Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5811: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$625.55

Service Code	APR-DRG 5811
Hospital Charge Code	APRDRG 5811
Min. Negotiated Rate	$625.55
Max. Negotiated Rate	$625.55
Rate for Payer: Aetna CHP/Medicaid	$625.55
Rate for Payer: Humana OH Medicaid	$625.55

INPATIENT APRDRG 5812: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$902.92

Service Code	APR-DRG 5812
Hospital Charge Code	APRDRG 5812
Min. Negotiated Rate	$902.92
Max. Negotiated Rate	$902.92
Rate for Payer: Aetna CHP/Medicaid	$902.92
Rate for Payer: Humana OH Medicaid	$902.92

INPATIENT APRDRG 5813: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,019.85

Service Code	APR-DRG 5813
Hospital Charge Code	APRDRG 5813
Min. Negotiated Rate	$1,019.85
Max. Negotiated Rate	$1,019.85
Rate for Payer: Aetna CHP/Medicaid	$1,019.85
Rate for Payer: Humana OH Medicaid	$1,019.85

INPATIENT APRDRG 5814: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE

Facility

$1,464.81

Service Code	APR-DRG 5814
Hospital Charge Code	APRDRG 5814
Min. Negotiated Rate	$1,464.81
Max. Negotiated Rate	$1,464.81
Rate for Payer: Aetna CHP/Medicaid	$1,464.81
Rate for Payer: Humana OH Medicaid	$1,464.81

INPATIENT APRDRG 5831: NEONATE W ECMO

Facility

$218,965.98

Service Code	APR-DRG 5831
Hospital Charge Code	APRDRG 5831
Min. Negotiated Rate	$218,965.98
Max. Negotiated Rate	$218,965.98
Rate for Payer: Aetna CHP/Medicaid	$218,965.98
Rate for Payer: Humana OH Medicaid	$218,965.98

INPATIENT APRDRG 5832: NEONATE W ECMO

Facility

$218,965.98

Service Code	APR-DRG 5832
Hospital Charge Code	APRDRG 5832
Min. Negotiated Rate	$218,965.98
Max. Negotiated Rate	$218,965.98
Rate for Payer: Aetna CHP/Medicaid	$218,965.98
Rate for Payer: Humana OH Medicaid	$218,965.98

INPATIENT APRDRG 5833: NEONATE W ECMO

Facility

$230,198.57

Service Code	APR-DRG 5833
Hospital Charge Code	APRDRG 5833
Min. Negotiated Rate	$230,198.57
Max. Negotiated Rate	$230,198.57
Rate for Payer: Aetna CHP/Medicaid	$230,198.57
Rate for Payer: Humana OH Medicaid	$230,198.57

INPATIENT APRDRG 5834: NEONATE W ECMO

Facility

$230,198.57

Service Code	APR-DRG 5834
Hospital Charge Code	APRDRG 5834
Min. Negotiated Rate	$230,198.57
Max. Negotiated Rate	$230,198.57
Rate for Payer: Aetna CHP/Medicaid	$230,198.57
Rate for Payer: Humana OH Medicaid	$230,198.57

INPATIENT APRDRG 5881: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$114,344.15

Service Code	APR-DRG 5881
Hospital Charge Code	APRDRG 5881
Min. Negotiated Rate	$114,344.15
Max. Negotiated Rate	$114,344.15
Rate for Payer: Aetna CHP/Medicaid	$114,344.15
Rate for Payer: Humana OH Medicaid	$114,344.15

INPATIENT APRDRG 5882: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$114,344.15

Service Code	APR-DRG 5882
Hospital Charge Code	APRDRG 5882
Min. Negotiated Rate	$114,344.15
Max. Negotiated Rate	$114,344.15
Rate for Payer: Aetna CHP/Medicaid	$114,344.15
Rate for Payer: Humana OH Medicaid	$114,344.15

INPATIENT APRDRG 5883: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$120,209.88

Service Code	APR-DRG 5883
Hospital Charge Code	APRDRG 5883
Min. Negotiated Rate	$120,209.88
Max. Negotiated Rate	$120,209.88
Rate for Payer: Aetna CHP/Medicaid	$120,209.88
Rate for Payer: Humana OH Medicaid	$120,209.88

INPATIENT APRDRG 5884: NEONATE BWT <1500G W MAJOR PROCEDURE

Facility

$237,967.59

Service Code	APR-DRG 5884
Hospital Charge Code	APRDRG 5884
Min. Negotiated Rate	$237,967.59
Max. Negotiated Rate	$237,967.59
Rate for Payer: Aetna CHP/Medicaid	$237,967.59
Rate for Payer: Humana OH Medicaid	$237,967.59

INPATIENT APRDRG 5891: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$49,452.75

