Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 0952: CLEFT LIP & PALATE REPAIR

Facility

$8,113.94

Service Code	APR-DRG 0952
Hospital Charge Code	APRDRG 0952
Min. Negotiated Rate	$8,113.94
Max. Negotiated Rate	$8,113.94
Rate for Payer: Aetna CHP/Medicaid	$8,113.94
Rate for Payer: Humana OH Medicaid	$8,113.94

INPATIENT APRDRG 0953: CLEFT LIP & PALATE REPAIR

Facility

$9,031.15

Service Code	APR-DRG 0953
Hospital Charge Code	APRDRG 0953
Min. Negotiated Rate	$9,031.15
Max. Negotiated Rate	$9,031.15
Rate for Payer: Aetna CHP/Medicaid	$9,031.15
Rate for Payer: Humana OH Medicaid	$9,031.15

INPATIENT APRDRG 0954: CLEFT LIP & PALATE REPAIR

Facility

$9,031.15

Service Code	APR-DRG 0954
Hospital Charge Code	APRDRG 0954
Min. Negotiated Rate	$9,031.15
Max. Negotiated Rate	$9,031.15
Rate for Payer: Aetna CHP/Medicaid	$9,031.15
Rate for Payer: Humana OH Medicaid	$9,031.15

INPATIENT APRDRG 0971: TONSIL & ADENOID PROCEDURES

Facility

$4,484.07

Service Code	APR-DRG 0971
Hospital Charge Code	APRDRG 0971
Min. Negotiated Rate	$4,484.07
Max. Negotiated Rate	$4,484.07
Rate for Payer: Aetna CHP/Medicaid	$4,484.07
Rate for Payer: Humana OH Medicaid	$4,484.07

INPATIENT APRDRG 0972: TONSIL & ADENOID PROCEDURES

Facility

$5,894.97

Service Code	APR-DRG 0972
Hospital Charge Code	APRDRG 0972
Min. Negotiated Rate	$5,894.97
Max. Negotiated Rate	$5,894.97
Rate for Payer: Aetna CHP/Medicaid	$5,894.97
Rate for Payer: Humana OH Medicaid	$5,894.97

INPATIENT APRDRG 0973: TONSIL & ADENOID PROCEDURES

Facility

$13,211.87

Service Code	APR-DRG 0973
Hospital Charge Code	APRDRG 0973
Min. Negotiated Rate	$13,211.87
Max. Negotiated Rate	$13,211.87
Rate for Payer: Aetna CHP/Medicaid	$13,211.87
Rate for Payer: Humana OH Medicaid	$13,211.87

INPATIENT APRDRG 0974: TONSIL & ADENOID PROCEDURES

Facility

$13,211.87

Service Code	APR-DRG 0974
Hospital Charge Code	APRDRG 0974
Min. Negotiated Rate	$13,211.87
Max. Negotiated Rate	$13,211.87
Rate for Payer: Aetna CHP/Medicaid	$13,211.87
Rate for Payer: Humana OH Medicaid	$13,211.87

INPATIENT APRDRG 0981: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$4,834.85

Service Code	APR-DRG 0981
Hospital Charge Code	APRDRG 0981
Min. Negotiated Rate	$4,834.85
Max. Negotiated Rate	$4,834.85
Rate for Payer: Aetna CHP/Medicaid	$4,834.85
Rate for Payer: Humana OH Medicaid	$4,834.85

INPATIENT APRDRG 0982: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$7,547.50

Service Code	APR-DRG 0982
Hospital Charge Code	APRDRG 0982
Min. Negotiated Rate	$7,547.50
Max. Negotiated Rate	$7,547.50
Rate for Payer: Aetna CHP/Medicaid	$7,547.50
Rate for Payer: Humana OH Medicaid	$7,547.50

INPATIENT APRDRG 0983: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$12,630.49

Service Code	APR-DRG 0983
Hospital Charge Code	APRDRG 0983
Min. Negotiated Rate	$12,630.49
Max. Negotiated Rate	$12,630.49
Rate for Payer: Aetna CHP/Medicaid	$12,630.49
Rate for Payer: Humana OH Medicaid	$12,630.49

INPATIENT APRDRG 0984: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$23,268.06

Service Code	APR-DRG 0984
Hospital Charge Code	APRDRG 0984
Min. Negotiated Rate	$23,268.06
Max. Negotiated Rate	$23,268.06
Rate for Payer: Aetna CHP/Medicaid	$23,268.06
Rate for Payer: Humana OH Medicaid	$23,268.06

INPATIENT APRDRG 1101: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$3,909.84

Service Code	APR-DRG 1101
Hospital Charge Code	APRDRG 1101
Min. Negotiated Rate	$3,909.84
Max. Negotiated Rate	$3,909.84
Rate for Payer: Aetna CHP/Medicaid	$3,909.84
Rate for Payer: Humana OH Medicaid	$3,909.84

INPATIENT APRDRG 1102: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$5,315.54

