Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0074: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$163,980.08

Service Code	APR-DRG 0074
Hospital Charge Code	APRDRG 0074
Min. Negotiated Rate	$163,980.08
Max. Negotiated Rate	$163,980.08
Rate for Payer: Aetna CHP/Medicaid	$163,980.08
Rate for Payer: Humana OH Medicaid	$163,980.08

INPATIENT APRDRG 0081: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$29,296.84

Service Code	APR-DRG 0081
Hospital Charge Code	APRDRG 0081
Min. Negotiated Rate	$29,296.84
Max. Negotiated Rate	$29,296.84
Rate for Payer: Aetna CHP/Medicaid	$29,296.84
Rate for Payer: Humana OH Medicaid	$29,296.84

INPATIENT APRDRG 0082: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$29,296.84

Service Code	APR-DRG 0082
Hospital Charge Code	APRDRG 0082
Min. Negotiated Rate	$29,296.84
Max. Negotiated Rate	$29,296.84
Rate for Payer: Aetna CHP/Medicaid	$29,296.84
Rate for Payer: Humana OH Medicaid	$29,296.84

INPATIENT APRDRG 0083: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$48,242.58

Service Code	APR-DRG 0083
Hospital Charge Code	APRDRG 0083
Min. Negotiated Rate	$48,242.58
Max. Negotiated Rate	$48,242.58
Rate for Payer: Aetna CHP/Medicaid	$48,242.58
Rate for Payer: Humana OH Medicaid	$48,242.58

INPATIENT APRDRG 0084: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$64,225.57

Service Code	APR-DRG 0084
Hospital Charge Code	APRDRG 0084
Min. Negotiated Rate	$64,225.57
Max. Negotiated Rate	$64,225.57
Rate for Payer: Aetna CHP/Medicaid	$64,225.57
Rate for Payer: Humana OH Medicaid	$64,225.57

INPATIENT APRDRG 0091: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$34,811.80

Service Code	APR-DRG 0091
Hospital Charge Code	APRDRG 0091
Min. Negotiated Rate	$34,811.80
Max. Negotiated Rate	$34,811.80
Rate for Payer: Aetna CHP/Medicaid	$34,811.80
Rate for Payer: Humana OH Medicaid	$34,811.80

INPATIENT APRDRG 0092: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$34,811.80

Service Code	APR-DRG 0092
Hospital Charge Code	APRDRG 0092
Min. Negotiated Rate	$34,811.80
Max. Negotiated Rate	$34,811.80
Rate for Payer: Aetna CHP/Medicaid	$34,811.80
Rate for Payer: Humana OH Medicaid	$34,811.80

INPATIENT APRDRG 0093: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$34,811.80

Service Code	APR-DRG 0093
Hospital Charge Code	APRDRG 0093
Min. Negotiated Rate	$34,811.80
Max. Negotiated Rate	$34,811.80
Rate for Payer: Aetna CHP/Medicaid	$34,811.80
Rate for Payer: Humana OH Medicaid	$34,811.80

INPATIENT APRDRG 0094: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$84,893.35

Service Code	APR-DRG 0094
Hospital Charge Code	APRDRG 0094
Min. Negotiated Rate	$84,893.35
Max. Negotiated Rate	$84,893.35
Rate for Payer: Aetna CHP/Medicaid	$84,893.35
Rate for Payer: Humana OH Medicaid	$84,893.35

INPATIENT APRDRG 0111: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$47,784.62

Service Code	APR-DRG 0111
Hospital Charge Code	APRDRG 0111
Min. Negotiated Rate	$47,784.62
Max. Negotiated Rate	$47,784.62
Rate for Payer: Aetna CHP/Medicaid	$47,784.62
Rate for Payer: Humana OH Medicaid	$47,784.62

INPATIENT APRDRG 0112: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$47,784.62

Service Code	APR-DRG 0112
Hospital Charge Code	APRDRG 0112
Min. Negotiated Rate	$47,784.62
Max. Negotiated Rate	$47,784.62
Rate for Payer: Aetna CHP/Medicaid	$47,784.62
Rate for Payer: Humana OH Medicaid	$47,784.62

INPATIENT APRDRG 0113: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$47,784.62

Service Code	APR-DRG 0113
Hospital Charge Code	APRDRG 0113
Min. Negotiated Rate	$47,784.62
Max. Negotiated Rate	$47,784.62
Rate for Payer: Aetna CHP/Medicaid	$47,784.62
Rate for Payer: Humana OH Medicaid	$47,784.62

INPATIENT APRDRG 0114: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$47,784.62

Service Code	APR-DRG 0114
Hospital Charge Code	APRDRG 0114
Min. Negotiated Rate	$47,784.62
Max. Negotiated Rate	$47,784.62
Rate for Payer: Aetna CHP/Medicaid	$47,784.62
Rate for Payer: Humana OH Medicaid	$47,784.62

