Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MAJOR SKIN DISORDERS

Facility

$9,159.12

Service Code	APR-DRG 3813
Min. Negotiated Rate	$9,159.12
Max. Negotiated Rate	$9,159.12
Rate for Payer: Aetna CHP/Medicaid	$9,159.12
Rate for Payer: Humana OH Medicaid	$9,159.12

APR-DRG 42.00: MAJOR SKIN DISORDERS

Facility

$5,521.46

Service Code	APR-DRG 3812
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: MAJOR SKIN DISORDERS

Facility

$18,967.82

Service Code	APR-DRG 3814
Min. Negotiated Rate	$18,967.82
Max. Negotiated Rate	$18,967.82
Rate for Payer: Aetna CHP/Medicaid	$18,967.82
Rate for Payer: Humana OH Medicaid	$18,967.82

APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$12,861.74

Service Code	APR-DRG 2302
Min. Negotiated Rate	$12,861.74
Max. Negotiated Rate	$12,861.74
Rate for Payer: Aetna CHP/Medicaid	$12,861.74
Rate for Payer: Humana OH Medicaid	$12,861.74

APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$18,902.87

Service Code	APR-DRG 2303
Min. Negotiated Rate	$18,902.87
Max. Negotiated Rate	$18,902.87
Rate for Payer: Aetna CHP/Medicaid	$18,902.87
Rate for Payer: Humana OH Medicaid	$18,902.87

APR-DRG 42.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$7,924.91

Service Code	APR-DRG 2301
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: MAJOR SMALL BOWEL PROCEDURES

Facility

$29,945.78

Service Code	APR-DRG 2304
Min. Negotiated Rate	$29,945.78
Max. Negotiated Rate	$29,945.78
Rate for Payer: Aetna CHP/Medicaid	$29,945.78
Rate for Payer: Humana OH Medicaid	$29,945.78

APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$10,003.58

Service Code	APR-DRG 2201
Min. Negotiated Rate	$10,003.58
Max. Negotiated Rate	$10,003.58
Rate for Payer: Aetna CHP/Medicaid	$10,003.58
Rate for Payer: Humana OH Medicaid	$10,003.58

APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$35,402.27

Service Code	APR-DRG 2204
Min. Negotiated Rate	$35,402.27
Max. Negotiated Rate	$35,402.27
Rate for Payer: Aetna CHP/Medicaid	$35,402.27
Rate for Payer: Humana OH Medicaid	$35,402.27

APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$21,111.45

Service Code	APR-DRG 2203
Min. Negotiated Rate	$21,111.45
Max. Negotiated Rate	$21,111.45
Rate for Payer: Aetna CHP/Medicaid	$21,111.45
Rate for Payer: Humana OH Medicaid	$21,111.45

APR-DRG 42.00: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$14,420.74

Service Code	APR-DRG 2202
Min. Negotiated Rate	$14,420.74
Max. Negotiated Rate	$14,420.74
Rate for Payer: Aetna CHP/Medicaid	$14,420.74
Rate for Payer: Humana OH Medicaid	$14,420.74

APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$6,755.66

Service Code	APR-DRG 5013
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: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$3,572.71

Service Code	APR-DRG 5011
Min. Negotiated Rate	$3,572.71
Max. Negotiated Rate	$3,572.71
Rate for Payer: Aetna CHP/Medicaid	$3,572.71
Rate for Payer: Humana OH Medicaid	$3,572.71

APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$4,547.08

Service Code	APR-DRG 5012
Min. Negotiated Rate	$4,547.08
Max. Negotiated Rate	$4,547.08
Rate for Payer: Aetna CHP/Medicaid	$4,547.08
Rate for Payer: Humana OH Medicaid	$4,547.08

APR-DRG 42.00: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$13,901.08

Service Code	APR-DRG 5014
Min. Negotiated Rate	$13,901.08
Max. Negotiated Rate	$13,901.08
Rate for Payer: Aetna CHP/Medicaid	$13,901.08
Rate for Payer: Humana OH Medicaid	$13,901.08

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$8,314.66

Service Code	APR-DRG 2523
Min. Negotiated Rate	$8,314.66
Max. Negotiated Rate	$8,314.66
Rate for Payer: Aetna CHP/Medicaid	$8,314.66
Rate for Payer: Humana OH Medicaid	$8,314.66

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$4,222.29

Service Code	APR-DRG 2521
Min. Negotiated Rate	$4,222.29
Max. Negotiated Rate	$4,222.29
Rate for Payer: Aetna CHP/Medicaid	$4,222.29
Rate for Payer: Humana OH Medicaid	$4,222.29

APR-DRG 42.00: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$5,521.46

Service Code	APR-DRG 2522
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: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$15,525.03

Service Code	APR-DRG 2524
Min. Negotiated Rate	$15,525.03
Max. Negotiated Rate	$15,525.03
Rate for Payer: Aetna CHP/Medicaid	$15,525.03
Rate for Payer: Humana OH Medicaid	$15,525.03

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$15,200.24

Service Code	APR-DRG 2064
Min. Negotiated Rate	$15,200.24
Max. Negotiated Rate	$15,200.24
Rate for Payer: Aetna CHP/Medicaid	$15,200.24
Rate for Payer: Humana OH Medicaid	$15,200.24

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$4,806.91

Service Code	APR-DRG 2061
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

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$5,781.29

Service Code	APR-DRG 2062
Min. Negotiated Rate	$5,781.29
Max. Negotiated Rate	$5,781.29
Rate for Payer: Aetna CHP/Medicaid	$5,781.29
Rate for Payer: Humana OH Medicaid	$5,781.29

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$8,704.41

Service Code	APR-DRG 2063
Min. Negotiated Rate	$8,704.41
Max. Negotiated Rate	$8,704.41
Rate for Payer: Aetna CHP/Medicaid	$8,704.41
Rate for Payer: Humana OH Medicaid	$8,704.41

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$12,796.79

Service Code	APR-DRG 4664
Min. Negotiated Rate	$12,796.79
Max. Negotiated Rate	$12,796.79
Rate for Payer: Aetna CHP/Medicaid	$12,796.79
Rate for Payer: Humana OH Medicaid	$12,796.79

APR-DRG 42.00: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$3,767.58

Service Code	APR-DRG 4661
Min. Negotiated Rate	$3,767.58
Max. Negotiated Rate	$3,767.58
Rate for Payer: Aetna CHP/Medicaid	$3,767.58
Rate for Payer: Humana OH Medicaid	$3,767.58

Know your out-of-pocket cost for care.

All Charges