Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

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

Facility

$6,484.17

Service Code	APR-DRG 4842
Min. Negotiated Rate	$3,840.89
Max. Negotiated Rate	$6,484.17
Rate for Payer: Buckeye Health Medicaid OOS	$6,484.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,484.17

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

Facility

$10,374.67

Service Code	APR-DRG 4843
Min. Negotiated Rate	$5,778.95
Max. Negotiated Rate	$10,374.67
Rate for Payer: Buckeye Health Medicaid OOS	$10,374.67
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,374.67

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

Facility

$18,977.00

Service Code	APR-DRG 4844
Min. Negotiated Rate	$12,403.60
Max. Negotiated Rate	$18,977.00
Rate for Payer: Buckeye Health Medicaid OOS	$18,977.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,977.00

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

Facility

$5,273.79

Service Code	APR-DRG 4841
Min. Negotiated Rate	$3,206.61
Max. Negotiated Rate	$5,273.79
Rate for Payer: Buckeye Health Medicaid OOS	$5,273.79
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,273.79

APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$2,377.53

Service Code	APR-DRG 7601
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$2,377.53
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 MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$9,077.84

Service Code	APR-DRG 7604
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$9,077.84
Rate for Payer: Buckeye Health Medicaid OOS	$9,077.84
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,077.84

APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$2,853.03

Service Code	APR-DRG 7602
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$2,853.03
Rate for Payer: Buckeye Health Medicaid OOS	$2,853.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,853.03

APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$4,452.46

Service Code	APR-DRG 7603
Min. Negotiated Rate	$408.50
Max. Negotiated Rate	$4,452.46
Rate for Payer: Buckeye Health Medicaid OOS	$4,452.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,452.46

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$5,814.19

Service Code	APR-DRG 3513
Min. Negotiated Rate	$4,711.83
Max. Negotiated Rate	$5,814.19
Rate for Payer: Buckeye Health Medicaid OOS	$4,711.83
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,711.83

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$8,299.74

Service Code	APR-DRG 3514
Min. Negotiated Rate	$5,814.19
Max. Negotiated Rate	$8,299.74
Rate for Payer: Buckeye Health Medicaid OOS	$8,299.74
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,299.74

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$5,814.19

Service Code	APR-DRG 3511
Min. Negotiated Rate	$2,550.44
Max. Negotiated Rate	$5,814.19
Rate for Payer: Buckeye Health Medicaid OOS	$2,550.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,550.44

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$5,814.19

Service Code	APR-DRG 3512
Min. Negotiated Rate	$3,198.86
Max. Negotiated Rate	$5,814.19
Rate for Payer: Buckeye Health Medicaid OOS	$3,198.86
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,198.86

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$7,262.27

Service Code	APR-DRG 3202
Min. Negotiated Rate	$6,695.12
Max. Negotiated Rate	$7,262.27
Rate for Payer: Buckeye Health Medicaid OOS	$7,262.27
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,262.27

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$5,187.34

Service Code	APR-DRG 3201
Min. Negotiated Rate	$5,109.44
Max. Negotiated Rate	$5,187.34
Rate for Payer: Buckeye Health Medicaid OOS	$5,187.34
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,187.34

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$10,461.13

Service Code	APR-DRG 3203
Min. Negotiated Rate	$6,695.12
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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$15,951.06

Service Code	APR-DRG 3204
Min. Negotiated Rate	$10,606.49
Max. Negotiated Rate	$15,951.06
Rate for Payer: Buckeye Health Medicaid OOS	$15,951.06
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,951.06

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$18,890.55

Service Code	APR-DRG 0264
Min. Negotiated Rate	$12,544.55
Max. Negotiated Rate	$18,890.55
Rate for Payer: Buckeye Health Medicaid OOS	$18,890.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$18,890.55

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$9,077.84

Service Code	APR-DRG 0262
Min. Negotiated Rate	$7,047.50
Max. Negotiated Rate	$9,077.84
Rate for Payer: Buckeye Health Medicaid OOS	$9,077.84
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,077.84

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$6,095.12

Service Code	APR-DRG 0261
Min. Negotiated Rate	$4,686.59
Max. Negotiated Rate	$6,095.12
Rate for Payer: Buckeye Health Medicaid OOS	$6,095.12
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,095.12

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$12,060.56

Service Code	APR-DRG 0263
Min. Negotiated Rate	$7,435.11
Max. Negotiated Rate	$12,060.56
Rate for Payer: Buckeye Health Medicaid OOS	$12,060.56
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,060.56

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$4,063.41

Service Code	APR-DRG 4253
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$4,063.41
Rate for Payer: Buckeye Health Medicaid OOS	$4,063.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,063.41

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$2,074.93

Service Code	APR-DRG 4251
Min. Negotiated Rate	$1,726.64
Max. Negotiated Rate	$2,074.93
Rate for Payer: Buckeye Health Medicaid OOS	$2,074.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,074.93

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$2,766.58

Service Code	APR-DRG 4252
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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$7,997.14

Service Code	APR-DRG 4254
Min. Negotiated Rate	$4,475.16
Max. Negotiated Rate	$7,997.14
Rate for Payer: Buckeye Health Medicaid OOS	$7,997.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,997.14

Know your out-of-pocket cost for care.

All Charges