Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$9,553.34

Service Code	APR-DRG 4433
Min. Negotiated Rate	$6,836.07
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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$5,835.75

Service Code	APR-DRG 4431
Min. Negotiated Rate	$3,594.22
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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$15,734.92

Service Code	APR-DRG 4434
Min. Negotiated Rate	$11,346.48
Max. Negotiated Rate	$15,734.92
Rate for Payer: Buckeye Health Medicaid OOS	$15,734.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,734.92

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

Facility

$7,002.90

Service Code	APR-DRG 4432
Min. Negotiated Rate	$5,250.39
Max. Negotiated Rate	$7,002.90
Rate for Payer: Buckeye Health Medicaid OOS	$7,002.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,002.90

APR-DRG 42.00: KIDNEY TRANSPLANT

Facility

$38,515.97

Service Code	APR-DRG 4404
Min. Negotiated Rate	$36,506.05
Max. Negotiated Rate	$38,515.97
Rate for Payer: Buckeye Health Medicaid OOS	$38,515.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$38,515.97

APR-DRG 42.00: KIDNEY TRANSPLANT

Facility

$22,305.54

Service Code	APR-DRG 4402
Min. Negotiated Rate	$18,640.64
Max. Negotiated Rate	$22,305.54
Rate for Payer: Buckeye Health Medicaid OOS	$22,305.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$22,305.54

APR-DRG 42.00: KIDNEY TRANSPLANT

Facility

$26,196.05

Service Code	APR-DRG 4403
Min. Negotiated Rate	$21,494.88
Max. Negotiated Rate	$26,196.05
Rate for Payer: Buckeye Health Medicaid OOS	$26,196.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$26,196.05

APR-DRG 42.00: KIDNEY TRANSPLANT

Facility

$20,879.03

Service Code	APR-DRG 4401
Min. Negotiated Rate	$18,182.55
Max. Negotiated Rate	$20,879.03
Rate for Payer: Buckeye Health Medicaid OOS	$20,879.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,879.03

APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$17,161.44

Service Code	APR-DRG 3134
Min. Negotiated Rate	$13,319.77
Max. Negotiated Rate	$17,161.44
Rate for Payer: Buckeye Health Medicaid OOS	$17,161.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,161.44

APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$6,138.35

Service Code	APR-DRG 3131
Min. Negotiated Rate	$5,356.10
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

APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$8,170.05

Service Code	APR-DRG 3132
Min. Negotiated Rate	$7,153.21
Max. Negotiated Rate	$8,170.05
Rate for Payer: Buckeye Health Medicaid OOS	$8,170.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,170.05

APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$11,585.05

Service Code	APR-DRG 3133
Min. Negotiated Rate	$10,395.06
Max. Negotiated Rate	$11,585.05
Rate for Payer: Buckeye Health Medicaid OOS	$11,585.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,585.05

APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$26,801.24

Service Code	APR-DRG 0011
Min. Negotiated Rate	$23,115.80
Max. Negotiated Rate	$26,801.24
Rate for Payer: Buckeye Health Medicaid OOS	$26,801.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$26,801.24

APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$76,080.93

Service Code	APR-DRG 0014
Min. Negotiated Rate	$71,990.21
Max. Negotiated Rate	$76,080.93
Rate for Payer: Buckeye Health Medicaid OOS	$76,080.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$76,080.93

APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$39,510.21

Service Code	APR-DRG 0013
Min. Negotiated Rate	$23,115.80
Max. Negotiated Rate	$39,510.21
Rate for Payer: Buckeye Health Medicaid OOS	$39,510.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$39,510.21

APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$30,518.83

Service Code	APR-DRG 0012
Min. Negotiated Rate	$23,115.80
Max. Negotiated Rate	$30,518.83
Rate for Payer: Buckeye Health Medicaid OOS	$30,518.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$30,518.83

APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$10,417.90

Service Code	APR-DRG 1812
Min. Negotiated Rate	$8,915.09
Max. Negotiated Rate	$10,417.90
Rate for Payer: Buckeye Health Medicaid OOS	$10,417.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,417.90

APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$7,564.86

Service Code	APR-DRG 1811
Min. Negotiated Rate	$6,730.36
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: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$14,165.48

Service Code	APR-DRG 1813
Min. Negotiated Rate	$13,919.35
Max. Negotiated Rate	$14,165.48
Rate for Payer: Buckeye Health Medicaid OOS	$13,919.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,919.35

APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$21,389.16

Service Code	APR-DRG 1814
Min. Negotiated Rate	$20,230.61
Max. Negotiated Rate	$21,389.16
Rate for Payer: Buckeye Health Medicaid OOS	$20,230.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,230.61

APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$10,288.22

Service Code	APR-DRG 6944
Min. Negotiated Rate	$7,012.26
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: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$6,224.80

Service Code	APR-DRG 6943
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$6,224.80
Rate for Payer: Buckeye Health Medicaid OOS	$6,224.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,224.80

APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$4,122.79

Service Code	APR-DRG 6942
Min. Negotiated Rate	$4,106.64
Max. Negotiated Rate	$4,122.79
Rate for Payer: Buckeye Health Medicaid OOS	$4,106.64
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,106.64

APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$3,155.63

Service Code	APR-DRG 6941
Min. Negotiated Rate	$3,136.14
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: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$9,466.89

Service Code	APR-DRG 6913
Min. Negotiated Rate	$6,096.09
Max. Negotiated Rate	$9,466.89
Rate for Payer: Buckeye Health Medicaid OOS	$9,466.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,466.89

Know your out-of-pocket cost for care.

All Charges