Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00448: EXPANDED HOURS ACCESS

Facility OP

$4.05

Service Code	EAPG 00448
Hospital Charge Code	EAPG 00448
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Buckeye Health Medicaid OOS	$4.05
Rate for Payer: Molina Healthcare of OH Medicare	$4.05

OUTPATIENT EAPG 00449: ADDITIONAL UNDIFFERENTIATED MEDICAL VISITS/SERVICES

Facility OP

$12.60

Service Code	EAPG 00449
Hospital Charge Code	EAPG 00449
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Buckeye Health Medicaid OOS	$12.60
Rate for Payer: Molina Healthcare of OH Medicare	$12.60

OUTPATIENT EAPG 00450: OBSERVATION

Facility OP

$80.52

Service Code	EAPG 00450
Hospital Charge Code	EAPG 00450
Min. Negotiated Rate	$80.52
Max. Negotiated Rate	$80.52
Rate for Payer: Buckeye Health Medicaid OOS	$80.52
Rate for Payer: Molina Healthcare of OH Medicare	$80.52

OUTPATIENT EAPG 00451: SMOKING CESSATION TREATMENT

Facility OP

$12.39

Service Code	EAPG 00451
Hospital Charge Code	EAPG 00451
Min. Negotiated Rate	$12.39
Max. Negotiated Rate	$12.39
Rate for Payer: Buckeye Health Medicaid OOS	$12.39
Rate for Payer: Molina Healthcare of OH Medicare	$12.39

OUTPATIENT EAPG 00452: DIABETES SUPPLIES

Facility OP

$22.37

Service Code	EAPG 00452
Hospital Charge Code	EAPG 00452
Min. Negotiated Rate	$22.37
Max. Negotiated Rate	$22.37
Rate for Payer: Buckeye Health Medicaid OOS	$22.37
Rate for Payer: Molina Healthcare of OH Medicare	$22.37

OUTPATIENT EAPG 00455: IMPLANTED TISSUE OF ANY TYPE

Facility OP

$434.54

Service Code	EAPG 00455
Hospital Charge Code	EAPG 00455
Min. Negotiated Rate	$434.54
Max. Negotiated Rate	$434.54
Rate for Payer: Buckeye Health Medicaid OOS	$434.54
Rate for Payer: Molina Healthcare of OH Medicare	$434.54

OUTPATIENT EAPG 00458: ALLERGY THERAPY

Facility OP

$23.15

Service Code	EAPG 00458
Hospital Charge Code	EAPG 00458
Min. Negotiated Rate	$23.15
Max. Negotiated Rate	$23.15
Rate for Payer: Buckeye Health Medicaid OOS	$23.15
Rate for Payer: Molina Healthcare of OH Medicare	$23.15

OUTPATIENT EAPG 00459: VACCINE ADMINISTRATION

Facility OP

$29.60

Service Code	EAPG 00459
Hospital Charge Code	EAPG 00459
Min. Negotiated Rate	$29.60
Max. Negotiated Rate	$29.60
Rate for Payer: Buckeye Health Medicaid OOS	$29.60
Rate for Payer: Molina Healthcare of OH Medicare	$29.60

OUTPATIENT EAPG 00460: CLASS VIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility OP

$10.82

Service Code	EAPG 00460
Hospital Charge Code	EAPG 00460
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Buckeye Health Medicaid OOS	$10.82
Rate for Payer: Molina Healthcare of OH Medicare	$10.82

OUTPATIENT EAPG 00461: CLASS IX COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility OP

$353.40

Service Code	EAPG 00461
Hospital Charge Code	EAPG 00461
Min. Negotiated Rate	$353.40
Max. Negotiated Rate	$353.40
Rate for Payer: Buckeye Health Medicaid OOS	$353.40
Rate for Payer: Molina Healthcare of OH Medicare	$353.40

OUTPATIENT EAPG 00462: CLASS X COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility OP

$1,012.63

Service Code	EAPG 00462
Hospital Charge Code	EAPG 00462
Min. Negotiated Rate	$1,012.63
Max. Negotiated Rate	$1,012.63
Rate for Payer: Buckeye Health Medicaid OOS	$1,012.63
Rate for Payer: Molina Healthcare of OH Medicare	$1,012.63

OUTPATIENT EAPG 00463: CLASS XI COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility OP

$1,054.42

Service Code	EAPG 00463
Hospital Charge Code	EAPG 00463
Min. Negotiated Rate	$1,054.42
Max. Negotiated Rate	$1,054.42
Rate for Payer: Buckeye Health Medicaid OOS	$1,054.42
Rate for Payer: Molina Healthcare of OH Medicare	$1,054.42

OUTPATIENT EAPG 00464: CLASS XII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility OP

$1,221.29

Service Code	EAPG 00464
Hospital Charge Code	EAPG 00464
Min. Negotiated Rate	$1,221.29
Max. Negotiated Rate	$1,221.29
Rate for Payer: Buckeye Health Medicaid OOS	$1,221.29
Rate for Payer: Molina Healthcare of OH Medicare	$1,221.29

OUTPATIENT EAPG 00465: CLASS XIII COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY

