Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00251: OTORHINOLARYNGOLOGIC FUNCTION TESTS

Facility OP

$62.94

Service Code	EAPG 00251
Hospital Charge Code	EAPG 00251
Min. Negotiated Rate	$62.94
Max. Negotiated Rate	$62.94
Rate for Payer: Buckeye Health Medicaid OOS	$62.94
Rate for Payer: Molina Healthcare of OH Medicare	$62.94

OUTPATIENT EAPG 00252: LEVEL I FACIAL AND ENT PROCEDURES

Facility OP

$696.67

Service Code	EAPG 00252
Hospital Charge Code	EAPG 00252
Min. Negotiated Rate	$696.67
Max. Negotiated Rate	$696.67
Rate for Payer: Buckeye Health Medicaid OOS	$696.67
Rate for Payer: Molina Healthcare of OH Medicare	$696.67

OUTPATIENT EAPG 00253: LEVEL II FACIAL AND ENT PROCEDURES

Facility OP

$602.48

Service Code	EAPG 00253
Hospital Charge Code	EAPG 00253
Min. Negotiated Rate	$602.48
Max. Negotiated Rate	$602.48
Rate for Payer: Buckeye Health Medicaid OOS	$602.48
Rate for Payer: Molina Healthcare of OH Medicare	$602.48

OUTPATIENT EAPG 00254: LEVEL III FACIAL AND ENT PROCEDURES

Facility OP

$1,055.21

Service Code	EAPG 00254
Hospital Charge Code	EAPG 00254
Min. Negotiated Rate	$1,055.21
Max. Negotiated Rate	$1,055.21
Rate for Payer: Buckeye Health Medicaid OOS	$1,055.21
Rate for Payer: Molina Healthcare of OH Medicare	$1,055.21

OUTPATIENT EAPG 00255: LEVEL IV FACIAL AND ENT PROCEDURES

Facility OP

$1,532.22

Service Code	EAPG 00255
Hospital Charge Code	EAPG 00255
Min. Negotiated Rate	$1,532.22
Max. Negotiated Rate	$1,532.22
Rate for Payer: Buckeye Health Medicaid OOS	$1,532.22
Rate for Payer: Molina Healthcare of OH Medicare	$1,532.22

OUTPATIENT EAPG 00256: TONSIL AND ADENOID PROCEDURES

Facility OP

$559.54

Service Code	EAPG 00256
Hospital Charge Code	EAPG 00256
Min. Negotiated Rate	$559.54
Max. Negotiated Rate	$559.54
Rate for Payer: Buckeye Health Medicaid OOS	$559.54
Rate for Payer: Molina Healthcare of OH Medicare	$559.54

OUTPATIENT EAPG 00257: AUDIOMETRY

Facility OP

$49.89

Service Code	EAPG 00257
Hospital Charge Code	EAPG 00257
Min. Negotiated Rate	$49.89
Max. Negotiated Rate	$49.89
Rate for Payer: Buckeye Health Medicaid OOS	$49.89
Rate for Payer: Molina Healthcare of OH Medicare	$49.89

OUTPATIENT EAPG 00260: CASE MANAGEMENT AND CARE PLANNING SERVICES

Facility OP

$7.65

Service Code	EAPG 00260
Hospital Charge Code	EAPG 00260
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Buckeye Health Medicaid OOS	$7.65
Rate for Payer: Molina Healthcare of OH Medicare	$7.65

OUTPATIENT EAPG 00270: OCCUPATIONAL THERAPY

Facility OP

$52.54

Service Code	EAPG 00270
Hospital Charge Code	EAPG 00270
Min. Negotiated Rate	$52.54
Max. Negotiated Rate	$52.54
Rate for Payer: Buckeye Health Medicaid OOS	$52.54
Rate for Payer: Molina Healthcare of OH Medicare	$52.54

OUTPATIENT EAPG 00271: PHYSICAL THERAPY

Facility OP

$57.57

Service Code	EAPG 00271
Hospital Charge Code	EAPG 00271
Min. Negotiated Rate	$57.57
Max. Negotiated Rate	$57.57
Rate for Payer: Buckeye Health Medicaid OOS	$57.57
Rate for Payer: Molina Healthcare of OH Medicare	$57.57

OUTPATIENT EAPG 00272: SPEECH THERAPY AND EVALUATION

Facility OP

$48.12

Service Code	EAPG 00272
Hospital Charge Code	EAPG 00272
Min. Negotiated Rate	$48.12
Max. Negotiated Rate	$48.12
Rate for Payer: Buckeye Health Medicaid OOS	$48.12
Rate for Payer: Molina Healthcare of OH Medicare	$48.12

OUTPATIENT EAPG 00273: MANIPULATION THERAPY

Facility OP

$37.11

Service Code	EAPG 00273
Hospital Charge Code	EAPG 00273
Min. Negotiated Rate	$37.11
Max. Negotiated Rate	$37.11
Rate for Payer: Buckeye Health Medicaid OOS	$37.11
Rate for Payer: Molina Healthcare of OH Medicare	$37.11

OUTPATIENT EAPG 00274: OCCUPATIONAL/PHYSICAL THERAPY, GROUP

Facility OP

$31.17

Service Code	EAPG 00274
Hospital Charge Code	EAPG 00274
Min. Negotiated Rate	$31.17
Max. Negotiated Rate	$31.17
Rate for Payer: Buckeye Health Medicaid OOS	$31.17
Rate for Payer: Molina Healthcare of OH Medicare	$31.17

