Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3492: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$4,454.84

Service Code	APR-DRG 3492
Hospital Charge Code	APRDRG 3492
Min. Negotiated Rate	$4,454.84
Max. Negotiated Rate	$4,454.84
Rate for Payer: Aetna CHP/Medicaid	$4,454.84
Rate for Payer: Humana OH Medicaid	$4,454.84

INPATIENT APRDRG 3493: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$6,536.10

Service Code	APR-DRG 3493
Hospital Charge Code	APRDRG 3493
Min. Negotiated Rate	$6,536.10
Max. Negotiated Rate	$6,536.10
Rate for Payer: Aetna CHP/Medicaid	$6,536.10
Rate for Payer: Humana OH Medicaid	$6,536.10

INPATIENT APRDRG 3494: MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$11,698.99

Service Code	APR-DRG 3494
Hospital Charge Code	APRDRG 3494
Min. Negotiated Rate	$11,698.99
Max. Negotiated Rate	$11,698.99
Rate for Payer: Aetna CHP/Medicaid	$11,698.99
Rate for Payer: Humana OH Medicaid	$11,698.99

INPATIENT APRDRG 3511: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$3,387.58

Service Code	APR-DRG 3511
Hospital Charge Code	APRDRG 3511
Min. Negotiated Rate	$3,387.58
Max. Negotiated Rate	$3,387.58
Rate for Payer: Aetna CHP/Medicaid	$3,387.58
Rate for Payer: Humana OH Medicaid	$3,387.58

INPATIENT APRDRG 3512: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$3,831.89

Service Code	APR-DRG 3512
Hospital Charge Code	APRDRG 3512
Min. Negotiated Rate	$3,831.89
Max. Negotiated Rate	$3,831.89
Rate for Payer: Aetna CHP/Medicaid	$3,831.89
Rate for Payer: Humana OH Medicaid	$3,831.89

INPATIENT APRDRG 3513: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$6,703.70

Service Code	APR-DRG 3513
Hospital Charge Code	APRDRG 3513
Min. Negotiated Rate	$6,703.70
Max. Negotiated Rate	$6,703.70
Rate for Payer: Aetna CHP/Medicaid	$6,703.70
Rate for Payer: Humana OH Medicaid	$6,703.70

INPATIENT APRDRG 3514: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$16,369.49

Service Code	APR-DRG 3514
Hospital Charge Code	APRDRG 3514
Min. Negotiated Rate	$16,369.49
Max. Negotiated Rate	$16,369.49
Rate for Payer: Aetna CHP/Medicaid	$16,369.49
Rate for Payer: Humana OH Medicaid	$16,369.49

INPATIENT APRDRG 3611: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$8,720.00

Service Code	APR-DRG 3611
Hospital Charge Code	APRDRG 3611
Min. Negotiated Rate	$8,720.00
Max. Negotiated Rate	$8,720.00
Rate for Payer: Aetna CHP/Medicaid	$8,720.00
Rate for Payer: Humana OH Medicaid	$8,720.00

INPATIENT APRDRG 3612: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$10,996.14

Service Code	APR-DRG 3612
Hospital Charge Code	APRDRG 3612
Min. Negotiated Rate	$10,996.14
Max. Negotiated Rate	$10,996.14
Rate for Payer: Aetna CHP/Medicaid	$10,996.14
Rate for Payer: Humana OH Medicaid	$10,996.14

INPATIENT APRDRG 3613: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$23,606.50

Service Code	APR-DRG 3613
Hospital Charge Code	APRDRG 3613
Min. Negotiated Rate	$23,606.50
Max. Negotiated Rate	$23,606.50
Rate for Payer: Aetna CHP/Medicaid	$23,606.50
Rate for Payer: Humana OH Medicaid	$23,606.50

INPATIENT APRDRG 3614: SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES

Facility

$23,606.50

Service Code	APR-DRG 3614
Hospital Charge Code	APRDRG 3614
Min. Negotiated Rate	$23,606.50
Max. Negotiated Rate	$23,606.50
Rate for Payer: Aetna CHP/Medicaid	$23,606.50
Rate for Payer: Humana OH Medicaid	$23,606.50

INPATIENT APRDRG 3621: MASTECTOMY PROCEDURES

Facility

$8,284.13

Service Code	APR-DRG 3621
Hospital Charge Code	APRDRG 3621
Min. Negotiated Rate	$8,284.13
Max. Negotiated Rate	$8,284.13
Rate for Payer: Aetna CHP/Medicaid	$8,284.13
Rate for Payer: Humana OH Medicaid	$8,284.13

INPATIENT APRDRG 3622: MASTECTOMY PROCEDURES

Facility

$11,439.81

Service Code	APR-DRG 3622
Hospital Charge Code	APRDRG 3622
Min. Negotiated Rate	$11,439.81
Max. Negotiated Rate	$11,439.81
Rate for Payer: Aetna CHP/Medicaid	$11,439.81
Rate for Payer: Humana OH Medicaid	$11,439.81

