Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 0982
Min. Negotiated Rate	$4,193.26
Max. Negotiated Rate	$6,829.99
Rate for Payer: Buckeye Health Medicaid OOS	$6,829.99
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,829.99

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$10,461.13

Service Code	APR-DRG 0983
Min. Negotiated Rate	$7,399.88
Max. Negotiated Rate	$10,461.13
Rate for Payer: Buckeye Health Medicaid OOS	$10,461.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,461.13

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$16,772.39

Service Code	APR-DRG 0984
Min. Negotiated Rate	$13,249.30
Max. Negotiated Rate	$16,772.39
Rate for Payer: Buckeye Health Medicaid OOS	$16,772.39
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,772.39

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$2,783.76

Service Code	APR-DRG 4241
Min. Negotiated Rate	$2,593.67
Max. Negotiated Rate	$2,783.76
Rate for Payer: Buckeye Health Medicaid OOS	$2,593.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,593.67

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$3,760.82

Service Code	APR-DRG 4242
Min. Negotiated Rate	$3,206.61
Max. Negotiated Rate	$3,760.82
Rate for Payer: Buckeye Health Medicaid OOS	$3,760.82
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,760.82

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$9,164.29

Service Code	APR-DRG 4244
Min. Negotiated Rate	$5,602.76
Max. Negotiated Rate	$9,164.29
Rate for Payer: Buckeye Health Medicaid OOS	$9,164.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,164.29

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$5,662.84

Service Code	APR-DRG 4243
Min. Negotiated Rate	$5,356.10
Max. Negotiated Rate	$5,662.84
Rate for Payer: Buckeye Health Medicaid OOS	$5,662.84
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,662.84

APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS

Facility

$9,337.20

Service Code	APR-DRG 2434
Min. Negotiated Rate	$6,307.51
Max. Negotiated Rate	$9,337.20
Rate for Payer: Buckeye Health Medicaid OOS	$9,337.20
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,337.20

APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS

Facility

$2,766.58

Service Code	APR-DRG 2431
Min. Negotiated Rate	$1,761.88
Max. Negotiated Rate	$2,766.58
Rate for Payer: Buckeye Health Medicaid OOS	$2,766.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,766.58

APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS

Facility

$3,587.91

Service Code	APR-DRG 2432
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$3,587.91
Rate for Payer: Buckeye Health Medicaid OOS	$3,587.91
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,587.91

APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS

Facility

$5,057.65

Service Code	APR-DRG 2433
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,057.65
Rate for Payer: Buckeye Health Medicaid OOS	$5,057.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,057.65

APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$17,334.35

Service Code	APR-DRG 5184
Min. Negotiated Rate	$8,527.48
Max. Negotiated Rate	$17,334.35
Rate for Payer: Buckeye Health Medicaid OOS	$17,334.35
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,334.35

APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$6,613.85

Service Code	APR-DRG 5182
Min. Negotiated Rate	$4,721.82
Max. Negotiated Rate	$6,613.85
Rate for Payer: Buckeye Health Medicaid OOS	$6,613.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,613.85

APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$3,976.96

Service Code	APR-DRG 5181
Min. Negotiated Rate	$3,629.46
Max. Negotiated Rate	$3,976.96
Rate for Payer: Buckeye Health Medicaid OOS	$3,976.96
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,976.96

APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$10,461.13

Service Code	APR-DRG 5183
Min. Negotiated Rate	$7,470.35
Max. Negotiated Rate	$10,461.13
Rate for Payer: Buckeye Health Medicaid OOS	$10,461.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,461.13

APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$7,651.32

Service Code	APR-DRG 2494
Min. Negotiated Rate	$5,144.68
Max. Negotiated Rate	$7,651.32
Rate for Payer: Buckeye Health Medicaid OOS	$7,651.32
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,651.32

APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$2,809.81

Service Code	APR-DRG 2492
Min. Negotiated Rate	$2,466.62
Max. Negotiated Rate	$2,809.81
Rate for Payer: Buckeye Health Medicaid OOS	$2,809.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,809.81

APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$4,149.87

Service Code	APR-DRG 2493
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$4,149.87
Rate for Payer: Buckeye Health Medicaid OOS	$4,149.87
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,149.87

APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$2,247.85

Service Code	APR-DRG 2491
Min. Negotiated Rate	$1,832.35
Max. Negotiated Rate	$2,247.85
Rate for Payer: Buckeye Health Medicaid OOS	$2,247.85
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,247.85

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$5,922.21

Service Code	APR-DRG 5201
Min. Negotiated Rate	$5,922.21
Max. Negotiated Rate	$5,922.21
Rate for Payer: Buckeye Health Medicaid OOS	$5,922.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,922.21

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$7,564.86

Service Code	APR-DRG 5202
Min. Negotiated Rate	$7,564.86
Max. Negotiated Rate	$7,564.86
Rate for Payer: Buckeye Health Medicaid OOS	$7,564.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,564.86

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$11,628.28

Service Code	APR-DRG 5203
Min. Negotiated Rate	$11,628.28
Max. Negotiated Rate	$11,628.28
Rate for Payer: Buckeye Health Medicaid OOS	$11,628.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,628.28

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$21,873.27

Service Code	APR-DRG 5204
Min. Negotiated Rate	$21,873.27
Max. Negotiated Rate	$21,873.27
Rate for Payer: Buckeye Health Medicaid OOS	$21,873.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$21,873.27

APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$7,305.50

Service Code	APR-DRG 2642
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$7,305.50
Rate for Payer: Buckeye Health Medicaid OOS	$7,305.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,305.50

APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$10,936.63

Service Code	APR-DRG 2643
Min. Negotiated Rate	$7,717.01
Max. Negotiated Rate	$10,936.63
Rate for Payer: Buckeye Health Medicaid OOS	$10,936.63
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,936.63

Know your out-of-pocket cost for care.

All Charges