Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5474: ANTEPARTUM W O.R. PROCEDURE

Facility

$13,747.13

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG 5474
Min. Negotiated Rate	$13,747.13
Max. Negotiated Rate	$13,747.13
Rate for Payer: Aetna CHP/Medicaid	$13,747.13
Rate for Payer: Humana OH Medicaid	$13,747.13

INPATIENT APRDRG 5481: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE

Facility

$2,685.38

Service Code	APR-DRG 5481
Hospital Charge Code	APRDRG 5481
Min. Negotiated Rate	$2,685.38
Max. Negotiated Rate	$2,685.38
Rate for Payer: Aetna CHP/Medicaid	$2,685.38
Rate for Payer: Humana OH Medicaid	$2,685.38

INPATIENT APRDRG 5482: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE

Facility

$4,508.11

Service Code	APR-DRG 5482
Hospital Charge Code	APRDRG 5482
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 5483: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE

Facility

$9,024.01

Service Code	APR-DRG 5483
Hospital Charge Code	APRDRG 5483
Min. Negotiated Rate	$9,024.01
Max. Negotiated Rate	$9,024.01
Rate for Payer: Aetna CHP/Medicaid	$9,024.01
Rate for Payer: Humana OH Medicaid	$9,024.01

INPATIENT APRDRG 5484: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE

Facility

$18,620.95

Service Code	APR-DRG 5484
Hospital Charge Code	APRDRG 5484
Min. Negotiated Rate	$18,620.95
Max. Negotiated Rate	$18,620.95
Rate for Payer: Aetna CHP/Medicaid	$18,620.95
Rate for Payer: Humana OH Medicaid	$18,620.95

INPATIENT APRDRG 5601: VAGINAL DELIVERY

Facility

$3,066.03

Service Code	APR-DRG 5601
Hospital Charge Code	APRDRG 5601
Min. Negotiated Rate	$3,066.03
Max. Negotiated Rate	$3,066.03
Rate for Payer: Aetna CHP/Medicaid	$3,066.03
Rate for Payer: Humana OH Medicaid	$3,066.03

INPATIENT APRDRG 5602: VAGINAL DELIVERY

Facility

$3,394.07

Service Code	APR-DRG 5602
Hospital Charge Code	APRDRG 5602
Min. Negotiated Rate	$3,394.07
Max. Negotiated Rate	$3,394.07
Rate for Payer: Aetna CHP/Medicaid	$3,394.07
Rate for Payer: Humana OH Medicaid	$3,394.07

INPATIENT APRDRG 5603: VAGINAL DELIVERY

Facility

$4,110.56

Service Code	APR-DRG 5603
Hospital Charge Code	APRDRG 5603
Min. Negotiated Rate	$4,110.56
Max. Negotiated Rate	$4,110.56
Rate for Payer: Aetna CHP/Medicaid	$4,110.56
Rate for Payer: Humana OH Medicaid	$4,110.56

INPATIENT APRDRG 5604: VAGINAL DELIVERY

Facility

$6,071.00

Service Code	APR-DRG 5604
Hospital Charge Code	APRDRG 5604
Min. Negotiated Rate	$6,071.00
Max. Negotiated Rate	$6,071.00
Rate for Payer: Aetna CHP/Medicaid	$6,071.00
Rate for Payer: Humana OH Medicaid	$6,071.00

INPATIENT APRDRG 5611: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE

Facility

$1,796.75

Service Code	APR-DRG 5611
Hospital Charge Code	APRDRG 5611
Min. Negotiated Rate	$1,796.75
Max. Negotiated Rate	$1,796.75
Rate for Payer: Aetna CHP/Medicaid	$1,796.75
Rate for Payer: Humana OH Medicaid	$1,796.75

INPATIENT APRDRG 5612: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE

Facility

$2,585.99

Service Code	APR-DRG 5612
Hospital Charge Code	APRDRG 5612
Min. Negotiated Rate	$2,585.99
Max. Negotiated Rate	$2,585.99
Rate for Payer: Aetna CHP/Medicaid	$2,585.99
Rate for Payer: Humana OH Medicaid	$2,585.99

INPATIENT APRDRG 5613: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE

Facility

$3,644.81

Service Code	APR-DRG 5613
Hospital Charge Code	APRDRG 5613
Min. Negotiated Rate	$3,644.81
Max. Negotiated Rate	$3,644.81
Rate for Payer: Aetna CHP/Medicaid	$3,644.81
Rate for Payer: Humana OH Medicaid	$3,644.81

INPATIENT APRDRG 5614: POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE

Facility

$6,988.21

Service Code	APR-DRG 5614
Hospital Charge Code	APRDRG 5614
Min. Negotiated Rate	$6,988.21
Max. Negotiated Rate	$6,988.21
Rate for Payer: Aetna CHP/Medicaid	$6,988.21
Rate for Payer: Humana OH Medicaid	$6,988.21

