Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$29,685.94

Service Code	APR-DRG 0082
Min. Negotiated Rate	$29,685.94
Max. Negotiated Rate	$29,685.94
Rate for Payer: Aetna CHP/Medicaid	$29,685.94
Rate for Payer: Humana OH Medicaid	$29,685.94

APR-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility

$37,870.69

Service Code	APR-DRG 0083
Min. Negotiated Rate	$37,870.69
Max. Negotiated Rate	$37,870.69
Rate for Payer: Aetna CHP/Medicaid	$37,870.69
Rate for Payer: Humana OH Medicaid	$37,870.69

APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$7,795.00

Service Code	APR-DRG 0491
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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$13,771.16

Service Code	APR-DRG 0493
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: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$21,306.32

Service Code	APR-DRG 0494
Min. Negotiated Rate	$21,306.32
Max. Negotiated Rate	$21,306.32
Rate for Payer: Aetna CHP/Medicaid	$21,306.32
Rate for Payer: Humana OH Medicaid	$21,306.32

APR-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$9,548.87

Service Code	APR-DRG 0492
Min. Negotiated Rate	$9,548.87
Max. Negotiated Rate	$9,548.87
Rate for Payer: Aetna CHP/Medicaid	$9,548.87
Rate for Payer: Humana OH Medicaid	$9,548.87

APR-DRG 42.00: BIPOLAR DISORDERS

Facility

$6,755.66

Service Code	APR-DRG 7533
Min. Negotiated Rate	$6,755.66
Max. Negotiated Rate	$6,755.66
Rate for Payer: Aetna CHP/Medicaid	$6,755.66
Rate for Payer: Humana OH Medicaid	$6,755.66

APR-DRG 42.00: BIPOLAR DISORDERS

Facility

$3,702.62

Service Code	APR-DRG 7532
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: BIPOLAR DISORDERS

Facility

$11,757.45

Service Code	APR-DRG 7534
Min. Negotiated Rate	$11,757.45
Max. Negotiated Rate	$11,757.45
Rate for Payer: Aetna CHP/Medicaid	$11,757.45
Rate for Payer: Humana OH Medicaid	$11,757.45

APR-DRG 42.00: BIPOLAR DISORDERS

Facility

$2,793.21

Service Code	APR-DRG 7531
Min. Negotiated Rate	$2,793.21
Max. Negotiated Rate	$2,793.21
Rate for Payer: Aetna CHP/Medicaid	$2,793.21
Rate for Payer: Humana OH Medicaid	$2,793.21

APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$2,923.12

Service Code	APR-DRG 1321
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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$8,314.66

Service Code	APR-DRG 1323
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: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$11,562.58

Service Code	APR-DRG 1324
Min. Negotiated Rate	$11,562.58
Max. Negotiated Rate	$11,562.58
Rate for Payer: Aetna CHP/Medicaid	$11,562.58
Rate for Payer: Humana OH Medicaid	$11,562.58

APR-DRG 42.00: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD

Facility

$4,936.83

Service Code	APR-DRG 1322
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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$9,808.70

Service Code	APR-DRG 0563
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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$6,430.87

Service Code	APR-DRG 0562
Min. Negotiated Rate	$6,430.87
Max. Negotiated Rate	$6,430.87
Rate for Payer: Aetna CHP/Medicaid	$6,430.87
Rate for Payer: Humana OH Medicaid	$6,430.87

APR-DRG 42.00: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$17,538.74

Service Code	APR-DRG 0564
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: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA

Facility

$4,677.00

Service Code	APR-DRG 0561
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: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$20,591.78

Service Code	APR-DRG 3634
Min. Negotiated Rate	$20,591.78
Max. Negotiated Rate	$20,591.78
Rate for Payer: Aetna CHP/Medicaid	$20,591.78
Rate for Payer: Humana OH Medicaid	$20,591.78

APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$8,704.41

Service Code	APR-DRG 3631
Min. Negotiated Rate	$8,704.41
Max. Negotiated Rate	$8,704.41
Rate for Payer: Aetna CHP/Medicaid	$8,704.41
Rate for Payer: Humana OH Medicaid	$8,704.41

APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$18,967.82

Service Code	APR-DRG 3633
Min. Negotiated Rate	$18,967.82
Max. Negotiated Rate	$18,967.82
Rate for Payer: Aetna CHP/Medicaid	$18,967.82
Rate for Payer: Humana OH Medicaid	$18,967.82

APR-DRG 42.00: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$13,901.08

Service Code	APR-DRG 3632
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: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$12,212.16

Service Code	APR-DRG 1384
Min. Negotiated Rate	$12,212.16
Max. Negotiated Rate	$12,212.16
Rate for Payer: Aetna CHP/Medicaid	$12,212.16
Rate for Payer: Humana OH Medicaid	$12,212.16

APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$2,208.58

Service Code	APR-DRG 1381
Min. Negotiated Rate	$2,208.58
Max. Negotiated Rate	$2,208.58
Rate for Payer: Aetna CHP/Medicaid	$2,208.58
Rate for Payer: Humana OH Medicaid	$2,208.58

Know your out-of-pocket cost for care.

All Charges