Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 8933: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$6,650.43

Service Code	APR-DRG 8933
Hospital Charge Code	APRDRG 8933
Min. Negotiated Rate	$6,650.43
Max. Negotiated Rate	$6,650.43
Rate for Payer: Aetna CHP/Medicaid	$6,650.43
Rate for Payer: Humana OH Medicaid	$6,650.43

INPATIENT APRDRG 8934: HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$6,650.43

Service Code	APR-DRG 8934
Hospital Charge Code	APRDRG 8934
Min. Negotiated Rate	$6,650.43
Max. Negotiated Rate	$6,650.43
Rate for Payer: Aetna CHP/Medicaid	$6,650.43
Rate for Payer: Humana OH Medicaid	$6,650.43

INPATIENT APRDRG 8941: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$3,158.27

Service Code	APR-DRG 8941
Hospital Charge Code	APRDRG 8941
Min. Negotiated Rate	$3,158.27
Max. Negotiated Rate	$3,158.27
Rate for Payer: Aetna CHP/Medicaid	$3,158.27
Rate for Payer: Humana OH Medicaid	$3,158.27

INPATIENT APRDRG 8942: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$4,270.36

Service Code	APR-DRG 8942
Hospital Charge Code	APRDRG 8942
Min. Negotiated Rate	$4,270.36
Max. Negotiated Rate	$4,270.36
Rate for Payer: Aetna CHP/Medicaid	$4,270.36
Rate for Payer: Humana OH Medicaid	$4,270.36

INPATIENT APRDRG 8943: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$5,845.60

Service Code	APR-DRG 8943
Hospital Charge Code	APRDRG 8943
Min. Negotiated Rate	$5,845.60
Max. Negotiated Rate	$5,845.60
Rate for Payer: Aetna CHP/Medicaid	$5,845.60
Rate for Payer: Humana OH Medicaid	$5,845.60

INPATIENT APRDRG 8944: HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND

Facility

$5,845.60

Service Code	APR-DRG 8944
Hospital Charge Code	APRDRG 8944
Min. Negotiated Rate	$5,845.60
Max. Negotiated Rate	$5,845.60
Rate for Payer: Aetna CHP/Medicaid	$5,845.60
Rate for Payer: Humana OH Medicaid	$5,845.60

INPATIENT APRDRG 9101: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$9,761.28

Service Code	APR-DRG 9101
Hospital Charge Code	APRDRG 9101
Min. Negotiated Rate	$9,761.28
Max. Negotiated Rate	$9,761.28
Rate for Payer: Aetna CHP/Medicaid	$9,761.28
Rate for Payer: Humana OH Medicaid	$9,761.28

INPATIENT APRDRG 9102: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$9,761.28

Service Code	APR-DRG 9102
Hospital Charge Code	APRDRG 9102
Min. Negotiated Rate	$9,761.28
Max. Negotiated Rate	$9,761.28
Rate for Payer: Aetna CHP/Medicaid	$9,761.28
Rate for Payer: Humana OH Medicaid	$9,761.28

INPATIENT APRDRG 9103: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$25,144.06

Service Code	APR-DRG 9103
Hospital Charge Code	APRDRG 9103
Min. Negotiated Rate	$25,144.06
Max. Negotiated Rate	$25,144.06
Rate for Payer: Aetna CHP/Medicaid	$25,144.06
Rate for Payer: Humana OH Medicaid	$25,144.06

INPATIENT APRDRG 9104: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$41,469.38

Service Code	APR-DRG 9104
Hospital Charge Code	APRDRG 9104
Min. Negotiated Rate	$41,469.38
Max. Negotiated Rate	$41,469.38
Rate for Payer: Aetna CHP/Medicaid	$41,469.38
Rate for Payer: Humana OH Medicaid	$41,469.38

INPATIENT APRDRG 9111: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$9,684.63

Service Code	APR-DRG 9111
Hospital Charge Code	APRDRG 9111
Min. Negotiated Rate	$9,684.63
Max. Negotiated Rate	$9,684.63
Rate for Payer: Aetna CHP/Medicaid	$9,684.63
Rate for Payer: Humana OH Medicaid	$9,684.63

INPATIENT APRDRG 9112: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$9,684.63

Service Code	APR-DRG 9112
Hospital Charge Code	APRDRG 9112
Min. Negotiated Rate	$9,684.63
Max. Negotiated Rate	$9,684.63
Rate for Payer: Aetna CHP/Medicaid	$9,684.63
Rate for Payer: Humana OH Medicaid	$9,684.63

INPATIENT APRDRG 9113: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$12,687.66

Service Code	APR-DRG 9113
Hospital Charge Code	APRDRG 9113
Min. Negotiated Rate	$12,687.66
Max. Negotiated Rate	$12,687.66
Rate for Payer: Aetna CHP/Medicaid	$12,687.66
Rate for Payer: Humana OH Medicaid	$12,687.66

