Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$8,379.62

Service Code	APR-DRG 2793
Min. Negotiated Rate	$8,379.62
Max. Negotiated Rate	$8,379.62
Rate for Payer: Aetna CHP/Medicaid	$8,379.62
Rate for Payer: Humana OH Medicaid	$8,379.62

APR-DRG 42.00: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$4,871.87

Service Code	APR-DRG 2792
Min. Negotiated Rate	$4,871.87
Max. Negotiated Rate	$4,871.87
Rate for Payer: Aetna CHP/Medicaid	$4,871.87
Rate for Payer: Humana OH Medicaid	$4,871.87

APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$7,924.91

Service Code	APR-DRG 2271
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: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$14,355.78

Service Code	APR-DRG 2273
Min. Negotiated Rate	$14,355.78
Max. Negotiated Rate	$14,355.78
Rate for Payer: Aetna CHP/Medicaid	$14,355.78
Rate for Payer: Humana OH Medicaid	$14,355.78

APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$9,678.79

Service Code	APR-DRG 2272
Min. Negotiated Rate	$9,678.79
Max. Negotiated Rate	$9,678.79
Rate for Payer: Aetna CHP/Medicaid	$9,678.79
Rate for Payer: Humana OH Medicaid	$9,678.79

APR-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$25,203.82

Service Code	APR-DRG 2274
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: HIP AND FEMUR FRACTURE REPAIR

Facility

$14,030.99

Service Code	APR-DRG 3083
Min. Negotiated Rate	$14,030.99
Max. Negotiated Rate	$14,030.99
Rate for Payer: Aetna CHP/Medicaid	$14,030.99
Rate for Payer: Humana OH Medicaid	$14,030.99

APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$11,042.91

Service Code	APR-DRG 3082
Min. Negotiated Rate	$11,042.91
Max. Negotiated Rate	$11,042.91
Rate for Payer: Aetna CHP/Medicaid	$11,042.91
Rate for Payer: Humana OH Medicaid	$11,042.91

APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$8,574.50

Service Code	APR-DRG 3081
Min. Negotiated Rate	$8,574.50
Max. Negotiated Rate	$8,574.50
Rate for Payer: Aetna CHP/Medicaid	$8,574.50
Rate for Payer: Humana OH Medicaid	$8,574.50

APR-DRG 42.00: HIP AND FEMUR FRACTURE REPAIR

Facility

$20,202.03

Service Code	APR-DRG 3084
Min. Negotiated Rate	$20,202.03
Max. Negotiated Rate	$20,202.03
Rate for Payer: Aetna CHP/Medicaid	$20,202.03
Rate for Payer: Humana OH Medicaid	$20,202.03

APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$8,899.29

Service Code	APR-DRG 8923
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: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$5,066.75

Service Code	APR-DRG 8921
Min. Negotiated Rate	$5,066.75
Max. Negotiated Rate	$5,066.75
Rate for Payer: Aetna CHP/Medicaid	$5,066.75
Rate for Payer: Humana OH Medicaid	$5,066.75

APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$6,236.00

Service Code	APR-DRG 8922
Min. Negotiated Rate	$6,236.00
Max. Negotiated Rate	$6,236.00
Rate for Payer: Aetna CHP/Medicaid	$6,236.00
Rate for Payer: Humana OH Medicaid	$6,236.00

APR-DRG 42.00: HIV WITH MAJOR HIV RELATED CONDITION

Facility

$14,615.62

Service Code	APR-DRG 8924
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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$5,131.71

Service Code	APR-DRG 8901
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: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$7,210.37

Service Code	APR-DRG 8902
Min. Negotiated Rate	$7,210.37
Max. Negotiated Rate	$7,210.37
Rate for Payer: Aetna CHP/Medicaid	$7,210.37
Rate for Payer: Humana OH Medicaid	$7,210.37

APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$22,215.74

Service Code	APR-DRG 8904
Min. Negotiated Rate	$22,215.74
Max. Negotiated Rate	$22,215.74
Rate for Payer: Aetna CHP/Medicaid	$22,215.74
Rate for Payer: Humana OH Medicaid	$22,215.74

APR-DRG 42.00: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility

$12,471.99

Service Code	APR-DRG 8903
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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$6,755.66

Service Code	APR-DRG 8932
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: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$8,184.75

Service Code	APR-DRG 8933
Min. Negotiated Rate	$8,184.75
Max. Negotiated Rate	$8,184.75
Rate for Payer: Aetna CHP/Medicaid	$8,184.75
Rate for Payer: Humana OH Medicaid	$8,184.75

APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$13,966.03

Service Code	APR-DRG 8934
Min. Negotiated Rate	$13,966.03
Max. Negotiated Rate	$13,966.03
Rate for Payer: Aetna CHP/Medicaid	$13,966.03
Rate for Payer: Humana OH Medicaid	$13,966.03

APR-DRG 42.00: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS

Facility

$4,741.96

Service Code	APR-DRG 8931
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: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$4,352.21

Service Code	APR-DRG 8941
Min. Negotiated Rate	$4,352.21
Max. Negotiated Rate	$4,352.21
Rate for Payer: Aetna CHP/Medicaid	$4,352.21
Rate for Payer: Humana OH Medicaid	$4,352.21

APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$5,521.46

Service Code	APR-DRG 8942
Min. Negotiated Rate	$5,521.46
Max. Negotiated Rate	$5,521.46
Rate for Payer: Aetna CHP/Medicaid	$5,521.46
Rate for Payer: Humana OH Medicaid	$5,521.46

APR-DRG 42.00: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS

Facility

$12,082.24

Service Code	APR-DRG 8944
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

Know your out-of-pocket cost for care.

All Charges