Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$23,449.95

Service Code	APR-DRG 6122
Min. Negotiated Rate	$23,449.95
Max. Negotiated Rate	$23,449.95
Rate for Payer: Aetna CHP/Medicaid	$23,449.95
Rate for Payer: Humana OH Medicaid	$23,449.95

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

Facility

$48,328.98

Service Code	APR-DRG 6124
Min. Negotiated Rate	$48,328.98
Max. Negotiated Rate	$48,328.98
Rate for Payer: Aetna CHP/Medicaid	$48,328.98
Rate for Payer: Humana OH Medicaid	$48,328.98

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$27,867.11

Service Code	APR-DRG 6091
Min. Negotiated Rate	$27,867.11
Max. Negotiated Rate	$27,867.11
Rate for Payer: Aetna CHP/Medicaid	$27,867.11
Rate for Payer: Humana OH Medicaid	$27,867.11

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$34,687.73

Service Code	APR-DRG 6092
Min. Negotiated Rate	$34,687.73
Max. Negotiated Rate	$34,687.73
Rate for Payer: Aetna CHP/Medicaid	$34,687.73
Rate for Payer: Humana OH Medicaid	$34,687.73

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$153,171.67

Service Code	APR-DRG 6094
Min. Negotiated Rate	$153,171.67
Max. Negotiated Rate	$153,171.67
Rate for Payer: Aetna CHP/Medicaid	$153,171.67
Rate for Payer: Humana OH Medicaid	$153,171.67

APR-DRG 42.00: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$53,135.89

Service Code	APR-DRG 6093
Min. Negotiated Rate	$53,135.89
Max. Negotiated Rate	$53,135.89
Rate for Payer: Aetna CHP/Medicaid	$53,135.89
Rate for Payer: Humana OH Medicaid	$53,135.89

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$125,499.44

Service Code	APR-DRG 5882
Min. Negotiated Rate	$125,499.44
Max. Negotiated Rate	$125,499.44
Rate for Payer: Aetna CHP/Medicaid	$125,499.44
Rate for Payer: Humana OH Medicaid	$125,499.44

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$219,883.85

Service Code	APR-DRG 5884
Min. Negotiated Rate	$219,883.85
Max. Negotiated Rate	$219,883.85
Rate for Payer: Aetna CHP/Medicaid	$219,883.85
Rate for Payer: Humana OH Medicaid	$219,883.85

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$146,416.01

Service Code	APR-DRG 5883
Min. Negotiated Rate	$146,416.01
Max. Negotiated Rate	$146,416.01
Rate for Payer: Aetna CHP/Medicaid	$146,416.01
Rate for Payer: Humana OH Medicaid	$146,416.01

APR-DRG 42.00: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$107,570.94

Service Code	APR-DRG 5881
Min. Negotiated Rate	$107,570.94
Max. Negotiated Rate	$107,570.94
Rate for Payer: Aetna CHP/Medicaid	$107,570.94
Rate for Payer: Humana OH Medicaid	$107,570.94

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$974.37

Service Code	APR-DRG 6261
Min. Negotiated Rate	$974.37
Max. Negotiated Rate	$974.37
Rate for Payer: Aetna CHP/Medicaid	$974.37
Rate for Payer: Humana OH Medicaid	$974.37

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$12,407.04

Service Code	APR-DRG 6264
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 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$2,143.62

Service Code	APR-DRG 6262
Min. Negotiated Rate	$2,143.62
Max. Negotiated Rate	$2,143.62
Rate for Payer: Aetna CHP/Medicaid	$2,143.62
Rate for Payer: Humana OH Medicaid	$2,143.62

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$6,171.04

Service Code	APR-DRG 6263
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$33,908.23

Service Code	APR-DRG 6234
Min. Negotiated Rate	$33,908.23
Max. Negotiated Rate	$33,908.23
Rate for Payer: Aetna CHP/Medicaid	$33,908.23
Rate for Payer: Humana OH Medicaid	$33,908.23

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$25,463.65

Service Code	APR-DRG 6233
Min. Negotiated Rate	$25,463.65
Max. Negotiated Rate	$25,463.65
Rate for Payer: Aetna CHP/Medicaid	$25,463.65
Rate for Payer: Humana OH Medicaid	$25,463.65

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$7,405.25

Service Code	APR-DRG 6231
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$12,796.79

Service Code	APR-DRG 6232
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: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$11,952.33

Service Code	APR-DRG 6212
Min. Negotiated Rate	$11,952.33
Max. Negotiated Rate	$11,952.33
Rate for Payer: Aetna CHP/Medicaid	$11,952.33
Rate for Payer: Humana OH Medicaid	$11,952.33

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$3,962.46

Service Code	APR-DRG 6211
Min. Negotiated Rate	$3,962.46
Max. Negotiated Rate	$3,962.46
Rate for Payer: Aetna CHP/Medicaid	$3,962.46
Rate for Payer: Humana OH Medicaid	$3,962.46

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$23,839.70

Service Code	APR-DRG 6213
Min. Negotiated Rate	$23,839.70
Max. Negotiated Rate	$23,839.70
Rate for Payer: Aetna CHP/Medicaid	$23,839.70
Rate for Payer: Humana OH Medicaid	$23,839.70

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY

Facility

$47,419.56

Service Code	APR-DRG 6214
Min. Negotiated Rate	$47,419.56
Max. Negotiated Rate	$47,419.56
Rate for Payer: Aetna CHP/Medicaid	$47,419.56
Rate for Payer: Humana OH Medicaid	$47,419.56

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$11,627.54

Service Code	APR-DRG 6252
Min. Negotiated Rate	$11,627.54
Max. Negotiated Rate	$11,627.54
Rate for Payer: Aetna CHP/Medicaid	$11,627.54
Rate for Payer: Humana OH Medicaid	$11,627.54

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$7,989.87

Service Code	APR-DRG 6251
Min. Negotiated Rate	$7,989.87
Max. Negotiated Rate	$7,989.87
Rate for Payer: Aetna CHP/Medicaid	$7,989.87
Rate for Payer: Humana OH Medicaid	$7,989.87

APR-DRG 42.00: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$19,292.62

Service Code	APR-DRG 6253
Min. Negotiated Rate	$19,292.62
Max. Negotiated Rate	$19,292.62
Rate for Payer: Aetna CHP/Medicaid	$19,292.62
Rate for Payer: Humana OH Medicaid	$19,292.62

Know your out-of-pocket cost for care.

All Charges