Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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: SCHIZOAFFECTIVE DISORDERS

Facility

$3,328.54

Service Code	APR-DRG 7611
Min. Negotiated Rate	$3,328.54
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: SCHIZOAFFECTIVE DISORDERS

Facility

$11,109.54

Service Code	APR-DRG 7614
Min. Negotiated Rate	$11,109.54
Max. Negotiated Rate	$11,109.54
Rate for Payer: Buckeye Health Medicaid OOS	$11,109.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,109.54

APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS

Facility

$3,501.45

Service Code	APR-DRG 7612
Min. Negotiated Rate	$3,501.45
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: SCHIZOAFFECTIVE DISORDERS

Facility

$6,440.94

Service Code	APR-DRG 7613
Min. Negotiated Rate	$6,440.94
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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$5,360.25

Service Code	APR-DRG 7503
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$5,360.25
Rate for Payer: Buckeye Health Medicaid OOS	$5,360.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,360.25

APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$10,331.44

Service Code	APR-DRG 7504
Min. Negotiated Rate	$408.50
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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$2,593.67

Service Code	APR-DRG 7501
Min. Negotiated Rate	$408.50
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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$3,544.68

Service Code	APR-DRG 7502
Min. Negotiated Rate	$408.50
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: SEIZURE

Facility

$10,115.31

Service Code	APR-DRG 0534
Min. Negotiated Rate	$7,857.96
Max. Negotiated Rate	$10,115.31
Rate for Payer: Buckeye Health Medicaid OOS	$10,115.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,115.31

APR-DRG 42.00: SEIZURE

Facility

$5,360.25

Service Code	APR-DRG 0533
Min. Negotiated Rate	$3,453.28
Max. Negotiated Rate	$5,360.25
Rate for Payer: Buckeye Health Medicaid OOS	$5,360.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,360.25

APR-DRG 42.00: SEIZURE

Facility

$3,371.77

Service Code	APR-DRG 0532
Min. Negotiated Rate	$2,642.81
Max. Negotiated Rate	$3,371.77
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: SEIZURE

Facility

$2,507.21

Service Code	APR-DRG 0531
Min. Negotiated Rate	$2,079.01
Max. Negotiated Rate	$2,507.21
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: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$3,976.96

Service Code	APR-DRG 7202
Min. Negotiated Rate	$3,100.90
Max. Negotiated Rate	$3,976.96
Rate for Payer: Buckeye Health Medicaid OOS	$3,976.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,976.96

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$6,311.26

Service Code	APR-DRG 7203
Min. Negotiated Rate	$4,651.35
Max. Negotiated Rate	$6,311.26
Rate for Payer: Buckeye Health Medicaid OOS	$6,311.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,311.26

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$11,671.51

Service Code	APR-DRG 7204
Min. Negotiated Rate	$10,676.96
Max. Negotiated Rate	$11,671.51
Rate for Payer: Buckeye Health Medicaid OOS	$11,671.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,671.51

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$2,853.03

Service Code	APR-DRG 7201
Min. Negotiated Rate	$2,431.39
Max. Negotiated Rate	$2,853.03
Rate for Payer: Buckeye Health Medicaid OOS	$2,853.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,853.03

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$8,738.90

Service Code	APR-DRG 3221
Min. Negotiated Rate	$6,873.22
Max. Negotiated Rate	$8,738.90
Rate for Payer: Buckeye Health Medicaid OOS	$6,873.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,873.22

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$8,738.90

Service Code	APR-DRG 3222
Min. Negotiated Rate	$8,342.97
Max. Negotiated Rate	$8,738.90
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: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$14,567.77

Service Code	APR-DRG 3224
Min. Negotiated Rate	$9,866.50
Max. Negotiated Rate	$14,567.77
Rate for Payer: Buckeye Health Medicaid OOS	$14,567.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,567.77

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$11,368.91

Service Code	APR-DRG 3223
Min. Negotiated Rate	$8,738.90
Max. Negotiated Rate	$11,368.91
Rate for Payer: Buckeye Health Medicaid OOS	$11,368.91
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,368.91

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$7,953.92

Service Code	APR-DRG 3152
Min. Negotiated Rate	$5,109.44
Max. Negotiated Rate	$7,953.92
Rate for Payer: Buckeye Health Medicaid OOS	$7,953.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,953.92

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$5,446.70

Service Code	APR-DRG 3151
Min. Negotiated Rate	$4,721.82
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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$16,815.61

Service Code	APR-DRG 3154
Min. Negotiated Rate	$11,029.34
Max. Negotiated Rate	$16,815.61
Rate for Payer: Buckeye Health Medicaid OOS	$16,815.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,815.61

APR-DRG 42.00: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$10,763.72

Service Code	APR-DRG 3153
Min. Negotiated Rate	$9,337.94
Max. Negotiated Rate	$10,763.72
Rate for Payer: Buckeye Health Medicaid OOS	$10,763.72
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,763.72

Know your out-of-pocket cost for care.

All Charges