Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00723: KIDNEY AND CHRONIC URINARY TRACT INFECTIONS

Facility OP

$108.27

Service Code	EAPG 00723
Hospital Charge Code	EAPG 00723
Min. Negotiated Rate	$108.27
Max. Negotiated Rate	$108.27
Rate for Payer: Buckeye Health Medicaid OOS	$108.27
Rate for Payer: Molina Healthcare of OH Medicare	$108.27

OUTPATIENT EAPG 00724: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility OP

$77.70

Service Code	EAPG 00724
Hospital Charge Code	EAPG 00724
Min. Negotiated Rate	$77.70
Max. Negotiated Rate	$77.70
Rate for Payer: Buckeye Health Medicaid OOS	$77.70
Rate for Payer: Molina Healthcare of OH Medicare	$77.70

OUTPATIENT EAPG 00725: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility OP

$86.96

Service Code	EAPG 00725
Hospital Charge Code	EAPG 00725
Min. Negotiated Rate	$86.96
Max. Negotiated Rate	$86.96
Rate for Payer: Buckeye Health Medicaid OOS	$86.96
Rate for Payer: Molina Healthcare of OH Medicare	$86.96

OUTPATIENT EAPG 00726: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility OP

$70.24

Service Code	EAPG 00726
Hospital Charge Code	EAPG 00726
Min. Negotiated Rate	$70.24
Max. Negotiated Rate	$70.24
Rate for Payer: Buckeye Health Medicaid OOS	$70.24
Rate for Payer: Molina Healthcare of OH Medicare	$70.24

OUTPATIENT EAPG 00727: ACUTE LOWER URINARY TRACT INFECTIONS

Facility OP

$99.68

Service Code	EAPG 00727
Hospital Charge Code	EAPG 00727
Min. Negotiated Rate	$99.68
Max. Negotiated Rate	$99.68
Rate for Payer: Buckeye Health Medicaid OOS	$99.68
Rate for Payer: Molina Healthcare of OH Medicare	$99.68

OUTPATIENT EAPG 00740: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility OP

$44.68

Service Code	EAPG 00740
Hospital Charge Code	EAPG 00740
Min. Negotiated Rate	$44.68
Max. Negotiated Rate	$44.68
Rate for Payer: Buckeye Health Medicaid OOS	$44.68
Rate for Payer: Molina Healthcare of OH Medicare	$44.68

OUTPATIENT EAPG 00741: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility OP

$68.45

Service Code	EAPG 00741
Hospital Charge Code	EAPG 00741
Min. Negotiated Rate	$68.45
Max. Negotiated Rate	$68.45
Rate for Payer: Buckeye Health Medicaid OOS	$68.45
Rate for Payer: Molina Healthcare of OH Medicare	$68.45

OUTPATIENT EAPG 00742: NEOPLASMS OF THE MALE REPRODUCTIVE SYSTEM

Facility OP

$45.47

Service Code	EAPG 00742
Hospital Charge Code	EAPG 00742
Min. Negotiated Rate	$45.47
Max. Negotiated Rate	$45.47
Rate for Payer: Buckeye Health Medicaid OOS	$45.47
Rate for Payer: Molina Healthcare of OH Medicare	$45.47

OUTPATIENT EAPG 00743: PROSTATITIS

Facility OP

$48.91

Service Code	EAPG 00743
Hospital Charge Code	EAPG 00743
Min. Negotiated Rate	$48.91
Max. Negotiated Rate	$48.91
Rate for Payer: Buckeye Health Medicaid OOS	$48.91
Rate for Payer: Molina Healthcare of OH Medicare	$48.91

OUTPATIENT EAPG 00744: MALE REPRODUCTIVE INFECTIONS

Facility OP

$59.24

Service Code	EAPG 00744
Hospital Charge Code	EAPG 00744
Min. Negotiated Rate	$59.24
Max. Negotiated Rate	$59.24
Rate for Payer: Buckeye Health Medicaid OOS	$59.24
Rate for Payer: Molina Healthcare of OH Medicare	$59.24

OUTPATIENT EAPG 00750: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility OP

$53.54

Service Code	EAPG 00750
Hospital Charge Code	EAPG 00750
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 00751: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility OP

$106.72

Service Code	EAPG 00751
Hospital Charge Code	EAPG 00751
Min. Negotiated Rate	$106.72
Max. Negotiated Rate	$106.72
Rate for Payer: Buckeye Health Medicaid OOS	$106.72
Rate for Payer: Molina Healthcare of OH Medicare	$106.72

OUTPATIENT EAPG 00752: LEVEL I MENSTRUAL AND OTHER FEMALE DIAGNOSES

Facility OP

$82.33

Service Code	EAPG 00752
Hospital Charge Code	EAPG 00752
Min. Negotiated Rate	$82.33
Max. Negotiated Rate	$82.33
Rate for Payer: Buckeye Health Medicaid OOS	$82.33
Rate for Payer: Molina Healthcare of OH Medicare	$82.33

