Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00417: MINOR REPRODUCTIVE PROCEDURES

Facility OP

$76.45

Service Code	EAPG 00417
Hospital Charge Code	EAPG 00417
Min. Negotiated Rate	$76.45
Max. Negotiated Rate	$76.45
Rate for Payer: Buckeye Health Medicaid OOS	$76.45
Rate for Payer: Molina Healthcare of OH Medicare	$76.45

OUTPATIENT EAPG 00418: AMBULATORY PATIENT MONITORING AND RELATED ASSESSMENTS

Facility OP

$95.48

Service Code	EAPG 00418
Hospital Charge Code	EAPG 00418
Min. Negotiated Rate	$95.48
Max. Negotiated Rate	$95.48
Rate for Payer: Buckeye Health Medicaid OOS	$95.48
Rate for Payer: Molina Healthcare of OH Medicare	$95.48

OUTPATIENT EAPG 00419: MINOR OPHTHALMOLOGICAL INJECTION, SCRAPING AND TESTS

Facility OP

$50.89

Service Code	EAPG 00419
Hospital Charge Code	EAPG 00419
Min. Negotiated Rate	$50.89
Max. Negotiated Rate	$50.89
Rate for Payer: Buckeye Health Medicaid OOS	$50.89
Rate for Payer: Molina Healthcare of OH Medicare	$50.89

OUTPATIENT EAPG 00420: ELECTRONIC ANALYSIS FOR PACEMAKERS AND OTHER DEVICES

Facility OP

$92.58

Service Code	EAPG 00420
Hospital Charge Code	EAPG 00420
Min. Negotiated Rate	$92.58
Max. Negotiated Rate	$92.58
Rate for Payer: Buckeye Health Medicaid OOS	$92.58
Rate for Payer: Molina Healthcare of OH Medicare	$92.58

OUTPATIENT EAPG 00421: TUBE REPLACEMENT, REVISION OR REMOVAL

Facility OP

$131.33

Service Code	EAPG 00421
Hospital Charge Code	EAPG 00421
Min. Negotiated Rate	$131.33
Max. Negotiated Rate	$131.33
Rate for Payer: Buckeye Health Medicaid OOS	$131.33
Rate for Payer: Molina Healthcare of OH Medicare	$131.33

OUTPATIENT EAPG 00423: VASCULAR ACCESS BY NEEDLE OR CATHETER

Facility OP

$202.26

Service Code	EAPG 00423
Hospital Charge Code	EAPG 00423
Min. Negotiated Rate	$202.26
Max. Negotiated Rate	$202.26
Rate for Payer: Buckeye Health Medicaid OOS	$202.26
Rate for Payer: Molina Healthcare of OH Medicare	$202.26

OUTPATIENT EAPG 00424: DRESSINGS AND OTHER MINOR PROCEDURES

Facility OP

$67.15

Service Code	EAPG 00424
Hospital Charge Code	EAPG 00424
Min. Negotiated Rate	$67.15
Max. Negotiated Rate	$67.15
Rate for Payer: Buckeye Health Medicaid OOS	$67.15
Rate for Payer: Molina Healthcare of OH Medicare	$67.15

OUTPATIENT EAPG 00425: LEVEL I OTHER MISCELLANEOUS ANCILLARY SERVICES

Facility OP

$2.47

Service Code	EAPG 00425
Hospital Charge Code	EAPG 00425
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Buckeye Health Medicaid OOS	$2.47
Rate for Payer: Molina Healthcare of OH Medicare	$2.47

OUTPATIENT EAPG 00427: BIOFEEDBACK AND OTHER TRAINING

Facility OP

$81.34

Service Code	EAPG 00427
Hospital Charge Code	EAPG 00427
Min. Negotiated Rate	$81.34
Max. Negotiated Rate	$81.34
Rate for Payer: Buckeye Health Medicaid OOS	$81.34
Rate for Payer: Molina Healthcare of OH Medicare	$81.34

OUTPATIENT EAPG 00428: PATIENT EDUCATION, INDIVIDUAL

Facility OP

$28.17

Service Code	EAPG 00428
Hospital Charge Code	EAPG 00428
Min. Negotiated Rate	$28.17
Max. Negotiated Rate	$28.17
Rate for Payer: Buckeye Health Medicaid OOS	$28.17
Rate for Payer: Molina Healthcare of OH Medicare	$28.17

OUTPATIENT EAPG 00429: PATIENT EDUCATION, GROUP

Facility OP

$54.15

Service Code	EAPG 00429
Hospital Charge Code	EAPG 00429
Min. Negotiated Rate	$54.15
Max. Negotiated Rate	$54.15
Rate for Payer: Buckeye Health Medicaid OOS	$54.15
Rate for Payer: Molina Healthcare of OH Medicare	$54.15

OUTPATIENT EAPG 00430: CLASS I CHEMOTHERAPY DRUGS

Facility OP

$1.00

Service Code	EAPG 00430
Hospital Charge Code	EAPG 00430
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Buckeye Health Medicaid OOS	$1.00
Rate for Payer: Molina Healthcare of OH Medicare	$1.00