OUTPATIENT EAPG 00275: SPEECH THERAPY & EVALUATION, GROUP

Facility OP

$51.31

Service Code	EAPG 00275
Hospital Charge Code	EAPG 00275
Min. Negotiated Rate	$51.31
Max. Negotiated Rate	$51.31
Rate for Payer: Buckeye Health Medicaid OOS	$51.31
Rate for Payer: Molina Healthcare of OH Medicare	$51.31

OUTPATIENT EAPG 00278: INJECTION(S) FOR RADIOLOGICAL IMAGING

Facility OP

$82.26

Service Code	EAPG 00278
Hospital Charge Code	EAPG 00278
Min. Negotiated Rate	$82.26
Max. Negotiated Rate	$82.26
Rate for Payer: Buckeye Health Medicaid OOS	$82.26
Rate for Payer: Molina Healthcare of OH Medicare	$82.26

OUTPATIENT EAPG 00279: LEVEL I VASCULAR RADIOLOGICAL PROCEDURES

Facility OP

$420.31

Service Code	EAPG 00279
Hospital Charge Code	EAPG 00279
Min. Negotiated Rate	$420.31
Max. Negotiated Rate	$420.31
Rate for Payer: Buckeye Health Medicaid OOS	$420.31
Rate for Payer: Molina Healthcare of OH Medicare	$420.31

OUTPATIENT EAPG 00280: LEVEL II VASCULAR RADIOLOGICAL PROCEDURES

Facility OP

$805.45

Service Code	EAPG 00280
Hospital Charge Code	EAPG 00280
Min. Negotiated Rate	$805.45
Max. Negotiated Rate	$805.45
Rate for Payer: Buckeye Health Medicaid OOS	$805.45
Rate for Payer: Molina Healthcare of OH Medicare	$805.45

OUTPATIENT EAPG 00282: MAGNETIC RESONANCE ANGIOGRAPHY

Facility OP

$148.39

Service Code	EAPG 00282
Hospital Charge Code	EAPG 00282
Min. Negotiated Rate	$148.39
Max. Negotiated Rate	$148.39
Rate for Payer: Buckeye Health Medicaid OOS	$148.39
Rate for Payer: Molina Healthcare of OH Medicare	$148.39

OUTPATIENT EAPG 00284: MYELOGRAPHY

Facility OP

$166.17

Service Code	EAPG 00284
Hospital Charge Code	EAPG 00284
Min. Negotiated Rate	$166.17
Max. Negotiated Rate	$166.17
Rate for Payer: Buckeye Health Medicaid OOS	$166.17
Rate for Payer: Molina Healthcare of OH Medicare	$166.17

OUTPATIENT EAPG 00286: MAMMOGRAPHY & OTHER RELATED PROCEDURES

Facility OP

$25.61

Service Code	EAPG 00286
Hospital Charge Code	EAPG 00286
Min. Negotiated Rate	$25.61
Max. Negotiated Rate	$25.61
Rate for Payer: Buckeye Health Medicaid OOS	$25.61
Rate for Payer: Molina Healthcare of OH Medicare	$25.61

OUTPATIENT EAPG 00288: LEVEL I DIAGNOSTIC ULTRASOUND

Facility OP

$84.31

Service Code	EAPG 00288
Hospital Charge Code	EAPG 00288
Min. Negotiated Rate	$84.31
Max. Negotiated Rate	$84.31
Rate for Payer: Buckeye Health Medicaid OOS	$84.31
Rate for Payer: Molina Healthcare of OH Medicare	$84.31

OUTPATIENT EAPG 00289: LEVEL II DIAGNOSTIC ULTRASOUND

Facility OP

$132.89

Service Code	EAPG 00289
Hospital Charge Code	EAPG 00289
Min. Negotiated Rate	$132.89
Max. Negotiated Rate	$132.89
Rate for Payer: Buckeye Health Medicaid OOS	$132.89
Rate for Payer: Molina Healthcare of OH Medicare	$132.89

OUTPATIENT EAPG 00290: PET SCANS

Facility OP

$483.74

Service Code	EAPG 00290
Hospital Charge Code	EAPG 00290
Min. Negotiated Rate	$483.74
Max. Negotiated Rate	$483.74
Rate for Payer: Buckeye Health Medicaid OOS	$483.74
Rate for Payer: Molina Healthcare of OH Medicare	$483.74

OUTPATIENT EAPG 00291: BONE DENSITOMETRY

Facility OP

$42.99

Service Code	EAPG 00291
Hospital Charge Code	EAPG 00291
Min. Negotiated Rate	$42.99
Max. Negotiated Rate	$42.99
Rate for Payer: Buckeye Health Medicaid OOS	$42.99
Rate for Payer: Molina Healthcare of OH Medicare	$42.99

OUTPATIENT EAPG 00293: MAGNETIC RESONANCE IMAGING WITHOUT CONTRAST

Facility OP

$143.57

Service Code	EAPG 00293
Hospital Charge Code	EAPG 00293
Min. Negotiated Rate	$143.57
Max. Negotiated Rate	$143.57
Rate for Payer: Buckeye Health Medicaid OOS	$143.57
Rate for Payer: Molina Healthcare of OH Medicare	$143.57

Price Transparency.

All Charges