Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 7733: OPIOID ABUSE & DEPENDENCE

Facility

$6,463.35

Service Code	APR-DRG 7733
Hospital Charge Code	APRDRG 7733
Min. Negotiated Rate	$6,463.35
Max. Negotiated Rate	$6,463.35
Rate for Payer: Aetna CHP/Medicaid	$6,463.35
Rate for Payer: Humana OH Medicaid	$6,463.35

INPATIENT APRDRG 7734: OPIOID ABUSE & DEPENDENCE

Facility

$12,905.27

Service Code	APR-DRG 7734
Hospital Charge Code	APRDRG 7734
Min. Negotiated Rate	$12,905.27
Max. Negotiated Rate	$12,905.27
Rate for Payer: Aetna CHP/Medicaid	$12,905.27
Rate for Payer: Humana OH Medicaid	$12,905.27

INPATIENT APRDRG 7741: COCAINE ABUSE & DEPENDENCE

Facility

$3,631.17

Service Code	APR-DRG 7741
Hospital Charge Code	APRDRG 7741
Min. Negotiated Rate	$3,631.17
Max. Negotiated Rate	$3,631.17
Rate for Payer: Aetna CHP/Medicaid	$3,631.17
Rate for Payer: Humana OH Medicaid	$3,631.17

INPATIENT APRDRG 7742: COCAINE ABUSE & DEPENDENCE

Facility

$3,857.87

Service Code	APR-DRG 7742
Hospital Charge Code	APRDRG 7742
Min. Negotiated Rate	$3,857.87
Max. Negotiated Rate	$3,857.87
Rate for Payer: Aetna CHP/Medicaid	$3,857.87
Rate for Payer: Humana OH Medicaid	$3,857.87

INPATIENT APRDRG 7743: COCAINE ABUSE & DEPENDENCE

Facility

$6,222.36

Service Code	APR-DRG 7743
Hospital Charge Code	APRDRG 7743
Min. Negotiated Rate	$6,222.36
Max. Negotiated Rate	$6,222.36
Rate for Payer: Aetna CHP/Medicaid	$6,222.36
Rate for Payer: Humana OH Medicaid	$6,222.36

INPATIENT APRDRG 7744: COCAINE ABUSE & DEPENDENCE

Facility

$11,787.98

Service Code	APR-DRG 7744
Hospital Charge Code	APRDRG 7744
Min. Negotiated Rate	$11,787.98
Max. Negotiated Rate	$11,787.98
Rate for Payer: Aetna CHP/Medicaid	$11,787.98
Rate for Payer: Humana OH Medicaid	$11,787.98

INPATIENT APRDRG 7751: ALCOHOL ABUSE & DEPENDENCE

Facility

$3,542.83

Service Code	APR-DRG 7751
Hospital Charge Code	APRDRG 7751
Min. Negotiated Rate	$3,542.83
Max. Negotiated Rate	$3,542.83
Rate for Payer: Aetna CHP/Medicaid	$3,542.83
Rate for Payer: Humana OH Medicaid	$3,542.83

INPATIENT APRDRG 7752: ALCOHOL ABUSE & DEPENDENCE

Facility

$4,664.66

Service Code	APR-DRG 7752
Hospital Charge Code	APRDRG 7752
Min. Negotiated Rate	$4,664.66
Max. Negotiated Rate	$4,664.66
Rate for Payer: Aetna CHP/Medicaid	$4,664.66
Rate for Payer: Humana OH Medicaid	$4,664.66

INPATIENT APRDRG 7753: ALCOHOL ABUSE & DEPENDENCE

Facility

$7,247.40

Service Code	APR-DRG 7753
Hospital Charge Code	APRDRG 7753
Min. Negotiated Rate	$7,247.40
Max. Negotiated Rate	$7,247.40
Rate for Payer: Aetna CHP/Medicaid	$7,247.40
Rate for Payer: Humana OH Medicaid	$7,247.40

INPATIENT APRDRG 7754: ALCOHOL ABUSE & DEPENDENCE

Facility

$15,039.80

Service Code	APR-DRG 7754
Hospital Charge Code	APRDRG 7754
Min. Negotiated Rate	$15,039.80
Max. Negotiated Rate	$15,039.80
Rate for Payer: Aetna CHP/Medicaid	$15,039.80
Rate for Payer: Humana OH Medicaid	$15,039.80

INPATIENT APRDRG 7761: OTHER DRUG ABUSE & DEPENDENCE

Facility

$4,869.27

Service Code	APR-DRG 7761
Hospital Charge Code	APRDRG 7761
Min. Negotiated Rate	$4,869.27
Max. Negotiated Rate	$4,869.27
Rate for Payer: Aetna CHP/Medicaid	$4,869.27
Rate for Payer: Humana OH Medicaid	$4,869.27

INPATIENT APRDRG 7762: OTHER DRUG ABUSE & DEPENDENCE

Facility

$4,869.27

Service Code	APR-DRG 7762
Hospital Charge Code	APRDRG 7762
Min. Negotiated Rate	$4,869.27
Max. Negotiated Rate	$4,869.27
Rate for Payer: Aetna CHP/Medicaid	$4,869.27
Rate for Payer: Humana OH Medicaid	$4,869.27

