Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00486: LEVEL I BLOOD AND TISSUE TYPING TESTS

Facility OP

$6.52

Service Code	EAPG 00486
Hospital Charge Code	EAPG 00486
Min. Negotiated Rate	$6.52
Max. Negotiated Rate	$6.52
Rate for Payer: Buckeye Health Medicaid OOS	$6.52
Rate for Payer: Molina Healthcare of OH Medicare	$6.52

OUTPATIENT EAPG 00488: MINOR DEVICE EVALUATION AND INTERROGATION

Facility OP

$20.73

Service Code	EAPG 00488
Hospital Charge Code	EAPG 00488
Min. Negotiated Rate	$20.73
Max. Negotiated Rate	$20.73
Rate for Payer: Buckeye Health Medicaid OOS	$20.73
Rate for Payer: Molina Healthcare of OH Medicare	$20.73

OUTPATIENT EAPG 00489: LEVEL II OTHER MISCELLANEOUS ANCILLARY SERVICES

Facility OP

$37.79

Service Code	EAPG 00489
Hospital Charge Code	EAPG 00489
Min. Negotiated Rate	$37.79
Max. Negotiated Rate	$37.79
Rate for Payer: Buckeye Health Medicaid OOS	$37.79
Rate for Payer: Molina Healthcare of OH Medicare	$37.79

OUTPATIENT EAPG 00490: INCIDENTAL TO MEDICAL VISIT OR SIGNIFICANT PROCEDURE

Facility OP

$22.40

Service Code	EAPG 00490
Hospital Charge Code	EAPG 00490
Min. Negotiated Rate	$22.40
Max. Negotiated Rate	$22.40
Rate for Payer: Buckeye Health Medicaid OOS	$22.40
Rate for Payer: Molina Healthcare of OH Medicare	$22.40

OUTPATIENT EAPG 00491: MEDICAL VISIT INDICATOR

Facility OP

$32.50

Service Code	EAPG 00491
Hospital Charge Code	EAPG 00491
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$32.50
Rate for Payer: Buckeye Health Medicaid OOS	$32.50
Rate for Payer: Molina Healthcare of OH Medicare	$32.50

OUTPATIENT EAPG 00493: ANCILLARY THERAPEUTIC SERVICES

Facility OP

$22.77

Service Code	EAPG 00493
Hospital Charge Code	EAPG 00493
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$22.77
Rate for Payer: Buckeye Health Medicaid OOS	$22.77
Rate for Payer: Molina Healthcare of OH Medicare	$22.77

OUTPATIENT EAPG 00494: COMPLEX BLOOD COLLECTION SERVICES

Facility OP

$26.39

Service Code	EAPG 00494
Hospital Charge Code	EAPG 00494
Min. Negotiated Rate	$26.39
Max. Negotiated Rate	$26.39
Rate for Payer: Buckeye Health Medicaid OOS	$26.39
Rate for Payer: Molina Healthcare of OH Medicare	$26.39

OUTPATIENT EAPG 00495: MINOR CHEMOTHERAPY DRUGS

Facility OP

$3.17

Service Code	EAPG 00495
Hospital Charge Code	EAPG 00495
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Buckeye Health Medicaid OOS	$3.17
Rate for Payer: Molina Healthcare of OH Medicare	$3.17

OUTPATIENT EAPG 00496: MINOR PHARMACOTHERAPY

Facility OP

$5.17

Service Code	EAPG 00496
Hospital Charge Code	EAPG 00496
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Buckeye Health Medicaid OOS	$5.17
Rate for Payer: Molina Healthcare of OH Medicare	$5.17

OUTPATIENT EAPG 00497: TELEHEALTH FACILITATION

Facility OP

$15.03

Service Code	EAPG 00497
Hospital Charge Code	EAPG 00497
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$15.03
Rate for Payer: Buckeye Health Medicaid OOS	$15.03
Rate for Payer: Molina Healthcare of OH Medicare	$15.03

OUTPATIENT EAPG 00498: PEN FORMULAE

Facility OP

$191.30

Service Code	EAPG 00498
Hospital Charge Code	EAPG 00498
Min. Negotiated Rate	$191.30
Max. Negotiated Rate	$191.30
Rate for Payer: Buckeye Health Medicaid OOS	$191.30
Rate for Payer: Molina Healthcare of OH Medicare	$191.30

OUTPATIENT EAPG 00499: BLOOD PROCESSING, STORAGE AND RELATED SERVICES

Facility OP

$38.81

Service Code	EAPG 00499
Hospital Charge Code	EAPG 00499
Min. Negotiated Rate	$38.81
Max. Negotiated Rate	$38.81
Rate for Payer: Buckeye Health Medicaid OOS	$38.81
Rate for Payer: Molina Healthcare of OH Medicare	$38.81

OUTPATIENT EAPG 00510: MAJOR SIGNS, SYMPTOMS AND FINDINGS

Facility OP

$63.68

Service Code	EAPG 00510
Hospital Charge Code	EAPG 00510
Min. Negotiated Rate	$63.68
Max. Negotiated Rate	$63.68
Rate for Payer: Buckeye Health Medicaid OOS	$63.68
Rate for Payer: Molina Healthcare of OH Medicare	$63.68

