Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

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

Facility

$16,340.11

Service Code	APR-DRG 7934
Min. Negotiated Rate	$12,368.36
Max. Negotiated Rate	$16,340.11
Rate for Payer: Buckeye Health Medicaid OOS	$16,340.11
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,340.11

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$18,112.45

Service Code	APR-DRG 9514
Min. Negotiated Rate	$15,011.17
Max. Negotiated Rate	$18,112.45
Rate for Payer: Buckeye Health Medicaid OOS	$18,112.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,112.45

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$10,936.63

Service Code	APR-DRG 9513
Min. Negotiated Rate	$9,725.55
Max. Negotiated Rate	$10,936.63
Rate for Payer: Buckeye Health Medicaid OOS	$10,936.63
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,936.63

APR-DRG 42.00: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$5,144.11

Service Code	APR-DRG 9511
Min. Negotiated Rate	$4,439.93
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: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$7,435.18

Service Code	APR-DRG 9512
Min. Negotiated Rate	$5,955.14
Max. Negotiated Rate	$7,435.18
Rate for Payer: Buckeye Health Medicaid OOS	$7,435.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,435.18

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$16,123.97

Service Code	APR-DRG 2991
Min. Negotiated Rate	$16,123.97
Max. Negotiated Rate	$16,123.97
Rate for Payer: Buckeye Health Medicaid OOS	$16,123.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,123.97

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$33,717.68

Service Code	APR-DRG 2994
Min. Negotiated Rate	$33,717.68
Max. Negotiated Rate	$33,717.68
Rate for Payer: Buckeye Health Medicaid OOS	$33,717.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$33,717.68

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$26,368.96

Service Code	APR-DRG 2993
Min. Negotiated Rate	$26,368.96
Max. Negotiated Rate	$26,368.96
Rate for Payer: Buckeye Health Medicaid OOS	$26,368.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$26,368.96

APR-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$19,409.28

Service Code	APR-DRG 2992
Min. Negotiated Rate	$19,409.28
Max. Negotiated Rate	$19,409.28
Rate for Payer: Buckeye Health Medicaid OOS	$19,409.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,409.28

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$4,625.37

Service Code	APR-DRG 0431
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$4,625.37
Rate for Payer: Buckeye Health Medicaid OOS	$4,625.37
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,625.37

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$10,028.85

Service Code	APR-DRG 0433
Min. Negotiated Rate	$5,215.15
Max. Negotiated Rate	$10,028.85
Rate for Payer: Buckeye Health Medicaid OOS	$10,028.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,028.85

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$6,829.99

Service Code	APR-DRG 0432
Min. Negotiated Rate	$3,735.18
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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$17,809.85

Service Code	APR-DRG 0434
Min. Negotiated Rate	$6,342.75
Max. Negotiated Rate	$17,809.85
Rate for Payer: Buckeye Health Medicaid OOS	$17,809.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,809.85

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$7,608.09

Service Code	APR-DRG 9303
Min. Negotiated Rate	$5,109.44
Max. Negotiated Rate	$7,608.09
Rate for Payer: Buckeye Health Medicaid OOS	$7,608.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,608.09

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$13,487.07

Service Code	APR-DRG 9304
Min. Negotiated Rate	$8,703.66
Max. Negotiated Rate	$13,487.07
Rate for Payer: Buckeye Health Medicaid OOS	$13,487.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,487.07

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$4,927.97

Service Code	APR-DRG 9302
Min. Negotiated Rate	$3,946.60
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: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$3,890.50

Service Code	APR-DRG 9301
Min. Negotiated Rate	$2,783.76
Max. Negotiated Rate	$3,890.50
Rate for Payer: Buckeye Health Medicaid OOS	$3,890.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,890.50

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$25,979.91

Service Code	APR-DRG 9124
Min. Negotiated Rate	$23,714.84
Max. Negotiated Rate	$25,979.91
Rate for Payer: Buckeye Health Medicaid OOS	$25,979.91
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$25,979.91

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$16,469.79

Service Code	APR-DRG 9123
Min. Negotiated Rate	$14,975.94
Max. Negotiated Rate	$16,469.79
Rate for Payer: Buckeye Health Medicaid OOS	$16,469.79
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,469.79

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$8,732.02

Service Code	APR-DRG 9121
Min. Negotiated Rate	$7,752.25
Max. Negotiated Rate	$8,732.02
Rate for Payer: Buckeye Health Medicaid OOS	$8,732.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,732.02

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$11,757.96

Service Code	APR-DRG 9122
Min. Negotiated Rate	$8,879.85
Max. Negotiated Rate	$11,757.96
Rate for Payer: Buckeye Health Medicaid OOS	$11,757.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,757.96

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$3,976.96

Service Code	APR-DRG 3431
Min. Negotiated Rate	$3,277.09
Max. Negotiated Rate	$3,976.96
Rate for Payer: Buckeye Health Medicaid OOS	$3,976.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,976.96

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$4,711.83

Service Code	APR-DRG 3432
Min. Negotiated Rate	$3,277.09
Max. Negotiated Rate	$4,711.83
Rate for Payer: Buckeye Health Medicaid OOS	$4,711.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,711.83

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$11,109.54

Service Code	APR-DRG 3434
Min. Negotiated Rate	$9,232.23
Max. Negotiated Rate	$11,109.54
Rate for Payer: Buckeye Health Medicaid OOS	$11,109.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,109.54

Know your out-of-pocket cost for care.

All Charges