Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$2,680.12

Service Code	APR-DRG 2461
Min. Negotiated Rate	$2,396.15
Max. Negotiated Rate	$2,680.12
Rate for Payer: Buckeye Health Medicaid OOS	$2,680.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,680.12

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$3,415.00

Service Code	APR-DRG 2462
Min. Negotiated Rate	$3,030.43
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$5,187.34

Service Code	APR-DRG 2463
Min. Negotiated Rate	$3,347.56
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$8,342.97

Service Code	APR-DRG 2464
Min. Negotiated Rate	$6,659.89
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: GENDER RELATED PROCEDURES

Facility

$46,858.94

Service Code	APR-DRG 8513
Min. Negotiated Rate	$46,858.94
Max. Negotiated Rate	$46,858.94
Rate for Payer: Buckeye Health Medicaid OOS	$46,858.94
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$46,858.94

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$46,858.94

Service Code	APR-DRG 8514
Min. Negotiated Rate	$46,858.94
Max. Negotiated Rate	$46,858.94
Rate for Payer: Buckeye Health Medicaid OOS	$46,858.94
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$46,858.94

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$8,472.65

Service Code	APR-DRG 8511
Min. Negotiated Rate	$8,472.65
Max. Negotiated Rate	$8,472.65
Rate for Payer: Buckeye Health Medicaid OOS	$8,472.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,472.65

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$14,481.31

Service Code	APR-DRG 8512
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: GENETIC DISORDERS

Facility

$23,170.10

Service Code	APR-DRG 4284
Min. Negotiated Rate	$23,170.10
Max. Negotiated Rate	$23,170.10
Rate for Payer: Buckeye Health Medicaid OOS	$23,170.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$23,170.10

APR-DRG 42.00: GENETIC DISORDERS

Facility

$13,659.98

Service Code	APR-DRG 4283
Min. Negotiated Rate	$13,659.98
Max. Negotiated Rate	$13,659.98
Rate for Payer: Buckeye Health Medicaid OOS	$13,659.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,659.98

APR-DRG 42.00: GENETIC DISORDERS

Facility

$4,971.20

Service Code	APR-DRG 4282
Min. Negotiated Rate	$4,971.20
Max. Negotiated Rate	$4,971.20
Rate for Payer: Buckeye Health Medicaid OOS	$4,971.20
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,971.20

APR-DRG 42.00: GENETIC DISORDERS

Facility

$3,198.86

Service Code	APR-DRG 4281
Min. Negotiated Rate	$3,198.86
Max. Negotiated Rate	$3,198.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,198.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,198.86

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$13,659.98

Service Code	APR-DRG 3164
Min. Negotiated Rate	$9,302.70
Max. Negotiated Rate	$13,659.98
Rate for Payer: Buckeye Health Medicaid OOS	$13,659.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,659.98

APR-DRG 42.00: HAND AND WRIST PROCEDURES

Facility

$5,749.30

Service Code	APR-DRG 3162
Min. Negotiated Rate	$4,193.26
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: HAND AND WRIST PROCEDURES

Facility

$4,279.55

Service Code	APR-DRG 3161
Min. Negotiated Rate	$2,959.95
Max. Negotiated Rate	$4,279.55
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: HAND AND WRIST PROCEDURES

Facility

$8,602.33

Service Code	APR-DRG 3163
Min. Negotiated Rate	$5,532.29
Max. Negotiated Rate	$8,602.33
Rate for Payer: Buckeye Health Medicaid OOS	$8,602.33
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,602.33

APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$11,974.10

Service Code	APR-DRG 0554
Min. Negotiated Rate	$10,536.01
Max. Negotiated Rate	$11,974.10
Rate for Payer: Buckeye Health Medicaid OOS	$11,974.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,974.10

APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$4,452.46

Service Code	APR-DRG 0552
Min. Negotiated Rate	$3,699.94
Max. Negotiated Rate	$4,452.46
Rate for Payer: Buckeye Health Medicaid OOS	$4,452.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,452.46

APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$3,198.86

Service Code	APR-DRG 0551
Min. Negotiated Rate	$2,149.49
Max. Negotiated Rate	$3,198.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,198.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,198.86

APR-DRG 42.00: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE

Facility

$6,916.45

Service Code	APR-DRG 0553
Min. Negotiated Rate	$5,567.52
Max. Negotiated Rate	$6,916.45
Rate for Payer: Buckeye Health Medicaid OOS	$6,916.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,916.45

APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT

Facility

$56,943.80

Service Code	APR-DRG 0022
Min. Negotiated Rate	$56,369.05
Max. Negotiated Rate	$56,943.80
Rate for Payer: Buckeye Health Medicaid OOS	$56,369.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$56,369.05

APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT

Facility

$136,686.30

Service Code	APR-DRG 0024
Min. Negotiated Rate	$98,735.48
Max. Negotiated Rate	$136,686.30
Rate for Payer: Buckeye Health Medicaid OOS	$136,686.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$136,686.30

APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT

Facility

$74,438.27

Service Code	APR-DRG 0023
Min. Negotiated Rate	$56,943.80
Max. Negotiated Rate	$74,438.27
Rate for Payer: Buckeye Health Medicaid OOS	$74,438.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$74,438.27

APR-DRG 42.00: HEART AND/OR LUNG TRANSPLANT

Facility

$56,943.80

Service Code	APR-DRG 0021
Min. Negotiated Rate	$49,841.65
Max. Negotiated Rate	$56,943.80
Rate for Payer: Buckeye Health Medicaid OOS	$49,841.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$49,841.65

Know your out-of-pocket cost for care.

All Charges