Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: CARDIAC STRUCTURAL AND VALVULAR DIAGNOSES

Facility

$78.93

Service Code	EAPG 00600
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: CARDIOGRAM

Facility

$21.11

Service Code	EAPG 00413
Min. Negotiated Rate	$21.11
Max. Negotiated Rate	$21.11
Rate for Payer: Buckeye Health Medicaid OOS	$21.11
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$21.11

EAPG 3.18: CARDIOMYOPATHY DIAGNOSES

Facility

$66.08

Service Code	EAPG 00607
Min. Negotiated Rate	$66.08
Max. Negotiated Rate	$66.08
Rate for Payer: Buckeye Health Medicaid OOS	$66.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$66.08

EAPG 3.18: CARDIOVERSION

Facility

$266.16

Service Code	EAPG 00093
Min. Negotiated Rate	$266.16
Max. Negotiated Rate	$266.16
Rate for Payer: Buckeye Health Medicaid OOS	$266.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$266.16

EAPG 3.18: CAST APPLICATION OR REPLACEMENT

Facility

$145.01

Service Code	EAPG 00039
Min. Negotiated Rate	$145.01
Max. Negotiated Rate	$145.01
Rate for Payer: Buckeye Health Medicaid OOS	$145.01
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$145.01

EAPG 3.18: CATARACT PROCEDURES

Facility

$1,020.59

Service Code	EAPG 00233
Min. Negotiated Rate	$1,020.59
Max. Negotiated Rate	$1,020.59
Rate for Payer: Buckeye Health Medicaid OOS	$1,020.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,020.59

EAPG 3.18: CATARACTS

Facility

$62.41

Service Code	EAPG 00551
Min. Negotiated Rate	$62.41
Max. Negotiated Rate	$62.41
Rate for Payer: Buckeye Health Medicaid OOS	$62.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$62.41

EAPG 3.18: CELLULITIS AND OTHER BACTERIAL SKIN INFECTIONS

Facility

$61.49

Service Code	EAPG 00673
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: CEREBRAL PALSY

Facility

$75.26

Service Code	EAPG 00536
Min. Negotiated Rate	$75.26
Max. Negotiated Rate	$75.26
Rate for Payer: Buckeye Health Medicaid OOS	$75.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$75.26

EAPG 3.18: CHEMOTHERAPY

Facility

$79.85

Service Code	EAPG 00803
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: CHEST PAIN

Facility

$83.52

Service Code	EAPG 00604
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: CHILDHOOD BEHAVIORAL DIAGNOSES

Facility

$62.41

Service Code	EAPG 00829
Min. Negotiated Rate	$62.41
Max. Negotiated Rate	$62.41
Rate for Payer: Buckeye Health Medicaid OOS	$62.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$62.41

EAPG 3.18: CHILD PREVENTIVE MEDICINE

Facility

$64.25

Service Code	EAPG 00877
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: CHOLECYSTECTOMY AND RELATED BILIARY PROCEDURES

Facility

$1,350.08

Service Code	EAPG 00107
Min. Negotiated Rate	$1,350.08
Max. Negotiated Rate	$1,350.08
Rate for Payer: Buckeye Health Medicaid OOS	$1,350.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,350.08

EAPG 3.18: CHOLECYSTITIS

Facility

$57.82

Service Code	EAPG 00638
Min. Negotiated Rate	$57.82
Max. Negotiated Rate	$57.82
Rate for Payer: Buckeye Health Medicaid OOS	$57.82
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$57.82

EAPG 3.18: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$60.57

Service Code	EAPG 00574
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: CLASS III PHARMACOTHERAPY

Facility

$92.70

Service Code	EAPG 00437
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: CLASS III THERAPEUTIC RADIOPHARMACEUTICALS

Facility

$580.97

Service Code	EAPG 00245
Min. Negotiated Rate	$580.97
Max. Negotiated Rate	$580.97
Rate for Payer: Buckeye Health Medicaid OOS	$580.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$580.97

EAPG 3.18: CLASS II PHARMACOTHERAPY

Facility

$51.40

Service Code	EAPG 00436
Min. Negotiated Rate	$51.40
Max. Negotiated Rate	$51.40
Rate for Payer: Buckeye Health Medicaid OOS	$51.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$51.40

EAPG 3.18: CLASS II THERAPEUTIC RADIOPHARMACEUTICALS

Facility

$200.08

Service Code	EAPG 00244
Min. Negotiated Rate	$200.08
Max. Negotiated Rate	$200.08
Rate for Payer: Buckeye Health Medicaid OOS	$200.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$200.08

EAPG 3.18: CLASS I PHARMACOTHERAPY

Facility

$17.44

Service Code	EAPG 00435
Min. Negotiated Rate	$17.44
Max. Negotiated Rate	$17.44
Rate for Payer: Buckeye Health Medicaid OOS	$17.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17.44

EAPG 3.18: CLASS I THERAPEUTIC RADIOPHARMACEUTICALS

Facility

$8.26

Service Code	EAPG 00243
Min. Negotiated Rate	$8.26
Max. Negotiated Rate	$8.26
Rate for Payer: Buckeye Health Medicaid OOS	$8.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8.26

EAPG 3.18: CLASS IV PHARMACOTHERAPY

Facility

$156.03

Service Code	EAPG 00438
Min. Negotiated Rate	$156.03
Max. Negotiated Rate	$156.03
Rate for Payer: Buckeye Health Medicaid OOS	$156.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$156.03

EAPG 3.18: CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility

$1,167.44

Service Code	EAPG 00461
Min. Negotiated Rate	$1,167.44
Max. Negotiated Rate	$1,167.44
Rate for Payer: Buckeye Health Medicaid OOS	$1,167.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,167.44

EAPG 3.18: CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility

$846.21

Service Code	EAPG 00460
Min. Negotiated Rate	$846.21
Max. Negotiated Rate	$846.21
Rate for Payer: Buckeye Health Medicaid OOS	$846.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$846.21

Know your out-of-pocket cost for care.

All Charges