Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$10,458.29

Service Code	APR-DRG 7704
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: 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

APR-DRG 42.00: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility

$2,858.17

Service Code	APR-DRG 7702
Min. Negotiated Rate	$2,858.17
Max. Negotiated Rate	$2,858.17
Rate for Payer: Aetna CHP/Medicaid	$2,858.17
Rate for Payer: Humana OH Medicaid	$2,858.17

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$6,041.12

Service Code	APR-DRG 1101
Min. Negotiated Rate	$6,041.12
Max. Negotiated Rate	$6,041.12
Rate for Payer: Aetna CHP/Medicaid	$6,041.12
Rate for Payer: Humana OH Medicaid	$6,041.12

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$6,885.58

Service Code	APR-DRG 1102
Min. Negotiated Rate	$6,885.58
Max. Negotiated Rate	$6,885.58
Rate for Payer: Aetna CHP/Medicaid	$6,885.58
Rate for Payer: Humana OH Medicaid	$6,885.58

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$9,483.91

Service Code	APR-DRG 1103
Min. Negotiated Rate	$9,483.91
Max. Negotiated Rate	$9,483.91
Rate for Payer: Aetna CHP/Medicaid	$9,483.91
Rate for Payer: Humana OH Medicaid	$9,483.91

APR-DRG 42.00: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$16,239.58

Service Code	APR-DRG 1104
Min. Negotiated Rate	$16,239.58
Max. Negotiated Rate	$16,239.58
Rate for Payer: Aetna CHP/Medicaid	$16,239.58
Rate for Payer: Humana OH Medicaid	$16,239.58

APR-DRG 42.00: EATING DISORDERS

Facility

$6,950.54

Service Code	APR-DRG 7591
Min. Negotiated Rate	$6,950.54
Max. Negotiated Rate	$6,950.54
Rate for Payer: Aetna CHP/Medicaid	$6,950.54
Rate for Payer: Humana OH Medicaid	$6,950.54

APR-DRG 42.00: EATING DISORDERS

Facility

$9,289.04

Service Code	APR-DRG 7592
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: EATING DISORDERS

Facility

$22,020.86

Service Code	APR-DRG 7594
Min. Negotiated Rate	$22,020.86
Max. Negotiated Rate	$22,020.86
Rate for Payer: Aetna CHP/Medicaid	$22,020.86
Rate for Payer: Humana OH Medicaid	$22,020.86

APR-DRG 42.00: EATING DISORDERS

Facility

$13,121.58

Service Code	APR-DRG 7593
Min. Negotiated Rate	$13,121.58
Max. Negotiated Rate	$13,121.58
Rate for Payer: Aetna CHP/Medicaid	$13,121.58
Rate for Payer: Humana OH Medicaid	$13,121.58

APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$15,849.83

Service Code	APR-DRG 3243
Min. Negotiated Rate	$15,849.83
Max. Negotiated Rate	$15,849.83
Rate for Payer: Aetna CHP/Medicaid	$15,849.83
Rate for Payer: Humana OH Medicaid	$15,849.83

APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$8,704.41

Service Code	APR-DRG 3241
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: ELECTIVE HIP JOINT REPLACEMENT

Facility

$22,150.78

Service Code	APR-DRG 3244
Min. Negotiated Rate	$22,150.78
Max. Negotiated Rate	$22,150.78
Rate for Payer: Aetna CHP/Medicaid	$22,150.78
Rate for Payer: Humana OH Medicaid	$22,150.78

APR-DRG 42.00: ELECTIVE HIP JOINT REPLACEMENT

Facility

$10,653.16

Service Code	APR-DRG 3242
Min. Negotiated Rate	$10,653.16
Max. Negotiated Rate	$10,653.16
Rate for Payer: Aetna CHP/Medicaid	$10,653.16
Rate for Payer: Humana OH Medicaid	$10,653.16

APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$8,639.45

Service Code	APR-DRG 3261
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: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$13,381.41

Service Code	APR-DRG 3263
Min. Negotiated Rate	$13,381.41
Max. Negotiated Rate	$13,381.41
Rate for Payer: Aetna CHP/Medicaid	$13,381.41
Rate for Payer: Humana OH Medicaid	$13,381.41

APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$9,743.75

Service Code	APR-DRG 3262
Min. Negotiated Rate	$9,743.75
Max. Negotiated Rate	$9,743.75
Rate for Payer: Aetna CHP/Medicaid	$9,743.75
Rate for Payer: Humana OH Medicaid	$9,743.75

APR-DRG 42.00: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$21,046.49

Service Code	APR-DRG 3264
Min. Negotiated Rate	$21,046.49
Max. Negotiated Rate	$21,046.49
Rate for Payer: Aetna CHP/Medicaid	$21,046.49
Rate for Payer: Humana OH Medicaid	$21,046.49

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$15,849.83

Service Code	APR-DRG 9112
Min. Negotiated Rate	$15,849.83
Max. Negotiated Rate	$15,849.83
Rate for Payer: Aetna CHP/Medicaid	$15,849.83
Rate for Payer: Humana OH Medicaid	$15,849.83

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$42,028.02

Service Code	APR-DRG 9114
Min. Negotiated Rate	$42,028.02
Max. Negotiated Rate	$42,028.02
Rate for Payer: Aetna CHP/Medicaid	$42,028.02
Rate for Payer: Humana OH Medicaid	$42,028.02

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$24,294.40

Service Code	APR-DRG 9113
Min. Negotiated Rate	$24,294.40
Max. Negotiated Rate	$24,294.40
Rate for Payer: Aetna CHP/Medicaid	$24,294.40
Rate for Payer: Humana OH Medicaid	$24,294.40

APR-DRG 42.00: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$12,147.20

Service Code	APR-DRG 9111
Min. Negotiated Rate	$12,147.20
Max. Negotiated Rate	$12,147.20
Rate for Payer: Aetna CHP/Medicaid	$12,147.20
Rate for Payer: Humana OH Medicaid	$12,147.20

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$18,383.20

Service Code	APR-DRG 7923
Min. Negotiated Rate	$18,383.20
Max. Negotiated Rate	$18,383.20
Rate for Payer: Aetna CHP/Medicaid	$18,383.20
Rate for Payer: Humana OH Medicaid	$18,383.20

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$31,179.98

Service Code	APR-DRG 7924
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