Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 2402: DIGESTIVE MALIGNANCY

Facility

$5,424.67

Service Code	APR-DRG 2402
Hospital Charge Code	APRDRG 2402
Min. Negotiated Rate	$5,424.67
Max. Negotiated Rate	$5,424.67
Rate for Payer: Aetna CHP/Medicaid	$5,424.67
Rate for Payer: Humana OH Medicaid	$5,424.67

INPATIENT APRDRG 2403: DIGESTIVE MALIGNANCY

Facility

$7,540.36

Service Code	APR-DRG 2403
Hospital Charge Code	APRDRG 2403
Min. Negotiated Rate	$7,540.36
Max. Negotiated Rate	$7,540.36
Rate for Payer: Aetna CHP/Medicaid	$7,540.36
Rate for Payer: Humana OH Medicaid	$7,540.36

INPATIENT APRDRG 2404: DIGESTIVE MALIGNANCY

Facility

$13,546.40

Service Code	APR-DRG 2404
Hospital Charge Code	APRDRG 2404
Min. Negotiated Rate	$13,546.40
Max. Negotiated Rate	$13,546.40
Rate for Payer: Aetna CHP/Medicaid	$13,546.40
Rate for Payer: Humana OH Medicaid	$13,546.40

INPATIENT APRDRG 2411: PEPTIC ULCER & GASTRITIS

Facility

$3,489.56

Service Code	APR-DRG 2411
Hospital Charge Code	APRDRG 2411
Min. Negotiated Rate	$3,489.56
Max. Negotiated Rate	$3,489.56
Rate for Payer: Aetna CHP/Medicaid	$3,489.56
Rate for Payer: Humana OH Medicaid	$3,489.56

INPATIENT APRDRG 2412: PEPTIC ULCER & GASTRITIS

Facility

$4,271.01

Service Code	APR-DRG 2412
Hospital Charge Code	APRDRG 2412
Min. Negotiated Rate	$4,271.01
Max. Negotiated Rate	$4,271.01
Rate for Payer: Aetna CHP/Medicaid	$4,271.01
Rate for Payer: Humana OH Medicaid	$4,271.01

INPATIENT APRDRG 2413: PEPTIC ULCER & GASTRITIS

Facility

$6,169.09

Service Code	APR-DRG 2413
Hospital Charge Code	APRDRG 2413
Min. Negotiated Rate	$6,169.09
Max. Negotiated Rate	$6,169.09
Rate for Payer: Aetna CHP/Medicaid	$6,169.09
Rate for Payer: Humana OH Medicaid	$6,169.09

INPATIENT APRDRG 2414: PEPTIC ULCER & GASTRITIS

Facility

$12,407.04

Service Code	APR-DRG 2414
Hospital Charge Code	APRDRG 2414
Min. Negotiated Rate	$12,407.04
Max. Negotiated Rate	$12,407.04
Rate for Payer: Aetna CHP/Medicaid	$12,407.04
Rate for Payer: Humana OH Medicaid	$12,407.04

INPATIENT APRDRG 2421: MAJOR ESOPHAGEAL DISORDERS

Facility

$3,123.84

Service Code	APR-DRG 2421
Hospital Charge Code	APRDRG 2421
Min. Negotiated Rate	$3,123.84
Max. Negotiated Rate	$3,123.84
Rate for Payer: Aetna CHP/Medicaid	$3,123.84
Rate for Payer: Humana OH Medicaid	$3,123.84

INPATIENT APRDRG 2422: MAJOR ESOPHAGEAL DISORDERS

Facility

$4,024.17

Service Code	APR-DRG 2422
Hospital Charge Code	APRDRG 2422
Min. Negotiated Rate	$4,024.17
Max. Negotiated Rate	$4,024.17
Rate for Payer: Aetna CHP/Medicaid	$4,024.17
Rate for Payer: Humana OH Medicaid	$4,024.17

INPATIENT APRDRG 2423: MAJOR ESOPHAGEAL DISORDERS

Facility

$5,844.30

Service Code	APR-DRG 2423
Hospital Charge Code	APRDRG 2423
Min. Negotiated Rate	$5,844.30
Max. Negotiated Rate	$5,844.30
Rate for Payer: Aetna CHP/Medicaid	$5,844.30
Rate for Payer: Humana OH Medicaid	$5,844.30

INPATIENT APRDRG 2424: MAJOR ESOPHAGEAL DISORDERS

Facility

$17,227.59

Service Code	APR-DRG 2424
Hospital Charge Code	APRDRG 2424
Min. Negotiated Rate	$17,227.59
Max. Negotiated Rate	$17,227.59
Rate for Payer: Aetna CHP/Medicaid	$17,227.59
Rate for Payer: Humana OH Medicaid	$17,227.59

INPATIENT APRDRG 2431: OTHER ESOPHAGEAL DISORDERS

Facility

$4,015.07

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG 2431
Min. Negotiated Rate	$4,015.07
Max. Negotiated Rate	$4,015.07
Rate for Payer: Aetna CHP/Medicaid	$4,015.07
Rate for Payer: Humana OH Medicaid	$4,015.07