OUTPATIENT EAPG 00753: LEVEL II MENSTRUAL AND OTHER FEMALE DIAGNOSES

Facility OP

$79.67

Service Code	EAPG 00753
Hospital Charge Code	EAPG 00753
Min. Negotiated Rate	$79.67
Max. Negotiated Rate	$79.67
Rate for Payer: Buckeye Health Medicaid OOS	$79.67
Rate for Payer: Molina Healthcare of OH Medicare	$79.67

OUTPATIENT EAPG 00760: VAGINAL DELIVERY

Facility OP

$69.65

Service Code	EAPG 00760
Hospital Charge Code	EAPG 00760
Min. Negotiated Rate	$69.65
Max. Negotiated Rate	$69.65
Rate for Payer: Buckeye Health Medicaid OOS	$69.65
Rate for Payer: Molina Healthcare of OH Medicare	$69.65

OUTPATIENT EAPG 00761: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE

Facility OP

$69.20

Service Code	EAPG 00761
Hospital Charge Code	EAPG 00761
Min. Negotiated Rate	$69.20
Max. Negotiated Rate	$69.20
Rate for Payer: Buckeye Health Medicaid OOS	$69.20
Rate for Payer: Molina Healthcare of OH Medicare	$69.20

OUTPATIENT EAPG 00762: THREATENED ABORTION

Facility OP

$181.49

Service Code	EAPG 00762
Hospital Charge Code	EAPG 00762
Min. Negotiated Rate	$181.49
Max. Negotiated Rate	$181.49
Rate for Payer: Buckeye Health Medicaid OOS	$181.49
Rate for Payer: Molina Healthcare of OH Medicare	$181.49

OUTPATIENT EAPG 00763: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility OP

$146.21

Service Code	EAPG 00763
Hospital Charge Code	EAPG 00763
Min. Negotiated Rate	$146.21
Max. Negotiated Rate	$146.21
Rate for Payer: Buckeye Health Medicaid OOS	$146.21
Rate for Payer: Molina Healthcare of OH Medicare	$146.21

OUTPATIENT EAPG 00764: FALSE LABOR

Facility OP

$75.64

Service Code	EAPG 00764
Hospital Charge Code	EAPG 00764
Min. Negotiated Rate	$75.64
Max. Negotiated Rate	$75.64
Rate for Payer: Buckeye Health Medicaid OOS	$75.64
Rate for Payer: Molina Healthcare of OH Medicare	$75.64

OUTPATIENT EAPG 00765: OTHER ANTEPARTUM DIAGNOSES

Facility OP

$86.47

Service Code	EAPG 00765
Hospital Charge Code	EAPG 00765
Min. Negotiated Rate	$86.47
Max. Negotiated Rate	$86.47
Rate for Payer: Buckeye Health Medicaid OOS	$86.47
Rate for Payer: Molina Healthcare of OH Medicare	$86.47

OUTPATIENT EAPG 00766: ROUTINE PRENATAL CARE

Facility OP

$49.48

Service Code	EAPG 00766
Hospital Charge Code	EAPG 00766
Min. Negotiated Rate	$49.48
Max. Negotiated Rate	$49.48
Rate for Payer: Buckeye Health Medicaid OOS	$49.48
Rate for Payer: Molina Healthcare of OH Medicare	$49.48

OUTPATIENT EAPG 00770: NORMAL NEONATE

Facility OP

$50.36

Service Code	EAPG 00770
Hospital Charge Code	EAPG 00770
Min. Negotiated Rate	$50.36
Max. Negotiated Rate	$50.36
Rate for Payer: Buckeye Health Medicaid OOS	$50.36
Rate for Payer: Molina Healthcare of OH Medicare	$50.36

OUTPATIENT EAPG 00771: LEVEL I NEONATAL DIAGNOSES

Facility OP

$66.24

Service Code	EAPG 00771
Hospital Charge Code	EAPG 00771
Min. Negotiated Rate	$66.24
Max. Negotiated Rate	$66.24
Rate for Payer: Buckeye Health Medicaid OOS	$66.24
Rate for Payer: Molina Healthcare of OH Medicare	$66.24

OUTPATIENT EAPG 00772: LEVEL II NEONATAL DIAGNOSES

Facility OP

$77.47

Service Code	EAPG 00772
Hospital Charge Code	EAPG 00772
Min. Negotiated Rate	$77.47
Max. Negotiated Rate	$77.47
Rate for Payer: Buckeye Health Medicaid OOS	$77.47
Rate for Payer: Molina Healthcare of OH Medicare	$77.47

OUTPATIENT EAPG 00780: OTHER HEMATOLOGICAL DIAGNOSES

Facility OP

$109.88

Service Code	EAPG 00780
Hospital Charge Code	EAPG 00780
Min. Negotiated Rate	$109.88
Max. Negotiated Rate	$109.88
Rate for Payer: Buckeye Health Medicaid OOS	$109.88
Rate for Payer: Molina Healthcare of OH Medicare	$109.88

Price Transparency.

All Charges