Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00013: LEVEL II SKIN REPAIR

Facility OP

$241.49

Service Code	EAPG 00013
Hospital Charge Code	EAPG 00013
Min. Negotiated Rate	$241.49
Max. Negotiated Rate	$241.49
Rate for Payer: Buckeye Health Medicaid OOS	$241.49
Rate for Payer: Molina Healthcare of OH Medicare	$241.49

OUTPATIENT EAPG 00014: LEVEL III SKIN REPAIR

Facility OP

$423.64

Service Code	EAPG 00014
Hospital Charge Code	EAPG 00014
Min. Negotiated Rate	$423.64
Max. Negotiated Rate	$423.64
Rate for Payer: Buckeye Health Medicaid OOS	$423.64
Rate for Payer: Molina Healthcare of OH Medicare	$423.64

OUTPATIENT EAPG 00015: LEVEL IV SKIN REPAIR

Facility OP

$764.37

Service Code	EAPG 00015
Hospital Charge Code	EAPG 00015
Min. Negotiated Rate	$764.37
Max. Negotiated Rate	$764.37
Rate for Payer: Buckeye Health Medicaid OOS	$764.37
Rate for Payer: Molina Healthcare of OH Medicare	$764.37

OUTPATIENT EAPG 00020: LEVEL I BREAST PROCEDURES

Facility OP

$536.69

Service Code	EAPG 00020
Hospital Charge Code	EAPG 00020
Min. Negotiated Rate	$536.69
Max. Negotiated Rate	$536.69
Rate for Payer: Buckeye Health Medicaid OOS	$536.69
Rate for Payer: Molina Healthcare of OH Medicare	$536.69

OUTPATIENT EAPG 00021: LEVEL II BREAST PROCEDURES

Facility OP

$1,150.37

Service Code	EAPG 00021
Hospital Charge Code	EAPG 00021
Min. Negotiated Rate	$1,150.37
Max. Negotiated Rate	$1,150.37
Rate for Payer: Buckeye Health Medicaid OOS	$1,150.37
Rate for Payer: Molina Healthcare of OH Medicare	$1,150.37

OUTPATIENT EAPG 00022: LEVEL III BREAST PROCEDURES

Facility OP

$1,548.43

Service Code	EAPG 00022
Hospital Charge Code	EAPG 00022
Min. Negotiated Rate	$1,548.43
Max. Negotiated Rate	$1,548.43
Rate for Payer: Buckeye Health Medicaid OOS	$1,548.43
Rate for Payer: Molina Healthcare of OH Medicare	$1,548.43

OUTPATIENT EAPG 00023: LEVEL I FOREARM AND WRIST PROCEDURES

Facility OP

$673.81

Service Code	EAPG 00023
Hospital Charge Code	EAPG 00023
Min. Negotiated Rate	$673.81
Max. Negotiated Rate	$673.81
Rate for Payer: Buckeye Health Medicaid OOS	$673.81
Rate for Payer: Molina Healthcare of OH Medicare	$673.81

OUTPATIENT EAPG 00024: LEVEL II FOREARM AND WRIST PROCEDURES

Facility OP

$1,222.50

Service Code	EAPG 00024
Hospital Charge Code	EAPG 00024
Min. Negotiated Rate	$1,222.50
Max. Negotiated Rate	$1,222.50
Rate for Payer: Buckeye Health Medicaid OOS	$1,222.50
Rate for Payer: Molina Healthcare of OH Medicare	$1,222.50

OUTPATIENT EAPG 00025: SHOULDER AND UPPER ARM PROCEDURES

Facility OP

$1,150.17

Service Code	EAPG 00025
Hospital Charge Code	EAPG 00025
Min. Negotiated Rate	$1,150.17
Max. Negotiated Rate	$1,150.17
Rate for Payer: Buckeye Health Medicaid OOS	$1,150.17
Rate for Payer: Molina Healthcare of OH Medicare	$1,150.17

OUTPATIENT EAPG 00026: LEVEL I KNEE AND LOWER LEG PROCEDURES

Facility OP

$999.75

Service Code	EAPG 00026
Hospital Charge Code	EAPG 00026
Min. Negotiated Rate	$999.75
Max. Negotiated Rate	$999.75
Rate for Payer: Buckeye Health Medicaid OOS	$999.75
Rate for Payer: Molina Healthcare of OH Medicare	$999.75

OUTPATIENT EAPG 00027: PELVIS, FEMUR AND UPPER LEG PROCEDURES

Facility OP

$1,125.16

Service Code	EAPG 00027
Hospital Charge Code	EAPG 00027
Min. Negotiated Rate	$1,125.16
Max. Negotiated Rate	$1,125.16
Rate for Payer: Buckeye Health Medicaid OOS	$1,125.16
Rate for Payer: Molina Healthcare of OH Medicare	$1,125.16

OUTPATIENT EAPG 00028: LEVEL I SPINE PROCEDURES

Facility OP

$1,452.33

Service Code	EAPG 00028
Hospital Charge Code	EAPG 00028
Min. Negotiated Rate	$1,452.33
Max. Negotiated Rate	$1,452.33
Rate for Payer: Buckeye Health Medicaid OOS	$1,452.33
Rate for Payer: Molina Healthcare of OH Medicare	$1,452.33

