Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3411: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$3,196.60

Service Code	APR-DRG 3411
Hospital Charge Code	APRDRG 3411
Min. Negotiated Rate	$3,196.60
Max. Negotiated Rate	$3,196.60
Rate for Payer: Aetna CHP/Medicaid	$3,196.60
Rate for Payer: Humana OH Medicaid	$3,196.60

INPATIENT APRDRG 3412: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$3,494.11

Service Code	APR-DRG 3412
Hospital Charge Code	APRDRG 3412
Min. Negotiated Rate	$3,494.11
Max. Negotiated Rate	$3,494.11
Rate for Payer: Aetna CHP/Medicaid	$3,494.11
Rate for Payer: Humana OH Medicaid	$3,494.11

INPATIENT APRDRG 3413: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$4,256.72

Service Code	APR-DRG 3413
Hospital Charge Code	APRDRG 3413
Min. Negotiated Rate	$4,256.72
Max. Negotiated Rate	$4,256.72
Rate for Payer: Aetna CHP/Medicaid	$4,256.72
Rate for Payer: Humana OH Medicaid	$4,256.72

INPATIENT APRDRG 3414: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$7,402.65

Service Code	APR-DRG 3414
Hospital Charge Code	APRDRG 3414
Min. Negotiated Rate	$7,402.65
Max. Negotiated Rate	$7,402.65
Rate for Payer: Aetna CHP/Medicaid	$7,402.65
Rate for Payer: Humana OH Medicaid	$7,402.65

INPATIENT APRDRG 3421: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$2,813.99

Service Code	APR-DRG 3421
Hospital Charge Code	APRDRG 3421
Min. Negotiated Rate	$2,813.99
Max. Negotiated Rate	$2,813.99
Rate for Payer: Aetna CHP/Medicaid	$2,813.99
Rate for Payer: Humana OH Medicaid	$2,813.99

INPATIENT APRDRG 3422: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$3,583.10

Service Code	APR-DRG 3422
Hospital Charge Code	APRDRG 3422
Min. Negotiated Rate	$3,583.10
Max. Negotiated Rate	$3,583.10
Rate for Payer: Aetna CHP/Medicaid	$3,583.10
Rate for Payer: Humana OH Medicaid	$3,583.10

INPATIENT APRDRG 3423: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$5,536.40

Service Code	APR-DRG 3423
Hospital Charge Code	APRDRG 3423
Min. Negotiated Rate	$5,536.40
Max. Negotiated Rate	$5,536.40
Rate for Payer: Aetna CHP/Medicaid	$5,536.40
Rate for Payer: Humana OH Medicaid	$5,536.40

INPATIENT APRDRG 3424: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$6,700.45

Service Code	APR-DRG 3424
Hospital Charge Code	APRDRG 3424
Min. Negotiated Rate	$6,700.45
Max. Negotiated Rate	$6,700.45
Rate for Payer: Aetna CHP/Medicaid	$6,700.45
Rate for Payer: Humana OH Medicaid	$6,700.45

INPATIENT APRDRG 3431: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$5,748.81

Service Code	APR-DRG 3431
Hospital Charge Code	APRDRG 3431
Min. Negotiated Rate	$5,748.81
Max. Negotiated Rate	$5,748.81
Rate for Payer: Aetna CHP/Medicaid	$5,748.81
Rate for Payer: Humana OH Medicaid	$5,748.81

INPATIENT APRDRG 3432: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$5,768.30

Service Code	APR-DRG 3432
Hospital Charge Code	APRDRG 3432
Min. Negotiated Rate	$5,768.30
Max. Negotiated Rate	$5,768.30
Rate for Payer: Aetna CHP/Medicaid	$5,768.30
Rate for Payer: Humana OH Medicaid	$5,768.30

INPATIENT APRDRG 3433: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$8,049.63

Service Code	APR-DRG 3433
Hospital Charge Code	APRDRG 3433
Min. Negotiated Rate	$8,049.63
Max. Negotiated Rate	$8,049.63
Rate for Payer: Aetna CHP/Medicaid	$8,049.63
Rate for Payer: Humana OH Medicaid	$8,049.63

INPATIENT APRDRG 3434: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$12,828.61

Service Code	APR-DRG 3434
Hospital Charge Code	APRDRG 3434
Min. Negotiated Rate	$12,828.61
Max. Negotiated Rate	$12,828.61
Rate for Payer: Aetna CHP/Medicaid	$12,828.61
Rate for Payer: Humana OH Medicaid	$12,828.61

INPATIENT APRDRG 3441: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$4,476.28

Service Code	APR-DRG 3441
Hospital Charge Code	APRDRG 3441
Min. Negotiated Rate	$4,476.28
Max. Negotiated Rate	$4,476.28
Rate for Payer: Aetna CHP/Medicaid	$4,476.28
Rate for Payer: Humana OH Medicaid	$4,476.28

