Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$25,268.78

Service Code	APR-DRG 3254
Min. Negotiated Rate	$25,268.78
Max. Negotiated Rate	$25,268.78
Rate for Payer: Aetna CHP/Medicaid	$25,268.78
Rate for Payer: Humana OH Medicaid	$25,268.78

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-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$5,911.21

Service Code	APR-DRG 7941
Min. Negotiated Rate	$5,911.21
Max. Negotiated Rate	$5,911.21
Rate for Payer: Aetna CHP/Medicaid	$5,911.21
Rate for Payer: Humana OH Medicaid	$5,911.21

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$23,904.65

Service Code	APR-DRG 7944
Min. Negotiated Rate	$23,904.65
Max. Negotiated Rate	$23,904.65
Rate for Payer: Aetna CHP/Medicaid	$23,904.65
Rate for Payer: Humana OH Medicaid	$23,904.65

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$7,989.87

Service Code	APR-DRG 7942
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: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$11,497.62

Service Code	APR-DRG 7943
Min. Negotiated Rate	$11,497.62
Max. Negotiated Rate	$11,497.62
Rate for Payer: Aetna CHP/Medicaid	$11,497.62
Rate for Payer: Humana OH Medicaid	$11,497.62

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$6,625.75

Service Code	APR-DRG 9521
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: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$9,354.00

Service Code	APR-DRG 9522
Min. Negotiated Rate	$9,354.00
Max. Negotiated Rate	$9,354.00
Rate for Payer: Aetna CHP/Medicaid	$9,354.00
Rate for Payer: Humana OH Medicaid	$9,354.00

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$14,225.87

Service Code	APR-DRG 9523
Min. Negotiated Rate	$14,225.87
Max. Negotiated Rate	$14,225.87
Rate for Payer: Aetna CHP/Medicaid	$14,225.87
Rate for Payer: Humana OH Medicaid	$14,225.87

APR-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$24,749.11

Service Code	APR-DRG 9524
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-HYPOVOLEMIC SODIUM DISORDERS

Facility

$11,822.41

Service Code	APR-DRG 4264
Min. Negotiated Rate	$11,822.41
Max. Negotiated Rate	$11,822.41
Rate for Payer: Aetna CHP/Medicaid	$11,822.41
Rate for Payer: Humana OH Medicaid	$11,822.41

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$6,690.70

Service Code	APR-DRG 4263
Min. Negotiated Rate	$6,690.70
Max. Negotiated Rate	$6,690.70
Rate for Payer: Aetna CHP/Medicaid	$6,690.70
Rate for Payer: Humana OH Medicaid	$6,690.70

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$4,352.21

Service Code	APR-DRG 4262
Min. Negotiated Rate	$4,352.21
Max. Negotiated Rate	$4,352.21
Rate for Payer: Aetna CHP/Medicaid	$4,352.21
Rate for Payer: Humana OH Medicaid	$4,352.21

APR-DRG 42.00: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$3,247.91

Service Code	APR-DRG 4261
Min. Negotiated Rate	$3,247.91
Max. Negotiated Rate	$3,247.91
Rate for Payer: Aetna CHP/Medicaid	$3,247.91
Rate for Payer: Humana OH Medicaid	$3,247.91

APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$8,444.58

Service Code	APR-DRG 0463
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: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$6,495.83

Service Code	APR-DRG 0462
Min. Negotiated Rate	$6,495.83
Max. Negotiated Rate	$6,495.83
Rate for Payer: Aetna CHP/Medicaid	$6,495.83
Rate for Payer: Humana OH Medicaid	$6,495.83

APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$15,200.24

Service Code	APR-DRG 0464
Min. Negotiated Rate	$15,200.24
Max. Negotiated Rate	$15,200.24
Rate for Payer: Aetna CHP/Medicaid	$15,200.24
Rate for Payer: Humana OH Medicaid	$15,200.24

APR-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION

Facility

$5,261.62

Service Code	APR-DRG 0461
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: OBSESSIVE COMPULSIVE DISORDERS

Facility

$4,677.00

Service Code	APR-DRG 7622
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: OBSESSIVE COMPULSIVE DISORDERS

Facility

$7,470.20

Service Code	APR-DRG 7623
Min. Negotiated Rate	$7,470.20
Max. Negotiated Rate	$7,470.20
Rate for Payer: Aetna CHP/Medicaid	$7,470.20
Rate for Payer: Humana OH Medicaid	$7,470.20

APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS

Facility

$8,639.45

Service Code	APR-DRG 7624
Min. Negotiated Rate	$8,639.45
Max. Negotiated Rate	$8,639.45
Rate for Payer: Aetna CHP/Medicaid	$8,639.45
Rate for Payer: Humana OH Medicaid	$8,639.45

APR-DRG 42.00: OBSESSIVE COMPULSIVE DISORDERS

Facility

$3,962.46

Service Code	APR-DRG 7621
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: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$15,395.12

Service Code	APR-DRG 0211
Min. Negotiated Rate	$15,395.12
Max. Negotiated Rate	$15,395.12
Rate for Payer: Aetna CHP/Medicaid	$15,395.12
Rate for Payer: Humana OH Medicaid	$15,395.12

APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$40,014.31

Service Code	APR-DRG 0214
Min. Negotiated Rate	$40,014.31
Max. Negotiated Rate	$40,014.31
Rate for Payer: Aetna CHP/Medicaid	$40,014.31
Rate for Payer: Humana OH Medicaid	$40,014.31

APR-DRG 42.00: OPEN CRANIOTOMY EXCEPT TRAUMA

Facility

$28,126.94

Service Code	APR-DRG 0213
Min. Negotiated Rate	$28,126.94
Max. Negotiated Rate	$28,126.94
Rate for Payer: Aetna CHP/Medicaid	$28,126.94
Rate for Payer: Humana OH Medicaid	$28,126.94

Know your out-of-pocket cost for care.

All Charges