Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 1143: DENTAL DISEASES AND DISORDERS

Facility

$5,911.21

Service Code	APR-DRG 1143
Hospital Charge Code	APRDRG 1143
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

INPATIENT APRDRG 1144: DENTAL DISEASES AND DISORDERS

Facility

$5,911.21

Service Code	APR-DRG 1144
Hospital Charge Code	APRDRG 1144
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

INPATIENT APRDRG 1151: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$3,453.83

Service Code	APR-DRG 1151
Hospital Charge Code	APRDRG 1151
Min. Negotiated Rate	$3,453.83
Max. Negotiated Rate	$3,453.83
Rate for Payer: Aetna CHP/Medicaid	$3,453.83
Rate for Payer: Humana OH Medicaid	$3,453.83

INPATIENT APRDRG 1152: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$4,432.10

Service Code	APR-DRG 1152
Hospital Charge Code	APRDRG 1152
Min. Negotiated Rate	$4,432.10
Max. Negotiated Rate	$4,432.10
Rate for Payer: Aetna CHP/Medicaid	$4,432.10
Rate for Payer: Humana OH Medicaid	$4,432.10

INPATIENT APRDRG 1153: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$6,640.69

Service Code	APR-DRG 1153
Hospital Charge Code	APRDRG 1153
Min. Negotiated Rate	$6,640.69
Max. Negotiated Rate	$6,640.69
Rate for Payer: Aetna CHP/Medicaid	$6,640.69
Rate for Payer: Humana OH Medicaid	$6,640.69

INPATIENT APRDRG 1154: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$18,876.23

Service Code	APR-DRG 1154
Hospital Charge Code	APRDRG 1154
Min. Negotiated Rate	$18,876.23
Max. Negotiated Rate	$18,876.23
Rate for Payer: Aetna CHP/Medicaid	$18,876.23
Rate for Payer: Humana OH Medicaid	$18,876.23

INPATIENT APRDRG 1201: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$10,754.50

Service Code	APR-DRG 1201
Hospital Charge Code	APRDRG 1201
Min. Negotiated Rate	$10,754.50
Max. Negotiated Rate	$10,754.50
Rate for Payer: Aetna CHP/Medicaid	$10,754.50
Rate for Payer: Humana OH Medicaid	$10,754.50

INPATIENT APRDRG 1202: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$13,250.19

Service Code	APR-DRG 1202
Hospital Charge Code	APRDRG 1202
Min. Negotiated Rate	$13,250.19
Max. Negotiated Rate	$13,250.19
Rate for Payer: Aetna CHP/Medicaid	$13,250.19
Rate for Payer: Humana OH Medicaid	$13,250.19

INPATIENT APRDRG 1203: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$19,377.06

Service Code	APR-DRG 1203
Hospital Charge Code	APRDRG 1203
Min. Negotiated Rate	$19,377.06
Max. Negotiated Rate	$19,377.06
Rate for Payer: Aetna CHP/Medicaid	$19,377.06
Rate for Payer: Humana OH Medicaid	$19,377.06

INPATIENT APRDRG 1204: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$39,490.10

Service Code	APR-DRG 1204
Hospital Charge Code	APRDRG 1204
Min. Negotiated Rate	$39,490.10
Max. Negotiated Rate	$39,490.10
Rate for Payer: Aetna CHP/Medicaid	$39,490.10
Rate for Payer: Humana OH Medicaid	$39,490.10

INPATIENT APRDRG 1211: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$8,771.97

Service Code	APR-DRG 1211
Hospital Charge Code	APRDRG 1211
Min. Negotiated Rate	$8,771.97
Max. Negotiated Rate	$8,771.97
Rate for Payer: Aetna CHP/Medicaid	$8,771.97
Rate for Payer: Humana OH Medicaid	$8,771.97

INPATIENT APRDRG 1212: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$10,759.69

Service Code	APR-DRG 1212
Hospital Charge Code	APRDRG 1212
Min. Negotiated Rate	$10,759.69
Max. Negotiated Rate	$10,759.69
Rate for Payer: Aetna CHP/Medicaid	$10,759.69
Rate for Payer: Humana OH Medicaid	$10,759.69

INPATIENT APRDRG 1213: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$17,148.99

Service Code	APR-DRG 1213
Hospital Charge Code	APRDRG 1213
Min. Negotiated Rate	$17,148.99
Max. Negotiated Rate	$17,148.99
Rate for Payer: Aetna CHP/Medicaid	$17,148.99
Rate for Payer: Humana OH Medicaid	$17,148.99

