Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: CHEST PAIN

Facility

$3,587.91

Service Code	APR-DRG 2033
Min. Negotiated Rate	$2,959.95
Max. Negotiated Rate	$3,587.91
Rate for Payer: Buckeye Health Medicaid OOS	$3,587.91
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,587.91

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$136,772.76

Service Code	APR-DRG 0114
Min. Negotiated Rate	$136,772.76
Max. Negotiated Rate	$136,772.76
Rate for Payer: Buckeye Health Medicaid OOS	$136,772.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$136,772.76

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$80,922.44

Service Code	APR-DRG 0112
Min. Negotiated Rate	$80,922.44
Max. Negotiated Rate	$80,922.44
Rate for Payer: Buckeye Health Medicaid OOS	$80,922.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$80,922.44

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$39,856.03

Service Code	APR-DRG 0111
Min. Negotiated Rate	$39,856.03
Max. Negotiated Rate	$39,856.03
Rate for Payer: Buckeye Health Medicaid OOS	$39,856.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$39,856.03

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$101,801.47

Service Code	APR-DRG 0113
Min. Negotiated Rate	$101,801.47
Max. Negotiated Rate	$101,801.47
Rate for Payer: Buckeye Health Medicaid OOS	$101,801.47
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$101,801.47

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$6,440.94

Service Code	APR-DRG 2632
Min. Negotiated Rate	$5,144.68
Max. Negotiated Rate	$6,440.94
Rate for Payer: Buckeye Health Medicaid OOS	$6,440.94
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,440.94

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$8,861.70

Service Code	APR-DRG 2633
Min. Negotiated Rate	$5,743.71
Max. Negotiated Rate	$8,861.70
Rate for Payer: Buckeye Health Medicaid OOS	$8,861.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,861.70

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$5,230.56

Service Code	APR-DRG 2631
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,230.56
Rate for Payer: Buckeye Health Medicaid OOS	$5,230.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,230.56

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$14,956.82

Service Code	APR-DRG 2634
Min. Negotiated Rate	$14,306.42
Max. Negotiated Rate	$14,956.82
Rate for Payer: Buckeye Health Medicaid OOS	$14,956.82
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,956.82

APR-DRG 42.00: CHRONIC KIDNEY DISEASE

Facility

$5,057.65

Service Code	APR-DRG 4703
Min. Negotiated Rate	$4,862.77
Max. Negotiated Rate	$5,057.65
Rate for Payer: Buckeye Health Medicaid OOS	$5,057.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,057.65

APR-DRG 42.00: CHRONIC KIDNEY DISEASE

Facility

$3,198.86

Service Code	APR-DRG 4702
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$3,198.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,198.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,198.86

APR-DRG 42.00: CHRONIC KIDNEY DISEASE

Facility

$2,334.30

Service Code	APR-DRG 4701
Min. Negotiated Rate	$1,198.08
Max. Negotiated Rate	$2,334.30
Rate for Payer: Buckeye Health Medicaid OOS	$2,334.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,334.30

APR-DRG 42.00: CHRONIC KIDNEY DISEASE

Facility

$9,207.52

Service Code	APR-DRG 4704
Min. Negotiated Rate	$5,391.34
Max. Negotiated Rate	$9,207.52
Rate for Payer: Buckeye Health Medicaid OOS	$9,207.52
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,207.52

APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$3,890.50

Service Code	APR-DRG 1403
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$3,890.50
Rate for Payer: Buckeye Health Medicaid OOS	$3,890.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,890.50

APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$6,873.22

Service Code	APR-DRG 1404
Min. Negotiated Rate	$4,651.35
Max. Negotiated Rate	$6,873.22
Rate for Payer: Buckeye Health Medicaid OOS	$6,873.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,873.22

APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$2,853.03

Service Code	APR-DRG 1402
Min. Negotiated Rate	$2,748.53
Max. Negotiated Rate	$2,853.03
Rate for Payer: Buckeye Health Medicaid OOS	$2,853.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,853.03

APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$2,360.91

Service Code	APR-DRG 1401
Min. Negotiated Rate	$2,334.30
Max. Negotiated Rate	$2,360.91
Rate for Payer: Buckeye Health Medicaid OOS	$2,334.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,334.30

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$6,959.68

Service Code	APR-DRG 0953
Min. Negotiated Rate	$3,594.22
Max. Negotiated Rate	$6,959.68
Rate for Payer: Buckeye Health Medicaid OOS	$6,959.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,959.68

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$4,366.01

Service Code	APR-DRG 0952
Min. Negotiated Rate	$2,783.76
Max. Negotiated Rate	$4,366.01
Rate for Payer: Buckeye Health Medicaid OOS	$4,366.01
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,366.01

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$4,106.64

Service Code	APR-DRG 0951
Min. Negotiated Rate	$2,431.39
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

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$14,438.09

Service Code	APR-DRG 0954
Min. Negotiated Rate	$3,594.22
Max. Negotiated Rate	$14,438.09
Rate for Payer: Buckeye Health Medicaid OOS	$14,438.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,438.09

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$11,346.48

Service Code	APR-DRG 6614
Min. Negotiated Rate	$11,239.23
Max. Negotiated Rate	$11,346.48
Rate for Payer: Buckeye Health Medicaid OOS	$11,239.23
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,239.23

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$3,544.68

Service Code	APR-DRG 6611
Min. Negotiated Rate	$2,748.53
Max. Negotiated Rate	$3,544.68
Rate for Payer: Buckeye Health Medicaid OOS	$3,544.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,544.68

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$4,884.74

Service Code	APR-DRG 6612
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$4,884.74
Rate for Payer: Buckeye Health Medicaid OOS	$4,884.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,884.74

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$7,046.13

Service Code	APR-DRG 6613
Min. Negotiated Rate	$4,298.98
Max. Negotiated Rate	$7,046.13
Rate for Payer: Buckeye Health Medicaid OOS	$7,046.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,046.13

Know your out-of-pocket cost for care.

All Charges