Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5142: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$6,369.81

Service Code	APR-DRG 5142
Hospital Charge Code	APRDRG 5142
Min. Negotiated Rate	$6,369.81
Max. Negotiated Rate	$6,369.81
Rate for Payer: Aetna CHP/Medicaid	$6,369.81
Rate for Payer: Humana OH Medicaid	$6,369.81

INPATIENT APRDRG 5143: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$6,369.81

Service Code	APR-DRG 5143
Hospital Charge Code	APRDRG 5143
Min. Negotiated Rate	$6,369.81
Max. Negotiated Rate	$6,369.81
Rate for Payer: Aetna CHP/Medicaid	$6,369.81
Rate for Payer: Humana OH Medicaid	$6,369.81

INPATIENT APRDRG 5144: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$6,369.81

Service Code	APR-DRG 5144
Hospital Charge Code	APRDRG 5144
Min. Negotiated Rate	$6,369.81
Max. Negotiated Rate	$6,369.81
Rate for Payer: Aetna CHP/Medicaid	$6,369.81
Rate for Payer: Humana OH Medicaid	$6,369.81

INPATIENT APRDRG 5171: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$4,088.48

Service Code	APR-DRG 5171
Hospital Charge Code	APRDRG 5171
Min. Negotiated Rate	$4,088.48
Max. Negotiated Rate	$4,088.48
Rate for Payer: Aetna CHP/Medicaid	$4,088.48
Rate for Payer: Humana OH Medicaid	$4,088.48

INPATIENT APRDRG 5172: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$4,500.96

Service Code	APR-DRG 5172
Hospital Charge Code	APRDRG 5172
Min. Negotiated Rate	$4,500.96
Max. Negotiated Rate	$4,500.96
Rate for Payer: Aetna CHP/Medicaid	$4,500.96
Rate for Payer: Humana OH Medicaid	$4,500.96

INPATIENT APRDRG 5173: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$8,757.68

Service Code	APR-DRG 5173
Hospital Charge Code	APRDRG 5173
Min. Negotiated Rate	$8,757.68
Max. Negotiated Rate	$8,757.68
Rate for Payer: Aetna CHP/Medicaid	$8,757.68
Rate for Payer: Humana OH Medicaid	$8,757.68

INPATIENT APRDRG 5174: DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$8,757.68

Service Code	APR-DRG 5174
Hospital Charge Code	APRDRG 5174
Min. Negotiated Rate	$8,757.68
Max. Negotiated Rate	$8,757.68
Rate for Payer: Aetna CHP/Medicaid	$8,757.68
Rate for Payer: Humana OH Medicaid	$8,757.68

INPATIENT APRDRG 5181: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$4,290.50

Service Code	APR-DRG 5181
Hospital Charge Code	APRDRG 5181
Min. Negotiated Rate	$4,290.50
Max. Negotiated Rate	$4,290.50
Rate for Payer: Aetna CHP/Medicaid	$4,290.50
Rate for Payer: Humana OH Medicaid	$4,290.50

INPATIENT APRDRG 5182: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$6,219.76

Service Code	APR-DRG 5182
Hospital Charge Code	APRDRG 5182
Min. Negotiated Rate	$6,219.76
Max. Negotiated Rate	$6,219.76
Rate for Payer: Aetna CHP/Medicaid	$6,219.76
Rate for Payer: Humana OH Medicaid	$6,219.76

INPATIENT APRDRG 5183: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$11,252.08

Service Code	APR-DRG 5183
Hospital Charge Code	APRDRG 5183
Min. Negotiated Rate	$11,252.08
Max. Negotiated Rate	$11,252.08
Rate for Payer: Aetna CHP/Medicaid	$11,252.08
Rate for Payer: Humana OH Medicaid	$11,252.08

INPATIENT APRDRG 5184: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$11,252.08

Service Code	APR-DRG 5184
Hospital Charge Code	APRDRG 5184
Min. Negotiated Rate	$11,252.08
Max. Negotiated Rate	$11,252.08
Rate for Payer: Aetna CHP/Medicaid	$11,252.08
Rate for Payer: Humana OH Medicaid	$11,252.08

INPATIENT APRDRG 5191: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$5,049.86

Service Code	APR-DRG 5191
Hospital Charge Code	APRDRG 5191
Min. Negotiated Rate	$5,049.86
Max. Negotiated Rate	$5,049.86
Rate for Payer: Aetna CHP/Medicaid	$5,049.86
Rate for Payer: Humana OH Medicaid	$5,049.86

INPATIENT APRDRG 5192: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$6,360.07

Service Code	APR-DRG 5192
Hospital Charge Code	APRDRG 5192
Min. Negotiated Rate	$6,360.07
Max. Negotiated Rate	$6,360.07
Rate for Payer: Aetna CHP/Medicaid	$6,360.07
Rate for Payer: Humana OH Medicaid	$6,360.07