INPATIENT APRDRG 1214: OTHER RESPIRATORY & CHEST PROCEDURES

Facility

$28,766.78

Service Code	APR-DRG 1214
Hospital Charge Code	APRDRG 1214
Min. Negotiated Rate	$28,766.78
Max. Negotiated Rate	$28,766.78
Rate for Payer: Aetna CHP/Medicaid	$28,766.78
Rate for Payer: Humana OH Medicaid	$28,766.78

INPATIENT APRDRG 1301: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$20,334.55

Service Code	APR-DRG 1301
Hospital Charge Code	APRDRG 1301
Min. Negotiated Rate	$20,334.55
Max. Negotiated Rate	$20,334.55
Rate for Payer: Aetna CHP/Medicaid	$20,334.55
Rate for Payer: Humana OH Medicaid	$20,334.55

INPATIENT APRDRG 1302: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$20,334.55

Service Code	APR-DRG 1302
Hospital Charge Code	APRDRG 1302
Min. Negotiated Rate	$20,334.55
Max. Negotiated Rate	$20,334.55
Rate for Payer: Aetna CHP/Medicaid	$20,334.55
Rate for Payer: Humana OH Medicaid	$20,334.55

INPATIENT APRDRG 1303: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$26,404.25

Service Code	APR-DRG 1303
Hospital Charge Code	APRDRG 1303
Min. Negotiated Rate	$26,404.25
Max. Negotiated Rate	$26,404.25
Rate for Payer: Aetna CHP/Medicaid	$26,404.25
Rate for Payer: Humana OH Medicaid	$26,404.25

INPATIENT APRDRG 1304: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS

Facility

$34,633.82

Service Code	APR-DRG 1304
Hospital Charge Code	APRDRG 1304
Min. Negotiated Rate	$34,633.82
Max. Negotiated Rate	$34,633.82
Rate for Payer: Aetna CHP/Medicaid	$34,633.82
Rate for Payer: Humana OH Medicaid	$34,633.82

INPATIENT APRDRG 1311: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$15,250.26

Service Code	APR-DRG 1311
Hospital Charge Code	APRDRG 1311
Min. Negotiated Rate	$15,250.26
Max. Negotiated Rate	$15,250.26
Rate for Payer: Aetna CHP/Medicaid	$15,250.26
Rate for Payer: Humana OH Medicaid	$15,250.26

INPATIENT APRDRG 1312: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$15,250.26

Service Code	APR-DRG 1312
Hospital Charge Code	APRDRG 1312
Min. Negotiated Rate	$15,250.26
Max. Negotiated Rate	$15,250.26
Rate for Payer: Aetna CHP/Medicaid	$15,250.26
Rate for Payer: Humana OH Medicaid	$15,250.26

INPATIENT APRDRG 1313: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$20,183.19

Service Code	APR-DRG 1313
Hospital Charge Code	APRDRG 1313
Min. Negotiated Rate	$20,183.19
Max. Negotiated Rate	$20,183.19
Rate for Payer: Aetna CHP/Medicaid	$20,183.19
Rate for Payer: Humana OH Medicaid	$20,183.19

INPATIENT APRDRG 1314: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$22,174.17

Service Code	APR-DRG 1314
Hospital Charge Code	APRDRG 1314
Min. Negotiated Rate	$22,174.17
Max. Negotiated Rate	$22,174.17
Rate for Payer: Aetna CHP/Medicaid	$22,174.17
Rate for Payer: Humana OH Medicaid	$22,174.17

INPATIENT APRDRG 1321: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$4,347.01

Service Code	APR-DRG 1321
Hospital Charge Code	APRDRG 1321
Min. Negotiated Rate	$4,347.01
Max. Negotiated Rate	$4,347.01
Rate for Payer: Aetna CHP/Medicaid	$4,347.01
Rate for Payer: Humana OH Medicaid	$4,347.01

INPATIENT APRDRG 1322: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$5,930.69

Service Code	APR-DRG 1322
Hospital Charge Code	APRDRG 1322
Min. Negotiated Rate	$5,930.69
Max. Negotiated Rate	$5,930.69
Rate for Payer: Aetna CHP/Medicaid	$5,930.69
Rate for Payer: Humana OH Medicaid	$5,930.69

INPATIENT APRDRG 1323: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$16,152.53

Service Code	APR-DRG 1323
Hospital Charge Code	APRDRG 1323
Min. Negotiated Rate	$16,152.53
Max. Negotiated Rate	$16,152.53
Rate for Payer: Aetna CHP/Medicaid	$16,152.53
Rate for Payer: Humana OH Medicaid	$16,152.53

Know your out-of-pocket cost for care.

All Charges