Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$7,348.73

Service Code	APR-DRG 5614
Min. Negotiated Rate	$4,651.35
Max. Negotiated Rate	$7,348.73
Rate for Payer: Buckeye Health Medicaid OOS	$7,348.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,348.73

APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$3,501.45

Service Code	APR-DRG 5613
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$3,501.45
Rate for Payer: Buckeye Health Medicaid OOS	$3,501.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,501.45

APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$1,726.64

Service Code	APR-DRG 5611
Min. Negotiated Rate	$1,210.38
Max. Negotiated Rate	$1,726.64
Rate for Payer: Buckeye Health Medicaid OOS	$1,210.38
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,210.38

APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$4,755.06

Service Code	APR-DRG 5482
Min. Negotiated Rate	$4,755.06
Max. Negotiated Rate	$4,755.06
Rate for Payer: Buckeye Health Medicaid OOS	$4,755.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,755.06

APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$7,478.41

Service Code	APR-DRG 5483
Min. Negotiated Rate	$7,478.41
Max. Negotiated Rate	$7,478.41
Rate for Payer: Buckeye Health Medicaid OOS	$7,478.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,478.41

APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$1,945.25

Service Code	APR-DRG 5481
Min. Negotiated Rate	$1,945.25
Max. Negotiated Rate	$1,945.25
Rate for Payer: Buckeye Health Medicaid OOS	$1,945.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,945.25

APR-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$14,221.95

Service Code	APR-DRG 5484
Min. Negotiated Rate	$14,221.95
Max. Negotiated Rate	$14,221.95
Rate for Payer: Buckeye Health Medicaid OOS	$14,221.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,221.95

APR-DRG 42.00: PROCEDURES FOR OBESITY

Facility

$5,778.95

Service Code	APR-DRG 4031
Min. Negotiated Rate	$4,798.29
Max. Negotiated Rate	$5,778.95
Rate for Payer: Buckeye Health Medicaid OOS	$4,798.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,798.29

APR-DRG 42.00: PROCEDURES FOR OBESITY

Facility

$19,409.28

Service Code	APR-DRG 4034
Min. Negotiated Rate	$17,407.33
Max. Negotiated Rate	$19,409.28
Rate for Payer: Buckeye Health Medicaid OOS	$19,409.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,409.28

APR-DRG 42.00: PROCEDURES FOR OBESITY

Facility

$9,769.48

Service Code	APR-DRG 4033
Min. Negotiated Rate	$6,659.89
Max. Negotiated Rate	$9,769.48
Rate for Payer: Buckeye Health Medicaid OOS	$9,769.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,769.48

APR-DRG 42.00: PROCEDURES FOR OBESITY

Facility

$6,589.41

Service Code	APR-DRG 4032
Min. Negotiated Rate	$5,922.21
Max. Negotiated Rate	$6,589.41
Rate for Payer: Buckeye Health Medicaid OOS	$5,922.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,922.21

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$26,628.32

Service Code	APR-DRG 8504
Min. Negotiated Rate	$11,945.51
Max. Negotiated Rate	$26,628.32
Rate for Payer: Buckeye Health Medicaid OOS	$26,628.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$26,628.32

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$15,000.05

Service Code	APR-DRG 8503
Min. Negotiated Rate	$9,655.08
Max. Negotiated Rate	$15,000.05
Rate for Payer: Buckeye Health Medicaid OOS	$15,000.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,000.05

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$10,028.85

Service Code	APR-DRG 8502
Min. Negotiated Rate	$8,034.15
Max. Negotiated Rate	$10,028.85
Rate for Payer: Buckeye Health Medicaid OOS	$10,028.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,028.85

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$7,047.50

Service Code	APR-DRG 8501
Min. Negotiated Rate	$6,397.71
Max. Negotiated Rate	$7,047.50
Rate for Payer: Buckeye Health Medicaid OOS	$6,397.71
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,397.71

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$11,498.59

Service Code	APR-DRG 4853
Min. Negotiated Rate	$11,498.59
Max. Negotiated Rate	$11,498.59
Rate for Payer: Buckeye Health Medicaid OOS	$11,498.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,498.59

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$7,175.81

Service Code	APR-DRG 4852
Min. Negotiated Rate	$7,175.81
Max. Negotiated Rate	$7,175.81
Rate for Payer: Buckeye Health Medicaid OOS	$7,175.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,175.81

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$6,224.80

Service Code	APR-DRG 4851
Min. Negotiated Rate	$6,224.80
Max. Negotiated Rate	$6,224.80
Rate for Payer: Buckeye Health Medicaid OOS	$6,224.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,224.80

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$18,933.78

Service Code	APR-DRG 4854
Min. Negotiated Rate	$18,933.78
Max. Negotiated Rate	$18,933.78
Rate for Payer: Buckeye Health Medicaid OOS	$18,933.78
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,933.78

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$3,136.14

Service Code	APR-DRG 1341
Min. Negotiated Rate	$2,463.98
Max. Negotiated Rate	$3,136.14
Rate for Payer: Buckeye Health Medicaid OOS	$2,463.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,463.98

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$3,328.54

Service Code	APR-DRG 1342
Min. Negotiated Rate	$3,136.14
Max. Negotiated Rate	$3,328.54
Rate for Payer: Buckeye Health Medicaid OOS	$3,328.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,328.54

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$8,559.10

Service Code	APR-DRG 1344
Min. Negotiated Rate	$7,822.73
Max. Negotiated Rate	$8,559.10
Rate for Payer: Buckeye Health Medicaid OOS	$8,559.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,559.10

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$5,273.79

Service Code	APR-DRG 1343
Min. Negotiated Rate	$4,510.40
Max. Negotiated Rate	$5,273.79
Rate for Payer: Buckeye Health Medicaid OOS	$5,273.79
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,273.79

APR-DRG 42.00: RADIOTHERAPY

Facility

$14,092.26

Service Code	APR-DRG 6924
Min. Negotiated Rate	$11,839.80
Max. Negotiated Rate	$14,092.26
Rate for Payer: Buckeye Health Medicaid OOS	$14,092.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,092.26

APR-DRG 42.00: RADIOTHERAPY

Facility

$5,100.88

Service Code	APR-DRG 6921
Min. Negotiated Rate	$3,946.60
Max. Negotiated Rate	$5,100.88
Rate for Payer: Buckeye Health Medicaid OOS	$5,100.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,100.88

Know your out-of-pocket cost for care.

All Charges