Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: CRISIS INTERVENTION

Facility

$76.18

Service Code	EAPG 00321
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: CT GUIDANCE

Facility

$97.29

Service Code	EAPG 00473
Min. Negotiated Rate	$97.29
Max. Negotiated Rate	$97.29
Rate for Payer: Buckeye Health Medicaid OOS	$97.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$97.29

EAPG 3.18: CVA AND PRECEREBRAL OCCLUSION W INFARCT

Facility

$62.41

Service Code	EAPG 00535
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: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$89.03

Service Code	EAPG 00570
Min. Negotiated Rate	$89.03
Max. Negotiated Rate	$89.03
Rate for Payer: Buckeye Health Medicaid OOS	$89.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$89.03

EAPG 3.18: DAY REHABILITATION, FULL DAY

Facility

$76.18

Service Code	EAPG 00329
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: DAY REHABILITATION, HALF DAY

Facility

$56.90

Service Code	EAPG 00328
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: DEEP LYMPH STRUCTURE PROCEDURES

Facility

$719.56

Service Code	EAPG 00115
Min. Negotiated Rate	$719.56
Max. Negotiated Rate	$719.56
Rate for Payer: Buckeye Health Medicaid OOS	$719.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$719.56

EAPG 3.18: DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS

Facility

$66.08

Service Code	EAPG 00522
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: DENTAL AND ORAL DIAGNOSES AND INJURIES

Facility

$56.90

Service Code	EAPG 00563
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: DENTAL ANESTHESIA

Facility

$518.56

Service Code	EAPG 00375
Min. Negotiated Rate	$518.56
Max. Negotiated Rate	$518.56
Rate for Payer: Buckeye Health Medicaid OOS	$518.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$518.56

EAPG 3.18: DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES

Facility

$60.57

Service Code	EAPG 00824
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: DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING

Facility

$76.18

Service Code	EAPG 00310
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: DIABETES WITH NEUROLOGIC MANIFESTATIONS

Facility

$67.92

Service Code	EAPG 00712
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: DIABETES WITH OPHTHALMIC MANIFESTATIONS

Facility

$68.83

Service Code	EAPG 00710
Min. Negotiated Rate	$68.83
Max. Negotiated Rate	$68.83
Rate for Payer: Buckeye Health Medicaid OOS	$68.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$68.83

EAPG 3.18: DIABETES WITH OTHER MANIFESTATIONS & COMPLICATIONS

Facility

$62.41

Service Code	EAPG 00711
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: DIABETES WITHOUT COMPLICATIONS

Facility

$58.74

Service Code	EAPG 00713
Min. Negotiated Rate	$58.74
Max. Negotiated Rate	$58.74
Rate for Payer: Buckeye Health Medicaid OOS	$58.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$58.74

EAPG 3.18: DIABETES WITH RENAL MANIFESTATIONS

Facility

$55.07

Service Code	EAPG 00714
Min. Negotiated Rate	$55.07
Max. Negotiated Rate	$55.07
Rate for Payer: Buckeye Health Medicaid OOS	$55.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$55.07

EAPG 3.18: DIABETES WITH VASCULAR COMPLICATIONS INCLUDING FOOT AND OTHER SKIN ULCERS

Facility

$62.41

Service Code	EAPG 00715
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: DIAGNOSTIC CARDIAC CATHETERIZATION

Facility

$901.28

Service Code	EAPG 00084
Min. Negotiated Rate	$901.28
Max. Negotiated Rate	$901.28
Rate for Payer: Buckeye Health Medicaid OOS	$901.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$901.28

EAPG 3.18: DIAGNOSTIC DENTAL PROCEDURES

Facility

$21.11

Service Code	EAPG 00376
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: DIALYSIS PROCEDURES

Facility

$125.74

Service Code	EAPG 00168
Min. Negotiated Rate	$125.74
Max. Negotiated Rate	$125.74
Rate for Payer: Buckeye Health Medicaid OOS	$125.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$125.74

EAPG 3.18: DIAPHRAGMATIC PROCEDURES AND RELATED HERNIA REPAIR

Facility

$1,163.77

Service Code	EAPG 00073
Min. Negotiated Rate	$1,163.77
Max. Negotiated Rate	$1,163.77
Rate for Payer: Buckeye Health Medicaid OOS	$1,163.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,163.77

EAPG 3.18: DIGESTIVE MALIGNANCY

Facility

$57.82

Service Code	EAPG 00620
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: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$67.00

Service Code	EAPG 00616
Min. Negotiated Rate	$67.00
Max. Negotiated Rate	$67.00
Rate for Payer: Buckeye Health Medicaid OOS	$67.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$67.00

EAPG 3.18: EAR, NOSE, MOUTH, THROAT, CRANIAL AND FACIAL MALIGNANCIES

Facility

$68.83

Service Code	EAPG 00560
Min. Negotiated Rate	$68.83
Max. Negotiated Rate	$68.83
Rate for Payer: Buckeye Health Medicaid OOS	$68.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$68.83

Know your out-of-pocket cost for care.

All Charges