Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5001: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$5,304.49

Service Code	APR-DRG 5001
Hospital Charge Code	APRDRG 5001
Min. Negotiated Rate	$5,304.49
Max. Negotiated Rate	$5,304.49
Rate for Payer: Aetna CHP/Medicaid	$5,304.49
Rate for Payer: Humana OH Medicaid	$5,304.49

INPATIENT APRDRG 5002: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$5,304.49

Service Code	APR-DRG 5002
Hospital Charge Code	APRDRG 5002
Min. Negotiated Rate	$5,304.49
Max. Negotiated Rate	$5,304.49
Rate for Payer: Aetna CHP/Medicaid	$5,304.49
Rate for Payer: Humana OH Medicaid	$5,304.49

INPATIENT APRDRG 5003: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$6,304.85

Service Code	APR-DRG 5003
Hospital Charge Code	APRDRG 5003
Min. Negotiated Rate	$6,304.85
Max. Negotiated Rate	$6,304.85
Rate for Payer: Aetna CHP/Medicaid	$6,304.85
Rate for Payer: Humana OH Medicaid	$6,304.85

INPATIENT APRDRG 5004: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$6,304.85

Service Code	APR-DRG 5004
Hospital Charge Code	APRDRG 5004
Min. Negotiated Rate	$6,304.85
Max. Negotiated Rate	$6,304.85
Rate for Payer: Aetna CHP/Medicaid	$6,304.85
Rate for Payer: Humana OH Medicaid	$6,304.85

INPATIENT APRDRG 5011: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$2,786.06

Service Code	APR-DRG 5011
Hospital Charge Code	APRDRG 5011
Min. Negotiated Rate	$2,786.06
Max. Negotiated Rate	$2,786.06
Rate for Payer: Aetna CHP/Medicaid	$2,786.06
Rate for Payer: Humana OH Medicaid	$2,786.06

INPATIENT APRDRG 5012: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$4,032.61

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG 5012
Min. Negotiated Rate	$4,032.61
Max. Negotiated Rate	$4,032.61
Rate for Payer: Aetna CHP/Medicaid	$4,032.61
Rate for Payer: Humana OH Medicaid	$4,032.61

INPATIENT APRDRG 5013: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$6,188.58

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG 5013
Min. Negotiated Rate	$6,188.58
Max. Negotiated Rate	$6,188.58
Rate for Payer: Aetna CHP/Medicaid	$6,188.58
Rate for Payer: Humana OH Medicaid	$6,188.58

INPATIENT APRDRG 5014: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$9,876.26

Service Code	APR-DRG 5014
Hospital Charge Code	APRDRG 5014
Min. Negotiated Rate	$9,876.26
Max. Negotiated Rate	$9,876.26
Rate for Payer: Aetna CHP/Medicaid	$9,876.26
Rate for Payer: Humana OH Medicaid	$9,876.26

INPATIENT APRDRG 5101: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$5,121.96

Service Code	APR-DRG 5101
Hospital Charge Code	APRDRG 5101
Min. Negotiated Rate	$5,121.96
Max. Negotiated Rate	$5,121.96
Rate for Payer: Aetna CHP/Medicaid	$5,121.96
Rate for Payer: Humana OH Medicaid	$5,121.96

INPATIENT APRDRG 5102: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$9,029.20

Service Code	APR-DRG 5102
Hospital Charge Code	APRDRG 5102
Min. Negotiated Rate	$9,029.20
Max. Negotiated Rate	$9,029.20
Rate for Payer: Aetna CHP/Medicaid	$9,029.20
Rate for Payer: Humana OH Medicaid	$9,029.20

INPATIENT APRDRG 5103: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$9,029.20

Service Code	APR-DRG 5103
Hospital Charge Code	APRDRG 5103
Min. Negotiated Rate	$9,029.20
Max. Negotiated Rate	$9,029.20
Rate for Payer: Aetna CHP/Medicaid	$9,029.20
Rate for Payer: Humana OH Medicaid	$9,029.20

INPATIENT APRDRG 5104: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$9,029.20

Service Code	APR-DRG 5104
Hospital Charge Code	APRDRG 5104
Min. Negotiated Rate	$9,029.20
Max. Negotiated Rate	$9,029.20
Rate for Payer: Aetna CHP/Medicaid	$9,029.20
Rate for Payer: Humana OH Medicaid	$9,029.20

INPATIENT APRDRG 5111: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$7,630.00

Service Code	APR-DRG 5111
Hospital Charge Code	APRDRG 5111
Min. Negotiated Rate	$7,630.00
Max. Negotiated Rate	$7,630.00
Rate for Payer: Aetna CHP/Medicaid	$7,630.00
Rate for Payer: Humana OH Medicaid	$7,630.00