Facility OP

$2,828.65

Service Code	EAPG 00465
Hospital Charge Code	EAPG 00465
Min. Negotiated Rate	$2,828.65
Max. Negotiated Rate	$2,828.65
Rate for Payer: Buckeye Health Medicaid OOS	$2,828.65
Rate for Payer: Molina Healthcare of OH Medicare	$2,828.65

OUTPATIENT EAPG 00470: OBSTETRICAL ULTRASOUND

Facility OP

$116.50

Service Code	EAPG 00470
Hospital Charge Code	EAPG 00470
Min. Negotiated Rate	$116.50
Max. Negotiated Rate	$116.50
Rate for Payer: Buckeye Health Medicaid OOS	$116.50
Rate for Payer: Molina Healthcare of OH Medicare	$116.50

OUTPATIENT EAPG 00471: LEVEL I CONVENTIONAL RADIOLOGY

Facility OP

$54.11

Service Code	EAPG 00471
Hospital Charge Code	EAPG 00471
Min. Negotiated Rate	$54.11
Max. Negotiated Rate	$54.11
Rate for Payer: Buckeye Health Medicaid OOS	$54.11
Rate for Payer: Molina Healthcare of OH Medicare	$54.11

OUTPATIENT EAPG 00472: ULTRASOUND GUIDANCE

Facility OP

$87.62

Service Code	EAPG 00472
Hospital Charge Code	EAPG 00472
Min. Negotiated Rate	$87.62
Max. Negotiated Rate	$87.62
Rate for Payer: Buckeye Health Medicaid OOS	$87.62
Rate for Payer: Molina Healthcare of OH Medicare	$87.62

OUTPATIENT EAPG 00473: CT GUIDANCE

Facility OP

$114.39

Service Code	EAPG 00473
Hospital Charge Code	EAPG 00473
Min. Negotiated Rate	$114.39
Max. Negotiated Rate	$114.39
Rate for Payer: Buckeye Health Medicaid OOS	$114.39
Rate for Payer: Molina Healthcare of OH Medicare	$114.39

OUTPATIENT EAPG 00474: RADIOLOGICAL GUIDANCE FOR THERAPEUTIC OR DIAGNOSTIC PROCEDURES

Facility OP

$108.80

Service Code	EAPG 00474
Hospital Charge Code	EAPG 00474
Min. Negotiated Rate	$108.80
Max. Negotiated Rate	$108.80
Rate for Payer: Buckeye Health Medicaid OOS	$108.80
Rate for Payer: Molina Healthcare of OH Medicare	$108.80

OUTPATIENT EAPG 00475: MRI GUIDANCE

Facility OP

$82.46

Service Code	EAPG 00475
Hospital Charge Code	EAPG 00475
Min. Negotiated Rate	$82.46
Max. Negotiated Rate	$82.46
Rate for Payer: Buckeye Health Medicaid OOS	$82.46
Rate for Payer: Molina Healthcare of OH Medicare	$82.46

OUTPATIENT EAPG 00476: LEVEL I RADIATION TREATMENT PREPARATION & PLANNING

Facility OP

$104.01

Service Code	EAPG 00476
Hospital Charge Code	EAPG 00476
Min. Negotiated Rate	$104.01
Max. Negotiated Rate	$104.01
Rate for Payer: Buckeye Health Medicaid OOS	$104.01
Rate for Payer: Molina Healthcare of OH Medicare	$104.01

OUTPATIENT EAPG 00477: LEVEL II RADIATION TREATMENT PREPARATION & PLANNING

Facility OP

$480.70

Service Code	EAPG 00477
Hospital Charge Code	EAPG 00477
Min. Negotiated Rate	$480.70
Max. Negotiated Rate	$480.70
Rate for Payer: Buckeye Health Medicaid OOS	$480.70
Rate for Payer: Molina Healthcare of OH Medicare	$480.70

OUTPATIENT EAPG 00478: LEVEL III RADIATION TREATMENT PREPARATION & PLANNING

Facility OP

$722.55

Service Code	EAPG 00478
Hospital Charge Code	EAPG 00478
Min. Negotiated Rate	$722.55
Max. Negotiated Rate	$722.55
Rate for Payer: Buckeye Health Medicaid OOS	$722.55
Rate for Payer: Molina Healthcare of OH Medicare	$722.55

OUTPATIENT EAPG 00483: RADIATION THERAPY MANAGEMENT

Facility OP

$172.34

Service Code	EAPG 00483
Hospital Charge Code	EAPG 00483
Min. Negotiated Rate	$172.34
Max. Negotiated Rate	$172.34
Rate for Payer: Buckeye Health Medicaid OOS	$172.34
Rate for Payer: Molina Healthcare of OH Medicare	$172.34

OUTPATIENT EAPG 00485: CORNEAL TISSUE PROCESSING

Facility OP

$1,234.10

Service Code	EAPG 00485
Hospital Charge Code	EAPG 00485
Min. Negotiated Rate	$1,234.10
Max. Negotiated Rate	$1,234.10
Rate for Payer: Buckeye Health Medicaid OOS	$1,234.10
Rate for Payer: Molina Healthcare of OH Medicare	$1,234.10

Price Transparency.

All Charges