Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$8,054.83

Service Code	APR-DRG 3843
Min. Negotiated Rate	$8,054.83
Max. Negotiated Rate	$8,054.83
Rate for Payer: Aetna CHP/Medicaid	$8,054.83
Rate for Payer: Humana OH Medicaid	$8,054.83

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

Facility

$12,926.70

Service Code	APR-DRG 3844
Min. Negotiated Rate	$12,926.70
Max. Negotiated Rate	$12,926.70
Rate for Payer: Aetna CHP/Medicaid	$12,926.70
Rate for Payer: Humana OH Medicaid	$12,926.70

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$46,510.14

Service Code	APR-DRG 1654
Min. Negotiated Rate	$46,510.14
Max. Negotiated Rate	$46,510.14
Rate for Payer: Aetna CHP/Medicaid	$46,510.14
Rate for Payer: Humana OH Medicaid	$46,510.14

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$24,943.99

Service Code	APR-DRG 1651
Min. Negotiated Rate	$24,943.99
Max. Negotiated Rate	$24,943.99
Rate for Payer: Aetna CHP/Medicaid	$24,943.99
Rate for Payer: Humana OH Medicaid	$24,943.99

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$27,867.11

Service Code	APR-DRG 1652
Min. Negotiated Rate	$27,867.11
Max. Negotiated Rate	$27,867.11
Rate for Payer: Aetna CHP/Medicaid	$27,867.11
Rate for Payer: Humana OH Medicaid	$27,867.11

APR-DRG 42.00: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$34,557.82

Service Code	APR-DRG 1653
Min. Negotiated Rate	$34,557.82
Max. Negotiated Rate	$34,557.82
Rate for Payer: Aetna CHP/Medicaid	$34,557.82
Rate for Payer: Humana OH Medicaid	$34,557.82

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$24,359.36

Service Code	APR-DRG 1662
Min. Negotiated Rate	$24,359.36
Max. Negotiated Rate	$24,359.36
Rate for Payer: Aetna CHP/Medicaid	$24,359.36
Rate for Payer: Humana OH Medicaid	$24,359.36

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$20,981.53

Service Code	APR-DRG 1661
Min. Negotiated Rate	$20,981.53
Max. Negotiated Rate	$20,981.53
Rate for Payer: Aetna CHP/Medicaid	$20,981.53
Rate for Payer: Humana OH Medicaid	$20,981.53

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$41,443.40

Service Code	APR-DRG 1664
Min. Negotiated Rate	$41,443.40
Max. Negotiated Rate	$41,443.40
Rate for Payer: Aetna CHP/Medicaid	$41,443.40
Rate for Payer: Humana OH Medicaid	$41,443.40

APR-DRG 42.00: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$30,400.48

Service Code	APR-DRG 1663
Min. Negotiated Rate	$30,400.48
Max. Negotiated Rate	$30,400.48
Rate for Payer: Aetna CHP/Medicaid	$30,400.48
Rate for Payer: Humana OH Medicaid	$30,400.48

APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$16,174.62

Service Code	APR-DRG 9101
Min. Negotiated Rate	$16,174.62
Max. Negotiated Rate	$16,174.62
Rate for Payer: Aetna CHP/Medicaid	$16,174.62
Rate for Payer: Humana OH Medicaid	$16,174.62

APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$44,171.64

Service Code	APR-DRG 9104
Min. Negotiated Rate	$44,171.64
Max. Negotiated Rate	$44,171.64
Rate for Payer: Aetna CHP/Medicaid	$44,171.64
Rate for Payer: Humana OH Medicaid	$44,171.64

APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$28,516.69

Service Code	APR-DRG 9103
Min. Negotiated Rate	$28,516.69
Max. Negotiated Rate	$28,516.69
Rate for Payer: Aetna CHP/Medicaid	$28,516.69
Rate for Payer: Humana OH Medicaid	$28,516.69

APR-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$17,343.87

Service Code	APR-DRG 9102
Min. Negotiated Rate	$17,343.87
Max. Negotiated Rate	$17,343.87
Rate for Payer: Aetna CHP/Medicaid	$17,343.87
Rate for Payer: Humana OH Medicaid	$17,343.87

APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$15,330.16

Service Code	APR-DRG 0454
Min. Negotiated Rate	$15,330.16
Max. Negotiated Rate	$15,330.16
Rate for Payer: Aetna CHP/Medicaid	$15,330.16
Rate for Payer: Humana OH Medicaid	$15,330.16

APR-DRG 42.00: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$5,131.71

Service Code	APR-DRG 0451
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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$6,625.75

Service Code	APR-DRG 0452
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: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$9,224.08

Service Code	APR-DRG 0453
Min. Negotiated Rate	$9,224.08
Max. Negotiated Rate	$9,224.08
Rate for Payer: Aetna CHP/Medicaid	$9,224.08
Rate for Payer: Humana OH Medicaid	$9,224.08

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$11,497.62

Service Code	APR-DRG 1312
Min. Negotiated Rate	$11,497.62
Max. Negotiated Rate	$11,497.62
Rate for Payer: Aetna CHP/Medicaid	$11,497.62
Rate for Payer: Humana OH Medicaid	$11,497.62

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$18,058.41

Service Code	APR-DRG 1314
Min. Negotiated Rate	$18,058.41
Max. Negotiated Rate	$18,058.41
Rate for Payer: Aetna CHP/Medicaid	$18,058.41
Rate for Payer: Humana OH Medicaid	$18,058.41

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$7,015.50

Service Code	APR-DRG 1311
Min. Negotiated Rate	$7,015.50
Max. Negotiated Rate	$7,015.50
Rate for Payer: Aetna CHP/Medicaid	$7,015.50
Rate for Payer: Humana OH Medicaid	$7,015.50

APR-DRG 42.00: CYSTIC FIBROSIS - PULMONARY DISEASE

Facility

$15,395.12

Service Code	APR-DRG 1313
Min. Negotiated Rate	$15,395.12
Max. Negotiated Rate	$15,395.12
Rate for Payer: Aetna CHP/Medicaid	$15,395.12
Rate for Payer: Humana OH Medicaid	$15,395.12

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$21,761.03

Service Code	APR-DRG 1791
Min. Negotiated Rate	$21,761.03
Max. Negotiated Rate	$21,761.03
Rate for Payer: Aetna CHP/Medicaid	$21,761.03
Rate for Payer: Humana OH Medicaid	$21,761.03

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$25,723.49

Service Code	APR-DRG 1792
Min. Negotiated Rate	$25,723.49
Max. Negotiated Rate	$25,723.49
Rate for Payer: Aetna CHP/Medicaid	$25,723.49
Rate for Payer: Humana OH Medicaid	$25,723.49

APR-DRG 42.00: DEFIBRILLATOR IMPLANTS

Facility

$31,179.98

Service Code	APR-DRG 1793
Min. Negotiated Rate	$31,179.98
Max. Negotiated Rate	$31,179.98
Rate for Payer: Aetna CHP/Medicaid	$31,179.98
Rate for Payer: Humana OH Medicaid	$31,179.98

Know your out-of-pocket cost for care.

All Charges