Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$5,533.16

Service Code	APR-DRG 2523
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$5,533.16
Rate for Payer: Buckeye Health Medicaid OOS	$5,533.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,533.16

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$10,331.44

Service Code	APR-DRG 2524
Min. Negotiated Rate	$6,554.18
Max. Negotiated Rate	$10,331.44
Rate for Payer: Buckeye Health Medicaid OOS	$10,331.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,331.44

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$3,674.36

Service Code	APR-DRG 2522
Min. Negotiated Rate	$3,347.56
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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$2,809.81

Service Code	APR-DRG 2521
Min. Negotiated Rate	$2,678.05
Max. Negotiated Rate	$2,809.81
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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$3,198.86

Service Code	APR-DRG 2061
Min. Negotiated Rate	$2,219.96
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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$3,847.27

Service Code	APR-DRG 2062
Min. Negotiated Rate	$2,501.86
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: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$5,792.53

Service Code	APR-DRG 2063
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$5,792.53
Rate for Payer: Buckeye Health Medicaid OOS	$5,792.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,792.53

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$10,115.31

Service Code	APR-DRG 2064
Min. Negotiated Rate	$6,800.84
Max. Negotiated Rate	$10,115.31
Rate for Payer: Buckeye Health Medicaid OOS	$10,115.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,115.31

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$3,198.86

Service Code	APR-DRG 4662
Min. Negotiated Rate	$2,995.19
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: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$8,515.88

Service Code	APR-DRG 4664
Min. Negotiated Rate	$6,977.02
Max. Negotiated Rate	$8,515.88
Rate for Payer: Buckeye Health Medicaid OOS	$8,515.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,515.88

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$5,057.65

Service Code	APR-DRG 4663
Min. Negotiated Rate	$4,193.26
Max. Negotiated Rate	$5,057.65
Rate for Payer: Buckeye Health Medicaid OOS	$5,057.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,057.65

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$2,507.21

Service Code	APR-DRG 4661
Min. Negotiated Rate	$1,585.69
Max. Negotiated Rate	$2,507.21
Rate for Payer: Buckeye Health Medicaid OOS	$2,507.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,507.21

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$9,164.29

Service Code	APR-DRG 3494
Min. Negotiated Rate	$6,695.12
Max. Negotiated Rate	$9,164.29
Rate for Payer: Buckeye Health Medicaid OOS	$9,164.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,164.29

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$5,391.34

Service Code	APR-DRG 3492
Min. Negotiated Rate	$3,847.27
Max. Negotiated Rate	$5,391.34
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: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$6,695.12

Service Code	APR-DRG 3493
Min. Negotiated Rate	$5,533.16
Max. Negotiated Rate	$6,695.12
Rate for Payer: Buckeye Health Medicaid OOS	$5,533.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,533.16

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$2,809.81

Service Code	APR-DRG 3491
Min. Negotiated Rate	$1,585.69
Max. Negotiated Rate	$2,809.81
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$8,818.47

Service Code	APR-DRG 5004
Min. Negotiated Rate	$3,664.70
Max. Negotiated Rate	$8,818.47
Rate for Payer: Buckeye Health Medicaid OOS	$8,818.47
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,818.47

APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$5,619.61

Service Code	APR-DRG 5003
Min. Negotiated Rate	$3,100.90
Max. Negotiated Rate	$5,619.61
Rate for Payer: Buckeye Health Medicaid OOS	$5,619.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,619.61

APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$3,155.63

Service Code	APR-DRG 5001
Min. Negotiated Rate	$3,100.90
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$3,717.59

Service Code	APR-DRG 5002
Min. Negotiated Rate	$3,100.90
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$6,095.12

Service Code	APR-DRG 2813
Min. Negotiated Rate	$4,087.55
Max. Negotiated Rate	$6,095.12
Rate for Payer: Buckeye Health Medicaid OOS	$6,095.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,095.12

APR-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$9,293.98

Service Code	APR-DRG 2814
Min. Negotiated Rate	$7,540.82
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$4,495.69

Service Code	APR-DRG 2812
Min. Negotiated Rate	$3,523.75
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$3,371.77

Service Code	APR-DRG 2811
Min. Negotiated Rate	$1,938.06
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: MALIGNANT BREAST DISORDERS

Facility

$5,403.48

Service Code	APR-DRG 3823
Min. Negotiated Rate	$3,312.32
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

Know your out-of-pocket cost for care.

All Charges