Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 6923: RADIOTHERAPY

Facility

$8,202.93

Service Code	APR-DRG 6923
Hospital Charge Code	APRDRG 6923
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 6924: RADIOTHERAPY

Facility

$18,543.00

Service Code	APR-DRG 6924
Hospital Charge Code	APRDRG 6924
Min. Negotiated Rate	$18,543.00
Max. Negotiated Rate	$18,543.00
Rate for Payer: Aetna CHP/Medicaid	$18,543.00
Rate for Payer: Humana OH Medicaid	$18,543.00

INPATIENT APRDRG 6941: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$3,904.64

Service Code	APR-DRG 6941
Hospital Charge Code	APRDRG 6941
Min. Negotiated Rate	$3,904.64
Max. Negotiated Rate	$3,904.64
Rate for Payer: Aetna CHP/Medicaid	$3,904.64
Rate for Payer: Humana OH Medicaid	$3,904.64

INPATIENT APRDRG 6942: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$4,484.72

Service Code	APR-DRG 6942
Hospital Charge Code	APRDRG 6942
Min. Negotiated Rate	$4,484.72
Max. Negotiated Rate	$4,484.72
Rate for Payer: Aetna CHP/Medicaid	$4,484.72
Rate for Payer: Humana OH Medicaid	$4,484.72

INPATIENT APRDRG 6943: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$8,616.07

Service Code	APR-DRG 6943
Hospital Charge Code	APRDRG 6943
Min. Negotiated Rate	$8,616.07
Max. Negotiated Rate	$8,616.07
Rate for Payer: Aetna CHP/Medicaid	$8,616.07
Rate for Payer: Humana OH Medicaid	$8,616.07

INPATIENT APRDRG 6944: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$15,319.12

Service Code	APR-DRG 6944
Hospital Charge Code	APRDRG 6944
Min. Negotiated Rate	$15,319.12
Max. Negotiated Rate	$15,319.12
Rate for Payer: Aetna CHP/Medicaid	$15,319.12
Rate for Payer: Humana OH Medicaid	$15,319.12

INPATIENT APRDRG 6951: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$6,416.58

Service Code	APR-DRG 6951
Hospital Charge Code	APRDRG 6951
Min. Negotiated Rate	$6,416.58
Max. Negotiated Rate	$6,416.58
Rate for Payer: Aetna CHP/Medicaid	$6,416.58
Rate for Payer: Humana OH Medicaid	$6,416.58

INPATIENT APRDRG 6952: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$6,416.58

Service Code	APR-DRG 6952
Hospital Charge Code	APRDRG 6952
Min. Negotiated Rate	$6,416.58
Max. Negotiated Rate	$6,416.58
Rate for Payer: Aetna CHP/Medicaid	$6,416.58
Rate for Payer: Humana OH Medicaid	$6,416.58

INPATIENT APRDRG 6953: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$17,672.56

Service Code	APR-DRG 6953
Hospital Charge Code	APRDRG 6953
Min. Negotiated Rate	$17,672.56
Max. Negotiated Rate	$17,672.56
Rate for Payer: Aetna CHP/Medicaid	$17,672.56
Rate for Payer: Humana OH Medicaid	$17,672.56

INPATIENT APRDRG 6954: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$50,845.46

Service Code	APR-DRG 6954
Hospital Charge Code	APRDRG 6954
Min. Negotiated Rate	$50,845.46
Max. Negotiated Rate	$50,845.46
Rate for Payer: Aetna CHP/Medicaid	$50,845.46
Rate for Payer: Humana OH Medicaid	$50,845.46

INPATIENT APRDRG 6961: OTHER CHEMOTHERAPY

Facility

$5,809.22

Service Code	APR-DRG 6961
Hospital Charge Code	APRDRG 6961
Min. Negotiated Rate	$5,809.22
Max. Negotiated Rate	$5,809.22
Rate for Payer: Aetna CHP/Medicaid	$5,809.22
Rate for Payer: Humana OH Medicaid	$5,809.22

INPATIENT APRDRG 6962: OTHER CHEMOTHERAPY

Facility

$7,716.40

Service Code	APR-DRG 6962
Hospital Charge Code	APRDRG 6962
Min. Negotiated Rate	$7,716.40
Max. Negotiated Rate	$7,716.40
Rate for Payer: Aetna CHP/Medicaid	$7,716.40
Rate for Payer: Humana OH Medicaid	$7,716.40

INPATIENT APRDRG 6963: OTHER CHEMOTHERAPY

Facility

$13,402.20

Service Code	APR-DRG 6963
Hospital Charge Code	APRDRG 6963
Min. Negotiated Rate	$13,402.20
Max. Negotiated Rate	$13,402.20
Rate for Payer: Aetna CHP/Medicaid	$13,402.20
Rate for Payer: Humana OH Medicaid	$13,402.20

