Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

OUTPATIENT EAPG 00781: COAGULATION & PLATELET DIAGNOSES

Facility OP

$78.58

Service Code	EAPG 00781
Hospital Charge Code	EAPG 00781
Min. Negotiated Rate	$78.58
Max. Negotiated Rate	$78.58
Rate for Payer: Buckeye Health Medicaid OOS	$78.58
Rate for Payer: Molina Healthcare of OH Medicare	$78.58

OUTPATIENT EAPG 00782: CONGENITAL FACTOR DEFICIENCIES

Facility OP

$114.80

Service Code	EAPG 00782
Hospital Charge Code	EAPG 00782
Min. Negotiated Rate	$114.80
Max. Negotiated Rate	$114.80
Rate for Payer: Buckeye Health Medicaid OOS	$114.80
Rate for Payer: Molina Healthcare of OH Medicare	$114.80

OUTPATIENT EAPG 00783: SICKLE CELL ANEMIA CRISIS

Facility OP

$202.46

Service Code	EAPG 00783
Hospital Charge Code	EAPG 00783
Min. Negotiated Rate	$202.46
Max. Negotiated Rate	$202.46
Rate for Payer: Buckeye Health Medicaid OOS	$202.46
Rate for Payer: Molina Healthcare of OH Medicare	$202.46

OUTPATIENT EAPG 00784: SICKLE CELL ANEMIA

Facility OP

$127.27

Service Code	EAPG 00784
Hospital Charge Code	EAPG 00784
Min. Negotiated Rate	$127.27
Max. Negotiated Rate	$127.27
Rate for Payer: Buckeye Health Medicaid OOS	$127.27
Rate for Payer: Molina Healthcare of OH Medicare	$127.27

OUTPATIENT EAPG 00785: ANEMIA EXCEPT FOR IRON DEFICIENCY ANEMIA AND SICKLE CELL ANEMIA

Facility OP

$67.31

Service Code	EAPG 00785
Hospital Charge Code	EAPG 00785
Min. Negotiated Rate	$67.31
Max. Negotiated Rate	$67.31
Rate for Payer: Buckeye Health Medicaid OOS	$67.31
Rate for Payer: Molina Healthcare of OH Medicare	$67.31

OUTPATIENT EAPG 00786: IRON DEFICIENCY ANEMIA

Facility OP

$68.18

Service Code	EAPG 00786
Hospital Charge Code	EAPG 00786
Min. Negotiated Rate	$68.18
Max. Negotiated Rate	$68.18
Rate for Payer: Buckeye Health Medicaid OOS	$68.18
Rate for Payer: Molina Healthcare of OH Medicare	$68.18

OUTPATIENT EAPG 00800: ACUTE LEUKEMIA

Facility OP

$146.52

Service Code	EAPG 00800
Hospital Charge Code	EAPG 00800
Min. Negotiated Rate	$146.52
Max. Negotiated Rate	$146.52
Rate for Payer: Buckeye Health Medicaid OOS	$146.52
Rate for Payer: Molina Healthcare of OH Medicare	$146.52

OUTPATIENT EAPG 00801: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility OP

$72.89

Service Code	EAPG 00801
Hospital Charge Code	EAPG 00801
Min. Negotiated Rate	$72.89
Max. Negotiated Rate	$72.89
Rate for Payer: Buckeye Health Medicaid OOS	$72.89
Rate for Payer: Molina Healthcare of OH Medicare	$72.89

OUTPATIENT EAPG 00802: RADIOTHERAPY

Facility OP

$48.21

Service Code	EAPG 00802
Hospital Charge Code	EAPG 00802
Min. Negotiated Rate	$48.21
Max. Negotiated Rate	$48.21
Rate for Payer: Buckeye Health Medicaid OOS	$48.21
Rate for Payer: Molina Healthcare of OH Medicare	$48.21

OUTPATIENT EAPG 00803: CHEMOTHERAPY

Facility OP

$90.17

Service Code	EAPG 00803
Hospital Charge Code	EAPG 00803
Min. Negotiated Rate	$90.17
Max. Negotiated Rate	$90.17
Rate for Payer: Buckeye Health Medicaid OOS	$90.17
Rate for Payer: Molina Healthcare of OH Medicare	$90.17

OUTPATIENT EAPG 00804: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility OP

$58.51

Service Code	EAPG 00804
Hospital Charge Code	EAPG 00804
Min. Negotiated Rate	$58.51
Max. Negotiated Rate	$58.51
Rate for Payer: Buckeye Health Medicaid OOS	$58.51
Rate for Payer: Molina Healthcare of OH Medicare	$58.51

OUTPATIENT EAPG 00805: SEPTICEMIA & DISSEMINATED INFECTIONS

Facility OP

$128.88

Service Code	EAPG 00805
Hospital Charge Code	EAPG 00805
Min. Negotiated Rate	$128.88
Max. Negotiated Rate	$128.88
Rate for Payer: Buckeye Health Medicaid OOS	$128.88
Rate for Payer: Molina Healthcare of OH Medicare	$128.88

OUTPATIENT EAPG 00806: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS AND COMPLICATIONS

