Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$7,535.16

Service Code	APR-DRG 0592
Min. Negotiated Rate	$7,535.16
Max. Negotiated Rate	$7,535.16
Rate for Payer: Aetna CHP/Medicaid	$7,535.16
Rate for Payer: Humana OH Medicaid	$7,535.16

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$10,393.33

Service Code	APR-DRG 0593
Min. Negotiated Rate	$10,393.33
Max. Negotiated Rate	$10,393.33
Rate for Payer: Aetna CHP/Medicaid	$10,393.33
Rate for Payer: Humana OH Medicaid	$10,393.33

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$15,395.12

Service Code	APR-DRG 0594
Min. Negotiated Rate	$15,395.12
Max. Negotiated Rate	$15,395.12
Rate for Payer: Aetna CHP/Medicaid	$15,395.12
Rate for Payer: Humana OH Medicaid	$15,395.12

APR-DRG 42.00: ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$4,677.00

Service Code	APR-DRG 0591
Min. Negotiated Rate	$4,677.00
Max. Negotiated Rate	$4,677.00
Rate for Payer: Aetna CHP/Medicaid	$4,677.00
Rate for Payer: Humana OH Medicaid	$4,677.00

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$3,767.58

Service Code	APR-DRG 5471
Min. Negotiated Rate	$3,767.58
Max. Negotiated Rate	$3,767.58
Rate for Payer: Aetna CHP/Medicaid	$3,767.58
Rate for Payer: Humana OH Medicaid	$3,767.58

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$6,885.58

Service Code	APR-DRG 5472
Min. Negotiated Rate	$6,885.58
Max. Negotiated Rate	$6,885.58
Rate for Payer: Aetna CHP/Medicaid	$6,885.58
Rate for Payer: Humana OH Medicaid	$6,885.58

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$20,786.66

Service Code	APR-DRG 5474
Min. Negotiated Rate	$20,786.66
Max. Negotiated Rate	$20,786.66
Rate for Payer: Aetna CHP/Medicaid	$20,786.66
Rate for Payer: Humana OH Medicaid	$20,786.66

APR-DRG 42.00: ANTEPARTUM WITH O.R. PROCEDURE

Facility

$10,848.04

Service Code	APR-DRG 5473
Min. Negotiated Rate	$10,848.04
Max. Negotiated Rate	$10,848.04
Rate for Payer: Aetna CHP/Medicaid	$10,848.04
Rate for Payer: Humana OH Medicaid	$10,848.04

APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$2,858.17

Service Code	APR-DRG 5662
Min. Negotiated Rate	$2,858.17
Max. Negotiated Rate	$2,858.17
Rate for Payer: Aetna CHP/Medicaid	$2,858.17
Rate for Payer: Humana OH Medicaid	$2,858.17

APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$1,948.75

Service Code	APR-DRG 5661
Min. Negotiated Rate	$1,948.75
Max. Negotiated Rate	$1,948.75
Rate for Payer: Aetna CHP/Medicaid	$1,948.75
Rate for Payer: Humana OH Medicaid	$1,948.75

APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$5,261.62

Service Code	APR-DRG 5663
Min. Negotiated Rate	$5,261.62
Max. Negotiated Rate	$5,261.62
Rate for Payer: Aetna CHP/Medicaid	$5,261.62
Rate for Payer: Humana OH Medicaid	$5,261.62

APR-DRG 42.00: ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$10,977.95

Service Code	APR-DRG 5664
Min. Negotiated Rate	$10,977.95
Max. Negotiated Rate	$10,977.95
Rate for Payer: Aetna CHP/Medicaid	$10,977.95
Rate for Payer: Humana OH Medicaid	$10,977.95

APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$8,964.25

Service Code	APR-DRG 2332
Min. Negotiated Rate	$8,964.25
Max. Negotiated Rate	$8,964.25
Rate for Payer: Aetna CHP/Medicaid	$8,964.25
Rate for Payer: Humana OH Medicaid	$8,964.25

APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$12,601.91

Service Code	APR-DRG 2333
Min. Negotiated Rate	$12,601.91
Max. Negotiated Rate	$12,601.91
Rate for Payer: Aetna CHP/Medicaid	$12,601.91
Rate for Payer: Humana OH Medicaid	$12,601.91

APR-DRG 42.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$6,950.54

Service Code	APR-DRG 2331
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: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$19,747.32

Service Code	APR-DRG 2334
Min. Negotiated Rate	$19,747.32
Max. Negotiated Rate	$19,747.32
Rate for Payer: Aetna CHP/Medicaid	$19,747.32
Rate for Payer: Humana OH Medicaid	$19,747.32

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$12,147.20

Service Code	APR-DRG 2343
Min. Negotiated Rate	$12,147.20
Max. Negotiated Rate	$12,147.20
Rate for Payer: Aetna CHP/Medicaid	$12,147.20
Rate for Payer: Humana OH Medicaid	$12,147.20

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$17,538.74

Service Code	APR-DRG 2344
Min. Negotiated Rate	$17,538.74
Max. Negotiated Rate	$17,538.74
Rate for Payer: Aetna CHP/Medicaid	$17,538.74
Rate for Payer: Humana OH Medicaid	$17,538.74

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$7,924.91

Service Code	APR-DRG 2342
Min. Negotiated Rate	$7,924.91
Max. Negotiated Rate	$7,924.91
Rate for Payer: Aetna CHP/Medicaid	$7,924.91
Rate for Payer: Humana OH Medicaid	$7,924.91

APR-DRG 42.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$6,495.83

Service Code	APR-DRG 2341
Min. Negotiated Rate	$6,495.83
Max. Negotiated Rate	$6,495.83
Rate for Payer: Aetna CHP/Medicaid	$6,495.83
Rate for Payer: Humana OH Medicaid	$6,495.83

APR-DRG 42.00: ASTHMA

Facility

$9,743.75

Service Code	APR-DRG 1414
Min. Negotiated Rate	$9,743.75
Max. Negotiated Rate	$9,743.75
Rate for Payer: Aetna CHP/Medicaid	$9,743.75
Rate for Payer: Humana OH Medicaid	$9,743.75

APR-DRG 42.00: ASTHMA

Facility

$5,781.29

Service Code	APR-DRG 1413
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: ASTHMA

Facility

$4,222.29

Service Code	APR-DRG 1412
Min. Negotiated Rate	$4,222.29
Max. Negotiated Rate	$4,222.29
Rate for Payer: Aetna CHP/Medicaid	$4,222.29
Rate for Payer: Humana OH Medicaid	$4,222.29

APR-DRG 42.00: ASTHMA

Facility

$2,923.12

Service Code	APR-DRG 1411
Min. Negotiated Rate	$2,923.12
Max. Negotiated Rate	$2,923.12
Rate for Payer: Aetna CHP/Medicaid	$2,923.12
Rate for Payer: Humana OH Medicaid	$2,923.12

APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$25,073.90

Service Code	APR-DRG 0081
Min. Negotiated Rate	$25,073.90
Max. Negotiated Rate	$25,073.90
Rate for Payer: Aetna CHP/Medicaid	$25,073.90
Rate for Payer: Humana OH Medicaid	$25,073.90

Know your out-of-pocket cost for care.

All Charges