Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$2,431.39

Service Code	APR-DRG 1321
Min. Negotiated Rate	$1,945.25
Max. Negotiated Rate	$2,431.39
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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$20,966.31

Service Code	APR-DRG 1324
Min. Negotiated Rate	$7,694.55
Max. Negotiated Rate	$20,966.31
Rate for Payer: Buckeye Health Medicaid OOS	$7,694.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,694.55

APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$3,664.70

Service Code	APR-DRG 1322
Min. Negotiated Rate	$3,285.31
Max. Negotiated Rate	$3,664.70
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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$5,533.16

Service Code	APR-DRG 1323
Min. Negotiated Rate	$3,664.70
Max. Negotiated Rate	$5,533.16
Rate for Payer: Buckeye Health Medicaid OOS	$5,533.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,533.16

APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$11,671.51

Service Code	APR-DRG 0564
Min. Negotiated Rate	$2,713.29
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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$6,527.40

Service Code	APR-DRG 0563
Min. Negotiated Rate	$2,713.29
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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$3,112.40

Service Code	APR-DRG 0561
Min. Negotiated Rate	$1,797.11
Max. Negotiated Rate	$3,112.40
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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$4,279.55

Service Code	APR-DRG 0562
Min. Negotiated Rate	$2,713.29
Max. Negotiated Rate	$4,279.55
Rate for Payer: Buckeye Health Medicaid OOS	$4,279.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,279.55

APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$13,703.21

Service Code	APR-DRG 3634
Min. Negotiated Rate	$10,853.15
Max. Negotiated Rate	$13,703.21
Rate for Payer: Buckeye Health Medicaid OOS	$13,703.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,703.21

APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$5,792.53

Service Code	APR-DRG 3631
Min. Negotiated Rate	$4,334.21
Max. Negotiated Rate	$5,792.53
Rate for Payer: Buckeye Health Medicaid OOS	$5,792.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,792.53

APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$12,622.52

Service Code	APR-DRG 3633
Min. Negotiated Rate	$9,478.89
Max. Negotiated Rate	$12,622.52
Rate for Payer: Buckeye Health Medicaid OOS	$12,622.52
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,622.52

APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$9,250.75

Service Code	APR-DRG 3632
Min. Negotiated Rate	$7,857.96
Max. Negotiated Rate	$9,250.75
Rate for Payer: Buckeye Health Medicaid OOS	$9,250.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,250.75

APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$8,126.83

Service Code	APR-DRG 1384
Min. Negotiated Rate	$6,730.36
Max. Negotiated Rate	$8,126.83
Rate for Payer: Buckeye Health Medicaid OOS	$8,126.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,126.83

APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$2,396.15

Service Code	APR-DRG 1382
Min. Negotiated Rate	$2,377.53
Max. Negotiated Rate	$2,396.15
Rate for Payer: Buckeye Health Medicaid OOS	$2,377.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,377.53

APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$4,149.87

Service Code	APR-DRG 1383
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$4,149.87
Rate for Payer: Buckeye Health Medicaid OOS	$4,149.87
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,149.87

APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$1,726.64

Service Code	APR-DRG 1381
Min. Negotiated Rate	$1,469.75
Max. Negotiated Rate	$1,726.64
Rate for Payer: Buckeye Health Medicaid OOS	$1,469.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,469.75

APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$11,023.09

Service Code	APR-DRG 8422
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$11,023.09
Rate for Payer: Buckeye Health Medicaid OOS	$11,023.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,023.09

APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$20,533.21

Service Code	APR-DRG 8423
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$20,533.21
Rate for Payer: Buckeye Health Medicaid OOS	$20,533.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,533.21

APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$7,305.50

Service Code	APR-DRG 8421
Min. Negotiated Rate	$855.00
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: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$50,792.67

Service Code	APR-DRG 8424
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$50,792.67
Rate for Payer: Buckeye Health Medicaid OOS	$50,792.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$50,792.67

APR-DRG 42.00: CARDIAC ARREST AND SHOCK

Facility

$2,074.93

Service Code	APR-DRG 1961
Min. Negotiated Rate	$1,867.59
Max. Negotiated Rate	$2,074.93
Rate for Payer: Buckeye Health Medicaid OOS	$2,074.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,074.93

APR-DRG 42.00: CARDIAC ARREST AND SHOCK

Facility

$2,550.44

Service Code	APR-DRG 1962
Min. Negotiated Rate	$1,867.59
Max. Negotiated Rate	$2,550.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,550.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,550.44

APR-DRG 42.00: CARDIAC ARREST AND SHOCK

Facility

$4,279.55

Service Code	APR-DRG 1963
Min. Negotiated Rate	$2,995.19
Max. Negotiated Rate	$4,279.55
Rate for Payer: Buckeye Health Medicaid OOS	$4,279.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,279.55

APR-DRG 42.00: CARDIAC ARREST AND SHOCK

Facility

$8,515.88

Service Code	APR-DRG 1964
Min. Negotiated Rate	$7,646.54
Max. Negotiated Rate	$8,515.88
Rate for Payer: Buckeye Health Medicaid OOS	$8,515.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,515.88

APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$4,106.64

Service Code	APR-DRG 2013
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$4,106.64
Rate for Payer: Buckeye Health Medicaid OOS	$4,106.64
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,106.64

Know your out-of-pocket cost for care.

All Charges