Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4684: OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS

Facility

$16,387.03

Service Code	APR-DRG 4684
Hospital Charge Code	APRDRG 4684
Min. Negotiated Rate	$16,387.03
Max. Negotiated Rate	$16,387.03
Rate for Payer: Aetna CHP/Medicaid	$16,387.03
Rate for Payer: Humana OH Medicaid	$16,387.03

INPATIENT APRDRG 4691: ACUTE KIDNEY INJURY

Facility

$2,714.61

Service Code	APR-DRG 4691
Hospital Charge Code	APRDRG 4691
Min. Negotiated Rate	$2,714.61
Max. Negotiated Rate	$2,714.61
Rate for Payer: Aetna CHP/Medicaid	$2,714.61
Rate for Payer: Humana OH Medicaid	$2,714.61

INPATIENT APRDRG 4692: ACUTE KIDNEY INJURY

Facility

$3,679.89

Service Code	APR-DRG 4692
Hospital Charge Code	APRDRG 4692
Min. Negotiated Rate	$3,679.89
Max. Negotiated Rate	$3,679.89
Rate for Payer: Aetna CHP/Medicaid	$3,679.89
Rate for Payer: Humana OH Medicaid	$3,679.89

INPATIENT APRDRG 4693: ACUTE KIDNEY INJURY

Facility

$6,438.67

Service Code	APR-DRG 4693
Hospital Charge Code	APRDRG 4693
Min. Negotiated Rate	$6,438.67
Max. Negotiated Rate	$6,438.67
Rate for Payer: Aetna CHP/Medicaid	$6,438.67
Rate for Payer: Humana OH Medicaid	$6,438.67

INPATIENT APRDRG 4694: ACUTE KIDNEY INJURY

Facility

$12,439.51

Service Code	APR-DRG 4694
Hospital Charge Code	APRDRG 4694
Min. Negotiated Rate	$12,439.51
Max. Negotiated Rate	$12,439.51
Rate for Payer: Aetna CHP/Medicaid	$12,439.51
Rate for Payer: Humana OH Medicaid	$12,439.51

INPATIENT APRDRG 4701: CHRONIC KIDNEY DISEASE

Facility

$4,143.04

Service Code	APR-DRG 4701
Hospital Charge Code	APRDRG 4701
Min. Negotiated Rate	$4,143.04
Max. Negotiated Rate	$4,143.04
Rate for Payer: Aetna CHP/Medicaid	$4,143.04
Rate for Payer: Humana OH Medicaid	$4,143.04

INPATIENT APRDRG 4702: CHRONIC KIDNEY DISEASE

Facility

$4,143.04

Service Code	APR-DRG 4702
Hospital Charge Code	APRDRG 4702
Min. Negotiated Rate	$4,143.04
Max. Negotiated Rate	$4,143.04
Rate for Payer: Aetna CHP/Medicaid	$4,143.04
Rate for Payer: Humana OH Medicaid	$4,143.04

INPATIENT APRDRG 4703: CHRONIC KIDNEY DISEASE

Facility

$7,186.34

Service Code	APR-DRG 4703
Hospital Charge Code	APRDRG 4703
Min. Negotiated Rate	$7,186.34
Max. Negotiated Rate	$7,186.34
Rate for Payer: Aetna CHP/Medicaid	$7,186.34
Rate for Payer: Humana OH Medicaid	$7,186.34

INPATIENT APRDRG 4704: CHRONIC KIDNEY DISEASE

Facility

$12,237.49

Service Code	APR-DRG 4704
Hospital Charge Code	APRDRG 4704
Min. Negotiated Rate	$12,237.49
Max. Negotiated Rate	$12,237.49
Rate for Payer: Aetna CHP/Medicaid	$12,237.49
Rate for Payer: Humana OH Medicaid	$12,237.49

INPATIENT APRDRG 4801: MAJOR MALE PELVIC PROCEDURES

Facility

$7,392.90

Service Code	APR-DRG 4801
Hospital Charge Code	APRDRG 4801
Min. Negotiated Rate	$7,392.90
Max. Negotiated Rate	$7,392.90
Rate for Payer: Aetna CHP/Medicaid	$7,392.90
Rate for Payer: Humana OH Medicaid	$7,392.90

INPATIENT APRDRG 4802: MAJOR MALE PELVIC PROCEDURES

Facility

$9,356.59

Service Code	APR-DRG 4802
Hospital Charge Code	APRDRG 4802
Min. Negotiated Rate	$9,356.59
Max. Negotiated Rate	$9,356.59
Rate for Payer: Aetna CHP/Medicaid	$9,356.59
Rate for Payer: Humana OH Medicaid	$9,356.59

INPATIENT APRDRG 4803: MAJOR MALE PELVIC PROCEDURES

Facility

$9,356.59

Service Code	APR-DRG 4803
Hospital Charge Code	APRDRG 4803
Min. Negotiated Rate	$9,356.59
Max. Negotiated Rate	$9,356.59
Rate for Payer: Aetna CHP/Medicaid	$9,356.59
Rate for Payer: Humana OH Medicaid	$9,356.59