INPATIENT APRDRG 0201: CRANIOTOMY FOR TRAUMA

Facility

$10,733.71

Service Code	APR-DRG 0201
Hospital Charge Code	APRDRG 0201
Min. Negotiated Rate	$10,733.71
Max. Negotiated Rate	$10,733.71
Rate for Payer: Aetna CHP/Medicaid	$10,733.71
Rate for Payer: Humana OH Medicaid	$10,733.71

INPATIENT APRDRG 0202: CRANIOTOMY FOR TRAUMA

Facility

$14,445.43

Service Code	APR-DRG 0202
Hospital Charge Code	APRDRG 0202
Min. Negotiated Rate	$14,445.43
Max. Negotiated Rate	$14,445.43
Rate for Payer: Aetna CHP/Medicaid	$14,445.43
Rate for Payer: Humana OH Medicaid	$14,445.43

INPATIENT APRDRG 0203: CRANIOTOMY FOR TRAUMA

Facility

$20,261.79

Service Code	APR-DRG 0203
Hospital Charge Code	APRDRG 0203
Min. Negotiated Rate	$20,261.79
Max. Negotiated Rate	$20,261.79
Rate for Payer: Aetna CHP/Medicaid	$20,261.79
Rate for Payer: Humana OH Medicaid	$20,261.79

INPATIENT APRDRG 0204: CRANIOTOMY FOR TRAUMA

Facility

$33,508.74

Service Code	APR-DRG 0204
Hospital Charge Code	APRDRG 0204
Min. Negotiated Rate	$33,508.74
Max. Negotiated Rate	$33,508.74
Rate for Payer: Aetna CHP/Medicaid	$33,508.74
Rate for Payer: Humana OH Medicaid	$33,508.74

INPATIENT APRDRG 0211: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$12,143.30

Service Code	APR-DRG 0211
Hospital Charge Code	APRDRG 0211
Min. Negotiated Rate	$12,143.30
Max. Negotiated Rate	$12,143.30
Rate for Payer: Aetna CHP/Medicaid	$12,143.30
Rate for Payer: Humana OH Medicaid	$12,143.30

INPATIENT APRDRG 0212: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$15,804.35

Service Code	APR-DRG 0212
Hospital Charge Code	APRDRG 0212
Min. Negotiated Rate	$15,804.35
Max. Negotiated Rate	$15,804.35
Rate for Payer: Aetna CHP/Medicaid	$15,804.35
Rate for Payer: Humana OH Medicaid	$15,804.35

INPATIENT APRDRG 0213: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$25,054.42

Service Code	APR-DRG 0213
Hospital Charge Code	APRDRG 0213
Min. Negotiated Rate	$25,054.42
Max. Negotiated Rate	$25,054.42
Rate for Payer: Aetna CHP/Medicaid	$25,054.42
Rate for Payer: Humana OH Medicaid	$25,054.42

INPATIENT APRDRG 0214: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$39,715.50

Service Code	APR-DRG 0214
Hospital Charge Code	APRDRG 0214
Min. Negotiated Rate	$39,715.50
Max. Negotiated Rate	$39,715.50
Rate for Payer: Aetna CHP/Medicaid	$39,715.50
Rate for Payer: Humana OH Medicaid	$39,715.50

INPATIENT APRDRG 0221: VENTRICULAR SHUNT PROCEDURES

Facility

$9,203.94

Service Code	APR-DRG 0221
Hospital Charge Code	APRDRG 0221
Min. Negotiated Rate	$9,203.94
Max. Negotiated Rate	$9,203.94
Rate for Payer: Aetna CHP/Medicaid	$9,203.94
Rate for Payer: Humana OH Medicaid	$9,203.94

INPATIENT APRDRG 0222: VENTRICULAR SHUNT PROCEDURES

Facility

$10,778.53

Service Code	APR-DRG 0222
Hospital Charge Code	APRDRG 0222
Min. Negotiated Rate	$10,778.53
Max. Negotiated Rate	$10,778.53
Rate for Payer: Aetna CHP/Medicaid	$10,778.53
Rate for Payer: Humana OH Medicaid	$10,778.53

INPATIENT APRDRG 0223: VENTRICULAR SHUNT PROCEDURES

Facility

$16,487.72

Service Code	APR-DRG 0223
Hospital Charge Code	APRDRG 0223
Min. Negotiated Rate	$16,487.72
Max. Negotiated Rate	$16,487.72
Rate for Payer: Aetna CHP/Medicaid	$16,487.72
Rate for Payer: Humana OH Medicaid	$16,487.72

INPATIENT APRDRG 0224: VENTRICULAR SHUNT PROCEDURES

Facility

$48,489.42

Service Code	APR-DRG 0224
Hospital Charge Code	APRDRG 0224
Min. Negotiated Rate	$48,489.42
Max. Negotiated Rate	$48,489.42
Rate for Payer: Aetna CHP/Medicaid	$48,489.42
Rate for Payer: Humana OH Medicaid	$48,489.42

Know your out-of-pocket cost for care.

All Charges