Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6391: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$4,380.79

Service Code	APR-DRG 6391
Hospital Charge Code	APRDRG 6391
Min. Negotiated Rate	$4,380.79
Max. Negotiated Rate	$4,380.79
Rate for Payer: Aetna CHP/Medicaid	$4,380.79
Rate for Payer: Humana OH Medicaid	$4,380.79

INPATIENT APRDRG 6392: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$8,367.28

Service Code	APR-DRG 6392
Hospital Charge Code	APRDRG 6392
Min. Negotiated Rate	$8,367.28
Max. Negotiated Rate	$8,367.28
Rate for Payer: Aetna CHP/Medicaid	$8,367.28
Rate for Payer: Humana OH Medicaid	$8,367.28

INPATIENT APRDRG 6393: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$18,250.68

Service Code	APR-DRG 6393
Hospital Charge Code	APRDRG 6393
Min. Negotiated Rate	$18,250.68
Max. Negotiated Rate	$18,250.68
Rate for Payer: Aetna CHP/Medicaid	$18,250.68
Rate for Payer: Humana OH Medicaid	$18,250.68

INPATIENT APRDRG 6394: NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION

Facility

$18,250.68

Service Code	APR-DRG 6394
Hospital Charge Code	APRDRG 6394
Min. Negotiated Rate	$18,250.68
Max. Negotiated Rate	$18,250.68
Rate for Payer: Aetna CHP/Medicaid	$18,250.68
Rate for Payer: Humana OH Medicaid	$18,250.68

INPATIENT APRDRG 6401: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$1,164.05

Service Code	APR-DRG 6401
Hospital Charge Code	APRDRG 6401
Min. Negotiated Rate	$1,164.05
Max. Negotiated Rate	$1,164.05
Rate for Payer: Aetna CHP/Medicaid	$1,164.05
Rate for Payer: Humana OH Medicaid	$1,164.05

INPATIENT APRDRG 6402: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$1,418.04

Service Code	APR-DRG 6402
Hospital Charge Code	APRDRG 6402
Min. Negotiated Rate	$1,418.04
Max. Negotiated Rate	$1,418.04
Rate for Payer: Aetna CHP/Medicaid	$1,418.04
Rate for Payer: Humana OH Medicaid	$1,418.04

INPATIENT APRDRG 6403: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$2,704.86

Service Code	APR-DRG 6403
Hospital Charge Code	APRDRG 6403
Min. Negotiated Rate	$2,704.86
Max. Negotiated Rate	$2,704.86
Rate for Payer: Aetna CHP/Medicaid	$2,704.86
Rate for Payer: Humana OH Medicaid	$2,704.86

INPATIENT APRDRG 6404: NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM

Facility

$2,704.86

Service Code	APR-DRG 6404
Hospital Charge Code	APRDRG 6404
Min. Negotiated Rate	$2,704.86
Max. Negotiated Rate	$2,704.86
Rate for Payer: Aetna CHP/Medicaid	$2,704.86
Rate for Payer: Humana OH Medicaid	$2,704.86

INPATIENT APRDRG 6501: SPLENECTOMY

Facility

$8,212.03

Service Code	APR-DRG 6501
Hospital Charge Code	APRDRG 6501
Min. Negotiated Rate	$8,212.03
Max. Negotiated Rate	$8,212.03
Rate for Payer: Aetna CHP/Medicaid	$8,212.03
Rate for Payer: Humana OH Medicaid	$8,212.03

INPATIENT APRDRG 6502: SPLENECTOMY

Facility

$10,159.48

Service Code	APR-DRG 6502
Hospital Charge Code	APRDRG 6502
Min. Negotiated Rate	$10,159.48
Max. Negotiated Rate	$10,159.48
Rate for Payer: Aetna CHP/Medicaid	$10,159.48
Rate for Payer: Humana OH Medicaid	$10,159.48

INPATIENT APRDRG 6503: SPLENECTOMY

Facility

$16,191.51

Service Code	APR-DRG 6503
Hospital Charge Code	APRDRG 6503
Min. Negotiated Rate	$16,191.51
Max. Negotiated Rate	$16,191.51
Rate for Payer: Aetna CHP/Medicaid	$16,191.51
Rate for Payer: Humana OH Medicaid	$16,191.51

INPATIENT APRDRG 6504: SPLENECTOMY

Facility

$16,257.11

Service Code	APR-DRG 6504
Hospital Charge Code	APRDRG 6504
Min. Negotiated Rate	$16,257.11
Max. Negotiated Rate	$16,257.11
Rate for Payer: Aetna CHP/Medicaid	$16,257.11
Rate for Payer: Humana OH Medicaid	$16,257.11

INPATIENT APRDRG 6511: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$5,457.80

Service Code	APR-DRG 6511
Hospital Charge Code	APRDRG 6511
Min. Negotiated Rate	$5,457.80
Max. Negotiated Rate	$5,457.80
Rate for Payer: Aetna CHP/Medicaid	$5,457.80
Rate for Payer: Humana OH Medicaid	$5,457.80

