Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 1324: BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$29,637.22

Service Code	APR-DRG 1324
Hospital Charge Code	APRDRG 1324
Min. Negotiated Rate	$29,637.22
Max. Negotiated Rate	$29,637.22
Rate for Payer: Aetna CHP/Medicaid	$29,637.22
Rate for Payer: Humana OH Medicaid	$29,637.22

INPATIENT APRDRG 1331: RESPIRATORY FAILURE

Facility

$4,568.52

Service Code	APR-DRG 1331
Hospital Charge Code	APRDRG 1331
Min. Negotiated Rate	$4,568.52
Max. Negotiated Rate	$4,568.52
Rate for Payer: Aetna CHP/Medicaid	$4,568.52
Rate for Payer: Humana OH Medicaid	$4,568.52

INPATIENT APRDRG 1332: RESPIRATORY FAILURE

Facility

$4,712.72

Service Code	APR-DRG 1332
Hospital Charge Code	APRDRG 1332
Min. Negotiated Rate	$4,712.72
Max. Negotiated Rate	$4,712.72
Rate for Payer: Aetna CHP/Medicaid	$4,712.72
Rate for Payer: Humana OH Medicaid	$4,712.72

INPATIENT APRDRG 1333: RESPIRATORY FAILURE

Facility

$7,127.22

Service Code	APR-DRG 1333
Hospital Charge Code	APRDRG 1333
Min. Negotiated Rate	$7,127.22
Max. Negotiated Rate	$7,127.22
Rate for Payer: Aetna CHP/Medicaid	$7,127.22
Rate for Payer: Humana OH Medicaid	$7,127.22

INPATIENT APRDRG 1334: RESPIRATORY FAILURE

Facility

$11,387.84

Service Code	APR-DRG 1334
Hospital Charge Code	APRDRG 1334
Min. Negotiated Rate	$11,387.84
Max. Negotiated Rate	$11,387.84
Rate for Payer: Aetna CHP/Medicaid	$11,387.84
Rate for Payer: Humana OH Medicaid	$11,387.84

INPATIENT APRDRG 1341: PULMONARY EMBOLISM

Facility

$2,840.63

Service Code	APR-DRG 1341
Hospital Charge Code	APRDRG 1341
Min. Negotiated Rate	$2,840.63
Max. Negotiated Rate	$2,840.63
Rate for Payer: Aetna CHP/Medicaid	$2,840.63
Rate for Payer: Humana OH Medicaid	$2,840.63

INPATIENT APRDRG 1342: PULMONARY EMBOLISM

Facility

$3,753.94

Service Code	APR-DRG 1342
Hospital Charge Code	APRDRG 1342
Min. Negotiated Rate	$3,753.94
Max. Negotiated Rate	$3,753.94
Rate for Payer: Aetna CHP/Medicaid	$3,753.94
Rate for Payer: Humana OH Medicaid	$3,753.94

INPATIENT APRDRG 1343: PULMONARY EMBOLISM

Facility

$6,121.67

Service Code	APR-DRG 1343
Hospital Charge Code	APRDRG 1343
Min. Negotiated Rate	$6,121.67
Max. Negotiated Rate	$6,121.67
Rate for Payer: Aetna CHP/Medicaid	$6,121.67
Rate for Payer: Humana OH Medicaid	$6,121.67

INPATIENT APRDRG 1344: PULMONARY EMBOLISM

Facility

$10,203.65

Service Code	APR-DRG 1344
Hospital Charge Code	APRDRG 1344
Min. Negotiated Rate	$10,203.65
Max. Negotiated Rate	$10,203.65
Rate for Payer: Aetna CHP/Medicaid	$10,203.65
Rate for Payer: Humana OH Medicaid	$10,203.65

INPATIENT APRDRG 1351: MAJOR CHEST & RESPIRAZORY TRAUMA

Facility

$2,938.06

Service Code	APR-DRG 1351
Hospital Charge Code	APRDRG 1351
Min. Negotiated Rate	$2,938.06
Max. Negotiated Rate	$2,938.06
Rate for Payer: Aetna CHP/Medicaid	$2,938.06
Rate for Payer: Humana OH Medicaid	$2,938.06

INPATIENT APRDRG 1352: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$3,456.43

Service Code	APR-DRG 1352
Hospital Charge Code	APRDRG 1352
Min. Negotiated Rate	$3,456.43
Max. Negotiated Rate	$3,456.43
Rate for Payer: Aetna CHP/Medicaid	$3,456.43
Rate for Payer: Humana OH Medicaid	$3,456.43

INPATIENT APRDRG 1353: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$5,596.16

Service Code	APR-DRG 1353
Hospital Charge Code	APRDRG 1353
Min. Negotiated Rate	$5,596.16
Max. Negotiated Rate	$5,596.16
Rate for Payer: Aetna CHP/Medicaid	$5,596.16
Rate for Payer: Humana OH Medicaid	$5,596.16

INPATIENT APRDRG 1354: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$8,336.10

Service Code	APR-DRG 1354
Hospital Charge Code	APRDRG 1354
Min. Negotiated Rate	$8,336.10
Max. Negotiated Rate	$8,336.10
Rate for Payer: Aetna CHP/Medicaid	$8,336.10
Rate for Payer: Humana OH Medicaid	$8,336.10

