21,865.20
Rate for Payer: Aetna Commercial $17,537.71
Rate for Payer: Anthem POS/PPO/Traditional $17,765.48
Rate for Payer: Cash Price $11,388.12
Rate for Payer: Cigna Commercial $18,904.29
Rate for Payer: First Health Commercial $21,637.44
Rate for Payer: Humana Commercial $19,359.81
Rate for Payer: Medical Mutual Of Ohio HMO $18,676.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,808.87
Rate for Payer: Molina Healthcare Benefit Exchange $6,832.88
Rate for Payer: Ohio Health Choice Commercial $20,043.10
Rate for Payer: Ohio Health Group HMO $17,082.19
Rate for Payer: Ohio Health Group PPO Differential $4,555.25
Rate for Payer: Ohio Health Group PPO No Differential $2,960.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,060.64
Rate for Payer: PHCS Commercial $21,865.20
Rate for Payer: United Healthcare All Payer $20,043.10
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $2,960.91
Max. Negotiated Rate $21,865.20
Rate for Payer: Aetna Commercial $17,537.71
Rate for Payer: Anthem Medicaid $7,832.75
Rate for Payer: Anthem POS/PPO/Traditional $17,765.48
Rate for Payer: Cash Price $11,388.12
Rate for Payer: Cigna Commercial $18,904.29
Rate for Payer: First Health Commercial $21,637.44
Rate for Payer: Humana Commercial $19,359.81
Rate for Payer: Humana KY Medicaid $7,832.75
Rate for Payer: Kentucky WC Medicaid $7,912.47
Rate for Payer: Medical Mutual Of Ohio HMO $18,676.52
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,808.87
Rate for Payer: Molina Healthcare Benefit Exchange $6,832.88
Rate for Payer: Molina Healthcare Medicaid $7,989.91
Rate for Payer: Ohio Health Choice Commercial $20,043.10
Rate for Payer: Ohio Health Group HMO $17,082.19
Rate for Payer: Ohio Health Group PPO Differential $4,555.25
Rate for Payer: Ohio Health Group PPO No Differential $2,960.91
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,060.64
Rate for Payer: PHCS Commercial $21,865.20
Rate for Payer: United Healthcare All Payer $20,043.10
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $2,984.64
Max. Negotiated Rate $22,040.40
Rate for Payer: Aetna Commercial $17,678.24
Rate for Payer: Anthem Medicaid $7,895.51
Rate for Payer: Anthem POS/PPO/Traditional $17,907.82
Rate for Payer: Cash Price $11,479.38
Rate for Payer: Cigna Commercial $19,055.76
Rate for Payer: First Health Commercial $21,810.81
Rate for Payer: Humana Commercial $19,514.94
Rate for Payer: Humana KY Medicaid $7,895.51
Rate for Payer: Kentucky WC Medicaid $7,975.87
Rate for Payer: Medical Mutual Of Ohio HMO $18,826.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,943.56
Rate for Payer: Molina Healthcare Benefit Exchange $6,887.62
Rate for Payer: Molina Healthcare Medicaid $8,053.93
Rate for Payer: Ohio Health Choice Commercial $20,203.70
Rate for Payer: Ohio Health Group HMO $17,219.06
Rate for Payer: Ohio Health Group PPO Differential $4,591.75
Rate for Payer: Ohio Health Group PPO No Differential $2,984.64
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,117.21
Rate for Payer: PHCS Commercial $22,040.40
Rate for Payer: United Healthcare All Payer $20,203.70
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $2,984.64
Max. Negotiated Rate $22,040.40
Rate for Payer: Aetna Commercial $17,678.24
Rate for Payer: Anthem POS/PPO/Traditional $17,907.82
Rate for Payer: Cash Price $11,479.38
Rate for Payer: Cigna Commercial $19,055.76
Rate for Payer: First Health Commercial $21,810.81
Rate for Payer: Humana Commercial $19,514.94
Rate for Payer: Medical Mutual Of Ohio HMO $18,826.18
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $16,943.56
Rate for Payer: Molina Healthcare Benefit Exchange $6,887.62
Rate for Payer: Ohio Health Choice Commercial $20,203.70
Rate for Payer: Ohio Health Group HMO $17,219.06
Rate for Payer: Ohio Health Group PPO Differential $4,591.75
Rate for Payer: Ohio Health Group PPO No Differential $2,984.64
Rate for Payer: Ohio Health Group PPO SOMC Employees $7,117.21
Rate for Payer: PHCS Commercial $22,040.40
Rate for Payer: United Healthcare All Payer $20,203.70
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $4,170.89
Max. Negotiated Rate $30,800.40
Rate for Payer: Aetna Commercial $24,704.49
Rate for Payer: Anthem POS/PPO/Traditional $25,025.32
Rate for Payer: Cash Price $16,041.88
Rate for Payer: Cigna Commercial $26,629.51
Rate for Payer: First Health Commercial $30,479.56
Rate for Payer: Humana Commercial $27,271.19
Rate for Payer: Medical Mutual Of Ohio HMO $26,308.68
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $23,677.81
Rate for Payer: Molina Healthcare Benefit Exchange $9,625.12
Rate for Payer: Ohio Health Choice Commercial $28,233.70
Rate for Payer: Ohio Health Group HMO $24,062.81
Rate for Payer: Ohio Health Group PPO Differential $6,416.75
Rate for Payer: Ohio Health Group PPO No Differential $4,170.89
Rate for Payer: Ohio Health Group PPO SOMC Employees $9,945.96
Rate for Payer: PHCS Commercial $30,800.40
Rate for Payer: United Healthcare All Payer $28,233.70
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $4,170.89
Max. Negotiated Rate $30,800.40
Rate for Payer: Aetna Commercial $24,704.49
Rate for Payer: Anthem Medicaid $11,033.60
Rate for Payer: Anthem POS/PPO/Traditional $25,025.32
Rate for Payer: Cash Price $16,041.88
Rate for Payer: Cigna Commercial $26,629.51
Rate for Payer: First Health Commercial $30,479.56
