Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

$7,012.26

Service Code	APR-DRG 6332
Min. Negotiated Rate	$4,711.83
Max. Negotiated Rate	$7,012.26
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$22,348.77

Service Code	APR-DRG 6302
Min. Negotiated Rate	$13,777.86
Max. Negotiated Rate	$22,348.77
Rate for Payer: Buckeye Health Medicaid OOS	$22,348.77
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$22,348.77

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

Facility

$88,919.58

Service Code	APR-DRG 6304
Min. Negotiated Rate	$51,129.61
Max. Negotiated Rate	$88,919.58
Rate for Payer: Buckeye Health Medicaid OOS	$88,919.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$88,919.58

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

Facility

$49,020.33

Service Code	APR-DRG 6303
Min. Negotiated Rate	$13,777.86
Max. Negotiated Rate	$49,020.33
Rate for Payer: Buckeye Health Medicaid OOS	$49,020.33
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$49,020.33

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

Facility

$13,777.86

Service Code	APR-DRG 6301
Min. Negotiated Rate	$11,585.05
Max. Negotiated Rate	$13,777.86
Rate for Payer: Buckeye Health Medicaid OOS	$11,585.05
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,585.05

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

Facility

$16,599.48

Service Code	APR-DRG 6312
Min. Negotiated Rate	$12,333.12
Max. Negotiated Rate	$16,599.48
Rate for Payer: Buckeye Health Medicaid OOS	$16,599.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,599.48

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

Facility

$28,832.94

Service Code	APR-DRG 6313
Min. Negotiated Rate	$13,178.83
Max. Negotiated Rate	$28,832.94
Rate for Payer: Buckeye Health Medicaid OOS	$28,832.94
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$28,832.94

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

Facility

$98,040.65

Service Code	APR-DRG 6314
Min. Negotiated Rate	$51,693.41
Max. Negotiated Rate	$98,040.65
Rate for Payer: Buckeye Health Medicaid OOS	$98,040.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$98,040.65

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

Facility

$4,510.40

Service Code	APR-DRG 6311
Min. Negotiated Rate	$3,328.54
Max. Negotiated Rate	$4,510.40
Rate for Payer: Buckeye Health Medicaid OOS	$3,328.54
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,328.54

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

Facility

$11,416.95

Service Code	APR-DRG 6393
Min. Negotiated Rate	$9,034.61
Max. Negotiated Rate	$11,416.95
Rate for Payer: Buckeye Health Medicaid OOS	$9,034.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,034.61

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

Facility

$5,179.91

Service Code	APR-DRG 6391
Min. Negotiated Rate	$1,599.43
Max. Negotiated Rate	$5,179.91
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 WITH OTHER SIGNIFICANT CONDITION

Facility

$8,210.34

Service Code	APR-DRG 6392
Min. Negotiated Rate	$3,069.17
Max. Negotiated Rate	$8,210.34
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: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$13,573.53

Service Code	APR-DRG 6394
Min. Negotiated Rate	$11,416.95
Max. Negotiated Rate	$13,573.53
Rate for Payer: Buckeye Health Medicaid OOS	$13,573.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,573.53

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

Facility

$10,158.53

Service Code	APR-DRG 6343
Min. Negotiated Rate	$10,042.69
Max. Negotiated Rate	$10,158.53
Rate for Payer: Buckeye Health Medicaid OOS	$10,158.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,158.53

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

Facility

$7,329.40

Service Code	APR-DRG 6342
Min. Negotiated Rate	$5,100.88
Max. Negotiated Rate	$7,329.40
Rate for Payer: Buckeye Health Medicaid OOS	$5,100.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,100.88

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

Facility

$19,452.51

Service Code	APR-DRG 6344
Min. Negotiated Rate	$19,028.25
Max. Negotiated Rate	$19,452.51
Rate for Payer: Buckeye Health Medicaid OOS	$19,452.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,452.51

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

Facility

$3,594.22

Service Code	APR-DRG 6341
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$3,594.22
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: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$72,363.34

Service Code	APR-DRG 5913
Min. Negotiated Rate	$29,106.17
Max. Negotiated Rate	$72,363.34
Rate for Payer: Buckeye Health Medicaid OOS	$72,363.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$72,363.34

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$95,922.49

Service Code	APR-DRG 5914
Min. Negotiated Rate	$63,638.93
Max. Negotiated Rate	$95,922.49
Rate for Payer: Buckeye Health Medicaid OOS	$95,922.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$95,922.49

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$62,075.12

Service Code	APR-DRG 5912
Min. Negotiated Rate	$29,106.17
Max. Negotiated Rate	$62,075.12
Rate for Payer: Buckeye Health Medicaid OOS	$62,075.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$62,075.12

APR-DRG 42.00: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$29,106.17

Service Code	APR-DRG 5911
Min. Negotiated Rate	$13,184.48
Max. Negotiated Rate	$29,106.17
Rate for Payer: Buckeye Health Medicaid OOS	$13,184.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,184.48

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$68,213.47

Service Code	APR-DRG 5892
Min. Negotiated Rate	$18,464.45
Max. Negotiated Rate	$68,213.47
Rate for Payer: Buckeye Health Medicaid OOS	$68,213.47
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$68,213.47

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$68,213.47

Service Code	APR-DRG 5891
Min. Negotiated Rate	$18,464.45
Max. Negotiated Rate	$68,213.47
Rate for Payer: Buckeye Health Medicaid OOS	$68,213.47
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$68,213.47

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$18,464.45

Service Code	APR-DRG 5894
Min. Negotiated Rate	$1,426.52
Max. Negotiated Rate	$18,464.45
Rate for Payer: Buckeye Health Medicaid OOS	$1,426.52
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,426.52

Know your out-of-pocket cost for care.

All Charges