Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00629: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE

Facility OP

$90.61

Service Code	EAPG 00629
Hospital Charge Code	EAPG 00629
Min. Negotiated Rate	$90.61
Max. Negotiated Rate	$90.61
Rate for Payer: Buckeye Health Medicaid OOS	$90.61
Rate for Payer: Molina Healthcare of OH Medicare	$90.61

OUTPATIENT EAPG 00630: CONSTIPATION

Facility OP

$94.08

Service Code	EAPG 00630
Hospital Charge Code	EAPG 00630
Min. Negotiated Rate	$94.08
Max. Negotiated Rate	$94.08
Rate for Payer: Buckeye Health Medicaid OOS	$94.08
Rate for Payer: Molina Healthcare of OH Medicare	$94.08

OUTPATIENT EAPG 00631: HERNIA

Facility OP

$56.18

Service Code	EAPG 00631
Hospital Charge Code	EAPG 00631
Min. Negotiated Rate	$56.18
Max. Negotiated Rate	$56.18
Rate for Payer: Buckeye Health Medicaid OOS	$56.18
Rate for Payer: Molina Healthcare of OH Medicare	$56.18

OUTPATIENT EAPG 00632: IRRITABLE BOWEL SYNDROME

Facility OP

$49.23

Service Code	EAPG 00632
Hospital Charge Code	EAPG 00632
Min. Negotiated Rate	$49.23
Max. Negotiated Rate	$49.23
Rate for Payer: Buckeye Health Medicaid OOS	$49.23
Rate for Payer: Molina Healthcare of OH Medicare	$49.23

OUTPATIENT EAPG 00633: ALCOHOLIC LIVER DISEASE

Facility OP

$62.10

Service Code	EAPG 00633
Hospital Charge Code	EAPG 00633
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$62.10
Rate for Payer: Buckeye Health Medicaid OOS	$62.10
Rate for Payer: Molina Healthcare of OH Medicare	$62.10

OUTPATIENT EAPG 00634: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility OP

$50.43

Service Code	EAPG 00634
Hospital Charge Code	EAPG 00634
Min. Negotiated Rate	$50.43
Max. Negotiated Rate	$50.43
Rate for Payer: Buckeye Health Medicaid OOS	$50.43
Rate for Payer: Molina Healthcare of OH Medicare	$50.43

OUTPATIENT EAPG 00635: PANCREAS DIAGNOSES EXCEPT MALIGNANCY

Facility OP

$93.60

Service Code	EAPG 00635
Hospital Charge Code	EAPG 00635
Min. Negotiated Rate	$93.60
Max. Negotiated Rate	$93.60
Rate for Payer: Buckeye Health Medicaid OOS	$93.60
Rate for Payer: Molina Healthcare of OH Medicare	$93.60

OUTPATIENT EAPG 00636: HEPATITIS WITHOUT COMA

Facility OP

$58.66

Service Code	EAPG 00636
Hospital Charge Code	EAPG 00636
Min. Negotiated Rate	$58.66
Max. Negotiated Rate	$58.66
Rate for Payer: Buckeye Health Medicaid OOS	$58.66
Rate for Payer: Molina Healthcare of OH Medicare	$58.66

OUTPATIENT EAPG 00637: GALLBLADDER & BILIARY TRACT DIAGNOSES

Facility OP

$64.67

Service Code	EAPG 00637
Hospital Charge Code	EAPG 00637
Min. Negotiated Rate	$64.67
Max. Negotiated Rate	$64.67
Rate for Payer: Buckeye Health Medicaid OOS	$64.67
Rate for Payer: Molina Healthcare of OH Medicare	$64.67

OUTPATIENT EAPG 00638: CHOLECYSTITIS

Facility OP

$68.41

Service Code	EAPG 00638
Hospital Charge Code	EAPG 00638
Min. Negotiated Rate	$68.41
Max. Negotiated Rate	$68.41
Rate for Payer: Buckeye Health Medicaid OOS	$68.41
Rate for Payer: Molina Healthcare of OH Medicare	$68.41

OUTPATIENT EAPG 00639: LEVEL I HEPATOBILIARY DIAGNOSES

Facility OP

$56.72

Service Code	EAPG 00639
Hospital Charge Code	EAPG 00639
Min. Negotiated Rate	$56.72
Max. Negotiated Rate	$56.72
Rate for Payer: Buckeye Health Medicaid OOS	$56.72
Rate for Payer: Molina Healthcare of OH Medicare	$56.72

OUTPATIENT EAPG 00640: LEVEL II HEPATOBILIARY DIAGNOSES

Facility OP

$68.30

Service Code	EAPG 00640
Hospital Charge Code	EAPG 00640
Min. Negotiated Rate	$68.30
Max. Negotiated Rate	$68.30
Rate for Payer: Buckeye Health Medicaid OOS	$68.30
Rate for Payer: Molina Healthcare of OH Medicare	$68.30

OUTPATIENT EAPG 00647: FRACTURES, DISLOCATIONS, SPRAINS & OTHER INJURIES OF THE SHOULDER AND UPPER ARM

Facility OP

$99.34

Service Code	EAPG 00647
Hospital Charge Code	EAPG 00647
Min. Negotiated Rate	$99.34
Max. Negotiated Rate	$99.34
Rate for Payer: Buckeye Health Medicaid OOS	$99.34
Rate for Payer: Molina Healthcare of OH Medicare	$99.34

