Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER ESOPHAGEAL DISORDERS

Facility

$7,600.12

Service Code	APR-DRG 2433
Min. Negotiated Rate	$7,600.12
Max. Negotiated Rate	$7,600.12
Rate for Payer: Aetna CHP/Medicaid	$7,600.12
Rate for Payer: Humana OH Medicaid	$7,600.12

APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$5,976.16

Service Code	APR-DRG 5181
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 FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$26,048.28

Service Code	APR-DRG 5184
Min. Negotiated Rate	$26,048.28
Max. Negotiated Rate	$26,048.28
Rate for Payer: Aetna CHP/Medicaid	$26,048.28
Rate for Payer: Humana OH Medicaid	$26,048.28

APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$9,938.62

Service Code	APR-DRG 5182
Min. Negotiated Rate	$9,938.62
Max. Negotiated Rate	$9,938.62
Rate for Payer: Aetna CHP/Medicaid	$9,938.62
Rate for Payer: Humana OH Medicaid	$9,938.62

APR-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$15,719.91

Service Code	APR-DRG 5183
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 GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$4,222.29

Service Code	APR-DRG 2492
Min. Negotiated Rate	$4,222.29
Max. Negotiated Rate	$4,222.29
Rate for Payer: Aetna CHP/Medicaid	$4,222.29
Rate for Payer: Humana OH Medicaid	$4,222.29

APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$6,236.00

Service Code	APR-DRG 2493
Min. Negotiated Rate	$6,236.00
Max. Negotiated Rate	$6,236.00
Rate for Payer: Aetna CHP/Medicaid	$6,236.00
Rate for Payer: Humana OH Medicaid	$6,236.00

APR-DRG 42.00: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$11,497.62

Service Code	APR-DRG 2494
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: OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$3,377.83

Service Code	APR-DRG 2491
Min. Negotiated Rate	$3,377.83
Max. Negotiated Rate	$3,377.83
Rate for Payer: Aetna CHP/Medicaid	$3,377.83
Rate for Payer: Humana OH Medicaid	$3,377.83

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$32,868.90

Service Code	APR-DRG 5204
Min. Negotiated Rate	$32,868.90
Max. Negotiated Rate	$32,868.90
Rate for Payer: Aetna CHP/Medicaid	$32,868.90
Rate for Payer: Humana OH Medicaid	$32,868.90

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$8,899.29

Service Code	APR-DRG 5201
Min. Negotiated Rate	$8,899.29
Max. Negotiated Rate	$8,899.29
Rate for Payer: Aetna CHP/Medicaid	$8,899.29
Rate for Payer: Humana OH Medicaid	$8,899.29

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$17,473.78

Service Code	APR-DRG 5203
Min. Negotiated Rate	$17,473.78
Max. Negotiated Rate	$17,473.78
Rate for Payer: Aetna CHP/Medicaid	$17,473.78
Rate for Payer: Humana OH Medicaid	$17,473.78

APR-DRG 42.00: OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$11,367.70

Service Code	APR-DRG 5202
Min. Negotiated Rate	$11,367.70
Max. Negotiated Rate	$11,367.70
Rate for Payer: Aetna CHP/Medicaid	$11,367.70
Rate for Payer: Humana OH Medicaid	$11,367.70

APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$10,977.95

Service Code	APR-DRG 2642
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 HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$29,556.03

Service Code	APR-DRG 2644
Min. Negotiated Rate	$29,556.03
Max. Negotiated Rate	$29,556.03
Rate for Payer: Aetna CHP/Medicaid	$29,556.03
Rate for Payer: Humana OH Medicaid	$29,556.03

APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$8,704.41

Service Code	APR-DRG 2641
Min. Negotiated Rate	$8,704.41
Max. Negotiated Rate	$8,704.41
Rate for Payer: Aetna CHP/Medicaid	$8,704.41
Rate for Payer: Humana OH Medicaid	$8,704.41

APR-DRG 42.00: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$16,434.45

Service Code	APR-DRG 2643
Min. Negotiated Rate	$16,434.45
Max. Negotiated Rate	$16,434.45
Rate for Payer: Aetna CHP/Medicaid	$16,434.45
Rate for Payer: Humana OH Medicaid	$16,434.45

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$3,572.71

Service Code	APR-DRG 7241
Min. Negotiated Rate	$3,572.71
Max. Negotiated Rate	$3,572.71
Rate for Payer: Aetna CHP/Medicaid	$3,572.71
Rate for Payer: Humana OH Medicaid	$3,572.71

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$8,054.83

Service Code	APR-DRG 7243
Min. Negotiated Rate	$8,054.83
Max. Negotiated Rate	$8,054.83
Rate for Payer: Aetna CHP/Medicaid	$8,054.83
Rate for Payer: Humana OH Medicaid	$8,054.83

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$15,849.83

Service Code	APR-DRG 7244
Min. Negotiated Rate	$15,849.83
Max. Negotiated Rate	$15,849.83
Rate for Payer: Aetna CHP/Medicaid	$15,849.83
Rate for Payer: Humana OH Medicaid	$15,849.83

APR-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$5,131.71

Service Code	APR-DRG 7242
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 INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$16,109.66

Service Code	APR-DRG 8154
Min. Negotiated Rate	$16,109.66
Max. Negotiated Rate	$16,109.66
Rate for Payer: Aetna CHP/Medicaid	$16,109.66
Rate for Payer: Humana OH Medicaid	$16,109.66

APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$4,547.08

Service Code	APR-DRG 8152
Min. Negotiated Rate	$4,547.08
Max. Negotiated Rate	$4,547.08
Rate for Payer: Aetna CHP/Medicaid	$4,547.08
Rate for Payer: Humana OH Medicaid	$4,547.08

APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$7,600.12

Service Code	APR-DRG 8153
Min. Negotiated Rate	$7,600.12
Max. Negotiated Rate	$7,600.12
Rate for Payer: Aetna CHP/Medicaid	$7,600.12
Rate for Payer: Humana OH Medicaid	$7,600.12

APR-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$2,988.08

Service Code	APR-DRG 8151
Min. Negotiated Rate	$2,988.08
Max. Negotiated Rate	$2,988.08
Rate for Payer: Aetna CHP/Medicaid	$2,988.08
Rate for Payer: Humana OH Medicaid	$2,988.08

Know your out-of-pocket cost for care.

All Charges