INPATIENT APRDRG 6512: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$8,041.19

Service Code	APR-DRG 6512
Hospital Charge Code	APRDRG 6512
Min. Negotiated Rate	$8,041.19
Max. Negotiated Rate	$8,041.19
Rate for Payer: Aetna CHP/Medicaid	$8,041.19
Rate for Payer: Humana OH Medicaid	$8,041.19

INPATIENT APRDRG 6513: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$11,315.74

Service Code	APR-DRG 6513
Hospital Charge Code	APRDRG 6513
Min. Negotiated Rate	$11,315.74
Max. Negotiated Rate	$11,315.74
Rate for Payer: Aetna CHP/Medicaid	$11,315.74
Rate for Payer: Humana OH Medicaid	$11,315.74

INPATIENT APRDRG 6514: OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS

Facility

$11,315.74

Service Code	APR-DRG 6514
Hospital Charge Code	APRDRG 6514
Min. Negotiated Rate	$11,315.74
Max. Negotiated Rate	$11,315.74
Rate for Payer: Aetna CHP/Medicaid	$11,315.74
Rate for Payer: Humana OH Medicaid	$11,315.74

INPATIENT APRDRG 6601: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$5,248.63

Service Code	APR-DRG 6601
Hospital Charge Code	APRDRG 6601
Min. Negotiated Rate	$5,248.63
Max. Negotiated Rate	$5,248.63
Rate for Payer: Aetna CHP/Medicaid	$5,248.63
Rate for Payer: Humana OH Medicaid	$5,248.63

INPATIENT APRDRG 6602: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$6,125.57

Service Code	APR-DRG 6602
Hospital Charge Code	APRDRG 6602
Min. Negotiated Rate	$6,125.57
Max. Negotiated Rate	$6,125.57
Rate for Payer: Aetna CHP/Medicaid	$6,125.57
Rate for Payer: Humana OH Medicaid	$6,125.57

INPATIENT APRDRG 6603: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$9,294.23

Service Code	APR-DRG 6603
Hospital Charge Code	APRDRG 6603
Min. Negotiated Rate	$9,294.23
Max. Negotiated Rate	$9,294.23
Rate for Payer: Aetna CHP/Medicaid	$9,294.23
Rate for Payer: Humana OH Medicaid	$9,294.23

INPATIENT APRDRG 6604: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$39,375.12

Service Code	APR-DRG 6604
Hospital Charge Code	APRDRG 6604
Min. Negotiated Rate	$39,375.12
Max. Negotiated Rate	$39,375.12
Rate for Payer: Aetna CHP/Medicaid	$39,375.12
Rate for Payer: Humana OH Medicaid	$39,375.12

INPATIENT APRDRG 6611: COAGULATION & PLATELET DISORDERS

Facility

$5,651.37

Service Code	APR-DRG 6611
Hospital Charge Code	APRDRG 6611
Min. Negotiated Rate	$5,651.37
Max. Negotiated Rate	$5,651.37
Rate for Payer: Aetna CHP/Medicaid	$5,651.37
Rate for Payer: Humana OH Medicaid	$5,651.37

INPATIENT APRDRG 6612: COAGULATION & PLATELET DISORDERS

Facility

$6,710.84

Service Code	APR-DRG 6612
Hospital Charge Code	APRDRG 6612
Min. Negotiated Rate	$6,710.84
Max. Negotiated Rate	$6,710.84
Rate for Payer: Aetna CHP/Medicaid	$6,710.84
Rate for Payer: Humana OH Medicaid	$6,710.84

INPATIENT APRDRG 6613: COAGULATION & PLATELET DISORDERS

Facility

$12,366.76

Service Code	APR-DRG 6613
Hospital Charge Code	APRDRG 6613
Min. Negotiated Rate	$12,366.76
Max. Negotiated Rate	$12,366.76
Rate for Payer: Aetna CHP/Medicaid	$12,366.76
Rate for Payer: Humana OH Medicaid	$12,366.76

INPATIENT APRDRG 6614: COAGULATION & PLATELET DISORDERS

Facility

$23,577.91

Service Code	APR-DRG 6614
Hospital Charge Code	APRDRG 6614
Min. Negotiated Rate	$23,577.91
Max. Negotiated Rate	$23,577.91
Rate for Payer: Aetna CHP/Medicaid	$23,577.91
Rate for Payer: Humana OH Medicaid	$23,577.91

INPATIENT APRDRG 6621: SICKLE CELL ANEMIA CRISIS

Facility

$4,695.84

Service Code	APR-DRG 6621
Hospital Charge Code	APRDRG 6621
Min. Negotiated Rate	$4,695.84
Max. Negotiated Rate	$4,695.84
Rate for Payer: Aetna CHP/Medicaid	$4,695.84
Rate for Payer: Humana OH Medicaid	$4,695.84

Know your out-of-pocket cost for care.

All Charges