Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$7,132.59

Service Code	APR-DRG 3433
Min. Negotiated Rate	$5,814.19
Max. Negotiated Rate	$7,132.59
Rate for Payer: Buckeye Health Medicaid OOS	$7,132.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,132.59

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$5,792.53

Service Code	APR-DRG 8631
Min. Negotiated Rate	$5,074.20
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: NEONATAL AFTERCARE

Facility

$25,547.19

Service Code	APR-DRG 8633
Min. Negotiated Rate	$20,446.75
Max. Negotiated Rate	$25,547.19
Rate for Payer: Buckeye Health Medicaid OOS	$20,446.75
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,446.75

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$12,755.98

Service Code	APR-DRG 8632
Min. Negotiated Rate	$10,547.58
Max. Negotiated Rate	$12,755.98
Rate for Payer: Buckeye Health Medicaid OOS	$10,547.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,547.58

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$39,942.49

Service Code	APR-DRG 8634
Min. Negotiated Rate	$33,898.47
Max. Negotiated Rate	$39,942.49
Rate for Payer: Buckeye Health Medicaid OOS	$39,942.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$39,942.49

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$20,719.65

Service Code	APR-DRG 6031
Min. Negotiated Rate	$3,501.45
Max. Negotiated Rate	$20,719.65
Rate for Payer: Buckeye Health Medicaid OOS	$3,501.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,501.45

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$46,469.89

Service Code	APR-DRG 6034
Min. Negotiated Rate	$23,750.08
Max. Negotiated Rate	$46,469.89
Rate for Payer: Buckeye Health Medicaid OOS	$46,469.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$46,469.89

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$26,325.73

Service Code	APR-DRG 6033
Min. Negotiated Rate	$23,750.08
Max. Negotiated Rate	$26,325.73
Rate for Payer: Buckeye Health Medicaid OOS	$26,325.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$26,325.73

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$23,397.70

Service Code	APR-DRG 6032
Min. Negotiated Rate	$21,484.22
Max. Negotiated Rate	$23,397.70
Rate for Payer: Buckeye Health Medicaid OOS	$21,484.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$21,484.22

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$44,135.58

Service Code	APR-DRG 6023
Min. Negotiated Rate	$37,563.18
Max. Negotiated Rate	$44,135.58
Rate for Payer: Buckeye Health Medicaid OOS	$44,135.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$44,135.58

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$63,544.87

Service Code	APR-DRG 6024
Min. Negotiated Rate	$40,664.07
Max. Negotiated Rate	$63,544.87
Rate for Payer: Buckeye Health Medicaid OOS	$63,544.87
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$63,544.87

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$26,674.79

Service Code	APR-DRG 6021
Min. Negotiated Rate	$26,282.50
Max. Negotiated Rate	$26,674.79
Rate for Payer: Buckeye Health Medicaid OOS	$26,282.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$26,282.50

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$35,273.88

Service Code	APR-DRG 6022
Min. Negotiated Rate	$26,674.79
Max. Negotiated Rate	$35,273.88
Rate for Payer: Buckeye Health Medicaid OOS	$35,273.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$35,273.88

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$11,593.14

Service Code	APR-DRG 6081
Min. Negotiated Rate	$9,639.80
Max. Negotiated Rate	$11,593.14
Rate for Payer: Buckeye Health Medicaid OOS	$9,639.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,639.80

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$28,011.61

Service Code	APR-DRG 6084
Min. Negotiated Rate	$24,349.11
Max. Negotiated Rate	$28,011.61
Rate for Payer: Buckeye Health Medicaid OOS	$28,011.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$28,011.61

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$17,548.28

Service Code	APR-DRG 6082
Min. Negotiated Rate	$16,729.16
Max. Negotiated Rate	$17,548.28
Rate for Payer: Buckeye Health Medicaid OOS	$16,729.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,729.16

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$24,349.11

Service Code	APR-DRG 6083
Min. Negotiated Rate	$24,164.34
Max. Negotiated Rate	$24,349.11
Rate for Payer: Buckeye Health Medicaid OOS	$24,164.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$24,164.34

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$26,463.36

Service Code	APR-DRG 6072
Min. Negotiated Rate	$25,158.58
Max. Negotiated Rate	$26,463.36
Rate for Payer: Buckeye Health Medicaid OOS	$25,158.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$25,158.58

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$49,106.78

Service Code	APR-DRG 6074
Min. Negotiated Rate	$39,571.71
Max. Negotiated Rate	$49,106.78
Rate for Payer: Buckeye Health Medicaid OOS	$49,106.78
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$49,106.78

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$33,674.46

Service Code	APR-DRG 6073
Min. Negotiated Rate	$28,683.33
Max. Negotiated Rate	$33,674.46
Rate for Payer: Buckeye Health Medicaid OOS	$33,674.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$33,674.46

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$17,982.76

Service Code	APR-DRG 6071
Min. Negotiated Rate	$13,777.86
Max. Negotiated Rate	$17,982.76
Rate for Payer: Buckeye Health Medicaid OOS	$17,982.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,982.76

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$12,881.88

Service Code	APR-DRG 6132
Min. Negotiated Rate	$9,408.41
Max. Negotiated Rate	$12,881.88
Rate for Payer: Buckeye Health Medicaid OOS	$12,881.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,881.88

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$21,873.27

Service Code	APR-DRG 6133
Min. Negotiated Rate	$13,284.54
Max. Negotiated Rate	$21,873.27
Rate for Payer: Buckeye Health Medicaid OOS	$21,873.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$21,873.27

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$40,461.22

Service Code	APR-DRG 6134
Min. Negotiated Rate	$13,284.54
Max. Negotiated Rate	$40,461.22
Rate for Payer: Buckeye Health Medicaid OOS	$40,461.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$40,461.22

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$9,408.41

Service Code	APR-DRG 6131
Min. Negotiated Rate	$8,256.51
Max. Negotiated Rate	$9,408.41
Rate for Payer: Buckeye Health Medicaid OOS	$8,256.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,256.51

Know your out-of-pocket cost for care.

All Charges