Facility OP

$75.28

Service Code	EAPG 00806
Hospital Charge Code	EAPG 00806
Min. Negotiated Rate	$75.28
Max. Negotiated Rate	$75.28
Rate for Payer: Buckeye Health Medicaid OOS	$75.28
Rate for Payer: Molina Healthcare of OH Medicare	$75.28

OUTPATIENT EAPG 00807: FEVER

Facility OP

$86.53

Service Code	EAPG 00807
Hospital Charge Code	EAPG 00807
Min. Negotiated Rate	$86.53
Max. Negotiated Rate	$86.53
Rate for Payer: Buckeye Health Medicaid OOS	$86.53
Rate for Payer: Molina Healthcare of OH Medicare	$86.53

OUTPATIENT EAPG 00808: VIRAL ILLNESS

Facility OP

$68.09

Service Code	EAPG 00808
Hospital Charge Code	EAPG 00808
Min. Negotiated Rate	$68.09
Max. Negotiated Rate	$68.09
Rate for Payer: Buckeye Health Medicaid OOS	$68.09
Rate for Payer: Molina Healthcare of OH Medicare	$68.09

OUTPATIENT EAPG 00809: OTHER INFECTIOUS & PARASITIC DISEASES

Facility OP

$79.32

Service Code	EAPG 00809
Hospital Charge Code	EAPG 00809
Min. Negotiated Rate	$79.32
Max. Negotiated Rate	$79.32
Rate for Payer: Buckeye Health Medicaid OOS	$79.32
Rate for Payer: Molina Healthcare of OH Medicare	$79.32

OUTPATIENT EAPG 00810: H. PYLORI INFECTION

Facility OP

$40.06

Service Code	EAPG 00810
Hospital Charge Code	EAPG 00810
Min. Negotiated Rate	$40.06
Max. Negotiated Rate	$40.06
Rate for Payer: Buckeye Health Medicaid OOS	$40.06
Rate for Payer: Molina Healthcare of OH Medicare	$40.06

OUTPATIENT EAPG 00820: SCHIZOPHRENIA

Facility OP

$150.54

Service Code	EAPG 00820
Hospital Charge Code	EAPG 00820
Min. Negotiated Rate	$150.54
Max. Negotiated Rate	$150.54
Rate for Payer: Buckeye Health Medicaid OOS	$150.54
Rate for Payer: Molina Healthcare of OH Medicare	$150.54

OUTPATIENT EAPG 00821: MAJOR DEPRESSIVE DIAGNOSES & OTHER/UNSPECIFIED PSYCHOSES

Facility OP

$105.50

Service Code	EAPG 00821
Hospital Charge Code	EAPG 00821
Min. Negotiated Rate	$105.50
Max. Negotiated Rate	$105.50
Rate for Payer: Buckeye Health Medicaid OOS	$105.50
Rate for Payer: Molina Healthcare of OH Medicare	$105.50

OUTPATIENT EAPG 00822: PERSONALITY & IMPULSE CONTROL DIAGNOSES

Facility OP

$127.75

Service Code	EAPG 00822
Hospital Charge Code	EAPG 00822
Min. Negotiated Rate	$127.75
Max. Negotiated Rate	$127.75
Rate for Payer: Buckeye Health Medicaid OOS	$127.75
Rate for Payer: Molina Healthcare of OH Medicare	$127.75

OUTPATIENT EAPG 00823: BIPOLAR DISORDERS

Facility OP

$109.01

Service Code	EAPG 00823
Hospital Charge Code	EAPG 00823
Min. Negotiated Rate	$109.01
Max. Negotiated Rate	$109.01
Rate for Payer: Buckeye Health Medicaid OOS	$109.01
Rate for Payer: Molina Healthcare of OH Medicare	$109.01

OUTPATIENT EAPG 00824: DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES

Facility OP

$89.63

Service Code	EAPG 00824
Hospital Charge Code	EAPG 00824
Min. Negotiated Rate	$89.63
Max. Negotiated Rate	$89.63
Rate for Payer: Buckeye Health Medicaid OOS	$89.63
Rate for Payer: Molina Healthcare of OH Medicare	$89.63

OUTPATIENT EAPG 00825: ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility OP

$88.56

Service Code	EAPG 00825
Hospital Charge Code	EAPG 00825
Min. Negotiated Rate	$88.56
Max. Negotiated Rate	$88.56
Rate for Payer: Buckeye Health Medicaid OOS	$88.56
Rate for Payer: Molina Healthcare of OH Medicare	$88.56

OUTPATIENT EAPG 00826: ACUTE ANXIETY & DELIRIUM STATES

Facility OP

$106.33

Service Code	EAPG 00826
Hospital Charge Code	EAPG 00826
Min. Negotiated Rate	$106.33
Max. Negotiated Rate	$106.33
Rate for Payer: Buckeye Health Medicaid OOS	$106.33
Rate for Payer: Molina Healthcare of OH Medicare	$106.33

OUTPATIENT EAPG 00827: ORGANIC BEHAVIORAL HEALTH DISTURBANCES

Facility OP

$85.34

Service Code	EAPG 00827
Hospital Charge Code	EAPG 00827
Min. Negotiated Rate	$85.34
Max. Negotiated Rate	$85.34
Rate for Payer: Buckeye Health Medicaid OOS	$85.34
Rate for Payer: Molina Healthcare of OH Medicare	$85.34

Price Transparency.

All Charges