Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00210: EXTENDED EEG STUDIES

Facility OP

$615.69

Service Code	EAPG 00210
Hospital Charge Code	EAPG 00210
Min. Negotiated Rate	$615.69
Max. Negotiated Rate	$615.69
Rate for Payer: Buckeye Health Medicaid OOS	$615.69
Rate for Payer: Molina Healthcare of OH Medicare	$615.69

OUTPATIENT EAPG 00211: ELECTROENCEPHALOGRAM

Facility OP

$103.19

Service Code	EAPG 00211
Hospital Charge Code	EAPG 00211
Min. Negotiated Rate	$103.19
Max. Negotiated Rate	$103.19
Rate for Payer: Buckeye Health Medicaid OOS	$103.19
Rate for Payer: Molina Healthcare of OH Medicare	$103.19

OUTPATIENT EAPG 00212: ELECTROCONVULSIVE THERAPY

Facility OP

$208.33

Service Code	EAPG 00212
Hospital Charge Code	EAPG 00212
Min. Negotiated Rate	$208.33
Max. Negotiated Rate	$208.33
Rate for Payer: Buckeye Health Medicaid OOS	$208.33
Rate for Payer: Molina Healthcare of OH Medicare	$208.33

OUTPATIENT EAPG 00213: NERVE AND MUSCLE TESTS

Facility OP

$166.91

Service Code	EAPG 00213
Hospital Charge Code	EAPG 00213
Min. Negotiated Rate	$166.91
Max. Negotiated Rate	$166.91
Rate for Payer: Buckeye Health Medicaid OOS	$166.91
Rate for Payer: Molina Healthcare of OH Medicare	$166.91

OUTPATIENT EAPG 00214: LEVEL I NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP

Facility OP

$169.81

Service Code	EAPG 00214
Hospital Charge Code	EAPG 00214
Min. Negotiated Rate	$169.81
Max. Negotiated Rate	$169.81
Rate for Payer: Buckeye Health Medicaid OOS	$169.81
Rate for Payer: Molina Healthcare of OH Medicare	$169.81

OUTPATIENT EAPG 00217: LEVEL I NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility OP

$568.03

Service Code	EAPG 00217
Hospital Charge Code	EAPG 00217
Min. Negotiated Rate	$568.03
Max. Negotiated Rate	$568.03
Rate for Payer: Buckeye Health Medicaid OOS	$568.03
Rate for Payer: Molina Healthcare of OH Medicare	$568.03

OUTPATIENT EAPG 00218: LEVEL II NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility OP

$1,081.34

Service Code	EAPG 00218
Hospital Charge Code	EAPG 00218
Min. Negotiated Rate	$1,081.34
Max. Negotiated Rate	$1,081.34
Rate for Payer: Buckeye Health Medicaid OOS	$1,081.34
Rate for Payer: Molina Healthcare of OH Medicare	$1,081.34

OUTPATIENT EAPG 00220: LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP

Facility OP

$318.57

Service Code	EAPG 00220
Hospital Charge Code	EAPG 00220
Min. Negotiated Rate	$318.57
Max. Negotiated Rate	$318.57
Rate for Payer: Buckeye Health Medicaid OOS	$318.57
Rate for Payer: Molina Healthcare of OH Medicare	$318.57

OUTPATIENT EAPG 00222: SLEEP STUDIES

Facility OP

$442.72

Service Code	EAPG 00222
Hospital Charge Code	EAPG 00222
Min. Negotiated Rate	$442.72
Max. Negotiated Rate	$442.72
Rate for Payer: Buckeye Health Medicaid OOS	$442.72
Rate for Payer: Molina Healthcare of OH Medicare	$442.72

OUTPATIENT EAPG 00223: LEVEL III NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility OP

$6,227.17

Service Code	EAPG 00223
Hospital Charge Code	EAPG 00223
Min. Negotiated Rate	$6,227.17
Max. Negotiated Rate	$6,227.17
Rate for Payer: Buckeye Health Medicaid OOS	$6,227.17
Rate for Payer: Molina Healthcare of OH Medicare	$6,227.17

OUTPATIENT EAPG 00224: LEVEL IV NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE

Facility OP

$9,264.96

Service Code	EAPG 00224
Hospital Charge Code	EAPG 00224
Min. Negotiated Rate	$9,264.96
Max. Negotiated Rate	$9,264.96
Rate for Payer: Buckeye Health Medicaid OOS	$9,264.96
Rate for Payer: Molina Healthcare of OH Medicare	$9,264.96

OUTPATIENT EAPG 00225: INTRACRANIAL AND OTHER NEUROSURGICAL PROCEDURES

Facility OP

$1,109.23

Service Code	EAPG 00225
Hospital Charge Code	EAPG 00225
Min. Negotiated Rate	$1,109.23
Max. Negotiated Rate	$1,109.23
Rate for Payer: Buckeye Health Medicaid OOS	$1,109.23
Rate for Payer: Molina Healthcare of OH Medicare	$1,109.23

OUTPATIENT EAPG 00230: OPHTHALMOLOGICAL TESTS AND PROCEDURES

Facility OP

$172.60

Service Code	EAPG 00230
Hospital Charge Code	EAPG 00230
Min. Negotiated Rate	$172.60
Max. Negotiated Rate	$172.60
Rate for Payer: Buckeye Health Medicaid OOS	$172.60
Rate for Payer: Molina Healthcare of OH Medicare	$172.60

