Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$95,488.70

Service Code	APR-DRG 6024
Min. Negotiated Rate	$95,488.70
Max. Negotiated Rate	$95,488.70
Rate for Payer: Aetna CHP/Medicaid	$95,488.70
Rate for Payer: Humana OH Medicaid	$95,488.70

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

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

Facility

$39,494.65

Service Code	APR-DRG 6021
Min. Negotiated Rate	$39,494.65
Max. Negotiated Rate	$39,494.65
Rate for Payer: Aetna CHP/Medicaid	$39,494.65
Rate for Payer: Humana OH Medicaid	$39,494.65

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$25,138.86

Service Code	APR-DRG 6082
Min. Negotiated Rate	$25,138.86
Max. Negotiated Rate	$25,138.86
Rate for Payer: Aetna CHP/Medicaid	$25,138.86
Rate for Payer: Humana OH Medicaid	$25,138.86

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$14,485.70

Service Code	APR-DRG 6081
Min. Negotiated Rate	$14,485.70
Max. Negotiated Rate	$14,485.70
Rate for Payer: Aetna CHP/Medicaid	$14,485.70
Rate for Payer: Humana OH Medicaid	$14,485.70

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$42,092.98

Service Code	APR-DRG 6084
Min. Negotiated Rate	$42,092.98
Max. Negotiated Rate	$42,092.98
Rate for Payer: Aetna CHP/Medicaid	$42,092.98
Rate for Payer: Humana OH Medicaid	$42,092.98

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION

Facility

$36,311.69

Service Code	APR-DRG 6083
Min. Negotiated Rate	$36,311.69
Max. Negotiated Rate	$36,311.69
Rate for Payer: Aetna CHP/Medicaid	$36,311.69
Rate for Payer: Humana OH Medicaid	$36,311.69

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$73,792.63

Service Code	APR-DRG 6074
Min. Negotiated Rate	$73,792.63
Max. Negotiated Rate	$73,792.63
Rate for Payer: Aetna CHP/Medicaid	$73,792.63
Rate for Payer: Humana OH Medicaid	$73,792.63

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$50,602.52

Service Code	APR-DRG 6073
Min. Negotiated Rate	$50,602.52
Max. Negotiated Rate	$50,602.52
Rate for Payer: Aetna CHP/Medicaid	$50,602.52
Rate for Payer: Humana OH Medicaid	$50,602.52

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$37,805.73

Service Code	APR-DRG 6072
Min. Negotiated Rate	$37,805.73
Max. Negotiated Rate	$37,805.73
Rate for Payer: Aetna CHP/Medicaid	$37,805.73
Rate for Payer: Humana OH Medicaid	$37,805.73

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY

Facility

$27,022.65

Service Code	APR-DRG 6071
Min. Negotiated Rate	$27,022.65
Max. Negotiated Rate	$27,022.65
Rate for Payer: Aetna CHP/Medicaid	$27,022.65
Rate for Payer: Humana OH Medicaid	$27,022.65

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$32,868.90

Service Code	APR-DRG 6133
Min. Negotiated Rate	$32,868.90
Max. Negotiated Rate	$32,868.90
Rate for Payer: Aetna CHP/Medicaid	$32,868.90
Rate for Payer: Humana OH Medicaid	$32,868.90

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$60,800.97

Service Code	APR-DRG 6134
Min. Negotiated Rate	$60,800.97
Max. Negotiated Rate	$60,800.97
Rate for Payer: Aetna CHP/Medicaid	$60,800.97
Rate for Payer: Humana OH Medicaid	$60,800.97

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$19,357.57

Service Code	APR-DRG 6132
Min. Negotiated Rate	$19,357.57
Max. Negotiated Rate	$19,357.57
Rate for Payer: Aetna CHP/Medicaid	$19,357.57
Rate for Payer: Humana OH Medicaid	$19,357.57

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$12,407.04

Service Code	APR-DRG 6131
Min. Negotiated Rate	$12,407.04
Max. Negotiated Rate	$12,407.04
Rate for Payer: Aetna CHP/Medicaid	$12,407.04
Rate for Payer: Humana OH Medicaid	$12,407.04

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$10,523.24

Service Code	APR-DRG 6111
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$32,738.98

Service Code	APR-DRG 6113
Min. Negotiated Rate	$32,738.98
Max. Negotiated Rate	$32,738.98
Rate for Payer: Aetna CHP/Medicaid	$32,738.98
Rate for Payer: Humana OH Medicaid	$32,738.98

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$61,385.59

Service Code	APR-DRG 6114
Min. Negotiated Rate	$61,385.59
Max. Negotiated Rate	$61,385.59
Rate for Payer: Aetna CHP/Medicaid	$61,385.59
Rate for Payer: Humana OH Medicaid	$61,385.59

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$20,137.07

Service Code	APR-DRG 6112
Min. Negotiated Rate	$20,137.07
Max. Negotiated Rate	$20,137.07
Rate for Payer: Aetna CHP/Medicaid	$20,137.07
Rate for Payer: Humana OH Medicaid	$20,137.07

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$27,412.40

Service Code	APR-DRG 6143
Min. Negotiated Rate	$27,412.40
Max. Negotiated Rate	$27,412.40
Rate for Payer: Aetna CHP/Medicaid	$27,412.40
Rate for Payer: Humana OH Medicaid	$27,412.40

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$40,598.94

Service Code	APR-DRG 6144
Min. Negotiated Rate	$40,598.94
Max. Negotiated Rate	$40,598.94
Rate for Payer: Aetna CHP/Medicaid	$40,598.94
Rate for Payer: Humana OH Medicaid	$40,598.94

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$15,849.83

Service Code	APR-DRG 6142
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: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$8,184.75

Service Code	APR-DRG 6141
Min. Negotiated Rate	$8,184.75
Max. Negotiated Rate	$8,184.75
Rate for Payer: Aetna CHP/Medicaid	$8,184.75
Rate for Payer: Humana OH Medicaid	$8,184.75

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$16,174.62

Service Code	APR-DRG 6121
Min. Negotiated Rate	$16,174.62
Max. Negotiated Rate	$16,174.62
Rate for Payer: Aetna CHP/Medicaid	$16,174.62
Rate for Payer: Humana OH Medicaid	$16,174.62

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$33,518.48

Service Code	APR-DRG 6123
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

Know your out-of-pocket cost for care.

All Charges