Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$61,686.07

Service Code	APR-DRG 5933
Min. Negotiated Rate	$45,104.00
Max. Negotiated Rate	$61,686.07
Rate for Payer: Buckeye Health Medicaid OOS	$61,686.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$61,686.07

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$49,625.51

Service Code	APR-DRG 5932
Min. Negotiated Rate	$28,436.66
Max. Negotiated Rate	$49,625.51
Rate for Payer: Buckeye Health Medicaid OOS	$49,625.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$49,625.51

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$37,781.10

Service Code	APR-DRG 5931
Min. Negotiated Rate	$28,436.66
Max. Negotiated Rate	$37,781.10
Rate for Payer: Buckeye Health Medicaid OOS	$37,781.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$37,781.10

APR-DRG 42.00: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$84,337.44

Service Code	APR-DRG 5934
Min. Negotiated Rate	$56,873.32
Max. Negotiated Rate	$84,337.44
Rate for Payer: Buckeye Health Medicaid OOS	$84,337.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$84,337.44

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$704.75

Service Code	APR-DRG 5811
Min. Negotiated Rate	$432.28
Max. Negotiated Rate	$704.75
Rate for Payer: Buckeye Health Medicaid OOS	$432.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$432.28

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$2,420.76

Service Code	APR-DRG 5814
Min. Negotiated Rate	$2,325.68
Max. Negotiated Rate	$2,420.76
Rate for Payer: Buckeye Health Medicaid OOS	$2,420.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,420.76

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$951.41

Service Code	APR-DRG 5812
Min. Negotiated Rate	$691.64
Max. Negotiated Rate	$951.41
Rate for Payer: Buckeye Health Medicaid OOS	$691.64
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$691.64

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,340.06

Service Code	APR-DRG 5813
Min. Negotiated Rate	$1,162.84
Max. Negotiated Rate	$1,340.06
Rate for Payer: Buckeye Health Medicaid OOS	$1,340.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,340.06

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$2,031.71

Service Code	APR-DRG 5802
Min. Negotiated Rate	$1,127.60
Max. Negotiated Rate	$2,031.71
Rate for Payer: Buckeye Health Medicaid OOS	$2,031.71
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,031.71

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$1,296.83

Service Code	APR-DRG 5801
Min. Negotiated Rate	$916.17
Max. Negotiated Rate	$1,296.83
Rate for Payer: Buckeye Health Medicaid OOS	$1,296.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,296.83

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$3,976.96

Service Code	APR-DRG 5803
Min. Negotiated Rate	$1,973.30
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: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$5,100.88

Service Code	APR-DRG 5804
Min. Negotiated Rate	$1,973.30
Max. Negotiated Rate	$5,100.88
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 WITH ECMO

Facility

$104,481.59

Service Code	APR-DRG 5832
Min. Negotiated Rate	$53,948.61
Max. Negotiated Rate	$104,481.59
Rate for Payer: Buckeye Health Medicaid OOS	$104,481.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$104,481.59

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$136,037.89

Service Code	APR-DRG 5833
Min. Negotiated Rate	$53,948.61
Max. Negotiated Rate	$136,037.89
Rate for Payer: Buckeye Health Medicaid OOS	$136,037.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$136,037.89

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$93,761.10

Service Code	APR-DRG 5831
Min. Negotiated Rate	$53,948.61
Max. Negotiated Rate	$93,761.10
Rate for Payer: Buckeye Health Medicaid OOS	$93,761.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$93,761.10

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$238,876.82

Service Code	APR-DRG 5834
Min. Negotiated Rate	$53,948.61
Max. Negotiated Rate	$238,876.82
Rate for Payer: Buckeye Health Medicaid OOS	$238,876.82
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$238,876.82

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$6,657.08

Service Code	APR-DRG 4623
Min. Negotiated Rate	$3,876.12
Max. Negotiated Rate	$6,657.08
Rate for Payer: Buckeye Health Medicaid OOS	$6,657.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,657.08

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$2,507.21

Service Code	APR-DRG 4621
Min. Negotiated Rate	$1,691.40
Max. Negotiated Rate	$2,507.21
Rate for Payer: Buckeye Health Medicaid OOS	$2,507.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,507.21

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$11,887.65

Service Code	APR-DRG 4624
Min. Negotiated Rate	$4,862.77
Max. Negotiated Rate	$11,887.65
Rate for Payer: Buckeye Health Medicaid OOS	$11,887.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,887.65

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$3,544.68

Service Code	APR-DRG 4622
Min. Negotiated Rate	$2,255.20
Max. Negotiated Rate	$3,544.68
Rate for Payer: Buckeye Health Medicaid OOS	$3,544.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,544.68

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$3,804.05

Service Code	APR-DRG 0411
Min. Negotiated Rate	$2,537.10
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: NERVOUS SYSTEM MALIGNANCY

Facility

$8,775.24

Service Code	APR-DRG 0414
Min. Negotiated Rate	$5,285.62
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: NERVOUS SYSTEM MALIGNANCY

Facility

$5,285.62

Service Code	APR-DRG 0412
Min. Negotiated Rate	$4,409.24
Max. Negotiated Rate	$5,285.62
Rate for Payer: Buckeye Health Medicaid OOS	$4,409.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,409.24

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$6,095.12

Service Code	APR-DRG 0413
Min. Negotiated Rate	$5,285.62
Max. Negotiated Rate	$6,095.12
Rate for Payer: Buckeye Health Medicaid OOS	$6,095.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,095.12

Know your out-of-pocket cost for care.

All Charges