Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: ACUTE LEUKEMIA

Facility

$9,289.04

Service Code	APR-DRG 6901
Min. Negotiated Rate	$9,289.04
Max. Negotiated Rate	$9,289.04
Rate for Payer: Aetna CHP/Medicaid	$9,289.04
Rate for Payer: Humana OH Medicaid	$9,289.04

APR-DRG 42.00: ACUTE LEUKEMIA

Facility

$25,918.36

Service Code	APR-DRG 6903
Min. Negotiated Rate	$25,918.36
Max. Negotiated Rate	$25,918.36
Rate for Payer: Aetna CHP/Medicaid	$25,918.36
Rate for Payer: Humana OH Medicaid	$25,918.36

APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION

Facility

$5,391.54

Service Code	APR-DRG 1901
Min. Negotiated Rate	$5,391.54
Max. Negotiated Rate	$5,391.54
Rate for Payer: Aetna CHP/Medicaid	$5,391.54
Rate for Payer: Humana OH Medicaid	$5,391.54

APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION

Facility

$6,236.00

Service Code	APR-DRG 1902
Min. Negotiated Rate	$6,236.00
Max. Negotiated Rate	$6,236.00
Rate for Payer: Aetna CHP/Medicaid	$6,236.00
Rate for Payer: Humana OH Medicaid	$6,236.00

APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION

Facility

$8,314.66

Service Code	APR-DRG 1903
Min. Negotiated Rate	$8,314.66
Max. Negotiated Rate	$8,314.66
Rate for Payer: Aetna CHP/Medicaid	$8,314.66
Rate for Payer: Humana OH Medicaid	$8,314.66

APR-DRG 42.00: ACUTE MYOCARDIAL INFARCTION

Facility

$13,901.08

Service Code	APR-DRG 1904
Min. Negotiated Rate	$13,901.08
Max. Negotiated Rate	$13,901.08
Rate for Payer: Aetna CHP/Medicaid	$13,901.08
Rate for Payer: Humana OH Medicaid	$13,901.08

APR-DRG 42.00: ADJUSTMENT DISORDERS

Facility

$4,936.83

Service Code	APR-DRG 7553
Min. Negotiated Rate	$4,936.83
Max. Negotiated Rate	$4,936.83
Rate for Payer: Aetna CHP/Medicaid	$4,936.83
Rate for Payer: Humana OH Medicaid	$4,936.83

APR-DRG 42.00: ADJUSTMENT DISORDERS

Facility

$2,468.42

Service Code	APR-DRG 7552
Min. Negotiated Rate	$2,468.42
Max. Negotiated Rate	$2,468.42
Rate for Payer: Aetna CHP/Medicaid	$2,468.42
Rate for Payer: Humana OH Medicaid	$2,468.42

APR-DRG 42.00: ADJUSTMENT DISORDERS

Facility

$1,753.87

Service Code	APR-DRG 7551
Min. Negotiated Rate	$1,753.87
Max. Negotiated Rate	$1,753.87
Rate for Payer: Aetna CHP/Medicaid	$1,753.87
Rate for Payer: Humana OH Medicaid	$1,753.87

APR-DRG 42.00: ADJUSTMENT DISORDERS

Facility

$6,820.62

Service Code	APR-DRG 7554
Min. Negotiated Rate	$6,820.62
Max. Negotiated Rate	$6,820.62
Rate for Payer: Aetna CHP/Medicaid	$6,820.62
Rate for Payer: Humana OH Medicaid	$6,820.62

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$32,998.82

Service Code	APR-DRG 4014
Min. Negotiated Rate	$32,998.82
Max. Negotiated Rate	$32,998.82
Rate for Payer: Aetna CHP/Medicaid	$32,998.82
Rate for Payer: Humana OH Medicaid	$32,998.82

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$20,656.74

Service Code	APR-DRG 4013
Min. Negotiated Rate	$20,656.74
Max. Negotiated Rate	$20,656.74
Rate for Payer: Aetna CHP/Medicaid	$20,656.74
Rate for Payer: Humana OH Medicaid	$20,656.74

