Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6123: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$34,241.47

Service Code	APR-DRG 6123
Hospital Charge Code	APRDRG 6123
Min. Negotiated Rate	$34,241.47
Max. Negotiated Rate	$34,241.47
Rate for Payer: Aetna CHP/Medicaid	$34,241.47
Rate for Payer: Humana OH Medicaid	$34,241.47

INPATIENT APRDRG 6124: NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$54,968.36

Service Code	APR-DRG 6124
Hospital Charge Code	APRDRG 6124
Min. Negotiated Rate	$54,968.36
Max. Negotiated Rate	$54,968.36
Rate for Payer: Aetna CHP/Medicaid	$54,968.36
Rate for Payer: Humana OH Medicaid	$54,968.36

INPATIENT APRDRG 6131: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$10,861.03

Service Code	APR-DRG 6131
Hospital Charge Code	APRDRG 6131
Min. Negotiated Rate	$10,861.03
Max. Negotiated Rate	$10,861.03
Rate for Payer: Aetna CHP/Medicaid	$10,861.03
Rate for Payer: Humana OH Medicaid	$10,861.03

INPATIENT APRDRG 6132: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$17,872.63

Service Code	APR-DRG 6132
Hospital Charge Code	APRDRG 6132
Min. Negotiated Rate	$17,872.63
Max. Negotiated Rate	$17,872.63
Rate for Payer: Aetna CHP/Medicaid	$17,872.63
Rate for Payer: Humana OH Medicaid	$17,872.63

INPATIENT APRDRG 6133: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$18,789.84

Service Code	APR-DRG 6133
Hospital Charge Code	APRDRG 6133
Min. Negotiated Rate	$18,789.84
Max. Negotiated Rate	$18,789.84
Rate for Payer: Aetna CHP/Medicaid	$18,789.84
Rate for Payer: Humana OH Medicaid	$18,789.84

INPATIENT APRDRG 6134: NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION

Facility

$18,789.84

Service Code	APR-DRG 6134
Hospital Charge Code	APRDRG 6134
Min. Negotiated Rate	$18,789.84
Max. Negotiated Rate	$18,789.84
Rate for Payer: Aetna CHP/Medicaid	$18,789.84
Rate for Payer: Humana OH Medicaid	$18,789.84

INPATIENT APRDRG 6141: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$8,774.57

Service Code	APR-DRG 6141
Hospital Charge Code	APRDRG 6141
Min. Negotiated Rate	$8,774.57
Max. Negotiated Rate	$8,774.57
Rate for Payer: Aetna CHP/Medicaid	$8,774.57
Rate for Payer: Humana OH Medicaid	$8,774.57

INPATIENT APRDRG 6142: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$13,666.58

Service Code	APR-DRG 6142
Hospital Charge Code	APRDRG 6142
Min. Negotiated Rate	$13,666.58
Max. Negotiated Rate	$13,666.58
Rate for Payer: Aetna CHP/Medicaid	$13,666.58
Rate for Payer: Humana OH Medicaid	$13,666.58

INPATIENT APRDRG 6143: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$27,665.09

Service Code	APR-DRG 6143
Hospital Charge Code	APRDRG 6143
Min. Negotiated Rate	$27,665.09
Max. Negotiated Rate	$27,665.09
Rate for Payer: Aetna CHP/Medicaid	$27,665.09
Rate for Payer: Humana OH Medicaid	$27,665.09

INPATIENT APRDRG 6144: NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$27,665.09

Service Code	APR-DRG 6144
Hospital Charge Code	APRDRG 6144
Min. Negotiated Rate	$27,665.09
Max. Negotiated Rate	$27,665.09
Rate for Payer: Aetna CHP/Medicaid	$27,665.09
Rate for Payer: Humana OH Medicaid	$27,665.09

INPATIENT APRDRG 6211: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$4,190.46

Service Code	APR-DRG 6211
Hospital Charge Code	APRDRG 6211
Min. Negotiated Rate	$4,190.46
Max. Negotiated Rate	$4,190.46
Rate for Payer: Aetna CHP/Medicaid	$4,190.46
Rate for Payer: Humana OH Medicaid	$4,190.46

INPATIENT APRDRG 6212: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$12,449.91

Service Code	APR-DRG 6212
Hospital Charge Code	APRDRG 6212
Min. Negotiated Rate	$12,449.91
Max. Negotiated Rate	$12,449.91
Rate for Payer: Aetna CHP/Medicaid	$12,449.91
Rate for Payer: Humana OH Medicaid	$12,449.91

INPATIENT APRDRG 6213: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$30,282.26

Service Code	APR-DRG 6213
Hospital Charge Code	APRDRG 6213
Min. Negotiated Rate	$30,282.26
Max. Negotiated Rate	$30,282.26
Rate for Payer: Aetna CHP/Medicaid	$30,282.26
Rate for Payer: Humana OH Medicaid	$30,282.26

