Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$13,121.58

Service Code	APR-DRG 1772
Min. Negotiated Rate	$13,121.58
Max. Negotiated Rate	$13,121.58
Rate for Payer: Aetna CHP/Medicaid	$13,121.58
Rate for Payer: Humana OH Medicaid	$13,121.58

APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$4,287.25

Service Code	APR-DRG 2001
Min. Negotiated Rate	$4,287.25
Max. Negotiated Rate	$4,287.25
Rate for Payer: Aetna CHP/Medicaid	$4,287.25
Rate for Payer: Humana OH Medicaid	$4,287.25

APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$5,716.33

Service Code	APR-DRG 2002
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: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$14,875.45

Service Code	APR-DRG 2004
Min. Negotiated Rate	$14,875.45
Max. Negotiated Rate	$14,875.45
Rate for Payer: Aetna CHP/Medicaid	$14,875.45
Rate for Payer: Humana OH Medicaid	$14,875.45

APR-DRG 42.00: CARDIAC STRUCTURAL AND VALVULAR DISORDERS

Facility

$8,444.58

Service Code	APR-DRG 2003
Min. Negotiated Rate	$8,444.58
Max. Negotiated Rate	$8,444.58
Rate for Payer: Aetna CHP/Medicaid	$8,444.58
Rate for Payer: Humana OH Medicaid	$8,444.58

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$32,674.02

Service Code	APR-DRG 1622
Min. Negotiated Rate	$32,674.02
Max. Negotiated Rate	$32,674.02
Rate for Payer: Aetna CHP/Medicaid	$32,674.02
Rate for Payer: Humana OH Medicaid	$32,674.02

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$27,217.53

Service Code	APR-DRG 1621
Min. Negotiated Rate	$27,217.53
Max. Negotiated Rate	$27,217.53
Rate for Payer: Aetna CHP/Medicaid	$27,217.53
Rate for Payer: Humana OH Medicaid	$27,217.53

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$59,112.05

Service Code	APR-DRG 1624
Min. Negotiated Rate	$59,112.05
Max. Negotiated Rate	$59,112.05
Rate for Payer: Aetna CHP/Medicaid	$59,112.05
Rate for Payer: Humana OH Medicaid	$59,112.05

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$43,262.23

Service Code	APR-DRG 1623
Min. Negotiated Rate	$43,262.23
Max. Negotiated Rate	$43,262.23
Rate for Payer: Aetna CHP/Medicaid	$43,262.23
Rate for Payer: Humana OH Medicaid	$43,262.23

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$51,771.77

Service Code	APR-DRG 1634
Min. Negotiated Rate	$51,771.77
Max. Negotiated Rate	$51,771.77
Rate for Payer: Aetna CHP/Medicaid	$51,771.77
Rate for Payer: Humana OH Medicaid	$51,771.77

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$22,995.24

Service Code	APR-DRG 1631
Min. Negotiated Rate	$22,995.24
Max. Negotiated Rate	$22,995.24
Rate for Payer: Aetna CHP/Medicaid	$22,995.24
Rate for Payer: Humana OH Medicaid	$22,995.24

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$27,477.36

Service Code	APR-DRG 1632
Min. Negotiated Rate	$27,477.36
Max. Negotiated Rate	$27,477.36
Rate for Payer: Aetna CHP/Medicaid	$27,477.36
Rate for Payer: Humana OH Medicaid	$27,477.36

APR-DRG 42.00: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$37,221.11

Service Code	APR-DRG 1633
Min. Negotiated Rate	$37,221.11
Max. Negotiated Rate	$37,221.11
Rate for Payer: Aetna CHP/Medicaid	$37,221.11
Rate for Payer: Humana OH Medicaid	$37,221.11

APR-DRG 42.00: CARDIOMYOPATHY

Facility

$7,405.25

Service Code	APR-DRG 2053
Min. Negotiated Rate	$7,405.25
Max. Negotiated Rate	$7,405.25
Rate for Payer: Aetna CHP/Medicaid	$7,405.25
Rate for Payer: Humana OH Medicaid	$7,405.25

APR-DRG 42.00: CARDIOMYOPATHY

Facility

$4,677.00

Service Code	APR-DRG 2052
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: CARDIOMYOPATHY

Facility

$13,836.12

Service Code	APR-DRG 2054
Min. Negotiated Rate	$13,836.12
Max. Negotiated Rate	$13,836.12
Rate for Payer: Aetna CHP/Medicaid	$13,836.12
Rate for Payer: Humana OH Medicaid	$13,836.12

APR-DRG 42.00: CARDIOMYOPATHY

Facility

$3,767.58

Service Code	APR-DRG 2051
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: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$4,157.33

Service Code	APR-DRG 3832
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: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$12,407.04

Service Code	APR-DRG 3834
Min. Negotiated Rate	$12,407.04
Max. Negotiated Rate	$12,407.04
Rate for Payer: Aetna CHP/Medicaid	$12,407.04
Rate for Payer: Humana OH Medicaid	$12,407.04

APR-DRG 42.00: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$6,495.83

Service Code	APR-DRG 3833
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: CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$3,118.00

Service Code	APR-DRG 3831
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: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$7,275.33

Service Code	APR-DRG 5403
Min. Negotiated Rate	$7,275.33
Max. Negotiated Rate	$7,275.33
Rate for Payer: Aetna CHP/Medicaid	$7,275.33
Rate for Payer: Humana OH Medicaid	$7,275.33

APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$16,044.70

Service Code	APR-DRG 5404
Min. Negotiated Rate	$16,044.70
Max. Negotiated Rate	$16,044.70
Rate for Payer: Aetna CHP/Medicaid	$16,044.70
Rate for Payer: Humana OH Medicaid	$16,044.70

APR-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$3,767.58

Service Code	APR-DRG 5401
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: CESAREAN SECTION WITHOUT STERILIZATION

Facility

$4,806.91

Service Code	APR-DRG 5402
Min. Negotiated Rate	$4,806.91
Max. Negotiated Rate	$4,806.91
Rate for Payer: Aetna CHP/Medicaid	$4,806.91
Rate for Payer: Humana OH Medicaid	$4,806.91

Know your out-of-pocket cost for care.

All Charges