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$11,107.87

Service Code	APR-DRG 4012
Min. Negotiated Rate	$11,107.87
Max. Negotiated Rate	$11,107.87
Rate for Payer: Aetna CHP/Medicaid	$11,107.87
Rate for Payer: Humana OH Medicaid	$11,107.87

APR-DRG 42.00: ADRENAL PROCEDURES

Facility

$8,119.79

Service Code	APR-DRG 4011
Min. Negotiated Rate	$8,119.79
Max. Negotiated Rate	$8,119.79
Rate for Payer: Aetna CHP/Medicaid	$8,119.79
Rate for Payer: Humana OH Medicaid	$8,119.79

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$3,962.46

Service Code	APR-DRG 7752
Min. Negotiated Rate	$3,962.46
Max. Negotiated Rate	$3,962.46
Rate for Payer: Aetna CHP/Medicaid	$3,962.46
Rate for Payer: Humana OH Medicaid	$3,962.46

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$16,304.53

Service Code	APR-DRG 7754
Min. Negotiated Rate	$16,304.53
Max. Negotiated Rate	$16,304.53
Rate for Payer: Aetna CHP/Medicaid	$16,304.53
Rate for Payer: Humana OH Medicaid	$16,304.53

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$2,598.33

Service Code	APR-DRG 7751
Min. Negotiated Rate	$2,598.33
Max. Negotiated Rate	$2,598.33
Rate for Payer: Aetna CHP/Medicaid	$2,598.33
Rate for Payer: Humana OH Medicaid	$2,598.33

APR-DRG 42.00: ALCOHOL ABUSE AND DEPENDENCE

Facility

$7,210.37

Service Code	APR-DRG 7753
Min. Negotiated Rate	$7,210.37
Max. Negotiated Rate	$7,210.37
Rate for Payer: Aetna CHP/Medicaid	$7,210.37
Rate for Payer: Humana OH Medicaid	$7,210.37

APR-DRG 42.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$14,225.87

Service Code	APR-DRG 7724
Min. Negotiated Rate	$14,225.87
Max. Negotiated Rate	$14,225.87
Rate for Payer: Aetna CHP/Medicaid	$14,225.87
Rate for Payer: Humana OH Medicaid	$14,225.87

APR-DRG 42.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$3,377.83

Service Code	APR-DRG 7721
Min. Negotiated Rate	$3,377.83
Max. Negotiated Rate	$3,377.83
Rate for Payer: Aetna CHP/Medicaid	$3,377.83
Rate for Payer: Humana OH Medicaid	$3,377.83

APR-DRG 42.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$4,482.12

Service Code	APR-DRG 7722
Min. Negotiated Rate	$4,482.12
Max. Negotiated Rate	$4,482.12
Rate for Payer: Aetna CHP/Medicaid	$4,482.12
Rate for Payer: Humana OH Medicaid	$4,482.12

APR-DRG 42.00: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY

Facility

$6,950.54

Service Code	APR-DRG 7723
Min. Negotiated Rate	$6,950.54
Max. Negotiated Rate	$6,950.54
Rate for Payer: Aetna CHP/Medicaid	$6,950.54
Rate for Payer: Humana OH Medicaid	$6,950.54

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$16,824.20

Service Code	APR-DRG 2804
Min. Negotiated Rate	$16,824.20
Max. Negotiated Rate	$16,824.20
Rate for Payer: Aetna CHP/Medicaid	$16,824.20
Rate for Payer: Humana OH Medicaid	$16,824.20

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$8,574.50

Service Code	APR-DRG 2803
Min. Negotiated Rate	$8,574.50
Max. Negotiated Rate	$8,574.50
Rate for Payer: Aetna CHP/Medicaid	$8,574.50
Rate for Payer: Humana OH Medicaid	$8,574.50

APR-DRG 42.00: ALCOHOLIC LIVER DISEASE

Facility

$5,456.50

Service Code	APR-DRG 2802
Min. Negotiated Rate	$5,456.50
Max. Negotiated Rate	$5,456.50
Rate for Payer: Aetna CHP/Medicaid	$5,456.50
Rate for Payer: Humana OH Medicaid	$5,456.50

Know your out-of-pocket cost for care.

All Charges