Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION

Facility

$3,767.58

Service Code	APR-DRG 5391
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 WITH STERILIZATION

Facility

$9,613.83

Service Code	APR-DRG 5393
Min. Negotiated Rate	$9,613.83
Max. Negotiated Rate	$9,613.83
Rate for Payer: Aetna CHP/Medicaid	$9,613.83
Rate for Payer: Humana OH Medicaid	$9,613.83

APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION

Facility

$18,513.12

Service Code	APR-DRG 5394
Min. Negotiated Rate	$18,513.12
Max. Negotiated Rate	$18,513.12
Rate for Payer: Aetna CHP/Medicaid	$18,513.12
Rate for Payer: Humana OH Medicaid	$18,513.12

APR-DRG 42.00: CESAREAN SECTION WITH STERILIZATION

Facility

$4,936.83

Service Code	APR-DRG 5392
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: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$35,337.32

Service Code	APR-DRG 6954
Min. Negotiated Rate	$35,337.32
Max. Negotiated Rate	$35,337.32
Rate for Payer: Aetna CHP/Medicaid	$35,337.32
Rate for Payer: Humana OH Medicaid	$35,337.32

APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$5,586.41

Service Code	APR-DRG 6951
Min. Negotiated Rate	$5,586.41
Max. Negotiated Rate	$5,586.41
Rate for Payer: Aetna CHP/Medicaid	$5,586.41
Rate for Payer: Humana OH Medicaid	$5,586.41

APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$17,863.53

Service Code	APR-DRG 6953
Min. Negotiated Rate	$17,863.53
Max. Negotiated Rate	$17,863.53
Rate for Payer: Aetna CHP/Medicaid	$17,863.53
Rate for Payer: Humana OH Medicaid	$17,863.53

APR-DRG 42.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$8,964.25

Service Code	APR-DRG 6952
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: CHEST PAIN

Facility

$8,639.45

Service Code	APR-DRG 2034
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

APR-DRG 42.00: CHEST PAIN

Facility

$4,352.21

Service Code	APR-DRG 2032
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: CHEST PAIN

Facility

$5,391.54

Service Code	APR-DRG 2033
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: CHEST PAIN

Facility

$3,897.50

Service Code	APR-DRG 2031
Min. Negotiated Rate	$3,897.50
Max. Negotiated Rate	$3,897.50
Rate for Payer: Aetna CHP/Medicaid	$3,897.50
Rate for Payer: Humana OH Medicaid	$3,897.50

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$59,891.55

Service Code	APR-DRG 0111
Min. Negotiated Rate	$59,891.55
Max. Negotiated Rate	$59,891.55
Rate for Payer: Aetna CHP/Medicaid	$59,891.55
Rate for Payer: Humana OH Medicaid	$59,891.55

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$152,976.80

Service Code	APR-DRG 0113
Min. Negotiated Rate	$152,976.80
Max. Negotiated Rate	$152,976.80
Rate for Payer: Aetna CHP/Medicaid	$152,976.80
Rate for Payer: Humana OH Medicaid	$152,976.80

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$121,601.94

Service Code	APR-DRG 0112
Min. Negotiated Rate	$121,601.94
Max. Negotiated Rate	$121,601.94
Rate for Payer: Aetna CHP/Medicaid	$121,601.94
Rate for Payer: Humana OH Medicaid	$121,601.94

APR-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$205,528.06

Service Code	APR-DRG 0114
Min. Negotiated Rate	$205,528.06
Max. Negotiated Rate	$205,528.06
Rate for Payer: Aetna CHP/Medicaid	$205,528.06
Rate for Payer: Humana OH Medicaid	$205,528.06

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$9,678.79

Service Code	APR-DRG 2632
Min. Negotiated Rate	$9,678.79
Max. Negotiated Rate	$9,678.79
Rate for Payer: Aetna CHP/Medicaid	$9,678.79
Rate for Payer: Humana OH Medicaid	$9,678.79

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$13,316.45

Service Code	APR-DRG 2633
Min. Negotiated Rate	$13,316.45
Max. Negotiated Rate	$13,316.45
Rate for Payer: Aetna CHP/Medicaid	$13,316.45
Rate for Payer: Humana OH Medicaid	$13,316.45

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$7,859.95

Service Code	APR-DRG 2631
Min. Negotiated Rate	$7,859.95
Max. Negotiated Rate	$7,859.95
Rate for Payer: Aetna CHP/Medicaid	$7,859.95
Rate for Payer: Humana OH Medicaid	$7,859.95

APR-DRG 42.00: CHOLECYSTECTOMY

Facility

$22,475.57

Service Code	APR-DRG 2634
Min. Negotiated Rate	$22,475.57
Max. Negotiated Rate	$22,475.57
Rate for Payer: Aetna CHP/Medicaid	$22,475.57
Rate for Payer: Humana OH Medicaid	$22,475.57

APR-DRG 42.00: CHRONIC KIDNEY DISEASE

Facility

$13,836.12

Service Code	APR-DRG 4704
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: CHRONIC KIDNEY DISEASE

Facility

$3,507.75

Service Code	APR-DRG 4701
Min. Negotiated Rate	$3,507.75
Max. Negotiated Rate	$3,507.75
Rate for Payer: Aetna CHP/Medicaid	$3,507.75
Rate for Payer: Humana OH Medicaid	$3,507.75

APR-DRG 42.00: CHRONIC KIDNEY DISEASE

Facility

$4,806.91

Service Code	APR-DRG 4702
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

APR-DRG 42.00: CHRONIC KIDNEY DISEASE

Facility

$7,600.12

Service Code	APR-DRG 4703
Min. Negotiated Rate	$7,600.12
Max. Negotiated Rate	$7,600.12
Rate for Payer: Aetna CHP/Medicaid	$7,600.12
Rate for Payer: Humana OH Medicaid	$7,600.12

APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$4,287.25

Service Code	APR-DRG 1402
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

Know your out-of-pocket cost for care.

All Charges