Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

APR-DRG 42.00: RADIOTHERAPY

Facility

$7,781.00

Service Code	APR-DRG 6922
Min. Negotiated Rate	$6,977.02
Max. Negotiated Rate	$7,781.00
Rate for Payer: Buckeye Health Medicaid OOS	$7,781.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,781.00

APR-DRG 42.00: REHABILITATION

Facility

$10,417.90

Service Code	APR-DRG 8604
Min. Negotiated Rate	$667.00
Max. Negotiated Rate	$10,417.90
Rate for Payer: Buckeye Health Medicaid OOS	$10,417.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,417.90

APR-DRG 42.00: REHABILITATION

Facility

$4,884.74

Service Code	APR-DRG 8601
Min. Negotiated Rate	$667.00
Max. Negotiated Rate	$4,884.74
Rate for Payer: Buckeye Health Medicaid OOS	$4,884.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,884.74

APR-DRG 42.00: REHABILITATION

Facility

$8,386.19

Service Code	APR-DRG 8603
Min. Negotiated Rate	$667.00
Max. Negotiated Rate	$8,386.19
Rate for Payer: Buckeye Health Medicaid OOS	$8,386.19
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,386.19

APR-DRG 42.00: REHABILITATION

Facility

$6,354.49

Service Code	APR-DRG 8602
Min. Negotiated Rate	$667.00
Max. Negotiated Rate	$6,354.49
Rate for Payer: Buckeye Health Medicaid OOS	$6,354.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,354.49

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$5,533.16

Service Code	APR-DRG 4441
Min. Negotiated Rate	$5,320.86
Max. Negotiated Rate	$5,533.16
Rate for Payer: Buckeye Health Medicaid OOS	$5,533.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,533.16

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$7,651.32

Service Code	APR-DRG 4442
Min. Negotiated Rate	$5,814.19
Max. Negotiated Rate	$7,651.32
Rate for Payer: Buckeye Health Medicaid OOS	$7,651.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,651.32

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$17,334.35

Service Code	APR-DRG 4444
Min. Negotiated Rate	$11,311.24
Max. Negotiated Rate	$17,334.35
Rate for Payer: Buckeye Health Medicaid OOS	$17,334.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,334.35

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$10,850.18

Service Code	APR-DRG 4443
Min. Negotiated Rate	$8,879.85
Max. Negotiated Rate	$10,850.18
Rate for Payer: Buckeye Health Medicaid OOS	$10,850.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,850.18

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$8,342.97

Service Code	APR-DRG 1334
Min. Negotiated Rate	$7,717.01
Max. Negotiated Rate	$8,342.97
Rate for Payer: Buckeye Health Medicaid OOS	$8,342.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,342.97

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$2,593.67

Service Code	APR-DRG 1331
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$2,593.67
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: RESPIRATORY FAILURE

Facility

$5,100.88

Service Code	APR-DRG 1333
Min. Negotiated Rate	$4,616.11
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

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$3,458.22

Service Code	APR-DRG 1332
Min. Negotiated Rate	$3,171.38
Max. Negotiated Rate	$3,458.22
Rate for Payer: Buckeye Health Medicaid OOS	$3,458.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,458.22

APR-DRG 42.00: RESPIRATORY MALIGNANCY

Facility

$3,501.45

Service Code	APR-DRG 1361
Min. Negotiated Rate	$2,008.54
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: RESPIRATORY MALIGNANCY

Facility

$4,193.10

Service Code	APR-DRG 1362
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$4,193.10
Rate for Payer: Buckeye Health Medicaid OOS	$4,193.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,193.10

APR-DRG 42.00: RESPIRATORY MALIGNANCY

Facility

$5,835.75

Service Code	APR-DRG 1363
Min. Negotiated Rate	$4,545.64
Max. Negotiated Rate	$5,835.75
Rate for Payer: Buckeye Health Medicaid OOS	$5,835.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,835.75

APR-DRG 42.00: RESPIRATORY MALIGNANCY

Facility

$8,948.15

Service Code	APR-DRG 1364
Min. Negotiated Rate	$5,602.76
Max. Negotiated Rate	$8,948.15
Rate for Payer: Buckeye Health Medicaid OOS	$8,948.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,948.15

APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$7,997.14

Service Code	APR-DRG 1444
Min. Negotiated Rate	$4,651.35
Max. Negotiated Rate	$7,997.14
Rate for Payer: Buckeye Health Medicaid OOS	$7,997.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,997.14

APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$2,642.81

Service Code	APR-DRG 1441
Min. Negotiated Rate	$2,507.21
Max. Negotiated Rate	$2,642.81
Rate for Payer: Buckeye Health Medicaid OOS	$2,507.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,507.21

APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$5,014.42

Service Code	APR-DRG 1443
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$5,014.42
Rate for Payer: Buckeye Health Medicaid OOS	$5,014.42
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,014.42

APR-DRG 42.00: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$3,544.68

Service Code	APR-DRG 1442
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$3,544.68
Rate for Payer: Buckeye Health Medicaid OOS	$3,544.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,544.68

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$17,853.08

Service Code	APR-DRG 1303
Min. Negotiated Rate	$14,482.61
Max. Negotiated Rate	$17,853.08
Rate for Payer: Buckeye Health Medicaid OOS	$17,853.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,853.08

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$14,611.00

Service Code	APR-DRG 1302
Min. Negotiated Rate	$14,482.61
Max. Negotiated Rate	$14,611.00
Rate for Payer: Buckeye Health Medicaid OOS	$14,611.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,611.00

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$23,645.61

Service Code	APR-DRG 1304
Min. Negotiated Rate	$18,957.78
Max. Negotiated Rate	$23,645.61
Rate for Payer: Buckeye Health Medicaid OOS	$23,645.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$23,645.61

Know your out-of-pocket cost for care.

All Charges