Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 8171: OVERDOSE

Facility

$2,909.48

Service Code	APR-DRG 8171
Hospital Charge Code	APRDRG 8171
Min. Negotiated Rate	$2,909.48
Max. Negotiated Rate	$2,909.48
Rate for Payer: Aetna CHP/Medicaid	$2,909.48
Rate for Payer: Humana OH Medicaid	$2,909.48

INPATIENT APRDRG 8172: OVERDOSE

Facility

$3,935.82

Service Code	APR-DRG 8172
Hospital Charge Code	APRDRG 8172
Min. Negotiated Rate	$3,935.82
Max. Negotiated Rate	$3,935.82
Rate for Payer: Aetna CHP/Medicaid	$3,935.82
Rate for Payer: Humana OH Medicaid	$3,935.82

INPATIENT APRDRG 8173: OVERDOSE

Facility

$5,110.27

Service Code	APR-DRG 8173
Hospital Charge Code	APRDRG 8173
Min. Negotiated Rate	$5,110.27
Max. Negotiated Rate	$5,110.27
Rate for Payer: Aetna CHP/Medicaid	$5,110.27
Rate for Payer: Humana OH Medicaid	$5,110.27

INPATIENT APRDRG 8174: OVERDOSE

Facility

$8,636.86

Service Code	APR-DRG 8174
Hospital Charge Code	APRDRG 8174
Min. Negotiated Rate	$8,636.86
Max. Negotiated Rate	$8,636.86
Rate for Payer: Aetna CHP/Medicaid	$8,636.86
Rate for Payer: Humana OH Medicaid	$8,636.86

INPATIENT APRDRG 8411: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT

Facility

$152,638.36

Service Code	APR-DRG 8411
Hospital Charge Code	APRDRG 8411
Min. Negotiated Rate	$152,638.36
Max. Negotiated Rate	$152,638.36
Rate for Payer: Aetna CHP/Medicaid	$152,638.36
Rate for Payer: Humana OH Medicaid	$152,638.36

INPATIENT APRDRG 8412: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT

Facility

$152,638.36

Service Code	APR-DRG 8412
Hospital Charge Code	APRDRG 8412
Min. Negotiated Rate	$152,638.36
Max. Negotiated Rate	$152,638.36
Rate for Payer: Aetna CHP/Medicaid	$152,638.36
Rate for Payer: Humana OH Medicaid	$152,638.36

INPATIENT APRDRG 8413: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT

Facility

$152,638.36

Service Code	APR-DRG 8413
Hospital Charge Code	APRDRG 8413
Min. Negotiated Rate	$152,638.36
Max. Negotiated Rate	$152,638.36
Rate for Payer: Aetna CHP/Medicaid	$152,638.36
Rate for Payer: Humana OH Medicaid	$152,638.36

INPATIENT APRDRG 8414: EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT

Facility

$152,638.36

Service Code	APR-DRG 8414
Hospital Charge Code	APRDRG 8414
Min. Negotiated Rate	$152,638.36
Max. Negotiated Rate	$152,638.36
Rate for Payer: Aetna CHP/Medicaid	$152,638.36
Rate for Payer: Humana OH Medicaid	$152,638.36

INPATIENT APRDRG 8421: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS

Facility

$14,738.39

Service Code	APR-DRG 8421
Hospital Charge Code	APRDRG 8421
Min. Negotiated Rate	$14,738.39
Max. Negotiated Rate	$14,738.39
Rate for Payer: Aetna CHP/Medicaid	$14,738.39
Rate for Payer: Humana OH Medicaid	$14,738.39

INPATIENT APRDRG 8422: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS

Facility

$19,212.07

Service Code	APR-DRG 8422
Hospital Charge Code	APRDRG 8422
Min. Negotiated Rate	$19,212.07
Max. Negotiated Rate	$19,212.07
Rate for Payer: Aetna CHP/Medicaid	$19,212.07
Rate for Payer: Humana OH Medicaid	$19,212.07

INPATIENT APRDRG 8423: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS

Facility

$33,489.90

Service Code	APR-DRG 8423
Hospital Charge Code	APRDRG 8423
Min. Negotiated Rate	$33,489.90
Max. Negotiated Rate	$33,489.90
Rate for Payer: Aetna CHP/Medicaid	$33,489.90
Rate for Payer: Humana OH Medicaid	$33,489.90

INPATIENT APRDRG 8424: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS

Facility

$63,731.89

Service Code	APR-DRG 8424
Hospital Charge Code	APRDRG 8424
Min. Negotiated Rate	$63,731.89
Max. Negotiated Rate	$63,731.89
Rate for Payer: Aetna CHP/Medicaid	$63,731.89
Rate for Payer: Humana OH Medicaid	$63,731.89

INPATIENT APRDRG 8431: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT

Facility

$5,850.14

Service Code	APR-DRG 8431
Hospital Charge Code	APRDRG 8431
Min. Negotiated Rate	$5,850.14
Max. Negotiated Rate	$5,850.14
Rate for Payer: Aetna CHP/Medicaid	$5,850.14
Rate for Payer: Humana OH Medicaid	$5,850.14

