Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: ADJUSTMENT DISORDERS

Facility

$4,538.92

Service Code	APR-DRG 7554
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$4,538.92
Rate for Payer: Buckeye Health Medicaid OOS	$4,538.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,538.92

APR-DRG 42.00: ADJUSTMENT DISORDERS

Facility

$1,642.66

Service Code	APR-DRG 7552
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$1,642.66
Rate for Payer: Buckeye Health Medicaid OOS	$1,642.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,642.66

APR-DRG 42.00: ADJUSTMENT DISORDERS

Facility

$3,285.31

Service Code	APR-DRG 7553
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$3,285.31
Rate for Payer: Buckeye Health Medicaid OOS	$3,285.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,285.31

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$21,959.72

Service Code	APR-DRG 4014
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$21,959.72
Rate for Payer: Buckeye Health Medicaid OOS	$21,959.72
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$21,959.72

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$13,746.44

Service Code	APR-DRG 4013
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$13,746.44
Rate for Payer: Buckeye Health Medicaid OOS	$13,746.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,746.44

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$5,403.48

Service Code	APR-DRG 4011
Min. Negotiated Rate	$4,898.01
Max. Negotiated Rate	$5,403.48
Rate for Payer: Buckeye Health Medicaid OOS	$5,403.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,403.48

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$7,391.95

Service Code	APR-DRG 4012
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$7,391.95
Rate for Payer: Buckeye Health Medicaid OOS	$7,391.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,391.95

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$2,636.90

Service Code	APR-DRG 7752
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$2,636.90
Rate for Payer: Buckeye Health Medicaid OOS	$2,636.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,636.90

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$10,850.18

Service Code	APR-DRG 7754
Min. Negotiated Rate	$8,175.10
Max. Negotiated Rate	$10,850.18
Rate for Payer: Buckeye Health Medicaid OOS	$10,850.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,850.18

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$1,729.11

Service Code	APR-DRG 7751
Min. Negotiated Rate	$1,726.64
Max. Negotiated Rate	$1,729.11
Rate for Payer: Buckeye Health Medicaid OOS	$1,729.11
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,729.11

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$4,798.29

Service Code	APR-DRG 7753
Min. Negotiated Rate	$3,840.89
Max. Negotiated Rate	$4,798.29
Rate for Payer: Buckeye Health Medicaid OOS	$4,798.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,798.29

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$11,196.00

Service Code	APR-DRG 2804
Min. Negotiated Rate	$10,042.69
Max. Negotiated Rate	$11,196.00
Rate for Payer: Buckeye Health Medicaid OOS	$11,196.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,196.00

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$5,706.07

Service Code	APR-DRG 2803
Min. Negotiated Rate	$4,968.49
Max. Negotiated Rate	$5,706.07
Rate for Payer: Buckeye Health Medicaid OOS	$5,706.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,706.07

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$3,631.14

Service Code	APR-DRG 2802
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,631.14
Rate for Payer: Buckeye Health Medicaid OOS	$3,631.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,631.14

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$2,723.35

Service Code	APR-DRG 2801
Min. Negotiated Rate	$2,008.54
Max. Negotiated Rate	$2,723.35
Rate for Payer: Buckeye Health Medicaid OOS	$2,723.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,723.35

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$9,164.29

Service Code	APR-DRG 8114
Min. Negotiated Rate	$5,285.62
Max. Negotiated Rate	$9,164.29
Rate for Payer: Buckeye Health Medicaid OOS	$9,164.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,164.29

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$2,420.76

Service Code	APR-DRG 8112
Min. Negotiated Rate	$2,396.15
Max. Negotiated Rate	$2,420.76
Rate for Payer: Buckeye Health Medicaid OOS	$2,420.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,420.76

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$4,711.83

Service Code	APR-DRG 8113
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$4,711.83
Rate for Payer: Buckeye Health Medicaid OOS	$4,711.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,711.83

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$1,685.88

Service Code	APR-DRG 8111
Min. Negotiated Rate	$1,515.21
Max. Negotiated Rate	$1,685.88
Rate for Payer: Buckeye Health Medicaid OOS	$1,685.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,685.88

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$40,241.22

Service Code	APR-DRG 0071
Min. Negotiated Rate	$31,815.66
Max. Negotiated Rate	$40,241.22
Rate for Payer: Buckeye Health Medicaid OOS	$31,815.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$31,815.66

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$40,241.22

Service Code	APR-DRG 0072
Min. Negotiated Rate	$36,051.99
Max. Negotiated Rate	$40,241.22
Rate for Payer: Buckeye Health Medicaid OOS	$36,051.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$36,051.99

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$51,181.72

Service Code	APR-DRG 0073
Min. Negotiated Rate	$40,241.22
Max. Negotiated Rate	$51,181.72
Rate for Payer: Buckeye Health Medicaid OOS	$51,181.72
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$51,181.72

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$80,490.16

Service Code	APR-DRG 0074
Min. Negotiated Rate	$66,634.11
Max. Negotiated Rate	$80,490.16
Rate for Payer: Buckeye Health Medicaid OOS	$80,490.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$80,490.16

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$5,187.34

Service Code	APR-DRG 0523
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$5,187.34
Rate for Payer: Buckeye Health Medicaid OOS	$5,187.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,187.34

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$9,034.61

Service Code	APR-DRG 0524
Min. Negotiated Rate	$8,175.10
Max. Negotiated Rate	$9,034.61
Rate for Payer: Buckeye Health Medicaid OOS	$9,034.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,034.61

Know your out-of-pocket cost for care.

All Charges