Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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: ALLERGIC REACTIONS

Facility

$13,771.16

Service Code	APR-DRG 8114
Min. Negotiated Rate	$13,771.16
Max. Negotiated Rate	$13,771.16
Rate for Payer: Aetna CHP/Medicaid	$13,771.16
Rate for Payer: Humana OH Medicaid	$13,771.16

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$3,637.66

Service Code	APR-DRG 8112
Min. Negotiated Rate	$3,637.66
Max. Negotiated Rate	$3,637.66
Rate for Payer: Aetna CHP/Medicaid	$3,637.66
Rate for Payer: Humana OH Medicaid	$3,637.66

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$7,080.45

Service Code	APR-DRG 8113
Min. Negotiated Rate	$7,080.45
Max. Negotiated Rate	$7,080.45
Rate for Payer: Aetna CHP/Medicaid	$7,080.45
Rate for Payer: Humana OH Medicaid	$7,080.45

APR-DRG 42.00: ALLERGIC REACTIONS

Facility

$2,533.37

Service Code	APR-DRG 8111
Min. Negotiated Rate	$2,533.37
Max. Negotiated Rate	$2,533.37
Rate for Payer: Aetna CHP/Medicaid	$2,533.37
Rate for Payer: Humana OH Medicaid	$2,533.37

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$54,175.22

Service Code	APR-DRG 0072
Min. Negotiated Rate	$54,175.22
Max. Negotiated Rate	$54,175.22
Rate for Payer: Aetna CHP/Medicaid	$54,175.22
Rate for Payer: Humana OH Medicaid	$54,175.22

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$47,809.31

Service Code	APR-DRG 0071
Min. Negotiated Rate	$47,809.31
Max. Negotiated Rate	$47,809.31
Rate for Payer: Aetna CHP/Medicaid	$47,809.31
Rate for Payer: Humana OH Medicaid	$47,809.31

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$120,952.35

Service Code	APR-DRG 0074
Min. Negotiated Rate	$120,952.35
Max. Negotiated Rate	$120,952.35
Rate for Payer: Aetna CHP/Medicaid	$120,952.35
Rate for Payer: Humana OH Medicaid	$120,952.35

APR-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$76,910.63

Service Code	APR-DRG 0073
Min. Negotiated Rate	$76,910.63
Max. Negotiated Rate	$76,910.63
Rate for Payer: Aetna CHP/Medicaid	$76,910.63
Rate for Payer: Humana OH Medicaid	$76,910.63

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$5,391.54

Service Code	APR-DRG 0522
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: ALTERATION IN CONSCIOUSNESS

Facility

$4,157.33

Service Code	APR-DRG 0521
Min. Negotiated Rate	$4,157.33
Max. Negotiated Rate	$4,157.33
Rate for Payer: Aetna CHP/Medicaid	$4,157.33
Rate for Payer: Humana OH Medicaid	$4,157.33

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$7,795.00

Service Code	APR-DRG 0523
Min. Negotiated Rate	$7,795.00
Max. Negotiated Rate	$7,795.00
Rate for Payer: Aetna CHP/Medicaid	$7,795.00
Rate for Payer: Humana OH Medicaid	$7,795.00

APR-DRG 42.00: ALTERATION IN CONSCIOUSNESS

Facility

$13,576.28

Service Code	APR-DRG 0524
Min. Negotiated Rate	$13,576.28
Max. Negotiated Rate	$13,576.28
Rate for Payer: Aetna CHP/Medicaid	$13,576.28
Rate for Payer: Humana OH Medicaid	$13,576.28

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$9,808.70

Service Code	APR-DRG 3052
Min. Negotiated Rate	$9,808.70
Max. Negotiated Rate	$9,808.70
Rate for Payer: Aetna CHP/Medicaid	$9,808.70
Rate for Payer: Humana OH Medicaid	$9,808.70

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$24,814.07

Service Code	APR-DRG 3054
Min. Negotiated Rate	$24,814.07
Max. Negotiated Rate	$24,814.07
Rate for Payer: Aetna CHP/Medicaid	$24,814.07
Rate for Payer: Humana OH Medicaid	$24,814.07

APR-DRG 42.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$7,210.37

Service Code	APR-DRG 3051
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: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$15,070.33

Service Code	APR-DRG 3053
Min. Negotiated Rate	$15,070.33
Max. Negotiated Rate	$15,070.33
Rate for Payer: Aetna CHP/Medicaid	$15,070.33
Rate for Payer: Humana OH Medicaid	$15,070.33

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$11,172.83

Service Code	APR-DRG 2263
Min. Negotiated Rate	$11,172.83
Max. Negotiated Rate	$11,172.83
Rate for Payer: Aetna CHP/Medicaid	$11,172.83
Rate for Payer: Humana OH Medicaid	$11,172.83

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$16,694.28

Service Code	APR-DRG 2264
Min. Negotiated Rate	$16,694.28
Max. Negotiated Rate	$16,694.28
Rate for Payer: Aetna CHP/Medicaid	$16,694.28
Rate for Payer: Humana OH Medicaid	$16,694.28

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$5,716.33

Service Code	APR-DRG 2261
Min. Negotiated Rate	$5,716.33
Max. Negotiated Rate	$5,716.33
Rate for Payer: Aetna CHP/Medicaid	$5,716.33
Rate for Payer: Humana OH Medicaid	$5,716.33

APR-DRG 42.00: ANAL AND PERINEAL PROCEDURES

Facility

$7,145.41

Service Code	APR-DRG 2262
Min. Negotiated Rate	$7,145.41
Max. Negotiated Rate	$7,145.41
Rate for Payer: Aetna CHP/Medicaid	$7,145.41
Rate for Payer: Humana OH Medicaid	$7,145.41

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$3,702.62

Service Code	APR-DRG 1981
Min. Negotiated Rate	$3,702.62
Max. Negotiated Rate	$3,702.62
Rate for Payer: Aetna CHP/Medicaid	$3,702.62
Rate for Payer: Humana OH Medicaid	$3,702.62

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$4,352.21

Service Code	APR-DRG 1982
Min. Negotiated Rate	$4,352.21
Max. Negotiated Rate	$4,352.21
Rate for Payer: Aetna CHP/Medicaid	$4,352.21
Rate for Payer: Humana OH Medicaid	$4,352.21

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$5,781.29

Service Code	APR-DRG 1983
Min. Negotiated Rate	$5,781.29
Max. Negotiated Rate	$5,781.29
Rate for Payer: Aetna CHP/Medicaid	$5,781.29
Rate for Payer: Humana OH Medicaid	$5,781.29

APR-DRG 42.00: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$10,653.16

Service Code	APR-DRG 1984
Min. Negotiated Rate	$10,653.16
Max. Negotiated Rate	$10,653.16
Rate for Payer: Aetna CHP/Medicaid	$10,653.16
Rate for Payer: Humana OH Medicaid	$10,653.16

Know your out-of-pocket cost for care.

All Charges