Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$8,991.38

Service Code	APR-DRG 3824
Min. Negotiated Rate	$4,827.54
Max. Negotiated Rate	$8,991.38
Rate for Payer: Buckeye Health Medicaid OOS	$8,991.38
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,991.38

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$4,020.19

Service Code	APR-DRG 3822
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$4,020.19
Rate for Payer: Buckeye Health Medicaid OOS	$4,020.19
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,020.19

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$3,312.32

Service Code	APR-DRG 3821
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$3,312.32
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$8,775.24

Service Code	APR-DRG 4214
Min. Negotiated Rate	$5,250.39
Max. Negotiated Rate	$8,775.24
Rate for Payer: Buckeye Health Medicaid OOS	$8,775.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,775.24

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$4,017.07

Service Code	APR-DRG 4212
Min. Negotiated Rate	$3,285.31
Max. Negotiated Rate	$4,017.07
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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$4,017.07

Service Code	APR-DRG 4211
Min. Negotiated Rate	$2,247.85
Max. Negotiated Rate	$4,017.07
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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$5,144.11

Service Code	APR-DRG 4213
Min. Negotiated Rate	$4,017.07
Max. Negotiated Rate	$5,144.11
Rate for Payer: Buckeye Health Medicaid OOS	$5,144.11
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,144.11

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$10,634.04

Service Code	APR-DRG 3623
Min. Negotiated Rate	$7,153.21
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: MASTECTOMY PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 3621
Min. Negotiated Rate	$4,510.40
Max. Negotiated Rate	$6,829.99
Rate for Payer: Buckeye Health Medicaid OOS	$6,829.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,829.99

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$13,270.93

Service Code	APR-DRG 3624
Min. Negotiated Rate	$7,153.21
Max. Negotiated Rate	$13,270.93
Rate for Payer: Buckeye Health Medicaid OOS	$13,270.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,270.93

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$10,244.99

Service Code	APR-DRG 3622
Min. Negotiated Rate	$6,413.23
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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$6,786.76

Service Code	APR-DRG 5324
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$6,786.76
Rate for Payer: Buckeye Health Medicaid OOS	$6,786.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,786.76

APR-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,607.57

Service Code	APR-DRG 5321
Min. Negotiated Rate	$2,247.85
Max. Negotiated Rate	$2,607.57
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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$4,193.10

Service Code	APR-DRG 5323
Min. Negotiated Rate	$2,607.57
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: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,982.72

Service Code	APR-DRG 5322
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: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$6,354.49

Service Code	APR-DRG 7402
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$6,354.49
Rate for Payer: Buckeye Health Medicaid OOS	$6,354.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,354.49

APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$24,207.57

Service Code	APR-DRG 7404
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$24,207.57
Rate for Payer: Buckeye Health Medicaid OOS	$24,207.57
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$24,207.57

APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$11,152.77

Service Code	APR-DRG 7403
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$11,152.77
Rate for Payer: Buckeye Health Medicaid OOS	$11,152.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,152.77

APR-DRG 42.00: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE

Facility

$3,804.05

Service Code	APR-DRG 7401
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$3,804.05
Rate for Payer: Buckeye Health Medicaid OOS	$3,804.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,804.05

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$3,069.17

Service Code	APR-DRG 0541
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$3,069.17
Rate for Payer: Buckeye Health Medicaid OOS	$3,069.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,069.17

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$4,668.60

Service Code	APR-DRG 0543
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$4,668.60
Rate for Payer: Buckeye Health Medicaid OOS	$4,668.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,668.60

APR-DRG 42.00: MIGRAINE AND OTHER HEADACHES

Facility

$3,674.36

Service Code	APR-DRG 0542
Min. Negotiated Rate	$2,889.47
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: MIGRAINE AND OTHER HEADACHES

Facility

$6,829.99

Service Code	APR-DRG 0544
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$6,829.99
Rate for Payer: Buckeye Health Medicaid OOS	$6,829.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,829.99

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$4,927.97

Service Code	APR-DRG 7931
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$4,927.97
Rate for Payer: Buckeye Health Medicaid OOS	$4,927.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,927.97

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$9,380.43

Service Code	APR-DRG 7933
Min. Negotiated Rate	$6,377.99
Max. Negotiated Rate	$9,380.43
Rate for Payer: Buckeye Health Medicaid OOS	$9,380.43
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,380.43

Know your out-of-pocket cost for care.

All Charges