Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$9,873.66

Service Code	APR-DRG 7921
Min. Negotiated Rate	$9,873.66
Max. Negotiated Rate	$9,873.66
Rate for Payer: Aetna CHP/Medicaid	$9,873.66
Rate for Payer: Humana OH Medicaid	$9,873.66

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

Facility

$12,536.95

Service Code	APR-DRG 7922
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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$10,328.37

Service Code	APR-DRG 9501
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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$20,851.61

Service Code	APR-DRG 9503
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: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$13,446.37

Service Code	APR-DRG 9502
Min. Negotiated Rate	$13,446.37
Max. Negotiated Rate	$13,446.37
Rate for Payer: Aetna CHP/Medicaid	$13,446.37
Rate for Payer: Humana OH Medicaid	$13,446.37

APR-DRG 42.00: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$34,687.73

Service Code	APR-DRG 9504
Min. Negotiated Rate	$34,687.73
Max. Negotiated Rate	$34,687.73
Rate for Payer: Aetna CHP/Medicaid	$34,687.73
Rate for Payer: Humana OH Medicaid	$34,687.73

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$6,755.66

Service Code	APR-DRG 8432
Min. Negotiated Rate	$6,755.66
Max. Negotiated Rate	$6,755.66
Rate for Payer: Aetna CHP/Medicaid	$6,755.66
Rate for Payer: Humana OH Medicaid	$6,755.66

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$17,473.78

Service Code	APR-DRG 8434
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: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$12,082.24

Service Code	APR-DRG 8433
Min. Negotiated Rate	$12,082.24
Max. Negotiated Rate	$12,082.24
Rate for Payer: Aetna CHP/Medicaid	$12,082.24
Rate for Payer: Humana OH Medicaid	$12,082.24

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$4,741.96

Service Code	APR-DRG 8431
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: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$44,366.52

Service Code	APR-DRG 8413
Min. Negotiated Rate	$44,366.52
Max. Negotiated Rate	$44,366.52
Rate for Payer: Aetna CHP/Medicaid	$44,366.52
Rate for Payer: Humana OH Medicaid	$44,366.52

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$29,036.36

Service Code	APR-DRG 8412
Min. Negotiated Rate	$29,036.36
Max. Negotiated Rate	$29,036.36
Rate for Payer: Aetna CHP/Medicaid	$29,036.36
Rate for Payer: Humana OH Medicaid	$29,036.36

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$29,036.36

Service Code	APR-DRG 8411
Min. Negotiated Rate	$29,036.36
Max. Negotiated Rate	$29,036.36
Rate for Payer: Aetna CHP/Medicaid	$29,036.36
Rate for Payer: Humana OH Medicaid	$29,036.36

APR-DRG 42.00: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$136,347.47

Service Code	APR-DRG 8414
Min. Negotiated Rate	$136,347.47
Max. Negotiated Rate	$136,347.47
Rate for Payer: Aetna CHP/Medicaid	$136,347.47
Rate for Payer: Humana OH Medicaid	$136,347.47

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$49,173.43

Service Code	APR-DRG 1784
Min. Negotiated Rate	$49,173.43
Max. Negotiated Rate	$49,173.43
Rate for Payer: Aetna CHP/Medicaid	$49,173.43
Rate for Payer: Humana OH Medicaid	$49,173.43

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$39,689.52

Service Code	APR-DRG 1783
Min. Negotiated Rate	$39,689.52
Max. Negotiated Rate	$39,689.52
Rate for Payer: Aetna CHP/Medicaid	$39,689.52
Rate for Payer: Humana OH Medicaid	$39,689.52

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$29,101.32

Service Code	APR-DRG 1781
Min. Negotiated Rate	$29,101.32
Max. Negotiated Rate	$29,101.32
Rate for Payer: Aetna CHP/Medicaid	$29,101.32
Rate for Payer: Humana OH Medicaid	$29,101.32

APR-DRG 42.00: EXTERNAL HEART ASSIST DEVICES

Facility

$32,349.23

Service Code	APR-DRG 1782
Min. Negotiated Rate	$32,349.23
Max. Negotiated Rate	$32,349.23
Rate for Payer: Aetna CHP/Medicaid	$32,349.23
Rate for Payer: Humana OH Medicaid	$32,349.23

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$37,091.19

Service Code	APR-DRG 0091
Min. Negotiated Rate	$37,091.19
Max. Negotiated Rate	$37,091.19
Rate for Payer: Aetna CHP/Medicaid	$37,091.19
Rate for Payer: Humana OH Medicaid	$37,091.19

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$150,248.55

Service Code	APR-DRG 0094
Min. Negotiated Rate	$150,248.55
Max. Negotiated Rate	$150,248.55
Rate for Payer: Aetna CHP/Medicaid	$150,248.55
Rate for Payer: Humana OH Medicaid	$150,248.55

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$50,667.47

Service Code	APR-DRG 0092
Min. Negotiated Rate	$50,667.47
Max. Negotiated Rate	$50,667.47
Rate for Payer: Aetna CHP/Medicaid	$50,667.47
Rate for Payer: Humana OH Medicaid	$50,667.47

APR-DRG 42.00: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility

$101,010.16

Service Code	APR-DRG 0093
Min. Negotiated Rate	$101,010.16
Max. Negotiated Rate	$101,010.16
Rate for Payer: Aetna CHP/Medicaid	$101,010.16
Rate for Payer: Humana OH Medicaid	$101,010.16

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$7,795.00

Service Code	APR-DRG 0823
Min. Negotiated Rate	$7,795.00
Max. Negotiated Rate	$7,795.00
Rate for Payer: Aetna CHP/Medicaid	$7,795.00
Rate for Payer: Humana OH Medicaid	$7,795.00

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$5,261.62

Service Code	APR-DRG 0822
Min. Negotiated Rate	$5,261.62
Max. Negotiated Rate	$5,261.62
Rate for Payer: Aetna CHP/Medicaid	$5,261.62
Rate for Payer: Humana OH Medicaid	$5,261.62

APR-DRG 42.00: EYE INFECTIONS AND OTHER EYE DISORDERS

Facility

$13,316.45

Service Code	APR-DRG 0824
Min. Negotiated Rate	$13,316.45
Max. Negotiated Rate	$13,316.45
Rate for Payer: Aetna CHP/Medicaid	$13,316.45
Rate for Payer: Humana OH Medicaid	$13,316.45

Know your out-of-pocket cost for care.

All Charges