Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$28,516.69

Service Code	APR-DRG 0294
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 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 PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$13,186.53

Service Code	APR-DRG 1822
Min. Negotiated Rate	$13,186.53
Max. Negotiated Rate	$13,186.53
Rate for Payer: Aetna CHP/Medicaid	$13,186.53
Rate for Payer: Humana OH Medicaid	$13,186.53

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$10,718.12

Service Code	APR-DRG 1821
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 PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$16,824.20

Service Code	APR-DRG 1823
Min. Negotiated Rate	$16,824.20
Max. Negotiated Rate	$16,824.20
Rate for Payer: Aetna CHP/Medicaid	$16,824.20
Rate for Payer: Humana OH Medicaid	$16,824.20

APR-DRG 42.00: OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$26,308.11

Service Code	APR-DRG 1824
Min. Negotiated Rate	$26,308.11
Max. Negotiated Rate	$26,308.11
Rate for Payer: Aetna CHP/Medicaid	$26,308.11
Rate for Payer: Humana OH Medicaid	$26,308.11

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$4,287.25

Service Code	APR-DRG 1392
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 PNEUMONIA

Facility

$6,495.83

Service Code	APR-DRG 1393
Min. Negotiated Rate	$6,495.83
Max. Negotiated Rate	$6,495.83
Rate for Payer: Aetna CHP/Medicaid	$6,495.83
Rate for Payer: Humana OH Medicaid	$6,495.83

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$10,588.20

Service Code	APR-DRG 1394
Min. Negotiated Rate	$10,588.20
Max. Negotiated Rate	$10,588.20
Rate for Payer: Aetna CHP/Medicaid	$10,588.20
Rate for Payer: Humana OH Medicaid	$10,588.20

APR-DRG 42.00: OTHER PNEUMONIA

Facility

$3,118.00

Service Code	APR-DRG 1391
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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$15,525.03

Service Code	APR-DRG 4053
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 PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$10,393.33

Service Code	APR-DRG 4052
Min. Negotiated Rate	$10,393.33
Max. Negotiated Rate	$10,393.33
Rate for Payer: Aetna CHP/Medicaid	$10,393.33
Rate for Payer: Humana OH Medicaid	$10,393.33

APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$29,620.98

Service Code	APR-DRG 4054
Min. Negotiated Rate	$29,620.98
Max. Negotiated Rate	$29,620.98
Rate for Payer: Aetna CHP/Medicaid	$29,620.98
Rate for Payer: Humana OH Medicaid	$29,620.98

APR-DRG 42.00: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$8,574.50

Service Code	APR-DRG 4051
Min. Negotiated Rate	$8,574.50
Max. Negotiated Rate	$8,574.50
Rate for Payer: Aetna CHP/Medicaid	$8,574.50
Rate for Payer: Humana OH Medicaid	$8,574.50

APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$8,314.66

Service Code	APR-DRG 6511
Min. Negotiated Rate	$8,314.66
Max. Negotiated Rate	$8,314.66
Rate for Payer: Aetna CHP/Medicaid	$8,314.66
Rate for Payer: Humana OH Medicaid	$8,314.66

APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$30,855.19

Service Code	APR-DRG 6514
Min. Negotiated Rate	$30,855.19
Max. Negotiated Rate	$30,855.19
Rate for Payer: Aetna CHP/Medicaid	$30,855.19
Rate for Payer: Humana OH Medicaid	$30,855.19

APR-DRG 42.00: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$11,757.45

Service Code	APR-DRG 6512
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 PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$15,979.74

Service Code	APR-DRG 6513
Min. Negotiated Rate	$15,979.74
Max. Negotiated Rate	$15,979.74
Rate for Payer: Aetna CHP/Medicaid	$15,979.74
Rate for Payer: Humana OH Medicaid	$15,979.74

APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$9,418.95

Service Code	APR-DRG 1211
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 RESPIRATORY AND CHEST PROCEDURES

Facility

$30,140.65

Service Code	APR-DRG 1214
Min. Negotiated Rate	$30,140.65
Max. Negotiated Rate	$30,140.65
Rate for Payer: Aetna CHP/Medicaid	$30,140.65
Rate for Payer: Humana OH Medicaid	$30,140.65

APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$19,097.74

Service Code	APR-DRG 1213
Min. Negotiated Rate	$19,097.74
Max. Negotiated Rate	$19,097.74
Rate for Payer: Aetna CHP/Medicaid	$19,097.74
Rate for Payer: Humana OH Medicaid	$19,097.74

APR-DRG 42.00: OTHER RESPIRATORY AND CHEST PROCEDURES

Facility

$12,342.08

Service Code	APR-DRG 1212
Min. Negotiated Rate	$12,342.08
Max. Negotiated Rate	$12,342.08
Rate for Payer: Aetna CHP/Medicaid	$12,342.08
Rate for Payer: Humana OH Medicaid	$12,342.08

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$8,119.79

Service Code	APR-DRG 1433
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 RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$5,261.62

Service Code	APR-DRG 1432
Min. Negotiated Rate	$5,261.62
Max. Negotiated Rate	$5,261.62
Rate for Payer: Aetna CHP/Medicaid	$5,261.62
Rate for Payer: Humana OH Medicaid	$5,261.62

APR-DRG 42.00: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES

Facility

$3,702.62

Service Code	APR-DRG 1431
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

Know your out-of-pocket cost for care.

All Charges