Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3214: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$31,530.11

Service Code	APR-DRG 3214
Hospital Charge Code	APRDRG 3214
Min. Negotiated Rate	$31,530.11
Max. Negotiated Rate	$31,530.11
Rate for Payer: Aetna CHP/Medicaid	$31,530.11
Rate for Payer: Humana OH Medicaid	$31,530.11

INPATIENT APRDRG 3221: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$9,973.05

Service Code	APR-DRG 3221
Hospital Charge Code	APRDRG 3221
Min. Negotiated Rate	$9,973.05
Max. Negotiated Rate	$9,973.05
Rate for Payer: Aetna CHP/Medicaid	$9,973.05
Rate for Payer: Humana OH Medicaid	$9,973.05

INPATIENT APRDRG 3222: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$10,567.42

Service Code	APR-DRG 3222
Hospital Charge Code	APRDRG 3222
Min. Negotiated Rate	$10,567.42
Max. Negotiated Rate	$10,567.42
Rate for Payer: Aetna CHP/Medicaid	$10,567.42
Rate for Payer: Humana OH Medicaid	$10,567.42

INPATIENT APRDRG 3223: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$15,601.03

Service Code	APR-DRG 3223
Hospital Charge Code	APRDRG 3223
Min. Negotiated Rate	$15,601.03
Max. Negotiated Rate	$15,601.03
Rate for Payer: Aetna CHP/Medicaid	$15,601.03
Rate for Payer: Humana OH Medicaid	$15,601.03

INPATIENT APRDRG 3224: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$15,601.03

Service Code	APR-DRG 3224
Hospital Charge Code	APRDRG 3224
Min. Negotiated Rate	$15,601.03
Max. Negotiated Rate	$15,601.03
Rate for Payer: Aetna CHP/Medicaid	$15,601.03
Rate for Payer: Humana OH Medicaid	$15,601.03

INPATIENT APRDRG 3231: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$10,165.97

Service Code	APR-DRG 3231
Hospital Charge Code	APRDRG 3231
Min. Negotiated Rate	$10,165.97
Max. Negotiated Rate	$10,165.97
Rate for Payer: Aetna CHP/Medicaid	$10,165.97
Rate for Payer: Humana OH Medicaid	$10,165.97

INPATIENT APRDRG 3232: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$11,910.75

Service Code	APR-DRG 3232
Hospital Charge Code	APRDRG 3232
Min. Negotiated Rate	$11,910.75
Max. Negotiated Rate	$11,910.75
Rate for Payer: Aetna CHP/Medicaid	$11,910.75
Rate for Payer: Humana OH Medicaid	$11,910.75

INPATIENT APRDRG 3233: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$15,929.72

Service Code	APR-DRG 3233
Hospital Charge Code	APRDRG 3233
Min. Negotiated Rate	$15,929.72
Max. Negotiated Rate	$15,929.72
Rate for Payer: Aetna CHP/Medicaid	$15,929.72
Rate for Payer: Humana OH Medicaid	$15,929.72

INPATIENT APRDRG 3234: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$25,672.17

Service Code	APR-DRG 3234
Hospital Charge Code	APRDRG 3234
Min. Negotiated Rate	$25,672.17
Max. Negotiated Rate	$25,672.17
Rate for Payer: Aetna CHP/Medicaid	$25,672.17
Rate for Payer: Humana OH Medicaid	$25,672.17

INPATIENT APRDRG 3241: ELECTIVE HIP JOINT REPLACEMENT

Facility

$8,630.36

Service Code	APR-DRG 3241
Hospital Charge Code	APRDRG 3241
Min. Negotiated Rate	$8,630.36
Max. Negotiated Rate	$8,630.36
Rate for Payer: Aetna CHP/Medicaid	$8,630.36
Rate for Payer: Humana OH Medicaid	$8,630.36

INPATIENT APRDRG 3242: ELECTIVE HIP JOINT REPLACEMENT

Facility

$9,557.31

Service Code	APR-DRG 3242
Hospital Charge Code	APRDRG 3242
Min. Negotiated Rate	$9,557.31
Max. Negotiated Rate	$9,557.31
Rate for Payer: Aetna CHP/Medicaid	$9,557.31
Rate for Payer: Humana OH Medicaid	$9,557.31

INPATIENT APRDRG 3243: ELECTIVE HIP JOINT REPLACEMENT

Facility

$12,872.79

Service Code	APR-DRG 3243
Hospital Charge Code	APRDRG 3243
Min. Negotiated Rate	$12,872.79
Max. Negotiated Rate	$12,872.79
Rate for Payer: Aetna CHP/Medicaid	$12,872.79
Rate for Payer: Humana OH Medicaid	$12,872.79

INPATIENT APRDRG 3244: ELECTIVE HIP JOINT REPLACEMENT

Facility

$18,801.53

Service Code	APR-DRG 3244
Hospital Charge Code	APRDRG 3244
Min. Negotiated Rate	$18,801.53
Max. Negotiated Rate	$18,801.53
Rate for Payer: Aetna CHP/Medicaid	$18,801.53
Rate for Payer: Humana OH Medicaid	$18,801.53

