Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3133: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$14,084.26

Service Code	APR-DRG 3133
Hospital Charge Code	APRDRG 3133
Min. Negotiated Rate	$14,084.26
Max. Negotiated Rate	$14,084.26
Rate for Payer: Aetna CHP/Medicaid	$14,084.26
Rate for Payer: Humana OH Medicaid	$14,084.26

INPATIENT APRDRG 3134: KNEE & LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$21,259.55

Service Code	APR-DRG 3134
Hospital Charge Code	APRDRG 3134
Min. Negotiated Rate	$21,259.55
Max. Negotiated Rate	$21,259.55
Rate for Payer: Aetna CHP/Medicaid	$21,259.55
Rate for Payer: Humana OH Medicaid	$21,259.55

INPATIENT APRDRG 3141: FOOT & TOE PROCEDURES

Facility

$7,021.99

Service Code	APR-DRG 3141
Hospital Charge Code	APRDRG 3141
Min. Negotiated Rate	$7,021.99
Max. Negotiated Rate	$7,021.99
Rate for Payer: Aetna CHP/Medicaid	$7,021.99
Rate for Payer: Humana OH Medicaid	$7,021.99

INPATIENT APRDRG 3142: FOOT & TOE PROCEDURES

Facility

$7,037.58

Service Code	APR-DRG 3142
Hospital Charge Code	APRDRG 3142
Min. Negotiated Rate	$7,037.58
Max. Negotiated Rate	$7,037.58
Rate for Payer: Aetna CHP/Medicaid	$7,037.58
Rate for Payer: Humana OH Medicaid	$7,037.58

INPATIENT APRDRG 3143: FOOT & TOE PROCEDURES

Facility

$8,741.44

Service Code	APR-DRG 3143
Hospital Charge Code	APRDRG 3143
Min. Negotiated Rate	$8,741.44
Max. Negotiated Rate	$8,741.44
Rate for Payer: Aetna CHP/Medicaid	$8,741.44
Rate for Payer: Humana OH Medicaid	$8,741.44

INPATIENT APRDRG 3144: FOOT & TOE PROCEDURES

Facility

$14,396.06

Service Code	APR-DRG 3144
Hospital Charge Code	APRDRG 3144
Min. Negotiated Rate	$14,396.06
Max. Negotiated Rate	$14,396.06
Rate for Payer: Aetna CHP/Medicaid	$14,396.06
Rate for Payer: Humana OH Medicaid	$14,396.06

INPATIENT APRDRG 3151: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$4,825.10

Service Code	APR-DRG 3151
Hospital Charge Code	APRDRG 3151
Min. Negotiated Rate	$4,825.10
Max. Negotiated Rate	$4,825.10
Rate for Payer: Aetna CHP/Medicaid	$4,825.10
Rate for Payer: Humana OH Medicaid	$4,825.10

INPATIENT APRDRG 3152: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$8,714.81

Service Code	APR-DRG 3152
Hospital Charge Code	APRDRG 3152
Min. Negotiated Rate	$8,714.81
Max. Negotiated Rate	$8,714.81
Rate for Payer: Aetna CHP/Medicaid	$8,714.81
Rate for Payer: Humana OH Medicaid	$8,714.81

INPATIENT APRDRG 3153: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$12,266.73

Service Code	APR-DRG 3153
Hospital Charge Code	APRDRG 3153
Min. Negotiated Rate	$12,266.73
Max. Negotiated Rate	$12,266.73
Rate for Payer: Aetna CHP/Medicaid	$12,266.73
Rate for Payer: Humana OH Medicaid	$12,266.73

INPATIENT APRDRG 3154: SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$20,461.86

Service Code	APR-DRG 3154
Hospital Charge Code	APRDRG 3154
Min. Negotiated Rate	$20,461.86
Max. Negotiated Rate	$20,461.86
Rate for Payer: Aetna CHP/Medicaid	$20,461.86
Rate for Payer: Humana OH Medicaid	$20,461.86

INPATIENT APRDRG 3161: HAND & WRIST PROCEDURES

Facility

$4,677.65

Service Code	APR-DRG 3161
Hospital Charge Code	APRDRG 3161
Min. Negotiated Rate	$4,677.65
Max. Negotiated Rate	$4,677.65
Rate for Payer: Aetna CHP/Medicaid	$4,677.65
Rate for Payer: Humana OH Medicaid	$4,677.65

INPATIENT APRDRG 3162: HAND & WRIST PROCEDURES

Facility

$5,931.99

Service Code	APR-DRG 3162
Hospital Charge Code	APRDRG 3162
Min. Negotiated Rate	$5,931.99
Max. Negotiated Rate	$5,931.99
Rate for Payer: Aetna CHP/Medicaid	$5,931.99
Rate for Payer: Humana OH Medicaid	$5,931.99

