Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$6,613.85

Service Code	APR-DRG 2232
Min. Negotiated Rate	$6,201.80
Max. Negotiated Rate	$6,613.85
Rate for Payer: Buckeye Health Medicaid OOS	$6,613.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,613.85

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$9,293.98

Service Code	APR-DRG 2233
Min. Negotiated Rate	$6,483.70
Max. Negotiated Rate	$9,293.98
Rate for Payer: Buckeye Health Medicaid OOS	$9,293.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,293.98

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$3,674.36

Service Code	APR-DRG 2221
Min. Negotiated Rate	$1,902.83
Max. Negotiated Rate	$3,674.36
Rate for Payer: Buckeye Health Medicaid OOS	$3,674.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,674.36

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$6,440.94

Service Code	APR-DRG 2222
Min. Negotiated Rate	$4,898.01
Max. Negotiated Rate	$6,440.94
Rate for Payer: Buckeye Health Medicaid OOS	$6,440.94
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,440.94

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$17,464.03

Service Code	APR-DRG 2224
Min. Negotiated Rate	$11,522.66
Max. Negotiated Rate	$17,464.03
Rate for Payer: Buckeye Health Medicaid OOS	$17,464.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,464.03

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$10,288.22

Service Code	APR-DRG 2223
Min. Negotiated Rate	$7,294.16
Max. Negotiated Rate	$10,288.22
Rate for Payer: Buckeye Health Medicaid OOS	$10,288.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,288.22

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$31,713.75

Service Code	APR-DRG 0061
Min. Negotiated Rate	$22,953.96
Max. Negotiated Rate	$31,713.75
Rate for Payer: Buckeye Health Medicaid OOS	$22,953.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$22,953.96

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$49,711.97

Service Code	APR-DRG 0064
Min. Negotiated Rate	$46,231.60
Max. Negotiated Rate	$49,711.97
Rate for Payer: Buckeye Health Medicaid OOS	$49,711.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$49,711.97

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$38,299.83

Service Code	APR-DRG 0063
Min. Negotiated Rate	$31,713.75
Max. Negotiated Rate	$38,299.83
Rate for Payer: Buckeye Health Medicaid OOS	$38,299.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$38,299.83

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$33,026.04

Service Code	APR-DRG 0062
Min. Negotiated Rate	$31,713.75
Max. Negotiated Rate	$33,026.04
Rate for Payer: Buckeye Health Medicaid OOS	$33,026.04
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$33,026.04

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$2,334.30

Service Code	APR-DRG 8441
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$2,334.30
Rate for Payer: Buckeye Health Medicaid OOS	$2,334.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,334.30

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$6,138.35

Service Code	APR-DRG 8443
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$6,138.35
Rate for Payer: Buckeye Health Medicaid OOS	$6,138.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,138.35

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$3,933.73

Service Code	APR-DRG 8442
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$3,933.73
Rate for Payer: Buckeye Health Medicaid OOS	$3,933.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,933.73

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$10,979.86

Service Code	APR-DRG 8444
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$10,979.86
Rate for Payer: Buckeye Health Medicaid OOS	$10,979.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,979.86

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$17,247.89

Service Code	APR-DRG 4834
Min. Negotiated Rate	$7,717.01
Max. Negotiated Rate	$17,247.89
Rate for Payer: Buckeye Health Medicaid OOS	$17,247.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,247.89

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$9,855.94

Service Code	APR-DRG 4833
Min. Negotiated Rate	$5,955.14
Max. Negotiated Rate	$9,855.94
Rate for Payer: Buckeye Health Medicaid OOS	$9,855.94
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,855.94

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$6,527.40

Service Code	APR-DRG 4832
Min. Negotiated Rate	$4,475.16
Max. Negotiated Rate	$6,527.40
Rate for Payer: Buckeye Health Medicaid OOS	$6,527.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,527.40

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$4,279.55

Service Code	APR-DRG 4831
Min. Negotiated Rate	$3,876.12
Max. Negotiated Rate	$4,279.55
Rate for Payer: Buckeye Health Medicaid OOS	$4,279.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,279.55

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$5,446.70

Service Code	APR-DRG 2413
Min. Negotiated Rate	$4,545.64
Max. Negotiated Rate	$5,446.70
Rate for Payer: Buckeye Health Medicaid OOS	$5,446.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,446.70

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$3,674.36

Service Code	APR-DRG 2412
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,674.36
Rate for Payer: Buckeye Health Medicaid OOS	$3,674.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,674.36

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$3,025.95

Service Code	APR-DRG 2411
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$3,025.95
Rate for Payer: Buckeye Health Medicaid OOS	$3,025.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,025.95

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$10,331.44

Service Code	APR-DRG 2414
Min. Negotiated Rate	$8,562.71
Max. Negotiated Rate	$10,331.44
Rate for Payer: Buckeye Health Medicaid OOS	$10,331.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,331.44

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$16,599.48

Service Code	APR-DRG 1744
Min. Negotiated Rate	$15,011.17
Max. Negotiated Rate	$16,599.48
Rate for Payer: Buckeye Health Medicaid OOS	$16,599.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,599.48

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$11,714.73

Service Code	APR-DRG 1743
Min. Negotiated Rate	$8,386.52
Max. Negotiated Rate	$11,714.73
Rate for Payer: Buckeye Health Medicaid OOS	$11,714.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,714.73

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$7,867.46

Service Code	APR-DRG 1741
Min. Negotiated Rate	$6,237.04
Max. Negotiated Rate	$7,867.46
Rate for Payer: Buckeye Health Medicaid OOS	$7,867.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,867.46

Know your out-of-pocket cost for care.

All Charges