Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$10,634.04

Service Code	APR-DRG 6513
Min. Negotiated Rate	$6,589.41
Max. Negotiated Rate	$10,634.04
Rate for Payer: Buckeye Health Medicaid OOS	$10,634.04
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$10,634.04

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

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

Facility

$20,533.21

Service Code	APR-DRG 6514
Min. Negotiated Rate	$7,294.16
Max. Negotiated Rate	$20,533.21
Rate for Payer: Buckeye Health Medicaid OOS	$20,533.21
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,533.21

APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$8,213.28

Service Code	APR-DRG 1212
Min. Negotiated Rate	$6,836.07
Max. Negotiated Rate	$8,213.28
Rate for Payer: Buckeye Health Medicaid OOS	$8,213.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,213.28

APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$12,708.97

Service Code	APR-DRG 1213
Min. Negotiated Rate	$10,183.64
Max. Negotiated Rate	$12,708.97
Rate for Payer: Buckeye Health Medicaid OOS	$12,708.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$12,708.97

APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$6,268.03

Service Code	APR-DRG 1211
Min. Negotiated Rate	$6,096.09
Max. Negotiated Rate	$6,268.03
Rate for Payer: Buckeye Health Medicaid OOS	$6,268.03
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,268.03

APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$20,057.70

Service Code	APR-DRG 1214
Min. Negotiated Rate	$20,050.14
Max. Negotiated Rate	$20,057.70
Rate for Payer: Buckeye Health Medicaid OOS	$20,057.70
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$20,057.70

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$8,948.15

Service Code	APR-DRG 1434
Min. Negotiated Rate	$8,457.00
Max. Negotiated Rate	$8,948.15
Rate for Payer: Buckeye Health Medicaid OOS	$8,948.15
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,948.15

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$5,403.48

Service Code	APR-DRG 1433
Min. Negotiated Rate	$4,404.69
Max. Negotiated Rate	$5,403.48
Rate for Payer: Buckeye Health Medicaid OOS	$5,403.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,403.48

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$3,594.22

Service Code	APR-DRG 1432
Min. Negotiated Rate	$3,501.45
Max. Negotiated Rate	$3,594.22
Rate for Payer: Buckeye Health Medicaid OOS	$3,501.45
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,501.45

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$2,924.71

Service Code	APR-DRG 1431
Min. Negotiated Rate	$2,463.98
Max. Negotiated Rate	$2,924.71
Rate for Payer: Buckeye Health Medicaid OOS	$2,463.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,463.98

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$17,074.98

Service Code	APR-DRG 3094
Min. Negotiated Rate	$13,425.49
Max. Negotiated Rate	$17,074.98
Rate for Payer: Buckeye Health Medicaid OOS	$17,074.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$17,074.98

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$11,887.65

Service Code	APR-DRG 3093
Min. Negotiated Rate	$8,421.76
Max. Negotiated Rate	$11,887.65
Rate for Payer: Buckeye Health Medicaid OOS	$11,887.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$11,887.65

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$6,657.08

Service Code	APR-DRG 3091
Min. Negotiated Rate	$5,038.96
Max. Negotiated Rate	$6,657.08
Rate for Payer: Buckeye Health Medicaid OOS	$6,657.08
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,657.08

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$8,732.02

Service Code	APR-DRG 3092
Min. Negotiated Rate	$7,329.40
Max. Negotiated Rate	$8,732.02
Rate for Payer: Buckeye Health Medicaid OOS	$8,732.02
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,732.02

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$2,334.30

Service Code	APR-DRG 3851
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$2,334.30
Rate for Payer: Buckeye Health Medicaid OOS	$2,334.30
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,334.30

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$3,065.66

Service Code	APR-DRG 3852
Min. Negotiated Rate	$3,025.95
Max. Negotiated Rate	$3,065.66
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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$4,927.97

Service Code	APR-DRG 3853
Min. Negotiated Rate	$3,065.66
Max. Negotiated Rate	$4,927.97
Rate for Payer: Buckeye Health Medicaid OOS	$4,927.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,927.97

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$8,213.28

Service Code	APR-DRG 3854
Min. Negotiated Rate	$3,946.60
Max. Negotiated Rate	$8,213.28
Rate for Payer: Buckeye Health Medicaid OOS	$8,213.28
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$8,213.28

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$3,631.14

Service Code	APR-DRG 3641
Min. Negotiated Rate	$3,206.61
Max. Negotiated Rate	$3,631.14
Rate for Payer: Buckeye Health Medicaid OOS	$3,631.14
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,631.14

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$13,314.16

Service Code	APR-DRG 3644
Min. Negotiated Rate	$10,218.88
Max. Negotiated Rate	$13,314.16
Rate for Payer: Buckeye Health Medicaid OOS	$13,314.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$13,314.16

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$4,798.29

Service Code	APR-DRG 3642
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$4,798.29
Rate for Payer: Buckeye Health Medicaid OOS	$4,798.29
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,798.29

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$7,910.69

Service Code	APR-DRG 3643
Min. Negotiated Rate	$6,730.36
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 SMALL AND LARGE BOWEL PROCEDURES

Facility

$9,293.98

Service Code	APR-DRG 2233
Min. Negotiated Rate	$6,483.70
Max. Negotiated Rate	$9,293.98
Rate for Payer: Buckeye Health Medicaid OOS	$9,293.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,293.98

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$16,685.93

Service Code	APR-DRG 2234
Min. Negotiated Rate	$10,888.39
Max. Negotiated Rate	$16,685.93
Rate for Payer: Buckeye Health Medicaid OOS	$16,685.93
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$16,685.93

Know your out-of-pocket cost for care.

All Charges