INPATIENT APRDRG 3623: MASTECTOMY PROCEDURES

Facility

$16,127.85

Service Code	APR-DRG 3623
Hospital Charge Code	APRDRG 3623
Min. Negotiated Rate	$16,127.85
Max. Negotiated Rate	$16,127.85
Rate for Payer: Aetna CHP/Medicaid	$16,127.85
Rate for Payer: Humana OH Medicaid	$16,127.85

INPATIENT APRDRG 3624: MASTECTOMY PROCEDURES

Facility

$16,127.85

Service Code	APR-DRG 3624
Hospital Charge Code	APRDRG 3624
Min. Negotiated Rate	$16,127.85
Max. Negotiated Rate	$16,127.85
Rate for Payer: Aetna CHP/Medicaid	$16,127.85
Rate for Payer: Humana OH Medicaid	$16,127.85

INPATIENT APRDRG 3631: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$4,485.37

Service Code	APR-DRG 3631
Hospital Charge Code	APRDRG 3631
Min. Negotiated Rate	$4,485.37
Max. Negotiated Rate	$4,485.37
Rate for Payer: Aetna CHP/Medicaid	$4,485.37
Rate for Payer: Humana OH Medicaid	$4,485.37

INPATIENT APRDRG 3632: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$10,164.03

Service Code	APR-DRG 3632
Hospital Charge Code	APRDRG 3632
Min. Negotiated Rate	$10,164.03
Max. Negotiated Rate	$10,164.03
Rate for Payer: Aetna CHP/Medicaid	$10,164.03
Rate for Payer: Humana OH Medicaid	$10,164.03

INPATIENT APRDRG 3633: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$16,274.65

Service Code	APR-DRG 3633
Hospital Charge Code	APRDRG 3633
Min. Negotiated Rate	$16,274.65
Max. Negotiated Rate	$16,274.65
Rate for Payer: Aetna CHP/Medicaid	$16,274.65
Rate for Payer: Humana OH Medicaid	$16,274.65

INPATIENT APRDRG 3634: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$16,274.65

Service Code	APR-DRG 3634
Hospital Charge Code	APRDRG 3634
Min. Negotiated Rate	$16,274.65
Max. Negotiated Rate	$16,274.65
Rate for Payer: Aetna CHP/Medicaid	$16,274.65
Rate for Payer: Humana OH Medicaid	$16,274.65

INPATIENT APRDRG 3641: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$4,113.16

Service Code	APR-DRG 3641
Hospital Charge Code	APRDRG 3641
Min. Negotiated Rate	$4,113.16
Max. Negotiated Rate	$4,113.16
Rate for Payer: Aetna CHP/Medicaid	$4,113.16
Rate for Payer: Humana OH Medicaid	$4,113.16

INPATIENT APRDRG 3642: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$5,446.75

Service Code	APR-DRG 3642
Hospital Charge Code	APRDRG 3642
Min. Negotiated Rate	$5,446.75
Max. Negotiated Rate	$5,446.75
Rate for Payer: Aetna CHP/Medicaid	$5,446.75
Rate for Payer: Humana OH Medicaid	$5,446.75

INPATIENT APRDRG 3643: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$8,925.27

Service Code	APR-DRG 3643
Hospital Charge Code	APRDRG 3643
Min. Negotiated Rate	$8,925.27
Max. Negotiated Rate	$8,925.27
Rate for Payer: Aetna CHP/Medicaid	$8,925.27
Rate for Payer: Humana OH Medicaid	$8,925.27

INPATIENT APRDRG 3644: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$19,054.87

Service Code	APR-DRG 3644
Hospital Charge Code	APRDRG 3644
Min. Negotiated Rate	$19,054.87
Max. Negotiated Rate	$19,054.87
Rate for Payer: Aetna CHP/Medicaid	$19,054.87
Rate for Payer: Humana OH Medicaid	$19,054.87

INPATIENT APRDRG 3801: SKIN ULCERS

Facility

$3,163.47

Service Code	APR-DRG 3801
Hospital Charge Code	APRDRG 3801
Min. Negotiated Rate	$3,163.47
Max. Negotiated Rate	$3,163.47
Rate for Payer: Aetna CHP/Medicaid	$3,163.47
Rate for Payer: Humana OH Medicaid	$3,163.47

INPATIENT APRDRG 3802: SKIN ULCERS

Facility

$4,159.28

Service Code	APR-DRG 3802
Hospital Charge Code	APRDRG 3802
Min. Negotiated Rate	$4,159.28
Max. Negotiated Rate	$4,159.28
Rate for Payer: Aetna CHP/Medicaid	$4,159.28
Rate for Payer: Humana OH Medicaid	$4,159.28

Know your out-of-pocket cost for care.

All Charges