INPATIENT APRDRG 3163: HAND & WRIST PROCEDURES

Facility

$9,569.66

Service Code	APR-DRG 3163
Hospital Charge Code	APRDRG 3163
Min. Negotiated Rate	$9,569.66
Max. Negotiated Rate	$9,569.66
Rate for Payer: Aetna CHP/Medicaid	$9,569.66
Rate for Payer: Humana OH Medicaid	$9,569.66

INPATIENT APRDRG 3164: HAND & WRIST PROCEDURES

Facility

$14,403.85

Service Code	APR-DRG 3164
Hospital Charge Code	APRDRG 3164
Min. Negotiated Rate	$14,403.85
Max. Negotiated Rate	$14,403.85
Rate for Payer: Aetna CHP/Medicaid	$14,403.85
Rate for Payer: Humana OH Medicaid	$14,403.85

INPATIENT APRDRG 3171: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$5,316.19

Service Code	APR-DRG 3171
Hospital Charge Code	APRDRG 3171
Min. Negotiated Rate	$5,316.19
Max. Negotiated Rate	$5,316.19
Rate for Payer: Aetna CHP/Medicaid	$5,316.19
Rate for Payer: Humana OH Medicaid	$5,316.19

INPATIENT APRDRG 3172: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$7,019.39

Service Code	APR-DRG 3172
Hospital Charge Code	APRDRG 3172
Min. Negotiated Rate	$7,019.39
Max. Negotiated Rate	$7,019.39
Rate for Payer: Aetna CHP/Medicaid	$7,019.39
Rate for Payer: Humana OH Medicaid	$7,019.39

INPATIENT APRDRG 3173: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$10,588.85

Service Code	APR-DRG 3173
Hospital Charge Code	APRDRG 3173
Min. Negotiated Rate	$10,588.85
Max. Negotiated Rate	$10,588.85
Rate for Payer: Aetna CHP/Medicaid	$10,588.85
Rate for Payer: Humana OH Medicaid	$10,588.85

INPATIENT APRDRG 3174: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$21,395.32

Service Code	APR-DRG 3174
Hospital Charge Code	APRDRG 3174
Min. Negotiated Rate	$21,395.32
Max. Negotiated Rate	$21,395.32
Rate for Payer: Aetna CHP/Medicaid	$21,395.32
Rate for Payer: Humana OH Medicaid	$21,395.32

INPATIENT APRDRG 3201: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$6,593.92

Service Code	APR-DRG 3201
Hospital Charge Code	APRDRG 3201
Min. Negotiated Rate	$6,593.92
Max. Negotiated Rate	$6,593.92
Rate for Payer: Aetna CHP/Medicaid	$6,593.92
Rate for Payer: Humana OH Medicaid	$6,593.92

INPATIENT APRDRG 3202: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$8,716.10

Service Code	APR-DRG 3202
Hospital Charge Code	APRDRG 3202
Min. Negotiated Rate	$8,716.10
Max. Negotiated Rate	$8,716.10
Rate for Payer: Aetna CHP/Medicaid	$8,716.10
Rate for Payer: Humana OH Medicaid	$8,716.10

INPATIENT APRDRG 3203: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$11,977.01

Service Code	APR-DRG 3203
Hospital Charge Code	APRDRG 3203
Min. Negotiated Rate	$11,977.01
Max. Negotiated Rate	$11,977.01
Rate for Payer: Aetna CHP/Medicaid	$11,977.01
Rate for Payer: Humana OH Medicaid	$11,977.01

INPATIENT APRDRG 3204: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$20,954.90

Service Code	APR-DRG 3204
Hospital Charge Code	APRDRG 3204
Min. Negotiated Rate	$20,954.90
Max. Negotiated Rate	$20,954.90
Rate for Payer: Aetna CHP/Medicaid	$20,954.90
Rate for Payer: Humana OH Medicaid	$20,954.90

INPATIENT APRDRG 3211: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$11,083.19

Service Code	APR-DRG 3211
Hospital Charge Code	APRDRG 3211
Min. Negotiated Rate	$11,083.19
Max. Negotiated Rate	$11,083.19
Rate for Payer: Aetna CHP/Medicaid	$11,083.19
Rate for Payer: Humana OH Medicaid	$11,083.19

INPATIENT APRDRG 3212: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$13,958.89

Service Code	APR-DRG 3212
Hospital Charge Code	APRDRG 3212
Min. Negotiated Rate	$13,958.89
Max. Negotiated Rate	$13,958.89
Rate for Payer: Aetna CHP/Medicaid	$13,958.89
Rate for Payer: Humana OH Medicaid	$13,958.89

INPATIENT APRDRG 3213: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$19,817.48

Service Code	APR-DRG 3213
Hospital Charge Code	APRDRG 3213
Min. Negotiated Rate	$19,817.48
Max. Negotiated Rate	$19,817.48
Rate for Payer: Aetna CHP/Medicaid	$19,817.48
Rate for Payer: Humana OH Medicaid	$19,817.48

Know your out-of-pocket cost for care.

All Charges