Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$14,783.91

Service Code	APR-DRG 8904
Min. Negotiated Rate	$11,452.19
Max. Negotiated Rate	$14,783.91
Rate for Payer: Buckeye Health Medicaid OOS	$14,783.91
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,783.91

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

Facility

$4,439.93

Service Code	APR-DRG 8901
Min. Negotiated Rate	$3,415.00
Max. Negotiated Rate	$4,439.93
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: 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

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

Facility

$3,155.63

Service Code	APR-DRG 8931
Min. Negotiated Rate	$2,572.34
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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$9,293.98

Service Code	APR-DRG 8934
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$9,293.98
Rate for Payer: Buckeye Health Medicaid OOS	$9,293.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,293.98

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

Facility

$5,446.70

Service Code	APR-DRG 8933
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$5,446.70
Rate for Payer: Buckeye Health Medicaid OOS	$5,446.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,446.70

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

Facility

$4,495.69

Service Code	APR-DRG 8932
Min. Negotiated Rate	$2,572.34
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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$8,040.37

Service Code	APR-DRG 8944
Min. Negotiated Rate	$4,017.07
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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$2,896.26

Service Code	APR-DRG 8941
Min. Negotiated Rate	$2,748.53
Max. Negotiated Rate	$2,896.26
Rate for Payer: Buckeye Health Medicaid OOS	$2,896.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,896.26

APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$3,674.36

Service Code	APR-DRG 8942
Min. Negotiated Rate	$2,748.53
Max. Negotiated Rate	$3,674.36
Rate for Payer: Buckeye Health Medicaid OOS	$3,674.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,674.36

APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$4,841.51

Service Code	APR-DRG 8943
Min. Negotiated Rate	$2,748.53
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: HYPERTENSION

Facility

$4,495.69

Service Code	APR-DRG 1993
Min. Negotiated Rate	$3,911.36
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: HYPERTENSION

Facility

$2,982.72

Service Code	APR-DRG 1992
Min. Negotiated Rate	$2,607.57
Max. Negotiated Rate	$2,982.72
Rate for Payer: Buckeye Health Medicaid OOS	$2,982.72
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,982.72

APR-DRG 42.00: HYPERTENSION

Facility

$8,429.42

Service Code	APR-DRG 1994
Min. Negotiated Rate	$4,616.11
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: HYPERTENSION

Facility

$2,550.44

Service Code	APR-DRG 1991
Min. Negotiated Rate	$2,079.01
Max. Negotiated Rate	$2,550.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,550.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,550.44

APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$1,902.02

Service Code	APR-DRG 4221
Min. Negotiated Rate	$1,268.55
Max. Negotiated Rate	$1,902.02
Rate for Payer: Buckeye Health Medicaid OOS	$1,902.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,902.02

APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$2,550.44

Service Code	APR-DRG 4222
Min. Negotiated Rate	$2,079.01
Max. Negotiated Rate	$2,550.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,550.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,550.44

APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$6,051.89

Service Code	APR-DRG 4224
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$6,051.89
Rate for Payer: Buckeye Health Medicaid OOS	$6,051.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,051.89

APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$3,717.59

Service Code	APR-DRG 4223
Min. Negotiated Rate	$3,418.04
Max. Negotiated Rate	$3,717.59
Rate for Payer: Buckeye Health Medicaid OOS	$3,717.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,717.59

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$102,017.61

Service Code	APR-DRG 1614
Min. Negotiated Rate	$95,458.39
Max. Negotiated Rate	$102,017.61
Rate for Payer: Buckeye Health Medicaid OOS	$102,017.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$102,017.61

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$79,884.97

Service Code	APR-DRG 1613
Min. Negotiated Rate	$22,587.24
Max. Negotiated Rate	$79,884.97
Rate for Payer: Buckeye Health Medicaid OOS	$79,884.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$79,884.97

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$58,789.81

Service Code	APR-DRG 1611
Min. Negotiated Rate	$15,680.69
Max. Negotiated Rate	$58,789.81
Rate for Payer: Buckeye Health Medicaid OOS	$58,789.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$58,789.81

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$58,789.81

Service Code	APR-DRG 1612
Min. Negotiated Rate	$19,239.67
Max. Negotiated Rate	$58,789.81
Rate for Payer: Buckeye Health Medicaid OOS	$58,789.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$58,789.81

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$6,397.71

Service Code	APR-DRG 4233
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$6,397.71
Rate for Payer: Buckeye Health Medicaid OOS	$6,397.71
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,397.71

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$16,426.56

Service Code	APR-DRG 4234
Min. Negotiated Rate	$5,461.81
Max. Negotiated Rate	$16,426.56
Rate for Payer: Buckeye Health Medicaid OOS	$16,426.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,426.56

Know your out-of-pocket cost for care.

All Charges