Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: PHLEBITIS

Facility

$60.57

Service Code	EAPG 00597
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: PHYSICAL THERAPY

Facility

$62.41

Service Code	EAPG 00271
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: POISONING OF MEDICINAL AGENTS

Facility

$91.78

Service Code	EAPG 00851
Min. Negotiated Rate	$91.78
Max. Negotiated Rate	$91.78
Rate for Payer: Buckeye Health Medicaid OOS	$91.78
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$91.78

EAPG 3.18: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS AND COMPLICATIONS

Facility

$71.59

Service Code	EAPG 00806
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: POSTPARTUM AND POST ABORTION DIAGNOSES

Facility

$66.08

Service Code	EAPG 00761
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: PRESSURE ULCERS

Facility

$73.42

Service Code	EAPG 00676
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: PRETERM LABOR DIAGNOSES

Facility

$85.36

Service Code	EAPG 00762
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: PREVENTIVE DENTAL PROCEDURES

Facility

$30.29

Service Code	EAPG 00377
Min. Negotiated Rate	$30.29
Max. Negotiated Rate	$30.29
Rate for Payer: Buckeye Health Medicaid OOS	$30.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$30.29

EAPG 3.18: PREVENTIVE OR SCREENING ENCOUNTER

Facility

$64.25

Service Code	EAPG 00879
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: PROCEDURES FOR REVISION OR REMOVAL OF NEUROSTIMULATOR DEVICES

Facility

$967.36

Service Code	EAPG 00276
Min. Negotiated Rate	$967.36
Max. Negotiated Rate	$967.36
Rate for Payer: Buckeye Health Medicaid OOS	$967.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$967.36

EAPG 3.18: PROSTATITIS

Facility

$59.66

Service Code	EAPG 00743
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: PULMONARY EMBOLISM

Facility

$74.34

Service Code	EAPG 00586
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: PULMONARY FUNCTION TESTS

Facility

$136.75

Service Code	EAPG 00060
Min. Negotiated Rate	$136.75
Max. Negotiated Rate	$136.75
Rate for Payer: Buckeye Health Medicaid OOS	$136.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$136.75

EAPG 3.18: PULMONARY INFECTION DIAGNOSES INCLUDING PNEUMONIA

Facility

$79.85

Service Code	EAPG 00581
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: RADIATION THERAPY MANAGEMENT

Facility

$157.86

Service Code	EAPG 00483
Min. Negotiated Rate	$157.86
Max. Negotiated Rate	$157.86
Rate for Payer: Buckeye Health Medicaid OOS	$157.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$157.86

EAPG 3.18: RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES

Facility

$177.14

Service Code	EAPG 00474
Min. Negotiated Rate	$177.14
Max. Negotiated Rate	$177.14
Rate for Payer: Buckeye Health Medicaid OOS	$177.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$177.14

EAPG 3.18: RADIOSURGERY

Facility

$2,394.54

Service Code	EAPG 00346
Min. Negotiated Rate	$2,394.54
Max. Negotiated Rate	$2,394.54
Rate for Payer: Buckeye Health Medicaid OOS	$2,394.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,394.54

EAPG 3.18: RADIOTHERAPY

Facility

$55.07

Service Code	EAPG 00802
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: REHABILITATION

Facility

$56.90

Service Code	EAPG 00870
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: REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES

Facility

$1,137.15

Service Code	EAPG 00087
Min. Negotiated Rate	$1,137.15
Max. Negotiated Rate	$1,137.15
Rate for Payer: Buckeye Health Medicaid OOS	$1,137.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,137.15

EAPG 3.18: RENAL FAILURE

Facility

$61.49

Service Code	EAPG 00720
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: RESPIRATORY FAILURE

Facility

$70.67

Service Code	EAPG 00587
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: RESPIRATORY MALIGNANCY

Facility

$63.33

Service Code	EAPG 00571
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: RESUSCITATION

Facility

$287.27

Service Code	EAPG 00092
Min. Negotiated Rate	$287.27
Max. Negotiated Rate	$287.27
Rate for Payer: Buckeye Health Medicaid OOS	$287.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$287.27

EAPG 3.18: REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE

Facility

$411.17

Service Code	EAPG 00076
Min. Negotiated Rate	$411.17
Max. Negotiated Rate	$411.17
Rate for Payer: Buckeye Health Medicaid OOS	$411.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$411.17

Know your out-of-pocket cost for care.

All Charges