Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: NEONATAL DIAGNOSES

Facility

$70.67

Service Code	EAPG 00771
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: NEPHRITIS AND NEPHROSIS

Facility

$67.92

Service Code	EAPG 00722
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: NERVE AND MUSCLE TESTS

Facility

$68.83

Service Code	EAPG 00213
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: NERVOUS SYSTEM MALIGNANCY

Facility

$66.08

Service Code	EAPG 00521
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: NON-BACTERIAL GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$68.83

Service Code	EAPG 00627
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM

Facility

$71.59

Service Code	EAPG 00519
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: NONINVASIVE VENTILATION SUPPORT

Facility

$94.53

Service Code	EAPG 02020
Min. Negotiated Rate	$94.53
Max. Negotiated Rate	$94.53
Rate for Payer: Buckeye Health Medicaid OOS	$94.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$94.53

EAPG 3.18: NON-PRESSURE CHRONIC SKIN ULCERS

Facility

$78.93

Service Code	EAPG 00670
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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION W/O INFARC

Facility

$62.41

Service Code	EAPG 00534
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: NONTRAUMATIC STUPOR & COMA

Facility

$77.10

Service Code	EAPG 00528
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: NORMAL NEONATE

Facility

$56.90

Service Code	EAPG 00770
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: OBESITY

Facility

$61.49

Service Code	EAPG 00695
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: OBSERVATION

Facility

$14.68

Service Code	EAPG 00450
Min. Negotiated Rate	$14.68
Max. Negotiated Rate	$14.68
Rate for Payer: Buckeye Health Medicaid OOS	$14.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14.68

EAPG 3.18: OBSTETRICAL PROCEDURES

Facility

$515.80

Service Code	EAPG 00205
Min. Negotiated Rate	$515.80
Max. Negotiated Rate	$515.80
Rate for Payer: Buckeye Health Medicaid OOS	$515.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$515.80

EAPG 3.18: OBSTETRICAL ULTRASOUND

Facility

$64.25

Service Code	EAPG 00470
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: OCCUPATIONAL THERAPY

Facility

$66.08

Service Code	EAPG 00270
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: OCULAR AND PERIOCULAR MALIGNANCY

Facility

$68.83

Service Code	EAPG 00556
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: OCULAR IMAGING AND RELATED SERVICES

Facility

$52.31

Service Code	EAPG 00156
Min. Negotiated Rate	$52.31
Max. Negotiated Rate	$52.31
Rate for Payer: Buckeye Health Medicaid OOS	$52.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$52.31

EAPG 3.18: OPEN INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$1,259.22

Service Code	EAPG 00266
Min. Negotiated Rate	$1,259.22
Max. Negotiated Rate	$1,259.22
Rate for Payer: Buckeye Health Medicaid OOS	$1,259.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,259.22

EAPG 3.18: OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES

Facility

$1,485.00

Service Code	EAPG 00043
Min. Negotiated Rate	$1,485.00
Max. Negotiated Rate	$1,485.00
Rate for Payer: Buckeye Health Medicaid OOS	$1,485.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,485.00

EAPG 3.18: OPEN WOUNDS, PUNCTURES AND OTHER OPEN TRAUMATIC INJURIES

Facility

$89.03

Service Code	EAPG 00674
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: OPHTHALMOLOGICAL TESTS AND PROCEDURES

Facility

$98.20

Service Code	EAPG 00230
Min. Negotiated Rate	$98.20
Max. Negotiated Rate	$98.20
Rate for Payer: Buckeye Health Medicaid OOS	$98.20
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$98.20

EAPG 3.18: OPIOID ABUSE AND DEPENDENCE

Facility

$73.42

Service Code	EAPG 00840
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: ORGANIC BEHAVIORAL HEALTH DISTURBANCES

Facility

$74.34

Service Code	EAPG 00827
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: ORGAN OR DISEASE ORIENTED PANELS

Facility

$14.68

Service Code	EAPG 00403
Min. Negotiated Rate	$14.68
Max. Negotiated Rate	$14.68
Rate for Payer: Buckeye Health Medicaid OOS	$14.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14.68

Know your out-of-pocket cost for care.

All Charges