Service Code	APR-DRG 1102
Hospital Charge Code	APRDRG 1102
Min. Negotiated Rate	$5,315.54
Max. Negotiated Rate	$5,315.54
Rate for Payer: Aetna CHP/Medicaid	$5,315.54
Rate for Payer: Humana OH Medicaid	$5,315.54

INPATIENT APRDRG 1103: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$8,134.73

Service Code	APR-DRG 1103
Hospital Charge Code	APRDRG 1103
Min. Negotiated Rate	$8,134.73
Max. Negotiated Rate	$8,134.73
Rate for Payer: Aetna CHP/Medicaid	$8,134.73
Rate for Payer: Humana OH Medicaid	$8,134.73

INPATIENT APRDRG 1104: EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES

Facility

$13,084.55

Service Code	APR-DRG 1104
Hospital Charge Code	APRDRG 1104
Min. Negotiated Rate	$13,084.55
Max. Negotiated Rate	$13,084.55
Rate for Payer: Aetna CHP/Medicaid	$13,084.55
Rate for Payer: Humana OH Medicaid	$13,084.55

INPATIENT APRDRG 1111: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$3,192.05

Service Code	APR-DRG 1111
Hospital Charge Code	APRDRG 1111
Min. Negotiated Rate	$3,192.05
Max. Negotiated Rate	$3,192.05
Rate for Payer: Aetna CHP/Medicaid	$3,192.05
Rate for Payer: Humana OH Medicaid	$3,192.05

INPATIENT APRDRG 1112: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$3,321.97

Service Code	APR-DRG 1112
Hospital Charge Code	APRDRG 1112
Min. Negotiated Rate	$3,321.97
Max. Negotiated Rate	$3,321.97
Rate for Payer: Aetna CHP/Medicaid	$3,321.97
Rate for Payer: Humana OH Medicaid	$3,321.97

INPATIENT APRDRG 1113: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$4,305.44

Service Code	APR-DRG 1113
Hospital Charge Code	APRDRG 1113
Min. Negotiated Rate	$4,305.44
Max. Negotiated Rate	$4,305.44
Rate for Payer: Aetna CHP/Medicaid	$4,305.44
Rate for Payer: Humana OH Medicaid	$4,305.44

INPATIENT APRDRG 1114: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$4,305.44

Service Code	APR-DRG 1114
Hospital Charge Code	APRDRG 1114
Min. Negotiated Rate	$4,305.44
Max. Negotiated Rate	$4,305.44
Rate for Payer: Aetna CHP/Medicaid	$4,305.44
Rate for Payer: Humana OH Medicaid	$4,305.44

INPATIENT APRDRG 1131: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$2,610.02

Service Code	APR-DRG 1131
Hospital Charge Code	APRDRG 1131
Min. Negotiated Rate	$2,610.02
Max. Negotiated Rate	$2,610.02
Rate for Payer: Aetna CHP/Medicaid	$2,610.02
Rate for Payer: Humana OH Medicaid	$2,610.02

INPATIENT APRDRG 1132: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$3,513.59

Service Code	APR-DRG 1132
Hospital Charge Code	APRDRG 1132
Min. Negotiated Rate	$3,513.59
Max. Negotiated Rate	$3,513.59
Rate for Payer: Aetna CHP/Medicaid	$3,513.59
Rate for Payer: Humana OH Medicaid	$3,513.59

INPATIENT APRDRG 1133: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$5,034.92

Service Code	APR-DRG 1133
Hospital Charge Code	APRDRG 1133
Min. Negotiated Rate	$5,034.92
Max. Negotiated Rate	$5,034.92
Rate for Payer: Aetna CHP/Medicaid	$5,034.92
Rate for Payer: Humana OH Medicaid	$5,034.92

INPATIENT APRDRG 1134: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$11,206.61

Service Code	APR-DRG 1134
Hospital Charge Code	APRDRG 1134
Min. Negotiated Rate	$11,206.61
Max. Negotiated Rate	$11,206.61
Rate for Payer: Aetna CHP/Medicaid	$11,206.61
Rate for Payer: Humana OH Medicaid	$11,206.61

INPATIENT APRDRG 1141: DENTAL DISEASES AND DISORDERS

Facility

$3,205.69

Service Code	APR-DRG 1141
Hospital Charge Code	APRDRG 1141
Min. Negotiated Rate	$3,205.69
Max. Negotiated Rate	$3,205.69
Rate for Payer: Aetna CHP/Medicaid	$3,205.69
Rate for Payer: Humana OH Medicaid	$3,205.69

INPATIENT APRDRG 1142: DENTAL DISEASES AND DISORDERS

Facility

$5,911.21

Service Code	APR-DRG 1142
Hospital Charge Code	APRDRG 1142
Min. Negotiated Rate	$5,911.21
Max. Negotiated Rate	$5,911.21
Rate for Payer: Aetna CHP/Medicaid	$5,911.21
Rate for Payer: Humana OH Medicaid	$5,911.21

Know your out-of-pocket cost for care.

All Charges