Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6022: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$44,862.80

Service Code	APR-DRG 6022
Hospital Charge Code	APRDRG 6022
Min. Negotiated Rate	$44,862.80
Max. Negotiated Rate	$44,862.80
Rate for Payer: Aetna CHP/Medicaid	$44,862.80
Rate for Payer: Humana OH Medicaid	$44,862.80

INPATIENT APRDRG 6023: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$61,317.39

Service Code	APR-DRG 6023
Hospital Charge Code	APRDRG 6023
Min. Negotiated Rate	$61,317.39
Max. Negotiated Rate	$61,317.39
Rate for Payer: Aetna CHP/Medicaid	$61,317.39
Rate for Payer: Humana OH Medicaid	$61,317.39

INPATIENT APRDRG 6024: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$75,845.31

Service Code	APR-DRG 6024
Hospital Charge Code	APRDRG 6024
Min. Negotiated Rate	$75,845.31
Max. Negotiated Rate	$75,845.31
Rate for Payer: Aetna CHP/Medicaid	$75,845.31
Rate for Payer: Humana OH Medicaid	$75,845.31

INPATIENT APRDRG 6031: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$19,009.40

Service Code	APR-DRG 6031
Hospital Charge Code	APRDRG 6031
Min. Negotiated Rate	$19,009.40
Max. Negotiated Rate	$19,009.40
Rate for Payer: Aetna CHP/Medicaid	$19,009.40
Rate for Payer: Humana OH Medicaid	$19,009.40

INPATIENT APRDRG 6032: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$26,143.77

Service Code	APR-DRG 6032
Hospital Charge Code	APRDRG 6032
Min. Negotiated Rate	$26,143.77
Max. Negotiated Rate	$26,143.77
Rate for Payer: Aetna CHP/Medicaid	$26,143.77
Rate for Payer: Humana OH Medicaid	$26,143.77

INPATIENT APRDRG 6033: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$44,146.96

Service Code	APR-DRG 6033
Hospital Charge Code	APRDRG 6033
Min. Negotiated Rate	$44,146.96
Max. Negotiated Rate	$44,146.96
Rate for Payer: Aetna CHP/Medicaid	$44,146.96
Rate for Payer: Humana OH Medicaid	$44,146.96

INPATIENT APRDRG 6034: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$44,146.96

Service Code	APR-DRG 6034
Hospital Charge Code	APRDRG 6034
Min. Negotiated Rate	$44,146.96
Max. Negotiated Rate	$44,146.96
Rate for Payer: Aetna CHP/Medicaid	$44,146.96
Rate for Payer: Humana OH Medicaid	$44,146.96

INPATIENT APRDRG 6071: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$27,376.68

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG 6071
Min. Negotiated Rate	$27,376.68
Max. Negotiated Rate	$27,376.68
Rate for Payer: Aetna CHP/Medicaid	$27,376.68
Rate for Payer: Humana OH Medicaid	$27,376.68

INPATIENT APRDRG 6072: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$36,835.90

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG 6072
Min. Negotiated Rate	$36,835.90
Max. Negotiated Rate	$36,835.90
Rate for Payer: Aetna CHP/Medicaid	$36,835.90
Rate for Payer: Humana OH Medicaid	$36,835.90

INPATIENT APRDRG 6073: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$52,711.71

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG 6073
Min. Negotiated Rate	$52,711.71
Max. Negotiated Rate	$52,711.71
Rate for Payer: Aetna CHP/Medicaid	$52,711.71
Rate for Payer: Humana OH Medicaid	$52,711.71

INPATIENT APRDRG 6074: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$75,009.95

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG 6074
Min. Negotiated Rate	$75,009.95
Max. Negotiated Rate	$75,009.95
Rate for Payer: Aetna CHP/Medicaid	$75,009.95
Rate for Payer: Humana OH Medicaid	$75,009.95

INPATIENT APRDRG 6081: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$17,352.31

Service Code	APR-DRG 6081
Hospital Charge Code	APRDRG 6081
Min. Negotiated Rate	$17,352.31
Max. Negotiated Rate	$17,352.31
Rate for Payer: Aetna CHP/Medicaid	$17,352.31
Rate for Payer: Humana OH Medicaid	$17,352.31

INPATIENT APRDRG 6082: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$24,063.15

Service Code	APR-DRG 6082
Hospital Charge Code	APRDRG 6082
Min. Negotiated Rate	$24,063.15
Max. Negotiated Rate	$24,063.15
Rate for Payer: Aetna CHP/Medicaid	$24,063.15
Rate for Payer: Humana OH Medicaid	$24,063.15