OUTPATIENT EAPG 00029: LEVEL II SPINE PROCEDURES

Facility OP

$2,561.33

Service Code	EAPG 00029
Hospital Charge Code	EAPG 00029
Min. Negotiated Rate	$2,561.33
Max. Negotiated Rate	$2,561.33
Rate for Payer: Buckeye Health Medicaid OOS	$2,561.33
Rate for Payer: Molina Healthcare of OH Medicare	$2,561.33

OUTPATIENT EAPG 00030: GENERAL MUSCULOSKELETAL PROCEDURES

Facility OP

$826.00

Service Code	EAPG 00030
Hospital Charge Code	EAPG 00030
Min. Negotiated Rate	$826.00
Max. Negotiated Rate	$826.00
Rate for Payer: Buckeye Health Medicaid OOS	$826.00
Rate for Payer: Molina Healthcare of OH Medicare	$826.00

OUTPATIENT EAPG 00033: LEVEL I HAND PROCEDURES

Facility OP

$594.77

Service Code	EAPG 00033
Hospital Charge Code	EAPG 00033
Min. Negotiated Rate	$594.77
Max. Negotiated Rate	$594.77
Rate for Payer: Buckeye Health Medicaid OOS	$594.77
Rate for Payer: Molina Healthcare of OH Medicare	$594.77

OUTPATIENT EAPG 00034: LEVEL II HAND PROCEDURES

Facility OP

$890.58

Service Code	EAPG 00034
Hospital Charge Code	EAPG 00034
Min. Negotiated Rate	$890.58
Max. Negotiated Rate	$890.58
Rate for Payer: Buckeye Health Medicaid OOS	$890.58
Rate for Payer: Molina Healthcare of OH Medicare	$890.58

OUTPATIENT EAPG 00035: LEVEL I FOOT PROCEDURES

Facility OP

$823.82

Service Code	EAPG 00035
Hospital Charge Code	EAPG 00035
Min. Negotiated Rate	$823.82
Max. Negotiated Rate	$823.82
Rate for Payer: Buckeye Health Medicaid OOS	$823.82
Rate for Payer: Molina Healthcare of OH Medicare	$823.82

OUTPATIENT EAPG 00036: LEVEL II FOOT PROCEDURES

Facility OP

$1,146.53

Service Code	EAPG 00036
Hospital Charge Code	EAPG 00036
Min. Negotiated Rate	$1,146.53
Max. Negotiated Rate	$1,146.53
Rate for Payer: Buckeye Health Medicaid OOS	$1,146.53
Rate for Payer: Molina Healthcare of OH Medicare	$1,146.53

OUTPATIENT EAPG 00037: LEVEL I ARTHROSCOPY

Facility OP

$876.94

Service Code	EAPG 00037
Hospital Charge Code	EAPG 00037
Min. Negotiated Rate	$876.94
Max. Negotiated Rate	$876.94
Rate for Payer: Buckeye Health Medicaid OOS	$876.94
Rate for Payer: Molina Healthcare of OH Medicare	$876.94

OUTPATIENT EAPG 00038: LEVEL II ARTHROSCOPY

Facility OP

$1,166.44

Service Code	EAPG 00038
Hospital Charge Code	EAPG 00038
Min. Negotiated Rate	$1,166.44
Max. Negotiated Rate	$1,166.44
Rate for Payer: Buckeye Health Medicaid OOS	$1,166.44
Rate for Payer: Molina Healthcare of OH Medicare	$1,166.44

OUTPATIENT EAPG 00039: CAST APPLICATION OR REPLACEMENT

Facility OP

$93.10

Service Code	EAPG 00039
Hospital Charge Code	EAPG 00039
Min. Negotiated Rate	$93.10
Max. Negotiated Rate	$93.10
Rate for Payer: Buckeye Health Medicaid OOS	$93.10
Rate for Payer: Molina Healthcare of OH Medicare	$93.10

OUTPATIENT EAPG 00040: MINOR SPLINT AND STRAPPING APPLICATION

Facility OP

$49.74

Service Code	EAPG 00040
Hospital Charge Code	EAPG 00040
Min. Negotiated Rate	$49.74
Max. Negotiated Rate	$49.74
Rate for Payer: Buckeye Health Medicaid OOS	$49.74
Rate for Payer: Molina Healthcare of OH Medicare	$49.74

OUTPATIENT EAPG 00041: CLOSED TREATMENT FX & DISCLOCATION

Facility OP

$175.32

Service Code	EAPG 00041
Hospital Charge Code	EAPG 00041
Min. Negotiated Rate	$175.32
Max. Negotiated Rate	$175.32
Rate for Payer: Buckeye Health Medicaid OOS	$175.32
Rate for Payer: Molina Healthcare of OH Medicare	$175.32

OUTPATIENT EAPG 00043: OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES

Facility OP

$1,169.58

Service Code	EAPG 00043
Hospital Charge Code	EAPG 00043
Min. Negotiated Rate	$1,169.58
Max. Negotiated Rate	$1,169.58
Rate for Payer: Buckeye Health Medicaid OOS	$1,169.58
Rate for Payer: Molina Healthcare of OH Medicare	$1,169.58

OUTPATIENT EAPG 00044: BONE OR JOINT MANIPULATION UNDER ANESTHESIA

Facility OP

$393.58

Service Code	EAPG 00044
Hospital Charge Code	EAPG 00044
Min. Negotiated Rate	$393.58
Max. Negotiated Rate	$393.58
Rate for Payer: Buckeye Health Medicaid OOS	$393.58
Rate for Payer: Molina Healthcare of OH Medicare	$393.58

Price Transparency.

All Charges