INPATIENT APRDRG 8432: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT

Facility

$6,051.52

Service Code	APR-DRG 8432
Hospital Charge Code	APRDRG 8432
Min. Negotiated Rate	$6,051.52
Max. Negotiated Rate	$6,051.52
Rate for Payer: Aetna CHP/Medicaid	$6,051.52
Rate for Payer: Humana OH Medicaid	$6,051.52

INPATIENT APRDRG 8433: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT

Facility

$11,598.95

Service Code	APR-DRG 8433
Hospital Charge Code	APRDRG 8433
Min. Negotiated Rate	$11,598.95
Max. Negotiated Rate	$11,598.95
Rate for Payer: Aetna CHP/Medicaid	$11,598.95
Rate for Payer: Humana OH Medicaid	$11,598.95

INPATIENT APRDRG 8434: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT

Facility

$11,598.95

Service Code	APR-DRG 8434
Hospital Charge Code	APRDRG 8434
Min. Negotiated Rate	$11,598.95
Max. Negotiated Rate	$11,598.95
Rate for Payer: Aetna CHP/Medicaid	$11,598.95
Rate for Payer: Humana OH Medicaid	$11,598.95

INPATIENT APRDRG 8441: PARTIAL THICKNESS BURNS W/O SKIN GRAFT

Facility

$3,479.17

Service Code	APR-DRG 8441
Hospital Charge Code	APRDRG 8441
Min. Negotiated Rate	$3,479.17
Max. Negotiated Rate	$3,479.17
Rate for Payer: Aetna CHP/Medicaid	$3,479.17
Rate for Payer: Humana OH Medicaid	$3,479.17

INPATIENT APRDRG 8442: PARTIAL THICKNESS BURNS W/O SKIN GRAFT

Facility

$6,073.60

Service Code	APR-DRG 8442
Hospital Charge Code	APRDRG 8442
Min. Negotiated Rate	$6,073.60
Max. Negotiated Rate	$6,073.60
Rate for Payer: Aetna CHP/Medicaid	$6,073.60
Rate for Payer: Humana OH Medicaid	$6,073.60

INPATIENT APRDRG 8443: PARTIAL THICKNESS BURNS W/O SKIN GRAFT

Facility

$9,213.04

Service Code	APR-DRG 8443
Hospital Charge Code	APRDRG 8443
Min. Negotiated Rate	$9,213.04
Max. Negotiated Rate	$9,213.04
Rate for Payer: Aetna CHP/Medicaid	$9,213.04
Rate for Payer: Humana OH Medicaid	$9,213.04

INPATIENT APRDRG 8444: PARTIAL THICKNESS BURNS W/O SKIN GRAFT

Facility

$9,213.04

Service Code	APR-DRG 8444
Hospital Charge Code	APRDRG 8444
Min. Negotiated Rate	$9,213.04
Max. Negotiated Rate	$9,213.04
Rate for Payer: Aetna CHP/Medicaid	$9,213.04
Rate for Payer: Humana OH Medicaid	$9,213.04

INPATIENT APRDRG 8501: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE

Facility

$11,460.59

Service Code	APR-DRG 8501
Hospital Charge Code	APRDRG 8501
Min. Negotiated Rate	$11,460.59
Max. Negotiated Rate	$11,460.59
Rate for Payer: Aetna CHP/Medicaid	$11,460.59
Rate for Payer: Humana OH Medicaid	$11,460.59

INPATIENT APRDRG 8502: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE

Facility

$14,436.98

Service Code	APR-DRG 8502
Hospital Charge Code	APRDRG 8502
Min. Negotiated Rate	$14,436.98
Max. Negotiated Rate	$14,436.98
Rate for Payer: Aetna CHP/Medicaid	$14,436.98
Rate for Payer: Humana OH Medicaid	$14,436.98

INPATIENT APRDRG 8503: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE

Facility

$28,536.83

Service Code	APR-DRG 8503
Hospital Charge Code	APRDRG 8503
Min. Negotiated Rate	$28,536.83
Max. Negotiated Rate	$28,536.83
Rate for Payer: Aetna CHP/Medicaid	$28,536.83
Rate for Payer: Humana OH Medicaid	$28,536.83

INPATIENT APRDRG 8504: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE

Facility

$72,632.47

Service Code	APR-DRG 8504
Hospital Charge Code	APRDRG 8504
Min. Negotiated Rate	$72,632.47
Max. Negotiated Rate	$72,632.47
Rate for Payer: Aetna CHP/Medicaid	$72,632.47
Rate for Payer: Humana OH Medicaid	$72,632.47

INPATIENT APRDRG 8601: REHABILITATION

Facility

$10,735.01

Service Code	APR-DRG 8601
Hospital Charge Code	APRDRG 8601
Min. Negotiated Rate	$10,735.01
Max. Negotiated Rate	$10,735.01
Rate for Payer: Aetna CHP/Medicaid	$10,735.01
Rate for Payer: Humana OH Medicaid	$10,735.01

Know your out-of-pocket cost for care.

All Charges