Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$8,704.41

Service Code	APR-DRG 2843
Min. Negotiated Rate	$8,704.41
Max. Negotiated Rate	$8,704.41
Rate for Payer: Aetna CHP/Medicaid	$8,704.41
Rate for Payer: Humana OH Medicaid	$8,704.41

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$14,615.62

Service Code	APR-DRG 2844
Min. Negotiated Rate	$14,615.62
Max. Negotiated Rate	$14,615.62
Rate for Payer: Aetna CHP/Medicaid	$14,615.62
Rate for Payer: Humana OH Medicaid	$14,615.62

APR-DRG 42.00: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$6,300.96

Service Code	APR-DRG 2842
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: DISORDERS OF GALLBLADDER AND BILIARY TRACT

Facility

$4,677.00

Service Code	APR-DRG 2841
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: DISORDERS OF IMPULSE CONTROL & DEVELOPMENT

Facility

$6,171.04

Service Code	APR-DRG 7583
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: DISORDERS OF IMPULSE CONTROL & DEVELOPMENT

Facility

$3,767.58

Service Code	APR-DRG 7582
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: DISORDERS OF IMPULSE CONTROL & DEVELOPMENT

Facility

$2,988.08

Service Code	APR-DRG 7581
Min. Negotiated Rate	$2,988.08
Max. Negotiated Rate	$2,988.08
Rate for Payer: Aetna CHP/Medicaid	$2,988.08
Rate for Payer: Humana OH Medicaid	$2,988.08

APR-DRG 42.00: DISORDERS OF IMPULSE CONTROL & DEVELOPMENT

Facility

$20,851.61

Service Code	APR-DRG 7584
Min. Negotiated Rate	$20,851.61
Max. Negotiated Rate	$20,851.61
Rate for Payer: Aetna CHP/Medicaid	$20,851.61
Rate for Payer: Humana OH Medicaid	$20,851.61

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$17,084.03

Service Code	APR-DRG 2824
Min. Negotiated Rate	$17,084.03
Max. Negotiated Rate	$17,084.03
Rate for Payer: Aetna CHP/Medicaid	$17,084.03
Rate for Payer: Humana OH Medicaid	$17,084.03

APR-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$8,054.83

Service Code	APR-DRG 2823
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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$4,936.83

Service Code	APR-DRG 2822
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: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$3,572.71

Service Code	APR-DRG 2821
Min. Negotiated Rate	$3,572.71
Max. Negotiated Rate	$3,572.71
Rate for Payer: Aetna CHP/Medicaid	$3,572.71
Rate for Payer: Humana OH Medicaid	$3,572.71

APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$4,741.96

Service Code	APR-DRG 2442
Min. Negotiated Rate	$4,741.96
Max. Negotiated Rate	$4,741.96
Rate for Payer: Aetna CHP/Medicaid	$4,741.96
Rate for Payer: Humana OH Medicaid	$4,741.96

APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$7,405.25

Service Code	APR-DRG 2443
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: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$3,442.79

Service Code	APR-DRG 2441
Min. Negotiated Rate	$3,442.79
Max. Negotiated Rate	$3,442.79
Rate for Payer: Aetna CHP/Medicaid	$3,442.79
Rate for Payer: Humana OH Medicaid	$3,442.79

APR-DRG 42.00: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$13,576.28

Service Code	APR-DRG 2444
Min. Negotiated Rate	$13,576.28
Max. Negotiated Rate	$13,576.28
Rate for Payer: Aetna CHP/Medicaid	$13,576.28
Rate for Payer: Humana OH Medicaid	$13,576.28

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$30,595.36

Service Code	APR-DRG 3043
Min. Negotiated Rate	$30,595.36
Max. Negotiated Rate	$30,595.36
Rate for Payer: Aetna CHP/Medicaid	$30,595.36
Rate for Payer: Humana OH Medicaid	$30,595.36

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$21,955.91

Service Code	APR-DRG 3042
Min. Negotiated Rate	$21,955.91
Max. Negotiated Rate	$21,955.91
Rate for Payer: Aetna CHP/Medicaid	$21,955.91
Rate for Payer: Humana OH Medicaid	$21,955.91

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$16,109.66

Service Code	APR-DRG 3041
Min. Negotiated Rate	$16,109.66
Max. Negotiated Rate	$16,109.66
Rate for Payer: Aetna CHP/Medicaid	$16,109.66
Rate for Payer: Humana OH Medicaid	$16,109.66

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK

Facility

$41,508.35

Service Code	APR-DRG 3044
Min. Negotiated Rate	$41,508.35
Max. Negotiated Rate	$41,508.35
Rate for Payer: Aetna CHP/Medicaid	$41,508.35
Rate for Payer: Humana OH Medicaid	$41,508.35

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$40,858.77

Service Code	APR-DRG 3033
Min. Negotiated Rate	$40,858.77
Max. Negotiated Rate	$40,858.77
Rate for Payer: Aetna CHP/Medicaid	$40,858.77
Rate for Payer: Humana OH Medicaid	$40,858.77

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$58,852.22

Service Code	APR-DRG 3034
Min. Negotiated Rate	$58,852.22
Max. Negotiated Rate	$58,852.22
Rate for Payer: Aetna CHP/Medicaid	$58,852.22
Rate for Payer: Humana OH Medicaid	$58,852.22

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$29,685.94

Service Code	APR-DRG 3032
Min. Negotiated Rate	$29,685.94
Max. Negotiated Rate	$29,685.94
Rate for Payer: Aetna CHP/Medicaid	$29,685.94
Rate for Payer: Humana OH Medicaid	$29,685.94

APR-DRG 42.00: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK

Facility

$25,723.49

Service Code	APR-DRG 3031
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: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$1,818.83

Service Code	APR-DRG 7701
Min. Negotiated Rate	$1,818.83
Max. Negotiated Rate	$1,818.83
Rate for Payer: Aetna CHP/Medicaid	$1,818.83
Rate for Payer: Humana OH Medicaid	$1,818.83

Know your out-of-pocket cost for care.

All Charges