Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: ORBIT AND EYE PROCEDURES

Facility

$4,452.46

Service Code	APR-DRG 0731
Min. Negotiated Rate	$3,558.99
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: ORBIT AND EYE PROCEDURES

Facility

$15,951.06

Service Code	APR-DRG 0734
Min. Negotiated Rate	$6,624.65
Max. Negotiated Rate	$15,951.06
Rate for Payer: Buckeye Health Medicaid OOS	$15,951.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,951.06

APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$12,536.06

Service Code	APR-DRG 7574
Min. Negotiated Rate	$6,800.84
Max. Negotiated Rate	$12,536.06
Rate for Payer: Buckeye Health Medicaid OOS	$12,536.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,536.06

APR-DRG 42.00: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$3,544.68

Service Code	APR-DRG 7572
Min. Negotiated Rate	$2,008.54
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: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$5,100.88

Service Code	APR-DRG 7573
Min. Negotiated Rate	$2,537.10
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: ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES

Facility

$2,377.53

Service Code	APR-DRG 7571
Min. Negotiated Rate	$1,550.45
Max. Negotiated Rate	$2,377.53
Rate for Payer: Buckeye Health Medicaid OOS	$2,377.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,377.53

APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$10,712.20

Service Code	APR-DRG 3444
Min. Negotiated Rate	$10,115.31
Max. Negotiated Rate	$10,712.20
Rate for Payer: Buckeye Health Medicaid OOS	$10,115.31
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,115.31

APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$3,453.28

Service Code	APR-DRG 3441
Min. Negotiated Rate	$3,198.86
Max. Negotiated Rate	$3,453.28
Rate for Payer: Buckeye Health Medicaid OOS	$3,198.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,198.86

APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$4,279.55

Service Code	APR-DRG 3442
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$4,279.55
Rate for Payer: Buckeye Health Medicaid OOS	$4,279.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,279.55

APR-DRG 42.00: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$6,354.49

Service Code	APR-DRG 3443
Min. Negotiated Rate	$6,201.80
Max. Negotiated Rate	$6,354.49
Rate for Payer: Buckeye Health Medicaid OOS	$6,354.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,354.49

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$11,593.14

Service Code	APR-DRG 8624
Min. Negotiated Rate	$4,884.74
Max. Negotiated Rate	$11,593.14
Rate for Payer: Buckeye Health Medicaid OOS	$4,884.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,884.74

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$4,580.88

Service Code	APR-DRG 8621
Min. Negotiated Rate	$1,685.88
Max. Negotiated Rate	$4,580.88
Rate for Payer: Buckeye Health Medicaid OOS	$1,685.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,685.88

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$5,884.66

Service Code	APR-DRG 8622
Min. Negotiated Rate	$3,847.27
Max. Negotiated Rate	$5,884.66
Rate for Payer: Buckeye Health Medicaid OOS	$3,847.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,847.27

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$8,386.52

Service Code	APR-DRG 8623
Min. Negotiated Rate	$4,884.74
Max. Negotiated Rate	$8,386.52
Rate for Payer: Buckeye Health Medicaid OOS	$4,884.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,884.74

APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$5,144.11

Service Code	APR-DRG 2533
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,144.11
Rate for Payer: Buckeye Health Medicaid OOS	$5,144.11
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,144.11

APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$8,861.70

Service Code	APR-DRG 2534
Min. Negotiated Rate	$7,223.69
Max. Negotiated Rate	$8,861.70
Rate for Payer: Buckeye Health Medicaid OOS	$8,861.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,861.70

APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$2,636.90

Service Code	APR-DRG 2531
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$2,636.90
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: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$3,415.00

Service Code	APR-DRG 2532
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$3,415.00
Rate for Payer: Buckeye Health Medicaid OOS	$3,415.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,415.00

APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$4,755.06

Service Code	APR-DRG 6633
Min. Negotiated Rate	$3,629.46
Max. Negotiated Rate	$4,755.06
Rate for Payer: Buckeye Health Medicaid OOS	$4,755.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,755.06

APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$2,431.39

Service Code	APR-DRG 6631
Min. Negotiated Rate	$2,420.76
Max. Negotiated Rate	$2,431.39
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: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$3,371.77

Service Code	APR-DRG 6632
Min. Negotiated Rate	$3,100.90
Max. Negotiated Rate	$3,371.77
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: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$8,342.97

Service Code	APR-DRG 6634
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$8,342.97
Rate for Payer: Buckeye Health Medicaid OOS	$8,342.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,342.97

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$6,342.75

Service Code	APR-DRG 3473
Min. Negotiated Rate	$5,619.61
Max. Negotiated Rate	$6,342.75
Rate for Payer: Buckeye Health Medicaid OOS	$5,619.61
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,619.61

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$9,293.98

Service Code	APR-DRG 3474
Min. Negotiated Rate	$6,342.75
Max. Negotiated Rate	$9,293.98
Rate for Payer: Buckeye Health Medicaid OOS	$9,293.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,293.98

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$5,461.81

Service Code	APR-DRG 3471
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$5,461.81
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

Know your out-of-pocket cost for care.

All Charges