Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$6,236.00

Service Code	APR-DRG 1383
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: BRONCHIOLITIS AND RSV PNEUMONIA

Facility

$3,572.71

Service Code	APR-DRG 1382
Min. Negotiated Rate	$3,572.71
Max. Negotiated Rate	$3,572.71
Rate for Payer: Aetna CHP/Medicaid	$3,572.71
Rate for Payer: Humana OH Medicaid	$3,572.71

APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$10,977.95

Service Code	APR-DRG 8421
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: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$76,326.00

Service Code	APR-DRG 8424
Min. Negotiated Rate	$76,326.00
Max. Negotiated Rate	$76,326.00
Rate for Payer: Aetna CHP/Medicaid	$76,326.00
Rate for Payer: Humana OH Medicaid	$76,326.00

APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$30,855.19

Service Code	APR-DRG 8423
Min. Negotiated Rate	$30,855.19
Max. Negotiated Rate	$30,855.19
Rate for Payer: Aetna CHP/Medicaid	$30,855.19
Rate for Payer: Humana OH Medicaid	$30,855.19

APR-DRG 42.00: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS

Facility

$16,564.37

Service Code	APR-DRG 8422
Min. Negotiated Rate	$16,564.37
Max. Negotiated Rate	$16,564.37
Rate for Payer: Aetna CHP/Medicaid	$16,564.37
Rate for Payer: Humana OH Medicaid	$16,564.37

APR-DRG 42.00: CARDIAC ARREST AND SHOCK

Facility

$6,430.87

Service Code	APR-DRG 1963
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: CARDIAC ARREST AND SHOCK

Facility

$3,118.00

Service Code	APR-DRG 1961
Min. Negotiated Rate	$3,118.00
Max. Negotiated Rate	$3,118.00
Rate for Payer: Aetna CHP/Medicaid	$3,118.00
Rate for Payer: Humana OH Medicaid	$3,118.00

APR-DRG 42.00: CARDIAC ARREST AND SHOCK

Facility

$12,796.79

Service Code	APR-DRG 1964
Min. Negotiated Rate	$12,796.79
Max. Negotiated Rate	$12,796.79
Rate for Payer: Aetna CHP/Medicaid	$12,796.79
Rate for Payer: Humana OH Medicaid	$12,796.79

APR-DRG 42.00: CARDIAC ARREST AND SHOCK

Facility

$3,832.54

Service Code	APR-DRG 1962
Min. Negotiated Rate	$3,832.54
Max. Negotiated Rate	$3,832.54
Rate for Payer: Aetna CHP/Medicaid	$3,832.54
Rate for Payer: Humana OH Medicaid	$3,832.54

APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$6,171.04

Service Code	APR-DRG 2013
Min. Negotiated Rate	$6,171.04
Max. Negotiated Rate	$6,171.04
Rate for Payer: Aetna CHP/Medicaid	$6,171.04
Rate for Payer: Humana OH Medicaid	$6,171.04

APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$4,157.33

Service Code	APR-DRG 2012
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: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$3,053.04

Service Code	APR-DRG 2011
Min. Negotiated Rate	$3,053.04
Max. Negotiated Rate	$3,053.04
Rate for Payer: Aetna CHP/Medicaid	$3,053.04
Rate for Payer: Humana OH Medicaid	$3,053.04

APR-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$11,302.74

Service Code	APR-DRG 2014
Min. Negotiated Rate	$11,302.74
Max. Negotiated Rate	$11,302.74
Rate for Payer: Aetna CHP/Medicaid	$11,302.74
Rate for Payer: Humana OH Medicaid	$11,302.74

APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$7,795.00

Service Code	APR-DRG 1912
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: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$6,560.79

Service Code	APR-DRG 1911
Min. Negotiated Rate	$6,560.79
Max. Negotiated Rate	$6,560.79
Rate for Payer: Aetna CHP/Medicaid	$6,560.79
Rate for Payer: Humana OH Medicaid	$6,560.79

APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$10,588.20

Service Code	APR-DRG 1913
Min. Negotiated Rate	$10,588.20
Max. Negotiated Rate	$10,588.20
Rate for Payer: Aetna CHP/Medicaid	$10,588.20
Rate for Payer: Humana OH Medicaid	$10,588.20

APR-DRG 42.00: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$15,784.87

Service Code	APR-DRG 1914
Min. Negotiated Rate	$15,784.87
Max. Negotiated Rate	$15,784.87
Rate for Payer: Aetna CHP/Medicaid	$15,784.87
Rate for Payer: Humana OH Medicaid	$15,784.87

APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$6,820.62

Service Code	APR-DRG 1921
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: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$20,851.61

Service Code	APR-DRG 1924
Min. Negotiated Rate	$20,851.61
Max. Negotiated Rate	$20,851.61
Rate for Payer: Aetna CHP/Medicaid	$20,851.61
Rate for Payer: Humana OH Medicaid	$20,851.61

APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$8,769.37

Service Code	APR-DRG 1922
Min. Negotiated Rate	$8,769.37
Max. Negotiated Rate	$8,769.37
Rate for Payer: Aetna CHP/Medicaid	$8,769.37
Rate for Payer: Humana OH Medicaid	$8,769.37

APR-DRG 42.00: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$12,796.79

Service Code	APR-DRG 1923
Min. Negotiated Rate	$12,796.79
Max. Negotiated Rate	$12,796.79
Rate for Payer: Aetna CHP/Medicaid	$12,796.79
Rate for Payer: Humana OH Medicaid	$12,796.79

APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$23,449.95

Service Code	APR-DRG 1774
Min. Negotiated Rate	$23,449.95
Max. Negotiated Rate	$23,449.95
Rate for Payer: Aetna CHP/Medicaid	$23,449.95
Rate for Payer: Humana OH Medicaid	$23,449.95

APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$16,369.49

Service Code	APR-DRG 1773
Min. Negotiated Rate	$16,369.49
Max. Negotiated Rate	$16,369.49
Rate for Payer: Aetna CHP/Medicaid	$16,369.49
Rate for Payer: Humana OH Medicaid	$16,369.49

APR-DRG 42.00: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$8,639.45

Service Code	APR-DRG 1771
Min. Negotiated Rate	$8,639.45
Max. Negotiated Rate	$8,639.45
Rate for Payer: Aetna CHP/Medicaid	$8,639.45
Rate for Payer: Humana OH Medicaid	$8,639.45

Know your out-of-pocket cost for care.

All Charges