Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3803: SKIN ULCERS

Facility

$6,771.90

Service Code	APR-DRG 3803
Hospital Charge Code	APRDRG 3803
Min. Negotiated Rate	$6,771.90
Max. Negotiated Rate	$6,771.90
Rate for Payer: Aetna CHP/Medicaid	$6,771.90
Rate for Payer: Humana OH Medicaid	$6,771.90

INPATIENT APRDRG 3804: SKIN ULCERS

Facility

$10,488.17

Service Code	APR-DRG 3804
Hospital Charge Code	APRDRG 3804
Min. Negotiated Rate	$10,488.17
Max. Negotiated Rate	$10,488.17
Rate for Payer: Aetna CHP/Medicaid	$10,488.17
Rate for Payer: Humana OH Medicaid	$10,488.17

INPATIENT APRDRG 3811: MAJOR SKIN DISORDERS

Facility

$3,874.76

Service Code	APR-DRG 3811
Hospital Charge Code	APRDRG 3811
Min. Negotiated Rate	$3,874.76
Max. Negotiated Rate	$3,874.76
Rate for Payer: Aetna CHP/Medicaid	$3,874.76
Rate for Payer: Humana OH Medicaid	$3,874.76

INPATIENT APRDRG 3812: MAJOR SKIN DISORDERS

Facility

$4,903.05

Service Code	APR-DRG 3812
Hospital Charge Code	APRDRG 3812
Min. Negotiated Rate	$4,903.05
Max. Negotiated Rate	$4,903.05
Rate for Payer: Aetna CHP/Medicaid	$4,903.05
Rate for Payer: Humana OH Medicaid	$4,903.05

INPATIENT APRDRG 3813: MAJOR SKIN DISORDERS

Facility

$11,623.64

Service Code	APR-DRG 3813
Hospital Charge Code	APRDRG 3813
Min. Negotiated Rate	$11,623.64
Max. Negotiated Rate	$11,623.64
Rate for Payer: Aetna CHP/Medicaid	$11,623.64
Rate for Payer: Humana OH Medicaid	$11,623.64

INPATIENT APRDRG 3814: MAJOR SKIN DISORDERS

Facility

$11,623.64

Service Code	APR-DRG 3814
Hospital Charge Code	APRDRG 3814
Min. Negotiated Rate	$11,623.64
Max. Negotiated Rate	$11,623.64
Rate for Payer: Aetna CHP/Medicaid	$11,623.64
Rate for Payer: Humana OH Medicaid	$11,623.64

INPATIENT APRDRG 3821: MALIGNANT BREAST DISORDERS

Facility

$4,554.88

Service Code	APR-DRG 3821
Hospital Charge Code	APRDRG 3821
Min. Negotiated Rate	$4,554.88
Max. Negotiated Rate	$4,554.88
Rate for Payer: Aetna CHP/Medicaid	$4,554.88
Rate for Payer: Humana OH Medicaid	$4,554.88

INPATIENT APRDRG 3822: MALIGNANT BREAST DISORDERS

Facility

$4,554.88

Service Code	APR-DRG 3822
Hospital Charge Code	APRDRG 3822
Min. Negotiated Rate	$4,554.88
Max. Negotiated Rate	$4,554.88
Rate for Payer: Aetna CHP/Medicaid	$4,554.88
Rate for Payer: Humana OH Medicaid	$4,554.88

INPATIENT APRDRG 3823: MALIGNANT BREAST DISORDERS

Facility

$6,033.98

Service Code	APR-DRG 3823
Hospital Charge Code	APRDRG 3823
Min. Negotiated Rate	$6,033.98
Max. Negotiated Rate	$6,033.98
Rate for Payer: Aetna CHP/Medicaid	$6,033.98
Rate for Payer: Humana OH Medicaid	$6,033.98

INPATIENT APRDRG 3824: MALIGNANT BREAST DISORDERS

Facility

$11,244.93

Service Code	APR-DRG 3824
Hospital Charge Code	APRDRG 3824
Min. Negotiated Rate	$11,244.93
Max. Negotiated Rate	$11,244.93
Rate for Payer: Aetna CHP/Medicaid	$11,244.93
Rate for Payer: Humana OH Medicaid	$11,244.93

INPATIENT APRDRG 3831: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$2,965.35

Service Code	APR-DRG 3831
Hospital Charge Code	APRDRG 3831
Min. Negotiated Rate	$2,965.35
Max. Negotiated Rate	$2,965.35
Rate for Payer: Aetna CHP/Medicaid	$2,965.35
Rate for Payer: Humana OH Medicaid	$2,965.35

INPATIENT APRDRG 3832: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$3,861.12

Service Code	APR-DRG 3832
Hospital Charge Code	APRDRG 3832
Min. Negotiated Rate	$3,861.12
Max. Negotiated Rate	$3,861.12
Rate for Payer: Aetna CHP/Medicaid	$3,861.12
Rate for Payer: Humana OH Medicaid	$3,861.12

INPATIENT APRDRG 3833: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$5,661.77