OUTPATIENT EAPG 00648: FRACTURES, DISLOCATIONS AND SPRAINS OF THE SKULL, CRANIUM AND FACE

Facility OP

$86.11

Service Code	EAPG 00648
Hospital Charge Code	EAPG 00648
Min. Negotiated Rate	$86.11
Max. Negotiated Rate	$86.11
Rate for Payer: Buckeye Health Medicaid OOS	$86.11
Rate for Payer: Molina Healthcare of OH Medicare	$86.11

OUTPATIENT EAPG 00649: OTHER PATHOLOGICAL FRACTURES W/O MUSCULOSKELETAL MALIGNANCY

Facility OP

$73.85

Service Code	EAPG 00649
Hospital Charge Code	EAPG 00649
Min. Negotiated Rate	$73.85
Max. Negotiated Rate	$73.85
Rate for Payer: Buckeye Health Medicaid OOS	$73.85
Rate for Payer: Molina Healthcare of OH Medicare	$73.85

OUTPATIENT EAPG 00650: FRACTURES, DISLOCATIONS & OTHER INJURIES - LOWER EXTREMITY INCLUDING FEMUR

Facility OP

$119.71

Service Code	EAPG 00650
Hospital Charge Code	EAPG 00650
Min. Negotiated Rate	$119.71
Max. Negotiated Rate	$119.71
Rate for Payer: Buckeye Health Medicaid OOS	$119.71
Rate for Payer: Molina Healthcare of OH Medicare	$119.71

OUTPATIENT EAPG 00651: FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE PELVIS AND HIP

Facility OP

$85.80

Service Code	EAPG 00651
Hospital Charge Code	EAPG 00651
Min. Negotiated Rate	$85.80
Max. Negotiated Rate	$85.80
Rate for Payer: Buckeye Health Medicaid OOS	$85.80
Rate for Payer: Molina Healthcare of OH Medicare	$85.80

OUTPATIENT EAPG 00652: OTHER INJURIES AND DISORDERS OF THE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE

Facility OP

$61.80

Service Code	EAPG 00652
Hospital Charge Code	EAPG 00652
Min. Negotiated Rate	$61.80
Max. Negotiated Rate	$61.80
Rate for Payer: Buckeye Health Medicaid OOS	$61.80
Rate for Payer: Molina Healthcare of OH Medicare	$61.80

OUTPATIENT EAPG 00653: MUSCULOSKELETAL MALIGNANCY & PATHOLOGICAL FRACTURES DUE TO MALIGNANCY

Facility OP

$79.36

Service Code	EAPG 00653
Hospital Charge Code	EAPG 00653
Min. Negotiated Rate	$79.36
Max. Negotiated Rate	$79.36
Rate for Payer: Buckeye Health Medicaid OOS	$79.36
Rate for Payer: Molina Healthcare of OH Medicare	$79.36

OUTPATIENT EAPG 00654: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility OP

$58.68

Service Code	EAPG 00654
Hospital Charge Code	EAPG 00654
Min. Negotiated Rate	$58.68
Max. Negotiated Rate	$58.68
Rate for Payer: Buckeye Health Medicaid OOS	$58.68
Rate for Payer: Molina Healthcare of OH Medicare	$58.68

OUTPATIENT EAPG 00655: CONNECTIVE TISSUE DIAGNOSES

Facility OP

$65.62

Service Code	EAPG 00655
Hospital Charge Code	EAPG 00655
Min. Negotiated Rate	$65.62
Max. Negotiated Rate	$65.62
Rate for Payer: Buckeye Health Medicaid OOS	$65.62
Rate for Payer: Molina Healthcare of OH Medicare	$65.62

OUTPATIENT EAPG 00656: FRACTURES, DISLOCATIONS & OTHER INJURIES OF THE NECK, UPPER BACK AND CHEST

Facility OP

$99.47

Service Code	EAPG 00656
Hospital Charge Code	EAPG 00656
Min. Negotiated Rate	$99.47
Max. Negotiated Rate	$99.47
Rate for Payer: Buckeye Health Medicaid OOS	$99.47
Rate for Payer: Molina Healthcare of OH Medicare	$99.47

OUTPATIENT EAPG 00657: FRACTURES, DISLOCATIONS, SPRAINS AND OTHER INJURIES OF THE LOWER BACK

Facility OP

$64.84

Service Code	EAPG 00657
Hospital Charge Code	EAPG 00657
Min. Negotiated Rate	$64.84
Max. Negotiated Rate	$64.84
Rate for Payer: Buckeye Health Medicaid OOS	$64.84
Rate for Payer: Molina Healthcare of OH Medicare	$64.84

OUTPATIENT EAPG 00658: SCIATICA

Facility OP

$74.78

Service Code	EAPG 00658
Hospital Charge Code	EAPG 00658
Min. Negotiated Rate	$74.78
Max. Negotiated Rate	$74.78
Rate for Payer: Buckeye Health Medicaid OOS	$74.78
Rate for Payer: Molina Healthcare of OH Medicare	$74.78

OUTPATIENT EAPG 00659: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility OP

$54.13

Service Code	EAPG 00659
Hospital Charge Code	EAPG 00659
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$54.13
Rate for Payer: Buckeye Health Medicaid OOS	$54.13
Rate for Payer: Molina Healthcare of OH Medicare	$54.13

Price Transparency.

All Charges