Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$8,904.93

Service Code	APR-DRG 3263
Min. Negotiated Rate	$8,904.93
Max. Negotiated Rate	$8,904.93
Rate for Payer: Buckeye Health Medicaid OOS	$8,904.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,904.93

APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$6,484.17

Service Code	APR-DRG 3262
Min. Negotiated Rate	$6,484.17
Max. Negotiated Rate	$6,484.17
Rate for Payer: Buckeye Health Medicaid OOS	$6,484.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,484.17

APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$5,749.30

Service Code	APR-DRG 3261
Min. Negotiated Rate	$5,749.30
Max. Negotiated Rate	$5,749.30
Rate for Payer: Buckeye Health Medicaid OOS	$5,749.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,749.30

APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$14,005.81

Service Code	APR-DRG 3264
Min. Negotiated Rate	$14,005.81
Max. Negotiated Rate	$14,005.81
Rate for Payer: Buckeye Health Medicaid OOS	$14,005.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,005.81

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$16,167.20

Service Code	APR-DRG 9113
Min. Negotiated Rate	$10,289.35
Max. Negotiated Rate	$16,167.20
Rate for Payer: Buckeye Health Medicaid OOS	$16,167.20
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,167.20

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$27,968.39

Service Code	APR-DRG 9114
Min. Negotiated Rate	$20,613.94
Max. Negotiated Rate	$27,968.39
Rate for Payer: Buckeye Health Medicaid OOS	$27,968.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$27,968.39

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$8,083.60

Service Code	APR-DRG 9111
Min. Negotiated Rate	$6,800.84
Max. Negotiated Rate	$8,083.60
Rate for Payer: Buckeye Health Medicaid OOS	$8,083.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,083.60

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$10,547.58

Service Code	APR-DRG 9112
Min. Negotiated Rate	$6,977.02
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: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$6,570.63

Service Code	APR-DRG 7921
Min. Negotiated Rate	$4,933.25
Max. Negotiated Rate	$6,570.63
Rate for Payer: Buckeye Health Medicaid OOS	$6,570.63
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,570.63

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$12,233.47

Service Code	APR-DRG 7923
Min. Negotiated Rate	$8,492.24
Max. Negotiated Rate	$12,233.47
Rate for Payer: Buckeye Health Medicaid OOS	$12,233.47
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,233.47

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$8,342.97

Service Code	APR-DRG 7922
Min. Negotiated Rate	$6,377.99
Max. Negotiated Rate	$8,342.97
Rate for Payer: Buckeye Health Medicaid OOS	$8,342.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,342.97

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$20,749.34

Service Code	APR-DRG 7924
Min. Negotiated Rate	$17,372.09
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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$13,876.12

Service Code	APR-DRG 9503
Min. Negotiated Rate	$8,527.48
Max. Negotiated Rate	$13,876.12
Rate for Payer: Buckeye Health Medicaid OOS	$13,876.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,876.12

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$8,948.15

Service Code	APR-DRG 9502
Min. Negotiated Rate	$8,069.39
Max. Negotiated Rate	$8,948.15
Rate for Payer: Buckeye Health Medicaid OOS	$8,948.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,948.15

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$6,873.22

Service Code	APR-DRG 9501
Min. Negotiated Rate	$5,497.05
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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$23,083.65

Service Code	APR-DRG 9504
Min. Negotiated Rate	$18,605.40
Max. Negotiated Rate	$23,083.65
Rate for Payer: Buckeye Health Medicaid OOS	$23,083.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$23,083.65

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$8,040.37

Service Code	APR-DRG 8433
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$8,040.37
Rate for Payer: Buckeye Health Medicaid OOS	$8,040.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,040.37

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$3,155.63

Service Code	APR-DRG 8431
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$3,155.63
Rate for Payer: Buckeye Health Medicaid OOS	$3,155.63
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,155.63

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$11,628.28

Service Code	APR-DRG 8434
Min. Negotiated Rate	$855.00
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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$4,495.69

Service Code	APR-DRG 8432
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$4,495.69
Rate for Payer: Buckeye Health Medicaid OOS	$4,495.69
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,495.69

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

Facility

$19,322.83

Service Code	APR-DRG 8411
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$19,322.83
Rate for Payer: Buckeye Health Medicaid OOS	$19,322.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,322.83

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

Facility

$90,735.15

Service Code	APR-DRG 8414
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$90,735.15
Rate for Payer: Buckeye Health Medicaid OOS	$90,735.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$90,735.15

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

Facility

$29,524.59

Service Code	APR-DRG 8413
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$29,524.59
Rate for Payer: Buckeye Health Medicaid OOS	$29,524.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$29,524.59

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

Facility

$19,322.83

Service Code	APR-DRG 8412
Min. Negotiated Rate	$855.00
Max. Negotiated Rate	$19,322.83
Rate for Payer: Buckeye Health Medicaid OOS	$19,322.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,322.83

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$26,412.19

Service Code	APR-DRG 1783
Min. Negotiated Rate	$26,412.19
Max. Negotiated Rate	$26,412.19
Rate for Payer: Buckeye Health Medicaid OOS	$26,412.19
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$26,412.19

Know your out-of-pocket cost for care.

All Charges