Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 1754: PERCUTANEOUS CORONARY INTERVENTION W/O AMI

Facility

$23,164.13

Service Code	APR-DRG 1754
Hospital Charge Code	APRDRG 1754
Min. Negotiated Rate	$23,164.13
Max. Negotiated Rate	$23,164.13
Rate for Payer: Aetna CHP/Medicaid	$23,164.13
Rate for Payer: Humana OH Medicaid	$23,164.13

INPATIENT APRDRG 1761: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT

Facility

$10,021.12

Service Code	APR-DRG 1761
Hospital Charge Code	APRDRG 1761
Min. Negotiated Rate	$10,021.12
Max. Negotiated Rate	$10,021.12
Rate for Payer: Aetna CHP/Medicaid	$10,021.12
Rate for Payer: Humana OH Medicaid	$10,021.12

INPATIENT APRDRG 1762: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT

Facility

$10,021.12

Service Code	APR-DRG 1762
Hospital Charge Code	APRDRG 1762
Min. Negotiated Rate	$10,021.12
Max. Negotiated Rate	$10,021.12
Rate for Payer: Aetna CHP/Medicaid	$10,021.12
Rate for Payer: Humana OH Medicaid	$10,021.12

INPATIENT APRDRG 1763: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT

Facility

$22,767.88

Service Code	APR-DRG 1763
Hospital Charge Code	APRDRG 1763
Min. Negotiated Rate	$22,767.88
Max. Negotiated Rate	$22,767.88
Rate for Payer: Aetna CHP/Medicaid	$22,767.88
Rate for Payer: Humana OH Medicaid	$22,767.88

INPATIENT APRDRG 1764: CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT

Facility

$29,499.51

Service Code	APR-DRG 1764
Hospital Charge Code	APRDRG 1764
Min. Negotiated Rate	$29,499.51
Max. Negotiated Rate	$29,499.51
Rate for Payer: Aetna CHP/Medicaid	$29,499.51
Rate for Payer: Humana OH Medicaid	$29,499.51

INPATIENT APRDRG 1771: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$6,869.99

Service Code	APR-DRG 1771
Hospital Charge Code	APRDRG 1771
Min. Negotiated Rate	$6,869.99
Max. Negotiated Rate	$6,869.99
Rate for Payer: Aetna CHP/Medicaid	$6,869.99
Rate for Payer: Humana OH Medicaid	$6,869.99

INPATIENT APRDRG 1772: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$6,869.99

Service Code	APR-DRG 1772
Hospital Charge Code	APRDRG 1772
Min. Negotiated Rate	$6,869.99
Max. Negotiated Rate	$6,869.99
Rate for Payer: Aetna CHP/Medicaid	$6,869.99
Rate for Payer: Humana OH Medicaid	$6,869.99

INPATIENT APRDRG 1773: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$11,217.00

Service Code	APR-DRG 1773
Hospital Charge Code	APRDRG 1773
Min. Negotiated Rate	$11,217.00
Max. Negotiated Rate	$11,217.00
Rate for Payer: Aetna CHP/Medicaid	$11,217.00
Rate for Payer: Humana OH Medicaid	$11,217.00

INPATIENT APRDRG 1774: CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$20,029.89

Service Code	APR-DRG 1774
Hospital Charge Code	APRDRG 1774
Min. Negotiated Rate	$20,029.89
Max. Negotiated Rate	$20,029.89
Rate for Payer: Aetna CHP/Medicaid	$20,029.89
Rate for Payer: Humana OH Medicaid	$20,029.89

INPATIENT APRDRG 1781: EXTERNAL HEART ASSIST SYSTEMS

Facility

$34,591.59

Service Code	APR-DRG 1781
Hospital Charge Code	APRDRG 1781
Min. Negotiated Rate	$34,591.59
Max. Negotiated Rate	$34,591.59
Rate for Payer: Aetna CHP/Medicaid	$34,591.59
Rate for Payer: Humana OH Medicaid	$34,591.59

INPATIENT APRDRG 1782: EXTERNAL HEART ASSIST SYSTEMS

Facility

$34,591.59

Service Code	APR-DRG 1782
Hospital Charge Code	APRDRG 1782
Min. Negotiated Rate	$34,591.59
Max. Negotiated Rate	$34,591.59
Rate for Payer: Aetna CHP/Medicaid	$34,591.59
Rate for Payer: Humana OH Medicaid	$34,591.59

INPATIENT APRDRG 1783: EXTERNAL HEART ASSIST SYSTEMS

Facility

$34,591.59

Service Code	APR-DRG 1783
Hospital Charge Code	APRDRG 1783
Min. Negotiated Rate	$34,591.59
Max. Negotiated Rate	$34,591.59
Rate for Payer: Aetna CHP/Medicaid	$34,591.59
Rate for Payer: Humana OH Medicaid	$34,591.59