OUTPATIENT EAPG 00232: LASER EYE PROCEDURES

Facility OP

$216.73

Service Code	EAPG 00232
Hospital Charge Code	EAPG 00232
Min. Negotiated Rate	$216.73
Max. Negotiated Rate	$216.73
Rate for Payer: Buckeye Health Medicaid OOS	$216.73
Rate for Payer: Molina Healthcare of OH Medicare	$216.73

OUTPATIENT EAPG 00233: CATARACT PROCEDURES

Facility OP

$539.48

Service Code	EAPG 00233
Hospital Charge Code	EAPG 00233
Min. Negotiated Rate	$539.48
Max. Negotiated Rate	$539.48
Rate for Payer: Buckeye Health Medicaid OOS	$539.48
Rate for Payer: Molina Healthcare of OH Medicare	$539.48

OUTPATIENT EAPG 00234: LEVEL I ANTERIOR SEGMENT EYE PROCEDURES

Facility OP

$453.21

Service Code	EAPG 00234
Hospital Charge Code	EAPG 00234
Min. Negotiated Rate	$453.21
Max. Negotiated Rate	$453.21
Rate for Payer: Buckeye Health Medicaid OOS	$453.21
Rate for Payer: Molina Healthcare of OH Medicare	$453.21

OUTPATIENT EAPG 00235: LEVEL II ANTERIOR SEGMENT EYE PROCEDURES

Facility OP

$678.63

Service Code	EAPG 00235
Hospital Charge Code	EAPG 00235
Min. Negotiated Rate	$678.63
Max. Negotiated Rate	$678.63
Rate for Payer: Buckeye Health Medicaid OOS	$678.63
Rate for Payer: Molina Healthcare of OH Medicare	$678.63

OUTPATIENT EAPG 00236: LEVEL III ANTERIOR SEGMENT EYE PROCEDURES

Facility OP

$971.32

Service Code	EAPG 00236
Hospital Charge Code	EAPG 00236
Min. Negotiated Rate	$971.32
Max. Negotiated Rate	$971.32
Rate for Payer: Buckeye Health Medicaid OOS	$971.32
Rate for Payer: Molina Healthcare of OH Medicare	$971.32

OUTPATIENT EAPG 00237: LEVEL I POSTERIOR SEGMENT EYE PROCEDURES

Facility OP

$683.05

Service Code	EAPG 00237
Hospital Charge Code	EAPG 00237
Min. Negotiated Rate	$683.05
Max. Negotiated Rate	$683.05
Rate for Payer: Buckeye Health Medicaid OOS	$683.05
Rate for Payer: Molina Healthcare of OH Medicare	$683.05

OUTPATIENT EAPG 00238: LEVEL II POSTERIOR SEGMENT EYE PROCEDURES

Facility OP

$1,124.20

Service Code	EAPG 00238
Hospital Charge Code	EAPG 00238
Min. Negotiated Rate	$1,124.20
Max. Negotiated Rate	$1,124.20
Rate for Payer: Buckeye Health Medicaid OOS	$1,124.20
Rate for Payer: Molina Healthcare of OH Medicare	$1,124.20

OUTPATIENT EAPG 00239: STRABISMUS AND MUSCLE EYE PROCEDURES

Facility OP

$792.46

Service Code	EAPG 00239
Hospital Charge Code	EAPG 00239
Min. Negotiated Rate	$792.46
Max. Negotiated Rate	$792.46
Rate for Payer: Buckeye Health Medicaid OOS	$792.46
Rate for Payer: Molina Healthcare of OH Medicare	$792.46

OUTPATIENT EAPG 00240: LEVEL I REPAIR AND PLASTIC PROCEDURES OF EYE

Facility OP

$345.38

Service Code	EAPG 00240
Hospital Charge Code	EAPG 00240
Min. Negotiated Rate	$345.38
Max. Negotiated Rate	$345.38
Rate for Payer: Buckeye Health Medicaid OOS	$345.38
Rate for Payer: Molina Healthcare of OH Medicare	$345.38

OUTPATIENT EAPG 00241: LEVEL II REPAIR AND PLASTIC PROCEDURES OF EYE

Facility OP

$700.91

Service Code	EAPG 00241
Hospital Charge Code	EAPG 00241
Min. Negotiated Rate	$700.91
Max. Negotiated Rate	$700.91
Rate for Payer: Buckeye Health Medicaid OOS	$700.91
Rate for Payer: Molina Healthcare of OH Medicare	$700.91

OUTPATIENT EAPG 00249: MINOR ENT PROCEDURES

Facility OP

$89.89

Service Code	EAPG 00249
Hospital Charge Code	EAPG 00249
Min. Negotiated Rate	$89.89
Max. Negotiated Rate	$89.89
Rate for Payer: Buckeye Health Medicaid OOS	$89.89
Rate for Payer: Molina Healthcare of OH Medicare	$89.89

OUTPATIENT EAPG 00250: COCHLEAR DEVICE IMPLANTATION

Facility OP

$16,421.67

Service Code	EAPG 00250
Hospital Charge Code	EAPG 00250
Min. Negotiated Rate	$16,421.67
Max. Negotiated Rate	$16,421.67
Rate for Payer: Buckeye Health Medicaid OOS	$16,421.67
Rate for Payer: Molina Healthcare of OH Medicare	$16,421.67

Price Transparency.

All Charges