Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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 WITHOUT AMI

Facility

$18,674.41

Service Code	APR-DRG 1754
Min. Negotiated Rate	$18,288.26
Max. Negotiated Rate	$18,674.41
Rate for Payer: Buckeye Health Medicaid OOS	$18,674.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,674.41

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$13,616.76

Service Code	APR-DRG 1753
Min. Negotiated Rate	$9,196.99
Max. Negotiated Rate	$13,616.76
Rate for Payer: Buckeye Health Medicaid OOS	$13,616.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,616.76

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$11,887.65

Service Code	APR-DRG 1752
Min. Negotiated Rate	$7,822.73
Max. Negotiated Rate	$11,887.65
Rate for Payer: Buckeye Health Medicaid OOS	$11,887.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,887.65

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$8,991.38

Service Code	APR-DRG 1751
Min. Negotiated Rate	$6,730.36
Max. Negotiated Rate	$8,991.38
Rate for Payer: Buckeye Health Medicaid OOS	$8,991.38
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,991.38

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$15,043.27

Service Code	APR-DRG 0303
Min. Negotiated Rate	$15,043.27
Max. Negotiated Rate	$15,043.27
Rate for Payer: Buckeye Health Medicaid OOS	$15,043.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,043.27

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$20,317.07

Service Code	APR-DRG 0304
Min. Negotiated Rate	$20,317.07
Max. Negotiated Rate	$20,317.07
Rate for Payer: Buckeye Health Medicaid OOS	$20,317.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,317.07

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$11,757.96

Service Code	APR-DRG 0302
Min. Negotiated Rate	$11,757.96
Max. Negotiated Rate	$11,757.96
Rate for Payer: Buckeye Health Medicaid OOS	$11,757.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,757.96

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 0301
Min. Negotiated Rate	$6,829.99
Max. Negotiated Rate	$6,829.99
Rate for Payer: Buckeye Health Medicaid OOS	$6,829.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,829.99

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$15,821.37

Service Code	APR-DRG 1831
Min. Negotiated Rate	$15,821.37
Max. Negotiated Rate	$15,821.37
Rate for Payer: Buckeye Health Medicaid OOS	$15,821.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,821.37

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$29,481.36

Service Code	APR-DRG 1834
Min. Negotiated Rate	$29,481.36
Max. Negotiated Rate	$29,481.36
Rate for Payer: Buckeye Health Medicaid OOS	$29,481.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$29,481.36

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$21,397.76

Service Code	APR-DRG 1833
Min. Negotiated Rate	$21,397.76
Max. Negotiated Rate	$21,397.76
Rate for Payer: Buckeye Health Medicaid OOS	$21,397.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$21,397.76

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$17,161.44

Service Code	APR-DRG 1832
Min. Negotiated Rate	$17,161.44
Max. Negotiated Rate	$17,161.44
Rate for Payer: Buckeye Health Medicaid OOS	$17,161.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,161.44

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$3,840.89

Service Code	APR-DRG 1972
Min. Negotiated Rate	$3,371.77
Max. Negotiated Rate	$3,840.89
Rate for Payer: Buckeye Health Medicaid OOS	$3,371.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,371.77

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$5,317.02

Service Code	APR-DRG 1973
Min. Negotiated Rate	$4,721.82
Max. Negotiated Rate	$5,317.02
Rate for Payer: Buckeye Health Medicaid OOS	$5,317.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,317.02

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$9,466.89

Service Code	APR-DRG 1974
Min. Negotiated Rate	$6,166.56
Max. Negotiated Rate	$9,466.89
Rate for Payer: Buckeye Health Medicaid OOS	$9,466.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,466.89

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$3,100.90

Service Code	APR-DRG 1971
Min. Negotiated Rate	$2,593.67
Max. Negotiated Rate	$3,100.90
Rate for Payer: Buckeye Health Medicaid OOS	$2,593.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,593.67

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$3,804.05

Service Code	APR-DRG 0482
Min. Negotiated Rate	$3,100.90
Max. Negotiated Rate	$3,804.05
Rate for Payer: Buckeye Health Medicaid OOS	$3,804.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,804.05

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$5,446.70

Service Code	APR-DRG 0483
Min. Negotiated Rate	$4,158.02
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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$9,423.66

Service Code	APR-DRG 0484
Min. Negotiated Rate	$6,730.36
Max. Negotiated Rate	$9,423.66
Rate for Payer: Buckeye Health Medicaid OOS	$9,423.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,423.66

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$3,112.40

Service Code	APR-DRG 0481
Min. Negotiated Rate	$2,678.05
Max. Negotiated Rate	$3,112.40
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$16,426.56

Service Code	APR-DRG 2244
Min. Negotiated Rate	$14,165.48
Max. Negotiated Rate	$16,426.56
Rate for Payer: Buckeye Health Medicaid OOS	$16,426.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,426.56

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$6,307.51

Service Code	APR-DRG 2241
Min. Negotiated Rate	$5,706.07
Max. Negotiated Rate	$6,307.51
Rate for Payer: Buckeye Health Medicaid OOS	$5,706.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,706.07

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$10,720.49

Service Code	APR-DRG 2243
Min. Negotiated Rate	$9,478.89
Max. Negotiated Rate	$10,720.49
Rate for Payer: Buckeye Health Medicaid OOS	$10,720.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,720.49

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$8,386.52

Service Code	APR-DRG 2242
Min. Negotiated Rate	$7,132.59
Max. Negotiated Rate	$8,386.52
Rate for Payer: Buckeye Health Medicaid OOS	$7,132.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,132.59

Know your out-of-pocket cost for care.

All Charges