Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0524: ALTERATION IN CONSCIOUSNESS

Facility

$14,277.18

Service Code	APR-DRG 0524
Hospital Charge Code	APRDRG 0524
Min. Negotiated Rate	$14,277.18
Max. Negotiated Rate	$14,277.18
Rate for Payer: Aetna CHP/Medicaid	$14,277.18
Rate for Payer: Humana OH Medicaid	$14,277.18

INPATIENT APRDRG 0531: SEIZURE

Facility

$3,189.45

Service Code	APR-DRG 0531
Hospital Charge Code	APRDRG 0531
Min. Negotiated Rate	$3,189.45
Max. Negotiated Rate	$3,189.45
Rate for Payer: Aetna CHP/Medicaid	$3,189.45
Rate for Payer: Humana OH Medicaid	$3,189.45

INPATIENT APRDRG 0532: SEIZURE

Facility

$3,993.64

Service Code	APR-DRG 0532
Hospital Charge Code	APRDRG 0532
Min. Negotiated Rate	$3,993.64
Max. Negotiated Rate	$3,993.64
Rate for Payer: Aetna CHP/Medicaid	$3,993.64
Rate for Payer: Humana OH Medicaid	$3,993.64

INPATIENT APRDRG 0533: SEIZURE

Facility

$5,566.28

Service Code	APR-DRG 0533
Hospital Charge Code	APRDRG 0533
Min. Negotiated Rate	$5,566.28
Max. Negotiated Rate	$5,566.28
Rate for Payer: Aetna CHP/Medicaid	$5,566.28
Rate for Payer: Humana OH Medicaid	$5,566.28

INPATIENT APRDRG 0534: SEIZURE

Facility

$11,350.81

Service Code	APR-DRG 0534
Hospital Charge Code	APRDRG 0534
Min. Negotiated Rate	$11,350.81
Max. Negotiated Rate	$11,350.81
Rate for Payer: Aetna CHP/Medicaid	$11,350.81
Rate for Payer: Humana OH Medicaid	$11,350.81

INPATIENT APRDRG 0541: MIGRAINE & OTHER HEADACHES

Facility

$3,422.65

Service Code	APR-DRG 0541
Hospital Charge Code	APRDRG 0541
Min. Negotiated Rate	$3,422.65
Max. Negotiated Rate	$3,422.65
Rate for Payer: Aetna CHP/Medicaid	$3,422.65
Rate for Payer: Humana OH Medicaid	$3,422.65

INPATIENT APRDRG 0542: MIGRAINE & OTHER HEADACHES

Facility

$4,448.34

Service Code	APR-DRG 0542
Hospital Charge Code	APRDRG 0542
Min. Negotiated Rate	$4,448.34
Max. Negotiated Rate	$4,448.34
Rate for Payer: Aetna CHP/Medicaid	$4,448.34
Rate for Payer: Humana OH Medicaid	$4,448.34

INPATIENT APRDRG 0543: MIGRAINE & OTHER HEADACHES

Facility

$4,857.58

Service Code	APR-DRG 0543
Hospital Charge Code	APRDRG 0543
Min. Negotiated Rate	$4,857.58
Max. Negotiated Rate	$4,857.58
Rate for Payer: Aetna CHP/Medicaid	$4,857.58
Rate for Payer: Humana OH Medicaid	$4,857.58

INPATIENT APRDRG 0544: MIGRAINE & OTHER HEADACHES

Facility

$5,887.17

Service Code	APR-DRG 0544
Hospital Charge Code	APRDRG 0544
Min. Negotiated Rate	$5,887.17
Max. Negotiated Rate	$5,887.17
Rate for Payer: Aetna CHP/Medicaid	$5,887.17
Rate for Payer: Humana OH Medicaid	$5,887.17

INPATIENT APRDRG 0551: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$2,813.99

Service Code	APR-DRG 0551
Hospital Charge Code	APRDRG 0551
Min. Negotiated Rate	$2,813.99
Max. Negotiated Rate	$2,813.99
Rate for Payer: Aetna CHP/Medicaid	$2,813.99
Rate for Payer: Humana OH Medicaid	$2,813.99

INPATIENT APRDRG 0552: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$4,198.25

Service Code	APR-DRG 0552
Hospital Charge Code	APRDRG 0552
Min. Negotiated Rate	$4,198.25
Max. Negotiated Rate	$4,198.25
Rate for Payer: Aetna CHP/Medicaid	$4,198.25
Rate for Payer: Humana OH Medicaid	$4,198.25

INPATIENT APRDRG 0553: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$7,512.43

Service Code	APR-DRG 0553
Hospital Charge Code	APRDRG 0553
Min. Negotiated Rate	$7,512.43
Max. Negotiated Rate	$7,512.43
Rate for Payer: Aetna CHP/Medicaid	$7,512.43
Rate for Payer: Humana OH Medicaid	$7,512.43

