Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6622: SICKLE CELL ANEMIA CRISIS

Facility

$6,120.37

Service Code	APR-DRG 6622
Hospital Charge Code	APRDRG 6622
Min. Negotiated Rate	$6,120.37
Max. Negotiated Rate	$6,120.37
Rate for Payer: Aetna CHP/Medicaid	$6,120.37
Rate for Payer: Humana OH Medicaid	$6,120.37

INPATIENT APRDRG 6623: SICKLE CELL ANEMIA CRISIS

Facility

$7,700.81

Service Code	APR-DRG 6623
Hospital Charge Code	APRDRG 6623
Min. Negotiated Rate	$7,700.81
Max. Negotiated Rate	$7,700.81
Rate for Payer: Aetna CHP/Medicaid	$7,700.81
Rate for Payer: Humana OH Medicaid	$7,700.81

INPATIENT APRDRG 6624: SICKLE CELL ANEMIA CRISIS

Facility

$12,690.90

Service Code	APR-DRG 6624
Hospital Charge Code	APRDRG 6624
Min. Negotiated Rate	$12,690.90
Max. Negotiated Rate	$12,690.90
Rate for Payer: Aetna CHP/Medicaid	$12,690.90
Rate for Payer: Humana OH Medicaid	$12,690.90

INPATIENT APRDRG 6631: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$3,346.65

Service Code	APR-DRG 6631
Hospital Charge Code	APRDRG 6631
Min. Negotiated Rate	$3,346.65
Max. Negotiated Rate	$3,346.65
Rate for Payer: Aetna CHP/Medicaid	$3,346.65
Rate for Payer: Humana OH Medicaid	$3,346.65

INPATIENT APRDRG 6632: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$4,232.68

Service Code	APR-DRG 6632
Hospital Charge Code	APRDRG 6632
Min. Negotiated Rate	$4,232.68
Max. Negotiated Rate	$4,232.68
Rate for Payer: Aetna CHP/Medicaid	$4,232.68
Rate for Payer: Humana OH Medicaid	$4,232.68

INPATIENT APRDRG 6633: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$6,264.58

Service Code	APR-DRG 6633
Hospital Charge Code	APRDRG 6633
Min. Negotiated Rate	$6,264.58
Max. Negotiated Rate	$6,264.58
Rate for Payer: Aetna CHP/Medicaid	$6,264.58
Rate for Payer: Humana OH Medicaid	$6,264.58

INPATIENT APRDRG 6634: OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS

Facility

$11,082.54

Service Code	APR-DRG 6634
Hospital Charge Code	APRDRG 6634
Min. Negotiated Rate	$11,082.54
Max. Negotiated Rate	$11,082.54
Rate for Payer: Aetna CHP/Medicaid	$11,082.54
Rate for Payer: Humana OH Medicaid	$11,082.54

INPATIENT APRDRG 6801: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$8,549.16

Service Code	APR-DRG 6801
Hospital Charge Code	APRDRG 6801
Min. Negotiated Rate	$8,549.16
Max. Negotiated Rate	$8,549.16
Rate for Payer: Aetna CHP/Medicaid	$8,549.16
Rate for Payer: Humana OH Medicaid	$8,549.16

INPATIENT APRDRG 6802: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$11,611.30

Service Code	APR-DRG 6802
Hospital Charge Code	APRDRG 6802
Min. Negotiated Rate	$11,611.30
Max. Negotiated Rate	$11,611.30
Rate for Payer: Aetna CHP/Medicaid	$11,611.30
Rate for Payer: Humana OH Medicaid	$11,611.30

INPATIENT APRDRG 6803: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$20,029.24

Service Code	APR-DRG 6803
Hospital Charge Code	APRDRG 6803
Min. Negotiated Rate	$20,029.24
Max. Negotiated Rate	$20,029.24
Rate for Payer: Aetna CHP/Medicaid	$20,029.24
Rate for Payer: Humana OH Medicaid	$20,029.24

INPATIENT APRDRG 6804: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$34,126.49

Service Code	APR-DRG 6804
Hospital Charge Code	APRDRG 6804
Min. Negotiated Rate	$34,126.49
Max. Negotiated Rate	$34,126.49
Rate for Payer: Aetna CHP/Medicaid	$34,126.49
Rate for Payer: Humana OH Medicaid	$34,126.49

INPATIENT APRDRG 6811: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$6,564.04

Service Code	APR-DRG 6811
Hospital Charge Code	APRDRG 6811
Min. Negotiated Rate	$6,564.04
Max. Negotiated Rate	$6,564.04
Rate for Payer: Aetna CHP/Medicaid	$6,564.04
Rate for Payer: Humana OH Medicaid	$6,564.04

INPATIENT APRDRG 6812: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$10,811.66

Service Code	APR-DRG 6812
Hospital Charge Code	APRDRG 6812
Min. Negotiated Rate	$10,811.66
Max. Negotiated Rate	$10,811.66
Rate for Payer: Aetna CHP/Medicaid	$10,811.66
Rate for Payer: Humana OH Medicaid	$10,811.66

