Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: REVISION, REPLACEMENT OR REMOVAL OF CARDIAC DEVICE COMPONENT

Facility

$1,316.13

Service Code	EAPG 00074
Min. Negotiated Rate	$1,316.13
Max. Negotiated Rate	$1,316.13
Rate for Payer: Buckeye Health Medicaid OOS	$1,316.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,316.13

EAPG 3.18: ROUTINE PRENATAL CARE

Facility

$67.92

Service Code	EAPG 00766
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: SCHIZOPHRENIA

Facility

$60.57

Service Code	EAPG 00820
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: SCIATICA

Facility

$77.10

Service Code	EAPG 00658
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: SCREENING COLORECTAL SERVICES

Facility

$387.31

Service Code	EAPG 00149
Min. Negotiated Rate	$387.31
Max. Negotiated Rate	$387.31
Rate for Payer: Buckeye Health Medicaid OOS	$387.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$387.31

EAPG 3.18: SCREENING FOR BEHAVIORAL CHANGE OR RISK ASSESSMENT

Facility

$25.70

Service Code	EAPG 00324
Min. Negotiated Rate	$25.70
Max. Negotiated Rate	$25.70
Rate for Payer: Buckeye Health Medicaid OOS	$25.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$25.70

EAPG 3.18: SEALANT

Facility

$19.27

Service Code	EAPG 00372
Min. Negotiated Rate	$19.27
Max. Negotiated Rate	$19.27
Rate for Payer: Buckeye Health Medicaid OOS	$19.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19.27

EAPG 3.18: SEIZURE

Facility

$71.59

Service Code	EAPG 00529
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: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$84.44

Service Code	EAPG 00805
Min. Negotiated Rate	$84.44
Max. Negotiated Rate	$84.44
Rate for Payer: Buckeye Health Medicaid OOS	$84.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$84.44

EAPG 3.18: SHOULDER AND UPPER ARM PROCEDURES

Facility

$1,140.83

Service Code	EAPG 00025
Min. Negotiated Rate	$1,140.83
Max. Negotiated Rate	$1,140.83
Rate for Payer: Buckeye Health Medicaid OOS	$1,140.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,140.83

EAPG 3.18: SICKLE CELL ANEMIA CRISIS

Facility

$159.70

Service Code	EAPG 00783
Min. Negotiated Rate	$159.70
Max. Negotiated Rate	$159.70
Rate for Payer: Buckeye Health Medicaid OOS	$159.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$159.70

EAPG 3.18: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$64.25

Service Code	EAPG 00871
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: SIMPLE WOUND REPAIR AND TREATMENT

Facility

$229.45

Service Code	EAPG 00016
Min. Negotiated Rate	$229.45
Max. Negotiated Rate	$229.45
Rate for Payer: Buckeye Health Medicaid OOS	$229.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$229.45

EAPG 3.18: SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES

Facility

$725.98

Service Code	EAPG 00056
Min. Negotiated Rate	$725.98
Max. Negotiated Rate	$725.98
Rate for Payer: Buckeye Health Medicaid OOS	$725.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$725.98

EAPG 3.18: SLEEP STUDIES ATTENDED

Facility

$429.53

Service Code	EAPG 00222
Min. Negotiated Rate	$429.53
Max. Negotiated Rate	$429.53
Rate for Payer: Buckeye Health Medicaid OOS	$429.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$429.53

EAPG 3.18: SLEEP STUDIES UNATTENDED

Facility

$242.30

Service Code	EAPG 00226
Min. Negotiated Rate	$242.30
Max. Negotiated Rate	$242.30
Rate for Payer: Buckeye Health Medicaid OOS	$242.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$242.30

EAPG 3.18: SPEECH THERAPY AND EVALUATION

Facility

$60.57

Service Code	EAPG 00272
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: SPINAL DIAGNOSES AND INJURIES

Facility

$71.59

Service Code	EAPG 00520
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: SPINAL IMPLANTATION OF DRUG INFUSION DEVICE

Facility

$7,105.61

Service Code	EAPG 03030
Min. Negotiated Rate	$7,105.61
Max. Negotiated Rate	$7,105.61
Rate for Payer: Buckeye Health Medicaid OOS	$7,105.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,105.61

EAPG 3.18: SPINE INJECTIONS AND OTHER RELATED PROCEDURES

Facility

$277.18

Service Code	EAPG 00053
Min. Negotiated Rate	$277.18
Max. Negotiated Rate	$277.18
Rate for Payer: Buckeye Health Medicaid OOS	$277.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$277.18

EAPG 3.18: STATUS ASTHMATICUS

Facility

$67.00

Service Code	EAPG 00579
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: STRABISMUS AND MUSCLE EYE PROCEDURES

Facility

$870.99

Service Code	EAPG 00239
Min. Negotiated Rate	$870.99
Max. Negotiated Rate	$870.99
Rate for Payer: Buckeye Health Medicaid OOS	$870.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$870.99

EAPG 3.18: SUPERFICIAL INJURY TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$83.52

Service Code	EAPG 00777
Min. Negotiated Rate	$83.52
Max. Negotiated Rate	$83.52
Rate for Payer: Buckeye Health Medicaid OOS	$83.52
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$83.52

EAPG 3.18: SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION

Facility

$253.31

Service Code	EAPG 00002
Min. Negotiated Rate	$253.31
Max. Negotiated Rate	$253.31
Rate for Payer: Buckeye Health Medicaid OOS	$253.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$253.31

EAPG 3.18: SYNCOPE AND COLLAPSE

Facility

$75.26

Service Code	EAPG 00605
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

Know your out-of-pocket cost for care.

All Charges