INPATIENT APRDRG 5112: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$9,395.57

Service Code	APR-DRG 5112
Hospital Charge Code	APRDRG 5112
Min. Negotiated Rate	$9,395.57
Max. Negotiated Rate	$9,395.57
Rate for Payer: Aetna CHP/Medicaid	$9,395.57
Rate for Payer: Humana OH Medicaid	$9,395.57

INPATIENT APRDRG 5113: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$14,105.69

Service Code	APR-DRG 5113
Hospital Charge Code	APRDRG 5113
Min. Negotiated Rate	$14,105.69
Max. Negotiated Rate	$14,105.69
Rate for Payer: Aetna CHP/Medicaid	$14,105.69
Rate for Payer: Humana OH Medicaid	$14,105.69

INPATIENT APRDRG 5114: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$14,105.69

Service Code	APR-DRG 5114
Hospital Charge Code	APRDRG 5114
Min. Negotiated Rate	$14,105.69
Max. Negotiated Rate	$14,105.69
Rate for Payer: Aetna CHP/Medicaid	$14,105.69
Rate for Payer: Humana OH Medicaid	$14,105.69

INPATIENT APRDRG 5121: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$7,357.18

Service Code	APR-DRG 5121
Hospital Charge Code	APRDRG 5121
Min. Negotiated Rate	$7,357.18
Max. Negotiated Rate	$7,357.18
Rate for Payer: Aetna CHP/Medicaid	$7,357.18
Rate for Payer: Humana OH Medicaid	$7,357.18

INPATIENT APRDRG 5122: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$8,232.17

Service Code	APR-DRG 5122
Hospital Charge Code	APRDRG 5122
Min. Negotiated Rate	$8,232.17
Max. Negotiated Rate	$8,232.17
Rate for Payer: Aetna CHP/Medicaid	$8,232.17
Rate for Payer: Humana OH Medicaid	$8,232.17

INPATIENT APRDRG 5123: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$10,218.59

Service Code	APR-DRG 5123
Hospital Charge Code	APRDRG 5123
Min. Negotiated Rate	$10,218.59
Max. Negotiated Rate	$10,218.59
Rate for Payer: Aetna CHP/Medicaid	$10,218.59
Rate for Payer: Humana OH Medicaid	$10,218.59

INPATIENT APRDRG 5124: UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG

Facility

$10,218.59

Service Code	APR-DRG 5124
Hospital Charge Code	APRDRG 5124
Min. Negotiated Rate	$10,218.59
Max. Negotiated Rate	$10,218.59
Rate for Payer: Aetna CHP/Medicaid	$10,218.59
Rate for Payer: Humana OH Medicaid	$10,218.59

INPATIENT APRDRG 5131: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$5,064.15

Service Code	APR-DRG 5131
Hospital Charge Code	APRDRG 5131
Min. Negotiated Rate	$5,064.15
Max. Negotiated Rate	$5,064.15
Rate for Payer: Aetna CHP/Medicaid	$5,064.15
Rate for Payer: Humana OH Medicaid	$5,064.15

INPATIENT APRDRG 5132: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$6,024.23

Service Code	APR-DRG 5132
Hospital Charge Code	APRDRG 5132
Min. Negotiated Rate	$6,024.23
Max. Negotiated Rate	$6,024.23
Rate for Payer: Aetna CHP/Medicaid	$6,024.23
Rate for Payer: Humana OH Medicaid	$6,024.23

INPATIENT APRDRG 5133: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$9,527.43

Service Code	APR-DRG 5133
Hospital Charge Code	APRDRG 5133
Min. Negotiated Rate	$9,527.43
Max. Negotiated Rate	$9,527.43
Rate for Payer: Aetna CHP/Medicaid	$9,527.43
Rate for Payer: Humana OH Medicaid	$9,527.43

INPATIENT APRDRG 5134: UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA

Facility

$11,885.42

Service Code	APR-DRG 5134
Hospital Charge Code	APRDRG 5134
Min. Negotiated Rate	$11,885.42
Max. Negotiated Rate	$11,885.42
Rate for Payer: Aetna CHP/Medicaid	$11,885.42
Rate for Payer: Humana OH Medicaid	$11,885.42

INPATIENT APRDRG 5141: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$4,266.46

Service Code	APR-DRG 5141
Hospital Charge Code	APRDRG 5141
Min. Negotiated Rate	$4,266.46
Max. Negotiated Rate	$4,266.46
Rate for Payer: Aetna CHP/Medicaid	$4,266.46
Rate for Payer: Humana OH Medicaid	$4,266.46

Know your out-of-pocket cost for care.

All Charges