Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3042: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK

Facility

$21,209.53

Service Code	APR-DRG 3042
Hospital Charge Code	APRDRG 3042
Min. Negotiated Rate	$21,209.53
Max. Negotiated Rate	$21,209.53
Rate for Payer: Aetna CHP/Medicaid	$21,209.53
Rate for Payer: Humana OH Medicaid	$21,209.53

INPATIENT APRDRG 3043: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK

Facility

$30,254.33

Service Code	APR-DRG 3043
Hospital Charge Code	APRDRG 3043
Min. Negotiated Rate	$30,254.33
Max. Negotiated Rate	$30,254.33
Rate for Payer: Aetna CHP/Medicaid	$30,254.33
Rate for Payer: Humana OH Medicaid	$30,254.33

INPATIENT APRDRG 3044: DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK

Facility

$41,724.66

Service Code	APR-DRG 3044
Hospital Charge Code	APRDRG 3044
Min. Negotiated Rate	$41,724.66
Max. Negotiated Rate	$41,724.66
Rate for Payer: Aetna CHP/Medicaid	$41,724.66
Rate for Payer: Humana OH Medicaid	$41,724.66

INPATIENT APRDRG 3051: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$6,808.93

Service Code	APR-DRG 3051
Hospital Charge Code	APRDRG 3051
Min. Negotiated Rate	$6,808.93
Max. Negotiated Rate	$6,808.93
Rate for Payer: Aetna CHP/Medicaid	$6,808.93
Rate for Payer: Humana OH Medicaid	$6,808.93

INPATIENT APRDRG 3052: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$8,564.75

Service Code	APR-DRG 3052
Hospital Charge Code	APRDRG 3052
Min. Negotiated Rate	$8,564.75
Max. Negotiated Rate	$8,564.75
Rate for Payer: Aetna CHP/Medicaid	$8,564.75
Rate for Payer: Humana OH Medicaid	$8,564.75

INPATIENT APRDRG 3053: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$12,173.19

Service Code	APR-DRG 3053
Hospital Charge Code	APRDRG 3053
Min. Negotiated Rate	$12,173.19
Max. Negotiated Rate	$12,173.19
Rate for Payer: Aetna CHP/Medicaid	$12,173.19
Rate for Payer: Humana OH Medicaid	$12,173.19

INPATIENT APRDRG 3054: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$19,958.44

Service Code	APR-DRG 3054
Hospital Charge Code	APRDRG 3054
Min. Negotiated Rate	$19,958.44
Max. Negotiated Rate	$19,958.44
Rate for Payer: Aetna CHP/Medicaid	$19,958.44
Rate for Payer: Humana OH Medicaid	$19,958.44

INPATIENT APRDRG 3081: HIP & FEMUR FRACTURE REPAIR

Facility

$7,786.55

Service Code	APR-DRG 3081
Hospital Charge Code	APRDRG 3081
Min. Negotiated Rate	$7,786.55
Max. Negotiated Rate	$7,786.55
Rate for Payer: Aetna CHP/Medicaid	$7,786.55
Rate for Payer: Humana OH Medicaid	$7,786.55

INPATIENT APRDRG 3082: HIP & FEMUR FRACTURE REPAIR

Facility

$9,871.06

Service Code	APR-DRG 3082
Hospital Charge Code	APRDRG 3082
Min. Negotiated Rate	$9,871.06
Max. Negotiated Rate	$9,871.06
Rate for Payer: Aetna CHP/Medicaid	$9,871.06
Rate for Payer: Humana OH Medicaid	$9,871.06

INPATIENT APRDRG 3083: HIP & FEMUR FRACTURE REPAIR

Facility

$13,308.66

Service Code	APR-DRG 3083
Hospital Charge Code	APRDRG 3083
Min. Negotiated Rate	$13,308.66
Max. Negotiated Rate	$13,308.66
Rate for Payer: Aetna CHP/Medicaid	$13,308.66
Rate for Payer: Humana OH Medicaid	$13,308.66

INPATIENT APRDRG 3084: HIP & FEMUR FRACTURE REPAIR

Facility

$21,085.46

Service Code	APR-DRG 3084
Hospital Charge Code	APRDRG 3084
Min. Negotiated Rate	$21,085.46
Max. Negotiated Rate	$21,085.46
Rate for Payer: Aetna CHP/Medicaid	$21,085.46
Rate for Payer: Humana OH Medicaid	$21,085.46

INPATIENT APRDRG 3091: OTHER SIGNIFICANT HIP & FEMUR SURGERY

Facility

$8,786.26

Service Code	APR-DRG 3091
Hospital Charge Code	APRDRG 3091
Min. Negotiated Rate	$8,786.26
Max. Negotiated Rate	$8,786.26
Rate for Payer: Aetna CHP/Medicaid	$8,786.26
Rate for Payer: Humana OH Medicaid	$8,786.26

INPATIENT APRDRG 3092: OTHER SIGNIFICANT HIP & FEMUR SURGERY

Facility

$11,554.13

Service Code	APR-DRG 3092
Hospital Charge Code	APRDRG 3092
Min. Negotiated Rate	$11,554.13
Max. Negotiated Rate	$11,554.13
Rate for Payer: Aetna CHP/Medicaid	$11,554.13
Rate for Payer: Humana OH Medicaid	$11,554.13

