Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$9,159.12

Service Code	APR-DRG 0423
Min. Negotiated Rate	$9,159.12
Max. Negotiated Rate	$9,159.12
Rate for Payer: Aetna CHP/Medicaid	$9,159.12
Rate for Payer: Humana OH Medicaid	$9,159.12

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$16,889.16

Service Code	APR-DRG 0424
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: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$5,066.75

Service Code	APR-DRG 0421
Min. Negotiated Rate	$5,066.75
Max. Negotiated Rate	$5,066.75
Rate for Payer: Aetna CHP/Medicaid	$5,066.75
Rate for Payer: Humana OH Medicaid	$5,066.75

APR-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS

Facility

$6,495.83

Service Code	APR-DRG 0422
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: DENTAL DISEASES AND DISORDERS

Facility

$4,222.29

Service Code	APR-DRG 1142
Min. Negotiated Rate	$4,222.29
Max. Negotiated Rate	$4,222.29
Rate for Payer: Aetna CHP/Medicaid	$4,222.29
Rate for Payer: Humana OH Medicaid	$4,222.29

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$3,053.04

Service Code	APR-DRG 1141
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: DENTAL DISEASES AND DISORDERS

Facility

$17,473.78

Service Code	APR-DRG 1144
Min. Negotiated Rate	$17,473.78
Max. Negotiated Rate	$17,473.78
Rate for Payer: Aetna CHP/Medicaid	$17,473.78
Rate for Payer: Humana OH Medicaid	$17,473.78

APR-DRG 42.00: DENTAL DISEASES AND DISORDERS

Facility

$6,300.96

Service Code	APR-DRG 1143
Min. Negotiated Rate	$6,300.96
Max. Negotiated Rate	$6,300.96
Rate for Payer: Aetna CHP/Medicaid	$6,300.96
Rate for Payer: Humana OH Medicaid	$6,300.96

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$6,560.79

Service Code	APR-DRG 7513
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: DEPRESSIVE DISORDERS

Facility

$12,536.95

Service Code	APR-DRG 7514
Min. Negotiated Rate	$12,536.95
Max. Negotiated Rate	$12,536.95
Rate for Payer: Aetna CHP/Medicaid	$12,536.95
Rate for Payer: Humana OH Medicaid	$12,536.95

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$3,247.91

Service Code	APR-DRG 7512
Min. Negotiated Rate	$3,247.91
Max. Negotiated Rate	$3,247.91
Rate for Payer: Aetna CHP/Medicaid	$3,247.91
Rate for Payer: Humana OH Medicaid	$3,247.91

APR-DRG 42.00: DEPRESSIVE DISORDERS

Facility

$2,403.46

Service Code	APR-DRG 7511
Min. Negotiated Rate	$2,403.46
Max. Negotiated Rate	$2,403.46
Rate for Payer: Aetna CHP/Medicaid	$2,403.46
Rate for Payer: Humana OH Medicaid	$2,403.46

APR-DRG 42.00: DIABETES

Facility

$3,312.87

Service Code	APR-DRG 4201
Min. Negotiated Rate	$3,312.87
Max. Negotiated Rate	$3,312.87
Rate for Payer: Aetna CHP/Medicaid	$3,312.87
Rate for Payer: Humana OH Medicaid	$3,312.87

APR-DRG 42.00: DIABETES

Facility

$12,407.04

Service Code	APR-DRG 4204
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: DIABETES

Facility

$6,625.75

Service Code	APR-DRG 4203
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: DIABETES

Facility

$4,352.21

Service Code	APR-DRG 4202
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: DIGESTIVE MALIGNANCY

Facility

$15,005.37

Service Code	APR-DRG 2404
Min. Negotiated Rate	$15,005.37
Max. Negotiated Rate	$15,005.37
Rate for Payer: Aetna CHP/Medicaid	$15,005.37
Rate for Payer: Humana OH Medicaid	$15,005.37

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$6,430.87

Service Code	APR-DRG 2402
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: DIGESTIVE MALIGNANCY

Facility

$5,196.66

Service Code	APR-DRG 2401
Min. Negotiated Rate	$5,196.66
Max. Negotiated Rate	$5,196.66
Rate for Payer: Aetna CHP/Medicaid	$5,196.66
Rate for Payer: Humana OH Medicaid	$5,196.66

APR-DRG 42.00: DIGESTIVE MALIGNANCY

Facility

$9,418.95

Service Code	APR-DRG 2403
Min. Negotiated Rate	$9,418.95
Max. Negotiated Rate	$9,418.95
Rate for Payer: Aetna CHP/Medicaid	$9,418.95
Rate for Payer: Humana OH Medicaid	$9,418.95

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$10,977.95

Service Code	APR-DRG 5173
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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$5,391.54

Service Code	APR-DRG 5171
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: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$16,824.20

Service Code	APR-DRG 5174
Min. Negotiated Rate	$16,824.20
Max. Negotiated Rate	$16,824.20
Rate for Payer: Aetna CHP/Medicaid	$16,824.20
Rate for Payer: Humana OH Medicaid	$16,824.20

APR-DRG 42.00: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES

Facility

$7,340.29

Service Code	APR-DRG 5172
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

Know your out-of-pocket cost for care.

All Charges