Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE LOWER BACK

Facility

$72.51

Service Code	EAPG 00657
Min. Negotiated Rate	$72.51
Max. Negotiated Rate	$72.51
Rate for Payer: Buckeye Health Medicaid OOS	$72.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$72.51

EAPG 3.18: FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE PELVIS AND HIP

Facility

$95.45

Service Code	EAPG 00651
Min. Negotiated Rate	$95.45
Max. Negotiated Rate	$95.45
Rate for Payer: Buckeye Health Medicaid OOS	$95.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$95.45

EAPG 3.18: FRACTURES, DISLOCATIONS, SPRAINS, OTHER INJURIES OF THE SHOULDER AND UPPER ARM

Facility

$85.36

Service Code	EAPG 00647
Min. Negotiated Rate	$85.36
Max. Negotiated Rate	$85.36
Rate for Payer: Buckeye Health Medicaid OOS	$85.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$85.36

EAPG 3.18: GALLBLADDER AND BILIARY TRACT DIAGNOSES

Facility

$58.74

Service Code	EAPG 00637
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: GASTROINTESTINAL AND PERITONEAL INFECTION DIAGNOSES

Facility

$67.92

Service Code	EAPG 00619
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: GASTROINTESTINAL HEMORRHAGE DIAGNOSES

Facility

$68.83

Service Code	EAPG 00617
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$73.42

Service Code	EAPG 00642
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: GENETIC COUNSELING

Facility

$64.25

Service Code	EAPG 00882
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: GLAUCOMA

Facility

$62.41

Service Code	EAPG 00552
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: GROUP PSYCHOTHERAPY

Facility

$29.37

Service Code	EAPG 00318
Min. Negotiated Rate	$29.37
Max. Negotiated Rate	$29.37
Rate for Payer: Buckeye Health Medicaid OOS	$29.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$29.37

EAPG 3.18: GYNECOLOGIC PREVENTIVE MEDICINE

Facility

$64.25

Service Code	EAPG 00878
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: HAND AND FOOT TENOTOMY

Facility

$345.09

Service Code	EAPG 00048
Min. Negotiated Rate	$345.09
Max. Negotiated Rate	$345.09
Rate for Payer: Buckeye Health Medicaid OOS	$345.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$345.09

EAPG 3.18: HEADACHES OTHER THAN MIGRAINE

Facility

$71.59

Service Code	EAPG 00530
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: HEAD TRAUMA

Facility

$67.92

Service Code	EAPG 00532
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: HEAD TRAUMA WITH LOC/COMA MORE THEN 1 HR

Facility

$67.92

Service Code	EAPG 00538
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: HEART FAILURE

Facility

$68.83

Service Code	EAPG 00594
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: HEPATITIS WITHOUT COMA

Facility

$72.51

Service Code	EAPG 00636
Min. Negotiated Rate	$72.51
Max. Negotiated Rate	$72.51
Rate for Payer: Buckeye Health Medicaid OOS	$72.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$72.51

EAPG 3.18: HERNIA

Facility

$60.57

Service Code	EAPG 00631
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: HERNIA REPAIRS

Facility

$1,022.43

Service Code	EAPG 00139
Min. Negotiated Rate	$1,022.43
Max. Negotiated Rate	$1,022.43
Rate for Payer: Buckeye Health Medicaid OOS	$1,022.43
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,022.43

EAPG 3.18: HIV INFECTION

Facility

$73.42

Service Code	EAPG 00880
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: H. PYLORI INFECTION

Facility

$49.56

Service Code	EAPG 00810
Min. Negotiated Rate	$49.56
Max. Negotiated Rate	$49.56
Rate for Payer: Buckeye Health Medicaid OOS	$49.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$49.56

EAPG 3.18: HYPERTENSION

Facility

$59.66

Service Code	EAPG 00599
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: IMPLANTED TISSUE OF ANY TYPE

Facility

$592.90

Service Code	EAPG 00455
Min. Negotiated Rate	$592.90
Max. Negotiated Rate	$592.90
Rate for Payer: Buckeye Health Medicaid OOS	$592.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$592.90

EAPG 3.18: INBORN ERRORS OF METABOLISM

Facility

$55.99

Service Code	EAPG 00691
Min. Negotiated Rate	$55.99
Max. Negotiated Rate	$55.99
Rate for Payer: Buckeye Health Medicaid OOS	$55.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$55.99

EAPG 3.18: INCIDENTAL INTRAOPERATIVE PROCEDURES

Facility

$849.88

Service Code	EAPG 02008
Min. Negotiated Rate	$849.88
Max. Negotiated Rate	$849.88
Rate for Payer: Buckeye Health Medicaid OOS	$849.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$849.88

Know your out-of-pocket cost for care.

All Charges