INPATIENT APRDRG 6083: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$37,145.75

Service Code	APR-DRG 6083
Hospital Charge Code	APRDRG 6083
Min. Negotiated Rate	$37,145.75
Max. Negotiated Rate	$37,145.75
Rate for Payer: Aetna CHP/Medicaid	$37,145.75
Rate for Payer: Humana OH Medicaid	$37,145.75

INPATIENT APRDRG 6084: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$37,145.75

Service Code	APR-DRG 6084
Hospital Charge Code	APRDRG 6084
Min. Negotiated Rate	$37,145.75
Max. Negotiated Rate	$37,145.75
Rate for Payer: Aetna CHP/Medicaid	$37,145.75
Rate for Payer: Humana OH Medicaid	$37,145.75

INPATIENT APRDRG 6091: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$59,004.22

Service Code	APR-DRG 6091
Hospital Charge Code	APRDRG 6091
Min. Negotiated Rate	$59,004.22
Max. Negotiated Rate	$59,004.22
Rate for Payer: Aetna CHP/Medicaid	$59,004.22
Rate for Payer: Humana OH Medicaid	$59,004.22

INPATIENT APRDRG 6092: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$59,004.22

Service Code	APR-DRG 6092
Hospital Charge Code	APRDRG 6092
Min. Negotiated Rate	$59,004.22
Max. Negotiated Rate	$59,004.22
Rate for Payer: Aetna CHP/Medicaid	$59,004.22
Rate for Payer: Humana OH Medicaid	$59,004.22

INPATIENT APRDRG 6093: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$62,031.28

Service Code	APR-DRG 6093
Hospital Charge Code	APRDRG 6093
Min. Negotiated Rate	$62,031.28
Max. Negotiated Rate	$62,031.28
Rate for Payer: Aetna CHP/Medicaid	$62,031.28
Rate for Payer: Humana OH Medicaid	$62,031.28

INPATIENT APRDRG 6094: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$152,626.67

Service Code	APR-DRG 6094
Hospital Charge Code	APRDRG 6094
Min. Negotiated Rate	$152,626.67
Max. Negotiated Rate	$152,626.67
Rate for Payer: Aetna CHP/Medicaid	$152,626.67
Rate for Payer: Humana OH Medicaid	$152,626.67

INPATIENT APRDRG 6111: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$10,048.40

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG 6111
Min. Negotiated Rate	$10,048.40
Max. Negotiated Rate	$10,048.40
Rate for Payer: Aetna CHP/Medicaid	$10,048.40
Rate for Payer: Humana OH Medicaid	$10,048.40

INPATIENT APRDRG 6112: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$23,377.19

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG 6112
Min. Negotiated Rate	$23,377.19
Max. Negotiated Rate	$23,377.19
Rate for Payer: Aetna CHP/Medicaid	$23,377.19
Rate for Payer: Humana OH Medicaid	$23,377.19

INPATIENT APRDRG 6113: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$31,783.45

Service Code	APR-DRG 6113
Hospital Charge Code	APRDRG 6113
Min. Negotiated Rate	$31,783.45
Max. Negotiated Rate	$31,783.45
Rate for Payer: Aetna CHP/Medicaid	$31,783.45
Rate for Payer: Humana OH Medicaid	$31,783.45

INPATIENT APRDRG 6114: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$58,802.85

Service Code	APR-DRG 6114
Hospital Charge Code	APRDRG 6114
Min. Negotiated Rate	$58,802.85
Max. Negotiated Rate	$58,802.85
Rate for Payer: Aetna CHP/Medicaid	$58,802.85
Rate for Payer: Humana OH Medicaid	$58,802.85

INPATIENT APRDRG 6121: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$19,200.37

Service Code	APR-DRG 6121
Hospital Charge Code	APRDRG 6121
Min. Negotiated Rate	$19,200.37
Max. Negotiated Rate	$19,200.37
Rate for Payer: Aetna CHP/Medicaid	$19,200.37
Rate for Payer: Humana OH Medicaid	$19,200.37

INPATIENT APRDRG 6122: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$28,073.68

Service Code	APR-DRG 6122
Hospital Charge Code	APRDRG 6122
Min. Negotiated Rate	$28,073.68
Max. Negotiated Rate	$28,073.68
Rate for Payer: Aetna CHP/Medicaid	$28,073.68
Rate for Payer: Humana OH Medicaid	$28,073.68

Know your out-of-pocket cost for care.

All Charges