INPATIENT APRDRG 6214: NEONATE BWT 2000-2499G W MAJOR ANOMALY

Facility

$57,740.78

Service Code	APR-DRG 6214
Hospital Charge Code	APRDRG 6214
Min. Negotiated Rate	$57,740.78
Max. Negotiated Rate	$57,740.78
Rate for Payer: Aetna CHP/Medicaid	$57,740.78
Rate for Payer: Humana OH Medicaid	$57,740.78

INPATIENT APRDRG 6221: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$11,116.96

Service Code	APR-DRG 6221
Hospital Charge Code	APRDRG 6221
Min. Negotiated Rate	$11,116.96
Max. Negotiated Rate	$11,116.96
Rate for Payer: Aetna CHP/Medicaid	$11,116.96
Rate for Payer: Humana OH Medicaid	$11,116.96

INPATIENT APRDRG 6222: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$17,826.51

Service Code	APR-DRG 6222
Hospital Charge Code	APRDRG 6222
Min. Negotiated Rate	$17,826.51
Max. Negotiated Rate	$17,826.51
Rate for Payer: Aetna CHP/Medicaid	$17,826.51
Rate for Payer: Humana OH Medicaid	$17,826.51

INPATIENT APRDRG 6223: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$18,741.12

Service Code	APR-DRG 6223
Hospital Charge Code	APRDRG 6223
Min. Negotiated Rate	$18,741.12
Max. Negotiated Rate	$18,741.12
Rate for Payer: Aetna CHP/Medicaid	$18,741.12
Rate for Payer: Humana OH Medicaid	$18,741.12

INPATIENT APRDRG 6224: NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND

Facility

$36,596.21

Service Code	APR-DRG 6224
Hospital Charge Code	APRDRG 6224
Min. Negotiated Rate	$36,596.21
Max. Negotiated Rate	$36,596.21
Rate for Payer: Aetna CHP/Medicaid	$36,596.21
Rate for Payer: Humana OH Medicaid	$36,596.21

INPATIENT APRDRG 6231: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$8,097.05

Service Code	APR-DRG 6231
Hospital Charge Code	APRDRG 6231
Min. Negotiated Rate	$8,097.05
Max. Negotiated Rate	$8,097.05
Rate for Payer: Aetna CHP/Medicaid	$8,097.05
Rate for Payer: Humana OH Medicaid	$8,097.05

INPATIENT APRDRG 6232: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$12,535.00

Service Code	APR-DRG 6232
Hospital Charge Code	APRDRG 6232
Min. Negotiated Rate	$12,535.00
Max. Negotiated Rate	$12,535.00
Rate for Payer: Aetna CHP/Medicaid	$12,535.00
Rate for Payer: Humana OH Medicaid	$12,535.00

INPATIENT APRDRG 6233: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$13,178.09

Service Code	APR-DRG 6233
Hospital Charge Code	APRDRG 6233
Min. Negotiated Rate	$13,178.09
Max. Negotiated Rate	$13,178.09
Rate for Payer: Aetna CHP/Medicaid	$13,178.09
Rate for Payer: Humana OH Medicaid	$13,178.09

INPATIENT APRDRG 6234: NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION

Facility

$13,178.09

Service Code	APR-DRG 6234
Hospital Charge Code	APRDRG 6234
Min. Negotiated Rate	$13,178.09
Max. Negotiated Rate	$13,178.09
Rate for Payer: Aetna CHP/Medicaid	$13,178.09
Rate for Payer: Humana OH Medicaid	$13,178.09

INPATIENT APRDRG 6251: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$7,368.87

Service Code	APR-DRG 6251
Hospital Charge Code	APRDRG 6251
Min. Negotiated Rate	$7,368.87
Max. Negotiated Rate	$7,368.87
Rate for Payer: Aetna CHP/Medicaid	$7,368.87
Rate for Payer: Humana OH Medicaid	$7,368.87

INPATIENT APRDRG 6252: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$11,288.45

Service Code	APR-DRG 6252
Hospital Charge Code	APRDRG 6252
Min. Negotiated Rate	$11,288.45
Max. Negotiated Rate	$11,288.45
Rate for Payer: Aetna CHP/Medicaid	$11,288.45
Rate for Payer: Humana OH Medicaid	$11,288.45

INPATIENT APRDRG 6253: NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION

Facility

$11,867.23

Service Code	APR-DRG 6253
Hospital Charge Code	APRDRG 6253
Min. Negotiated Rate	$11,867.23
Max. Negotiated Rate	$11,867.23
Rate for Payer: Aetna CHP/Medicaid	$11,867.23
Rate for Payer: Humana OH Medicaid	$11,867.23

Know your out-of-pocket cost for care.

All Charges