INPATIENT APRDRG 9114: EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA

Facility

$35,631.58

Service Code	APR-DRG 9114
Hospital Charge Code	APRDRG 9114
Min. Negotiated Rate	$35,631.58
Max. Negotiated Rate	$35,631.58
Rate for Payer: Aetna CHP/Medicaid	$35,631.58
Rate for Payer: Humana OH Medicaid	$35,631.58

INPATIENT APRDRG 9121: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$10,872.72

Service Code	APR-DRG 9121
Hospital Charge Code	APRDRG 9121
Min. Negotiated Rate	$10,872.72
Max. Negotiated Rate	$10,872.72
Rate for Payer: Aetna CHP/Medicaid	$10,872.72
Rate for Payer: Humana OH Medicaid	$10,872.72

INPATIENT APRDRG 9122: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$10,872.72

Service Code	APR-DRG 9122
Hospital Charge Code	APRDRG 9122
Min. Negotiated Rate	$10,872.72
Max. Negotiated Rate	$10,872.72
Rate for Payer: Aetna CHP/Medicaid	$10,872.72
Rate for Payer: Humana OH Medicaid	$10,872.72

INPATIENT APRDRG 9123: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$17,660.86

Service Code	APR-DRG 9123
Hospital Charge Code	APRDRG 9123
Min. Negotiated Rate	$17,660.86
Max. Negotiated Rate	$17,660.86
Rate for Payer: Aetna CHP/Medicaid	$17,660.86
Rate for Payer: Humana OH Medicaid	$17,660.86

INPATIENT APRDRG 9124: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$32,143.97

Service Code	APR-DRG 9124
Hospital Charge Code	APRDRG 9124
Min. Negotiated Rate	$32,143.97
Max. Negotiated Rate	$32,143.97
Rate for Payer: Aetna CHP/Medicaid	$32,143.97
Rate for Payer: Humana OH Medicaid	$32,143.97

INPATIENT APRDRG 9301: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$2,456.07

Service Code	APR-DRG 9301
Hospital Charge Code	APRDRG 9301
Min. Negotiated Rate	$2,456.07
Max. Negotiated Rate	$2,456.07
Rate for Payer: Aetna CHP/Medicaid	$2,456.07
Rate for Payer: Humana OH Medicaid	$2,456.07

INPATIENT APRDRG 9302: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$4,151.48

Service Code	APR-DRG 9302
Hospital Charge Code	APRDRG 9302
Min. Negotiated Rate	$4,151.48
Max. Negotiated Rate	$4,151.48
Rate for Payer: Aetna CHP/Medicaid	$4,151.48
Rate for Payer: Humana OH Medicaid	$4,151.48

INPATIENT APRDRG 9303: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$6,509.47

Service Code	APR-DRG 9303
Hospital Charge Code	APRDRG 9303
Min. Negotiated Rate	$6,509.47
Max. Negotiated Rate	$6,509.47
Rate for Payer: Aetna CHP/Medicaid	$6,509.47
Rate for Payer: Humana OH Medicaid	$6,509.47

INPATIENT APRDRG 9304: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$20,370.27

Service Code	APR-DRG 9304
Hospital Charge Code	APRDRG 9304
Min. Negotiated Rate	$20,370.27
Max. Negotiated Rate	$20,370.27
Rate for Payer: Aetna CHP/Medicaid	$20,370.27
Rate for Payer: Humana OH Medicaid	$20,370.27

INPATIENT APRDRG 9501: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$9,411.16

Service Code	APR-DRG 9501
Hospital Charge Code	APRDRG 9501
Min. Negotiated Rate	$9,411.16
Max. Negotiated Rate	$9,411.16
Rate for Payer: Aetna CHP/Medicaid	$9,411.16
Rate for Payer: Humana OH Medicaid	$9,411.16

INPATIENT APRDRG 9502: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$12,553.19

Service Code	APR-DRG 9502
Hospital Charge Code	APRDRG 9502
Min. Negotiated Rate	$12,553.19
Max. Negotiated Rate	$12,553.19
Rate for Payer: Aetna CHP/Medicaid	$12,553.19
Rate for Payer: Humana OH Medicaid	$12,553.19

INPATIENT APRDRG 9503: EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$19,302.36

Service Code	APR-DRG 9503
Hospital Charge Code	APRDRG 9503
Min. Negotiated Rate	$19,302.36
Max. Negotiated Rate	$19,302.36
Rate for Payer: Aetna CHP/Medicaid	$19,302.36
Rate for Payer: Humana OH Medicaid	$19,302.36

Know your out-of-pocket cost for care.

All Charges