Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: MALIGNANT BREAST DIAGNOSES

Facility

$59.66

Service Code	EAPG 00672
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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DIAGNOSES

Facility

$66.08

Service Code	EAPG 00690
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: MAMMOGRAPHY & OTHER RELATED PROCEDURES

Facility

$61.49

Service Code	EAPG 00286
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: MEDICATION ADMINISTRATION & OBSERVATION

Facility

$11.01

Service Code	EAPG 00322
Min. Negotiated Rate	$11.01
Max. Negotiated Rate	$11.01
Rate for Payer: Buckeye Health Medicaid OOS	$11.01
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11.01

EAPG 3.18: MIGRAINE

Facility

$73.42

Service Code	EAPG 00531
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: MINOR AUDIOMETRIC TESTS AND SCREENING SERVICES

Facility

$40.38

Service Code	EAPG 00229
Min. Negotiated Rate	$40.38
Max. Negotiated Rate	$40.38
Rate for Payer: Buckeye Health Medicaid OOS	$40.38
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$40.38

EAPG 3.18: MINOR DERMATOLOGY SERVICES

Facility

$21.11

Service Code	EAPG 00177
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: MINOR DEVICE EVALUATION AND INTERROGATION

Facility

$41.30

Service Code	EAPG 00488
Min. Negotiated Rate	$41.30
Max. Negotiated Rate	$41.30
Rate for Payer: Buckeye Health Medicaid OOS	$41.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$41.30

EAPG 3.18: MINOR EAR, NOSE, MOUTH AND THROAT PROCEDURES

Facility

$67.00

Service Code	EAPG 00249
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: MINOR FEMALE REPRODUCTIVE PROCEDURES

Facility

$73.42

Service Code	EAPG 00417
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: MINOR MUSCULOSKELETAL PROCEDURES

Facility

$236.79

Service Code	EAPG 02030
Min. Negotiated Rate	$236.79
Max. Negotiated Rate	$236.79
Rate for Payer: Buckeye Health Medicaid OOS	$236.79
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$236.79

EAPG 3.18: MINOR OPHTHALMOLOGICAL INJECTION, SCRAPING AND TESTS

Facility

$45.89

Service Code	EAPG 00419
Min. Negotiated Rate	$45.89
Max. Negotiated Rate	$45.89
Rate for Payer: Buckeye Health Medicaid OOS	$45.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$45.89

EAPG 3.18: MINOR PULMONARY TESTS AND SERVICES

Facility

$36.71

Service Code	EAPG 00412
Min. Negotiated Rate	$36.71
Max. Negotiated Rate	$36.71
Rate for Payer: Buckeye Health Medicaid OOS	$36.71
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$36.71

EAPG 3.18: MINOR SPECIMEN COLLECTION SERVICES

Facility

$20.19

Service Code	EAPG 00304
Min. Negotiated Rate	$20.19
Max. Negotiated Rate	$20.19
Rate for Payer: Buckeye Health Medicaid OOS	$20.19
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20.19

EAPG 3.18: MINOR SPLINT AND STRAPPING APPLICATION

Facility

$106.46

Service Code	EAPG 00040
Min. Negotiated Rate	$106.46
Max. Negotiated Rate	$106.46
Rate for Payer: Buckeye Health Medicaid OOS	$106.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$106.46

EAPG 3.18: MINOR UROLOGY SERVICES

Facility

$196.41

Service Code	EAPG 00159
Min. Negotiated Rate	$196.41
Max. Negotiated Rate	$196.41
Rate for Payer: Buckeye Health Medicaid OOS	$196.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$196.41

EAPG 3.18: MOHS MICROGRAPHIC SURGERY

Facility

$619.51

Service Code	EAPG 00019
Min. Negotiated Rate	$619.51
Max. Negotiated Rate	$619.51
Rate for Payer: Buckeye Health Medicaid OOS	$619.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$619.51

EAPG 3.18: MRI GUIDANCE

Facility

$131.25

Service Code	EAPG 00475
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Buckeye Health Medicaid OOS	$131.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$131.25

EAPG 3.18: MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES

Facility

$61.49

Service Code	EAPG 00523
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: MUSCULOSKELETAL EXCISIONS, BIOPSIES, AND DRAINAGE PROCEDURES

Facility

$537.83

Service Code	EAPG 00051
Min. Negotiated Rate	$537.83
Max. Negotiated Rate	$537.83
Rate for Payer: Buckeye Health Medicaid OOS	$537.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$537.83

EAPG 3.18: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FX DUE TO MALIGNANCY

Facility

$78.01

Service Code	EAPG 00653
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: MYELOGRAPHY AND DISCOGRAPHY IMAGING PROCEDURES

Facility

$298.29

Service Code	EAPG 00284
Min. Negotiated Rate	$298.29
Max. Negotiated Rate	$298.29
Rate for Payer: Buckeye Health Medicaid OOS	$298.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$298.29

EAPG 3.18: NAIL PROCEDURES

Facility

$45.89

Service Code	EAPG 00005
Min. Negotiated Rate	$45.89
Max. Negotiated Rate	$45.89
Rate for Payer: Buckeye Health Medicaid OOS	$45.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$45.89

EAPG 3.18: NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND INTUBATION

Facility

$301.96

Service Code	EAPG 00061
Min. Negotiated Rate	$301.96
Max. Negotiated Rate	$301.96
Rate for Payer: Buckeye Health Medicaid OOS	$301.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$301.96

EAPG 3.18: NEONATAL AFTERCARE

Facility

$67.92

Service Code	EAPG 00873
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

Know your out-of-pocket cost for care.

All Charges