OUTPATIENT EAPG 00431: CLASS II CHEMOTHERAPY DRUGS

Facility OP

$105.27

Service Code	EAPG 00431
Hospital Charge Code	EAPG 00431
Min. Negotiated Rate	$105.27
Max. Negotiated Rate	$105.27
Rate for Payer: Buckeye Health Medicaid OOS	$105.27
Rate for Payer: Molina Healthcare of OH Medicare	$105.27

OUTPATIENT EAPG 00432: CLASS III CHEMOTHERAPY DRUGS

Facility OP

$20.50

Service Code	EAPG 00432
Hospital Charge Code	EAPG 00432
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Buckeye Health Medicaid OOS	$20.50
Rate for Payer: Molina Healthcare of OH Medicare	$20.50

OUTPATIENT EAPG 00433: CLASS IV CHEMOTHERAPY DRUGS

Facility OP

$25.19

Service Code	EAPG 00433
Hospital Charge Code	EAPG 00433
Min. Negotiated Rate	$25.19
Max. Negotiated Rate	$25.19
Rate for Payer: Buckeye Health Medicaid OOS	$25.19
Rate for Payer: Molina Healthcare of OH Medicare	$25.19

OUTPATIENT EAPG 00434: CLASS V CHEMOTHERAPY DRUGS

Facility OP

$41.98

Service Code	EAPG 00434
Hospital Charge Code	EAPG 00434
Min. Negotiated Rate	$41.98
Max. Negotiated Rate	$41.98
Rate for Payer: Buckeye Health Medicaid OOS	$41.98
Rate for Payer: Molina Healthcare of OH Medicare	$41.98

OUTPATIENT EAPG 00435: CLASS I PHARMACOTHERAPY

Facility OP

$110.38

Service Code	EAPG 00435
Hospital Charge Code	EAPG 00435
Min. Negotiated Rate	$110.38
Max. Negotiated Rate	$110.38
Rate for Payer: Buckeye Health Medicaid OOS	$110.38
Rate for Payer: Molina Healthcare of OH Medicare	$110.38

OUTPATIENT EAPG 00436: CLASS II PHARMACOTHERAPY

Facility OP

$28.89

Service Code	EAPG 00436
Hospital Charge Code	EAPG 00436
Min. Negotiated Rate	$28.89
Max. Negotiated Rate	$28.89
Rate for Payer: Buckeye Health Medicaid OOS	$28.89
Rate for Payer: Molina Healthcare of OH Medicare	$28.89

OUTPATIENT EAPG 00437: CLASS III PHARMACOTHERAPY

Facility OP

$29.89

Service Code	EAPG 00437
Hospital Charge Code	EAPG 00437
Min. Negotiated Rate	$29.89
Max. Negotiated Rate	$29.89
Rate for Payer: Buckeye Health Medicaid OOS	$29.89
Rate for Payer: Molina Healthcare of OH Medicare	$29.89

OUTPATIENT EAPG 00438: CLASS IV PHARMACOTHERAPY

Facility OP

$176.19

Service Code	EAPG 00438
Hospital Charge Code	EAPG 00438
Min. Negotiated Rate	$176.19
Max. Negotiated Rate	$176.19
Rate for Payer: Buckeye Health Medicaid OOS	$176.19
Rate for Payer: Molina Healthcare of OH Medicare	$176.19

OUTPATIENT EAPG 00439: CLASS V PHARMACOTHERAPY

Facility OP

$84.31

Service Code	EAPG 00439
Hospital Charge Code	EAPG 00439
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 00440: CLASS VI PHARMACOTHERAPY

Facility OP

$321.13

Service Code	EAPG 00440
Hospital Charge Code	EAPG 00440
Min. Negotiated Rate	$321.13
Max. Negotiated Rate	$321.13
Rate for Payer: Buckeye Health Medicaid OOS	$321.13
Rate for Payer: Molina Healthcare of OH Medicare	$321.13

OUTPATIENT EAPG 00441: CLASS VI CHEMOTHERAPY DRUGS

Facility OP

$110.77

Service Code	EAPG 00441
Hospital Charge Code	EAPG 00441
Min. Negotiated Rate	$110.77
Max. Negotiated Rate	$110.77
Rate for Payer: Buckeye Health Medicaid OOS	$110.77
Rate for Payer: Molina Healthcare of OH Medicare	$110.77

OUTPATIENT EAPG 00443: CLASS VII CHEMOTHERAPY DRUGS

Facility OP

$119.95

Service Code	EAPG 00443
Hospital Charge Code	EAPG 00443
Min. Negotiated Rate	$119.95
Max. Negotiated Rate	$119.95
Rate for Payer: Buckeye Health Medicaid OOS	$119.95
Rate for Payer: Molina Healthcare of OH Medicare	$119.95

OUTPATIENT EAPG 00444: CLASS VII PHARMACOTHERAPY

Facility OP

$217.55

Service Code	EAPG 00444
Hospital Charge Code	EAPG 00444
Min. Negotiated Rate	$217.55
Max. Negotiated Rate	$217.55
Rate for Payer: Buckeye Health Medicaid OOS	$217.55
Rate for Payer: Molina Healthcare of OH Medicare	$217.55

Price Transparency.

All Charges