Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 5142
Min. Negotiated Rate	$4,193.26
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: FEVER AND INFLAMMATORY CONDITIONS

Facility

$2,031.71

Service Code	APR-DRG 7221
Min. Negotiated Rate	$1,585.69
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: FEVER AND INFLAMMATORY CONDITIONS

Facility

$2,766.58

Service Code	APR-DRG 7222
Min. Negotiated Rate	$2,290.44
Max. Negotiated Rate	$2,766.58
Rate for Payer: Buckeye Health Medicaid OOS	$2,766.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,766.58

APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS

Facility

$3,804.05

Service Code	APR-DRG 7223
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$3,804.05
Rate for Payer: Buckeye Health Medicaid OOS	$3,804.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,804.05

APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS

Facility

$5,922.21

Service Code	APR-DRG 7224
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$5,922.21
Rate for Payer: Buckeye Health Medicaid OOS	$5,922.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,922.21

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$4,236.32

Service Code	APR-DRG 3141
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$4,236.32
Rate for Payer: Buckeye Health Medicaid OOS	$4,236.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,236.32

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$5,619.61

Service Code	APR-DRG 3142
Min. Negotiated Rate	$5,250.39
Max. Negotiated Rate	$5,619.61
Rate for Payer: Buckeye Health Medicaid OOS	$5,619.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,619.61

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$8,429.42

Service Code	APR-DRG 3143
Min. Negotiated Rate	$6,413.23
Max. Negotiated Rate	$8,429.42
Rate for Payer: Buckeye Health Medicaid OOS	$8,429.42
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,429.42

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$13,530.30

Service Code	APR-DRG 3144
Min. Negotiated Rate	$9,056.04
Max. Negotiated Rate	$13,530.30
Rate for Payer: Buckeye Health Medicaid OOS	$13,530.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,530.30

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$5,461.81

Service Code	APR-DRG 3403
Min. Negotiated Rate	$4,279.55
Max. Negotiated Rate	$5,461.81
Rate for Payer: Buckeye Health Medicaid OOS	$4,279.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,279.55

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$6,613.85

Service Code	APR-DRG 3404
Min. Negotiated Rate	$5,461.81
Max. Negotiated Rate	$6,613.85
Rate for Payer: Buckeye Health Medicaid OOS	$6,613.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,613.85

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$5,461.81

Service Code	APR-DRG 3401
Min. Negotiated Rate	$2,247.85
Max. Negotiated Rate	$5,461.81
Rate for Payer: Buckeye Health Medicaid OOS	$2,247.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,247.85

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$5,461.81

Service Code	APR-DRG 3402
Min. Negotiated Rate	$2,853.03
Max. Negotiated Rate	$5,461.81
Rate for Payer: Buckeye Health Medicaid OOS	$2,853.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,853.03

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$3,069.17

Service Code	APR-DRG 3412
Min. Negotiated Rate	$1,726.64
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: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$4,538.92

Service Code	APR-DRG 3413
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$4,538.92
Rate for Payer: Buckeye Health Medicaid OOS	$4,538.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,538.92

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$8,299.74

Service Code	APR-DRG 3414
Min. Negotiated Rate	$2,819.00
Max. Negotiated Rate	$8,299.74
Rate for Payer: Buckeye Health Medicaid OOS	$8,299.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,299.74

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$2,420.76

Service Code	APR-DRG 3411
Min. Negotiated Rate	$1,479.97
Max. Negotiated Rate	$2,420.76
Rate for Payer: Buckeye Health Medicaid OOS	$2,420.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,420.76

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$4,263.74

Service Code	APR-DRG 3422
Min. Negotiated Rate	$3,415.00
Max. Negotiated Rate	$4,263.74
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: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$4,263.74

Service Code	APR-DRG 3421
Min. Negotiated Rate	$2,636.90
Max. Negotiated Rate	$4,263.74
Rate for Payer: Buckeye Health Medicaid OOS	$2,636.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,636.90

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$4,841.51

Service Code	APR-DRG 3423
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$4,841.51
Rate for Payer: Buckeye Health Medicaid OOS	$4,841.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,841.51

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$8,818.47

Service Code	APR-DRG 3424
Min. Negotiated Rate	$5,250.39
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: GASTRIC FUNDOPLICATION

Facility

$5,273.79

Service Code	APR-DRG 2321
Min. Negotiated Rate	$3,876.12
Max. Negotiated Rate	$5,273.79
Rate for Payer: Buckeye Health Medicaid OOS	$5,273.79
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,273.79

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$10,461.13

Service Code	APR-DRG 2323
Min. Negotiated Rate	$5,144.68
Max. Negotiated Rate	$10,461.13
Rate for Payer: Buckeye Health Medicaid OOS	$10,461.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,461.13

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$16,772.39

Service Code	APR-DRG 2324
Min. Negotiated Rate	$10,500.77
Max. Negotiated Rate	$16,772.39
Rate for Payer: Buckeye Health Medicaid OOS	$16,772.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,772.39

Know your out-of-pocket cost for care.

All Charges