Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$10,328.37

Service Code	APR-DRG 6963
Min. Negotiated Rate	$10,328.37
Max. Negotiated Rate	$10,328.37
Rate for Payer: Aetna CHP/Medicaid	$10,328.37
Rate for Payer: Humana OH Medicaid	$10,328.37

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$18,967.82

Service Code	APR-DRG 6964
Min. Negotiated Rate	$18,967.82
Max. Negotiated Rate	$18,967.82
Rate for Payer: Aetna CHP/Medicaid	$18,967.82
Rate for Payer: Humana OH Medicaid	$18,967.82

APR-DRG 42.00: OTHER CHEMOTHERAPY

Facility

$5,066.75

Service Code	APR-DRG 6961
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 CIRCULATORY SYSTEM DIAGNOSES

Facility

$7,080.45

Service Code	APR-DRG 2073
Min. Negotiated Rate	$7,080.45
Max. Negotiated Rate	$7,080.45
Rate for Payer: Aetna CHP/Medicaid	$7,080.45
Rate for Payer: Humana OH Medicaid	$7,080.45

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$3,702.62

Service Code	APR-DRG 2071
Min. Negotiated Rate	$3,702.62
Max. Negotiated Rate	$3,702.62
Rate for Payer: Aetna CHP/Medicaid	$3,702.62
Rate for Payer: Humana OH Medicaid	$3,702.62

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$13,251.49

Service Code	APR-DRG 2074
Min. Negotiated Rate	$13,251.49
Max. Negotiated Rate	$13,251.49
Rate for Payer: Aetna CHP/Medicaid	$13,251.49
Rate for Payer: Humana OH Medicaid	$13,251.49

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$4,871.87

Service Code	APR-DRG 2072
Min. Negotiated Rate	$4,871.87
Max. Negotiated Rate	$4,871.87
Rate for Payer: Aetna CHP/Medicaid	$4,871.87
Rate for Payer: Humana OH Medicaid	$4,871.87

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$10,718.12

Service Code	APR-DRG 1802
Min. Negotiated Rate	$10,718.12
Max. Negotiated Rate	$10,718.12
Rate for Payer: Aetna CHP/Medicaid	$10,718.12
Rate for Payer: Humana OH Medicaid	$10,718.12

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$15,525.03

Service Code	APR-DRG 1803
Min. Negotiated Rate	$15,525.03
Max. Negotiated Rate	$15,525.03
Rate for Payer: Aetna CHP/Medicaid	$15,525.03
Rate for Payer: Humana OH Medicaid	$15,525.03

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$9,418.95

Service Code	APR-DRG 1801
Min. Negotiated Rate	$9,418.95
Max. Negotiated Rate	$9,418.95
Rate for Payer: Aetna CHP/Medicaid	$9,418.95
Rate for Payer: Humana OH Medicaid	$9,418.95

APR-DRG 42.00: OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$25,008.95

Service Code	APR-DRG 1804
Min. Negotiated Rate	$25,008.95
Max. Negotiated Rate	$25,008.95
Rate for Payer: Aetna CHP/Medicaid	$25,008.95
Rate for Payer: Humana OH Medicaid	$25,008.95

APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$5,391.54

Service Code	APR-DRG 8132
Min. Negotiated Rate	$5,391.54
Max. Negotiated Rate	$5,391.54
Rate for Payer: Aetna CHP/Medicaid	$5,391.54
Rate for Payer: Humana OH Medicaid	$5,391.54

APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$13,901.08

Service Code	APR-DRG 8134
Min. Negotiated Rate	$13,901.08
Max. Negotiated Rate	$13,901.08
Rate for Payer: Aetna CHP/Medicaid	$13,901.08
Rate for Payer: Humana OH Medicaid	$13,901.08

APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$7,859.95

Service Code	APR-DRG 8133
Min. Negotiated Rate	$7,859.95
Max. Negotiated Rate	$7,859.95
Rate for Payer: Aetna CHP/Medicaid	$7,859.95
Rate for Payer: Humana OH Medicaid	$7,859.95

APR-DRG 42.00: OTHER COMPLICATIONS OF TREATMENT

Facility

$3,962.46

Service Code	APR-DRG 8131
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 DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$7,730.04

Service Code	APR-DRG 2291
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 DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$16,304.53

Service Code	APR-DRG 2293
Min. Negotiated Rate	$16,304.53
Max. Negotiated Rate	$16,304.53
Rate for Payer: Aetna CHP/Medicaid	$16,304.53
Rate for Payer: Humana OH Medicaid	$16,304.53

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$26,113.24

Service Code	APR-DRG 2294
Min. Negotiated Rate	$26,113.24
Max. Negotiated Rate	$26,113.24
Rate for Payer: Aetna CHP/Medicaid	$26,113.24
Rate for Payer: Humana OH Medicaid	$26,113.24

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$10,977.95

Service Code	APR-DRG 2292
Min. Negotiated Rate	$10,977.95
Max. Negotiated Rate	$10,977.95
Rate for Payer: Aetna CHP/Medicaid	$10,977.95
Rate for Payer: Humana OH Medicaid	$10,977.95

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$3,962.46

Service Code	APR-DRG 2541
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 DIGESTIVE SYSTEM DIAGNOSES

Facility

$12,926.70

Service Code	APR-DRG 2544
Min. Negotiated Rate	$12,926.70
Max. Negotiated Rate	$12,926.70
Rate for Payer: Aetna CHP/Medicaid	$12,926.70
Rate for Payer: Humana OH Medicaid	$12,926.70

APR-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$5,131.71

Service Code	APR-DRG 2542
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 DIGESTIVE SYSTEM DIAGNOSES

Facility

$7,665.08

Service Code	APR-DRG 2543
Min. Negotiated Rate	$7,665.08
Max. Negotiated Rate	$7,665.08
Rate for Payer: Aetna CHP/Medicaid	$7,665.08
Rate for Payer: Humana OH Medicaid	$7,665.08

APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$14,420.74

Service Code	APR-DRG 0584
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: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$7,730.04

Service Code	APR-DRG 0582
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

Know your out-of-pocket cost for care.

All Charges