INPATIENT APRDRG 5641: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$2,041.64

Service Code	APR-DRG 5641
Hospital Charge Code	APRDRG 5641
Min. Negotiated Rate	$2,041.64
Max. Negotiated Rate	$2,041.64
Rate for Payer: Aetna CHP/Medicaid	$2,041.64
Rate for Payer: Humana OH Medicaid	$2,041.64

INPATIENT APRDRG 5642: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$2,689.27

Service Code	APR-DRG 5642
Hospital Charge Code	APRDRG 5642
Min. Negotiated Rate	$2,689.27
Max. Negotiated Rate	$2,689.27
Rate for Payer: Aetna CHP/Medicaid	$2,689.27
Rate for Payer: Humana OH Medicaid	$2,689.27

INPATIENT APRDRG 5643: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$5,443.51

Service Code	APR-DRG 5643
Hospital Charge Code	APRDRG 5643
Min. Negotiated Rate	$5,443.51
Max. Negotiated Rate	$5,443.51
Rate for Payer: Aetna CHP/Medicaid	$5,443.51
Rate for Payer: Humana OH Medicaid	$5,443.51

INPATIENT APRDRG 5644: ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$5,443.51

Service Code	APR-DRG 5644
Hospital Charge Code	APRDRG 5644
Min. Negotiated Rate	$5,443.51
Max. Negotiated Rate	$5,443.51
Rate for Payer: Aetna CHP/Medicaid	$5,443.51
Rate for Payer: Humana OH Medicaid	$5,443.51

INPATIENT APRDRG 5661: OTHER ANTEPARTUM DIAGNOSES

Facility

$2,076.07

Service Code	APR-DRG 5661
Hospital Charge Code	APRDRG 5661
Min. Negotiated Rate	$2,076.07
Max. Negotiated Rate	$2,076.07
Rate for Payer: Aetna CHP/Medicaid	$2,076.07
Rate for Payer: Humana OH Medicaid	$2,076.07

INPATIENT APRDRG 5662: OTHER ANTEPARTUM DIAGNOSES

Facility

$2,674.98

Service Code	APR-DRG 5662
Hospital Charge Code	APRDRG 5662
Min. Negotiated Rate	$2,674.98
Max. Negotiated Rate	$2,674.98
Rate for Payer: Aetna CHP/Medicaid	$2,674.98
Rate for Payer: Humana OH Medicaid	$2,674.98

INPATIENT APRDRG 5663: OTHER ANTEPARTUM DIAGNOSES

Facility

$3,320.02

Service Code	APR-DRG 5663
Hospital Charge Code	APRDRG 5663
Min. Negotiated Rate	$3,320.02
Max. Negotiated Rate	$3,320.02
Rate for Payer: Aetna CHP/Medicaid	$3,320.02
Rate for Payer: Humana OH Medicaid	$3,320.02

INPATIENT APRDRG 5664: OTHER ANTEPARTUM DIAGNOSES

Facility

$8,593.33

Service Code	APR-DRG 5664
Hospital Charge Code	APRDRG 5664
Min. Negotiated Rate	$8,593.33
Max. Negotiated Rate	$8,593.33
Rate for Payer: Aetna CHP/Medicaid	$8,593.33
Rate for Payer: Humana OH Medicaid	$8,593.33

INPATIENT APRDRG 5801: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$2,059.83

Service Code	APR-DRG 5801
Hospital Charge Code	APRDRG 5801
Min. Negotiated Rate	$2,059.83
Max. Negotiated Rate	$2,059.83
Rate for Payer: Aetna CHP/Medicaid	$2,059.83
Rate for Payer: Humana OH Medicaid	$2,059.83

INPATIENT APRDRG 5802: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$2,235.86

Service Code	APR-DRG 5802
Hospital Charge Code	APRDRG 5802
Min. Negotiated Rate	$2,235.86
Max. Negotiated Rate	$2,235.86
Rate for Payer: Aetna CHP/Medicaid	$2,235.86
Rate for Payer: Humana OH Medicaid	$2,235.86

INPATIENT APRDRG 5803: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$3,385.63

Service Code	APR-DRG 5803
Hospital Charge Code	APRDRG 5803
Min. Negotiated Rate	$3,385.63
Max. Negotiated Rate	$3,385.63
Rate for Payer: Aetna CHP/Medicaid	$3,385.63
Rate for Payer: Humana OH Medicaid	$3,385.63

INPATIENT APRDRG 5804: NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE

Facility

$3,385.63

Service Code	APR-DRG 5804
Hospital Charge Code	APRDRG 5804
Min. Negotiated Rate	$3,385.63
Max. Negotiated Rate	$3,385.63
Rate for Payer: Aetna CHP/Medicaid	$3,385.63
Rate for Payer: Humana OH Medicaid	$3,385.63

Know your out-of-pocket cost for care.

All Charges