INPATIENT APRDRG 5193: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$14,234.96

Service Code	APR-DRG 5193
Hospital Charge Code	APRDRG 5193
Min. Negotiated Rate	$14,234.96
Max. Negotiated Rate	$14,234.96
Rate for Payer: Aetna CHP/Medicaid	$14,234.96
Rate for Payer: Humana OH Medicaid	$14,234.96

INPATIENT APRDRG 5194: UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA

Facility

$14,234.96

Service Code	APR-DRG 5194
Hospital Charge Code	APRDRG 5194
Min. Negotiated Rate	$14,234.96
Max. Negotiated Rate	$14,234.96
Rate for Payer: Aetna CHP/Medicaid	$14,234.96
Rate for Payer: Humana OH Medicaid	$14,234.96

INPATIENT APRDRG 5301: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$3,669.49

Service Code	APR-DRG 5301
Hospital Charge Code	APRDRG 5301
Min. Negotiated Rate	$3,669.49
Max. Negotiated Rate	$3,669.49
Rate for Payer: Aetna CHP/Medicaid	$3,669.49
Rate for Payer: Humana OH Medicaid	$3,669.49

INPATIENT APRDRG 5302: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$4,431.46

Service Code	APR-DRG 5302
Hospital Charge Code	APRDRG 5302
Min. Negotiated Rate	$4,431.46
Max. Negotiated Rate	$4,431.46
Rate for Payer: Aetna CHP/Medicaid	$4,431.46
Rate for Payer: Humana OH Medicaid	$4,431.46

INPATIENT APRDRG 5303: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$6,599.11

Service Code	APR-DRG 5303
Hospital Charge Code	APRDRG 5303
Min. Negotiated Rate	$6,599.11
Max. Negotiated Rate	$6,599.11
Rate for Payer: Aetna CHP/Medicaid	$6,599.11
Rate for Payer: Humana OH Medicaid	$6,599.11

INPATIENT APRDRG 5304: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$12,707.79

Service Code	APR-DRG 5304
Hospital Charge Code	APRDRG 5304
Min. Negotiated Rate	$12,707.79
Max. Negotiated Rate	$12,707.79
Rate for Payer: Aetna CHP/Medicaid	$12,707.79
Rate for Payer: Humana OH Medicaid	$12,707.79

INPATIENT APRDRG 5311: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$2,896.49

Service Code	APR-DRG 5311
Hospital Charge Code	APRDRG 5311
Min. Negotiated Rate	$2,896.49
Max. Negotiated Rate	$2,896.49
Rate for Payer: Aetna CHP/Medicaid	$2,896.49
Rate for Payer: Humana OH Medicaid	$2,896.49

INPATIENT APRDRG 5312: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$3,617.53

Service Code	APR-DRG 5312
Hospital Charge Code	APRDRG 5312
Min. Negotiated Rate	$3,617.53
Max. Negotiated Rate	$3,617.53
Rate for Payer: Aetna CHP/Medicaid	$3,617.53
Rate for Payer: Humana OH Medicaid	$3,617.53

INPATIENT APRDRG 5313: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$6,927.15

Service Code	APR-DRG 5313
Hospital Charge Code	APRDRG 5313
Min. Negotiated Rate	$6,927.15
Max. Negotiated Rate	$6,927.15
Rate for Payer: Aetna CHP/Medicaid	$6,927.15
Rate for Payer: Humana OH Medicaid	$6,927.15

INPATIENT APRDRG 5314: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$6,927.15

Service Code	APR-DRG 5314
Hospital Charge Code	APRDRG 5314
Min. Negotiated Rate	$6,927.15
Max. Negotiated Rate	$6,927.15
Rate for Payer: Aetna CHP/Medicaid	$6,927.15
Rate for Payer: Humana OH Medicaid	$6,927.15

INPATIENT APRDRG 5321: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,921.17

Service Code	APR-DRG 5321
Hospital Charge Code	APRDRG 5321
Min. Negotiated Rate	$2,921.17
Max. Negotiated Rate	$2,921.17
Rate for Payer: Aetna CHP/Medicaid	$2,921.17
Rate for Payer: Humana OH Medicaid	$2,921.17

INPATIENT APRDRG 5322: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$3,426.55

Service Code	APR-DRG 5322
Hospital Charge Code	APRDRG 5322
Min. Negotiated Rate	$3,426.55
Max. Negotiated Rate	$3,426.55
Rate for Payer: Aetna CHP/Medicaid	$3,426.55
Rate for Payer: Humana OH Medicaid	$3,426.55

Know your out-of-pocket cost for care.

All Charges