Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$22,392.00

Service Code	APR-DRG 0274
Min. Negotiated Rate	$22,392.00
Max. Negotiated Rate	$22,392.00
Rate for Payer: Buckeye Health Medicaid OOS	$22,392.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$22,392.00

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$15,734.92

Service Code	APR-DRG 0273
Min. Negotiated Rate	$15,734.92
Max. Negotiated Rate	$15,734.92
Rate for Payer: Buckeye Health Medicaid OOS	$15,734.92
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$15,734.92

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$10,806.95

Service Code	APR-DRG 0272
Min. Negotiated Rate	$10,806.95
Max. Negotiated Rate	$10,806.95
Rate for Payer: Buckeye Health Medicaid OOS	$10,806.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,806.95

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$7,867.46

Service Code	APR-DRG 0271
Min. Negotiated Rate	$7,867.46
Max. Negotiated Rate	$7,867.46
Rate for Payer: Buckeye Health Medicaid OOS	$7,867.46
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,867.46

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$5,662.84

Service Code	APR-DRG 6811
Min. Negotiated Rate	$4,122.79
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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$14,623.56

Service Code	APR-DRG 6813
Min. Negotiated Rate	$11,974.10
Max. Negotiated Rate	$14,623.56
Rate for Payer: Buckeye Health Medicaid OOS	$11,974.10
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,974.10

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$23,904.97

Service Code	APR-DRG 6814
Min. Negotiated Rate	$19,627.29
Max. Negotiated Rate	$23,904.97
Rate for Payer: Buckeye Health Medicaid OOS	$23,904.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$23,904.97

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$7,608.09

Service Code	APR-DRG 6812
Min. Negotiated Rate	$5,426.57
Max. Negotiated Rate	$7,608.09
Rate for Payer: Buckeye Health Medicaid OOS	$7,608.09
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,608.09

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$18,977.00

Service Code	APR-DRG 0294
Min. Negotiated Rate	$18,977.00
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 PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$7,910.69

Service Code	APR-DRG 0291
Min. Negotiated Rate	$7,910.69
Max. Negotiated Rate	$7,910.69
Rate for Payer: Buckeye Health Medicaid OOS	$7,910.69
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,910.69

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$14,221.95

Service Code	APR-DRG 0293
Min. Negotiated Rate	$14,221.95
Max. Negotiated Rate	$14,221.95
Rate for Payer: Buckeye Health Medicaid OOS	$14,221.95
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$14,221.95

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$9,899.17

Service Code	APR-DRG 0292
Min. Negotiated Rate	$9,899.17
Max. Negotiated Rate	$9,899.17
Rate for Payer: Buckeye Health Medicaid OOS	$9,899.17
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,899.17

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$8,562.71

Service Code	APR-DRG 1821
Min. Negotiated Rate	$7,132.59
Max. Negotiated Rate	$8,562.71
Rate for Payer: Buckeye Health Medicaid OOS	$7,132.59
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,132.59

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$10,782.67

Service Code	APR-DRG 1822
Min. Negotiated Rate	$8,775.24
Max. Negotiated Rate	$10,782.67
Rate for Payer: Buckeye Health Medicaid OOS	$8,775.24
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,775.24

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$17,507.26

Service Code	APR-DRG 1824
Min. Negotiated Rate	$14,517.85
Max. Negotiated Rate	$17,507.26
Rate for Payer: Buckeye Health Medicaid OOS	$17,507.26
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,507.26

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$11,196.00

Service Code	APR-DRG 1823
Min. Negotiated Rate	$10,782.67
Max. Negotiated Rate	$11,196.00
Rate for Payer: Buckeye Health Medicaid OOS	$11,196.00
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,196.00

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$7,046.13

Service Code	APR-DRG 1394
Min. Negotiated Rate	$6,659.89
Max. Negotiated Rate	$7,046.13
Rate for Payer: Buckeye Health Medicaid OOS	$7,046.13
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,046.13

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$2,853.03

Service Code	APR-DRG 1392
Min. Negotiated Rate	$2,466.62
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 PNEUMONIA

Facility

$2,074.93

Service Code	APR-DRG 1391
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 PNEUMONIA

Facility

$4,322.78

Service Code	APR-DRG 1393
Min. Negotiated Rate	$3,699.94
Max. Negotiated Rate	$4,322.78
Rate for Payer: Buckeye Health Medicaid OOS	$4,322.78
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,322.78

APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$10,331.44

Service Code	APR-DRG 4053
Min. Negotiated Rate	$7,505.59
Max. Negotiated Rate	$10,331.44
Rate for Payer: Buckeye Health Medicaid OOS	$10,331.44
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,331.44

APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$19,711.88

Service Code	APR-DRG 4054
Min. Negotiated Rate	$16,702.58
Max. Negotiated Rate	$19,711.88
Rate for Payer: Buckeye Health Medicaid OOS	$19,711.88
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$19,711.88

APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$6,916.45

Service Code	APR-DRG 4052
Min. Negotiated Rate	$5,038.96
Max. Negotiated Rate	$6,916.45
Rate for Payer: Buckeye Health Medicaid OOS	$6,916.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,916.45

APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$5,706.07

Service Code	APR-DRG 4051
Min. Negotiated Rate	$4,369.45
Max. Negotiated Rate	$5,706.07
Rate for Payer: Buckeye Health Medicaid OOS	$5,706.07
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,706.07

APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$5,533.16

Service Code	APR-DRG 6511
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$5,533.16
Rate for Payer: Buckeye Health Medicaid OOS	$5,533.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,533.16

Know your out-of-pocket cost for care.

All Charges