Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00660: LEVEL I OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility OP

$77.32

Service Code	EAPG 00660
Hospital Charge Code	EAPG 00660
Min. Negotiated Rate	$77.32
Max. Negotiated Rate	$77.32
Rate for Payer: Buckeye Health Medicaid OOS	$77.32
Rate for Payer: Molina Healthcare of OH Medicare	$77.32

OUTPATIENT EAPG 00661: LEVEL II OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility OP

$73.84

Service Code	EAPG 00661
Hospital Charge Code	EAPG 00661
Min. Negotiated Rate	$73.84
Max. Negotiated Rate	$73.84
Rate for Payer: Buckeye Health Medicaid OOS	$73.84
Rate for Payer: Molina Healthcare of OH Medicare	$73.84

OUTPATIENT EAPG 00662: OSTEOPOROSIS

Facility OP

$48.07

Service Code	EAPG 00662
Hospital Charge Code	EAPG 00662
Min. Negotiated Rate	$48.07
Max. Negotiated Rate	$48.07
Rate for Payer: Buckeye Health Medicaid OOS	$48.07
Rate for Payer: Molina Healthcare of OH Medicare	$48.07

OUTPATIENT EAPG 00663: PAIN

Facility OP

$67.26

Service Code	EAPG 00663
Hospital Charge Code	EAPG 00663
Min. Negotiated Rate	$67.26
Max. Negotiated Rate	$67.26
Rate for Payer: Buckeye Health Medicaid OOS	$67.26
Rate for Payer: Molina Healthcare of OH Medicare	$67.26

OUTPATIENT EAPG 00670: SKIN ULCERS

Facility OP

$48.23

Service Code	EAPG 00670
Hospital Charge Code	EAPG 00670
Min. Negotiated Rate	$48.23
Max. Negotiated Rate	$48.23
Rate for Payer: Buckeye Health Medicaid OOS	$48.23
Rate for Payer: Molina Healthcare of OH Medicare	$48.23

OUTPATIENT EAPG 00671: MAJOR SKIN DIAGNOSES

Facility OP

$49.98

Service Code	EAPG 00671
Hospital Charge Code	EAPG 00671
Min. Negotiated Rate	$49.98
Max. Negotiated Rate	$49.98
Rate for Payer: Buckeye Health Medicaid OOS	$49.98
Rate for Payer: Molina Healthcare of OH Medicare	$49.98

OUTPATIENT EAPG 00672: MALIGNANT BREAST DIAGNOSES

Facility OP

$42.71

Service Code	EAPG 00672
Hospital Charge Code	EAPG 00672
Min. Negotiated Rate	$42.71
Max. Negotiated Rate	$42.71
Rate for Payer: Buckeye Health Medicaid OOS	$42.71
Rate for Payer: Molina Healthcare of OH Medicare	$42.71

OUTPATIENT EAPG 00673: CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS

Facility OP

$58.36

Service Code	EAPG 00673
Hospital Charge Code	EAPG 00673
Min. Negotiated Rate	$58.36
Max. Negotiated Rate	$58.36
Rate for Payer: Buckeye Health Medicaid OOS	$58.36
Rate for Payer: Molina Healthcare of OH Medicare	$58.36

OUTPATIENT EAPG 00674: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility OP

$87.10

Service Code	EAPG 00674
Hospital Charge Code	EAPG 00674
Min. Negotiated Rate	$87.10
Max. Negotiated Rate	$87.10
Rate for Payer: Buckeye Health Medicaid OOS	$87.10
Rate for Payer: Molina Healthcare of OH Medicare	$87.10

OUTPATIENT EAPG 00675: OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DIAGNOSES

Facility OP

$49.65

Service Code	EAPG 00675
Hospital Charge Code	EAPG 00675
Min. Negotiated Rate	$49.65
Max. Negotiated Rate	$49.65
Rate for Payer: Buckeye Health Medicaid OOS	$49.65
Rate for Payer: Molina Healthcare of OH Medicare	$49.65

OUTPATIENT EAPG 00676: DECUBITUS ULCER

Facility OP

$62.02

Service Code	EAPG 00676
Hospital Charge Code	EAPG 00676
Min. Negotiated Rate	$62.02
Max. Negotiated Rate	$62.02
Rate for Payer: Buckeye Health Medicaid OOS	$62.02
Rate for Payer: Molina Healthcare of OH Medicare	$62.02

OUTPATIENT EAPG 00690: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DIAGNOSES

Facility OP

$69.01

Service Code	EAPG 00690
Hospital Charge Code	EAPG 00690
Min. Negotiated Rate	$69.01
Max. Negotiated Rate	$69.01
Rate for Payer: Buckeye Health Medicaid OOS	$69.01
Rate for Payer: Molina Healthcare of OH Medicare	$69.01

OUTPATIENT EAPG 00691: INBORN ERRORS OF METABOLISM

Facility OP

$53.84

Service Code	EAPG 00691
Hospital Charge Code	EAPG 00691
Min. Negotiated Rate	$53.84
Max. Negotiated Rate	$53.84
Rate for Payer: Buckeye Health Medicaid OOS	$53.84
Rate for Payer: Molina Healthcare of OH Medicare	$53.84

