Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$4,287.25

Service Code	APR-DRG 3402
Min. Negotiated Rate	$4,287.25
Max. Negotiated Rate	$4,287.25
Rate for Payer: Aetna CHP/Medicaid	$4,287.25
Rate for Payer: Humana OH Medicaid	$4,287.25

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$6,430.87

Service Code	APR-DRG 3403
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: FRACTURE OF FEMUR

Facility

$9,938.62

Service Code	APR-DRG 3404
Min. Negotiated Rate	$9,938.62
Max. Negotiated Rate	$9,938.62
Rate for Payer: Aetna CHP/Medicaid	$9,938.62
Rate for Payer: Humana OH Medicaid	$9,938.62

APR-DRG 42.00: FRACTURE OF FEMUR

Facility

$3,377.83

Service Code	APR-DRG 3401
Min. Negotiated Rate	$3,377.83
Max. Negotiated Rate	$3,377.83
Rate for Payer: Aetna CHP/Medicaid	$3,377.83
Rate for Payer: Humana OH Medicaid	$3,377.83

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$12,471.99

Service Code	APR-DRG 3414
Min. Negotiated Rate	$12,471.99
Max. Negotiated Rate	$12,471.99
Rate for Payer: Aetna CHP/Medicaid	$12,471.99
Rate for Payer: Humana OH Medicaid	$12,471.99

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$6,820.62

Service Code	APR-DRG 3413
Min. Negotiated Rate	$6,820.62
Max. Negotiated Rate	$6,820.62
Rate for Payer: Aetna CHP/Medicaid	$6,820.62
Rate for Payer: Humana OH Medicaid	$6,820.62

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$4,612.04

Service Code	APR-DRG 3412
Min. Negotiated Rate	$4,612.04
Max. Negotiated Rate	$4,612.04
Rate for Payer: Aetna CHP/Medicaid	$4,612.04
Rate for Payer: Humana OH Medicaid	$4,612.04

APR-DRG 42.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$3,637.66

Service Code	APR-DRG 3411
Min. Negotiated Rate	$3,637.66
Max. Negotiated Rate	$3,637.66
Rate for Payer: Aetna CHP/Medicaid	$3,637.66
Rate for Payer: Humana OH Medicaid	$3,637.66

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$5,131.71

Service Code	APR-DRG 3422
Min. Negotiated Rate	$5,131.71
Max. Negotiated Rate	$5,131.71
Rate for Payer: Aetna CHP/Medicaid	$5,131.71
Rate for Payer: Humana OH Medicaid	$5,131.71

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$13,251.49

Service Code	APR-DRG 3424
Min. Negotiated Rate	$13,251.49
Max. Negotiated Rate	$13,251.49
Rate for Payer: Aetna CHP/Medicaid	$13,251.49
Rate for Payer: Humana OH Medicaid	$13,251.49

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$3,962.46

Service Code	APR-DRG 3421
Min. Negotiated Rate	$3,962.46
Max. Negotiated Rate	$3,962.46
Rate for Payer: Aetna CHP/Medicaid	$3,962.46
Rate for Payer: Humana OH Medicaid	$3,962.46

APR-DRG 42.00: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK

Facility

$7,275.33

Service Code	APR-DRG 3423
Min. Negotiated Rate	$7,275.33
Max. Negotiated Rate	$7,275.33
Rate for Payer: Aetna CHP/Medicaid	$7,275.33
Rate for Payer: Humana OH Medicaid	$7,275.33

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$25,203.82

Service Code	APR-DRG 2324
Min. Negotiated Rate	$25,203.82
Max. Negotiated Rate	$25,203.82
Rate for Payer: Aetna CHP/Medicaid	$25,203.82
Rate for Payer: Humana OH Medicaid	$25,203.82

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$9,873.66

Service Code	APR-DRG 2322
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: GASTRIC FUNDOPLICATION

Facility

$15,719.91

Service Code	APR-DRG 2323
Min. Negotiated Rate	$15,719.91
Max. Negotiated Rate	$15,719.91
Rate for Payer: Aetna CHP/Medicaid	$15,719.91
Rate for Payer: Humana OH Medicaid	$15,719.91

APR-DRG 42.00: GASTRIC FUNDOPLICATION

Facility

$7,924.91

Service Code	APR-DRG 2321
Min. Negotiated Rate	$7,924.91
Max. Negotiated Rate	$7,924.91
Rate for Payer: Aetna CHP/Medicaid	$7,924.91
Rate for Payer: Humana OH Medicaid	$7,924.91

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$4,027.41

Service Code	APR-DRG 2461
Min. Negotiated Rate	$4,027.41
Max. Negotiated Rate	$4,027.41
Rate for Payer: Aetna CHP/Medicaid	$4,027.41
Rate for Payer: Humana OH Medicaid	$4,027.41

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$5,131.71

Service Code	APR-DRG 2462
Min. Negotiated Rate	$5,131.71
Max. Negotiated Rate	$5,131.71
Rate for Payer: Aetna CHP/Medicaid	$5,131.71
Rate for Payer: Humana OH Medicaid	$5,131.71

APR-DRG 42.00: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$12,536.95

Service Code	APR-DRG 2464
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: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$7,795.00

Service Code	APR-DRG 2463
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: GENDER RELATED PROCEDURES

Facility

$70,414.80

Service Code	APR-DRG 8514
Min. Negotiated Rate	$70,414.80
Max. Negotiated Rate	$70,414.80
Rate for Payer: Aetna CHP/Medicaid	$70,414.80
Rate for Payer: Humana OH Medicaid	$70,414.80

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$12,731.83

Service Code	APR-DRG 8511
Min. Negotiated Rate	$12,731.83
Max. Negotiated Rate	$12,731.83
Rate for Payer: Aetna CHP/Medicaid	$12,731.83
Rate for Payer: Humana OH Medicaid	$12,731.83

APR-DRG 42.00: GENDER RELATED PROCEDURES

Facility

$21,761.03

Service Code	APR-DRG 8512
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: GENDER RELATED PROCEDURES

Facility

$70,414.80

Service Code	APR-DRG 8513
Min. Negotiated Rate	$70,414.80
Max. Negotiated Rate	$70,414.80
Rate for Payer: Aetna CHP/Medicaid	$70,414.80
Rate for Payer: Humana OH Medicaid	$70,414.80

APR-DRG 42.00: GENETIC DISORDERS

Facility

$4,806.91

Service Code	APR-DRG 4281
Min. Negotiated Rate	$4,806.91
Max. Negotiated Rate	$4,806.91
Rate for Payer: Aetna CHP/Medicaid	$4,806.91
Rate for Payer: Humana OH Medicaid	$4,806.91

Know your out-of-pocket cost for care.

All Charges