Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$2,982.72

Service Code	APR-DRG 1421
Min. Negotiated Rate	$2,219.96
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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$5,835.75

Service Code	APR-DRG 1423
Min. Negotiated Rate	$3,065.66
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: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$9,077.84

Service Code	APR-DRG 1424
Min. Negotiated Rate	$5,356.10
Max. Negotiated Rate	$9,077.84
Rate for Payer: Buckeye Health Medicaid OOS	$9,077.84
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,077.84

APR-DRG 42.00: INTERSTITIAL AND ALVEOLAR LUNG DISEASES

Facility

$3,847.27

Service Code	APR-DRG 1422
Min. Negotiated Rate	$2,290.44
Max. Negotiated Rate	$3,847.27
Rate for Payer: Buckeye Health Medicaid OOS	$3,847.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,847.27

APR-DRG 42.00: INTESTINAL OBSTRUCTION

Facility

$4,495.69

Service Code	APR-DRG 2473
Min. Negotiated Rate	$4,369.45
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: INTESTINAL OBSTRUCTION

Facility

$3,100.90

Service Code	APR-DRG 2472
Min. Negotiated Rate	$2,809.81
Max. Negotiated Rate	$3,100.90
Rate for Payer: Buckeye Health Medicaid OOS	$2,809.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,809.81

APR-DRG 42.00: INTESTINAL OBSTRUCTION

Facility

$8,083.60

Service Code	APR-DRG 2474
Min. Negotiated Rate	$5,320.86
Max. Negotiated Rate	$8,083.60
Rate for Payer: Buckeye Health Medicaid OOS	$8,083.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,083.60

APR-DRG 42.00: INTESTINAL OBSTRUCTION

Facility

$2,290.44

Service Code	APR-DRG 2471
Min. Negotiated Rate	$2,118.16
Max. Negotiated Rate	$2,290.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,118.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,118.16

APR-DRG 42.00: INTRACRANIAL HEMORRHAGE

Facility

$6,916.45

Service Code	APR-DRG 0443
Min. Negotiated Rate	$4,933.25
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: INTRACRANIAL HEMORRHAGE

Facility

$10,634.04

Service Code	APR-DRG 0444
Min. Negotiated Rate	$6,166.56
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: INTRACRANIAL HEMORRHAGE

Facility

$4,884.74

Service Code	APR-DRG 0442
Min. Negotiated Rate	$3,629.46
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: INTRACRANIAL HEMORRHAGE

Facility

$3,760.82

Service Code	APR-DRG 0441
Min. Negotiated Rate	$2,678.05
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$6,527.40

Service Code	APR-DRG 4634
Min. Negotiated Rate	$3,946.60
Max. Negotiated Rate	$6,527.40
Rate for Payer: Buckeye Health Medicaid OOS	$6,527.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,527.40

APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$3,933.73

Service Code	APR-DRG 4633
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$3,933.73
Rate for Payer: Buckeye Health Medicaid OOS	$3,933.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,933.73

APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$2,853.03

Service Code	APR-DRG 4632
Min. Negotiated Rate	$2,255.20
Max. Negotiated Rate	$2,853.03
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$2,247.85

Service Code	APR-DRG 4631
Min. Negotiated Rate	$1,867.59
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: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$3,382.80

Service Code	APR-DRG 4611
Min. Negotiated Rate	$3,285.31
Max. Negotiated Rate	$3,382.80
Rate for Payer: Buckeye Health Medicaid OOS	$3,285.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,285.31

APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$10,244.99

Service Code	APR-DRG 4614
Min. Negotiated Rate	$5,215.15
Max. Negotiated Rate	$10,244.99
Rate for Payer: Buckeye Health Medicaid OOS	$10,244.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,244.99

APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$3,933.73

Service Code	APR-DRG 4612
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$3,933.73
Rate for Payer: Buckeye Health Medicaid OOS	$3,933.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,933.73

APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$5,965.44

Service Code	APR-DRG 4613
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$5,965.44
Rate for Payer: Buckeye Health Medicaid OOS	$5,965.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,965.44

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$7,219.04

Service Code	APR-DRG 4422
Min. Negotiated Rate	$6,237.04
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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$11,066.32

Service Code	APR-DRG 4423
Min. Negotiated Rate	$8,034.15
Max. Negotiated Rate	$11,066.32
Rate for Payer: Buckeye Health Medicaid OOS	$11,066.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,066.32

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$18,415.04

Service Code	APR-DRG 4424
Min. Negotiated Rate	$13,777.86
Max. Negotiated Rate	$18,415.04
Rate for Payer: Buckeye Health Medicaid OOS	$18,415.04
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,415.04

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$6,138.35

Service Code	APR-DRG 4421
Min. Negotiated Rate	$5,461.81
Max. Negotiated Rate	$6,138.35
Rate for Payer: Buckeye Health Medicaid OOS	$6,138.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,138.35

Know your out-of-pocket cost for care.

All Charges