Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$8,515.88

Service Code	APR-DRG 6232
Min. Negotiated Rate	$7,082.74
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$4,927.97

Service Code	APR-DRG 6231
Min. Negotiated Rate	$3,629.46
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$16,945.30

Service Code	APR-DRG 6233
Min. Negotiated Rate	$7,082.74
Max. Negotiated Rate	$16,945.30
Rate for Payer: Buckeye Health Medicaid OOS	$16,945.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,945.30

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$15,864.60

Service Code	APR-DRG 6213
Min. Negotiated Rate	$14,940.70
Max. Negotiated Rate	$15,864.60
Rate for Payer: Buckeye Health Medicaid OOS	$15,864.60
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,864.60

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$7,953.92

Service Code	APR-DRG 6212
Min. Negotiated Rate	$7,082.74
Max. Negotiated Rate	$7,953.92
Rate for Payer: Buckeye Health Medicaid OOS	$7,953.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,953.92

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$4,580.88

Service Code	APR-DRG 6211
Min. Negotiated Rate	$2,636.90
Max. Negotiated Rate	$4,580.88
Rate for Payer: Buckeye Health Medicaid OOS	$2,636.90
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,636.90

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$37,739.36

Service Code	APR-DRG 6214
Min. Negotiated Rate	$31,556.29
Max. Negotiated Rate	$37,739.36
Rate for Payer: Buckeye Health Medicaid OOS	$31,556.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$31,556.29

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$27,968.39

Service Code	APR-DRG 6254
Min. Negotiated Rate	$9,936.98
Max. Negotiated Rate	$27,968.39
Rate for Payer: Buckeye Health Medicaid OOS	$27,968.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$27,968.39

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$9,936.98

Service Code	APR-DRG 6251
Min. Negotiated Rate	$5,317.02
Max. Negotiated Rate	$9,936.98
Rate for Payer: Buckeye Health Medicaid OOS	$5,317.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,317.02

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$9,936.98

Service Code	APR-DRG 6252
Min. Negotiated Rate	$7,737.78
Max. Negotiated Rate	$9,936.98
Rate for Payer: Buckeye Health Medicaid OOS	$7,737.78
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,737.78

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$12,838.66

Service Code	APR-DRG 6253
Min. Negotiated Rate	$9,936.98
Max. Negotiated Rate	$12,838.66
Rate for Payer: Buckeye Health Medicaid OOS	$12,838.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,838.66

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$20,879.03

Service Code	APR-DRG 6224
Min. Negotiated Rate	$20,296.80
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$14,005.81

Service Code	APR-DRG 6223
Min. Negotiated Rate	$13,249.30
Max. Negotiated Rate	$14,005.81
Rate for Payer: Buckeye Health Medicaid OOS	$14,005.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,005.81

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$11,875.04

Service Code	APR-DRG 6222
Min. Negotiated Rate	$9,812.71
Max. Negotiated Rate	$11,875.04
Rate for Payer: Buckeye Health Medicaid OOS	$9,812.71
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,812.71

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$8,668.42

Service Code	APR-DRG 6221
Min. Negotiated Rate	$6,786.76
Max. Negotiated Rate	$8,668.42
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: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,127.60

Service Code	APR-DRG 6402
Min. Negotiated Rate	$734.87
Max. Negotiated Rate	$1,127.60
Rate for Payer: Buckeye Health Medicaid OOS	$734.87
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$734.87

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$2,290.44

Service Code	APR-DRG 6403
Min. Negotiated Rate	$1,599.43
Max. Negotiated Rate	$2,290.44
Rate for Payer: Buckeye Health Medicaid OOS	$1,599.43
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,599.43

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$8,904.93

Service Code	APR-DRG 6404
Min. Negotiated Rate	$2,290.44
Max. Negotiated Rate	$8,904.93
Rate for Payer: Buckeye Health Medicaid OOS	$8,904.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,904.93

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$880.94

Service Code	APR-DRG 6401
Min. Negotiated Rate	$475.51
Max. Negotiated Rate	$880.94
Rate for Payer: Buckeye Health Medicaid OOS	$475.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$475.51

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$11,412.14

Service Code	APR-DRG 6364
Min. Negotiated Rate	$4,087.55
Max. Negotiated Rate	$11,412.14
Rate for Payer: Buckeye Health Medicaid OOS	$11,412.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,412.14

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$4,087.55

Service Code	APR-DRG 6361
Min. Negotiated Rate	$3,371.77
Max. Negotiated Rate	$4,087.55
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$5,489.93

Service Code	APR-DRG 6362
Min. Negotiated Rate	$4,087.55
Max. Negotiated Rate	$5,489.93
Rate for Payer: Buckeye Health Medicaid OOS	$5,489.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,489.93

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$11,412.14

Service Code	APR-DRG 6363
Min. Negotiated Rate	$4,087.55
Max. Negotiated Rate	$11,412.14
Rate for Payer: Buckeye Health Medicaid OOS	$11,412.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,412.14

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$13,495.96

Service Code	APR-DRG 6333
Min. Negotiated Rate	$12,190.24
Max. Negotiated Rate	$13,495.96
Rate for Payer: Buckeye Health Medicaid OOS	$12,190.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,190.24

APR-DRG 42.00: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY

Facility

$32,118.26

Service Code	APR-DRG 6334
Min. Negotiated Rate	$26,005.28
Max. Negotiated Rate	$32,118.26
Rate for Payer: Buckeye Health Medicaid OOS	$32,118.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$32,118.26

Know your out-of-pocket cost for care.

All Charges