Rate for Payer: Humana Commercial $27,271.19
Rate for Payer: Humana KY Medicaid $11,033.60
Rate for Payer: Kentucky WC Medicaid $11,145.89
Rate for Payer: Medical Mutual Of Ohio HMO $26,308.68
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $23,677.81
Rate for Payer: Molina Healthcare Benefit Exchange $9,625.12
Rate for Payer: Molina Healthcare Medicaid $11,254.98
Rate for Payer: Ohio Health Choice Commercial $28,233.70
Rate for Payer: Ohio Health Group HMO $24,062.81
Rate for Payer: Ohio Health Group PPO Differential $6,416.75
Rate for Payer: Ohio Health Group PPO No Differential $4,170.89
Rate for Payer: Ohio Health Group PPO SOMC Employees $9,945.96
Rate for Payer: PHCS Commercial $30,800.40
Rate for Payer: United Healthcare All Payer $28,233.70
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem Medicaid $1,681.59
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Humana KY Medicaid $1,681.59
Rate for Payer: Kentucky WC Medicaid $1,698.70
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Molina Healthcare Medicaid $1,715.32
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem Medicaid $1,737.09
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Humana KY Medicaid $1,737.09
Rate for Payer: Kentucky WC Medicaid $1,754.77
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Molina Healthcare Medicaid $1,771.94
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem Medicaid $1,681.59
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Humana KY Medicaid $1,681.59
Rate for Payer: Kentucky WC Medicaid $1,698.70
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Molina Healthcare Medicaid $1,715.32
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem Medicaid $1,737.09
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Humana KY Medicaid $1,737.09
Rate for Payer: Kentucky WC Medicaid $1,754.77
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Molina Healthcare Medicaid $1,771.94
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem Medicaid $1,681.59
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Humana KY Medicaid $1,681.59
Rate for Payer: Kentucky WC Medicaid $1,698.70
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Molina Healthcare Medicaid $1,715.32
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem Medicaid $1,737.09
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Humana KY Medicaid $1,737.09
Rate for Payer: Kentucky WC Medicaid $1,754.77
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Molina Healthcare Medicaid $1,771.94
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem Medicaid $1,681.59
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Humana KY Medicaid $1,681.59
Rate for Payer: Kentucky WC Medicaid $1,698.70
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Molina Healthcare Medicaid $1,715.32
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem Medicaid $1,737.09
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Humana KY Medicaid $1,737.09
Rate for Payer: Kentucky WC Medicaid $1,754.77
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Molina Healthcare Medicaid $1,771.94
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $656.65
Max. Negotiated Rate $4,849.09
Rate for Payer: Aetna Commercial $3,889.38
Rate for Payer: Anthem POS/PPO/Traditional $3,939.89
Rate for Payer: Cash Price $2,525.57
Rate for Payer: Cigna Commercial $4,192.45
Rate for Payer: First Health Commercial $4,798.58
Rate for Payer: Humana Commercial $4,293.47
Rate for Payer: Medical Mutual Of Ohio HMO $4,141.93
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,727.74
Rate for Payer: Molina Healthcare Benefit Exchange $1,515.34
Rate for Payer: Ohio Health Choice Commercial $4,445.00
Rate for Payer: Ohio Health Group HMO $3,788.36
Rate for Payer: Ohio Health Group PPO Differential $1,010.23
Rate for Payer: Ohio Health Group PPO No Differential $656.65
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,565.85
Rate for Payer: PHCS Commercial $4,849.09
Rate for Payer: United Healthcare All Payer $4,445.00
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem Medicaid $1,681.59
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Humana KY Medicaid $1,681.59
Rate for Payer: Kentucky WC Medicaid $1,698.70
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Molina Healthcare Medicaid $1,715.32
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98
Service Code HCPCS C1768
Hospital Charge Code 27000052
Hospital Revenue Code 278
Min. Negotiated Rate $635.67
Max. Negotiated Rate $4,694.16
Rate for Payer: Aetna Commercial $3,765.11
Rate for Payer: Anthem POS/PPO/Traditional $3,814.00
Rate for Payer: Cash Price $2,444.88
Rate for Payer: Cigna Commercial $4,058.49
Rate for Payer: First Health Commercial $4,645.26
Rate for Payer: Humana Commercial $4,156.29
Rate for Payer: Medical Mutual Of Ohio HMO $4,009.60
Rate for Payer: Medical Mutual Of Ohio POS/PPO/Traditional $3,608.64
Rate for Payer: Molina Healthcare Benefit Exchange $1,466.92
Rate for Payer: Ohio Health Choice Commercial $4,302.98
Rate for Payer: Ohio Health Group HMO $3,667.31
Rate for Payer: Ohio Health Group PPO Differential $977.95
Rate for Payer: Ohio Health Group PPO No Differential $635.67
Rate for Payer: Ohio Health Group PPO SOMC Employees $1,515.82
Rate for Payer: PHCS Commercial $4,694.16
Rate for Payer: United Healthcare All Payer $4,302.98