Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

APR-DRG 42.00: HYPERTENSION

Facility

$3,832.54

Service Code	APR-DRG 1991
Min. Negotiated Rate	$3,832.54
Max. Negotiated Rate	$3,832.54
Rate for Payer: Aetna CHP/Medicaid	$3,832.54
Rate for Payer: Humana OH Medicaid	$3,832.54

APR-DRG 42.00: HYPERTENSION

Facility

$4,482.12

Service Code	APR-DRG 1992
Min. Negotiated Rate	$4,482.12
Max. Negotiated Rate	$4,482.12
Rate for Payer: Aetna CHP/Medicaid	$4,482.12
Rate for Payer: Humana OH Medicaid	$4,482.12

APR-DRG 42.00: HYPERTENSION

Facility

$6,755.66

Service Code	APR-DRG 1993
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: HYPERTENSION

Facility

$12,666.87

Service Code	APR-DRG 1994
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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$2,858.17

Service Code	APR-DRG 4221
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: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$9,094.16

Service Code	APR-DRG 4224
Min. Negotiated Rate	$9,094.16
Max. Negotiated Rate	$9,094.16
Rate for Payer: Aetna CHP/Medicaid	$9,094.16
Rate for Payer: Humana OH Medicaid	$9,094.16

APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$3,832.54

Service Code	APR-DRG 4222
Min. Negotiated Rate	$3,832.54
Max. Negotiated Rate	$3,832.54
Rate for Payer: Aetna CHP/Medicaid	$3,832.54
Rate for Payer: Humana OH Medicaid	$3,832.54

APR-DRG 42.00: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS

Facility

$5,586.41

Service Code	APR-DRG 4223
Min. Negotiated Rate	$5,586.41
Max. Negotiated Rate	$5,586.41
Rate for Payer: Aetna CHP/Medicaid	$5,586.41
Rate for Payer: Humana OH Medicaid	$5,586.41

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$88,343.29

Service Code	APR-DRG 1612
Min. Negotiated Rate	$88,343.29
Max. Negotiated Rate	$88,343.29
Rate for Payer: Aetna CHP/Medicaid	$88,343.29
Rate for Payer: Humana OH Medicaid	$88,343.29

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$88,343.29

Service Code	APR-DRG 1611
Min. Negotiated Rate	$88,343.29
Max. Negotiated Rate	$88,343.29
Rate for Payer: Aetna CHP/Medicaid	$88,343.29
Rate for Payer: Humana OH Medicaid	$88,343.29

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$120,042.94

Service Code	APR-DRG 1613
Min. Negotiated Rate	$120,042.94
Max. Negotiated Rate	$120,042.94
Rate for Payer: Aetna CHP/Medicaid	$120,042.94
Rate for Payer: Humana OH Medicaid	$120,042.94

APR-DRG 42.00: IMPLANTABLE HEART ASSIST SYSTEMS

Facility

$153,301.59

Service Code	APR-DRG 1614
Min. Negotiated Rate	$153,301.59
Max. Negotiated Rate	$153,301.59
Rate for Payer: Aetna CHP/Medicaid	$153,301.59
Rate for Payer: Humana OH Medicaid	$153,301.59

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$24,684.15

Service Code	APR-DRG 4234
Min. Negotiated Rate	$24,684.15
Max. Negotiated Rate	$24,684.15
Rate for Payer: Aetna CHP/Medicaid	$24,684.15
Rate for Payer: Humana OH Medicaid	$24,684.15

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$6,300.96

Service Code	APR-DRG 4232
Min. Negotiated Rate	$6,300.96
Max. Negotiated Rate	$6,300.96
Rate for Payer: Aetna CHP/Medicaid	$6,300.96
Rate for Payer: Humana OH Medicaid	$6,300.96

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$9,613.83

Service Code	APR-DRG 4233
Min. Negotiated Rate	$9,613.83
Max. Negotiated Rate	$9,613.83
Rate for Payer: Aetna CHP/Medicaid	$9,613.83
Rate for Payer: Humana OH Medicaid	$9,613.83

APR-DRG 42.00: INBORN ERRORS OF METABOLISM

Facility

$4,482.12

Service Code	APR-DRG 4231
Min. Negotiated Rate	$4,482.12
Max. Negotiated Rate	$4,482.12
Rate for Payer: Aetna CHP/Medicaid	$4,482.12
Rate for Payer: Humana OH Medicaid	$4,482.12

APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$3,637.66

Service Code	APR-DRG 1132
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: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$5,651.37

Service Code	APR-DRG 1133
Min. Negotiated Rate	$5,651.37
Max. Negotiated Rate	$5,651.37
Rate for Payer: Aetna CHP/Medicaid	$5,651.37
Rate for Payer: Humana OH Medicaid	$5,651.37

APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$2,533.37

Service Code	APR-DRG 1131
Min. Negotiated Rate	$2,533.37
Max. Negotiated Rate	$2,533.37
Rate for Payer: Aetna CHP/Medicaid	$2,533.37
Rate for Payer: Humana OH Medicaid	$2,533.37

APR-DRG 42.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$10,848.04

Service Code	APR-DRG 1134
Min. Negotiated Rate	$10,848.04
Max. Negotiated Rate	$10,848.04
Rate for Payer: Aetna CHP/Medicaid	$10,848.04
Rate for Payer: Humana OH Medicaid	$10,848.04

APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$29,491.07

Service Code	APR-DRG 7104
Min. Negotiated Rate	$29,491.07
Max. Negotiated Rate	$29,491.07
Rate for Payer: Aetna CHP/Medicaid	$29,491.07
Rate for Payer: Humana OH Medicaid	$29,491.07

APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$12,926.70

Service Code	APR-DRG 7102
Min. Negotiated Rate	$12,926.70
Max. Negotiated Rate	$12,926.70
Rate for Payer: Aetna CHP/Medicaid	$12,926.70
Rate for Payer: Humana OH Medicaid	$12,926.70

APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$8,769.37

Service Code	APR-DRG 7101
Min. Negotiated Rate	$8,769.37
Max. Negotiated Rate	$8,769.37
Rate for Payer: Aetna CHP/Medicaid	$8,769.37
Rate for Payer: Humana OH Medicaid	$8,769.37

APR-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE

Facility

$19,162.70

Service Code	APR-DRG 7103
Min. Negotiated Rate	$19,162.70
Max. Negotiated Rate	$19,162.70
Rate for Payer: Aetna CHP/Medicaid	$19,162.70
Rate for Payer: Humana OH Medicaid	$19,162.70

Know your out-of-pocket cost for care.

All Charges