Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$12,861.74

Service Code	APR-DRG 4684
Min. Negotiated Rate	$12,861.74
Max. Negotiated Rate	$12,861.74
Rate for Payer: Aetna CHP/Medicaid	$12,861.74
Rate for Payer: Humana OH Medicaid	$12,861.74

APR-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$3,637.66

Service Code	APR-DRG 4681
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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$4,677.00

Service Code	APR-DRG 4682
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 KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$7,275.33

Service Code	APR-DRG 4683
Min. Negotiated Rate	$7,275.33
Max. Negotiated Rate	$7,275.33
Rate for Payer: Aetna CHP/Medicaid	$7,275.33
Rate for Payer: Humana OH Medicaid	$7,275.33

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$27,802.15

Service Code	APR-DRG 4474
Min. Negotiated Rate	$27,802.15
Max. Negotiated Rate	$27,802.15
Rate for Payer: Aetna CHP/Medicaid	$27,802.15
Rate for Payer: Humana OH Medicaid	$27,802.15

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$10,653.16

Service Code	APR-DRG 4472
Min. Negotiated Rate	$10,653.16
Max. Negotiated Rate	$10,653.16
Rate for Payer: Aetna CHP/Medicaid	$10,653.16
Rate for Payer: Humana OH Medicaid	$10,653.16

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$8,639.45

Service Code	APR-DRG 4471
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: OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$15,914.78

Service Code	APR-DRG 4473
Min. Negotiated Rate	$15,914.78
Max. Negotiated Rate	$15,914.78
Rate for Payer: Aetna CHP/Medicaid	$15,914.78
Rate for Payer: Humana OH Medicaid	$15,914.78

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$13,511.33

Service Code	APR-DRG 4482
Min. Negotiated Rate	$13,511.33
Max. Negotiated Rate	$13,511.33
Rate for Payer: Aetna CHP/Medicaid	$13,511.33
Rate for Payer: Humana OH Medicaid	$13,511.33

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$9,029.20

Service Code	APR-DRG 4481
Min. Negotiated Rate	$9,029.20
Max. Negotiated Rate	$9,029.20
Rate for Payer: Aetna CHP/Medicaid	$9,029.20
Rate for Payer: Humana OH Medicaid	$9,029.20

APR-DRG 42.00: OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$16,304.53

Service Code	APR-DRG 4483
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 KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES

Facility

$27,542.32

Service Code	APR-DRG 4484
Min. Negotiated Rate	$27,542.32
Max. Negotiated Rate	$27,542.32
Rate for Payer: Aetna CHP/Medicaid	$27,542.32
Rate for Payer: Humana OH Medicaid	$27,542.32

APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$18,188.32

Service Code	APR-DRG 0912
Min. Negotiated Rate	$18,188.32
Max. Negotiated Rate	$18,188.32
Rate for Payer: Aetna CHP/Medicaid	$18,188.32
Rate for Payer: Humana OH Medicaid	$18,188.32

APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$27,152.57

Service Code	APR-DRG 0913
Min. Negotiated Rate	$27,152.57
Max. Negotiated Rate	$27,152.57
Rate for Payer: Aetna CHP/Medicaid	$27,152.57
Rate for Payer: Humana OH Medicaid	$27,152.57

APR-DRG 42.00: OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$11,367.70

Service Code	APR-DRG 0911
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 MAJOR HEAD AND NECK PROCEDURES

Facility

$40,663.90

Service Code	APR-DRG 0914
Min. Negotiated Rate	$40,663.90
Max. Negotiated Rate	$40,663.90
Rate for Payer: Aetna CHP/Medicaid	$40,663.90
Rate for Payer: Humana OH Medicaid	$40,663.90

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

Facility

$7,924.91

Service Code	APR-DRG 4841
Min. Negotiated Rate	$7,924.91
Max. Negotiated Rate	$7,924.91
Rate for Payer: Aetna CHP/Medicaid	$7,924.91
Rate for Payer: Humana OH Medicaid	$7,924.91

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

Facility

$28,516.69

Service Code	APR-DRG 4844
Min. Negotiated Rate	$28,516.69
Max. Negotiated Rate	$28,516.69
Rate for Payer: Aetna CHP/Medicaid	$28,516.69
Rate for Payer: Humana OH Medicaid	$28,516.69

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

Facility

$15,589.99

Service Code	APR-DRG 4843
Min. Negotiated Rate	$15,589.99
Max. Negotiated Rate	$15,589.99
Rate for Payer: Aetna CHP/Medicaid	$15,589.99
Rate for Payer: Humana OH Medicaid	$15,589.99

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

Facility

$9,743.75

Service Code	APR-DRG 4842
Min. Negotiated Rate	$9,743.75
Max. Negotiated Rate	$9,743.75
Rate for Payer: Aetna CHP/Medicaid	$9,743.75
Rate for Payer: Humana OH Medicaid	$9,743.75

APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$3,572.71

Service Code	APR-DRG 7601
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 MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$6,690.70

Service Code	APR-DRG 7603
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: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$4,287.25

Service Code	APR-DRG 7602
Min. Negotiated Rate	$4,287.25
Max. Negotiated Rate	$4,287.25
Rate for Payer: Aetna CHP/Medicaid	$4,287.25
Rate for Payer: Humana OH Medicaid	$4,287.25

APR-DRG 42.00: OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$13,641.24

Service Code	APR-DRG 7604
Min. Negotiated Rate	$13,641.24
Max. Negotiated Rate	$13,641.24
Rate for Payer: Aetna CHP/Medicaid	$13,641.24
Rate for Payer: Humana OH Medicaid	$13,641.24

APR-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$7,080.45

Service Code	APR-DRG 3513
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

Know your out-of-pocket cost for care.

All Charges