Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$2,819.00

Service Code	APR-DRG 2441
Min. Negotiated Rate	$2,291.07
Max. Negotiated Rate	$2,819.00
Rate for Payer: Buckeye Health Medicaid OOS	$2,291.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,291.07

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$15,363.55

Service Code	APR-DRG 3042
Min. Negotiated Rate	$14,611.00
Max. Negotiated Rate	$15,363.55
Rate for Payer: Buckeye Health Medicaid OOS	$14,611.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,611.00

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$20,472.99

Service Code	APR-DRG 3043
Min. Negotiated Rate	$20,360.29
Max. Negotiated Rate	$20,472.99
Rate for Payer: Buckeye Health Medicaid OOS	$20,360.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,360.29

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$13,002.64

Service Code	APR-DRG 3041
Min. Negotiated Rate	$10,720.49
Max. Negotiated Rate	$13,002.64
Rate for Payer: Buckeye Health Medicaid OOS	$10,720.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,720.49

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$27,622.56

Service Code	APR-DRG 3044
Min. Negotiated Rate	$23,291.99
Max. Negotiated Rate	$27,622.56
Rate for Payer: Buckeye Health Medicaid OOS	$27,622.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$27,622.56

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$39,164.39

Service Code	APR-DRG 3034
Min. Negotiated Rate	$34,708.94
Max. Negotiated Rate	$39,164.39
Rate for Payer: Buckeye Health Medicaid OOS	$39,164.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$39,164.39

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$28,154.76

Service Code	APR-DRG 3031
Min. Negotiated Rate	$17,118.21
Max. Negotiated Rate	$28,154.76
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: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$28,154.76

Service Code	APR-DRG 3032
Min. Negotiated Rate	$19,755.10
Max. Negotiated Rate	$28,154.76
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: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$28,154.76

Service Code	APR-DRG 3033
Min. Negotiated Rate	$27,190.29
Max. Negotiated Rate	$28,154.76
Rate for Payer: Buckeye Health Medicaid OOS	$27,190.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$27,190.29

APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$3,242.09

Service Code	APR-DRG 7703
Min. Negotiated Rate	$1,691.40
Max. Negotiated Rate	$3,242.09
Rate for Payer: Buckeye Health Medicaid OOS	$3,242.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,242.09

APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$6,959.68

Service Code	APR-DRG 7704
Min. Negotiated Rate	$2,501.86
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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$1,210.38

Service Code	APR-DRG 7701
Min. Negotiated Rate	$810.46
Max. Negotiated Rate	$1,210.38
Rate for Payer: Buckeye Health Medicaid OOS	$1,210.38
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,210.38

APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$1,902.02

Service Code	APR-DRG 7702
Min. Negotiated Rate	$1,092.36
Max. Negotiated Rate	$1,902.02
Rate for Payer: Buckeye Health Medicaid OOS	$1,902.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,902.02

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$4,020.19

Service Code	APR-DRG 1101
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$4,020.19
Rate for Payer: Buckeye Health Medicaid OOS	$4,020.19
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,020.19

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$10,806.95

Service Code	APR-DRG 1104
Min. Negotiated Rate	$6,906.55
Max. Negotiated Rate	$10,806.95
Rate for Payer: Buckeye Health Medicaid OOS	$10,806.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,806.95

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$6,311.26

Service Code	APR-DRG 1103
Min. Negotiated Rate	$4,052.31
Max. Negotiated Rate	$6,311.26
Rate for Payer: Buckeye Health Medicaid OOS	$6,311.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,311.26

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$4,582.15

Service Code	APR-DRG 1102
Min. Negotiated Rate	$2,678.05
Max. Negotiated Rate	$4,582.15
Rate for Payer: Buckeye Health Medicaid OOS	$4,582.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,582.15

APR-DRG 42.00: EATING DISORDERS

Facility

$8,732.02

Service Code	APR-DRG 7593
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$8,732.02
Rate for Payer: Buckeye Health Medicaid OOS	$8,732.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,732.02

APR-DRG 42.00: EATING DISORDERS

Facility

$6,181.58

Service Code	APR-DRG 7592
Min. Negotiated Rate	$408.50
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: EATING DISORDERS

Facility

$14,654.22

Service Code	APR-DRG 7594
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$14,654.22
Rate for Payer: Buckeye Health Medicaid OOS	$14,654.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,654.22

APR-DRG 42.00: EATING DISORDERS

Facility

$4,625.37

Service Code	APR-DRG 7591
Min. Negotiated Rate	$408.50
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: ELECTIVE HIP JOINT REPLACEMENT

Facility

$7,089.36

Service Code	APR-DRG 3242
Min. Negotiated Rate	$7,089.36
Max. Negotiated Rate	$7,089.36
Rate for Payer: Buckeye Health Medicaid OOS	$7,089.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,089.36

APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$10,547.58

Service Code	APR-DRG 3243
Min. Negotiated Rate	$10,547.58
Max. Negotiated Rate	$10,547.58
Rate for Payer: Buckeye Health Medicaid OOS	$10,547.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,547.58

APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$14,740.68

Service Code	APR-DRG 3244
Min. Negotiated Rate	$14,740.68
Max. Negotiated Rate	$14,740.68
Rate for Payer: Buckeye Health Medicaid OOS	$14,740.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,740.68

APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$5,792.53

Service Code	APR-DRG 3241
Min. Negotiated Rate	$5,792.53
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

Know your out-of-pocket cost for care.

All Charges