INPATIENT APRDRG 6813: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$19,121.77

Service Code	APR-DRG 6813
Hospital Charge Code	APRDRG 6813
Min. Negotiated Rate	$19,121.77
Max. Negotiated Rate	$19,121.77
Rate for Payer: Aetna CHP/Medicaid	$19,121.77
Rate for Payer: Humana OH Medicaid	$19,121.77

INPATIENT APRDRG 6814: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$51,137.12

Service Code	APR-DRG 6814
Hospital Charge Code	APRDRG 6814
Min. Negotiated Rate	$51,137.12
Max. Negotiated Rate	$51,137.12
Rate for Payer: Aetna CHP/Medicaid	$51,137.12
Rate for Payer: Humana OH Medicaid	$51,137.12

INPATIENT APRDRG 6901: ACUTE LEUKEMIA

Facility

$18,411.13

Service Code	APR-DRG 6901
Hospital Charge Code	APRDRG 6901
Min. Negotiated Rate	$18,411.13
Max. Negotiated Rate	$18,411.13
Rate for Payer: Aetna CHP/Medicaid	$18,411.13
Rate for Payer: Humana OH Medicaid	$18,411.13

INPATIENT APRDRG 6902: ACUTE LEUKEMIA

Facility

$18,411.13

Service Code	APR-DRG 6902
Hospital Charge Code	APRDRG 6902
Min. Negotiated Rate	$18,411.13
Max. Negotiated Rate	$18,411.13
Rate for Payer: Aetna CHP/Medicaid	$18,411.13
Rate for Payer: Humana OH Medicaid	$18,411.13

INPATIENT APRDRG 6903: ACUTE LEUKEMIA

Facility

$36,802.77

Service Code	APR-DRG 6903
Hospital Charge Code	APRDRG 6903
Min. Negotiated Rate	$36,802.77
Max. Negotiated Rate	$36,802.77
Rate for Payer: Aetna CHP/Medicaid	$36,802.77
Rate for Payer: Humana OH Medicaid	$36,802.77

INPATIENT APRDRG 6904: ACUTE LEUKEMIA

Facility

$58,084.41

Service Code	APR-DRG 6904
Hospital Charge Code	APRDRG 6904
Min. Negotiated Rate	$58,084.41
Max. Negotiated Rate	$58,084.41
Rate for Payer: Aetna CHP/Medicaid	$58,084.41
Rate for Payer: Humana OH Medicaid	$58,084.41

INPATIENT APRDRG 6911: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$6,605.61

Service Code	APR-DRG 6911
Hospital Charge Code	APRDRG 6911
Min. Negotiated Rate	$6,605.61
Max. Negotiated Rate	$6,605.61
Rate for Payer: Aetna CHP/Medicaid	$6,605.61
Rate for Payer: Humana OH Medicaid	$6,605.61

INPATIENT APRDRG 6912: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$7,943.10

Service Code	APR-DRG 6912
Hospital Charge Code	APRDRG 6912
Min. Negotiated Rate	$7,943.10
Max. Negotiated Rate	$7,943.10
Rate for Payer: Aetna CHP/Medicaid	$7,943.10
Rate for Payer: Humana OH Medicaid	$7,943.10

INPATIENT APRDRG 6913: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$13,782.85

Service Code	APR-DRG 6913
Hospital Charge Code	APRDRG 6913
Min. Negotiated Rate	$13,782.85
Max. Negotiated Rate	$13,782.85
Rate for Payer: Aetna CHP/Medicaid	$13,782.85
Rate for Payer: Humana OH Medicaid	$13,782.85

INPATIENT APRDRG 6914: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility

$23,620.14

Service Code	APR-DRG 6914
Hospital Charge Code	APRDRG 6914
Min. Negotiated Rate	$23,620.14
Max. Negotiated Rate	$23,620.14
Rate for Payer: Aetna CHP/Medicaid	$23,620.14
Rate for Payer: Humana OH Medicaid	$23,620.14

INPATIENT APRDRG 6921: RADIOTHERAPY

Facility

$8,202.93

Service Code	APR-DRG 6921
Hospital Charge Code	APRDRG 6921
Min. Negotiated Rate	$8,202.93
Max. Negotiated Rate	$8,202.93
Rate for Payer: Aetna CHP/Medicaid	$8,202.93
Rate for Payer: Humana OH Medicaid	$8,202.93

INPATIENT APRDRG 6922: RADIOTHERAPY

Facility

$8,202.93

Service Code	APR-DRG 6922
Hospital Charge Code	APRDRG 6922
Min. Negotiated Rate	$8,202.93
Max. Negotiated Rate	$8,202.93
Rate for Payer: Aetna CHP/Medicaid	$8,202.93
Rate for Payer: Humana OH Medicaid	$8,202.93

Know your out-of-pocket cost for care.

All Charges