Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$9,596.57

Service Code	APR-DRG 0503
Min. Negotiated Rate	$6,131.32
Max. Negotiated Rate	$9,596.57
Rate for Payer: Buckeye Health Medicaid OOS	$9,596.57
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,596.57

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$6,311.26

Service Code	APR-DRG 0502
Min. Negotiated Rate	$4,334.21
Max. Negotiated Rate	$6,311.26
Rate for Payer: Buckeye Health Medicaid OOS	$6,311.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,311.26

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$16,469.79

Service Code	APR-DRG 0504
Min. Negotiated Rate	$12,438.84
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$3,501.45

Service Code	APR-DRG 0501
Min. Negotiated Rate	$2,783.76
Max. Negotiated Rate	$3,501.45
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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$11,023.09

Service Code	APR-DRG 3233
Min. Negotiated Rate	$11,023.09
Max. Negotiated Rate	$11,023.09
Rate for Payer: Buckeye Health Medicaid OOS	$11,023.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,023.09

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$15,432.32

Service Code	APR-DRG 3234
Min. Negotiated Rate	$15,432.32
Max. Negotiated Rate	$15,432.32
Rate for Payer: Buckeye Health Medicaid OOS	$15,432.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,432.32

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$6,786.76

Service Code	APR-DRG 3231
Min. Negotiated Rate	$6,786.76
Max. Negotiated Rate	$6,786.76
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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$8,213.28

Service Code	APR-DRG 3232
Min. Negotiated Rate	$8,213.28
Max. Negotiated Rate	$8,213.28
Rate for Payer: Buckeye Health Medicaid OOS	$8,213.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,213.28

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$8,948.15

Service Code	APR-DRG 3251
Min. Negotiated Rate	$8,948.15
Max. Negotiated Rate	$8,948.15
Rate for Payer: Buckeye Health Medicaid OOS	$8,948.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,948.15

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$11,109.54

Service Code	APR-DRG 3252
Min. Negotiated Rate	$11,109.54
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

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$13,443.85

Service Code	APR-DRG 3253
Min. Negotiated Rate	$13,443.85
Max. Negotiated Rate	$13,443.85
Rate for Payer: Buckeye Health Medicaid OOS	$13,443.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,443.85

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$16,815.61

Service Code	APR-DRG 3254
Min. Negotiated Rate	$16,815.61
Max. Negotiated Rate	$16,815.61
Rate for Payer: Buckeye Health Medicaid OOS	$16,815.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,815.61

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

Facility

$7,651.32

Service Code	APR-DRG 7943
Min. Negotiated Rate	$4,968.49
Max. Negotiated Rate	$7,651.32
Rate for Payer: Buckeye Health Medicaid OOS	$7,651.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,651.32

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

Facility

$5,317.02

Service Code	APR-DRG 7942
Min. Negotiated Rate	$3,418.04
Max. Negotiated Rate	$5,317.02
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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$15,907.83

Service Code	APR-DRG 7944
Min. Negotiated Rate	$6,201.80
Max. Negotiated Rate	$15,907.83
Rate for Payer: Buckeye Health Medicaid OOS	$15,907.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,907.83

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

Facility

$3,933.73

Service Code	APR-DRG 7941
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$3,933.73
Rate for Payer: Buckeye Health Medicaid OOS	$3,933.73
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,933.73

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

Facility

$4,409.24

Service Code	APR-DRG 9521
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$4,409.24
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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$9,466.89

Service Code	APR-DRG 9523
Min. Negotiated Rate	$6,695.12
Max. Negotiated Rate	$9,466.89
Rate for Payer: Buckeye Health Medicaid OOS	$9,466.89
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,466.89

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

Facility

$16,469.79

Service Code	APR-DRG 9524
Min. Negotiated Rate	$10,888.39
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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$6,224.80

Service Code	APR-DRG 9522
Min. Negotiated Rate	$4,475.16
Max. Negotiated Rate	$6,224.80
Rate for Payer: Buckeye Health Medicaid OOS	$6,224.80
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,224.80

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$7,867.46

Service Code	APR-DRG 4264
Min. Negotiated Rate	$5,320.86
Max. Negotiated Rate	$7,867.46
Rate for Payer: Buckeye Health Medicaid OOS	$7,867.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,867.46

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$4,452.46

Service Code	APR-DRG 4263
Min. Negotiated Rate	$3,840.89
Max. Negotiated Rate	$4,452.46
Rate for Payer: Buckeye Health Medicaid OOS	$4,452.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,452.46

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$2,325.68

Service Code	APR-DRG 4261
Min. Negotiated Rate	$2,161.39
Max. Negotiated Rate	$2,325.68
Rate for Payer: Buckeye Health Medicaid OOS	$2,161.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,161.39

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$2,896.26

Service Code	APR-DRG 4262
Min. Negotiated Rate	$2,325.68
Max. Negotiated Rate	$2,896.26
Rate for Payer: Buckeye Health Medicaid OOS	$2,896.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,896.26

APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$10,115.31

Service Code	APR-DRG 0464
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$10,115.31
Rate for Payer: Buckeye Health Medicaid OOS	$10,115.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,115.31

Know your out-of-pocket cost for care.

All Charges