Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$5,326.58

Service Code	APR-DRG 0581
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: 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 THE LIVER

Facility

$5,326.58

Service Code	APR-DRG 2832
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: OTHER DISORDERS OF THE LIVER

Facility

$15,135.28

Service Code	APR-DRG 2834
Min. Negotiated Rate	$15,135.28
Max. Negotiated Rate	$15,135.28
Rate for Payer: Aetna CHP/Medicaid	$15,135.28
Rate for Payer: Humana OH Medicaid	$15,135.28

APR-DRG 42.00: OTHER DISORDERS OF THE LIVER

Facility

$3,832.54

Service Code	APR-DRG 2831
Min. Negotiated Rate	$3,832.54
Max. Negotiated Rate	$3,832.54
Rate for Payer: Aetna CHP/Medicaid	$3,832.54
Rate for Payer: Humana OH Medicaid	$3,832.54

APR-DRG 42.00: OTHER DISORDERS OF THE LIVER

Facility

$8,119.79

Service Code	APR-DRG 2833
Min. Negotiated Rate	$8,119.79
Max. Negotiated Rate	$8,119.79
Rate for Payer: Aetna CHP/Medicaid	$8,119.79
Rate for Payer: Humana OH Medicaid	$8,119.79

APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$6,171.04

Service Code	APR-DRG 7763
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: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$2,403.46

Service Code	APR-DRG 7761
Min. Negotiated Rate	$2,403.46
Max. Negotiated Rate	$2,403.46
Rate for Payer: Aetna CHP/Medicaid	$2,403.46
Rate for Payer: Humana OH Medicaid	$2,403.46

APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$11,757.45

Service Code	APR-DRG 7764
Min. Negotiated Rate	$11,757.45
Max. Negotiated Rate	$11,757.45
Rate for Payer: Aetna CHP/Medicaid	$11,757.45
Rate for Payer: Humana OH Medicaid	$11,757.45

APR-DRG 42.00: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$3,247.91

Service Code	APR-DRG 7762
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: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$5,196.66

Service Code	APR-DRG 1152
Min. Negotiated Rate	$5,196.66
Max. Negotiated Rate	$5,196.66
Rate for Payer: Aetna CHP/Medicaid	$5,196.66
Rate for Payer: Humana OH Medicaid	$5,196.66

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$3,507.75

Service Code	APR-DRG 1151
Min. Negotiated Rate	$3,507.75
Max. Negotiated Rate	$3,507.75
Rate for Payer: Aetna CHP/Medicaid	$3,507.75
Rate for Payer: Humana OH Medicaid	$3,507.75

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$7,730.04

Service Code	APR-DRG 1153
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 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$14,355.78

Service Code	APR-DRG 1154
Min. Negotiated Rate	$14,355.78
Max. Negotiated Rate	$14,355.78
Rate for Payer: Aetna CHP/Medicaid	$14,355.78
Rate for Payer: Humana OH Medicaid	$14,355.78

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$6,171.04

Service Code	APR-DRG 0981
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: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$25,203.82

Service Code	APR-DRG 0984
Min. Negotiated Rate	$25,203.82
Max. Negotiated Rate	$25,203.82
Rate for Payer: Aetna CHP/Medicaid	$25,203.82
Rate for Payer: Humana OH Medicaid	$25,203.82

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$15,719.91

Service Code	APR-DRG 0983
Min. Negotiated Rate	$15,719.91
Max. Negotiated Rate	$15,719.91
Rate for Payer: Aetna CHP/Medicaid	$15,719.91
Rate for Payer: Humana OH Medicaid	$15,719.91

APR-DRG 42.00: OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$10,263.41

Service Code	APR-DRG 0982
Min. Negotiated Rate	$10,263.41
Max. Negotiated Rate	$10,263.41
Rate for Payer: Aetna CHP/Medicaid	$10,263.41
Rate for Payer: Humana OH Medicaid	$10,263.41

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$5,651.37

Service Code	APR-DRG 4242
Min. Negotiated Rate	$5,651.37
Max. Negotiated Rate	$5,651.37
Rate for Payer: Aetna CHP/Medicaid	$5,651.37
Rate for Payer: Humana OH Medicaid	$5,651.37

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$8,509.54

Service Code	APR-DRG 4243
Min. Negotiated Rate	$8,509.54
Max. Negotiated Rate	$8,509.54
Rate for Payer: Aetna CHP/Medicaid	$8,509.54
Rate for Payer: Humana OH Medicaid	$8,509.54

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$13,771.16

Service Code	APR-DRG 4244
Min. Negotiated Rate	$13,771.16
Max. Negotiated Rate	$13,771.16
Rate for Payer: Aetna CHP/Medicaid	$13,771.16
Rate for Payer: Humana OH Medicaid	$13,771.16

APR-DRG 42.00: OTHER ENDOCRINE DISORDERS

Facility

$3,897.50

Service Code	APR-DRG 4241
Min. Negotiated Rate	$3,897.50
Max. Negotiated Rate	$3,897.50
Rate for Payer: Aetna CHP/Medicaid	$3,897.50
Rate for Payer: Humana OH Medicaid	$3,897.50

APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS

Facility

$4,157.33

Service Code	APR-DRG 2431
Min. Negotiated Rate	$4,157.33
Max. Negotiated Rate	$4,157.33
Rate for Payer: Aetna CHP/Medicaid	$4,157.33
Rate for Payer: Humana OH Medicaid	$4,157.33

APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS

Facility

$5,391.54

Service Code	APR-DRG 2432
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 ESOPHAGEAL DISORDERS

Facility

$14,030.99

Service Code	APR-DRG 2434
Min. Negotiated Rate	$14,030.99
Max. Negotiated Rate	$14,030.99
Rate for Payer: Aetna CHP/Medicaid	$14,030.99
Rate for Payer: Humana OH Medicaid	$14,030.99

Know your out-of-pocket cost for care.

All Charges