Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

EAPG 3.18: TESTICULAR AND EPIDIDYMAL PROCEDURES

Facility

$651.64

Service Code	EAPG 00180
Min. Negotiated Rate	$651.64
Max. Negotiated Rate	$651.64
Rate for Payer: Buckeye Health Medicaid OOS	$651.64
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$651.64

EAPG 3.18: THERAPEUTIC DRUG MONITORING

Facility

$10.10

Service Code	EAPG 00405
Min. Negotiated Rate	$10.10
Max. Negotiated Rate	$10.10
Rate for Payer: Buckeye Health Medicaid OOS	$10.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10.10

EAPG 3.18: THERAPEUTIC NUCLEAR MEDICINE

Facility

$194.57

Service Code	EAPG 00340
Min. Negotiated Rate	$194.57
Max. Negotiated Rate	$194.57
Rate for Payer: Buckeye Health Medicaid OOS	$194.57
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$194.57

EAPG 3.18: THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES

Facility

$301.96

Service Code	EAPG 00068
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: THROMBOLYSIS

Facility

$105.55

Service Code	EAPG 00095
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: THYROID AND PARATHYROID DIAGNOSES

Facility

$62.41

Service Code	EAPG 00696
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: THYROID AND PARATHYROID PROCEDURES

Facility

$1,462.97

Service Code	EAPG 00263
Min. Negotiated Rate	$1,462.97
Max. Negotiated Rate	$1,462.97
Rate for Payer: Buckeye Health Medicaid OOS	$1,462.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,462.97

EAPG 3.18: TONSIL AND ADENOID PROCEDURES

Facility

$722.31

Service Code	EAPG 00256
Min. Negotiated Rate	$722.31
Max. Negotiated Rate	$722.31
Rate for Payer: Buckeye Health Medicaid OOS	$722.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$722.31

EAPG 3.18: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$71.59

Service Code	EAPG 00854
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: TOXICOLOGY TESTS

Facility

$11.01

Service Code	EAPG 00404
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: TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES

Facility

$999.48

Service Code	EAPG 00072
Min. Negotiated Rate	$999.48
Max. Negotiated Rate	$999.48
Rate for Payer: Buckeye Health Medicaid OOS	$999.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$999.48

EAPG 3.18: TRANSIENT ISCHEMIA

Facility

$61.49

Service Code	EAPG 00526
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: TRAUMATIC INJURIES

Facility

$75.26

Service Code	EAPG 00568
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: TUBE REPLACEMENT, REVISION OR REMOVAL

Facility

$179.89

Service Code	EAPG 00421
Min. Negotiated Rate	$179.89
Max. Negotiated Rate	$179.89
Rate for Payer: Buckeye Health Medicaid OOS	$179.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$179.89

EAPG 3.18: ULTRASOUND GUIDANCE

Facility

$106.46

Service Code	EAPG 00472
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: URINALYSIS

Facility

$6.42

Service Code	EAPG 00410
Min. Negotiated Rate	$6.42
Max. Negotiated Rate	$6.42
Rate for Payer: Buckeye Health Medicaid OOS	$6.42
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6.42

EAPG 3.18: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$69.75

Service Code	EAPG 00724
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: URINARY STUDIES AND PROCEDURES

Facility

$212.93

Service Code	EAPG 00161
Min. Negotiated Rate	$212.93
Max. Negotiated Rate	$212.93
Rate for Payer: Buckeye Health Medicaid OOS	$212.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$212.93

EAPG 3.18: VACCINE ADMINISTRATION

Facility

$7.34

Service Code	EAPG 00459
Min. Negotiated Rate	$7.34
Max. Negotiated Rate	$7.34
Rate for Payer: Buckeye Health Medicaid OOS	$7.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7.34

EAPG 3.18: VAGINAL DELIVERY PROCEDURES

Facility

$1,001.32

Service Code	EAPG 00195
Min. Negotiated Rate	$1,001.32
Max. Negotiated Rate	$1,001.32
Rate for Payer: Buckeye Health Medicaid OOS	$1,001.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,001.32

EAPG 3.18: VASCULAR ACCESS BY NEEDLE OR CATHETER

Facility

$95.45

Service Code	EAPG 00423
Min. Negotiated Rate	$95.45
Max. Negotiated Rate	$95.45
Rate for Payer: Buckeye Health Medicaid OOS	$95.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$95.45

EAPG 3.18: VENTILATION ASSISTANCE AND MANAGEMENT

Facility

$94.53

Service Code	EAPG 00067
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: VERTIGINOUS DIAGNOSES EXCEPT FOR BENIGN VERTIGO

Facility

$69.75

Service Code	EAPG 00561
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: VIRAL ILLNESS

Facility

$65.16

Service Code	EAPG 00808
Min. Negotiated Rate	$65.16
Max. Negotiated Rate	$65.16
Rate for Payer: Buckeye Health Medicaid OOS	$65.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$65.16

EAPG 3.18: VIRAL MENINGITIS

Facility

$73.42

Service Code	EAPG 00812
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

Know your out-of-pocket cost for care.

All Charges