Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: THYROID DISORDERS

Facility

$3,198.86

Service Code	APR-DRG 4272
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$3,198.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,198.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,198.86

APR-DRG 42.00: THYROID DISORDERS

Facility

$5,230.56

Service Code	APR-DRG 4273
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$5,230.56
Rate for Payer: Buckeye Health Medicaid OOS	$5,230.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,230.56

APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$4,841.51

Service Code	APR-DRG 4041
Min. Negotiated Rate	$3,277.09
Max. Negotiated Rate	$4,841.51
Rate for Payer: Buckeye Health Medicaid OOS	$4,841.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,841.51

APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 4042
Min. Negotiated Rate	$4,898.01
Max. Negotiated Rate	$6,829.99
Rate for Payer: Buckeye Health Medicaid OOS	$6,829.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,829.99

APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$11,282.46

Service Code	APR-DRG 4043
Min. Negotiated Rate	$7,399.88
Max. Negotiated Rate	$11,282.46
Rate for Payer: Buckeye Health Medicaid OOS	$11,282.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,282.46

APR-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$19,495.74

Service Code	APR-DRG 4044
Min. Negotiated Rate	$9,690.31
Max. Negotiated Rate	$19,495.74
Rate for Payer: Buckeye Health Medicaid OOS	$19,495.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,495.74

APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES

Facility

$4,452.46

Service Code	APR-DRG 0972
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$4,452.46
Rate for Payer: Buckeye Health Medicaid OOS	$4,452.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,452.46

APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES

Facility

$11,412.14

Service Code	APR-DRG 0974
Min. Negotiated Rate	$5,003.73
Max. Negotiated Rate	$11,412.14
Rate for Payer: Buckeye Health Medicaid OOS	$11,412.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,412.14

APR-DRG 42.00: TONSIL AND ADENOID PROCEDURES

Facility

$2,853.03

Service Code	APR-DRG 0971
Min. Negotiated Rate	$2,325.68
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: TONSIL AND ADENOID PROCEDURES

Facility

$7,046.13

Service Code	APR-DRG 0973
Min. Negotiated Rate	$3,981.84
Max. Negotiated Rate	$7,046.13
Rate for Payer: Buckeye Health Medicaid OOS	$7,046.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,046.13

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,118.16

Service Code	APR-DRG 8161
Min. Negotiated Rate	$1,902.83
Max. Negotiated Rate	$2,118.16
Rate for Payer: Buckeye Health Medicaid OOS	$2,118.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,118.16

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$10,504.36

Service Code	APR-DRG 8164
Min. Negotiated Rate	$6,307.51
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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$2,896.26

Service Code	APR-DRG 8162
Min. Negotiated Rate	$2,431.39
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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$5,489.93

Service Code	APR-DRG 8163
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$5,489.93
Rate for Payer: Buckeye Health Medicaid OOS	$5,489.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,489.93

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$76,859.03

Service Code	APR-DRG 0044
Min. Negotiated Rate	$65,365.56
Max. Negotiated Rate	$76,859.03
Rate for Payer: Buckeye Health Medicaid OOS	$76,859.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$76,859.03

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$52,997.28

Service Code	APR-DRG 0043
Min. Negotiated Rate	$32,101.36
Max. Negotiated Rate	$52,997.28
Rate for Payer: Buckeye Health Medicaid OOS	$52,997.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$52,997.28

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$32,101.36

Service Code	APR-DRG 0041
Min. Negotiated Rate	$23,429.47
Max. Negotiated Rate	$32,101.36
Rate for Payer: Buckeye Health Medicaid OOS	$23,429.47
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$23,429.47

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$33,847.37

Service Code	APR-DRG 0042
Min. Negotiated Rate	$32,101.36
Max. Negotiated Rate	$33,847.37
Rate for Payer: Buckeye Health Medicaid OOS	$33,847.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$33,847.37

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$53,516.02

Service Code	APR-DRG 0054
Min. Negotiated Rate	$42,461.19
Max. Negotiated Rate	$53,516.02
Rate for Payer: Buckeye Health Medicaid OOS	$53,516.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$53,516.02

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$38,861.79

Service Code	APR-DRG 0053
Min. Negotiated Rate	$26,392.89
Max. Negotiated Rate	$38,861.79
Rate for Payer: Buckeye Health Medicaid OOS	$38,861.79
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$38,861.79

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$17,301.61

Service Code	APR-DRG 0051
Min. Negotiated Rate	$13,616.76
Max. Negotiated Rate	$17,301.61
Rate for Payer: Buckeye Health Medicaid OOS	$13,616.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,616.76

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$25,893.45

Service Code	APR-DRG 0052
Min. Negotiated Rate	$17,301.61
Max. Negotiated Rate	$25,893.45
Rate for Payer: Buckeye Health Medicaid OOS	$25,893.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$25,893.45

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$4,582.15

Service Code	APR-DRG 0473
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$4,582.15
Rate for Payer: Buckeye Health Medicaid OOS	$4,582.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,582.15

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$3,674.36

Service Code	APR-DRG 0472
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$3,674.36
Rate for Payer: Buckeye Health Medicaid OOS	$3,674.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,674.36

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$7,435.18

Service Code	APR-DRG 0474
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$7,435.18
Rate for Payer: Buckeye Health Medicaid OOS	$7,435.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,435.18

Know your out-of-pocket cost for care.

All Charges