INPATIENT APRDRG 4804: MAJOR MALE PELVIC PROCEDURES

Facility

$9,356.59

Service Code	APR-DRG 4804
Hospital Charge Code	APRDRG 4804
Min. Negotiated Rate	$9,356.59
Max. Negotiated Rate	$9,356.59
Rate for Payer: Aetna CHP/Medicaid	$9,356.59
Rate for Payer: Humana OH Medicaid	$9,356.59

INPATIENT APRDRG 4821: TRANSURETHRAL PROSTATECTOMY

Facility

$4,706.23

Service Code	APR-DRG 4821
Hospital Charge Code	APRDRG 4821
Min. Negotiated Rate	$4,706.23
Max. Negotiated Rate	$4,706.23
Rate for Payer: Aetna CHP/Medicaid	$4,706.23
Rate for Payer: Humana OH Medicaid	$4,706.23

INPATIENT APRDRG 4822: TRANSURETHRAL PROSTATECTOMY

Facility

$5,784.54

Service Code	APR-DRG 4822
Hospital Charge Code	APRDRG 4822
Min. Negotiated Rate	$5,784.54
Max. Negotiated Rate	$5,784.54
Rate for Payer: Aetna CHP/Medicaid	$5,784.54
Rate for Payer: Humana OH Medicaid	$5,784.54

INPATIENT APRDRG 4823: TRANSURETHRAL PROSTATECTOMY

Facility

$9,600.19

Service Code	APR-DRG 4823
Hospital Charge Code	APRDRG 4823
Min. Negotiated Rate	$9,600.19
Max. Negotiated Rate	$9,600.19
Rate for Payer: Aetna CHP/Medicaid	$9,600.19
Rate for Payer: Humana OH Medicaid	$9,600.19

INPATIENT APRDRG 4824: TRANSURETHRAL PROSTATECTOMY

Facility

$9,600.19

Service Code	APR-DRG 4824
Hospital Charge Code	APRDRG 4824
Min. Negotiated Rate	$9,600.19
Max. Negotiated Rate	$9,600.19
Rate for Payer: Aetna CHP/Medicaid	$9,600.19
Rate for Payer: Humana OH Medicaid	$9,600.19

INPATIENT APRDRG 4831: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$4,773.79

Service Code	APR-DRG 4831
Hospital Charge Code	APRDRG 4831
Min. Negotiated Rate	$4,773.79
Max. Negotiated Rate	$4,773.79
Rate for Payer: Aetna CHP/Medicaid	$4,773.79
Rate for Payer: Humana OH Medicaid	$4,773.79

INPATIENT APRDRG 4832: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$7,164.25

Service Code	APR-DRG 4832
Hospital Charge Code	APRDRG 4832
Min. Negotiated Rate	$7,164.25
Max. Negotiated Rate	$7,164.25
Rate for Payer: Aetna CHP/Medicaid	$7,164.25
Rate for Payer: Humana OH Medicaid	$7,164.25

INPATIENT APRDRG 4833: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$13,248.25

Service Code	APR-DRG 4833
Hospital Charge Code	APRDRG 4833
Min. Negotiated Rate	$13,248.25
Max. Negotiated Rate	$13,248.25
Rate for Payer: Aetna CHP/Medicaid	$13,248.25
Rate for Payer: Humana OH Medicaid	$13,248.25

INPATIENT APRDRG 4834: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$13,248.25

Service Code	APR-DRG 4834
Hospital Charge Code	APRDRG 4834
Min. Negotiated Rate	$13,248.25
Max. Negotiated Rate	$13,248.25
Rate for Payer: Aetna CHP/Medicaid	$13,248.25
Rate for Payer: Humana OH Medicaid	$13,248.25

INPATIENT APRDRG 4841: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$7,428.63

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG 4841
Min. Negotiated Rate	$7,428.63
Max. Negotiated Rate	$7,428.63
Rate for Payer: Aetna CHP/Medicaid	$7,428.63
Rate for Payer: Humana OH Medicaid	$7,428.63

INPATIENT APRDRG 4842: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$7,428.63

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG 4842
Min. Negotiated Rate	$7,428.63
Max. Negotiated Rate	$7,428.63
Rate for Payer: Aetna CHP/Medicaid	$7,428.63
Rate for Payer: Humana OH Medicaid	$7,428.63

INPATIENT APRDRG 4843: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$9,873.66

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG 4843
Min. Negotiated Rate	$9,873.66
Max. Negotiated Rate	$9,873.66
Rate for Payer: Aetna CHP/Medicaid	$9,873.66
Rate for Payer: Humana OH Medicaid	$9,873.66

INPATIENT APRDRG 4844: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$9,873.66

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG 4844
Min. Negotiated Rate	$9,873.66
Max. Negotiated Rate	$9,873.66
Rate for Payer: Aetna CHP/Medicaid	$9,873.66
Rate for Payer: Humana OH Medicaid	$9,873.66

Know your out-of-pocket cost for care.

All Charges