Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00046: LEVEL I ARTHROPLASTY

Facility OP

$837.25

Service Code	EAPG 00046
Hospital Charge Code	EAPG 00046
Min. Negotiated Rate	$837.25
Max. Negotiated Rate	$837.25
Rate for Payer: Buckeye Health Medicaid OOS	$837.25
Rate for Payer: Molina Healthcare of OH Medicare	$837.25

OUTPATIENT EAPG 00047: LEVEL II ARTHROPLASTY

Facility OP

$1,552.26

Service Code	EAPG 00047
Hospital Charge Code	EAPG 00047
Min. Negotiated Rate	$1,552.26
Max. Negotiated Rate	$1,552.26
Rate for Payer: Buckeye Health Medicaid OOS	$1,552.26
Rate for Payer: Molina Healthcare of OH Medicare	$1,552.26

OUTPATIENT EAPG 00049: LEVEL I JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES

Facility OP

$113.83

Service Code	EAPG 00049
Hospital Charge Code	EAPG 00049
Min. Negotiated Rate	$113.83
Max. Negotiated Rate	$113.83
Rate for Payer: Buckeye Health Medicaid OOS	$113.83
Rate for Payer: Molina Healthcare of OH Medicare	$113.83

OUTPATIENT EAPG 00050: LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES

Facility OP

$230.70

Service Code	EAPG 00050
Hospital Charge Code	EAPG 00050
Min. Negotiated Rate	$230.70
Max. Negotiated Rate	$230.70
Rate for Payer: Buckeye Health Medicaid OOS	$230.70
Rate for Payer: Molina Healthcare of OH Medicare	$230.70

OUTPATIENT EAPG 00052: LEVEL II KNEE AND LOWER LEG PROCEDURES

Facility OP

$1,255.44

Service Code	EAPG 00052
Hospital Charge Code	EAPG 00052
Min. Negotiated Rate	$1,255.44
Max. Negotiated Rate	$1,255.44
Rate for Payer: Buckeye Health Medicaid OOS	$1,255.44
Rate for Payer: Molina Healthcare of OH Medicare	$1,255.44

OUTPATIENT EAPG 00053: SPINE INJECTIONS AND OTHER RELATED PROCEDURES

Facility OP

$348.40

Service Code	EAPG 00053
Hospital Charge Code	EAPG 00053
Min. Negotiated Rate	$348.40
Max. Negotiated Rate	$348.40
Rate for Payer: Buckeye Health Medicaid OOS	$348.40
Rate for Payer: Molina Healthcare of OH Medicare	$348.40

OUTPATIENT EAPG 00060: PULMONARY TESTS

Facility OP

$106.22

Service Code	EAPG 00060
Hospital Charge Code	EAPG 00060
Min. Negotiated Rate	$106.22
Max. Negotiated Rate	$106.22
Rate for Payer: Buckeye Health Medicaid OOS	$106.22
Rate for Payer: Molina Healthcare of OH Medicare	$106.22

OUTPATIENT EAPG 00062: LEVEL I ENDOSCOPY OF THE UPPER AIRWAY

Facility OP

$192.29

Service Code	EAPG 00062
Hospital Charge Code	EAPG 00062
Min. Negotiated Rate	$192.29
Max. Negotiated Rate	$192.29
Rate for Payer: Buckeye Health Medicaid OOS	$192.29
Rate for Payer: Molina Healthcare of OH Medicare	$192.29

OUTPATIENT EAPG 00063: LEVEL II ENDOSCOPY OF THE UPPER AIRWAY

Facility OP

$845.11

Service Code	EAPG 00063
Hospital Charge Code	EAPG 00063
Min. Negotiated Rate	$845.11
Max. Negotiated Rate	$845.11
Rate for Payer: Buckeye Health Medicaid OOS	$845.11
Rate for Payer: Molina Healthcare of OH Medicare	$845.11

OUTPATIENT EAPG 00064: ENDOSCOPY OF THE LOWER AIRWAY

Facility OP

$654.48

Service Code	EAPG 00064
Hospital Charge Code	EAPG 00064
Min. Negotiated Rate	$654.48
Max. Negotiated Rate	$654.48
Rate for Payer: Buckeye Health Medicaid OOS	$654.48
Rate for Payer: Molina Healthcare of OH Medicare	$654.48

OUTPATIENT EAPG 00065: RESPIRATORY THERAPY

Facility OP

$140.66

Service Code	EAPG 00065
Hospital Charge Code	EAPG 00065
Min. Negotiated Rate	$140.66
Max. Negotiated Rate	$140.66
Rate for Payer: Buckeye Health Medicaid OOS	$140.66
Rate for Payer: Molina Healthcare of OH Medicare	$140.66

OUTPATIENT EAPG 00066: PULMONARY REHABILITATION

Facility OP

$32.17

Service Code	EAPG 00066
Hospital Charge Code	EAPG 00066
Min. Negotiated Rate	$32.17
Max. Negotiated Rate	$32.17
Rate for Payer: Buckeye Health Medicaid OOS	$32.17
Rate for Payer: Molina Healthcare of OH Medicare	$32.17

OUTPATIENT EAPG 00067: VENTILATION ASSISTANCE AND MANAGEMENT

Facility OP

$174.40

Service Code	EAPG 00067
Hospital Charge Code	EAPG 00067
Min. Negotiated Rate	$174.40
Max. Negotiated Rate	$174.40
Rate for Payer: Buckeye Health Medicaid OOS	$174.40
Rate for Payer: Molina Healthcare of OH Medicare	$174.40