INPATIENT APRDRG 2432: OTHER ESOPHAGEAL DISORDERS

Facility

$4,721.82

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG 2432
Min. Negotiated Rate	$4,721.82
Max. Negotiated Rate	$4,721.82
Rate for Payer: Aetna CHP/Medicaid	$4,721.82
Rate for Payer: Humana OH Medicaid	$4,721.82

INPATIENT APRDRG 2433: OTHER ESOPHAGEAL DISORDERS

Facility

$7,207.12

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG 2433
Min. Negotiated Rate	$7,207.12
Max. Negotiated Rate	$7,207.12
Rate for Payer: Aetna CHP/Medicaid	$7,207.12
Rate for Payer: Humana OH Medicaid	$7,207.12

INPATIENT APRDRG 2434: OTHER ESOPHAGEAL DISORDERS

Facility

$11,601.55

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG 2434
Min. Negotiated Rate	$11,601.55
Max. Negotiated Rate	$11,601.55
Rate for Payer: Aetna CHP/Medicaid	$11,601.55
Rate for Payer: Humana OH Medicaid	$11,601.55

INPATIENT APRDRG 2441: DIVERTICULITIS & DIVERTICULOSIS

Facility

$2,989.38

Service Code	APR-DRG 2441
Hospital Charge Code	APRDRG 2441
Min. Negotiated Rate	$2,989.38
Max. Negotiated Rate	$2,989.38
Rate for Payer: Aetna CHP/Medicaid	$2,989.38
Rate for Payer: Humana OH Medicaid	$2,989.38

INPATIENT APRDRG 2442: DIVERTICULITIS & DIVERTICULOSIS

Facility

$3,662.35

Service Code	APR-DRG 2442
Hospital Charge Code	APRDRG 2442
Min. Negotiated Rate	$3,662.35
Max. Negotiated Rate	$3,662.35
Rate for Payer: Aetna CHP/Medicaid	$3,662.35
Rate for Payer: Humana OH Medicaid	$3,662.35

INPATIENT APRDRG 2443: DIVERTICULITIS & DIVERTICULOSIS

Facility

$5,581.87

Service Code	APR-DRG 2443
Hospital Charge Code	APRDRG 2443
Min. Negotiated Rate	$5,581.87
Max. Negotiated Rate	$5,581.87
Rate for Payer: Aetna CHP/Medicaid	$5,581.87
Rate for Payer: Humana OH Medicaid	$5,581.87

INPATIENT APRDRG 2444: DIVERTICULITIS & DIVERTICULOSIS

Facility

$9,256.56

Service Code	APR-DRG 2444
Hospital Charge Code	APRDRG 2444
Min. Negotiated Rate	$9,256.56
Max. Negotiated Rate	$9,256.56
Rate for Payer: Aetna CHP/Medicaid	$9,256.56
Rate for Payer: Humana OH Medicaid	$9,256.56

INPATIENT APRDRG 2451: INFLAMMATORY BOWEL DISEASE

Facility

$3,544.12

Service Code	APR-DRG 2451
Hospital Charge Code	APRDRG 2451
Min. Negotiated Rate	$3,544.12
Max. Negotiated Rate	$3,544.12
Rate for Payer: Aetna CHP/Medicaid	$3,544.12
Rate for Payer: Humana OH Medicaid	$3,544.12

INPATIENT APRDRG 2452: INFLAMMATORY BOWEL DISEASE

Facility

$4,775.73

Service Code	APR-DRG 2452
Hospital Charge Code	APRDRG 2452
Min. Negotiated Rate	$4,775.73
Max. Negotiated Rate	$4,775.73
Rate for Payer: Aetna CHP/Medicaid	$4,775.73
Rate for Payer: Humana OH Medicaid	$4,775.73

INPATIENT APRDRG 2453: INFLAMMATORY BOWEL DISEASE

Facility

$7,160.35

Service Code	APR-DRG 2453
Hospital Charge Code	APRDRG 2453
Min. Negotiated Rate	$7,160.35
Max. Negotiated Rate	$7,160.35
Rate for Payer: Aetna CHP/Medicaid	$7,160.35
Rate for Payer: Humana OH Medicaid	$7,160.35

INPATIENT APRDRG 2454: INFLAMMATORY BOWEL DISEASE

Facility

$11,952.33

Service Code	APR-DRG 2454
Hospital Charge Code	APRDRG 2454
Min. Negotiated Rate	$11,952.33
Max. Negotiated Rate	$11,952.33
Rate for Payer: Aetna CHP/Medicaid	$11,952.33
Rate for Payer: Humana OH Medicaid	$11,952.33

INPATIENT APRDRG 2461: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$3,460.98

Service Code	APR-DRG 2461
Hospital Charge Code	APRDRG 2461
Min. Negotiated Rate	$3,460.98
Max. Negotiated Rate	$3,460.98
Rate for Payer: Aetna CHP/Medicaid	$3,460.98
Rate for Payer: Humana OH Medicaid	$3,460.98

INPATIENT APRDRG 2462: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$4,534.09

Service Code	APR-DRG 2462
Hospital Charge Code	APRDRG 2462
Min. Negotiated Rate	$4,534.09
Max. Negotiated Rate	$4,534.09
Rate for Payer: Aetna CHP/Medicaid	$4,534.09
Rate for Payer: Humana OH Medicaid	$4,534.09

Know your out-of-pocket cost for care.

All Charges