Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

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

Facility

$13,446.37

Service Code	APR-DRG 1434
Min. Negotiated Rate	$13,446.37
Max. Negotiated Rate	$13,446.37
Rate for Payer: Aetna CHP/Medicaid	$13,446.37
Rate for Payer: Humana OH Medicaid	$13,446.37

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$25,658.53

Service Code	APR-DRG 3094
Min. Negotiated Rate	$25,658.53
Max. Negotiated Rate	$25,658.53
Rate for Payer: Aetna CHP/Medicaid	$25,658.53
Rate for Payer: Humana OH Medicaid	$25,658.53

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$17,863.53

Service Code	APR-DRG 3093
Min. Negotiated Rate	$17,863.53
Max. Negotiated Rate	$17,863.53
Rate for Payer: Aetna CHP/Medicaid	$17,863.53
Rate for Payer: Humana OH Medicaid	$17,863.53

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$13,121.58

Service Code	APR-DRG 3092
Min. Negotiated Rate	$13,121.58
Max. Negotiated Rate	$13,121.58
Rate for Payer: Aetna CHP/Medicaid	$13,121.58
Rate for Payer: Humana OH Medicaid	$13,121.58

APR-DRG 42.00: OTHER SIGNIFICANT HIP AND FEMUR SURGERY

Facility

$10,003.58

Service Code	APR-DRG 3091
Min. Negotiated Rate	$10,003.58
Max. Negotiated Rate	$10,003.58
Rate for Payer: Aetna CHP/Medicaid	$10,003.58
Rate for Payer: Humana OH Medicaid	$10,003.58

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$7,405.25

Service Code	APR-DRG 3853
Min. Negotiated Rate	$7,405.25
Max. Negotiated Rate	$7,405.25
Rate for Payer: Aetna CHP/Medicaid	$7,405.25
Rate for Payer: Humana OH Medicaid	$7,405.25

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$3,507.75

Service Code	APR-DRG 3851
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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$4,547.08

Service Code	APR-DRG 3852
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 SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS

Facility

$12,342.08

Service Code	APR-DRG 3854
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 SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$5,456.50

Service Code	APR-DRG 3641
Min. Negotiated Rate	$5,456.50
Max. Negotiated Rate	$5,456.50
Rate for Payer: Aetna CHP/Medicaid	$5,456.50
Rate for Payer: Humana OH Medicaid	$5,456.50

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$20,007.16

Service Code	APR-DRG 3644
Min. Negotiated Rate	$20,007.16
Max. Negotiated Rate	$20,007.16
Rate for Payer: Aetna CHP/Medicaid	$20,007.16
Rate for Payer: Humana OH Medicaid	$20,007.16

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$7,210.37

Service Code	APR-DRG 3642
Min. Negotiated Rate	$7,210.37
Max. Negotiated Rate	$7,210.37
Rate for Payer: Aetna CHP/Medicaid	$7,210.37
Rate for Payer: Humana OH Medicaid	$7,210.37

APR-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES

Facility

$11,887.37

Service Code	APR-DRG 3643
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 SMALL AND LARGE BOWEL PROCEDURES

Facility

$7,795.00

Service Code	APR-DRG 2231
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 SMALL AND LARGE BOWEL PROCEDURES

Facility

$25,073.90

Service Code	APR-DRG 2234
Min. Negotiated Rate	$25,073.90
Max. Negotiated Rate	$25,073.90
Rate for Payer: Aetna CHP/Medicaid	$25,073.90
Rate for Payer: Humana OH Medicaid	$25,073.90

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$13,966.03

Service Code	APR-DRG 2233
Min. Negotiated Rate	$13,966.03
Max. Negotiated Rate	$13,966.03
Rate for Payer: Aetna CHP/Medicaid	$13,966.03
Rate for Payer: Humana OH Medicaid	$13,966.03

APR-DRG 42.00: OTHER SMALL AND LARGE BOWEL PROCEDURES

Facility

$9,938.62

Service Code	APR-DRG 2232
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 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$26,243.15

Service Code	APR-DRG 2224
Min. Negotiated Rate	$26,243.15
Max. Negotiated Rate	$26,243.15
Rate for Payer: Aetna CHP/Medicaid	$26,243.15
Rate for Payer: Humana OH Medicaid	$26,243.15

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$9,678.79

Service Code	APR-DRG 2222
Min. Negotiated Rate	$9,678.79
Max. Negotiated Rate	$9,678.79
Rate for Payer: Aetna CHP/Medicaid	$9,678.79
Rate for Payer: Humana OH Medicaid	$9,678.79

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$5,521.46

Service Code	APR-DRG 2221
Min. Negotiated Rate	$5,521.46
Max. Negotiated Rate	$5,521.46
Rate for Payer: Aetna CHP/Medicaid	$5,521.46
Rate for Payer: Humana OH Medicaid	$5,521.46

APR-DRG 42.00: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES

Facility

$15,460.08

Service Code	APR-DRG 2223
Min. Negotiated Rate	$15,460.08
Max. Negotiated Rate	$15,460.08
Rate for Payer: Aetna CHP/Medicaid	$15,460.08
Rate for Payer: Humana OH Medicaid	$15,460.08

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$49,628.14

Service Code	APR-DRG 0062
Min. Negotiated Rate	$49,628.14
Max. Negotiated Rate	$49,628.14
Rate for Payer: Aetna CHP/Medicaid	$49,628.14
Rate for Payer: Humana OH Medicaid	$49,628.14

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$34,492.86

Service Code	APR-DRG 0061
Min. Negotiated Rate	$34,492.86
Max. Negotiated Rate	$34,492.86
Rate for Payer: Aetna CHP/Medicaid	$34,492.86
Rate for Payer: Humana OH Medicaid	$34,492.86

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$57,553.05

Service Code	APR-DRG 0063
Min. Negotiated Rate	$57,553.05
Max. Negotiated Rate	$57,553.05
Rate for Payer: Aetna CHP/Medicaid	$57,553.05
Rate for Payer: Humana OH Medicaid	$57,553.05

APR-DRG 42.00: PANCREAS TRANSPLANT

Facility

$74,702.04

Service Code	APR-DRG 0064
Min. Negotiated Rate	$74,702.04
Max. Negotiated Rate	$74,702.04
Rate for Payer: Aetna CHP/Medicaid	$74,702.04
Rate for Payer: Humana OH Medicaid	$74,702.04

Know your out-of-pocket cost for care.

All Charges