Service Code	APR-DRG 5891
Hospital Charge Code	APRDRG 5891
Min. Negotiated Rate	$49,452.75
Max. Negotiated Rate	$49,452.75
Rate for Payer: Aetna CHP/Medicaid	$49,452.75
Rate for Payer: Humana OH Medicaid	$49,452.75

INPATIENT APRDRG 5892: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$49,452.75

Service Code	APR-DRG 5892
Hospital Charge Code	APRDRG 5892
Min. Negotiated Rate	$49,452.75
Max. Negotiated Rate	$49,452.75
Rate for Payer: Aetna CHP/Medicaid	$49,452.75
Rate for Payer: Humana OH Medicaid	$49,452.75

INPATIENT APRDRG 5893: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$51,989.38

Service Code	APR-DRG 5893
Hospital Charge Code	APRDRG 5893
Min. Negotiated Rate	$51,989.38
Max. Negotiated Rate	$51,989.38
Rate for Payer: Aetna CHP/Medicaid	$51,989.38
Rate for Payer: Humana OH Medicaid	$51,989.38

INPATIENT APRDRG 5894: NEONATE BWT <500G OR GA <24 WEEKS

Facility

$51,989.38

Service Code	APR-DRG 5894
Hospital Charge Code	APRDRG 5894
Min. Negotiated Rate	$51,989.38
Max. Negotiated Rate	$51,989.38
Rate for Payer: Aetna CHP/Medicaid	$51,989.38
Rate for Payer: Humana OH Medicaid	$51,989.38

INPATIENT APRDRG 5911: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$42,990.70

Service Code	APR-DRG 5911
Hospital Charge Code	APRDRG 5911
Min. Negotiated Rate	$42,990.70
Max. Negotiated Rate	$42,990.70
Rate for Payer: Aetna CHP/Medicaid	$42,990.70
Rate for Payer: Humana OH Medicaid	$42,990.70

INPATIENT APRDRG 5912: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$42,990.70

Service Code	APR-DRG 5912
Hospital Charge Code	APRDRG 5912
Min. Negotiated Rate	$42,990.70
Max. Negotiated Rate	$42,990.70
Rate for Payer: Aetna CHP/Medicaid	$42,990.70
Rate for Payer: Humana OH Medicaid	$42,990.70

INPATIENT APRDRG 5913: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$56,985.32

Service Code	APR-DRG 5913
Hospital Charge Code	APRDRG 5913
Min. Negotiated Rate	$56,985.32
Max. Negotiated Rate	$56,985.32
Rate for Payer: Aetna CHP/Medicaid	$56,985.32
Rate for Payer: Humana OH Medicaid	$56,985.32

INPATIENT APRDRG 5914: NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE

Facility

$102,872.51

Service Code	APR-DRG 5914
Hospital Charge Code	APRDRG 5914
Min. Negotiated Rate	$102,872.51
Max. Negotiated Rate	$102,872.51
Rate for Payer: Aetna CHP/Medicaid	$102,872.51
Rate for Payer: Humana OH Medicaid	$102,872.51

INPATIENT APRDRG 5931: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$43,865.04

Service Code	APR-DRG 5931
Hospital Charge Code	APRDRG 5931
Min. Negotiated Rate	$43,865.04
Max. Negotiated Rate	$43,865.04
Rate for Payer: Aetna CHP/Medicaid	$43,865.04
Rate for Payer: Humana OH Medicaid	$43,865.04

INPATIENT APRDRG 5932: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$43,865.04

Service Code	APR-DRG 5932
Hospital Charge Code	APRDRG 5932
Min. Negotiated Rate	$43,865.04
Max. Negotiated Rate	$43,865.04
Rate for Payer: Aetna CHP/Medicaid	$43,865.04
Rate for Payer: Humana OH Medicaid	$43,865.04

INPATIENT APRDRG 5933: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$69,337.79

Service Code	APR-DRG 5933
Hospital Charge Code	APRDRG 5933
Min. Negotiated Rate	$69,337.79
Max. Negotiated Rate	$69,337.79
Rate for Payer: Aetna CHP/Medicaid	$69,337.79
Rate for Payer: Humana OH Medicaid	$69,337.79

INPATIENT APRDRG 5934: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$110,813.01

Service Code	APR-DRG 5934
Hospital Charge Code	APRDRG 5934
Min. Negotiated Rate	$110,813.01
Max. Negotiated Rate	$110,813.01
Rate for Payer: Aetna CHP/Medicaid	$110,813.01
Rate for Payer: Humana OH Medicaid	$110,813.01

INPATIENT APRDRG 6021: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$26,271.73

Service Code	APR-DRG 6021
Hospital Charge Code	APRDRG 6021
Min. Negotiated Rate	$26,271.73
Max. Negotiated Rate	$26,271.73
Rate for Payer: Aetna CHP/Medicaid	$26,271.73
Rate for Payer: Humana OH Medicaid	$26,271.73

Know your out-of-pocket cost for care.

All Charges