Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$6,950.54

Service Code	APR-DRG 0431
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: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$10,263.41

Service Code	APR-DRG 0432
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

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$15,070.33

Service Code	APR-DRG 0433
Min. Negotiated Rate	$15,070.33
Max. Negotiated Rate	$15,070.33
Rate for Payer: Aetna CHP/Medicaid	$15,070.33
Rate for Payer: Humana OH Medicaid	$15,070.33

APR-DRG 42.00: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES

Facility

$26,762.82

Service Code	APR-DRG 0434
Min. Negotiated Rate	$26,762.82
Max. Negotiated Rate	$26,762.82
Rate for Payer: Aetna CHP/Medicaid	$26,762.82
Rate for Payer: Humana OH Medicaid	$26,762.82

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$5,846.25

Service Code	APR-DRG 9301
Min. Negotiated Rate	$5,846.25
Max. Negotiated Rate	$5,846.25
Rate for Payer: Aetna CHP/Medicaid	$5,846.25
Rate for Payer: Humana OH Medicaid	$5,846.25

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$7,405.25

Service Code	APR-DRG 9302
Min. Negotiated Rate	$7,405.25
Max. Negotiated Rate	$7,405.25
Rate for Payer: Aetna CHP/Medicaid	$7,405.25
Rate for Payer: Humana OH Medicaid	$7,405.25

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$20,266.99

Service Code	APR-DRG 9304
Min. Negotiated Rate	$20,266.99
Max. Negotiated Rate	$20,266.99
Rate for Payer: Aetna CHP/Medicaid	$20,266.99
Rate for Payer: Humana OH Medicaid	$20,266.99

APR-DRG 42.00: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE

Facility

$11,432.66

Service Code	APR-DRG 9303
Min. Negotiated Rate	$11,432.66
Max. Negotiated Rate	$11,432.66
Rate for Payer: Aetna CHP/Medicaid	$11,432.66
Rate for Payer: Humana OH Medicaid	$11,432.66

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$24,749.11

Service Code	APR-DRG 9123
Min. Negotiated Rate	$24,749.11
Max. Negotiated Rate	$24,749.11
Rate for Payer: Aetna CHP/Medicaid	$24,749.11
Rate for Payer: Humana OH Medicaid	$24,749.11

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$39,039.94

Service Code	APR-DRG 9124
Min. Negotiated Rate	$39,039.94
Max. Negotiated Rate	$39,039.94
Rate for Payer: Aetna CHP/Medicaid	$39,039.94
Rate for Payer: Humana OH Medicaid	$39,039.94

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$13,121.58

Service Code	APR-DRG 9121
Min. Negotiated Rate	$13,121.58
Max. Negotiated Rate	$13,121.58
Rate for Payer: Aetna CHP/Medicaid	$13,121.58
Rate for Payer: Humana OH Medicaid	$13,121.58

APR-DRG 42.00: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$17,668.66

Service Code	APR-DRG 9122
Min. Negotiated Rate	$17,668.66
Max. Negotiated Rate	$17,668.66
Rate for Payer: Aetna CHP/Medicaid	$17,668.66
Rate for Payer: Humana OH Medicaid	$17,668.66

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$10,718.12

Service Code	APR-DRG 3433
Min. Negotiated Rate	$10,718.12
Max. Negotiated Rate	$10,718.12
Rate for Payer: Aetna CHP/Medicaid	$10,718.12
Rate for Payer: Humana OH Medicaid	$10,718.12

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$7,080.45

Service Code	APR-DRG 3432
Min. Negotiated Rate	$7,080.45
Max. Negotiated Rate	$7,080.45
Rate for Payer: Aetna CHP/Medicaid	$7,080.45
Rate for Payer: Humana OH Medicaid	$7,080.45

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$16,694.28

Service Code	APR-DRG 3434
Min. Negotiated Rate	$16,694.28
Max. Negotiated Rate	$16,694.28
Rate for Payer: Aetna CHP/Medicaid	$16,694.28
Rate for Payer: Humana OH Medicaid	$16,694.28

APR-DRG 42.00: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY

Facility

$5,976.16

Service Code	APR-DRG 3431
Min. Negotiated Rate	$5,976.16
Max. Negotiated Rate	$5,976.16
Rate for Payer: Aetna CHP/Medicaid	$5,976.16
Rate for Payer: Humana OH Medicaid	$5,976.16

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$60,021.47

Service Code	APR-DRG 8634
Min. Negotiated Rate	$60,021.47
Max. Negotiated Rate	$60,021.47
Rate for Payer: Aetna CHP/Medicaid	$60,021.47
Rate for Payer: Humana OH Medicaid	$60,021.47

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$8,704.41

Service Code	APR-DRG 8631
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: NEONATAL AFTERCARE

Facility

$15,849.83

Service Code	APR-DRG 8632
Min. Negotiated Rate	$15,849.83
Max. Negotiated Rate	$15,849.83
Rate for Payer: Aetna CHP/Medicaid	$15,849.83
Rate for Payer: Humana OH Medicaid	$15,849.83

APR-DRG 42.00: NEONATAL AFTERCARE

Facility

$30,725.28

Service Code	APR-DRG 8633
Min. Negotiated Rate	$30,725.28
Max. Negotiated Rate	$30,725.28
Rate for Payer: Aetna CHP/Medicaid	$30,725.28
Rate for Payer: Humana OH Medicaid	$30,725.28

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$39,559.60

Service Code	APR-DRG 6033
Min. Negotiated Rate	$39,559.60
Max. Negotiated Rate	$39,559.60
Rate for Payer: Aetna CHP/Medicaid	$39,559.60
Rate for Payer: Humana OH Medicaid	$39,559.60

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$69,830.17

Service Code	APR-DRG 6034
Min. Negotiated Rate	$69,830.17
Max. Negotiated Rate	$69,830.17
Rate for Payer: Aetna CHP/Medicaid	$69,830.17
Rate for Payer: Humana OH Medicaid	$69,830.17

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$5,261.62

Service Code	APR-DRG 6031
Min. Negotiated Rate	$5,261.62
Max. Negotiated Rate	$5,261.62
Rate for Payer: Aetna CHP/Medicaid	$5,261.62
Rate for Payer: Humana OH Medicaid	$5,261.62

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$32,284.28

Service Code	APR-DRG 6032
Min. Negotiated Rate	$32,284.28
Max. Negotiated Rate	$32,284.28
Rate for Payer: Aetna CHP/Medicaid	$32,284.28
Rate for Payer: Humana OH Medicaid	$32,284.28

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$66,322.42

Service Code	APR-DRG 6023
Min. Negotiated Rate	$66,322.42
Max. Negotiated Rate	$66,322.42
Rate for Payer: Aetna CHP/Medicaid	$66,322.42
Rate for Payer: Humana OH Medicaid	$66,322.42

Know your out-of-pocket cost for care.

All Charges