Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$7,478.41

Service Code	APR-DRG 5112
Min. Negotiated Rate	$5,814.19
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: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY

Facility

$6,181.58

Service Code	APR-DRG 5111
Min. Negotiated Rate	$4,686.59
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 OVARIAN AND ADNEXAL MALIGNANCY

Facility

$11,455.37

Service Code	APR-DRG 5113
Min. Negotiated Rate	$7,787.49
Max. Negotiated Rate	$11,455.37
Rate for Payer: Buckeye Health Medicaid OOS	$11,455.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,455.37

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

Facility

$20,965.48

Service Code	APR-DRG 5114
Min. Negotiated Rate	$14,482.61
Max. Negotiated Rate	$20,965.48
Rate for Payer: Buckeye Health Medicaid OOS	$20,965.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,965.48

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$3,136.14

Service Code	APR-DRG 5603
Min. Negotiated Rate	$2,593.67
Max. Negotiated Rate	$3,136.14
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: VAGINAL DELIVERY

Facility

$2,290.44

Service Code	APR-DRG 5602
Min. Negotiated Rate	$1,729.11
Max. Negotiated Rate	$2,290.44
Rate for Payer: Buckeye Health Medicaid OOS	$1,729.11
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,729.11

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$2,008.54

Service Code	APR-DRG 5601
Min. Negotiated Rate	$1,469.75
Max. Negotiated Rate	$2,008.54
Rate for Payer: Buckeye Health Medicaid OOS	$1,469.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,469.75

APR-DRG 42.00: VAGINAL DELIVERY

Facility

$5,497.05

Service Code	APR-DRG 5604
Min. Negotiated Rate	$5,187.34
Max. Negotiated Rate	$5,497.05
Rate for Payer: Buckeye Health Medicaid OOS	$5,187.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,187.34

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$2,255.20

Service Code	APR-DRG 5421
Min. Negotiated Rate	$1,685.88
Max. Negotiated Rate	$2,255.20
Rate for Payer: Buckeye Health Medicaid OOS	$1,685.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,685.88

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$3,890.50

Service Code	APR-DRG 5423
Min. Negotiated Rate	$2,748.53
Max. Negotiated Rate	$3,890.50
Rate for Payer: Buckeye Health Medicaid OOS	$3,890.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,890.50

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$10,677.27

Service Code	APR-DRG 5424
Min. Negotiated Rate	$3,418.04
Max. Negotiated Rate	$10,677.27
Rate for Payer: Buckeye Health Medicaid OOS	$10,677.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,677.27

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$2,537.10

Service Code	APR-DRG 5422
Min. Negotiated Rate	$2,074.93
Max. Negotiated Rate	$2,537.10
Rate for Payer: Buckeye Health Medicaid OOS	$2,074.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,074.93

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$4,228.50

Service Code	APR-DRG 5413
Min. Negotiated Rate	$4,063.41
Max. Negotiated Rate	$4,228.50
Rate for Payer: Buckeye Health Medicaid OOS	$4,063.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,063.41

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$2,854.24

Service Code	APR-DRG 5412
Min. Negotiated Rate	$2,766.58
Max. Negotiated Rate	$2,854.24
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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$8,342.97

Service Code	APR-DRG 5414
Min. Negotiated Rate	$6,554.18
Max. Negotiated Rate	$8,342.97
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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$2,642.81

Service Code	APR-DRG 5411
Min. Negotiated Rate	$2,463.98
Max. Negotiated Rate	$2,642.81
Rate for Payer: Buckeye Health Medicaid OOS	$2,463.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,463.98

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$11,498.59

Service Code	APR-DRG 0223
Min. Negotiated Rate	$8,844.61
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: VENTRICULAR SHUNT PROCEDURES

Facility

$6,224.80

Service Code	APR-DRG 0221
Min. Negotiated Rate	$5,532.29
Max. Negotiated Rate	$6,224.80
Rate for Payer: Buckeye Health Medicaid OOS	$6,224.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,224.80

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$20,792.57

Service Code	APR-DRG 0224
Min. Negotiated Rate	$13,989.29
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: VENTRICULAR SHUNT PROCEDURES

Facility

$7,824.23

Service Code	APR-DRG 0222
Min. Negotiated Rate	$5,638.00
Max. Negotiated Rate	$7,824.23
Rate for Payer: Buckeye Health Medicaid OOS	$7,824.23
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,824.23

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$7,608.09

Service Code	APR-DRG 3102
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$7,608.09
Rate for Payer: Buckeye Health Medicaid OOS	$7,608.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,608.09

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$15,951.06

Service Code	APR-DRG 3104
Min. Negotiated Rate	$9,549.36
Max. Negotiated Rate	$15,951.06
Rate for Payer: Buckeye Health Medicaid OOS	$15,951.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,951.06

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$5,533.16

Service Code	APR-DRG 3101
Min. Negotiated Rate	$3,100.90
Max. Negotiated Rate	$5,533.16
Rate for Payer: Buckeye Health Medicaid OOS	$5,533.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,533.16

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$10,936.63

Service Code	APR-DRG 3103
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$10,936.63
Rate for Payer: Buckeye Health Medicaid OOS	$10,936.63
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,936.63

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$2,896.26

Service Code	APR-DRG 1111
Min. Negotiated Rate	$1,726.64
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

Know your out-of-pocket cost for care.

All Charges