Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$7,340.29

Service Code	APR-DRG 8623
Min. Negotiated Rate	$7,340.29
Max. Negotiated Rate	$7,340.29
Rate for Payer: Aetna CHP/Medicaid	$7,340.29
Rate for Payer: Humana OH Medicaid	$7,340.29

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$7,340.29

Service Code	APR-DRG 8624
Min. Negotiated Rate	$7,340.29
Max. Negotiated Rate	$7,340.29
Rate for Payer: Aetna CHP/Medicaid	$7,340.29
Rate for Payer: Humana OH Medicaid	$7,340.29

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$2,533.37

Service Code	APR-DRG 8621
Min. Negotiated Rate	$2,533.37
Max. Negotiated Rate	$2,533.37
Rate for Payer: Aetna CHP/Medicaid	$2,533.37
Rate for Payer: Humana OH Medicaid	$2,533.37

APR-DRG 42.00: OTHER AFTERCARE AND CONVALESCENCE

Facility

$5,781.29

Service Code	APR-DRG 8622
Min. Negotiated Rate	$5,781.29
Max. Negotiated Rate	$5,781.29
Rate for Payer: Aetna CHP/Medicaid	$5,781.29
Rate for Payer: Humana OH Medicaid	$5,781.29

APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$7,730.04

Service Code	APR-DRG 2533
Min. Negotiated Rate	$7,730.04
Max. Negotiated Rate	$7,730.04
Rate for Payer: Aetna CHP/Medicaid	$7,730.04
Rate for Payer: Humana OH Medicaid	$7,730.04

APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$5,131.71

Service Code	APR-DRG 2532
Min. Negotiated Rate	$5,131.71
Max. Negotiated Rate	$5,131.71
Rate for Payer: Aetna CHP/Medicaid	$5,131.71
Rate for Payer: Humana OH Medicaid	$5,131.71

APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$13,316.45

Service Code	APR-DRG 2534
Min. Negotiated Rate	$13,316.45
Max. Negotiated Rate	$13,316.45
Rate for Payer: Aetna CHP/Medicaid	$13,316.45
Rate for Payer: Humana OH Medicaid	$13,316.45

APR-DRG 42.00: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$3,962.46

Service Code	APR-DRG 2531
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: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$7,145.41

Service Code	APR-DRG 6633
Min. Negotiated Rate	$7,145.41
Max. Negotiated Rate	$7,145.41
Rate for Payer: Aetna CHP/Medicaid	$7,145.41
Rate for Payer: Humana OH Medicaid	$7,145.41

APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$5,066.75

Service Code	APR-DRG 6632
Min. Negotiated Rate	$5,066.75
Max. Negotiated Rate	$5,066.75
Rate for Payer: Aetna CHP/Medicaid	$5,066.75
Rate for Payer: Humana OH Medicaid	$5,066.75

APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$3,637.66

Service Code	APR-DRG 6631
Min. Negotiated Rate	$3,637.66
Max. Negotiated Rate	$3,637.66
Rate for Payer: Aetna CHP/Medicaid	$3,637.66
Rate for Payer: Humana OH Medicaid	$3,637.66

APR-DRG 42.00: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$12,536.95

Service Code	APR-DRG 6634
Min. Negotiated Rate	$12,536.95
Max. Negotiated Rate	$12,536.95
Rate for Payer: Aetna CHP/Medicaid	$12,536.95
Rate for Payer: Humana OH Medicaid	$12,536.95

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$13,966.03

Service Code	APR-DRG 3474
Min. Negotiated Rate	$13,966.03
Max. Negotiated Rate	$13,966.03
Rate for Payer: Aetna CHP/Medicaid	$13,966.03
Rate for Payer: Humana OH Medicaid	$13,966.03

APR-DRG 42.00: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$4,677.00

Service Code	APR-DRG 3471
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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$8,444.58

Service Code	APR-DRG 3473
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: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$5,976.16

Service Code	APR-DRG 3472
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: OTHER BLADDER PROCEDURES

Facility

$13,446.37

Service Code	APR-DRG 4453
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

APR-DRG 42.00: OTHER BLADDER PROCEDURES

Facility

$20,137.07

Service Code	APR-DRG 4454
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: OTHER BLADDER PROCEDURES

Facility

$7,145.41

Service Code	APR-DRG 4451
Min. Negotiated Rate	$7,145.41
Max. Negotiated Rate	$7,145.41
Rate for Payer: Aetna CHP/Medicaid	$7,145.41
Rate for Payer: Humana OH Medicaid	$7,145.41

APR-DRG 42.00: OTHER BLADDER PROCEDURES

Facility

$9,873.66

Service Code	APR-DRG 4452
Min. Negotiated Rate	$9,873.66
Max. Negotiated Rate	$9,873.66
Rate for Payer: Aetna CHP/Medicaid	$9,873.66
Rate for Payer: Humana OH Medicaid	$9,873.66

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$45,535.77

Service Code	APR-DRG 1674
Min. Negotiated Rate	$45,535.77
Max. Negotiated Rate	$45,535.77
Rate for Payer: Aetna CHP/Medicaid	$45,535.77
Rate for Payer: Humana OH Medicaid	$45,535.77

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$16,759.24

Service Code	APR-DRG 1671
Min. Negotiated Rate	$16,759.24
Max. Negotiated Rate	$16,759.24
Rate for Payer: Aetna CHP/Medicaid	$16,759.24
Rate for Payer: Humana OH Medicaid	$16,759.24

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$21,176.41

Service Code	APR-DRG 1672
Min. Negotiated Rate	$21,176.41
Max. Negotiated Rate	$21,176.41
Rate for Payer: Aetna CHP/Medicaid	$21,176.41
Rate for Payer: Humana OH Medicaid	$21,176.41

APR-DRG 42.00: OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$28,906.44

Service Code	APR-DRG 1673
Min. Negotiated Rate	$28,906.44
Max. Negotiated Rate	$28,906.44
Rate for Payer: Aetna CHP/Medicaid	$28,906.44
Rate for Payer: Humana OH Medicaid	$28,906.44

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$6,365.91

Service Code	APR-DRG 6962
Min. Negotiated Rate	$6,365.91
Max. Negotiated Rate	$6,365.91
Rate for Payer: Aetna CHP/Medicaid	$6,365.91
Rate for Payer: Humana OH Medicaid	$6,365.91

Know your out-of-pocket cost for care.

All Charges