INPATIENT APRDRG 3442: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$5,090.78

Service Code	APR-DRG 3442
Hospital Charge Code	APRDRG 3442
Min. Negotiated Rate	$5,090.78
Max. Negotiated Rate	$5,090.78
Rate for Payer: Aetna CHP/Medicaid	$5,090.78
Rate for Payer: Humana OH Medicaid	$5,090.78

INPATIENT APRDRG 3443: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$7,081.75

Service Code	APR-DRG 3443
Hospital Charge Code	APRDRG 3443
Min. Negotiated Rate	$7,081.75
Max. Negotiated Rate	$7,081.75
Rate for Payer: Aetna CHP/Medicaid	$7,081.75
Rate for Payer: Humana OH Medicaid	$7,081.75

INPATIENT APRDRG 3444: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$9,804.81

Service Code	APR-DRG 3444
Hospital Charge Code	APRDRG 3444
Min. Negotiated Rate	$9,804.81
Max. Negotiated Rate	$9,804.81
Rate for Payer: Aetna CHP/Medicaid	$9,804.81
Rate for Payer: Humana OH Medicaid	$9,804.81

INPATIENT APRDRG 3461: CONNECTIVE TISSUE DISORDERS

Facility

$5,421.42

Service Code	APR-DRG 3461
Hospital Charge Code	APRDRG 3461
Min. Negotiated Rate	$5,421.42
Max. Negotiated Rate	$5,421.42
Rate for Payer: Aetna CHP/Medicaid	$5,421.42
Rate for Payer: Humana OH Medicaid	$5,421.42

INPATIENT APRDRG 3462: CONNECTIVE TISSUE DISORDERS

Facility

$6,834.26

Service Code	APR-DRG 3462
Hospital Charge Code	APRDRG 3462
Min. Negotiated Rate	$6,834.26
Max. Negotiated Rate	$6,834.26
Rate for Payer: Aetna CHP/Medicaid	$6,834.26
Rate for Payer: Humana OH Medicaid	$6,834.26

INPATIENT APRDRG 3463: CONNECTIVE TISSUE DISORDERS

Facility

$11,000.04

Service Code	APR-DRG 3463
Hospital Charge Code	APRDRG 3463
Min. Negotiated Rate	$11,000.04
Max. Negotiated Rate	$11,000.04
Rate for Payer: Aetna CHP/Medicaid	$11,000.04
Rate for Payer: Humana OH Medicaid	$11,000.04

INPATIENT APRDRG 3464: CONNECTIVE TISSUE DISORDERS

Facility

$22,115.05

Service Code	APR-DRG 3464
Hospital Charge Code	APRDRG 3464
Min. Negotiated Rate	$22,115.05
Max. Negotiated Rate	$22,115.05
Rate for Payer: Aetna CHP/Medicaid	$22,115.05
Rate for Payer: Humana OH Medicaid	$22,115.05

INPATIENT APRDRG 3471: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$3,508.40

Service Code	APR-DRG 3471
Hospital Charge Code	APRDRG 3471
Min. Negotiated Rate	$3,508.40
Max. Negotiated Rate	$3,508.40
Rate for Payer: Aetna CHP/Medicaid	$3,508.40
Rate for Payer: Humana OH Medicaid	$3,508.40

INPATIENT APRDRG 3472: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$4,129.40

Service Code	APR-DRG 3472
Hospital Charge Code	APRDRG 3472
Min. Negotiated Rate	$4,129.40
Max. Negotiated Rate	$4,129.40
Rate for Payer: Aetna CHP/Medicaid	$4,129.40
Rate for Payer: Humana OH Medicaid	$4,129.40

INPATIENT APRDRG 3473: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$5,642.28

Service Code	APR-DRG 3473
Hospital Charge Code	APRDRG 3473
Min. Negotiated Rate	$5,642.28
Max. Negotiated Rate	$5,642.28
Rate for Payer: Aetna CHP/Medicaid	$5,642.28
Rate for Payer: Humana OH Medicaid	$5,642.28

INPATIENT APRDRG 3474: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$10,560.92

Service Code	APR-DRG 3474
Hospital Charge Code	APRDRG 3474
Min. Negotiated Rate	$10,560.92
Max. Negotiated Rate	$10,560.92
Rate for Payer: Aetna CHP/Medicaid	$10,560.92
Rate for Payer: Humana OH Medicaid	$10,560.92

INPATIENT APRDRG 3491: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$3,045.89

Service Code	APR-DRG 3491
Hospital Charge Code	APRDRG 3491
Min. Negotiated Rate	$3,045.89
Max. Negotiated Rate	$3,045.89
Rate for Payer: Aetna CHP/Medicaid	$3,045.89
Rate for Payer: Humana OH Medicaid	$3,045.89

Know your out-of-pocket cost for care.

All Charges