Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: ANEMIA, BLOOD AND BLOOD-FORMING ORGAN DISORDERS

Facility

$60.57

Service Code	EAPG 00785
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: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$63.33

Service Code	EAPG 00598
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: ANTEPARTUM ENCOUNTERS FOR NON-ROUTINE AND ABNORMAL FINDINGS

Facility

$70.67

Service Code	EAPG 00768
Min. Negotiated Rate	$70.67
Max. Negotiated Rate	$70.67
Rate for Payer: Buckeye Health Medicaid OOS	$70.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$70.67

EAPG 3.18: ANTEPARTUM PROCEDURES

Facility

$379.97

Service Code	EAPG 00178
Min. Negotiated Rate	$379.97
Max. Negotiated Rate	$379.97
Rate for Payer: Buckeye Health Medicaid OOS	$379.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$379.97

EAPG 3.18: ARTERIOVENOUS FISTULA CREATION OR REVISION FOR HEMODIALYSIS

Facility

$1,271.15

Service Code	EAPG 00059
Min. Negotiated Rate	$1,271.15
Max. Negotiated Rate	$1,271.15
Rate for Payer: Buckeye Health Medicaid OOS	$1,271.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,271.15

EAPG 3.18: ASTHMA

Facility

$82.60

Service Code	EAPG 00575
Min. Negotiated Rate	$82.60
Max. Negotiated Rate	$82.60
Rate for Payer: Buckeye Health Medicaid OOS	$82.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$82.60

EAPG 3.18: ATRIAL AND VENTRICULAR RECORDING AND PACING

Facility

$268.92

Service Code	EAPG 00096
Min. Negotiated Rate	$268.92
Max. Negotiated Rate	$268.92
Rate for Payer: Buckeye Health Medicaid OOS	$268.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$268.92

EAPG 3.18: ATRIAL FIBRILLATION

Facility

$64.25

Service Code	EAPG 00602
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: AUDIOMETRY

Facility

$38.55

Service Code	EAPG 00257
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$38.55
Rate for Payer: Buckeye Health Medicaid OOS	$38.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$38.55

EAPG 3.18: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$71.59

Service Code	EAPG 00518
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: BASIC CHEMISTRY TESTS

Facility

$3.67

Service Code	EAPG 00402
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$3.67
Rate for Payer: Buckeye Health Medicaid OOS	$3.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3.67

EAPG 3.18: BEHAVIORAL HEALTH RESIDENTIAL TREATMENT

Facility

$60.57

Service Code	EAPG 00333
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: BEHAVIORAL HEATLH ASSESSMENT

Facility

$94.53

Service Code	EAPG 00323
Min. Negotiated Rate	$94.53
Max. Negotiated Rate	$94.53
Rate for Payer: Buckeye Health Medicaid OOS	$94.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$94.53

EAPG 3.18: BIPOLAR DISORDERS

Facility

$60.57

Service Code	EAPG 00823
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: BLOOD PROCESSING, STORAGE AND RELATED SERVICES

Facility

$22.95

Service Code	EAPG 00499
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Buckeye Health Medicaid OOS	$22.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$22.95

EAPG 3.18: BONE CONDUCTION HEARING DEVICE IMPLANTATION

Facility

$1,712.61

Service Code	EAPG 03011
Min. Negotiated Rate	$1,712.61
Max. Negotiated Rate	$1,712.61
Rate for Payer: Buckeye Health Medicaid OOS	$1,712.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,712.61

EAPG 3.18: BONE DENSITY AND RELATED PROCEDURES

Facility

$82.60

Service Code	EAPG 00291
Min. Negotiated Rate	$82.60
Max. Negotiated Rate	$82.60
Rate for Payer: Buckeye Health Medicaid OOS	$82.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$82.60

EAPG 3.18: BONE MARROW BIOPSIES

Facility

$253.31

Service Code	EAPG 00124
Min. Negotiated Rate	$253.31
Max. Negotiated Rate	$253.31
Rate for Payer: Buckeye Health Medicaid OOS	$253.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$253.31

EAPG 3.18: BONE OR JOINT MANIPULATION UNDER ANESTHESIA

Facility

$464.41

Service Code	EAPG 00044
Min. Negotiated Rate	$464.41
Max. Negotiated Rate	$464.41
Rate for Payer: Buckeye Health Medicaid OOS	$464.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$464.41

EAPG 3.18: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$56.90

Service Code	EAPG 00572
Min. Negotiated Rate	$56.90
Max. Negotiated Rate	$56.90
Rate for Payer: Buckeye Health Medicaid OOS	$56.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$56.90

EAPG 3.18: BUNION PROCEDURES

Facility

$1,126.14

Service Code	EAPG 00045
Min. Negotiated Rate	$1,126.14
Max. Negotiated Rate	$1,126.14
Rate for Payer: Buckeye Health Medicaid OOS	$1,126.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,126.14

EAPG 3.18: CARDIAC ARREST OR OTHER CAUSES OF MORTALITY

Facility

$149.60

Service Code	EAPG 00595
Min. Negotiated Rate	$149.60
Max. Negotiated Rate	$149.60
Rate for Payer: Buckeye Health Medicaid OOS	$149.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$149.60

EAPG 3.18: CARDIAC ARRHYTHMIA AND CONDUCTION DIAGNOSES

Facility

$71.59

Service Code	EAPG 00601
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: CARDIAC ELECTROPHYSIOLOGIC TESTS AND MONITORING

Facility

$461.65

Service Code	EAPG 00082
Min. Negotiated Rate	$461.65
Max. Negotiated Rate	$461.65
Rate for Payer: Buckeye Health Medicaid OOS	$461.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$461.65

EAPG 3.18: CARDIAC REHABILITATION

Facility

$19.27

Service Code	EAPG 00094
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