Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$4,193.10

Service Code	APR-DRG 4232
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$4,193.10
Rate for Payer: Buckeye Health Medicaid OOS	$4,193.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,193.10

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$4,122.79

Service Code	APR-DRG 4231
Min. Negotiated Rate	$2,982.72
Max. Negotiated Rate	$4,122.79
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: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$3,760.82

Service Code	APR-DRG 1133
Min. Negotiated Rate	$3,594.22
Max. Negotiated Rate	$3,760.82
Rate for Payer: Buckeye Health Medicaid OOS	$3,760.82
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,760.82

APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$7,219.04

Service Code	APR-DRG 1134
Min. Negotiated Rate	$4,193.26
Max. Negotiated Rate	$7,219.04
Rate for Payer: Buckeye Health Medicaid OOS	$7,219.04
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,219.04

APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$1,685.88

Service Code	APR-DRG 1131
Min. Negotiated Rate	$1,585.69
Max. Negotiated Rate	$1,685.88
Rate for Payer: Buckeye Health Medicaid OOS	$1,685.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,685.88

APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$2,420.76

Service Code	APR-DRG 1132
Min. Negotiated Rate	$1,938.06
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: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$8,602.33

Service Code	APR-DRG 7102
Min. Negotiated Rate	$6,342.75
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: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$12,752.20

Service Code	APR-DRG 7103
Min. Negotiated Rate	$10,254.11
Max. Negotiated Rate	$12,752.20
Rate for Payer: Buckeye Health Medicaid OOS	$12,752.20
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,752.20

APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$5,835.75

Service Code	APR-DRG 7101
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$5,835.75
Rate for Payer: Buckeye Health Medicaid OOS	$5,835.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,835.75

APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$19,625.42

Service Code	APR-DRG 7104
Min. Negotiated Rate	$19,486.34
Max. Negotiated Rate	$19,625.42
Rate for Payer: Buckeye Health Medicaid OOS	$19,625.42
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,625.42

APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE

Facility

$5,403.48

Service Code	APR-DRG 2453
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$5,403.48
Rate for Payer: Buckeye Health Medicaid OOS	$5,403.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,403.48

APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE

Facility

$3,501.45

Service Code	APR-DRG 2452
Min. Negotiated Rate	$3,206.61
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: INFLAMMATORY BOWEL DISEASE

Facility

$9,250.75

Service Code	APR-DRG 2454
Min. Negotiated Rate	$6,131.32
Max. Negotiated Rate	$9,250.75
Rate for Payer: Buckeye Health Medicaid OOS	$9,250.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,250.75

APR-DRG 42.00: INFLAMMATORY BOWEL DISEASE

Facility

$2,593.67

Service Code	APR-DRG 2451
Min. Negotiated Rate	$2,431.39
Max. Negotiated Rate	$2,593.67
Rate for Payer: Buckeye Health Medicaid OOS	$2,593.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,593.67

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

Facility

$13,876.12

Service Code	APR-DRG 2284
Min. Negotiated Rate	$10,359.83
Max. Negotiated Rate	$13,876.12
Rate for Payer: Buckeye Health Medicaid OOS	$13,876.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,876.12

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

Facility

$4,452.46

Service Code	APR-DRG 2281
Min. Negotiated Rate	$3,382.80
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: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES

Facility

$7,781.00

Service Code	APR-DRG 2283
Min. Negotiated Rate	$4,968.49
Max. Negotiated Rate	$7,781.00
Rate for Payer: Buckeye Health Medicaid OOS	$7,781.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,781.00

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

Facility

$5,576.39

Service Code	APR-DRG 2282
Min. Negotiated Rate	$4,827.54
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: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$19,538.97

Service Code	APR-DRG 1764
Min. Negotiated Rate	$18,957.78
Max. Negotiated Rate	$19,538.97
Rate for Payer: Buckeye Health Medicaid OOS	$19,538.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,538.97

APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$10,288.22

Service Code	APR-DRG 1762
Min. Negotiated Rate	$6,554.18
Max. Negotiated Rate	$10,288.22
Rate for Payer: Buckeye Health Medicaid OOS	$10,288.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,288.22

APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$7,564.86

Service Code	APR-DRG 1761
Min. Negotiated Rate	$6,483.70
Max. Negotiated Rate	$7,564.86
Rate for Payer: Buckeye Health Medicaid OOS	$7,564.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,564.86

APR-DRG 42.00: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES

Facility

$18,957.78

Service Code	APR-DRG 1763
Min. Negotiated Rate	$13,832.90
Max. Negotiated Rate	$18,957.78
Rate for Payer: Buckeye Health Medicaid OOS	$13,832.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,832.90

APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$4,884.74

Service Code	APR-DRG 8173
Min. Negotiated Rate	$2,642.81
Max. Negotiated Rate	$4,884.74
Rate for Payer: Buckeye Health Medicaid OOS	$4,884.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,884.74

APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$9,942.39

Service Code	APR-DRG 8174
Min. Negotiated Rate	$6,025.61
Max. Negotiated Rate	$9,942.39
Rate for Payer: Buckeye Health Medicaid OOS	$9,942.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,942.39

APR-DRG 42.00: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$1,867.59

Service Code	APR-DRG 8171
Min. Negotiated Rate	$1,772.34
Max. Negotiated Rate	$1,867.59
Rate for Payer: Buckeye Health Medicaid OOS	$1,772.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,772.34

Know your out-of-pocket cost for care.

All Charges