Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$60.57

Service Code	EAPG 00826
Min. Negotiated Rate	$60.57
Max. Negotiated Rate	$60.57
Rate for Payer: Buckeye Health Medicaid OOS	$60.57
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$60.57

EAPG 3.18: ACUTE BRONCHITIS

Facility

$76.18

Service Code	EAPG 00584
Min. Negotiated Rate	$76.18
Max. Negotiated Rate	$76.18
Rate for Payer: Buckeye Health Medicaid OOS	$76.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$76.18

EAPG 3.18: ACUTE KIDNEY INJURY

Facility

$61.49

Service Code	EAPG 00729
Min. Negotiated Rate	$61.49
Max. Negotiated Rate	$61.49
Rate for Payer: Buckeye Health Medicaid OOS	$61.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$61.49

EAPG 3.18: ACUTE LEUKEMIA

Facility

$93.62

Service Code	EAPG 00800
Min. Negotiated Rate	$93.62
Max. Negotiated Rate	$93.62
Rate for Payer: Buckeye Health Medicaid OOS	$93.62
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$93.62

EAPG 3.18: ACUTE LOWER URINARY TRACT INFECTIONS

Facility

$71.59

Service Code	EAPG 00727
Min. Negotiated Rate	$71.59
Max. Negotiated Rate	$71.59
Rate for Payer: Buckeye Health Medicaid OOS	$71.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$71.59

EAPG 3.18: ACUTE MAJOR EYE INFECTIONS

Facility

$59.66

Service Code	EAPG 00550
Min. Negotiated Rate	$59.66
Max. Negotiated Rate	$59.66
Rate for Payer: Buckeye Health Medicaid OOS	$59.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$59.66

EAPG 3.18: ACUTE MYOCARDIAL INFARCTION

Facility

$134.92

Service Code	EAPG 00591
Min. Negotiated Rate	$134.92
Max. Negotiated Rate	$134.92
Rate for Payer: Buckeye Health Medicaid OOS	$134.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$134.92

EAPG 3.18: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$60.57

Service Code	EAPG 00825
Min. Negotiated Rate	$60.57
Max. Negotiated Rate	$60.57
Rate for Payer: Buckeye Health Medicaid OOS	$60.57
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$60.57

EAPG 3.18: ADULT PREVENTIVE MEDICINE

Facility

$64.25

Service Code	EAPG 00876
Min. Negotiated Rate	$64.25
Max. Negotiated Rate	$64.25
Rate for Payer: Buckeye Health Medicaid OOS	$64.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$64.25

EAPG 3.18: AFTERCARE, BURNS, CORROSIONS, OTHER INJURIES RELATED TO THE SKIN AND SUB TIS

Facility

$79.85

Service Code	EAPG 00787
Min. Negotiated Rate	$79.85
Max. Negotiated Rate	$79.85
Rate for Payer: Buckeye Health Medicaid OOS	$79.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$79.85

EAPG 3.18: AFTERCARE FOR JOINT REPLACEMENT

Facility

$59.66

Service Code	EAPG 00874
Min. Negotiated Rate	$59.66
Max. Negotiated Rate	$59.66
Rate for Payer: Buckeye Health Medicaid OOS	$59.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$59.66

EAPG 3.18: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE INJURIES

Facility

$67.92

Service Code	EAPG 00869
Min. Negotiated Rate	$67.92
Max. Negotiated Rate	$67.92
Rate for Payer: Buckeye Health Medicaid OOS	$67.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$67.92

EAPG 3.18: AFTERCARE, OPEN WOUNDS AND OTHER TRAUMATIC INJURIES

Facility

$78.93

Service Code	EAPG 00585
Min. Negotiated Rate	$78.93
Max. Negotiated Rate	$78.93
Rate for Payer: Buckeye Health Medicaid OOS	$78.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$78.93

EAPG 3.18: AFTEREFFECTS OF CEREBROVASCULAR ACCIDENT

Facility

$63.33

Service Code	EAPG 00533
Min. Negotiated Rate	$63.33
Max. Negotiated Rate	$63.33
Rate for Payer: Buckeye Health Medicaid OOS	$63.33
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$63.33

EAPG 3.18: AICD AND RELATED CARDIAC DEVICE INSERTION OR REPLACEMENT

Facility

$7,559.92

Service Code	EAPG 00097
Min. Negotiated Rate	$7,559.92
Max. Negotiated Rate	$7,559.92
Rate for Payer: Buckeye Health Medicaid OOS	$7,559.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,559.92

EAPG 3.18: AIDS

Facility

$83.52

Service Code	EAPG 00881
Min. Negotiated Rate	$83.52
Max. Negotiated Rate	$83.52
Rate for Payer: Buckeye Health Medicaid OOS	$83.52
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$83.52

EAPG 3.18: ALCOHOL ABUSE AND DEPENDENCE

Facility

$73.42

Service Code	EAPG 00842
Min. Negotiated Rate	$73.42
Max. Negotiated Rate	$73.42
Rate for Payer: Buckeye Health Medicaid OOS	$73.42
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$73.42

EAPG 3.18: ALCOHOLIC LIVER DISEASE

Facility

$64.25

Service Code	EAPG 00633
Min. Negotiated Rate	$64.25
Max. Negotiated Rate	$64.25
Rate for Payer: Buckeye Health Medicaid OOS	$64.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$64.25

EAPG 3.18: ALIMENTARY TESTS AND TUBE INSERTION OR PLACEMENT

Facility

$251.48

Service Code	EAPG 00130
Min. Negotiated Rate	$251.48
Max. Negotiated Rate	$251.48
Rate for Payer: Buckeye Health Medicaid OOS	$251.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$251.48

EAPG 3.18: ALLERGIC REACTIONS

Facility

$79.85

Service Code	EAPG 00850
Min. Negotiated Rate	$79.85
Max. Negotiated Rate	$79.85
Rate for Payer: Buckeye Health Medicaid OOS	$79.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$79.85

EAPG 3.18: ALLERGY TESTS

Facility

$126.66

Service Code	EAPG 00116
Min. Negotiated Rate	$126.66
Max. Negotiated Rate	$126.66
Rate for Payer: Buckeye Health Medicaid OOS	$126.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$126.66

EAPG 3.18: ALLERGY THERAPY

Facility

$16.52

Service Code	EAPG 00458
Min. Negotiated Rate	$16.52
Max. Negotiated Rate	$16.52
Rate for Payer: Buckeye Health Medicaid OOS	$16.52
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16.52

EAPG 3.18: ALTERATION IN CONSCIOUSNESS

Facility

$76.18

Service Code	EAPG 00883
Min. Negotiated Rate	$76.18
Max. Negotiated Rate	$76.18
Rate for Payer: Buckeye Health Medicaid OOS	$76.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$76.18

EAPG 3.18: AMBULATORY PATIENT MONITORING AND RELATED ASSESSMENTS

Facility

$92.70

Service Code	EAPG 00418
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$92.70
Rate for Payer: Buckeye Health Medicaid OOS	$92.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$92.70

EAPG 3.18: ANCILLARY DRUG ADMINISTRATION

Facility

$19.27

Service Code	EAPG 00109
Min. Negotiated Rate	$19.27
Max. Negotiated Rate	$19.27
Rate for Payer: Buckeye Health Medicaid OOS	$19.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19.27

Know your out-of-pocket cost for care.

All Charges