Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$1,948.75

Service Code	APR-DRG 5801
Min. Negotiated Rate	$1,948.75
Max. Negotiated Rate	$1,948.75
Rate for Payer: Aetna CHP/Medicaid	$1,948.75
Rate for Payer: Humana OH Medicaid	$1,948.75

APR-DRG 42.00: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$5,976.16

Service Code	APR-DRG 5803
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: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE

Facility

$3,053.04

Service Code	APR-DRG 5802
Min. Negotiated Rate	$3,053.04
Max. Negotiated Rate	$3,053.04
Rate for Payer: Aetna CHP/Medicaid	$3,053.04
Rate for Payer: Humana OH Medicaid	$3,053.04

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$140,894.55

Service Code	APR-DRG 5831
Min. Negotiated Rate	$140,894.55
Max. Negotiated Rate	$140,894.55
Rate for Payer: Aetna CHP/Medicaid	$140,894.55
Rate for Payer: Humana OH Medicaid	$140,894.55

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$157,004.21

Service Code	APR-DRG 5832
Min. Negotiated Rate	$157,004.21
Max. Negotiated Rate	$157,004.21
Rate for Payer: Aetna CHP/Medicaid	$157,004.21
Rate for Payer: Humana OH Medicaid	$157,004.21

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$358,959.57

Service Code	APR-DRG 5834
Min. Negotiated Rate	$358,959.57
Max. Negotiated Rate	$358,959.57
Rate for Payer: Aetna CHP/Medicaid	$358,959.57
Rate for Payer: Humana OH Medicaid	$358,959.57

APR-DRG 42.00: NEONATE WITH ECMO

Facility

$204,423.77

Service Code	APR-DRG 5833
Min. Negotiated Rate	$204,423.77
Max. Negotiated Rate	$204,423.77
Rate for Payer: Aetna CHP/Medicaid	$204,423.77
Rate for Payer: Humana OH Medicaid	$204,423.77

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$10,003.58

Service Code	APR-DRG 4623
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: NEPHRITIS AND NEPHROSIS

Facility

$5,326.58

Service Code	APR-DRG 4622
Min. Negotiated Rate	$5,326.58
Max. Negotiated Rate	$5,326.58
Rate for Payer: Aetna CHP/Medicaid	$5,326.58
Rate for Payer: Humana OH Medicaid	$5,326.58

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$3,767.58

Service Code	APR-DRG 4621
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

APR-DRG 42.00: NEPHRITIS AND NEPHROSIS

Facility

$17,863.53

Service Code	APR-DRG 4624
Min. Negotiated Rate	$17,863.53
Max. Negotiated Rate	$17,863.53
Rate for Payer: Aetna CHP/Medicaid	$17,863.53
Rate for Payer: Humana OH Medicaid	$17,863.53

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$6,625.75

Service Code	APR-DRG 0412
Min. Negotiated Rate	$6,625.75
Max. Negotiated Rate	$6,625.75
Rate for Payer: Aetna CHP/Medicaid	$6,625.75
Rate for Payer: Humana OH Medicaid	$6,625.75

APR-DRG 42.00: NERVOUS SYSTEM MALIGNANCY

Facility

$9,159.12

Service Code	APR-DRG 0413
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: NERVOUS SYSTEM MALIGNANCY

Facility

$13,186.53

Service Code	APR-DRG 0414
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: NERVOUS SYSTEM MALIGNANCY

Facility

$5,716.33

Service Code	APR-DRG 0411
Min. Negotiated Rate	$5,716.33
Max. Negotiated Rate	$5,716.33
Rate for Payer: Aetna CHP/Medicaid	$5,716.33
Rate for Payer: Humana OH Medicaid	$5,716.33

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$24,749.11

Service Code	APR-DRG 0504
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$9,483.91

Service Code	APR-DRG 0502
Min. Negotiated Rate	$9,483.91
Max. Negotiated Rate	$9,483.91
Rate for Payer: Aetna CHP/Medicaid	$9,483.91
Rate for Payer: Humana OH Medicaid	$9,483.91

APR-DRG 42.00: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$14,420.74

Service Code	APR-DRG 0503
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS

Facility

$5,261.62

Service Code	APR-DRG 0501
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: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$10,198.45

Service Code	APR-DRG 3231
Min. Negotiated Rate	$10,198.45
Max. Negotiated Rate	$10,198.45
Rate for Payer: Aetna CHP/Medicaid	$10,198.45
Rate for Payer: Humana OH Medicaid	$10,198.45

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$16,564.37

Service Code	APR-DRG 3233
Min. Negotiated Rate	$16,564.37
Max. Negotiated Rate	$16,564.37
Rate for Payer: Aetna CHP/Medicaid	$16,564.37
Rate for Payer: Humana OH Medicaid	$16,564.37

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$12,342.08

Service Code	APR-DRG 3232
Min. Negotiated Rate	$12,342.08
Max. Negotiated Rate	$12,342.08
Rate for Payer: Aetna CHP/Medicaid	$12,342.08
Rate for Payer: Humana OH Medicaid	$12,342.08

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$23,190.11

Service Code	APR-DRG 3234
Min. Negotiated Rate	$23,190.11
Max. Negotiated Rate	$23,190.11
Rate for Payer: Aetna CHP/Medicaid	$23,190.11
Rate for Payer: Humana OH Medicaid	$23,190.11

APR-DRG 42.00: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$16,694.28

Service Code	APR-DRG 3252
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: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$13,446.37

Service Code	APR-DRG 3251
Min. Negotiated Rate	$13,446.37
Max. Negotiated Rate	$13,446.37
Rate for Payer: Aetna CHP/Medicaid	$13,446.37
Rate for Payer: Humana OH Medicaid	$13,446.37

Know your out-of-pocket cost for care.

All Charges