Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: HEART FAILURE

Facility

$2,396.15

Service Code	APR-DRG 1941
Min. Negotiated Rate	$2,291.07
Max. Negotiated Rate	$2,396.15
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: HEART FAILURE

Facility

$10,072.08

Service Code	APR-DRG 1944
Min. Negotiated Rate	$6,554.18
Max. Negotiated Rate	$10,072.08
Rate for Payer: Buckeye Health Medicaid OOS	$10,072.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,072.08

APR-DRG 42.00: HEART FAILURE

Facility

$5,230.56

Service Code	APR-DRG 1943
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,230.56
Rate for Payer: Buckeye Health Medicaid OOS	$5,230.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,230.56

APR-DRG 42.00: HEART FAILURE

Facility

$3,198.86

Service Code	APR-DRG 1942
Min. Negotiated Rate	$2,924.71
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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$9,899.17

Service Code	APR-DRG 8104
Min. Negotiated Rate	$6,131.32
Max. Negotiated Rate	$9,899.17
Rate for Payer: Buckeye Health Medicaid OOS	$9,899.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,899.17

APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$2,334.30

Service Code	APR-DRG 8101
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$2,334.30
Rate for Payer: Buckeye Health Medicaid OOS	$2,334.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,334.30

APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$5,144.11

Service Code	APR-DRG 8103
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$5,144.11
Rate for Payer: Buckeye Health Medicaid OOS	$5,144.11
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,144.11

APR-DRG 42.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$3,242.09

Service Code	APR-DRG 8102
Min. Negotiated Rate	$2,713.29
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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$3,242.09

Service Code	APR-DRG 2792
Min. Negotiated Rate	$2,995.19
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: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$5,576.39

Service Code	APR-DRG 2793
Min. Negotiated Rate	$4,052.31
Max. Negotiated Rate	$5,576.39
Rate for Payer: Buckeye Health Medicaid OOS	$5,576.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,576.39

APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$10,634.04

Service Code	APR-DRG 2794
Min. Negotiated Rate	$8,774.14
Max. Negotiated Rate	$10,634.04
Rate for Payer: Buckeye Health Medicaid OOS	$10,634.04
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,634.04

APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$2,247.85

Service Code	APR-DRG 2791
Min. Negotiated Rate	$1,444.74
Max. Negotiated Rate	$2,247.85
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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$9,553.34

Service Code	APR-DRG 2273
Min. Negotiated Rate	$7,893.20
Max. Negotiated Rate	$9,553.34
Rate for Payer: Buckeye Health Medicaid OOS	$9,553.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,553.34

APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$16,772.39

Service Code	APR-DRG 2274
Min. Negotiated Rate	$13,390.25
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

APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$6,518.94

Service Code	APR-DRG 2272
Min. Negotiated Rate	$6,440.94
Max. Negotiated Rate	$6,518.94
Rate for Payer: Buckeye Health Medicaid OOS	$6,440.94
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,440.94

APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$5,273.79

Service Code	APR-DRG 2271
Min. Negotiated Rate	$4,898.01
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: HIP AND FEMUR FRACTURE REPAIR

Facility

$13,443.85

Service Code	APR-DRG 3084
Min. Negotiated Rate	$9,936.98
Max. Negotiated Rate	$13,443.85
Rate for Payer: Buckeye Health Medicaid OOS	$13,443.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,443.85

APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$9,337.20

Service Code	APR-DRG 3083
Min. Negotiated Rate	$8,597.95
Max. Negotiated Rate	$9,337.20
Rate for Payer: Buckeye Health Medicaid OOS	$9,337.20
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,337.20

APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$5,706.07

Service Code	APR-DRG 3081
Min. Negotiated Rate	$4,580.88
Max. Negotiated Rate	$5,706.07
Rate for Payer: Buckeye Health Medicaid OOS	$5,706.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,706.07

APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$7,348.73

Service Code	APR-DRG 3082
Min. Negotiated Rate	$6,836.07
Max. Negotiated Rate	$7,348.73
Rate for Payer: Buckeye Health Medicaid OOS	$7,348.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,348.73

APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$3,371.77

Service Code	APR-DRG 8921
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$3,371.77
Rate for Payer: Buckeye Health Medicaid OOS	$3,371.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,371.77

APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$4,149.87

Service Code	APR-DRG 8922
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$4,149.87
Rate for Payer: Buckeye Health Medicaid OOS	$4,149.87
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,149.87

APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$5,922.21

Service Code	APR-DRG 8923
Min. Negotiated Rate	$3,418.04
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: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$9,726.25

Service Code	APR-DRG 8924
Min. Negotiated Rate	$7,329.40
Max. Negotiated Rate	$9,726.25
Rate for Payer: Buckeye Health Medicaid OOS	$9,726.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,726.25

APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$8,299.74

Service Code	APR-DRG 8903
Min. Negotiated Rate	$4,439.93
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

Know your out-of-pocket cost for care.

All Charges