Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$1,512.97

Service Code	APR-DRG 7741
Min. Negotiated Rate	$986.65
Max. Negotiated Rate	$1,512.97
Rate for Payer: Buckeye Health Medicaid OOS	$1,512.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,512.97

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$8,818.47

Service Code	APR-DRG 7744
Min. Negotiated Rate	$5,778.95
Max. Negotiated Rate	$8,818.47
Rate for Payer: Buckeye Health Medicaid OOS	$8,818.47
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,818.47

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$2,031.71

Service Code	APR-DRG 7742
Min. Negotiated Rate	$1,938.06
Max. Negotiated Rate	$2,031.71
Rate for Payer: Buckeye Health Medicaid OOS	$2,031.71
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,031.71

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$3,840.89

Service Code	APR-DRG 7743
Min. Negotiated Rate	$3,544.68
Max. Negotiated Rate	$3,840.89
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: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$3,069.17

Service Code	APR-DRG 0571
Min. Negotiated Rate	$1,938.06
Max. Negotiated Rate	$3,069.17
Rate for Payer: Buckeye Health Medicaid OOS	$3,069.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,069.17

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$4,409.24

Service Code	APR-DRG 0572
Min. Negotiated Rate	$3,136.14
Max. Negotiated Rate	$4,409.24
Rate for Payer: Buckeye Health Medicaid OOS	$4,409.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,409.24

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$10,417.90

Service Code	APR-DRG 0574
Min. Negotiated Rate	$6,237.04
Max. Negotiated Rate	$10,417.90
Rate for Payer: Buckeye Health Medicaid OOS	$10,417.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,417.90

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$6,181.58

Service Code	APR-DRG 0573
Min. Negotiated Rate	$3,594.22
Max. Negotiated Rate	$6,181.58
Rate for Payer: Buckeye Health Medicaid OOS	$6,181.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,181.58

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$4,798.29

Service Code	APR-DRG 3462
Min. Negotiated Rate	$3,770.41
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: CONNECTIVE TISSUE DISORDERS

Facility

$7,175.81

Service Code	APR-DRG 3463
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$7,175.81
Rate for Payer: Buckeye Health Medicaid OOS	$7,175.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,175.81

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$13,141.25

Service Code	APR-DRG 3464
Min. Negotiated Rate	$9,690.31
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: CONNECTIVE TISSUE DISORDERS

Facility

$3,415.00

Service Code	APR-DRG 3461
Min. Negotiated Rate	$2,713.29
Max. Negotiated Rate	$3,415.00
Rate for Payer: Buckeye Health Medicaid OOS	$3,415.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,415.00

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$3,069.17

Service Code	APR-DRG 3841
Min. Negotiated Rate	$2,466.62
Max. Negotiated Rate	$3,069.17
Rate for Payer: Buckeye Health Medicaid OOS	$3,069.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,069.17

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$5,360.25

Service Code	APR-DRG 3843
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,360.25
Rate for Payer: Buckeye Health Medicaid OOS	$5,360.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,360.25

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$3,760.82

Service Code	APR-DRG 3842
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,760.82
Rate for Payer: Buckeye Health Medicaid OOS	$3,760.82
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,760.82

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$8,602.33

Service Code	APR-DRG 3844
Min. Negotiated Rate	$5,708.48
Max. Negotiated Rate	$8,602.33
Rate for Payer: Buckeye Health Medicaid OOS	$8,602.33
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,602.33

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$22,997.19

Service Code	APR-DRG 1653
Min. Negotiated Rate	$16,984.47
Max. Negotiated Rate	$22,997.19
Rate for Payer: Buckeye Health Medicaid OOS	$22,997.19
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$22,997.19

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$30,951.10

Service Code	APR-DRG 1654
Min. Negotiated Rate	$28,859.51
Max. Negotiated Rate	$30,951.10
Rate for Payer: Buckeye Health Medicaid OOS	$30,951.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$30,951.10

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$16,599.48

Service Code	APR-DRG 1651
Min. Negotiated Rate	$9,831.26
Max. Negotiated Rate	$16,599.48
Rate for Payer: Buckeye Health Medicaid OOS	$16,599.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,599.48

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$18,544.73

Service Code	APR-DRG 1652
Min. Negotiated Rate	$14,376.90
Max. Negotiated Rate	$18,544.73
Rate for Payer: Buckeye Health Medicaid OOS	$18,544.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,544.73

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$27,579.34

Service Code	APR-DRG 1664
Min. Negotiated Rate	$22,869.14
Max. Negotiated Rate	$27,579.34
Rate for Payer: Buckeye Health Medicaid OOS	$27,579.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$27,579.34

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$16,210.42

Service Code	APR-DRG 1662
Min. Negotiated Rate	$11,135.05
Max. Negotiated Rate	$16,210.42
Rate for Payer: Buckeye Health Medicaid OOS	$16,210.42
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,210.42

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$20,230.61

Service Code	APR-DRG 1663
Min. Negotiated Rate	$14,694.04
Max. Negotiated Rate	$20,230.61
Rate for Payer: Buckeye Health Medicaid OOS	$20,230.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,230.61

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$13,962.58

Service Code	APR-DRG 1661
Min. Negotiated Rate	$9,760.79
Max. Negotiated Rate	$13,962.58
Rate for Payer: Buckeye Health Medicaid OOS	$13,962.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,962.58

APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$29,394.90

Service Code	APR-DRG 9104
Min. Negotiated Rate	$23,010.09
Max. Negotiated Rate	$29,394.90
Rate for Payer: Buckeye Health Medicaid OOS	$29,394.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$29,394.90

Know your out-of-pocket cost for care.

All Charges