Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5323: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$4,410.02

Service Code	APR-DRG 5323
Hospital Charge Code	APRDRG 5323
Min. Negotiated Rate	$4,410.02
Max. Negotiated Rate	$4,410.02
Rate for Payer: Aetna CHP/Medicaid	$4,410.02
Rate for Payer: Humana OH Medicaid	$4,410.02

INPATIENT APRDRG 5324: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$4,410.02

Service Code	APR-DRG 5324
Hospital Charge Code	APRDRG 5324
Min. Negotiated Rate	$4,410.02
Max. Negotiated Rate	$4,410.02
Rate for Payer: Aetna CHP/Medicaid	$4,410.02
Rate for Payer: Humana OH Medicaid	$4,410.02

INPATIENT APRDRG 5391: CESAREAN SECTION W STERILIZATION

Facility

$4,157.33

Service Code	APR-DRG 5391
Hospital Charge Code	APRDRG 5391
Min. Negotiated Rate	$4,157.33
Max. Negotiated Rate	$4,157.33
Rate for Payer: Aetna CHP/Medicaid	$4,157.33
Rate for Payer: Humana OH Medicaid	$4,157.33

INPATIENT APRDRG 5392: CESAREAN SECTION W STERILIZATION

Facility

$4,644.52

Service Code	APR-DRG 5392
Hospital Charge Code	APRDRG 5392
Min. Negotiated Rate	$4,644.52
Max. Negotiated Rate	$4,644.52
Rate for Payer: Aetna CHP/Medicaid	$4,644.52
Rate for Payer: Humana OH Medicaid	$4,644.52

INPATIENT APRDRG 5393: CESAREAN SECTION W STERILIZATION

Facility

$6,556.24

Service Code	APR-DRG 5393
Hospital Charge Code	APRDRG 5393
Min. Negotiated Rate	$6,556.24
Max. Negotiated Rate	$6,556.24
Rate for Payer: Aetna CHP/Medicaid	$6,556.24
Rate for Payer: Humana OH Medicaid	$6,556.24

INPATIENT APRDRG 5394: CESAREAN SECTION W STERILIZATION

Facility

$11,632.73

Service Code	APR-DRG 5394
Hospital Charge Code	APRDRG 5394
Min. Negotiated Rate	$11,632.73
Max. Negotiated Rate	$11,632.73
Rate for Payer: Aetna CHP/Medicaid	$11,632.73
Rate for Payer: Humana OH Medicaid	$11,632.73

INPATIENT APRDRG 5401: CESAREAN SECTION W/O STERILIZATION

Facility

$3,898.80

Service Code	APR-DRG 5401
Hospital Charge Code	APRDRG 5401
Min. Negotiated Rate	$3,898.80
Max. Negotiated Rate	$3,898.80
Rate for Payer: Aetna CHP/Medicaid	$3,898.80
Rate for Payer: Humana OH Medicaid	$3,898.80

INPATIENT APRDRG 5402: CESAREAN SECTION W/O STERILIZATION

Facility

$4,751.05

Service Code	APR-DRG 5402
Hospital Charge Code	APRDRG 5402
Min. Negotiated Rate	$4,751.05
Max. Negotiated Rate	$4,751.05
Rate for Payer: Aetna CHP/Medicaid	$4,751.05
Rate for Payer: Humana OH Medicaid	$4,751.05

INPATIENT APRDRG 5403: CESAREAN SECTION W/O STERILIZATION

Facility

$5,717.63

Service Code	APR-DRG 5403
Hospital Charge Code	APRDRG 5403
Min. Negotiated Rate	$5,717.63
Max. Negotiated Rate	$5,717.63
Rate for Payer: Aetna CHP/Medicaid	$5,717.63
Rate for Payer: Humana OH Medicaid	$5,717.63

INPATIENT APRDRG 5404: CESAREAN SECTION W/O STERILIZATION

Facility

$10,082.83

Service Code	APR-DRG 5404
Hospital Charge Code	APRDRG 5404
Min. Negotiated Rate	$10,082.83
Max. Negotiated Rate	$10,082.83
Rate for Payer: Aetna CHP/Medicaid	$10,082.83
Rate for Payer: Humana OH Medicaid	$10,082.83

INPATIENT APRDRG 5411: VAGINAL DELIVERY W STERILIZATION &/OR D&C

Facility

$4,153.43

Service Code	APR-DRG 5411
Hospital Charge Code	APRDRG 5411
Min. Negotiated Rate	$4,153.43
Max. Negotiated Rate	$4,153.43
Rate for Payer: Aetna CHP/Medicaid	$4,153.43
Rate for Payer: Humana OH Medicaid	$4,153.43

INPATIENT APRDRG 5412: VAGINAL DELIVERY W STERILIZATION &/OR D&C

Facility

$4,508.11

Service Code	APR-DRG 5412
Hospital Charge Code	APRDRG 5412
Min. Negotiated Rate	$4,508.11
Max. Negotiated Rate	$4,508.11
Rate for Payer: Aetna CHP/Medicaid	$4,508.11
Rate for Payer: Humana OH Medicaid	$4,508.11

