Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0591: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$8,413.40

Service Code	APR-DRG 0591
Hospital Charge Code	APRDRG 0591
Min. Negotiated Rate	$8,413.40
Max. Negotiated Rate	$8,413.40
Rate for Payer: Aetna CHP/Medicaid	$8,413.40
Rate for Payer: Humana OH Medicaid	$8,413.40

INPATIENT APRDRG 0592: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$8,413.40

Service Code	APR-DRG 0592
Hospital Charge Code	APRDRG 0592
Min. Negotiated Rate	$8,413.40
Max. Negotiated Rate	$8,413.40
Rate for Payer: Aetna CHP/Medicaid	$8,413.40
Rate for Payer: Humana OH Medicaid	$8,413.40

INPATIENT APRDRG 0593: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$9,784.02

Service Code	APR-DRG 0593
Hospital Charge Code	APRDRG 0593
Min. Negotiated Rate	$9,784.02
Max. Negotiated Rate	$9,784.02
Rate for Payer: Aetna CHP/Medicaid	$9,784.02
Rate for Payer: Humana OH Medicaid	$9,784.02

INPATIENT APRDRG 0594: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$12,371.96

Service Code	APR-DRG 0594
Hospital Charge Code	APRDRG 0594
Min. Negotiated Rate	$12,371.96
Max. Negotiated Rate	$12,371.96
Rate for Payer: Aetna CHP/Medicaid	$12,371.96
Rate for Payer: Humana OH Medicaid	$12,371.96

INPATIENT APRDRG 0731: ORBIT AND EYE PROCEDURES

Facility

$5,914.45

Service Code	APR-DRG 0731
Hospital Charge Code	APRDRG 0731
Min. Negotiated Rate	$5,914.45
Max. Negotiated Rate	$5,914.45
Rate for Payer: Aetna CHP/Medicaid	$5,914.45
Rate for Payer: Humana OH Medicaid	$5,914.45

INPATIENT APRDRG 0732: ORBIT AND EYE PROCEDURES

Facility

$7,589.73

Service Code	APR-DRG 0732
Hospital Charge Code	APRDRG 0732
Min. Negotiated Rate	$7,589.73
Max. Negotiated Rate	$7,589.73
Rate for Payer: Aetna CHP/Medicaid	$7,589.73
Rate for Payer: Humana OH Medicaid	$7,589.73

INPATIENT APRDRG 0733: ORBIT AND EYE PROCEDURES

Facility

$13,029.99

Service Code	APR-DRG 0733
Hospital Charge Code	APRDRG 0733
Min. Negotiated Rate	$13,029.99
Max. Negotiated Rate	$13,029.99
Rate for Payer: Aetna CHP/Medicaid	$13,029.99
Rate for Payer: Humana OH Medicaid	$13,029.99

INPATIENT APRDRG 0734: ORBIT AND EYE PROCEDURES

Facility

$25,694.91

Service Code	APR-DRG 0734
Hospital Charge Code	APRDRG 0734
Min. Negotiated Rate	$25,694.91
Max. Negotiated Rate	$25,694.91
Rate for Payer: Aetna CHP/Medicaid	$25,694.91
Rate for Payer: Humana OH Medicaid	$25,694.91

INPATIENT APRDRG 0821: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$3,627.92

Service Code	APR-DRG 0821
Hospital Charge Code	APRDRG 0821
Min. Negotiated Rate	$3,627.92
Max. Negotiated Rate	$3,627.92
Rate for Payer: Aetna CHP/Medicaid	$3,627.92
Rate for Payer: Humana OH Medicaid	$3,627.92

INPATIENT APRDRG 0822: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$4,512.00

Service Code	APR-DRG 0822
Hospital Charge Code	APRDRG 0822
Min. Negotiated Rate	$4,512.00
Max. Negotiated Rate	$4,512.00
Rate for Payer: Aetna CHP/Medicaid	$4,512.00
Rate for Payer: Humana OH Medicaid	$4,512.00

INPATIENT APRDRG 0823: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$6,296.41

Service Code	APR-DRG 0823
Hospital Charge Code	APRDRG 0823
Min. Negotiated Rate	$6,296.41
Max. Negotiated Rate	$6,296.41
Rate for Payer: Aetna CHP/Medicaid	$6,296.41
Rate for Payer: Humana OH Medicaid	$6,296.41

INPATIENT APRDRG 0824: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$11,254.03

Service Code	APR-DRG 0824
Hospital Charge Code	APRDRG 0824
Min. Negotiated Rate	$11,254.03
Max. Negotiated Rate	$11,254.03
Rate for Payer: Aetna CHP/Medicaid	$11,254.03
Rate for Payer: Humana OH Medicaid	$11,254.03

INPATIENT APRDRG 0891: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$11,830.21