INPATIENT APRDRG 0554: HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE

Facility

$12,768.20

Service Code	APR-DRG 0554
Hospital Charge Code	APRDRG 0554
Min. Negotiated Rate	$12,768.20
Max. Negotiated Rate	$12,768.20
Rate for Payer: Aetna CHP/Medicaid	$12,768.20
Rate for Payer: Humana OH Medicaid	$12,768.20

INPATIENT APRDRG 0561: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA

Facility

$2,428.79

Service Code	APR-DRG 0561
Hospital Charge Code	APRDRG 0561
Min. Negotiated Rate	$2,428.79
Max. Negotiated Rate	$2,428.79
Rate for Payer: Aetna CHP/Medicaid	$2,428.79
Rate for Payer: Humana OH Medicaid	$2,428.79

INPATIENT APRDRG 0562: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA

Facility

$6,158.70

Service Code	APR-DRG 0562
Hospital Charge Code	APRDRG 0562
Min. Negotiated Rate	$6,158.70
Max. Negotiated Rate	$6,158.70
Rate for Payer: Aetna CHP/Medicaid	$6,158.70
Rate for Payer: Humana OH Medicaid	$6,158.70

INPATIENT APRDRG 0563: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA

Facility

$6,158.70

Service Code	APR-DRG 0563
Hospital Charge Code	APRDRG 0563
Min. Negotiated Rate	$6,158.70
Max. Negotiated Rate	$6,158.70
Rate for Payer: Aetna CHP/Medicaid	$6,158.70
Rate for Payer: Humana OH Medicaid	$6,158.70

INPATIENT APRDRG 0564: BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA

Facility

$6,158.70

Service Code	APR-DRG 0564
Hospital Charge Code	APRDRG 0564
Min. Negotiated Rate	$6,158.70
Max. Negotiated Rate	$6,158.70
Rate for Payer: Aetna CHP/Medicaid	$6,158.70
Rate for Payer: Humana OH Medicaid	$6,158.70

INPATIENT APRDRG 0571: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA

Facility

$2,546.37

Service Code	APR-DRG 0571
Hospital Charge Code	APRDRG 0571
Min. Negotiated Rate	$2,546.37
Max. Negotiated Rate	$2,546.37
Rate for Payer: Aetna CHP/Medicaid	$2,546.37
Rate for Payer: Humana OH Medicaid	$2,546.37

INPATIENT APRDRG 0572: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA

Facility

$3,630.52

Service Code	APR-DRG 0572
Hospital Charge Code	APRDRG 0572
Min. Negotiated Rate	$3,630.52
Max. Negotiated Rate	$3,630.52
Rate for Payer: Aetna CHP/Medicaid	$3,630.52
Rate for Payer: Humana OH Medicaid	$3,630.52

INPATIENT APRDRG 0573: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA

Facility

$5,147.95

Service Code	APR-DRG 0573
Hospital Charge Code	APRDRG 0573
Min. Negotiated Rate	$5,147.95
Max. Negotiated Rate	$5,147.95
Rate for Payer: Aetna CHP/Medicaid	$5,147.95
Rate for Payer: Humana OH Medicaid	$5,147.95

INPATIENT APRDRG 0574: CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA

Facility

$10,371.89

Service Code	APR-DRG 0574
Hospital Charge Code	APRDRG 0574
Min. Negotiated Rate	$10,371.89
Max. Negotiated Rate	$10,371.89
Rate for Payer: Aetna CHP/Medicaid	$10,371.89
Rate for Payer: Humana OH Medicaid	$10,371.89

INPATIENT APRDRG 0581: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$5,381.80

Service Code	APR-DRG 0581
Hospital Charge Code	APRDRG 0581
Min. Negotiated Rate	$5,381.80
Max. Negotiated Rate	$5,381.80
Rate for Payer: Aetna CHP/Medicaid	$5,381.80
Rate for Payer: Humana OH Medicaid	$5,381.80

INPATIENT APRDRG 0582: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$7,942.45

Service Code	APR-DRG 0582
Hospital Charge Code	APRDRG 0582
Min. Negotiated Rate	$7,942.45
Max. Negotiated Rate	$7,942.45
Rate for Payer: Aetna CHP/Medicaid	$7,942.45
Rate for Payer: Humana OH Medicaid	$7,942.45

INPATIENT APRDRG 0583: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$11,753.55

Service Code	APR-DRG 0583
Hospital Charge Code	APRDRG 0583
Min. Negotiated Rate	$11,753.55
Max. Negotiated Rate	$11,753.55
Rate for Payer: Aetna CHP/Medicaid	$11,753.55
Rate for Payer: Humana OH Medicaid	$11,753.55

INPATIENT APRDRG 0584: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$19,991.57

Service Code	APR-DRG 0584
Hospital Charge Code	APRDRG 0584
Min. Negotiated Rate	$19,991.57
Max. Negotiated Rate	$19,991.57
Rate for Payer: Aetna CHP/Medicaid	$19,991.57
Rate for Payer: Humana OH Medicaid	$19,991.57

Know your out-of-pocket cost for care.

All Charges