Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$2,924.71

Service Code	APR-DRG 6621
Min. Negotiated Rate	$2,636.90
Max. Negotiated Rate	$2,924.71
Rate for Payer: Buckeye Health Medicaid OOS	$2,636.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,636.90

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$5,792.53

Service Code	APR-DRG 6623
Min. Negotiated Rate	$5,708.48
Max. Negotiated Rate	$5,792.53
Rate for Payer: Buckeye Health Medicaid OOS	$5,792.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,792.53

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$3,631.14

Service Code	APR-DRG 6622
Min. Negotiated Rate	$3,594.22
Max. Negotiated Rate	$3,631.14
Rate for Payer: Buckeye Health Medicaid OOS	$3,631.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,631.14

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$10,504.36

Service Code	APR-DRG 6624
Min. Negotiated Rate	$7,399.88
Max. Negotiated Rate	$10,504.36
Rate for Payer: Buckeye Health Medicaid OOS	$10,504.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,504.36

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$3,312.32

Service Code	APR-DRG 8612
Min. Negotiated Rate	$3,025.95
Max. Negotiated Rate	$3,312.32
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$2,678.05

Service Code	APR-DRG 8611
Min. Negotiated Rate	$2,291.07
Max. Negotiated Rate	$2,678.05
Rate for Payer: Buckeye Health Medicaid OOS	$2,291.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,291.07

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$5,109.44

Service Code	APR-DRG 8613
Min. Negotiated Rate	$4,409.24
Max. Negotiated Rate	$5,109.44
Rate for Payer: Buckeye Health Medicaid OOS	$4,409.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,409.24

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$7,219.04

Service Code	APR-DRG 8614
Min. Negotiated Rate	$5,109.44
Max. Negotiated Rate	$7,219.04
Rate for Payer: Buckeye Health Medicaid OOS	$7,219.04
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,219.04

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$17,982.76

Service Code	APR-DRG 3003
Min. Negotiated Rate	$17,982.76
Max. Negotiated Rate	$17,982.76
Rate for Payer: Buckeye Health Medicaid OOS	$17,982.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,982.76

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$13,789.67

Service Code	APR-DRG 3002
Min. Negotiated Rate	$13,789.67
Max. Negotiated Rate	$13,789.67
Rate for Payer: Buckeye Health Medicaid OOS	$13,789.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,789.67

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$12,147.01

Service Code	APR-DRG 3001
Min. Negotiated Rate	$12,147.01
Max. Negotiated Rate	$12,147.01
Rate for Payer: Buckeye Health Medicaid OOS	$12,147.01
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,147.01

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$25,720.54

Service Code	APR-DRG 3004
Min. Negotiated Rate	$25,720.54
Max. Negotiated Rate	$25,720.54
Rate for Payer: Buckeye Health Medicaid OOS	$25,720.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$25,720.54

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$24,701.49

Service Code	APR-DRG 3124
Min. Negotiated Rate	$23,861.75
Max. Negotiated Rate	$24,701.49
Rate for Payer: Buckeye Health Medicaid OOS	$23,861.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$23,861.75

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$9,553.34

Service Code	APR-DRG 3122
Min. Negotiated Rate	$4,721.82
Max. Negotiated Rate	$9,553.34
Rate for Payer: Buckeye Health Medicaid OOS	$9,553.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,553.34

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$14,654.22

Service Code	APR-DRG 3123
Min. Negotiated Rate	$8,985.56
Max. Negotiated Rate	$14,654.22
Rate for Payer: Buckeye Health Medicaid OOS	$14,654.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,654.22

APR-DRG 42.00: SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES

Facility

$6,657.08

Service Code	APR-DRG 3121
Min. Negotiated Rate	$4,721.82
Max. Negotiated Rate	$6,657.08
Rate for Payer: Buckeye Health Medicaid OOS	$6,657.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,657.08

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$23,213.33

Service Code	APR-DRG 3614
Min. Negotiated Rate	$10,747.44
Max. Negotiated Rate	$23,213.33
Rate for Payer: Buckeye Health Medicaid OOS	$23,213.33
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$23,213.33

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$9,466.89

Service Code	APR-DRG 3612
Min. Negotiated Rate	$5,743.71
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: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$13,054.80

Service Code	APR-DRG 3613
Min. Negotiated Rate	$7,223.69
Max. Negotiated Rate	$13,054.80
Rate for Payer: Buckeye Health Medicaid OOS	$13,054.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,054.80

APR-DRG 42.00: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$7,132.59

Service Code	APR-DRG 3611
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$7,132.59
Rate for Payer: Buckeye Health Medicaid OOS	$7,132.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,132.59

APR-DRG 42.00: SKIN ULCERS

Facility

$4,971.20

Service Code	APR-DRG 3803
Min. Negotiated Rate	$4,933.25
Max. Negotiated Rate	$4,971.20
Rate for Payer: Buckeye Health Medicaid OOS	$4,971.20
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,971.20

APR-DRG 42.00: SKIN ULCERS

Facility

$2,507.21

Service Code	APR-DRG 3801
Min. Negotiated Rate	$1,515.21
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: SKIN ULCERS

Facility

$3,242.09

Service Code	APR-DRG 3802
Min. Negotiated Rate	$3,065.66
Max. Negotiated Rate	$3,242.09
Rate for Payer: Buckeye Health Medicaid OOS	$3,242.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,242.09

APR-DRG 42.00: SKIN ULCERS

Facility

$8,645.56

Service Code	APR-DRG 3804
Min. Negotiated Rate	$5,003.73
Max. Negotiated Rate	$8,645.56
Rate for Payer: Buckeye Health Medicaid OOS	$8,645.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,645.56

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$4,668.60

Service Code	APR-DRG 0401
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$4,668.60
Rate for Payer: Buckeye Health Medicaid OOS	$4,668.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,668.60

Know your out-of-pocket cost for care.

All Charges