Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

$9,224.08

Service Code	APR-DRG 3131
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: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$45,860.56

Service Code	APR-DRG 0012
Min. Negotiated Rate	$45,860.56
Max. Negotiated Rate	$45,860.56
Rate for Payer: Aetna CHP/Medicaid	$45,860.56
Rate for Payer: Humana OH Medicaid	$45,860.56

APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$59,371.89

Service Code	APR-DRG 0013
Min. Negotiated Rate	$59,371.89
Max. Negotiated Rate	$59,371.89
Rate for Payer: Aetna CHP/Medicaid	$59,371.89
Rate for Payer: Humana OH Medicaid	$59,371.89

APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$40,274.15

Service Code	APR-DRG 0011
Min. Negotiated Rate	$40,274.15
Max. Negotiated Rate	$40,274.15
Rate for Payer: Aetna CHP/Medicaid	$40,274.15
Rate for Payer: Humana OH Medicaid	$40,274.15

APR-DRG 42.00: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT

Facility

$114,326.61

Service Code	APR-DRG 0014
Min. Negotiated Rate	$114,326.61
Max. Negotiated Rate	$114,326.61
Rate for Payer: Aetna CHP/Medicaid	$114,326.61
Rate for Payer: Humana OH Medicaid	$114,326.61

APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$11,367.70

Service Code	APR-DRG 1811
Min. Negotiated Rate	$11,367.70
Max. Negotiated Rate	$11,367.70
Rate for Payer: Aetna CHP/Medicaid	$11,367.70
Rate for Payer: Humana OH Medicaid	$11,367.70

APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$30,400.48

Service Code	APR-DRG 1814
Min. Negotiated Rate	$30,400.48
Max. Negotiated Rate	$30,400.48
Rate for Payer: Aetna CHP/Medicaid	$30,400.48
Rate for Payer: Humana OH Medicaid	$30,400.48

APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$15,654.95

Service Code	APR-DRG 1812
Min. Negotiated Rate	$15,654.95
Max. Negotiated Rate	$15,654.95
Rate for Payer: Aetna CHP/Medicaid	$15,654.95
Rate for Payer: Humana OH Medicaid	$15,654.95

APR-DRG 42.00: LOWER EXTREMITY VASCULAR PROCEDURES

Facility

$20,916.57

Service Code	APR-DRG 1813
Min. Negotiated Rate	$20,916.57
Max. Negotiated Rate	$20,916.57
Rate for Payer: Aetna CHP/Medicaid	$20,916.57
Rate for Payer: Humana OH Medicaid	$20,916.57

APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$6,171.04

Service Code	APR-DRG 6942
Min. Negotiated Rate	$6,171.04
Max. Negotiated Rate	$6,171.04
Rate for Payer: Aetna CHP/Medicaid	$6,171.04
Rate for Payer: Humana OH Medicaid	$6,171.04

APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$9,354.00

Service Code	APR-DRG 6943
Min. Negotiated Rate	$9,354.00
Max. Negotiated Rate	$9,354.00
Rate for Payer: Aetna CHP/Medicaid	$9,354.00
Rate for Payer: Humana OH Medicaid	$9,354.00

APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$15,460.08

Service Code	APR-DRG 6944
Min. Negotiated Rate	$15,460.08
Max. Negotiated Rate	$15,460.08
Rate for Payer: Aetna CHP/Medicaid	$15,460.08
Rate for Payer: Humana OH Medicaid	$15,460.08

APR-DRG 42.00: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$4,741.96

Service Code	APR-DRG 6941
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: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$6,950.54

Service Code	APR-DRG 6911
Min. Negotiated Rate	$6,950.54
Max. Negotiated Rate	$6,950.54
Rate for Payer: Aetna CHP/Medicaid	$6,950.54
Rate for Payer: Humana OH Medicaid	$6,950.54

APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$9,548.87

Service Code	APR-DRG 6912
Min. Negotiated Rate	$9,548.87
Max. Negotiated Rate	$9,548.87
Rate for Payer: Aetna CHP/Medicaid	$9,548.87
Rate for Payer: Humana OH Medicaid	$9,548.87

APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$24,164.49

Service Code	APR-DRG 6914
Min. Negotiated Rate	$24,164.49
Max. Negotiated Rate	$24,164.49
Rate for Payer: Aetna CHP/Medicaid	$24,164.49
Rate for Payer: Humana OH Medicaid	$24,164.49

APR-DRG 42.00: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA

Facility

$14,225.87

Service Code	APR-DRG 6913
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: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$20,461.86

Service Code	APR-DRG 1692
Min. Negotiated Rate	$20,461.86
Max. Negotiated Rate	$20,461.86
Rate for Payer: Aetna CHP/Medicaid	$20,461.86
Rate for Payer: Humana OH Medicaid	$20,461.86

APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$36,961.27

Service Code	APR-DRG 1694
Min. Negotiated Rate	$36,961.27
Max. Negotiated Rate	$36,961.27
Rate for Payer: Aetna CHP/Medicaid	$36,961.27
Rate for Payer: Humana OH Medicaid	$36,961.27

APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$25,853.40

Service Code	APR-DRG 1693
Min. Negotiated Rate	$25,853.40
Max. Negotiated Rate	$25,853.40
Rate for Payer: Aetna CHP/Medicaid	$25,853.40
Rate for Payer: Humana OH Medicaid	$25,853.40

APR-DRG 42.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$17,148.99

Service Code	APR-DRG 1691
Min. Negotiated Rate	$17,148.99
Max. Negotiated Rate	$17,148.99
Rate for Payer: Aetna CHP/Medicaid	$17,148.99
Rate for Payer: Humana OH Medicaid	$17,148.99

APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$10,588.20

Service Code	APR-DRG 2611
Min. Negotiated Rate	$10,588.20
Max. Negotiated Rate	$10,588.20
Rate for Payer: Aetna CHP/Medicaid	$10,588.20
Rate for Payer: Humana OH Medicaid	$10,588.20

APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$18,253.28

Service Code	APR-DRG 2613
Min. Negotiated Rate	$18,253.28
Max. Negotiated Rate	$18,253.28
Rate for Payer: Aetna CHP/Medicaid	$18,253.28
Rate for Payer: Humana OH Medicaid	$18,253.28

APR-DRG 42.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$14,875.45

Service Code	APR-DRG 2612
Min. Negotiated Rate	$14,875.45
Max. Negotiated Rate	$14,875.45
Rate for Payer: Aetna CHP/Medicaid	$14,875.45
Rate for Payer: Humana OH Medicaid	$14,875.45

Know your out-of-pocket cost for care.

All Charges