OUTPATIENT EAPG 00520: SPINAL DIAGNOSES & INJURIES

Facility OP

$52.18

Service Code	EAPG 00520
Hospital Charge Code	EAPG 00520
Min. Negotiated Rate	$52.18
Max. Negotiated Rate	$52.18
Rate for Payer: Buckeye Health Medicaid OOS	$52.18
Rate for Payer: Molina Healthcare of OH Medicare	$52.18

OUTPATIENT EAPG 00521: NERVOUS SYSTEM MALIGNANCY

Facility OP

$66.41

Service Code	EAPG 00521
Hospital Charge Code	EAPG 00521
Min. Negotiated Rate	$66.41
Max. Negotiated Rate	$66.41
Rate for Payer: Buckeye Health Medicaid OOS	$66.41
Rate for Payer: Molina Healthcare of OH Medicare	$66.41

OUTPATIENT EAPG 00522: DEGENERATIVE NERVOUS SYSTEM DIAGNOSES EXC MULT SCLEROSIS

Facility OP

$59.47

Service Code	EAPG 00522
Hospital Charge Code	EAPG 00522
Min. Negotiated Rate	$59.47
Max. Negotiated Rate	$59.47
Rate for Payer: Buckeye Health Medicaid OOS	$59.47
Rate for Payer: Molina Healthcare of OH Medicare	$59.47

OUTPATIENT EAPG 00523: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility OP

$40.89

Service Code	EAPG 00523
Hospital Charge Code	EAPG 00523
Min. Negotiated Rate	$40.89
Max. Negotiated Rate	$40.89
Rate for Payer: Buckeye Health Medicaid OOS	$40.89
Rate for Payer: Molina Healthcare of OH Medicare	$40.89

OUTPATIENT EAPG 00524: LEVEL I CNS DIAGNOSES

Facility OP

$63.05

Service Code	EAPG 00524
Hospital Charge Code	EAPG 00524
Min. Negotiated Rate	$63.05
Max. Negotiated Rate	$63.05
Rate for Payer: Buckeye Health Medicaid OOS	$63.05
Rate for Payer: Molina Healthcare of OH Medicare	$63.05

OUTPATIENT EAPG 00525: LEVEL II CNS DIAGNOSES

Facility OP

$67.38

Service Code	EAPG 00525
Hospital Charge Code	EAPG 00525
Min. Negotiated Rate	$67.38
Max. Negotiated Rate	$67.38
Rate for Payer: Buckeye Health Medicaid OOS	$67.38
Rate for Payer: Molina Healthcare of OH Medicare	$67.38

OUTPATIENT EAPG 00526: TRANSIENT ISCHEMIA

Facility OP

$44.84

Service Code	EAPG 00526
Hospital Charge Code	EAPG 00526
Min. Negotiated Rate	$44.84
Max. Negotiated Rate	$44.84
Rate for Payer: Buckeye Health Medicaid OOS	$44.84
Rate for Payer: Molina Healthcare of OH Medicare	$44.84

OUTPATIENT EAPG 00527: PERIPHERAL AND CRANIAL NERVE DIAGNOSES

Facility OP

$53.54

Service Code	EAPG 00527
Hospital Charge Code	EAPG 00527
Min. Negotiated Rate	$53.54
Max. Negotiated Rate	$53.54
Rate for Payer: Buckeye Health Medicaid OOS	$53.54
Rate for Payer: Molina Healthcare of OH Medicare	$53.54

OUTPATIENT EAPG 00528: NONTRAUMATIC STUPOR & COMA

Facility OP

$86.65

Service Code	EAPG 00528
Hospital Charge Code	EAPG 00528
Min. Negotiated Rate	$86.65
Max. Negotiated Rate	$86.65
Rate for Payer: Buckeye Health Medicaid OOS	$86.65
Rate for Payer: Molina Healthcare of OH Medicare	$86.65

OUTPATIENT EAPG 00529: SEIZURE

Facility OP

$92.74

Service Code	EAPG 00529
Hospital Charge Code	EAPG 00529
Min. Negotiated Rate	$92.74
Max. Negotiated Rate	$92.74
Rate for Payer: Buckeye Health Medicaid OOS	$92.74
Rate for Payer: Molina Healthcare of OH Medicare	$92.74

OUTPATIENT EAPG 00530: HEADACHES OTHER THAN MIGRAINE

Facility OP

$78.66

Service Code	EAPG 00530
Hospital Charge Code	EAPG 00530
Min. Negotiated Rate	$78.66
Max. Negotiated Rate	$78.66
Rate for Payer: Buckeye Health Medicaid OOS	$78.66
Rate for Payer: Molina Healthcare of OH Medicare	$78.66

OUTPATIENT EAPG 00531: MIGRAINE

Facility OP

$78.86

Service Code	EAPG 00531
Hospital Charge Code	EAPG 00531
Min. Negotiated Rate	$78.86
Max. Negotiated Rate	$78.86
Rate for Payer: Buckeye Health Medicaid OOS	$78.86
Rate for Payer: Molina Healthcare of OH Medicare	$78.86

Price Transparency.

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