Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

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

Facility

$3,832.54

Service Code	APR-DRG 3511
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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$4,806.91

Service Code	APR-DRG 3512
Min. Negotiated Rate	$4,806.91
Max. Negotiated Rate	$4,806.91
Rate for Payer: Aetna CHP/Medicaid	$4,806.91
Rate for Payer: Humana OH Medicaid	$4,806.91

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

Facility

$10,912.99

Service Code	APR-DRG 3202
Min. Negotiated Rate	$10,912.99
Max. Negotiated Rate	$10,912.99
Rate for Payer: Aetna CHP/Medicaid	$10,912.99
Rate for Payer: Humana OH Medicaid	$10,912.99

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

Facility

$23,969.61

Service Code	APR-DRG 3204
Min. Negotiated Rate	$23,969.61
Max. Negotiated Rate	$23,969.61
Rate for Payer: Aetna CHP/Medicaid	$23,969.61
Rate for Payer: Humana OH Medicaid	$23,969.61

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

Facility

$15,719.91

Service Code	APR-DRG 3203
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 MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$7,795.00

Service Code	APR-DRG 3201
Min. Negotiated Rate	$7,795.00
Max. Negotiated Rate	$7,795.00
Rate for Payer: Aetna CHP/Medicaid	$7,795.00
Rate for Payer: Humana OH Medicaid	$7,795.00

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$28,386.78

Service Code	APR-DRG 0264
Min. Negotiated Rate	$28,386.78
Max. Negotiated Rate	$28,386.78
Rate for Payer: Aetna CHP/Medicaid	$28,386.78
Rate for Payer: Humana OH Medicaid	$28,386.78

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$9,159.12

Service Code	APR-DRG 0261
Min. Negotiated Rate	$9,159.12
Max. Negotiated Rate	$9,159.12
Rate for Payer: Aetna CHP/Medicaid	$9,159.12
Rate for Payer: Humana OH Medicaid	$9,159.12

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$18,123.37

Service Code	APR-DRG 0263
Min. Negotiated Rate	$18,123.37
Max. Negotiated Rate	$18,123.37
Rate for Payer: Aetna CHP/Medicaid	$18,123.37
Rate for Payer: Humana OH Medicaid	$18,123.37

APR-DRG 42.00: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$13,641.24

Service Code	APR-DRG 0262
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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$12,017.29

Service Code	APR-DRG 4254
Min. Negotiated Rate	$12,017.29
Max. Negotiated Rate	$12,017.29
Rate for Payer: Aetna CHP/Medicaid	$12,017.29
Rate for Payer: Humana OH Medicaid	$12,017.29

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$3,118.00

Service Code	APR-DRG 4251
Min. Negotiated Rate	$3,118.00
Max. Negotiated Rate	$3,118.00
Rate for Payer: Aetna CHP/Medicaid	$3,118.00
Rate for Payer: Humana OH Medicaid	$3,118.00

APR-DRG 42.00: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$4,157.33

Service Code	APR-DRG 4252
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 NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$6,106.08

Service Code	APR-DRG 4253
Min. Negotiated Rate	$6,106.08
Max. Negotiated Rate	$6,106.08
Rate for Payer: Aetna CHP/Medicaid	$6,106.08
Rate for Payer: Humana OH Medicaid	$6,106.08

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$23,644.82

Service Code	APR-DRG 0273
Min. Negotiated Rate	$23,644.82
Max. Negotiated Rate	$23,644.82
Rate for Payer: Aetna CHP/Medicaid	$23,644.82
Rate for Payer: Humana OH Medicaid	$23,644.82

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$16,239.58

Service Code	APR-DRG 0272
Min. Negotiated Rate	$16,239.58
Max. Negotiated Rate	$16,239.58
Rate for Payer: Aetna CHP/Medicaid	$16,239.58
Rate for Payer: Humana OH Medicaid	$16,239.58

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$11,822.41

Service Code	APR-DRG 0271
Min. Negotiated Rate	$11,822.41
Max. Negotiated Rate	$11,822.41
Rate for Payer: Aetna CHP/Medicaid	$11,822.41
Rate for Payer: Humana OH Medicaid	$11,822.41

APR-DRG 42.00: OTHER OPEN CRANIOTOMY

Facility

$33,648.40

Service Code	APR-DRG 0274
Min. Negotiated Rate	$33,648.40
Max. Negotiated Rate	$33,648.40
Rate for Payer: Aetna CHP/Medicaid	$33,648.40
Rate for Payer: Humana OH Medicaid	$33,648.40

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$35,921.94

Service Code	APR-DRG 6814
Min. Negotiated Rate	$35,921.94
Max. Negotiated Rate	$35,921.94
Rate for Payer: Aetna CHP/Medicaid	$35,921.94
Rate for Payer: Humana OH Medicaid	$35,921.94

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$17,993.45

Service Code	APR-DRG 6813
Min. Negotiated Rate	$17,993.45
Max. Negotiated Rate	$17,993.45
Rate for Payer: Aetna CHP/Medicaid	$17,993.45
Rate for Payer: Humana OH Medicaid	$17,993.45

APR-DRG 42.00: OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$8,509.54

Service Code	APR-DRG 6811
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 O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$11,432.66

Service Code	APR-DRG 6812
Min. Negotiated Rate	$11,432.66
Max. Negotiated Rate	$11,432.66
Rate for Payer: Aetna CHP/Medicaid	$11,432.66
Rate for Payer: Humana OH Medicaid	$11,432.66

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$11,887.37

Service Code	APR-DRG 0291
Min. Negotiated Rate	$11,887.37
Max. Negotiated Rate	$11,887.37
Rate for Payer: Aetna CHP/Medicaid	$11,887.37
Rate for Payer: Humana OH Medicaid	$11,887.37

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$21,371.28

Service Code	APR-DRG 0293
Min. Negotiated Rate	$21,371.28
Max. Negotiated Rate	$21,371.28
Rate for Payer: Aetna CHP/Medicaid	$21,371.28
Rate for Payer: Humana OH Medicaid	$21,371.28

Know your out-of-pocket cost for care.

All Charges