Service Code	APR-DRG 3833
Hospital Charge Code	APRDRG 3833
Min. Negotiated Rate	$5,661.77
Max. Negotiated Rate	$5,661.77
Rate for Payer: Aetna CHP/Medicaid	$5,661.77
Rate for Payer: Humana OH Medicaid	$5,661.77

INPATIENT APRDRG 3834: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$10,128.95

Service Code	APR-DRG 3834
Hospital Charge Code	APRDRG 3834
Min. Negotiated Rate	$10,128.95
Max. Negotiated Rate	$10,128.95
Rate for Payer: Aetna CHP/Medicaid	$10,128.95
Rate for Payer: Humana OH Medicaid	$10,128.95

INPATIENT APRDRG 3841: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$2,767.87

Service Code	APR-DRG 3841
Hospital Charge Code	APRDRG 3841
Min. Negotiated Rate	$2,767.87
Max. Negotiated Rate	$2,767.87
Rate for Payer: Aetna CHP/Medicaid	$2,767.87
Rate for Payer: Humana OH Medicaid	$2,767.87

INPATIENT APRDRG 3842: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$3,759.14

Service Code	APR-DRG 3842
Hospital Charge Code	APRDRG 3842
Min. Negotiated Rate	$3,759.14
Max. Negotiated Rate	$3,759.14
Rate for Payer: Aetna CHP/Medicaid	$3,759.14
Rate for Payer: Humana OH Medicaid	$3,759.14

INPATIENT APRDRG 3843: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$6,669.92

Service Code	APR-DRG 3843
Hospital Charge Code	APRDRG 3843
Min. Negotiated Rate	$6,669.92
Max. Negotiated Rate	$6,669.92
Rate for Payer: Aetna CHP/Medicaid	$6,669.92
Rate for Payer: Humana OH Medicaid	$6,669.92

INPATIENT APRDRG 3844: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$8,534.22

Service Code	APR-DRG 3844
Hospital Charge Code	APRDRG 3844
Min. Negotiated Rate	$8,534.22
Max. Negotiated Rate	$8,534.22
Rate for Payer: Aetna CHP/Medicaid	$8,534.22
Rate for Payer: Humana OH Medicaid	$8,534.22

INPATIENT APRDRG 3851: OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS

Facility

$3,334.31

Service Code	APR-DRG 3851
Hospital Charge Code	APRDRG 3851
Min. Negotiated Rate	$3,334.31
Max. Negotiated Rate	$3,334.31
Rate for Payer: Aetna CHP/Medicaid	$3,334.31
Rate for Payer: Humana OH Medicaid	$3,334.31

INPATIENT APRDRG 3852: OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS

Facility

$4,189.16

Service Code	APR-DRG 3852
Hospital Charge Code	APRDRG 3852
Min. Negotiated Rate	$4,189.16
Max. Negotiated Rate	$4,189.16
Rate for Payer: Aetna CHP/Medicaid	$4,189.16
Rate for Payer: Humana OH Medicaid	$4,189.16

INPATIENT APRDRG 3853: OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS

Facility

$6,387.35

Service Code	APR-DRG 3853
Hospital Charge Code	APRDRG 3853
Min. Negotiated Rate	$6,387.35
Max. Negotiated Rate	$6,387.35
Rate for Payer: Aetna CHP/Medicaid	$6,387.35
Rate for Payer: Humana OH Medicaid	$6,387.35

INPATIENT APRDRG 3854: OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS

Facility

$14,938.46

Service Code	APR-DRG 3854
Hospital Charge Code	APRDRG 3854
Min. Negotiated Rate	$14,938.46
Max. Negotiated Rate	$14,938.46
Rate for Payer: Aetna CHP/Medicaid	$14,938.46
Rate for Payer: Humana OH Medicaid	$14,938.46

INPATIENT APRDRG 4011: ADRENAL PROCEDURES

Facility

$9,059.08

Service Code	APR-DRG 4011
Hospital Charge Code	APRDRG 4011
Min. Negotiated Rate	$9,059.08
Max. Negotiated Rate	$9,059.08
Rate for Payer: Aetna CHP/Medicaid	$9,059.08
Rate for Payer: Humana OH Medicaid	$9,059.08

INPATIENT APRDRG 4012: ADRENAL PROCEDURES

Facility

$9,059.08

Service Code	APR-DRG 4012
Hospital Charge Code	APRDRG 4012
Min. Negotiated Rate	$9,059.08
Max. Negotiated Rate	$9,059.08
Rate for Payer: Aetna CHP/Medicaid	$9,059.08
Rate for Payer: Humana OH Medicaid	$9,059.08

INPATIENT APRDRG 4013: ADRENAL PROCEDURES

Facility

$9,059.08

Service Code	APR-DRG 4013
Hospital Charge Code	APRDRG 4013
Min. Negotiated Rate	$9,059.08
Max. Negotiated Rate	$9,059.08
Rate for Payer: Aetna CHP/Medicaid	$9,059.08
Rate for Payer: Humana OH Medicaid	$9,059.08

Know your out-of-pocket cost for care.

All Charges