Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$10,328.37

Service Code	APR-DRG 1404
Min. Negotiated Rate	$10,328.37
Max. Negotiated Rate	$10,328.37
Rate for Payer: Aetna CHP/Medicaid	$10,328.37
Rate for Payer: Humana OH Medicaid	$10,328.37

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

APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility

$5,846.25

Service Code	APR-DRG 1403
Min. Negotiated Rate	$5,846.25
Max. Negotiated Rate	$5,846.25
Rate for Payer: Aetna CHP/Medicaid	$5,846.25
Rate for Payer: Humana OH Medicaid	$5,846.25

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$6,560.79

Service Code	APR-DRG 0952
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: CLEFT LIP AND PALATE REPAIR

Facility

$10,458.29

Service Code	APR-DRG 0953
Min. Negotiated Rate	$10,458.29
Max. Negotiated Rate	$10,458.29
Rate for Payer: Aetna CHP/Medicaid	$10,458.29
Rate for Payer: Humana OH Medicaid	$10,458.29

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$21,696.07

Service Code	APR-DRG 0954
Min. Negotiated Rate	$21,696.07
Max. Negotiated Rate	$21,696.07
Rate for Payer: Aetna CHP/Medicaid	$21,696.07
Rate for Payer: Humana OH Medicaid	$21,696.07

APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR

Facility

$6,171.04

Service Code	APR-DRG 0951
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: COAGULATION AND PLATELET DISORDERS

Facility

$10,588.20

Service Code	APR-DRG 6613
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: COAGULATION AND PLATELET DISORDERS

Facility

$7,340.29

Service Code	APR-DRG 6612
Min. Negotiated Rate	$7,340.29
Max. Negotiated Rate	$7,340.29
Rate for Payer: Aetna CHP/Medicaid	$7,340.29
Rate for Payer: Humana OH Medicaid	$7,340.29

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$16,889.16

Service Code	APR-DRG 6614
Min. Negotiated Rate	$16,889.16
Max. Negotiated Rate	$16,889.16
Rate for Payer: Aetna CHP/Medicaid	$16,889.16
Rate for Payer: Humana OH Medicaid	$16,889.16

APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS

Facility

$5,326.58

Service Code	APR-DRG 6611
Min. Negotiated Rate	$5,326.58
Max. Negotiated Rate	$5,326.58
Rate for Payer: Aetna CHP/Medicaid	$5,326.58
Rate for Payer: Humana OH Medicaid	$5,326.58

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$5,326.58

Service Code	APR-DRG 7743
Min. Negotiated Rate	$5,326.58
Max. Negotiated Rate	$5,326.58
Rate for Payer: Aetna CHP/Medicaid	$5,326.58
Rate for Payer: Humana OH Medicaid	$5,326.58

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$2,273.54

Service Code	APR-DRG 7741
Min. Negotiated Rate	$2,273.54
Max. Negotiated Rate	$2,273.54
Rate for Payer: Aetna CHP/Medicaid	$2,273.54
Rate for Payer: Humana OH Medicaid	$2,273.54

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$13,251.49

Service Code	APR-DRG 7744
Min. Negotiated Rate	$13,251.49
Max. Negotiated Rate	$13,251.49
Rate for Payer: Aetna CHP/Medicaid	$13,251.49
Rate for Payer: Humana OH Medicaid	$13,251.49

APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE

Facility

$3,053.04

Service Code	APR-DRG 7742
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: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$4,612.04

Service Code	APR-DRG 0571
Min. Negotiated Rate	$4,612.04
Max. Negotiated Rate	$4,612.04
Rate for Payer: Aetna CHP/Medicaid	$4,612.04
Rate for Payer: Humana OH Medicaid	$4,612.04

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$9,289.04

Service Code	APR-DRG 0573
Min. Negotiated Rate	$9,289.04
Max. Negotiated Rate	$9,289.04
Rate for Payer: Aetna CHP/Medicaid	$9,289.04
Rate for Payer: Humana OH Medicaid	$9,289.04

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$15,654.95

Service Code	APR-DRG 0574
Min. Negotiated Rate	$15,654.95
Max. Negotiated Rate	$15,654.95
Rate for Payer: Aetna CHP/Medicaid	$15,654.95
Rate for Payer: Humana OH Medicaid	$15,654.95

APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA

Facility

$6,625.75

Service Code	APR-DRG 0572
Min. Negotiated Rate	$6,625.75
Max. Negotiated Rate	$6,625.75
Rate for Payer: Aetna CHP/Medicaid	$6,625.75
Rate for Payer: Humana OH Medicaid	$6,625.75

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$10,783.08

Service Code	APR-DRG 3463
Min. Negotiated Rate	$10,783.08
Max. Negotiated Rate	$10,783.08
Rate for Payer: Aetna CHP/Medicaid	$10,783.08
Rate for Payer: Humana OH Medicaid	$10,783.08

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$19,747.32

Service Code	APR-DRG 3464
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: CONNECTIVE TISSUE DISORDERS

Facility

$5,131.71

Service Code	APR-DRG 3461
Min. Negotiated Rate	$5,131.71
Max. Negotiated Rate	$5,131.71
Rate for Payer: Aetna CHP/Medicaid	$5,131.71
Rate for Payer: Humana OH Medicaid	$5,131.71

APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS

Facility

$7,210.37

Service Code	APR-DRG 3462
Min. Negotiated Rate	$7,210.37
Max. Negotiated Rate	$7,210.37
Rate for Payer: Aetna CHP/Medicaid	$7,210.37
Rate for Payer: Humana OH Medicaid	$7,210.37

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$5,651.37

Service Code	APR-DRG 3842
Min. Negotiated Rate	$5,651.37
Max. Negotiated Rate	$5,651.37
Rate for Payer: Aetna CHP/Medicaid	$5,651.37
Rate for Payer: Humana OH Medicaid	$5,651.37

APR-DRG 42.00: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$4,612.04

Service Code	APR-DRG 3841
Min. Negotiated Rate	$4,612.04
Max. Negotiated Rate	$4,612.04
Rate for Payer: Aetna CHP/Medicaid	$4,612.04
Rate for Payer: Humana OH Medicaid	$4,612.04

Know your out-of-pocket cost for care.

All Charges