OUTPATIENT EAPG 00692: LEVEL I ENDOCRINE DIAGNOSES

Facility OP

$59.45

Service Code	EAPG 00692
Hospital Charge Code	EAPG 00692
Min. Negotiated Rate	$59.45
Max. Negotiated Rate	$59.45
Rate for Payer: Buckeye Health Medicaid OOS	$59.45
Rate for Payer: Molina Healthcare of OH Medicare	$59.45

OUTPATIENT EAPG 00693: LEVEL II ENDOCRINE DIAGNOSES

Facility OP

$77.88

Service Code	EAPG 00693
Hospital Charge Code	EAPG 00693
Min. Negotiated Rate	$77.88
Max. Negotiated Rate	$77.88
Rate for Payer: Buckeye Health Medicaid OOS	$77.88
Rate for Payer: Molina Healthcare of OH Medicare	$77.88

OUTPATIENT EAPG 00694: ELECTROLYTE DISORDERS

Facility OP

$126.86

Service Code	EAPG 00694
Hospital Charge Code	EAPG 00694
Min. Negotiated Rate	$126.86
Max. Negotiated Rate	$126.86
Rate for Payer: Buckeye Health Medicaid OOS	$126.86
Rate for Payer: Molina Healthcare of OH Medicare	$126.86

OUTPATIENT EAPG 00695: OBESITY

Facility OP

$59.29

Service Code	EAPG 00695
Hospital Charge Code	EAPG 00695
Min. Negotiated Rate	$59.29
Max. Negotiated Rate	$59.29
Rate for Payer: Buckeye Health Medicaid OOS	$59.29
Rate for Payer: Molina Healthcare of OH Medicare	$59.29

OUTPATIENT EAPG 00710: DIABETES WITH OPHTHALMIC MANIFESTATIONS

Facility OP

$36.35

Service Code	EAPG 00710
Hospital Charge Code	EAPG 00710
Min. Negotiated Rate	$36.35
Max. Negotiated Rate	$36.35
Rate for Payer: Buckeye Health Medicaid OOS	$36.35
Rate for Payer: Molina Healthcare of OH Medicare	$36.35

OUTPATIENT EAPG 00711: DIABETES WITH OTHER MANIFESTATIONS & COMPLICATIONS

Facility OP

$63.65

Service Code	EAPG 00711
Hospital Charge Code	EAPG 00711
Min. Negotiated Rate	$63.65
Max. Negotiated Rate	$63.65
Rate for Payer: Buckeye Health Medicaid OOS	$63.65
Rate for Payer: Molina Healthcare of OH Medicare	$63.65

OUTPATIENT EAPG 00712: DIABETES WITH NEUROLOGIC MANIFESTATIONS

Facility OP

$43.33

Service Code	EAPG 00712
Hospital Charge Code	EAPG 00712
Min. Negotiated Rate	$43.33
Max. Negotiated Rate	$43.33
Rate for Payer: Buckeye Health Medicaid OOS	$43.33
Rate for Payer: Molina Healthcare of OH Medicare	$43.33

OUTPATIENT EAPG 00713: DIABETES WITHOUT COMPLICATIONS

Facility OP

$49.44

Service Code	EAPG 00713
Hospital Charge Code	EAPG 00713
Min. Negotiated Rate	$49.44
Max. Negotiated Rate	$49.44
Rate for Payer: Buckeye Health Medicaid OOS	$49.44
Rate for Payer: Molina Healthcare of OH Medicare	$49.44

OUTPATIENT EAPG 00714: DIABETES WITH RENAL MANIFESTATIONS

Facility OP

$43.37

Service Code	EAPG 00714
Hospital Charge Code	EAPG 00714
Min. Negotiated Rate	$43.37
Max. Negotiated Rate	$43.37
Rate for Payer: Buckeye Health Medicaid OOS	$43.37
Rate for Payer: Molina Healthcare of OH Medicare	$43.37

OUTPATIENT EAPG 00720: RENAL FAILURE

Facility OP

$58.24

Service Code	EAPG 00720
Hospital Charge Code	EAPG 00720
Min. Negotiated Rate	$58.24
Max. Negotiated Rate	$58.24
Rate for Payer: Buckeye Health Medicaid OOS	$58.24
Rate for Payer: Molina Healthcare of OH Medicare	$58.24

OUTPATIENT EAPG 00721: KIDNEY & URINARY TRACT MALIGNANCY

Facility OP

$52.86

Service Code	EAPG 00721
Hospital Charge Code	EAPG 00721
Min. Negotiated Rate	$52.86
Max. Negotiated Rate	$52.86
Rate for Payer: Buckeye Health Medicaid OOS	$52.86
Rate for Payer: Molina Healthcare of OH Medicare	$52.86

OUTPATIENT EAPG 00722: NEPHRITIS & NEPHROSIS

Facility OP

$103.32

Service Code	EAPG 00722
Hospital Charge Code	EAPG 00722
Min. Negotiated Rate	$103.32
Max. Negotiated Rate	$103.32
Rate for Payer: Buckeye Health Medicaid OOS	$103.32
Rate for Payer: Molina Healthcare of OH Medicare	$103.32

Price Transparency.

All Charges