Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$8,775.24

Service Code	APR-DRG 0403
Min. Negotiated Rate	$6,483.70
Max. Negotiated Rate	$8,775.24
Rate for Payer: Buckeye Health Medicaid OOS	$8,775.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,775.24

APR-DRG 42.00: SPINAL DISORDERS AND INJURIES

Facility

$6,354.49

Service Code	APR-DRG 0402
Min. Negotiated Rate	$4,298.98
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: 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

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$9,942.39

Service Code	APR-DRG 3212
Min. Negotiated Rate	$7,963.68
Max. Negotiated Rate	$9,942.39
Rate for Payer: Buckeye Health Medicaid OOS	$9,942.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,942.39

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$20,792.57

Service Code	APR-DRG 3214
Min. Negotiated Rate	$15,751.16
Max. Negotiated Rate	$20,792.57
Rate for Payer: Buckeye Health Medicaid OOS	$20,792.57
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,792.57

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$7,305.50

Service Code	APR-DRG 3211
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$7,305.50
Rate for Payer: Buckeye Health Medicaid OOS	$7,305.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,305.50

APR-DRG 42.00: SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$15,605.24

Service Code	APR-DRG 3213
Min. Negotiated Rate	$12,262.65
Max. Negotiated Rate	$15,605.24
Rate for Payer: Buckeye Health Medicaid OOS	$15,605.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,605.24

APR-DRG 42.00: SPINAL PROCEDURES

Facility

$7,478.41

Service Code	APR-DRG 0231
Min. Negotiated Rate	$5,708.48
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: SPINAL PROCEDURES

Facility

$10,590.81

Service Code	APR-DRG 0232
Min. Negotiated Rate	$6,730.36
Max. Negotiated Rate	$10,590.81
Rate for Payer: Buckeye Health Medicaid OOS	$10,590.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,590.81

APR-DRG 42.00: SPINAL PROCEDURES

Facility

$16,729.16

Service Code	APR-DRG 0233
Min. Negotiated Rate	$11,064.58
Max. Negotiated Rate	$16,729.16
Rate for Payer: Buckeye Health Medicaid OOS	$16,729.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,729.16

APR-DRG 42.00: SPINAL PROCEDURES

Facility

$24,250.80

Service Code	APR-DRG 0234
Min. Negotiated Rate	$18,534.92
Max. Negotiated Rate	$24,250.80
Rate for Payer: Buckeye Health Medicaid OOS	$24,250.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$24,250.80

APR-DRG 42.00: SPLENIC PROCEDURES

Facility

$6,354.49

Service Code	APR-DRG 6501
Min. Negotiated Rate	$5,497.05
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: SPLENIC PROCEDURES

Facility

$9,250.75

Service Code	APR-DRG 6502
Min. Negotiated Rate	$5,497.05
Max. Negotiated Rate	$9,250.75
Rate for Payer: Buckeye Health Medicaid OOS	$9,250.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,250.75

APR-DRG 42.00: SPLENIC PROCEDURES

Facility

$18,242.13

Service Code	APR-DRG 6504
Min. Negotiated Rate	$10,994.10
Max. Negotiated Rate	$18,242.13
Rate for Payer: Buckeye Health Medicaid OOS	$18,242.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,242.13

APR-DRG 42.00: SPLENIC PROCEDURES

Facility

$11,498.59

Service Code	APR-DRG 6503
Min. Negotiated Rate	$10,359.83
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: SYNCOPE AND COLLAPSE

Facility

$2,896.26

Service Code	APR-DRG 2041
Min. Negotiated Rate	$2,360.91
Max. Negotiated Rate	$2,896.26
Rate for Payer: Buckeye Health Medicaid OOS	$2,896.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,896.26

APR-DRG 42.00: SYNCOPE AND COLLAPSE

Facility

$3,285.31

Service Code	APR-DRG 2042
Min. Negotiated Rate	$2,431.39
Max. Negotiated Rate	$3,285.31
Rate for Payer: Buckeye Health Medicaid OOS	$3,285.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,285.31

APR-DRG 42.00: SYNCOPE AND COLLAPSE

Facility

$4,193.10

Service Code	APR-DRG 2043
Min. Negotiated Rate	$3,805.65
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: SYNCOPE AND COLLAPSE

Facility

$6,743.54

Service Code	APR-DRG 2044
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$6,743.54
Rate for Payer: Buckeye Health Medicaid OOS	$6,743.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,743.54

APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$6,268.03

Service Code	APR-DRG 3172
Min. Negotiated Rate	$5,497.05
Max. Negotiated Rate	$6,268.03
Rate for Payer: Buckeye Health Medicaid OOS	$6,268.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,268.03

APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$17,090.19

Service Code	APR-DRG 3174
Min. Negotiated Rate	$15,259.41
Max. Negotiated Rate	$17,090.19
Rate for Payer: Buckeye Health Medicaid OOS	$15,259.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,259.41

APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$4,711.83

Service Code	APR-DRG 3171
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$4,711.83
Rate for Payer: Buckeye Health Medicaid OOS	$4,711.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,711.83

APR-DRG 42.00: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES

Facility

$8,948.15

Service Code	APR-DRG 3173
Min. Negotiated Rate	$7,681.77
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: THYROID DISORDERS

Facility

$9,423.66

Service Code	APR-DRG 4274
Min. Negotiated Rate	$3,735.18
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: THYROID DISORDERS

Facility

$2,377.53

Service Code	APR-DRG 4271
Min. Negotiated Rate	$1,550.45
Max. Negotiated Rate	$2,377.53
Rate for Payer: Buckeye Health Medicaid OOS	$2,377.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,377.53

Know your out-of-pocket cost for care.

All Charges