INPATIENT APRDRG 1361: RESPIRATORY MALIGNANCY

Facility

$4,706.88

Service Code	APR-DRG 1361
Hospital Charge Code	APRDRG 1361
Min. Negotiated Rate	$4,706.88
Max. Negotiated Rate	$4,706.88
Rate for Payer: Aetna CHP/Medicaid	$4,706.88
Rate for Payer: Humana OH Medicaid	$4,706.88

INPATIENT APRDRG 1362: RESPIRATORY MALIGNANCY

Facility

$4,853.03

Service Code	APR-DRG 1362
Hospital Charge Code	APRDRG 1362
Min. Negotiated Rate	$4,853.03
Max. Negotiated Rate	$4,853.03
Rate for Payer: Aetna CHP/Medicaid	$4,853.03
Rate for Payer: Humana OH Medicaid	$4,853.03

INPATIENT APRDRG 1363: RESPIRATORY MALIGNANCY

Facility

$7,076.56

Service Code	APR-DRG 1363
Hospital Charge Code	APRDRG 1363
Min. Negotiated Rate	$7,076.56
Max. Negotiated Rate	$7,076.56
Rate for Payer: Aetna CHP/Medicaid	$7,076.56
Rate for Payer: Humana OH Medicaid	$7,076.56

INPATIENT APRDRG 1364: RESPIRATORY MALIGNANCY

Facility

$11,294.95

Service Code	APR-DRG 1364
Hospital Charge Code	APRDRG 1364
Min. Negotiated Rate	$11,294.95
Max. Negotiated Rate	$11,294.95
Rate for Payer: Aetna CHP/Medicaid	$11,294.95
Rate for Payer: Humana OH Medicaid	$11,294.95

INPATIENT APRDRG 1371: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$3,749.39

Service Code	APR-DRG 1371
Hospital Charge Code	APRDRG 1371
Min. Negotiated Rate	$3,749.39
Max. Negotiated Rate	$3,749.39
Rate for Payer: Aetna CHP/Medicaid	$3,749.39
Rate for Payer: Humana OH Medicaid	$3,749.39

INPATIENT APRDRG 1372: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$4,914.74

Service Code	APR-DRG 1372
Hospital Charge Code	APRDRG 1372
Min. Negotiated Rate	$4,914.74
Max. Negotiated Rate	$4,914.74
Rate for Payer: Aetna CHP/Medicaid	$4,914.74
Rate for Payer: Humana OH Medicaid	$4,914.74

INPATIENT APRDRG 1373: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$5,522.11

Service Code	APR-DRG 1373
Hospital Charge Code	APRDRG 1373
Min. Negotiated Rate	$5,522.11
Max. Negotiated Rate	$5,522.11
Rate for Payer: Aetna CHP/Medicaid	$5,522.11
Rate for Payer: Humana OH Medicaid	$5,522.11

INPATIENT APRDRG 1374: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$8,940.21

Service Code	APR-DRG 1374
Hospital Charge Code	APRDRG 1374
Min. Negotiated Rate	$8,940.21
Max. Negotiated Rate	$8,940.21
Rate for Payer: Aetna CHP/Medicaid	$8,940.21
Rate for Payer: Humana OH Medicaid	$8,940.21

INPATIENT APRDRG 1381: BRONCHIOLITIS & RSV PNEUMONIA

Facility

$3,213.49

Service Code	APR-DRG 1381
Hospital Charge Code	APRDRG 1381
Min. Negotiated Rate	$3,213.49
Max. Negotiated Rate	$3,213.49
Rate for Payer: Aetna CHP/Medicaid	$3,213.49
Rate for Payer: Humana OH Medicaid	$3,213.49

INPATIENT APRDRG 1382: BRONCHIOLITIS & RSV PNEUMONIA

Facility

$4,184.61

Service Code	APR-DRG 1382
Hospital Charge Code	APRDRG 1382
Min. Negotiated Rate	$4,184.61
Max. Negotiated Rate	$4,184.61
Rate for Payer: Aetna CHP/Medicaid	$4,184.61
Rate for Payer: Humana OH Medicaid	$4,184.61

INPATIENT APRDRG 1383: BRONCHIOLITIS & RSV PNEUMONIA

Facility

$6,817.37

Service Code	APR-DRG 1383
Hospital Charge Code	APRDRG 1383
Min. Negotiated Rate	$6,817.37
Max. Negotiated Rate	$6,817.37
Rate for Payer: Aetna CHP/Medicaid	$6,817.37
Rate for Payer: Humana OH Medicaid	$6,817.37

INPATIENT APRDRG 1384: BRONCHIOLITIS & RSV PNEUMONIA

Facility

$13,898.48

Service Code	APR-DRG 1384
Hospital Charge Code	APRDRG 1384
Min. Negotiated Rate	$13,898.48
Max. Negotiated Rate	$13,898.48
Rate for Payer: Aetna CHP/Medicaid	$13,898.48
Rate for Payer: Humana OH Medicaid	$13,898.48

Know your out-of-pocket cost for care.

All Charges