INPATIENT APRDRG 3251: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$13,495.09

Service Code	APR-DRG 3251
Hospital Charge Code	APRDRG 3251
Min. Negotiated Rate	$13,495.09
Max. Negotiated Rate	$13,495.09
Rate for Payer: Aetna CHP/Medicaid	$13,495.09
Rate for Payer: Humana OH Medicaid	$13,495.09

INPATIENT APRDRG 3252: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$14,466.21

Service Code	APR-DRG 3252
Hospital Charge Code	APRDRG 3252
Min. Negotiated Rate	$14,466.21
Max. Negotiated Rate	$14,466.21
Rate for Payer: Aetna CHP/Medicaid	$14,466.21
Rate for Payer: Humana OH Medicaid	$14,466.21

INPATIENT APRDRG 3253: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$20,938.66

Service Code	APR-DRG 3253
Hospital Charge Code	APRDRG 3253
Min. Negotiated Rate	$20,938.66
Max. Negotiated Rate	$20,938.66
Rate for Payer: Aetna CHP/Medicaid	$20,938.66
Rate for Payer: Humana OH Medicaid	$20,938.66

INPATIENT APRDRG 3254: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$28,080.17

Service Code	APR-DRG 3254
Hospital Charge Code	APRDRG 3254
Min. Negotiated Rate	$28,080.17
Max. Negotiated Rate	$28,080.17
Rate for Payer: Aetna CHP/Medicaid	$28,080.17
Rate for Payer: Humana OH Medicaid	$28,080.17

INPATIENT APRDRG 3261: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$8,361.43

Service Code	APR-DRG 3261
Hospital Charge Code	APRDRG 3261
Min. Negotiated Rate	$8,361.43
Max. Negotiated Rate	$8,361.43
Rate for Payer: Aetna CHP/Medicaid	$8,361.43
Rate for Payer: Humana OH Medicaid	$8,361.43

INPATIENT APRDRG 3262: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$9,646.96

Service Code	APR-DRG 3262
Hospital Charge Code	APRDRG 3262
Min. Negotiated Rate	$9,646.96
Max. Negotiated Rate	$9,646.96
Rate for Payer: Aetna CHP/Medicaid	$9,646.96
Rate for Payer: Humana OH Medicaid	$9,646.96

INPATIENT APRDRG 3263: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$14,344.09

Service Code	APR-DRG 3263
Hospital Charge Code	APRDRG 3263
Min. Negotiated Rate	$14,344.09
Max. Negotiated Rate	$14,344.09
Rate for Payer: Aetna CHP/Medicaid	$14,344.09
Rate for Payer: Humana OH Medicaid	$14,344.09

INPATIENT APRDRG 3264: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$18,375.40

Service Code	APR-DRG 3264
Hospital Charge Code	APRDRG 3264
Min. Negotiated Rate	$18,375.40
Max. Negotiated Rate	$18,375.40
Rate for Payer: Aetna CHP/Medicaid	$18,375.40
Rate for Payer: Humana OH Medicaid	$18,375.40

INPATIENT APRDRG 3401: FRACTURE OF FEMUR

Facility

$2,422.30

Service Code	APR-DRG 3401
Hospital Charge Code	APRDRG 3401
Min. Negotiated Rate	$2,422.30
Max. Negotiated Rate	$2,422.30
Rate for Payer: Aetna CHP/Medicaid	$2,422.30
Rate for Payer: Humana OH Medicaid	$2,422.30

INPATIENT APRDRG 3402: FRACTURE OF FEMUR

Facility

$3,510.35

Service Code	APR-DRG 3402
Hospital Charge Code	APRDRG 3402
Min. Negotiated Rate	$3,510.35
Max. Negotiated Rate	$3,510.35
Rate for Payer: Aetna CHP/Medicaid	$3,510.35
Rate for Payer: Humana OH Medicaid	$3,510.35

INPATIENT APRDRG 3403: FRACTURE OF FEMUR

Facility

$6,803.08

Service Code	APR-DRG 3403
Hospital Charge Code	APRDRG 3403
Min. Negotiated Rate	$6,803.08
Max. Negotiated Rate	$6,803.08
Rate for Payer: Aetna CHP/Medicaid	$6,803.08
Rate for Payer: Humana OH Medicaid	$6,803.08

INPATIENT APRDRG 3404: FRACTURE OF FEMUR

Facility

$6,803.08

Service Code	APR-DRG 3404
Hospital Charge Code	APRDRG 3404
Min. Negotiated Rate	$6,803.08
Max. Negotiated Rate	$6,803.08
Rate for Payer: Aetna CHP/Medicaid	$6,803.08
Rate for Payer: Humana OH Medicaid	$6,803.08

Know your out-of-pocket cost for care.

All Charges