INPATIENT APRDRG 7763: OTHER DRUG ABUSE & DEPENDENCE

Facility

$7,216.87

Service Code	APR-DRG 7763
Hospital Charge Code	APRDRG 7763
Min. Negotiated Rate	$7,216.87
Max. Negotiated Rate	$7,216.87
Rate for Payer: Aetna CHP/Medicaid	$7,216.87
Rate for Payer: Humana OH Medicaid	$7,216.87

INPATIENT APRDRG 7764: OTHER DRUG ABUSE & DEPENDENCE

Facility

$7,216.87

Service Code	APR-DRG 7764
Hospital Charge Code	APRDRG 7764
Min. Negotiated Rate	$7,216.87
Max. Negotiated Rate	$7,216.87
Rate for Payer: Aetna CHP/Medicaid	$7,216.87
Rate for Payer: Humana OH Medicaid	$7,216.87

INPATIENT APRDRG 7921: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$9,413.76

Service Code	APR-DRG 7921
Hospital Charge Code	APRDRG 7921
Min. Negotiated Rate	$9,413.76
Max. Negotiated Rate	$9,413.76
Rate for Payer: Aetna CHP/Medicaid	$9,413.76
Rate for Payer: Humana OH Medicaid	$9,413.76

INPATIENT APRDRG 7922: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$10,535.59

Service Code	APR-DRG 7922
Hospital Charge Code	APRDRG 7922
Min. Negotiated Rate	$10,535.59
Max. Negotiated Rate	$10,535.59
Rate for Payer: Aetna CHP/Medicaid	$10,535.59
Rate for Payer: Humana OH Medicaid	$10,535.59

INPATIENT APRDRG 7923: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$18,773.60

Service Code	APR-DRG 7923
Hospital Charge Code	APRDRG 7923
Min. Negotiated Rate	$18,773.60
Max. Negotiated Rate	$18,773.60
Rate for Payer: Aetna CHP/Medicaid	$18,773.60
Rate for Payer: Humana OH Medicaid	$18,773.60

INPATIENT APRDRG 7924: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$46,931.07

Service Code	APR-DRG 7924
Hospital Charge Code	APRDRG 7924
Min. Negotiated Rate	$46,931.07
Max. Negotiated Rate	$46,931.07
Rate for Payer: Aetna CHP/Medicaid	$46,931.07
Rate for Payer: Humana OH Medicaid	$46,931.07

INPATIENT APRDRG 7931: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$6,321.09

Service Code	APR-DRG 7931
Hospital Charge Code	APRDRG 7931
Min. Negotiated Rate	$6,321.09
Max. Negotiated Rate	$6,321.09
Rate for Payer: Aetna CHP/Medicaid	$6,321.09
Rate for Payer: Humana OH Medicaid	$6,321.09

INPATIENT APRDRG 7932: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$8,943.46

Service Code	APR-DRG 7932
Hospital Charge Code	APRDRG 7932
Min. Negotiated Rate	$8,943.46
Max. Negotiated Rate	$8,943.46
Rate for Payer: Aetna CHP/Medicaid	$8,943.46
Rate for Payer: Humana OH Medicaid	$8,943.46

INPATIENT APRDRG 7933: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$13,407.39

Service Code	APR-DRG 7933
Hospital Charge Code	APRDRG 7933
Min. Negotiated Rate	$13,407.39
Max. Negotiated Rate	$13,407.39
Rate for Payer: Aetna CHP/Medicaid	$13,407.39
Rate for Payer: Humana OH Medicaid	$13,407.39

INPATIENT APRDRG 7934: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$22,491.81

Service Code	APR-DRG 7934
Hospital Charge Code	APRDRG 7934
Min. Negotiated Rate	$22,491.81
Max. Negotiated Rate	$22,491.81
Rate for Payer: Aetna CHP/Medicaid	$22,491.81
Rate for Payer: Humana OH Medicaid	$22,491.81

INPATIENT APRDRG 7941: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$4,951.12

Service Code	APR-DRG 7941
Hospital Charge Code	APRDRG 7941
Min. Negotiated Rate	$4,951.12
Max. Negotiated Rate	$4,951.12
Rate for Payer: Aetna CHP/Medicaid	$4,951.12
Rate for Payer: Humana OH Medicaid	$4,951.12

INPATIENT APRDRG 7942: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$6,680.96

Service Code	APR-DRG 7942
Hospital Charge Code	APRDRG 7942
Min. Negotiated Rate	$6,680.96
Max. Negotiated Rate	$6,680.96
Rate for Payer: Aetna CHP/Medicaid	$6,680.96
Rate for Payer: Humana OH Medicaid	$6,680.96

INPATIENT APRDRG 7943: NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$10,314.08

Service Code	APR-DRG 7943
Hospital Charge Code	APRDRG 7943
Min. Negotiated Rate	$10,314.08
Max. Negotiated Rate	$10,314.08
Rate for Payer: Aetna CHP/Medicaid	$10,314.08
Rate for Payer: Humana OH Medicaid	$10,314.08

Know your out-of-pocket cost for care.

All Charges