Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: LEVEL IV EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$1,712.61

Service Code	EAPG 00255
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: LEVEL IV NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility

$9,465.27

Service Code	EAPG 00224
Min. Negotiated Rate	$9,465.27
Max. Negotiated Rate	$9,465.27
Rate for Payer: Buckeye Health Medicaid OOS	$9,465.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,465.27

EAPG 3.18: LEVEL IV ORAL AND MAXILLOFACIAL PROCEDURES

Facility

$190.90

Service Code	EAPG 00370
Min. Negotiated Rate	$190.90
Max. Negotiated Rate	$190.90
Rate for Payer: Buckeye Health Medicaid OOS	$190.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$190.90

EAPG 3.18: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$70.67

Service Code	EAPG 00804
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: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$70.67

Service Code	EAPG 00801
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: MAGNETIC RESONANCE ANGIOGRAPHY

Facility

$279.93

Service Code	EAPG 00282
Min. Negotiated Rate	$279.93
Max. Negotiated Rate	$279.93
Rate for Payer: Buckeye Health Medicaid OOS	$279.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$279.93

EAPG 3.18: MAGNETIC RESONANCE IMAGING WITH CONTRAST

Facility

$329.49

Service Code	EAPG 00295
Min. Negotiated Rate	$329.49
Max. Negotiated Rate	$329.49
Rate for Payer: Buckeye Health Medicaid OOS	$329.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$329.49

EAPG 3.18: MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST

Facility

$218.44

Service Code	EAPG 00293
Min. Negotiated Rate	$218.44
Max. Negotiated Rate	$218.44
Rate for Payer: Buckeye Health Medicaid OOS	$218.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$218.44

EAPG 3.18: MAGNETOCEPHALOGRAPHY

Facility

$296.45

Service Code	EAPG 00297
Min. Negotiated Rate	$296.45
Max. Negotiated Rate	$296.45
Rate for Payer: Buckeye Health Medicaid OOS	$296.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$296.45

EAPG 3.18: MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$78.01

Service Code	EAPG 00580
Min. Negotiated Rate	$78.01
Max. Negotiated Rate	$78.01
Rate for Payer: Buckeye Health Medicaid OOS	$78.01
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$78.01

EAPG 3.18: MAJOR DEPRESSIVE DIAGNOSES AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$60.57

Service Code	EAPG 00821
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: MAJOR OPEN ABDOMINAL AND THORACIC VASCULAR PROCEDURES

Facility

$1,280.33

Service Code	EAPG 00106
Min. Negotiated Rate	$1,280.33
Max. Negotiated Rate	$1,280.33
Rate for Payer: Buckeye Health Medicaid OOS	$1,280.33
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,280.33

EAPG 3.18: MAJOR SIGNS, SYMPTOMS AND FINDINGS

Facility

$74.34

Service Code	EAPG 00510
Min. Negotiated Rate	$74.34
Max. Negotiated Rate	$74.34
Rate for Payer: Buckeye Health Medicaid OOS	$74.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$74.34

EAPG 3.18: MAJOR SKIN DIAGNOSES

Facility

$60.57

Service Code	EAPG 00671
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: MALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$69.75

Service Code	EAPG 00744
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$69.75
Rate for Payer: Buckeye Health Medicaid OOS	$69.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$69.75

EAPG 3.18: MALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$63.33

Service Code	EAPG 00740
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: MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE

Facility

$80.77

Service Code	EAPG 00629
Min. Negotiated Rate	$80.77
Max. Negotiated Rate	$80.77
Rate for Payer: Buckeye Health Medicaid OOS	$80.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$80.77

EAPG 3.18: MALFUNCTION, REACTION, COMPLICATION OF NEUROLOGICAL DEVICE OR PROC

Facility

$64.25

Service Code	EAPG 00537
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: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$105.55

Service Code	EAPG 00725
Min. Negotiated Rate	$105.55
Max. Negotiated Rate	$105.55
Rate for Payer: Buckeye Health Medicaid OOS	$105.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$105.55

EAPG 3.18: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$79.85

Service Code	EAPG 00659
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: MALFUNCTION, REACTION, OR COMPLICATION OF CARDIOVASCULAR DEVICE OR PROC

Facility

$75.26

Service Code	EAPG 00589
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: MALFUNCTION, REACTION, OR COMPLICATION OF OCULAR DEVICE OR PROCEDURE

Facility

$77.10

Service Code	EAPG 00558
Min. Negotiated Rate	$77.10
Max. Negotiated Rate	$77.10
Rate for Payer: Buckeye Health Medicaid OOS	$77.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$77.10

EAPG 3.18: MALFUNCTION, REACTION, OR COMPLICATION OF OTOLARYNGOLOGIC DEVICE OR PROCEDURE

Facility

$69.75

Service Code	EAPG 00566
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$69.75
Rate for Payer: Buckeye Health Medicaid OOS	$69.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$69.75

EAPG 3.18: MALFUNCTION, REACTION, OR COMPLICATION OF PULMONARY DEVICE OR PROCEDURE

Facility

$76.18

Service Code	EAPG 00583
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: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$68.83

Service Code	EAPG 00634
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