Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4473: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility

$11,246.88

Service Code	APR-DRG 4473
Hospital Charge Code	APRDRG 4473
Min. Negotiated Rate	$11,246.88
Max. Negotiated Rate	$11,246.88
Rate for Payer: Aetna CHP/Medicaid	$11,246.88
Rate for Payer: Humana OH Medicaid	$11,246.88

INPATIENT APRDRG 4474: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility

$30,188.07

Service Code	APR-DRG 4474
Hospital Charge Code	APRDRG 4474
Min. Negotiated Rate	$30,188.07
Max. Negotiated Rate	$30,188.07
Rate for Payer: Aetna CHP/Medicaid	$30,188.07
Rate for Payer: Humana OH Medicaid	$30,188.07

INPATIENT APRDRG 4611: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$5,715.68

Service Code	APR-DRG 4611
Hospital Charge Code	APRDRG 4611
Min. Negotiated Rate	$5,715.68
Max. Negotiated Rate	$5,715.68
Rate for Payer: Aetna CHP/Medicaid	$5,715.68
Rate for Payer: Humana OH Medicaid	$5,715.68

INPATIENT APRDRG 4612: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$5,715.68

Service Code	APR-DRG 4612
Hospital Charge Code	APRDRG 4612
Min. Negotiated Rate	$5,715.68
Max. Negotiated Rate	$5,715.68
Rate for Payer: Aetna CHP/Medicaid	$5,715.68
Rate for Payer: Humana OH Medicaid	$5,715.68

INPATIENT APRDRG 4613: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$8,143.17

Service Code	APR-DRG 4613
Hospital Charge Code	APRDRG 4613
Min. Negotiated Rate	$8,143.17
Max. Negotiated Rate	$8,143.17
Rate for Payer: Aetna CHP/Medicaid	$8,143.17
Rate for Payer: Humana OH Medicaid	$8,143.17

INPATIENT APRDRG 4614: KIDNEY & URINARY TRACT MALIGNANCY

Facility

$8,143.17

Service Code	APR-DRG 4614
Hospital Charge Code	APRDRG 4614
Min. Negotiated Rate	$8,143.17
Max. Negotiated Rate	$8,143.17
Rate for Payer: Aetna CHP/Medicaid	$8,143.17
Rate for Payer: Humana OH Medicaid	$8,143.17

INPATIENT APRDRG 4621: NEPHRITIS & NEPHROSIS

Facility

$3,530.48

Service Code	APR-DRG 4621
Hospital Charge Code	APRDRG 4621
Min. Negotiated Rate	$3,530.48
Max. Negotiated Rate	$3,530.48
Rate for Payer: Aetna CHP/Medicaid	$3,530.48
Rate for Payer: Humana OH Medicaid	$3,530.48

INPATIENT APRDRG 4622: NEPHRITIS & NEPHROSIS

Facility

$5,564.33

Service Code	APR-DRG 4622
Hospital Charge Code	APRDRG 4622
Min. Negotiated Rate	$5,564.33
Max. Negotiated Rate	$5,564.33
Rate for Payer: Aetna CHP/Medicaid	$5,564.33
Rate for Payer: Humana OH Medicaid	$5,564.33

INPATIENT APRDRG 4623: NEPHRITIS & NEPHROSIS

Facility

$11,277.41

Service Code	APR-DRG 4623
Hospital Charge Code	APRDRG 4623
Min. Negotiated Rate	$11,277.41
Max. Negotiated Rate	$11,277.41
Rate for Payer: Aetna CHP/Medicaid	$11,277.41
Rate for Payer: Humana OH Medicaid	$11,277.41

INPATIENT APRDRG 4624: NEPHRITIS & NEPHROSIS

Facility

$11,277.41

Service Code	APR-DRG 4624
Hospital Charge Code	APRDRG 4624
Min. Negotiated Rate	$11,277.41
Max. Negotiated Rate	$11,277.41
Rate for Payer: Aetna CHP/Medicaid	$11,277.41
Rate for Payer: Humana OH Medicaid	$11,277.41

INPATIENT APRDRG 4631: KIDNEY & URINARY TRACT INFECTIONS

Facility

$2,957.55

Service Code	APR-DRG 4631
Hospital Charge Code	APRDRG 4631
Min. Negotiated Rate	$2,957.55
Max. Negotiated Rate	$2,957.55
Rate for Payer: Aetna CHP/Medicaid	$2,957.55
Rate for Payer: Humana OH Medicaid	$2,957.55

INPATIENT APRDRG 4632: KIDNEY & URINARY TRACT INFECTIONS

Facility

$3,777.33

Service Code	APR-DRG 4632
Hospital Charge Code	APRDRG 4632
Min. Negotiated Rate	$3,777.33
Max. Negotiated Rate	$3,777.33
Rate for Payer: Aetna CHP/Medicaid	$3,777.33
Rate for Payer: Humana OH Medicaid	$3,777.33

