Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$3,198.86

Service Code	APR-DRG 0471
Min. Negotiated Rate	$2,501.86
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: TRANSURETHRAL PROSTATECTOMY

Facility

$3,587.91

Service Code	APR-DRG 4821
Min. Negotiated Rate	$2,642.81
Max. Negotiated Rate	$3,587.91
Rate for Payer: Buckeye Health Medicaid OOS	$3,587.91
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,587.91

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$8,256.51

Service Code	APR-DRG 4823
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$8,256.51
Rate for Payer: Buckeye Health Medicaid OOS	$8,256.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,256.51

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$5,100.88

Service Code	APR-DRG 4822
Min. Negotiated Rate	$2,924.71
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: TRANSURETHRAL PROSTATECTOMY

Facility

$11,325.68

Service Code	APR-DRG 4824
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$11,325.68
Rate for Payer: Buckeye Health Medicaid OOS	$11,325.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,325.68

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$8,040.37

Service Code	APR-DRG 4463
Min. Negotiated Rate	$4,369.45
Max. Negotiated Rate	$8,040.37
Rate for Payer: Buckeye Health Medicaid OOS	$8,040.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,040.37

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$4,106.64

Service Code	APR-DRG 4461
Min. Negotiated Rate	$3,594.22
Max. Negotiated Rate	$4,106.64
Rate for Payer: Buckeye Health Medicaid OOS	$4,106.64
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,106.64

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$5,360.25

Service Code	APR-DRG 4462
Min. Negotiated Rate	$3,876.12
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: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$12,838.66

Service Code	APR-DRG 4464
Min. Negotiated Rate	$9,020.80
Max. Negotiated Rate	$12,838.66
Rate for Payer: Buckeye Health Medicaid OOS	$12,838.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,838.66

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$2,766.58

Service Code	APR-DRG 4651
Min. Negotiated Rate	$2,396.15
Max. Negotiated Rate	$2,766.58
Rate for Payer: Buckeye Health Medicaid OOS	$2,766.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,766.58

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$4,971.20

Service Code	APR-DRG 4653
Min. Negotiated Rate	$3,065.66
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: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$3,415.00

Service Code	APR-DRG 4652
Min. Negotiated Rate	$2,678.05
Max. Negotiated Rate	$3,415.00
Rate for Payer: Buckeye Health Medicaid OOS	$3,415.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,415.00

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$8,991.38

Service Code	APR-DRG 4654
Min. Negotiated Rate	$5,179.91
Max. Negotiated Rate	$8,991.38
Rate for Payer: Buckeye Health Medicaid OOS	$8,991.38
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,991.38

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$16,988.53

Service Code	APR-DRG 5194
Min. Negotiated Rate	$6,659.89
Max. Negotiated Rate	$16,988.53
Rate for Payer: Buckeye Health Medicaid OOS	$16,988.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,988.53

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$5,662.84

Service Code	APR-DRG 5192
Min. Negotiated Rate	$3,876.12
Max. Negotiated Rate	$5,662.84
Rate for Payer: Buckeye Health Medicaid OOS	$5,662.84
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,662.84

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$10,244.99

Service Code	APR-DRG 5193
Min. Negotiated Rate	$6,659.89
Max. Negotiated Rate	$10,244.99
Rate for Payer: Buckeye Health Medicaid OOS	$10,244.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,244.99

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$4,279.55

Service Code	APR-DRG 5191
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$4,279.55
Rate for Payer: Buckeye Health Medicaid OOS	$4,279.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,279.55

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$16,902.07

Service Code	APR-DRG 5134
Min. Negotiated Rate	$6,659.89
Max. Negotiated Rate	$16,902.07
Rate for Payer: Buckeye Health Medicaid OOS	$16,902.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,902.07

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$4,625.37

Service Code	APR-DRG 5131
Min. Negotiated Rate	$3,277.09
Max. Negotiated Rate	$4,625.37
Rate for Payer: Buckeye Health Medicaid OOS	$4,625.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,625.37

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$9,380.43

Service Code	APR-DRG 5133
Min. Negotiated Rate	$6,131.32
Max. Negotiated Rate	$9,380.43
Rate for Payer: Buckeye Health Medicaid OOS	$9,380.43
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,380.43

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$5,706.07

Service Code	APR-DRG 5132
Min. Negotiated Rate	$4,193.26
Max. Negotiated Rate	$5,706.07
Rate for Payer: Buckeye Health Medicaid OOS	$5,706.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,706.07

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$6,181.58

Service Code	APR-DRG 5121
Min. Negotiated Rate	$5,391.34
Max. Negotiated Rate	$6,181.58
Rate for Payer: Buckeye Health Medicaid OOS	$6,181.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,181.58

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$7,089.36

Service Code	APR-DRG 5122
Min. Negotiated Rate	$5,391.34
Max. Negotiated Rate	$7,089.36
Rate for Payer: Buckeye Health Medicaid OOS	$7,089.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,089.36

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$11,714.73

Service Code	APR-DRG 5123
Min. Negotiated Rate	$6,800.84
Max. Negotiated Rate	$11,714.73
Rate for Payer: Buckeye Health Medicaid OOS	$11,714.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,714.73

APR-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY

Facility

$20,057.70

Service Code	APR-DRG 5124
Min. Negotiated Rate	$10,007.45
Max. Negotiated Rate	$20,057.70
Rate for Payer: Buckeye Health Medicaid OOS	$20,057.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,057.70

Know your out-of-pocket cost for care.

All Charges