Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

$2,766.58

Service Code	APR-DRG 0521
Min. Negotiated Rate	$1,761.88
Max. Negotiated Rate	$2,766.58
Rate for Payer: Buckeye Health Medicaid OOS	$2,766.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,766.58

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$6,527.40

Service Code	APR-DRG 3052
Min. Negotiated Rate	$5,708.48
Max. Negotiated Rate	$6,527.40
Rate for Payer: Buckeye Health Medicaid OOS	$6,527.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,527.40

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$4,798.29

Service Code	APR-DRG 3051
Min. Negotiated Rate	$4,580.88
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: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$10,028.85

Service Code	APR-DRG 3053
Min. Negotiated Rate	$9,020.80
Max. Negotiated Rate	$10,028.85
Rate for Payer: Buckeye Health Medicaid OOS	$10,028.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,028.85

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$16,513.02

Service Code	APR-DRG 3054
Min. Negotiated Rate	$11,416.95
Max. Negotiated Rate	$16,513.02
Rate for Payer: Buckeye Health Medicaid OOS	$16,513.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,513.02

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$4,755.06

Service Code	APR-DRG 2262
Min. Negotiated Rate	$3,981.84
Max. Negotiated Rate	$4,755.06
Rate for Payer: Buckeye Health Medicaid OOS	$4,755.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,755.06

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$11,109.54

Service Code	APR-DRG 2264
Min. Negotiated Rate	$5,320.86
Max. Negotiated Rate	$11,109.54
Rate for Payer: Buckeye Health Medicaid OOS	$11,109.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,109.54

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$3,981.84

Service Code	APR-DRG 2261
Min. Negotiated Rate	$3,804.05
Max. Negotiated Rate	$3,981.84
Rate for Payer: Buckeye Health Medicaid OOS	$3,804.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,804.05

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$7,435.18

Service Code	APR-DRG 2263
Min. Negotiated Rate	$4,404.69
Max. Negotiated Rate	$7,435.18
Rate for Payer: Buckeye Health Medicaid OOS	$7,435.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,435.18

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$7,089.36

Service Code	APR-DRG 1984
Min. Negotiated Rate	$4,298.98
Max. Negotiated Rate	$7,089.36
Rate for Payer: Buckeye Health Medicaid OOS	$7,089.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,089.36

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$3,847.27

Service Code	APR-DRG 1983
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$3,847.27
Rate for Payer: Buckeye Health Medicaid OOS	$3,847.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,847.27

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$2,896.26

Service Code	APR-DRG 1982
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$2,896.26
Rate for Payer: Buckeye Health Medicaid OOS	$2,896.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,896.26

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$2,463.98

Service Code	APR-DRG 1981
Min. Negotiated Rate	$1,550.45
Max. Negotiated Rate	$2,463.98
Rate for Payer: Buckeye Health Medicaid OOS	$2,463.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,463.98

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$4,263.74

Service Code	APR-DRG 0591
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$4,263.74
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$5,014.42

Service Code	APR-DRG 0592
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$5,014.42
Rate for Payer: Buckeye Health Medicaid OOS	$5,014.42
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,014.42

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$10,244.99

Service Code	APR-DRG 0594
Min. Negotiated Rate	$6,201.80
Max. Negotiated Rate	$10,244.99
Rate for Payer: Buckeye Health Medicaid OOS	$10,244.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,244.99

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$6,916.45

Service Code	APR-DRG 0593
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$6,916.45
Rate for Payer: Buckeye Health Medicaid OOS	$6,916.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,916.45

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$4,582.15

Service Code	APR-DRG 5472
Min. Negotiated Rate	$4,582.15
Max. Negotiated Rate	$4,582.15
Rate for Payer: Buckeye Health Medicaid OOS	$4,582.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,582.15

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$13,832.90

Service Code	APR-DRG 5474
Min. Negotiated Rate	$13,832.90
Max. Negotiated Rate	$13,832.90
Rate for Payer: Buckeye Health Medicaid OOS	$13,832.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,832.90

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$2,507.21

Service Code	APR-DRG 5471
Min. Negotiated Rate	$2,507.21
Max. Negotiated Rate	$2,507.21
Rate for Payer: Buckeye Health Medicaid OOS	$2,507.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,507.21

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$7,219.04

Service Code	APR-DRG 5473
Min. Negotiated Rate	$7,219.04
Max. Negotiated Rate	$7,219.04
Rate for Payer: Buckeye Health Medicaid OOS	$7,219.04
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,219.04

APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$1,761.88

Service Code	APR-DRG 5661
Min. Negotiated Rate	$1,296.83
Max. Negotiated Rate	$1,761.88
Rate for Payer: Buckeye Health Medicaid OOS	$1,296.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,296.83

APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$7,305.50

Service Code	APR-DRG 5664
Min. Negotiated Rate	$4,686.59
Max. Negotiated Rate	$7,305.50
Rate for Payer: Buckeye Health Medicaid OOS	$7,305.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,305.50

APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$3,501.45

Service Code	APR-DRG 5663
Min. Negotiated Rate	$2,642.81
Max. Negotiated Rate	$3,501.45
Rate for Payer: Buckeye Health Medicaid OOS	$3,501.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,501.45

Know your out-of-pocket cost for care.

All Charges