Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$33,258.65

Service Code	APR-DRG 0924
Min. Negotiated Rate	$33,258.65
Max. Negotiated Rate	$33,258.65
Rate for Payer: Aetna CHP/Medicaid	$33,258.65
Rate for Payer: Humana OH Medicaid	$33,258.65

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$12,861.74

Service Code	APR-DRG 0922
Min. Negotiated Rate	$12,861.74
Max. Negotiated Rate	$12,861.74
Rate for Payer: Aetna CHP/Medicaid	$12,861.74
Rate for Payer: Humana OH Medicaid	$12,861.74

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$10,263.41

Service Code	APR-DRG 0921
Min. Negotiated Rate	$10,263.41
Max. Negotiated Rate	$10,263.41
Rate for Payer: Aetna CHP/Medicaid	$10,263.41
Rate for Payer: Humana OH Medicaid	$10,263.41

APR-DRG 42.00: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$18,902.87

Service Code	APR-DRG 0923
Min. Negotiated Rate	$18,902.87
Max. Negotiated Rate	$18,902.87
Rate for Payer: Aetna CHP/Medicaid	$18,902.87
Rate for Payer: Humana OH Medicaid	$18,902.87

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$14,225.87

Service Code	APR-DRG 5314
Min. Negotiated Rate	$14,225.87
Max. Negotiated Rate	$14,225.87
Rate for Payer: Aetna CHP/Medicaid	$14,225.87
Rate for Payer: Humana OH Medicaid	$14,225.87

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$3,442.79

Service Code	APR-DRG 5311
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: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$4,547.08

Service Code	APR-DRG 5312
Min. Negotiated Rate	$4,547.08
Max. Negotiated Rate	$4,547.08
Rate for Payer: Aetna CHP/Medicaid	$4,547.08
Rate for Payer: Humana OH Medicaid	$4,547.08

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$7,665.08

Service Code	APR-DRG 5313
Min. Negotiated Rate	$7,665.08
Max. Negotiated Rate	$7,665.08
Rate for Payer: Aetna CHP/Medicaid	$7,665.08
Rate for Payer: Humana OH Medicaid	$7,665.08

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$14,290.83

Service Code	APR-DRG 5304
Min. Negotiated Rate	$14,290.83
Max. Negotiated Rate	$14,290.83
Rate for Payer: Aetna CHP/Medicaid	$14,290.83
Rate for Payer: Humana OH Medicaid	$14,290.83

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$4,677.00

Service Code	APR-DRG 5301
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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$9,029.20

Service Code	APR-DRG 5303
Min. Negotiated Rate	$9,029.20
Max. Negotiated Rate	$9,029.20
Rate for Payer: Aetna CHP/Medicaid	$9,029.20
Rate for Payer: Humana OH Medicaid	$9,029.20

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$5,911.21

Service Code	APR-DRG 5302
Min. Negotiated Rate	$5,911.21
Max. Negotiated Rate	$5,911.21
Rate for Payer: Aetna CHP/Medicaid	$5,911.21
Rate for Payer: Humana OH Medicaid	$5,911.21

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$12,861.74

Service Code	APR-DRG 5143
Min. Negotiated Rate	$12,861.74
Max. Negotiated Rate	$12,861.74
Rate for Payer: Aetna CHP/Medicaid	$12,861.74
Rate for Payer: Humana OH Medicaid	$12,861.74

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$26,632.90

Service Code	APR-DRG 5144
Min. Negotiated Rate	$26,632.90
Max. Negotiated Rate	$26,632.90
Rate for Payer: Aetna CHP/Medicaid	$26,632.90
Rate for Payer: Humana OH Medicaid	$26,632.90

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$10,263.41

Service Code	APR-DRG 5142
Min. Negotiated Rate	$10,263.41
Max. Negotiated Rate	$10,263.41
Rate for Payer: Aetna CHP/Medicaid	$10,263.41
Rate for Payer: Humana OH Medicaid	$10,263.41

APR-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$6,885.58

Service Code	APR-DRG 5141
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: FEVER AND INFLAMMATORY CONDITIONS

Facility

$3,053.04

Service Code	APR-DRG 7221
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: FEVER AND INFLAMMATORY CONDITIONS

Facility

$8,899.29

Service Code	APR-DRG 7224
Min. Negotiated Rate	$8,899.29
Max. Negotiated Rate	$8,899.29
Rate for Payer: Aetna CHP/Medicaid	$8,899.29
Rate for Payer: Humana OH Medicaid	$8,899.29

APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS

Facility

$5,716.33

Service Code	APR-DRG 7223
Min. Negotiated Rate	$5,716.33
Max. Negotiated Rate	$5,716.33
Rate for Payer: Aetna CHP/Medicaid	$5,716.33
Rate for Payer: Humana OH Medicaid	$5,716.33

APR-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS

Facility

$4,157.33

Service Code	APR-DRG 7222
Min. Negotiated Rate	$4,157.33
Max. Negotiated Rate	$4,157.33
Rate for Payer: Aetna CHP/Medicaid	$4,157.33
Rate for Payer: Humana OH Medicaid	$4,157.33

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$8,444.58

Service Code	APR-DRG 3142
Min. Negotiated Rate	$8,444.58
Max. Negotiated Rate	$8,444.58
Rate for Payer: Aetna CHP/Medicaid	$8,444.58
Rate for Payer: Humana OH Medicaid	$8,444.58

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$20,331.95

Service Code	APR-DRG 3144
Min. Negotiated Rate	$20,331.95
Max. Negotiated Rate	$20,331.95
Rate for Payer: Aetna CHP/Medicaid	$20,331.95
Rate for Payer: Humana OH Medicaid	$20,331.95

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$12,666.87

Service Code	APR-DRG 3143
Min. Negotiated Rate	$12,666.87
Max. Negotiated Rate	$12,666.87
Rate for Payer: Aetna CHP/Medicaid	$12,666.87
Rate for Payer: Humana OH Medicaid	$12,666.87

APR-DRG 42.00: FOOT AND TOE PROCEDURES

Facility

$6,365.91

Service Code	APR-DRG 3141
Min. Negotiated Rate	$6,365.91
Max. Negotiated Rate	$6,365.91
Rate for Payer: Aetna CHP/Medicaid	$6,365.91
Rate for Payer: Humana OH Medicaid	$6,365.91

Know your out-of-pocket cost for care.

All Charges