Service Code	APR-DRG 0891
Hospital Charge Code	APRDRG 0891
Min. Negotiated Rate	$11,830.21
Max. Negotiated Rate	$11,830.21
Rate for Payer: Aetna CHP/Medicaid	$11,830.21
Rate for Payer: Humana OH Medicaid	$11,830.21

INPATIENT APRDRG 0892: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$13,942.00

Service Code	APR-DRG 0892
Hospital Charge Code	APRDRG 0892
Min. Negotiated Rate	$13,942.00
Max. Negotiated Rate	$13,942.00
Rate for Payer: Aetna CHP/Medicaid	$13,942.00
Rate for Payer: Humana OH Medicaid	$13,942.00

INPATIENT APRDRG 0893: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$23,537.64

Service Code	APR-DRG 0893
Hospital Charge Code	APRDRG 0893
Min. Negotiated Rate	$23,537.64
Max. Negotiated Rate	$23,537.64
Rate for Payer: Aetna CHP/Medicaid	$23,537.64
Rate for Payer: Humana OH Medicaid	$23,537.64

INPATIENT APRDRG 0894: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$33,272.94

Service Code	APR-DRG 0894
Hospital Charge Code	APRDRG 0894
Min. Negotiated Rate	$33,272.94
Max. Negotiated Rate	$33,272.94
Rate for Payer: Aetna CHP/Medicaid	$33,272.94
Rate for Payer: Humana OH Medicaid	$33,272.94

INPATIENT APRDRG 0911: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$7,703.40

Service Code	APR-DRG 0911
Hospital Charge Code	APRDRG 0911
Min. Negotiated Rate	$7,703.40
Max. Negotiated Rate	$7,703.40
Rate for Payer: Aetna CHP/Medicaid	$7,703.40
Rate for Payer: Humana OH Medicaid	$7,703.40

INPATIENT APRDRG 0912: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$15,806.95

Service Code	APR-DRG 0912
Hospital Charge Code	APRDRG 0912
Min. Negotiated Rate	$15,806.95
Max. Negotiated Rate	$15,806.95
Rate for Payer: Aetna CHP/Medicaid	$15,806.95
Rate for Payer: Humana OH Medicaid	$15,806.95

INPATIENT APRDRG 0913: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$22,754.89

Service Code	APR-DRG 0913
Hospital Charge Code	APRDRG 0913
Min. Negotiated Rate	$22,754.89
Max. Negotiated Rate	$22,754.89
Rate for Payer: Aetna CHP/Medicaid	$22,754.89
Rate for Payer: Humana OH Medicaid	$22,754.89

INPATIENT APRDRG 0914: OTHER MAJOR HEAD & NECK PROCEDURES

Facility

$43,072.55

Service Code	APR-DRG 0914
Hospital Charge Code	APRDRG 0914
Min. Negotiated Rate	$43,072.55
Max. Negotiated Rate	$43,072.55
Rate for Payer: Aetna CHP/Medicaid	$43,072.55
Rate for Payer: Humana OH Medicaid	$43,072.55

INPATIENT APRDRG 0921: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$7,003.15

Service Code	APR-DRG 0921
Hospital Charge Code	APRDRG 0921
Min. Negotiated Rate	$7,003.15
Max. Negotiated Rate	$7,003.15
Rate for Payer: Aetna CHP/Medicaid	$7,003.15
Rate for Payer: Humana OH Medicaid	$7,003.15

INPATIENT APRDRG 0922: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$8,200.34

Service Code	APR-DRG 0922
Hospital Charge Code	APRDRG 0922
Min. Negotiated Rate	$8,200.34
Max. Negotiated Rate	$8,200.34
Rate for Payer: Aetna CHP/Medicaid	$8,200.34
Rate for Payer: Humana OH Medicaid	$8,200.34

INPATIENT APRDRG 0923: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$15,167.11

Service Code	APR-DRG 0923
Hospital Charge Code	APRDRG 0923
Min. Negotiated Rate	$15,167.11
Max. Negotiated Rate	$15,167.11
Rate for Payer: Aetna CHP/Medicaid	$15,167.11
Rate for Payer: Humana OH Medicaid	$15,167.11

INPATIENT APRDRG 0924: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$21,775.32

Service Code	APR-DRG 0924
Hospital Charge Code	APRDRG 0924
Min. Negotiated Rate	$21,775.32
Max. Negotiated Rate	$21,775.32
Rate for Payer: Aetna CHP/Medicaid	$21,775.32
Rate for Payer: Humana OH Medicaid	$21,775.32

INPATIENT APRDRG 0951: CLEFT LIP & PALATE REPAIR

Facility

$6,227.55

Service Code	APR-DRG 0951
Hospital Charge Code	APRDRG 0951
Min. Negotiated Rate	$6,227.55
Max. Negotiated Rate	$6,227.55
Rate for Payer: Aetna CHP/Medicaid	$6,227.55
Rate for Payer: Humana OH Medicaid	$6,227.55

Know your out-of-pocket cost for care.

All Charges