INPATIENT APRDRG 3093: OTHER SIGNIFICANT HIP & FEMUR SURGERY

Facility

$15,525.03

Service Code	APR-DRG 3093
Hospital Charge Code	APRDRG 3093
Min. Negotiated Rate	$15,525.03
Max. Negotiated Rate	$15,525.03
Rate for Payer: Aetna CHP/Medicaid	$15,525.03
Rate for Payer: Humana OH Medicaid	$15,525.03

INPATIENT APRDRG 3094: OTHER SIGNIFICANT HIP & FEMUR SURGERY

Facility

$24,069.65

Service Code	APR-DRG 3094
Hospital Charge Code	APRDRG 3094
Min. Negotiated Rate	$24,069.65
Max. Negotiated Rate	$24,069.65
Rate for Payer: Aetna CHP/Medicaid	$24,069.65
Rate for Payer: Humana OH Medicaid	$24,069.65

INPATIENT APRDRG 3101: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION

Facility

$6,284.07

Service Code	APR-DRG 3101
Hospital Charge Code	APRDRG 3101
Min. Negotiated Rate	$6,284.07
Max. Negotiated Rate	$6,284.07
Rate for Payer: Aetna CHP/Medicaid	$6,284.07
Rate for Payer: Humana OH Medicaid	$6,284.07

INPATIENT APRDRG 3102: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION

Facility

$10,152.33

Service Code	APR-DRG 3102
Hospital Charge Code	APRDRG 3102
Min. Negotiated Rate	$10,152.33
Max. Negotiated Rate	$10,152.33
Rate for Payer: Aetna CHP/Medicaid	$10,152.33
Rate for Payer: Humana OH Medicaid	$10,152.33

INPATIENT APRDRG 3103: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION

Facility

$13,265.78

Service Code	APR-DRG 3103
Hospital Charge Code	APRDRG 3103
Min. Negotiated Rate	$13,265.78
Max. Negotiated Rate	$13,265.78
Rate for Payer: Aetna CHP/Medicaid	$13,265.78
Rate for Payer: Humana OH Medicaid	$13,265.78

INPATIENT APRDRG 3104: INTERVERTEBRAL DISC EXCISION & DECOMPRESSION

Facility

$22,057.24

Service Code	APR-DRG 3104
Hospital Charge Code	APRDRG 3104
Min. Negotiated Rate	$22,057.24
Max. Negotiated Rate	$22,057.24
Rate for Payer: Aetna CHP/Medicaid	$22,057.24
Rate for Payer: Humana OH Medicaid	$22,057.24

INPATIENT APRDRG 3121: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$8,579.69

Service Code	APR-DRG 3121
Hospital Charge Code	APRDRG 3121
Min. Negotiated Rate	$8,579.69
Max. Negotiated Rate	$8,579.69
Rate for Payer: Aetna CHP/Medicaid	$8,579.69
Rate for Payer: Humana OH Medicaid	$8,579.69

INPATIENT APRDRG 3122: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$11,871.13

Service Code	APR-DRG 3122
Hospital Charge Code	APRDRG 3122
Min. Negotiated Rate	$11,871.13
Max. Negotiated Rate	$11,871.13
Rate for Payer: Aetna CHP/Medicaid	$11,871.13
Rate for Payer: Humana OH Medicaid	$11,871.13

INPATIENT APRDRG 3123: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$18,772.95

Service Code	APR-DRG 3123
Hospital Charge Code	APRDRG 3123
Min. Negotiated Rate	$18,772.95
Max. Negotiated Rate	$18,772.95
Rate for Payer: Aetna CHP/Medicaid	$18,772.95
Rate for Payer: Humana OH Medicaid	$18,772.95

INPATIENT APRDRG 3124: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES

Facility

$38,032.44

Service Code	APR-DRG 3124
Hospital Charge Code	APRDRG 3124
Min. Negotiated Rate	$38,032.44
Max. Negotiated Rate	$38,032.44
Rate for Payer: Aetna CHP/Medicaid	$38,032.44
Rate for Payer: Humana OH Medicaid	$38,032.44

INPATIENT APRDRG 3131: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$7,891.78

Service Code	APR-DRG 3131
Hospital Charge Code	APRDRG 3131
Min. Negotiated Rate	$7,891.78
Max. Negotiated Rate	$7,891.78
Rate for Payer: Aetna CHP/Medicaid	$7,891.78
Rate for Payer: Humana OH Medicaid	$7,891.78

INPATIENT APRDRG 3132: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$9,482.61

Service Code	APR-DRG 3132
Hospital Charge Code	APRDRG 3132
Min. Negotiated Rate	$9,482.61
Max. Negotiated Rate	$9,482.61
Rate for Payer: Aetna CHP/Medicaid	$9,482.61
Rate for Payer: Humana OH Medicaid	$9,482.61

Know your out-of-pocket cost for care.

All Charges