Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4,625.37

Service Code	APR-DRG 2331
Min. Negotiated Rate	$4,228.50
Max. Negotiated Rate	$4,625.37
Rate for Payer: Buckeye Health Medicaid OOS	$4,625.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,625.37

APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$8,386.19

Service Code	APR-DRG 2333
Min. Negotiated Rate	$5,849.43
Max. Negotiated Rate	$8,386.19
Rate for Payer: Buckeye Health Medicaid OOS	$8,386.19
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,386.19

APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$5,965.44

Service Code	APR-DRG 2332
Min. Negotiated Rate	$5,849.43
Max. Negotiated Rate	$5,965.44
Rate for Payer: Buckeye Health Medicaid OOS	$5,965.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,965.44

APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$13,141.25

Service Code	APR-DRG 2334
Min. Negotiated Rate	$10,571.25
Max. Negotiated Rate	$13,141.25
Rate for Payer: Buckeye Health Medicaid OOS	$13,141.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,141.25

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4,322.78

Service Code	APR-DRG 2341
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$4,322.78
Rate for Payer: Buckeye Health Medicaid OOS	$4,322.78
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,322.78

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$5,273.79

Service Code	APR-DRG 2342
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$5,273.79
Rate for Payer: Buckeye Health Medicaid OOS	$5,273.79
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,273.79

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$11,671.51

Service Code	APR-DRG 2344
Min. Negotiated Rate	$5,391.34
Max. Negotiated Rate	$11,671.51
Rate for Payer: Buckeye Health Medicaid OOS	$11,671.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,671.51

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$8,083.60

Service Code	APR-DRG 2343
Min. Negotiated Rate	$5,391.34
Max. Negotiated Rate	$8,083.60
Rate for Payer: Buckeye Health Medicaid OOS	$8,083.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,083.60

APR-DRG 42.00: ASTHMA

Facility

$1,945.25

Service Code	APR-DRG 1411
Min. Negotiated Rate	$1,832.35
Max. Negotiated Rate	$1,945.25
Rate for Payer: Buckeye Health Medicaid OOS	$1,945.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,945.25

APR-DRG 42.00: ASTHMA

Facility

$6,484.17

Service Code	APR-DRG 1414
Min. Negotiated Rate	$5,038.96
Max. Negotiated Rate	$6,484.17
Rate for Payer: Buckeye Health Medicaid OOS	$6,484.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,484.17

APR-DRG 42.00: ASTHMA

Facility

$3,847.27

Service Code	APR-DRG 1413
Min. Negotiated Rate	$3,136.14
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: ASTHMA

Facility

$2,809.81

Service Code	APR-DRG 1412
Min. Negotiated Rate	$2,396.15
Max. Negotiated Rate	$2,809.81
Rate for Payer: Buckeye Health Medicaid OOS	$2,809.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,809.81

APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$19,627.29

Service Code	APR-DRG 0081
Min. Negotiated Rate	$16,685.93
Max. Negotiated Rate	$19,627.29
Rate for Payer: Buckeye Health Medicaid OOS	$16,685.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,685.93

APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$35,792.62

Service Code	APR-DRG 0084
Min. Negotiated Rate	$29,423.31
Max. Negotiated Rate	$35,792.62
Rate for Payer: Buckeye Health Medicaid OOS	$35,792.62
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$35,792.62

APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$25,201.81

Service Code	APR-DRG 0083
Min. Negotiated Rate	$19,627.29
Max. Negotiated Rate	$25,201.81
Rate for Payer: Buckeye Health Medicaid OOS	$25,201.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$25,201.81

APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$19,755.10

Service Code	APR-DRG 0082
Min. Negotiated Rate	$19,627.29
Max. Negotiated Rate	$19,755.10
Rate for Payer: Buckeye Health Medicaid OOS	$19,755.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,755.10

APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$14,178.72

Service Code	APR-DRG 0494
Min. Negotiated Rate	$13,073.11
Max. Negotiated Rate	$14,178.72
Rate for Payer: Buckeye Health Medicaid OOS	$14,178.72
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,178.72

APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$6,354.49

Service Code	APR-DRG 0492
Min. Negotiated Rate	$6,060.85
Max. Negotiated Rate	$6,354.49
Rate for Payer: Buckeye Health Medicaid OOS	$6,354.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,354.49

APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$9,164.29

Service Code	APR-DRG 0493
Min. Negotiated Rate	$6,800.84
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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$5,532.29

Service Code	APR-DRG 0491
Min. Negotiated Rate	$5,187.34
Max. Negotiated Rate	$5,532.29
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: BIPOLAR DISORDERS

Facility

$7,824.23

Service Code	APR-DRG 7534
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$7,824.23
Rate for Payer: Buckeye Health Medicaid OOS	$7,824.23
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,824.23

APR-DRG 42.00: BIPOLAR DISORDERS

Facility

$1,858.80

Service Code	APR-DRG 7531
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$1,858.80
Rate for Payer: Buckeye Health Medicaid OOS	$1,858.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,858.80

APR-DRG 42.00: BIPOLAR DISORDERS

Facility

$2,463.98

Service Code	APR-DRG 7532
Min. Negotiated Rate	$408.50
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: BIPOLAR DISORDERS

Facility

$4,495.69

Service Code	APR-DRG 7533
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$4,495.69
Rate for Payer: Buckeye Health Medicaid OOS	$4,495.69
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,495.69

Know your out-of-pocket cost for care.

All Charges