Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$44,301.56

Service Code	APR-DRG 1834
Min. Negotiated Rate	$44,301.56
Max. Negotiated Rate	$44,301.56
Rate for Payer: Aetna CHP/Medicaid	$44,301.56
Rate for Payer: Humana OH Medicaid	$44,301.56

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$32,154.36

Service Code	APR-DRG 1833
Min. Negotiated Rate	$32,154.36
Max. Negotiated Rate	$32,154.36
Rate for Payer: Aetna CHP/Medicaid	$32,154.36
Rate for Payer: Humana OH Medicaid	$32,154.36

APR-DRG 42.00: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility

$25,788.45

Service Code	APR-DRG 1832
Min. Negotiated Rate	$25,788.45
Max. Negotiated Rate	$25,788.45
Rate for Payer: Aetna CHP/Medicaid	$25,788.45
Rate for Payer: Humana OH Medicaid	$25,788.45

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$14,225.87

Service Code	APR-DRG 1974
Min. Negotiated Rate	$14,225.87
Max. Negotiated Rate	$14,225.87
Rate for Payer: Aetna CHP/Medicaid	$14,225.87
Rate for Payer: Humana OH Medicaid	$14,225.87

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$5,066.75

Service Code	APR-DRG 1972
Min. Negotiated Rate	$5,066.75
Max. Negotiated Rate	$5,066.75
Rate for Payer: Aetna CHP/Medicaid	$5,066.75
Rate for Payer: Humana OH Medicaid	$5,066.75

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$7,989.87

Service Code	APR-DRG 1973
Min. Negotiated Rate	$7,989.87
Max. Negotiated Rate	$7,989.87
Rate for Payer: Aetna CHP/Medicaid	$7,989.87
Rate for Payer: Humana OH Medicaid	$7,989.87

APR-DRG 42.00: PERIPHERAL AND OTHER VASCULAR DISORDERS

Facility

$3,897.50

Service Code	APR-DRG 1971
Min. Negotiated Rate	$3,897.50
Max. Negotiated Rate	$3,897.50
Rate for Payer: Aetna CHP/Medicaid	$3,897.50
Rate for Payer: Humana OH Medicaid	$3,897.50

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$4,677.00

Service Code	APR-DRG 0481
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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$5,716.33

Service Code	APR-DRG 0482
Min. Negotiated Rate	$5,716.33
Max. Negotiated Rate	$5,716.33
Rate for Payer: Aetna CHP/Medicaid	$5,716.33
Rate for Payer: Humana OH Medicaid	$5,716.33

APR-DRG 42.00: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$8,184.75

Service Code	APR-DRG 0483
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: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS

Facility

$14,160.91

Service Code	APR-DRG 0484
Min. Negotiated Rate	$14,160.91
Max. Negotiated Rate	$14,160.91
Rate for Payer: Aetna CHP/Medicaid	$14,160.91
Rate for Payer: Humana OH Medicaid	$14,160.91

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$10,718.12

Service Code	APR-DRG 2242
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: PERITONEAL ADHESIOLYSIS

Facility

$16,109.66

Service Code	APR-DRG 2243
Min. Negotiated Rate	$16,109.66
Max. Negotiated Rate	$16,109.66
Rate for Payer: Aetna CHP/Medicaid	$16,109.66
Rate for Payer: Humana OH Medicaid	$16,109.66

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$24,684.15

Service Code	APR-DRG 2244
Min. Negotiated Rate	$24,684.15
Max. Negotiated Rate	$24,684.15
Rate for Payer: Aetna CHP/Medicaid	$24,684.15
Rate for Payer: Humana OH Medicaid	$24,684.15

APR-DRG 42.00: PERITONEAL ADHESIOLYSIS

Facility

$8,574.50

Service Code	APR-DRG 2241
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: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$14,225.87

Service Code	APR-DRG 1701
Min. Negotiated Rate	$14,225.87
Max. Negotiated Rate	$14,225.87
Rate for Payer: Aetna CHP/Medicaid	$14,225.87
Rate for Payer: Humana OH Medicaid	$14,225.87

APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$30,465.44

Service Code	APR-DRG 1704
Min. Negotiated Rate	$30,465.44
Max. Negotiated Rate	$30,465.44
Rate for Payer: Aetna CHP/Medicaid	$30,465.44
Rate for Payer: Humana OH Medicaid	$30,465.44

APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$15,200.24

Service Code	APR-DRG 1702
Min. Negotiated Rate	$15,200.24
Max. Negotiated Rate	$15,200.24
Rate for Payer: Aetna CHP/Medicaid	$15,200.24
Rate for Payer: Humana OH Medicaid	$15,200.24

APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK

Facility

$20,656.74

Service Code	APR-DRG 1703
Min. Negotiated Rate	$20,656.74
Max. Negotiated Rate	$20,656.74
Rate for Payer: Aetna CHP/Medicaid	$20,656.74
Rate for Payer: Humana OH Medicaid	$20,656.74

APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$11,952.33

Service Code	APR-DRG 1712
Min. Negotiated Rate	$11,952.33
Max. Negotiated Rate	$11,952.33
Rate for Payer: Aetna CHP/Medicaid	$11,952.33
Rate for Payer: Humana OH Medicaid	$11,952.33

APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$16,174.62

Service Code	APR-DRG 1713
Min. Negotiated Rate	$16,174.62
Max. Negotiated Rate	$16,174.62
Rate for Payer: Aetna CHP/Medicaid	$16,174.62
Rate for Payer: Humana OH Medicaid	$16,174.62

APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$9,873.66

Service Code	APR-DRG 1711
Min. Negotiated Rate	$9,873.66
Max. Negotiated Rate	$9,873.66
Rate for Payer: Aetna CHP/Medicaid	$9,873.66
Rate for Payer: Humana OH Medicaid	$9,873.66

APR-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK

Facility

$24,814.07

Service Code	APR-DRG 1714
Min. Negotiated Rate	$24,814.07
Max. Negotiated Rate	$24,814.07
Rate for Payer: Aetna CHP/Medicaid	$24,814.07
Rate for Payer: Humana OH Medicaid	$24,814.07

APR-DRG 42.00: PERSONALITY DISORDERS

Facility

$3,312.87

Service Code	APR-DRG 7522
Min. Negotiated Rate	$3,312.87
Max. Negotiated Rate	$3,312.87
Rate for Payer: Aetna CHP/Medicaid	$3,312.87
Rate for Payer: Humana OH Medicaid	$3,312.87

APR-DRG 42.00: PERSONALITY DISORDERS

Facility

$2,533.37

Service Code	APR-DRG 7521
Min. Negotiated Rate	$2,533.37
Max. Negotiated Rate	$2,533.37
Rate for Payer: Aetna CHP/Medicaid	$2,533.37
Rate for Payer: Humana OH Medicaid	$2,533.37

Know your out-of-pocket cost for care.

All Charges