INPATIENT APRDRG 4633: KIDNEY & URINARY TRACT INFECTIONS

Facility

$5,542.24

Service Code	APR-DRG 4633
Hospital Charge Code	APRDRG 4633
Min. Negotiated Rate	$5,542.24
Max. Negotiated Rate	$5,542.24
Rate for Payer: Aetna CHP/Medicaid	$5,542.24
Rate for Payer: Humana OH Medicaid	$5,542.24

INPATIENT APRDRG 4634: KIDNEY & URINARY TRACT INFECTIONS

Facility

$8,853.82

Service Code	APR-DRG 4634
Hospital Charge Code	APRDRG 4634
Min. Negotiated Rate	$8,853.82
Max. Negotiated Rate	$8,853.82
Rate for Payer: Aetna CHP/Medicaid	$8,853.82
Rate for Payer: Humana OH Medicaid	$8,853.82

INPATIENT APRDRG 4651: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$3,078.37

Service Code	APR-DRG 4651
Hospital Charge Code	APRDRG 4651
Min. Negotiated Rate	$3,078.37
Max. Negotiated Rate	$3,078.37
Rate for Payer: Aetna CHP/Medicaid	$3,078.37
Rate for Payer: Humana OH Medicaid	$3,078.37

INPATIENT APRDRG 4652: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$3,696.13

Service Code	APR-DRG 4652
Hospital Charge Code	APRDRG 4652
Min. Negotiated Rate	$3,696.13
Max. Negotiated Rate	$3,696.13
Rate for Payer: Aetna CHP/Medicaid	$3,696.13
Rate for Payer: Humana OH Medicaid	$3,696.13

INPATIENT APRDRG 4653: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$5,978.76

Service Code	APR-DRG 4653
Hospital Charge Code	APRDRG 4653
Min. Negotiated Rate	$5,978.76
Max. Negotiated Rate	$5,978.76
Rate for Payer: Aetna CHP/Medicaid	$5,978.76
Rate for Payer: Humana OH Medicaid	$5,978.76

INPATIENT APRDRG 4654: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$12,459.65

Service Code	APR-DRG 4654
Hospital Charge Code	APRDRG 4654
Min. Negotiated Rate	$12,459.65
Max. Negotiated Rate	$12,459.65
Rate for Payer: Aetna CHP/Medicaid	$12,459.65
Rate for Payer: Humana OH Medicaid	$12,459.65

INPATIENT APRDRG 4661: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$2,962.75

Service Code	APR-DRG 4661
Hospital Charge Code	APRDRG 4661
Min. Negotiated Rate	$2,962.75
Max. Negotiated Rate	$2,962.75
Rate for Payer: Aetna CHP/Medicaid	$2,962.75
Rate for Payer: Humana OH Medicaid	$2,962.75

INPATIENT APRDRG 4662: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$3,969.60

Service Code	APR-DRG 4662
Hospital Charge Code	APRDRG 4662
Min. Negotiated Rate	$3,969.60
Max. Negotiated Rate	$3,969.60
Rate for Payer: Aetna CHP/Medicaid	$3,969.60
Rate for Payer: Humana OH Medicaid	$3,969.60

INPATIENT APRDRG 4663: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$5,741.66

Service Code	APR-DRG 4663
Hospital Charge Code	APRDRG 4663
Min. Negotiated Rate	$5,741.66
Max. Negotiated Rate	$5,741.66
Rate for Payer: Aetna CHP/Medicaid	$5,741.66
Rate for Payer: Humana OH Medicaid	$5,741.66

INPATIENT APRDRG 4664: MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC

Facility

$8,846.02

Service Code	APR-DRG 4664
Hospital Charge Code	APRDRG 4664
Min. Negotiated Rate	$8,846.02
Max. Negotiated Rate	$8,846.02
Rate for Payer: Aetna CHP/Medicaid	$8,846.02
Rate for Payer: Humana OH Medicaid	$8,846.02

INPATIENT APRDRG 4681: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$3,444.09

Service Code	APR-DRG 4681
Hospital Charge Code	APRDRG 4681
Min. Negotiated Rate	$3,444.09
Max. Negotiated Rate	$3,444.09
Rate for Payer: Aetna CHP/Medicaid	$3,444.09
Rate for Payer: Humana OH Medicaid	$3,444.09

INPATIENT APRDRG 4682: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$4,417.16

Service Code	APR-DRG 4682
Hospital Charge Code	APRDRG 4682
Min. Negotiated Rate	$4,417.16
Max. Negotiated Rate	$4,417.16
Rate for Payer: Aetna CHP/Medicaid	$4,417.16
Rate for Payer: Humana OH Medicaid	$4,417.16

INPATIENT APRDRG 4683: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$6,062.56

Service Code	APR-DRG 4683
Hospital Charge Code	APRDRG 4683
Min. Negotiated Rate	$6,062.56
Max. Negotiated Rate	$6,062.56
Rate for Payer: Aetna CHP/Medicaid	$6,062.56
Rate for Payer: Humana OH Medicaid	$6,062.56

Know your out-of-pocket cost for care.

All Charges