Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: INTRACRANIAL HEMORRHAGE

Facility

$5,651.37

Service Code	APR-DRG 0441
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: INTRACRANIAL HEMORRHAGE

Facility

$7,340.29

Service Code	APR-DRG 0442
Min. Negotiated Rate	$7,340.29
Max. Negotiated Rate	$7,340.29
Rate for Payer: Aetna CHP/Medicaid	$7,340.29
Rate for Payer: Humana OH Medicaid	$7,340.29

APR-DRG 42.00: INTRACRANIAL HEMORRHAGE

Facility

$10,393.33

Service Code	APR-DRG 0443
Min. Negotiated Rate	$10,393.33
Max. Negotiated Rate	$10,393.33
Rate for Payer: Aetna CHP/Medicaid	$10,393.33
Rate for Payer: Humana OH Medicaid	$10,393.33

APR-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$3,377.83

Service Code	APR-DRG 4631
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$4,287.25

Service Code	APR-DRG 4632
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$5,911.21

Service Code	APR-DRG 4633
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: KIDNEY AND URINARY TRACT INFECTIONS

Facility

$9,808.70

Service Code	APR-DRG 4634
Min. Negotiated Rate	$9,808.70
Max. Negotiated Rate	$9,808.70
Rate for Payer: Aetna CHP/Medicaid	$9,808.70
Rate for Payer: Humana OH Medicaid	$9,808.70

APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$5,911.21

Service Code	APR-DRG 4612
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: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$15,395.12

Service Code	APR-DRG 4614
Min. Negotiated Rate	$15,395.12
Max. Negotiated Rate	$15,395.12
Rate for Payer: Aetna CHP/Medicaid	$15,395.12
Rate for Payer: Humana OH Medicaid	$15,395.12

APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$8,964.25

Service Code	APR-DRG 4613
Min. Negotiated Rate	$8,964.25
Max. Negotiated Rate	$8,964.25
Rate for Payer: Aetna CHP/Medicaid	$8,964.25
Rate for Payer: Humana OH Medicaid	$8,964.25

APR-DRG 42.00: KIDNEY AND URINARY TRACT MALIGNANCY

Facility

$4,936.83

Service Code	APR-DRG 4611
Min. Negotiated Rate	$4,936.83
Max. Negotiated Rate	$4,936.83
Rate for Payer: Aetna CHP/Medicaid	$4,936.83
Rate for Payer: Humana OH Medicaid	$4,936.83

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$16,629.32

Service Code	APR-DRG 4423
Min. Negotiated Rate	$16,629.32
Max. Negotiated Rate	$16,629.32
Rate for Payer: Aetna CHP/Medicaid	$16,629.32
Rate for Payer: Humana OH Medicaid	$16,629.32

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$10,848.04

Service Code	APR-DRG 4422
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: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$27,672.24

Service Code	APR-DRG 4424
Min. Negotiated Rate	$27,672.24
Max. Negotiated Rate	$27,672.24
Rate for Payer: Aetna CHP/Medicaid	$27,672.24
Rate for Payer: Humana OH Medicaid	$27,672.24

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$9,224.08

Service Code	APR-DRG 4421
Min. Negotiated Rate	$9,224.08
Max. Negotiated Rate	$9,224.08
Rate for Payer: Aetna CHP/Medicaid	$9,224.08
Rate for Payer: Humana OH Medicaid	$9,224.08

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$8,769.37

Service Code	APR-DRG 4431
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: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$23,644.82

Service Code	APR-DRG 4434
Min. Negotiated Rate	$23,644.82
Max. Negotiated Rate	$23,644.82
Rate for Payer: Aetna CHP/Medicaid	$23,644.82
Rate for Payer: Humana OH Medicaid	$23,644.82

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$10,523.24

Service Code	APR-DRG 4432
Min. Negotiated Rate	$10,523.24
Max. Negotiated Rate	$10,523.24
Rate for Payer: Aetna CHP/Medicaid	$10,523.24
Rate for Payer: Humana OH Medicaid	$10,523.24

APR-DRG 42.00: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$14,355.78

Service Code	APR-DRG 4433
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: KIDNEY TRANSPLANT

Facility

$57,877.85

Service Code	APR-DRG 4404
Min. Negotiated Rate	$57,877.85
Max. Negotiated Rate	$57,877.85
Rate for Payer: Aetna CHP/Medicaid	$57,877.85
Rate for Payer: Humana OH Medicaid	$57,877.85

APR-DRG 42.00: KIDNEY TRANSPLANT

Facility

$33,518.48

Service Code	APR-DRG 4402
Min. Negotiated Rate	$33,518.48
Max. Negotiated Rate	$33,518.48
Rate for Payer: Aetna CHP/Medicaid	$33,518.48
Rate for Payer: Humana OH Medicaid	$33,518.48

APR-DRG 42.00: KIDNEY TRANSPLANT

Facility

$31,374.86

Service Code	APR-DRG 4401
Min. Negotiated Rate	$31,374.86
Max. Negotiated Rate	$31,374.86
Rate for Payer: Aetna CHP/Medicaid	$31,374.86
Rate for Payer: Humana OH Medicaid	$31,374.86

APR-DRG 42.00: KIDNEY TRANSPLANT

Facility

$39,364.73

Service Code	APR-DRG 4403
Min. Negotiated Rate	$39,364.73
Max. Negotiated Rate	$39,364.73
Rate for Payer: Aetna CHP/Medicaid	$39,364.73
Rate for Payer: Humana OH Medicaid	$39,364.73

APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$25,788.45

Service Code	APR-DRG 3134
Min. Negotiated Rate	$25,788.45
Max. Negotiated Rate	$25,788.45
Rate for Payer: Aetna CHP/Medicaid	$25,788.45
Rate for Payer: Humana OH Medicaid	$25,788.45

APR-DRG 42.00: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT

Facility

$12,277.12

Service Code	APR-DRG 3132
Min. Negotiated Rate	$12,277.12
Max. Negotiated Rate	$12,277.12
Rate for Payer: Aetna CHP/Medicaid	$12,277.12
Rate for Payer: Humana OH Medicaid	$12,277.12

Know your out-of-pocket cost for care.

All Charges