INPATIENT APRDRG 5413: VAGINAL DELIVERY W STERILIZATION &/OR D&C

Facility

$5,232.39

Service Code	APR-DRG 5413
Hospital Charge Code	APRDRG 5413
Min. Negotiated Rate	$5,232.39
Max. Negotiated Rate	$5,232.39
Rate for Payer: Aetna CHP/Medicaid	$5,232.39
Rate for Payer: Humana OH Medicaid	$5,232.39

INPATIENT APRDRG 5414: VAGINAL DELIVERY W STERILIZATION &/OR D&C

Facility

$6,705.00

Service Code	APR-DRG 5414
Hospital Charge Code	APRDRG 5414
Min. Negotiated Rate	$6,705.00
Max. Negotiated Rate	$6,705.00
Rate for Payer: Aetna CHP/Medicaid	$6,705.00
Rate for Payer: Humana OH Medicaid	$6,705.00

INPATIENT APRDRG 5421: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C

Facility

$3,399.27

Service Code	APR-DRG 5421
Hospital Charge Code	APRDRG 5421
Min. Negotiated Rate	$3,399.27
Max. Negotiated Rate	$3,399.27
Rate for Payer: Aetna CHP/Medicaid	$3,399.27
Rate for Payer: Humana OH Medicaid	$3,399.27

INPATIENT APRDRG 5422: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C

Facility

$3,848.13

Service Code	APR-DRG 5422
Hospital Charge Code	APRDRG 5422
Min. Negotiated Rate	$3,848.13
Max. Negotiated Rate	$3,848.13
Rate for Payer: Aetna CHP/Medicaid	$3,848.13
Rate for Payer: Humana OH Medicaid	$3,848.13

INPATIENT APRDRG 5423: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C

Facility

$5,119.36

Service Code	APR-DRG 5423
Hospital Charge Code	APRDRG 5423
Min. Negotiated Rate	$5,119.36
Max. Negotiated Rate	$5,119.36
Rate for Payer: Aetna CHP/Medicaid	$5,119.36
Rate for Payer: Humana OH Medicaid	$5,119.36

INPATIENT APRDRG 5424: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C

Facility

$12,598.66

Service Code	APR-DRG 5424
Hospital Charge Code	APRDRG 5424
Min. Negotiated Rate	$12,598.66
Max. Negotiated Rate	$12,598.66
Rate for Payer: Aetna CHP/Medicaid	$12,598.66
Rate for Payer: Humana OH Medicaid	$12,598.66

INPATIENT APRDRG 5431: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$2,454.12

Service Code	APR-DRG 5431
Hospital Charge Code	APRDRG 5431
Min. Negotiated Rate	$2,454.12
Max. Negotiated Rate	$2,454.12
Rate for Payer: Aetna CHP/Medicaid	$2,454.12
Rate for Payer: Humana OH Medicaid	$2,454.12

INPATIENT APRDRG 5432: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$3,259.61

Service Code	APR-DRG 5432
Hospital Charge Code	APRDRG 5432
Min. Negotiated Rate	$3,259.61
Max. Negotiated Rate	$3,259.61
Rate for Payer: Aetna CHP/Medicaid	$3,259.61
Rate for Payer: Humana OH Medicaid	$3,259.61

INPATIENT APRDRG 5433: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$4,226.19

Service Code	APR-DRG 5433
Hospital Charge Code	APRDRG 5433
Min. Negotiated Rate	$4,226.19
Max. Negotiated Rate	$4,226.19
Rate for Payer: Aetna CHP/Medicaid	$4,226.19
Rate for Payer: Humana OH Medicaid	$4,226.19

INPATIENT APRDRG 5434: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$7,911.27

Service Code	APR-DRG 5434
Hospital Charge Code	APRDRG 5434
Min. Negotiated Rate	$7,911.27
Max. Negotiated Rate	$7,911.27
Rate for Payer: Aetna CHP/Medicaid	$7,911.27
Rate for Payer: Humana OH Medicaid	$7,911.27

INPATIENT APRDRG 5471: ANTEPARTUM W O.R. PROCEDURE

Facility

$4,035.86

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG 5471
Min. Negotiated Rate	$4,035.86
Max. Negotiated Rate	$4,035.86
Rate for Payer: Aetna CHP/Medicaid	$4,035.86
Rate for Payer: Humana OH Medicaid	$4,035.86

INPATIENT APRDRG 5472: ANTEPARTUM W O.R. PROCEDURE

Facility

$5,081.69

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG 5472
Min. Negotiated Rate	$5,081.69
Max. Negotiated Rate	$5,081.69
Rate for Payer: Aetna CHP/Medicaid	$5,081.69
Rate for Payer: Humana OH Medicaid	$5,081.69

INPATIENT APRDRG 5473: ANTEPARTUM W O.R. PROCEDURE

Facility

$8,032.09

Service Code	APR-DRG 5473
Hospital Charge Code	APRDRG 5473
Min. Negotiated Rate	$8,032.09
Max. Negotiated Rate	$8,032.09
Rate for Payer: Aetna CHP/Medicaid	$8,032.09
Rate for Payer: Humana OH Medicaid	$8,032.09

Know your out-of-pocket cost for care.

All Charges