INPATIENT APRDRG 6964: OTHER CHEMOTHERAPY

Facility

$26,152.86

Service Code	APR-DRG 6964
Hospital Charge Code	APRDRG 6964
Min. Negotiated Rate	$26,152.86
Max. Negotiated Rate	$26,152.86
Rate for Payer: Aetna CHP/Medicaid	$26,152.86
Rate for Payer: Humana OH Medicaid	$26,152.86

INPATIENT APRDRG 7101: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$4,734.16

Service Code	APR-DRG 7101
Hospital Charge Code	APRDRG 7101
Min. Negotiated Rate	$4,734.16
Max. Negotiated Rate	$4,734.16
Rate for Payer: Aetna CHP/Medicaid	$4,734.16
Rate for Payer: Humana OH Medicaid	$4,734.16

INPATIENT APRDRG 7102: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$7,357.18

Service Code	APR-DRG 7102
Hospital Charge Code	APRDRG 7102
Min. Negotiated Rate	$7,357.18
Max. Negotiated Rate	$7,357.18
Rate for Payer: Aetna CHP/Medicaid	$7,357.18
Rate for Payer: Humana OH Medicaid	$7,357.18

INPATIENT APRDRG 7103: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$12,597.36

Service Code	APR-DRG 7103
Hospital Charge Code	APRDRG 7103
Min. Negotiated Rate	$12,597.36
Max. Negotiated Rate	$12,597.36
Rate for Payer: Aetna CHP/Medicaid	$12,597.36
Rate for Payer: Humana OH Medicaid	$12,597.36

INPATIENT APRDRG 7104: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$29,887.31

Service Code	APR-DRG 7104
Hospital Charge Code	APRDRG 7104
Min. Negotiated Rate	$29,887.31
Max. Negotiated Rate	$29,887.31
Rate for Payer: Aetna CHP/Medicaid	$29,887.31
Rate for Payer: Humana OH Medicaid	$29,887.31

INPATIENT APRDRG 7111: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility

$6,459.45

Service Code	APR-DRG 7111
Hospital Charge Code	APRDRG 7111
Min. Negotiated Rate	$6,459.45
Max. Negotiated Rate	$6,459.45
Rate for Payer: Aetna CHP/Medicaid	$6,459.45
Rate for Payer: Humana OH Medicaid	$6,459.45

INPATIENT APRDRG 7112: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility

$8,599.18

Service Code	APR-DRG 7112
Hospital Charge Code	APRDRG 7112
Min. Negotiated Rate	$8,599.18
Max. Negotiated Rate	$8,599.18
Rate for Payer: Aetna CHP/Medicaid	$8,599.18
Rate for Payer: Humana OH Medicaid	$8,599.18

INPATIENT APRDRG 7113: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility

$14,827.38

Service Code	APR-DRG 7113
Hospital Charge Code	APRDRG 7113
Min. Negotiated Rate	$14,827.38
Max. Negotiated Rate	$14,827.38
Rate for Payer: Aetna CHP/Medicaid	$14,827.38
Rate for Payer: Humana OH Medicaid	$14,827.38

INPATIENT APRDRG 7114: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility

$29,155.23

Service Code	APR-DRG 7114
Hospital Charge Code	APRDRG 7114
Min. Negotiated Rate	$29,155.23
Max. Negotiated Rate	$29,155.23
Rate for Payer: Aetna CHP/Medicaid	$29,155.23
Rate for Payer: Humana OH Medicaid	$29,155.23

INPATIENT APRDRG 7201: SEPTICEMIA & DISSEMINATED INFECTIONS

Facility

$3,181.66

Service Code	APR-DRG 7201
Hospital Charge Code	APRDRG 7201
Min. Negotiated Rate	$3,181.66
Max. Negotiated Rate	$3,181.66
Rate for Payer: Aetna CHP/Medicaid	$3,181.66
Rate for Payer: Humana OH Medicaid	$3,181.66

INPATIENT APRDRG 7202: SEPTICEMIA & DISSEMINATED INFECTIONS

Facility

$4,107.31

Service Code	APR-DRG 7202
Hospital Charge Code	APRDRG 7202
Min. Negotiated Rate	$4,107.31
Max. Negotiated Rate	$4,107.31
Rate for Payer: Aetna CHP/Medicaid	$4,107.31
Rate for Payer: Humana OH Medicaid	$4,107.31

INPATIENT APRDRG 7203: SEPTICEMIA & DISSEMINATED INFECTIONS

Facility

$6,528.31

Service Code	APR-DRG 7203
Hospital Charge Code	APRDRG 7203
Min. Negotiated Rate	$6,528.31
Max. Negotiated Rate	$6,528.31
Rate for Payer: Aetna CHP/Medicaid	$6,528.31
Rate for Payer: Humana OH Medicaid	$6,528.31

Know your out-of-pocket cost for care.

All Charges