Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$21,527.44

Service Code	APR-DRG 1782
Min. Negotiated Rate	$21,527.44
Max. Negotiated Rate	$21,527.44
Rate for Payer: Buckeye Health Medicaid OOS	$21,527.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$21,527.44

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

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$19,366.05

Service Code	APR-DRG 1781
Min. Negotiated Rate	$19,366.05
Max. Negotiated Rate	$19,366.05
Rate for Payer: Buckeye Health Medicaid OOS	$19,366.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,366.05

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$67,219.23

Service Code	APR-DRG 0093
Min. Negotiated Rate	$37,527.94
Max. Negotiated Rate	$67,219.23
Rate for Payer: Buckeye Health Medicaid OOS	$67,219.23
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$67,219.23

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$37,527.94

Service Code	APR-DRG 0091
Min. Negotiated Rate	$24,683.07
Max. Negotiated Rate	$37,527.94
Rate for Payer: Buckeye Health Medicaid OOS	$24,683.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$24,683.07

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$37,527.94

Service Code	APR-DRG 0092
Min. Negotiated Rate	$33,717.68
Max. Negotiated Rate	$37,527.94
Rate for Payer: Buckeye Health Medicaid OOS	$33,717.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$33,717.68

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$99,985.90

Service Code	APR-DRG 0094
Min. Negotiated Rate	$65,013.19
Max. Negotiated Rate	$99,985.90
Rate for Payer: Buckeye Health Medicaid OOS	$99,985.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$99,985.90

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$2,723.35

Service Code	APR-DRG 0821
Min. Negotiated Rate	$2,149.49
Max. Negotiated Rate	$2,723.35
Rate for Payer: Buckeye Health Medicaid OOS	$2,723.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,723.35

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$8,861.70

Service Code	APR-DRG 0824
Min. Negotiated Rate	$4,228.50
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: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$3,501.45

Service Code	APR-DRG 0822
Min. Negotiated Rate	$2,607.57
Max. Negotiated Rate	$3,501.45
Rate for Payer: Buckeye Health Medicaid OOS	$3,501.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,501.45

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$5,187.34

Service Code	APR-DRG 0823
Min. Negotiated Rate	$3,171.38
Max. Negotiated Rate	$5,187.34
Rate for Payer: Buckeye Health Medicaid OOS	$5,187.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,187.34

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 0921
Min. Negotiated Rate	$5,426.57
Max. Negotiated Rate	$6,829.99
Rate for Payer: Buckeye Health Medicaid OOS	$6,829.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,829.99

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$22,132.63

Service Code	APR-DRG 0924
Min. Negotiated Rate	$17,900.65
Max. Negotiated Rate	$22,132.63
Rate for Payer: Buckeye Health Medicaid OOS	$22,132.63
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$22,132.63

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$12,579.29

Service Code	APR-DRG 0923
Min. Negotiated Rate	$9,443.65
Max. Negotiated Rate	$12,579.29
Rate for Payer: Buckeye Health Medicaid OOS	$12,579.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,579.29

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$8,559.10

Service Code	APR-DRG 0922
Min. Negotiated Rate	$5,426.57
Max. Negotiated Rate	$8,559.10
Rate for Payer: Buckeye Health Medicaid OOS	$8,559.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,559.10

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$9,466.89

Service Code	APR-DRG 5314
Min. Negotiated Rate	$3,629.46
Max. Negotiated Rate	$9,466.89
Rate for Payer: Buckeye Health Medicaid OOS	$9,466.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,466.89

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$5,100.88

Service Code	APR-DRG 5313
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$5,100.88
Rate for Payer: Buckeye Health Medicaid OOS	$5,100.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,100.88

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$2,291.07

Service Code	APR-DRG 5311
Min. Negotiated Rate	$2,008.54
Max. Negotiated Rate	$2,291.07
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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$3,025.95

Service Code	APR-DRG 5312
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$3,025.95
Rate for Payer: Buckeye Health Medicaid OOS	$3,025.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,025.95

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$6,008.66

Service Code	APR-DRG 5303
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$6,008.66
Rate for Payer: Buckeye Health Medicaid OOS	$6,008.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,008.66

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$3,112.40

Service Code	APR-DRG 5301
Min. Negotiated Rate	$1,515.21
Max. Negotiated Rate	$3,112.40
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$9,510.12

Service Code	APR-DRG 5304
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$9,510.12
Rate for Payer: Buckeye Health Medicaid OOS	$9,510.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,510.12

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$3,933.73

Service Code	APR-DRG 5302
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$3,933.73
Rate for Payer: Buckeye Health Medicaid OOS	$3,933.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,933.73

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$4,582.15

Service Code	APR-DRG 5141
Min. Negotiated Rate	$3,911.36
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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$8,559.10

Service Code	APR-DRG 5143
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$8,559.10
Rate for Payer: Buckeye Health Medicaid OOS	$8,559.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,559.10

Know your out-of-pocket cost for care.

All Charges