Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

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

Facility

$19,668.65

Service Code	APR-DRG 2644
Min. Negotiated Rate	$18,464.45
Max. Negotiated Rate	$19,668.65
Rate for Payer: Buckeye Health Medicaid OOS	$19,668.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,668.65

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$10,547.58

Service Code	APR-DRG 7244
Min. Negotiated Rate	$8,280.81
Max. Negotiated Rate	$10,547.58
Rate for Payer: Buckeye Health Medicaid OOS	$10,547.58
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,547.58

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$2,819.00

Service Code	APR-DRG 7241
Min. Negotiated Rate	$2,377.53
Max. Negotiated Rate	$2,819.00
Rate for Payer: Buckeye Health Medicaid OOS	$2,377.53
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,377.53

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$3,415.00

Service Code	APR-DRG 7242
Min. Negotiated Rate	$3,171.38
Max. Negotiated Rate	$3,415.00
Rate for Payer: Buckeye Health Medicaid OOS	$3,415.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,415.00

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$6,554.18

Service Code	APR-DRG 7243
Min. Negotiated Rate	$5,360.25
Max. Negotiated Rate	$6,554.18
Rate for Payer: Buckeye Health Medicaid OOS	$5,360.25
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,360.25

APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$10,720.49

Service Code	APR-DRG 8154
Min. Negotiated Rate	$6,765.60
Max. Negotiated Rate	$10,720.49
Rate for Payer: Buckeye Health Medicaid OOS	$10,720.49
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,720.49

APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$1,988.48

Service Code	APR-DRG 8151
Min. Negotiated Rate	$1,550.45
Max. Negotiated Rate	$1,988.48
Rate for Payer: Buckeye Health Medicaid OOS	$1,988.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,988.48

APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$5,057.65

Service Code	APR-DRG 8153
Min. Negotiated Rate	$2,748.53
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 INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$3,025.95

Service Code	APR-DRG 8152
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$3,025.95
Rate for Payer: Buckeye Health Medicaid OOS	$3,025.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,025.95

APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$2,537.10

Service Code	APR-DRG 4681
Min. Negotiated Rate	$2,420.76
Max. Negotiated Rate	$2,537.10
Rate for Payer: Buckeye Health Medicaid OOS	$2,420.76
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,420.76

APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$4,017.07

Service Code	APR-DRG 4682
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$4,017.07
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$8,559.10

Service Code	APR-DRG 4684
Min. Negotiated Rate	$5,461.81
Max. Negotiated Rate	$8,559.10
Rate for Payer: Buckeye Health Medicaid OOS	$8,559.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,559.10

APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$4,841.51

Service Code	APR-DRG 4683
Min. Negotiated Rate	$4,545.64
Max. Negotiated Rate	$4,841.51
Rate for Payer: Buckeye Health Medicaid OOS	$4,841.51
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,841.51

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$10,590.81

Service Code	APR-DRG 4473
Min. Negotiated Rate	$7,752.25
Max. Negotiated Rate	$10,590.81
Rate for Payer: Buckeye Health Medicaid OOS	$10,590.81
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,590.81

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$18,501.50

Service Code	APR-DRG 4474
Min. Negotiated Rate	$8,774.14
Max. Negotiated Rate	$18,501.50
Rate for Payer: Buckeye Health Medicaid OOS	$18,501.50
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,501.50

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$7,089.36

Service Code	APR-DRG 4472
Min. Negotiated Rate	$5,743.71
Max. Negotiated Rate	$7,089.36
Rate for Payer: Buckeye Health Medicaid OOS	$7,089.36
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,089.36

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$5,749.30

Service Code	APR-DRG 4471
Min. Negotiated Rate	$5,179.91
Max. Negotiated Rate	$5,749.30
Rate for Payer: Buckeye Health Medicaid OOS	$5,749.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,749.30

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$6,008.66

Service Code	APR-DRG 4481
Min. Negotiated Rate	$6,008.66
Max. Negotiated Rate	$6,008.66
Rate for Payer: Buckeye Health Medicaid OOS	$6,008.66
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,008.66

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$8,991.38

Service Code	APR-DRG 4482
Min. Negotiated Rate	$8,991.38
Max. Negotiated Rate	$8,991.38
Rate for Payer: Buckeye Health Medicaid OOS	$8,991.38
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,991.38

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$10,850.18

Service Code	APR-DRG 4483
Min. Negotiated Rate	$10,850.18
Max. Negotiated Rate	$10,850.18
Rate for Payer: Buckeye Health Medicaid OOS	$10,850.18
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,850.18

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$18,328.59

Service Code	APR-DRG 4484
Min. Negotiated Rate	$18,328.59
Max. Negotiated Rate	$18,328.59
Rate for Payer: Buckeye Health Medicaid OOS	$18,328.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,328.59

APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$12,103.78

Service Code	APR-DRG 0912
Min. Negotiated Rate	$7,188.45
Max. Negotiated Rate	$12,103.78
Rate for Payer: Buckeye Health Medicaid OOS	$12,103.78
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,103.78

APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$7,564.86

Service Code	APR-DRG 0911
Min. Negotiated Rate	$6,589.41
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 MAJOR HEAD AND NECK PROCEDURES

Facility

$18,069.22

Service Code	APR-DRG 0913
Min. Negotiated Rate	$10,183.64
Max. Negotiated Rate	$18,069.22
Rate for Payer: Buckeye Health Medicaid OOS	$18,069.22
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,069.22

Know your out-of-pocket cost for care.

All Charges