Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$14,870.23

Service Code	APR-DRG 9102
Min. Negotiated Rate	$11,541.82
Max. Negotiated Rate	$14,870.23
Rate for Payer: Buckeye Health Medicaid OOS	$11,541.82
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,541.82

APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$14,870.23

Service Code	APR-DRG 9101
Min. Negotiated Rate	$10,763.72
Max. Negotiated Rate	$14,870.23
Rate for Payer: Buckeye Health Medicaid OOS	$10,763.72
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,763.72

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

APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$11,276.00

Service Code	APR-DRG 0454
Min. Negotiated Rate	$10,201.76
Max. Negotiated Rate	$11,276.00
Rate for Payer: Buckeye Health Medicaid OOS	$10,201.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,201.76

APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$3,415.00

Service Code	APR-DRG 0451
Min. Negotiated Rate	$2,783.76
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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$4,409.24

Service Code	APR-DRG 0452
Min. Negotiated Rate	$3,382.80
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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$6,138.35

Service Code	APR-DRG 0453
Min. Negotiated Rate	$4,933.25
Max. Negotiated Rate	$6,138.35
Rate for Payer: Buckeye Health Medicaid OOS	$6,138.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,138.35

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$9,020.80

Service Code	APR-DRG 1312
Min. Negotiated Rate	$7,651.32
Max. Negotiated Rate	$9,020.80
Rate for Payer: Buckeye Health Medicaid OOS	$7,651.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,651.32

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$12,017.33

Service Code	APR-DRG 1314
Min. Negotiated Rate	$11,628.38
Max. Negotiated Rate	$12,017.33
Rate for Payer: Buckeye Health Medicaid OOS	$12,017.33
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,017.33

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$9,020.80

Service Code	APR-DRG 1311
Min. Negotiated Rate	$4,668.60
Max. Negotiated Rate	$9,020.80
Rate for Payer: Buckeye Health Medicaid OOS	$4,668.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,668.60

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$10,244.99

Service Code	APR-DRG 1313
Min. Negotiated Rate	$9,020.80
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: DEFIBRILLATOR IMPLANTS

Facility

$14,481.31

Service Code	APR-DRG 1791
Min. Negotiated Rate	$14,481.31
Max. Negotiated Rate	$14,481.31
Rate for Payer: Buckeye Health Medicaid OOS	$14,481.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,481.31

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$27,233.51

Service Code	APR-DRG 1794
Min. Negotiated Rate	$27,233.51
Max. Negotiated Rate	$27,233.51
Rate for Payer: Buckeye Health Medicaid OOS	$27,233.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$27,233.51

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$17,118.21

Service Code	APR-DRG 1792
Min. Negotiated Rate	$17,118.21
Max. Negotiated Rate	$17,118.21
Rate for Payer: Buckeye Health Medicaid OOS	$17,118.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,118.21

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$20,749.34

Service Code	APR-DRG 1793
Min. Negotiated Rate	$20,749.34
Max. Negotiated Rate	$20,749.34
Rate for Payer: Buckeye Health Medicaid OOS	$20,749.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,749.34

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$6,413.23

Service Code	APR-DRG 0423
Min. Negotiated Rate	$6,095.12
Max. Negotiated Rate	$6,413.23
Rate for Payer: Buckeye Health Medicaid OOS	$6,095.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,095.12

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$4,322.78

Service Code	APR-DRG 0422
Min. Negotiated Rate	$4,052.31
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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$3,371.77

Service Code	APR-DRG 0421
Min. Negotiated Rate	$2,043.78
Max. Negotiated Rate	$3,371.77
Rate for Payer: Buckeye Health Medicaid OOS	$3,371.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,371.77

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$11,239.23

Service Code	APR-DRG 0424
Min. Negotiated Rate	$7,188.45
Max. Negotiated Rate	$11,239.23
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: DENTAL DISEASES AND DISORDERS

Facility

$2,031.71

Service Code	APR-DRG 1141
Min. Negotiated Rate	$2,008.54
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: DENTAL DISEASES AND DISORDERS

Facility

$2,809.81

Service Code	APR-DRG 1142
Min. Negotiated Rate	$2,184.72
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: DENTAL DISEASES AND DISORDERS

Facility

$4,193.10

Service Code	APR-DRG 1143
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$4,193.10
Rate for Payer: Buckeye Health Medicaid OOS	$4,193.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,193.10

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$11,628.28

Service Code	APR-DRG 1144
Min. Negotiated Rate	$3,981.84
Max. Negotiated Rate	$11,628.28
Rate for Payer: Buckeye Health Medicaid OOS	$11,628.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,628.28

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$1,599.43

Service Code	APR-DRG 7511
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$1,599.43
Rate for Payer: Buckeye Health Medicaid OOS	$1,599.43
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,599.43

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$2,161.39

Service Code	APR-DRG 7512
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$2,161.39
Rate for Payer: Buckeye Health Medicaid OOS	$2,161.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,161.39

Know your out-of-pocket cost for care.

All Charges