OUTPATIENT EAPG 00068: THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES

Facility OP

$400.12

Service Code	EAPG 00068
Hospital Charge Code	EAPG 00068
Min. Negotiated Rate	$400.12
Max. Negotiated Rate	$400.12
Rate for Payer: Buckeye Health Medicaid OOS	$400.12
Rate for Payer: Molina Healthcare of OH Medicare	$400.12

OUTPATIENT EAPG 00075: LEVEL I CENTRAL VENOUS ACCESS PROCEDURES

Facility OP

$284.64

Service Code	EAPG 00075
Hospital Charge Code	EAPG 00075
Min. Negotiated Rate	$284.64
Max. Negotiated Rate	$284.64
Rate for Payer: Buckeye Health Medicaid OOS	$284.64
Rate for Payer: Molina Healthcare of OH Medicare	$284.64

OUTPATIENT EAPG 00076: REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE

Facility OP

$282.72

Service Code	EAPG 00076
Hospital Charge Code	EAPG 00076
Min. Negotiated Rate	$282.72
Max. Negotiated Rate	$282.72
Rate for Payer: Buckeye Health Medicaid OOS	$282.72
Rate for Payer: Molina Healthcare of OH Medicare	$282.72

OUTPATIENT EAPG 00077: LEVEL I PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

Facility OP

$1,392.15

Service Code	EAPG 00077
Hospital Charge Code	EAPG 00077
Min. Negotiated Rate	$1,392.15
Max. Negotiated Rate	$1,392.15
Rate for Payer: Buckeye Health Medicaid OOS	$1,392.15
Rate for Payer: Molina Healthcare of OH Medicare	$1,392.15

OUTPATIENT EAPG 00078: LEVEL I VASCULAR LIGATION, REPAIR AND RECONSTRUCTION

Facility OP

$1,150.36

Service Code	EAPG 00078
Hospital Charge Code	EAPG 00078
Min. Negotiated Rate	$1,150.36
Max. Negotiated Rate	$1,150.36
Rate for Payer: Buckeye Health Medicaid OOS	$1,150.36
Rate for Payer: Molina Healthcare of OH Medicare	$1,150.36

OUTPATIENT EAPG 00079: LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

Facility OP

$1,701.24

Service Code	EAPG 00079
Hospital Charge Code	EAPG 00079
Min. Negotiated Rate	$1,701.24
Max. Negotiated Rate	$1,701.24
Rate for Payer: Buckeye Health Medicaid OOS	$1,701.24
Rate for Payer: Molina Healthcare of OH Medicare	$1,701.24

OUTPATIENT EAPG 00080: EXERCISE TOLERANCE TESTS

Facility OP

$86.95

Service Code	EAPG 00080
Hospital Charge Code	EAPG 00080
Min. Negotiated Rate	$86.95
Max. Negotiated Rate	$86.95
Rate for Payer: Buckeye Health Medicaid OOS	$86.95
Rate for Payer: Molina Healthcare of OH Medicare	$86.95

OUTPATIENT EAPG 00081: ECHOCARDIOGRAPHY

Facility OP

$200.48

Service Code	EAPG 00081
Hospital Charge Code	EAPG 00081
Min. Negotiated Rate	$200.48
Max. Negotiated Rate	$200.48
Rate for Payer: Buckeye Health Medicaid OOS	$200.48
Rate for Payer: Molina Healthcare of OH Medicare	$200.48

OUTPATIENT EAPG 00082: CARDIAC ELECTROPHYSIOLOGIC TESTS AND MONITORING

Facility OP

$1,550.41

Service Code	EAPG 00082
Hospital Charge Code	EAPG 00082
Min. Negotiated Rate	$1,550.41
Max. Negotiated Rate	$1,550.41
Rate for Payer: Buckeye Health Medicaid OOS	$1,550.41
Rate for Payer: Molina Healthcare of OH Medicare	$1,550.41

OUTPATIENT EAPG 00083: LEVEL II CENTRAL VENOUS ACCESS PROCEDURES

Facility OP

$600.97

Service Code	EAPG 00083
Hospital Charge Code	EAPG 00083
Min. Negotiated Rate	$600.97
Max. Negotiated Rate	$600.97
Rate for Payer: Buckeye Health Medicaid OOS	$600.97
Rate for Payer: Molina Healthcare of OH Medicare	$600.97

OUTPATIENT EAPG 00084: DIAGNOSTIC CARDIAC CATHETERIZATION

Facility OP

$916.95

Service Code	EAPG 00084
Hospital Charge Code	EAPG 00084
Min. Negotiated Rate	$916.95
Max. Negotiated Rate	$916.95
Rate for Payer: Buckeye Health Medicaid OOS	$916.95
Rate for Payer: Molina Healthcare of OH Medicare	$916.95

OUTPATIENT EAPG 00085: LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

Facility OP

$2,020.25

Service Code	EAPG 00085
Hospital Charge Code	EAPG 00085
Min. Negotiated Rate	$2,020.25
Max. Negotiated Rate	$2,020.25
Rate for Payer: Buckeye Health Medicaid OOS	$2,020.25
Rate for Payer: Molina Healthcare of OH Medicare	$2,020.25

Price Transparency.

All Charges