INPATIENT APRDRG 1784: EXTERNAL HEART ASSIST SYSTEMS

Facility

$58,312.42

Service Code	APR-DRG 1784
Hospital Charge Code	APRDRG 1784
Min. Negotiated Rate	$58,312.42
Max. Negotiated Rate	$58,312.42
Rate for Payer: Aetna CHP/Medicaid	$58,312.42
Rate for Payer: Humana OH Medicaid	$58,312.42

INPATIENT APRDRG 1791: DEFIBRILLATOR IMPLANTS

Facility

$24,617.90

Service Code	APR-DRG 1791
Hospital Charge Code	APRDRG 1791
Min. Negotiated Rate	$24,617.90
Max. Negotiated Rate	$24,617.90
Rate for Payer: Aetna CHP/Medicaid	$24,617.90
Rate for Payer: Humana OH Medicaid	$24,617.90

INPATIENT APRDRG 1792: DEFIBRILLATOR IMPLANTS

Facility

$25,749.47

Service Code	APR-DRG 1792
Hospital Charge Code	APRDRG 1792
Min. Negotiated Rate	$25,749.47
Max. Negotiated Rate	$25,749.47
Rate for Payer: Aetna CHP/Medicaid	$25,749.47
Rate for Payer: Humana OH Medicaid	$25,749.47

INPATIENT APRDRG 1793: DEFIBRILLATOR IMPLANTS

Facility

$29,441.70

Service Code	APR-DRG 1793
Hospital Charge Code	APRDRG 1793
Min. Negotiated Rate	$29,441.70
Max. Negotiated Rate	$29,441.70
Rate for Payer: Aetna CHP/Medicaid	$29,441.70
Rate for Payer: Humana OH Medicaid	$29,441.70

INPATIENT APRDRG 1794: DEFIBRILLATOR IMPLANTS

Facility

$40,049.39

Service Code	APR-DRG 1794
Hospital Charge Code	APRDRG 1794
Min. Negotiated Rate	$40,049.39
Max. Negotiated Rate	$40,049.39
Rate for Payer: Aetna CHP/Medicaid	$40,049.39
Rate for Payer: Humana OH Medicaid	$40,049.39

INPATIENT APRDRG 1801: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$6,586.77

Service Code	APR-DRG 1801
Hospital Charge Code	APRDRG 1801
Min. Negotiated Rate	$6,586.77
Max. Negotiated Rate	$6,586.77
Rate for Payer: Aetna CHP/Medicaid	$6,586.77
Rate for Payer: Humana OH Medicaid	$6,586.77

INPATIENT APRDRG 1802: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$8,038.59

Service Code	APR-DRG 1802
Hospital Charge Code	APRDRG 1802
Min. Negotiated Rate	$8,038.59
Max. Negotiated Rate	$8,038.59
Rate for Payer: Aetna CHP/Medicaid	$8,038.59
Rate for Payer: Humana OH Medicaid	$8,038.59

INPATIENT APRDRG 1803: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$11,833.45

Service Code	APR-DRG 1803
Hospital Charge Code	APRDRG 1803
Min. Negotiated Rate	$11,833.45
Max. Negotiated Rate	$11,833.45
Rate for Payer: Aetna CHP/Medicaid	$11,833.45
Rate for Payer: Humana OH Medicaid	$11,833.45

INPATIENT APRDRG 1804: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$22,322.92

Service Code	APR-DRG 1804
Hospital Charge Code	APRDRG 1804
Min. Negotiated Rate	$22,322.92
Max. Negotiated Rate	$22,322.92
Rate for Payer: Aetna CHP/Medicaid	$22,322.92
Rate for Payer: Humana OH Medicaid	$22,322.92

INPATIENT APRDRG 1811: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$8,679.08

Service Code	APR-DRG 1811
Hospital Charge Code	APRDRG 1811
Min. Negotiated Rate	$8,679.08
Max. Negotiated Rate	$8,679.08
Rate for Payer: Aetna CHP/Medicaid	$8,679.08
Rate for Payer: Humana OH Medicaid	$8,679.08

INPATIENT APRDRG 1812: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$12,438.86

Service Code	APR-DRG 1812
Hospital Charge Code	APRDRG 1812
Min. Negotiated Rate	$12,438.86
Max. Negotiated Rate	$12,438.86
Rate for Payer: Aetna CHP/Medicaid	$12,438.86
Rate for Payer: Humana OH Medicaid	$12,438.86

INPATIENT APRDRG 1813: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$19,197.13

Service Code	APR-DRG 1813
Hospital Charge Code	APRDRG 1813
Min. Negotiated Rate	$19,197.13
Max. Negotiated Rate	$19,197.13
Rate for Payer: Aetna CHP/Medicaid	$19,197.13
Rate for Payer: Humana OH Medicaid	$19,197.13

INPATIENT APRDRG 1814: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility

$31,749.02

Service Code	APR-DRG 1814
Hospital Charge Code	APRDRG 1814
Min. Negotiated Rate	$31,749.02
Max. Negotiated Rate	$31,749.02
Rate for Payer: Aetna CHP/Medicaid	$31,749.02
Rate for Payer: Humana OH Medicaid	$31,749.02

Know your out-of-pocket cost for care.

All Charges