Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$5,911.21

Service Code	APR-DRG 8442
Min. Negotiated Rate	$5,911.21
Max. Negotiated Rate	$5,911.21
Rate for Payer: Aetna CHP/Medicaid	$5,911.21
Rate for Payer: Humana OH Medicaid	$5,911.21

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$3,507.75

Service Code	APR-DRG 8441
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: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$16,499.41

Service Code	APR-DRG 8444
Min. Negotiated Rate	$16,499.41
Max. Negotiated Rate	$16,499.41
Rate for Payer: Aetna CHP/Medicaid	$16,499.41
Rate for Payer: Humana OH Medicaid	$16,499.41

APR-DRG 42.00: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$9,224.08

Service Code	APR-DRG 8443
Min. Negotiated Rate	$9,224.08
Max. Negotiated Rate	$9,224.08
Rate for Payer: Aetna CHP/Medicaid	$9,224.08
Rate for Payer: Humana OH Medicaid	$9,224.08

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$9,808.70

Service Code	APR-DRG 4832
Min. Negotiated Rate	$9,808.70
Max. Negotiated Rate	$9,808.70
Rate for Payer: Aetna CHP/Medicaid	$9,808.70
Rate for Payer: Humana OH Medicaid	$9,808.70

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$6,430.87

Service Code	APR-DRG 4831
Min. Negotiated Rate	$6,430.87
Max. Negotiated Rate	$6,430.87
Rate for Payer: Aetna CHP/Medicaid	$6,430.87
Rate for Payer: Humana OH Medicaid	$6,430.87

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$14,810.49

Service Code	APR-DRG 4833
Min. Negotiated Rate	$14,810.49
Max. Negotiated Rate	$14,810.49
Rate for Payer: Aetna CHP/Medicaid	$14,810.49
Rate for Payer: Humana OH Medicaid	$14,810.49

APR-DRG 42.00: PENIS, TESTES AND SCROTAL PROCEDURES

Facility

$25,918.36

Service Code	APR-DRG 4834
Min. Negotiated Rate	$25,918.36
Max. Negotiated Rate	$25,918.36
Rate for Payer: Aetna CHP/Medicaid	$25,918.36
Rate for Payer: Humana OH Medicaid	$25,918.36

APR-DRG 42.00: PEPTIC ULCER AND GASTRITIS

Facility

$15,525.03

Service Code	APR-DRG 2414
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: PEPTIC ULCER AND GASTRITIS

Facility

$5,521.46

Service Code	APR-DRG 2412
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: PEPTIC ULCER AND GASTRITIS

Facility

$4,547.08

Service Code	APR-DRG 2411
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: PEPTIC ULCER AND GASTRITIS

Facility

$8,184.75

Service Code	APR-DRG 2413
Min. Negotiated Rate	$8,184.75
Max. Negotiated Rate	$8,184.75
Rate for Payer: Aetna CHP/Medicaid	$8,184.75
Rate for Payer: Humana OH Medicaid	$8,184.75

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$24,943.99

Service Code	APR-DRG 1744
Min. Negotiated Rate	$24,943.99
Max. Negotiated Rate	$24,943.99
Rate for Payer: Aetna CHP/Medicaid	$24,943.99
Rate for Payer: Humana OH Medicaid	$24,943.99

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$11,822.41

Service Code	APR-DRG 1741
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: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$17,603.70

Service Code	APR-DRG 1743
Min. Negotiated Rate	$17,603.70
Max. Negotiated Rate	$17,603.70
Rate for Payer: Aetna CHP/Medicaid	$17,603.70
Rate for Payer: Humana OH Medicaid	$17,603.70

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI

Facility

$14,940.41

Service Code	APR-DRG 1742
Min. Negotiated Rate	$14,940.41
Max. Negotiated Rate	$14,940.41
Rate for Payer: Aetna CHP/Medicaid	$14,940.41
Rate for Payer: Humana OH Medicaid	$14,940.41

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$28,061.99

Service Code	APR-DRG 1754
Min. Negotiated Rate	$28,061.99
Max. Negotiated Rate	$28,061.99
Rate for Payer: Aetna CHP/Medicaid	$28,061.99
Rate for Payer: Humana OH Medicaid	$28,061.99

APR-DRG 42.00: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$13,511.33

Service Code	APR-DRG 1751
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: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$17,863.53

Service Code	APR-DRG 1752
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: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI

Facility

$20,461.86

Service Code	APR-DRG 1753
Min. Negotiated Rate	$20,461.86
Max. Negotiated Rate	$20,461.86
Rate for Payer: Aetna CHP/Medicaid	$20,461.86
Rate for Payer: Humana OH Medicaid	$20,461.86

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$17,668.66

Service Code	APR-DRG 0302
Min. Negotiated Rate	$17,668.66
Max. Negotiated Rate	$17,668.66
Rate for Payer: Aetna CHP/Medicaid	$17,668.66
Rate for Payer: Humana OH Medicaid	$17,668.66

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$10,263.41

Service Code	APR-DRG 0301
Min. Negotiated Rate	$10,263.41
Max. Negotiated Rate	$10,263.41
Rate for Payer: Aetna CHP/Medicaid	$10,263.41
Rate for Payer: Humana OH Medicaid	$10,263.41

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$30,530.40

Service Code	APR-DRG 0304
Min. Negotiated Rate	$30,530.40
Max. Negotiated Rate	$30,530.40
Rate for Payer: Aetna CHP/Medicaid	$30,530.40
Rate for Payer: Humana OH Medicaid	$30,530.40

APR-DRG 42.00: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

Facility

$22,605.49

Service Code	APR-DRG 0303
Min. Negotiated Rate	$22,605.49
Max. Negotiated Rate	$22,605.49
Rate for Payer: Aetna CHP/Medicaid	$22,605.49
Rate for Payer: Humana OH Medicaid	$22,605.49

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$23,774.74

Service Code	APR-DRG 1831
Min. Negotiated Rate	$23,774.74
Max. Negotiated Rate	$23,774.74
Rate for Payer: Aetna CHP/Medicaid	$23,774.74
Rate for Payer: Humana OH Medicaid	$23,774.74

Know your out-of-pocket cost for care.

All Charges