Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$4,806.91

Service Code	APR-DRG 4662
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 GENITOURINARY DEVICE OR PROCEDURE

Facility

$7,600.12

Service Code	APR-DRG 4663
Min. Negotiated Rate	$7,600.12
Max. Negotiated Rate	$7,600.12
Rate for Payer: Aetna CHP/Medicaid	$7,600.12
Rate for Payer: Humana OH Medicaid	$7,600.12

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

Facility

$4,222.29

Service Code	APR-DRG 3491
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, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$13,771.16

Service Code	APR-DRG 3494
Min. Negotiated Rate	$13,771.16
Max. Negotiated Rate	$13,771.16
Rate for Payer: Aetna CHP/Medicaid	$13,771.16
Rate for Payer: Humana OH Medicaid	$13,771.16

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

Facility

$8,314.66

Service Code	APR-DRG 3493
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, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$5,781.29

Service Code	APR-DRG 3492
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$13,251.49

Service Code	APR-DRG 5004
Min. Negotiated Rate	$13,251.49
Max. Negotiated Rate	$13,251.49
Rate for Payer: Aetna CHP/Medicaid	$13,251.49
Rate for Payer: Humana OH Medicaid	$13,251.49

APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$8,444.58

Service Code	APR-DRG 5003
Min. Negotiated Rate	$8,444.58
Max. Negotiated Rate	$8,444.58
Rate for Payer: Aetna CHP/Medicaid	$8,444.58
Rate for Payer: Humana OH Medicaid	$8,444.58

APR-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$4,741.96

Service Code	APR-DRG 5001
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: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$5,586.41

Service Code	APR-DRG 5002
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$5,066.75

Service Code	APR-DRG 2811
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$9,159.12

Service Code	APR-DRG 2813
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$13,966.03

Service Code	APR-DRG 2814
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: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$6,755.66

Service Code	APR-DRG 2812
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: MALIGNANT BREAST DISORDERS

Facility

$6,041.12

Service Code	APR-DRG 3822
Min. Negotiated Rate	$6,041.12
Max. Negotiated Rate	$6,041.12
Rate for Payer: Aetna CHP/Medicaid	$6,041.12
Rate for Payer: Humana OH Medicaid	$6,041.12

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$4,677.00

Service Code	APR-DRG 3821
Min. Negotiated Rate	$4,677.00
Max. Negotiated Rate	$4,677.00
Rate for Payer: Aetna CHP/Medicaid	$4,677.00
Rate for Payer: Humana OH Medicaid	$4,677.00

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$13,511.33

Service Code	APR-DRG 3824
Min. Negotiated Rate	$13,511.33
Max. Negotiated Rate	$13,511.33
Rate for Payer: Aetna CHP/Medicaid	$13,511.33
Rate for Payer: Humana OH Medicaid	$13,511.33

APR-DRG 42.00: MALIGNANT BREAST DISORDERS

Facility

$8,119.79

Service Code	APR-DRG 3823
Min. Negotiated Rate	$8,119.79
Max. Negotiated Rate	$8,119.79
Rate for Payer: Aetna CHP/Medicaid	$8,119.79
Rate for Payer: Humana OH Medicaid	$8,119.79

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$13,186.53

Service Code	APR-DRG 4214
Min. Negotiated Rate	$13,186.53
Max. Negotiated Rate	$13,186.53
Rate for Payer: Aetna CHP/Medicaid	$13,186.53
Rate for Payer: Humana OH Medicaid	$13,186.53

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$4,936.83

Service Code	APR-DRG 4212
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: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$7,730.04

Service Code	APR-DRG 4213
Min. Negotiated Rate	$7,730.04
Max. Negotiated Rate	$7,730.04
Rate for Payer: Aetna CHP/Medicaid	$7,730.04
Rate for Payer: Humana OH Medicaid	$7,730.04

APR-DRG 42.00: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$3,377.83

Service Code	APR-DRG 4211
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: MASTECTOMY PROCEDURES

Facility

$15,979.74

Service Code	APR-DRG 3623
Min. Negotiated Rate	$15,979.74
Max. Negotiated Rate	$15,979.74
Rate for Payer: Aetna CHP/Medicaid	$15,979.74
Rate for Payer: Humana OH Medicaid	$15,979.74

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$19,942.20

Service Code	APR-DRG 3624
Min. Negotiated Rate	$19,942.20
Max. Negotiated Rate	$19,942.20
Rate for Payer: Aetna CHP/Medicaid	$19,942.20
Rate for Payer: Humana OH Medicaid	$19,942.20

APR-DRG 42.00: MASTECTOMY PROCEDURES

Facility

$10,263.41

Service Code	APR-DRG 3621
Min. Negotiated Rate	$10,263.41
Max. Negotiated Rate	$10,263.41
Rate for Payer: Aetna CHP/Medicaid	$10,263.41
Rate for Payer: Humana OH Medicaid	$10,263.41

Know your out-of-pocket cost for care.

All Charges