Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: PROCEDURES FOR OBESITY

Facility

$8,899.29

Service Code	APR-DRG 4032
Min. Negotiated Rate	$8,899.29
Max. Negotiated Rate	$8,899.29
Rate for Payer: Aetna CHP/Medicaid	$8,899.29
Rate for Payer: Humana OH Medicaid	$8,899.29

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$40,014.31

Service Code	APR-DRG 8504
Min. Negotiated Rate	$40,014.31
Max. Negotiated Rate	$40,014.31
Rate for Payer: Aetna CHP/Medicaid	$40,014.31
Rate for Payer: Humana OH Medicaid	$40,014.31

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$15,070.33

Service Code	APR-DRG 8502
Min. Negotiated Rate	$15,070.33
Max. Negotiated Rate	$15,070.33
Rate for Payer: Aetna CHP/Medicaid	$15,070.33
Rate for Payer: Humana OH Medicaid	$15,070.33

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$9,613.83

Service Code	APR-DRG 8501
Min. Negotiated Rate	$9,613.83
Max. Negotiated Rate	$9,613.83
Rate for Payer: Aetna CHP/Medicaid	$9,613.83
Rate for Payer: Humana OH Medicaid	$9,613.83

APR-DRG 42.00: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES

Facility

$22,540.53

Service Code	APR-DRG 8503
Min. Negotiated Rate	$22,540.53
Max. Negotiated Rate	$22,540.53
Rate for Payer: Aetna CHP/Medicaid	$22,540.53
Rate for Payer: Humana OH Medicaid	$22,540.53

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$9,354.00

Service Code	APR-DRG 4851
Min. Negotiated Rate	$9,354.00
Max. Negotiated Rate	$9,354.00
Rate for Payer: Aetna CHP/Medicaid	$9,354.00
Rate for Payer: Humana OH Medicaid	$9,354.00

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$28,451.74

Service Code	APR-DRG 4854
Min. Negotiated Rate	$28,451.74
Max. Negotiated Rate	$28,451.74
Rate for Payer: Aetna CHP/Medicaid	$28,451.74
Rate for Payer: Humana OH Medicaid	$28,451.74

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$10,783.08

Service Code	APR-DRG 4852
Min. Negotiated Rate	$10,783.08
Max. Negotiated Rate	$10,783.08
Rate for Payer: Aetna CHP/Medicaid	$10,783.08
Rate for Payer: Humana OH Medicaid	$10,783.08

APR-DRG 42.00: PROSTATECTOMY PROCEDURES

Facility

$17,278.91

Service Code	APR-DRG 4853
Min. Negotiated Rate	$17,278.91
Max. Negotiated Rate	$17,278.91
Rate for Payer: Aetna CHP/Medicaid	$17,278.91
Rate for Payer: Humana OH Medicaid	$17,278.91

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$7,924.91

Service Code	APR-DRG 1343
Min. Negotiated Rate	$7,924.91
Max. Negotiated Rate	$7,924.91
Rate for Payer: Aetna CHP/Medicaid	$7,924.91
Rate for Payer: Humana OH Medicaid	$7,924.91

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$12,861.74

Service Code	APR-DRG 1344
Min. Negotiated Rate	$12,861.74
Max. Negotiated Rate	$12,861.74
Rate for Payer: Aetna CHP/Medicaid	$12,861.74
Rate for Payer: Humana OH Medicaid	$12,861.74

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$3,702.62

Service Code	APR-DRG 1341
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

APR-DRG 42.00: PULMONARY EMBOLISM

Facility

$5,001.79

Service Code	APR-DRG 1342
Min. Negotiated Rate	$5,001.79
Max. Negotiated Rate	$5,001.79
Rate for Payer: Aetna CHP/Medicaid	$5,001.79
Rate for Payer: Humana OH Medicaid	$5,001.79

APR-DRG 42.00: RADIOTHERAPY

Facility

$16,889.16

Service Code	APR-DRG 6923
Min. Negotiated Rate	$16,889.16
Max. Negotiated Rate	$16,889.16
Rate for Payer: Aetna CHP/Medicaid	$16,889.16
Rate for Payer: Humana OH Medicaid	$16,889.16

APR-DRG 42.00: RADIOTHERAPY

Facility

$21,176.41

Service Code	APR-DRG 6924
Min. Negotiated Rate	$21,176.41
Max. Negotiated Rate	$21,176.41
Rate for Payer: Aetna CHP/Medicaid	$21,176.41
Rate for Payer: Humana OH Medicaid	$21,176.41

APR-DRG 42.00: RADIOTHERAPY

Facility

$11,692.49

Service Code	APR-DRG 6922
Min. Negotiated Rate	$11,692.49
Max. Negotiated Rate	$11,692.49
Rate for Payer: Aetna CHP/Medicaid	$11,692.49
Rate for Payer: Humana OH Medicaid	$11,692.49

APR-DRG 42.00: RADIOTHERAPY

Facility

$7,665.08

Service Code	APR-DRG 6921
Min. Negotiated Rate	$7,665.08
Max. Negotiated Rate	$7,665.08
Rate for Payer: Aetna CHP/Medicaid	$7,665.08
Rate for Payer: Humana OH Medicaid	$7,665.08

APR-DRG 42.00: REHABILITATION

Facility

$12,601.91

Service Code	APR-DRG 8603
Min. Negotiated Rate	$12,601.91
Max. Negotiated Rate	$12,601.91
Rate for Payer: Aetna CHP/Medicaid	$12,601.91
Rate for Payer: Humana OH Medicaid	$12,601.91

APR-DRG 42.00: REHABILITATION

Facility

$9,548.87

Service Code	APR-DRG 8602
Min. Negotiated Rate	$9,548.87
Max. Negotiated Rate	$9,548.87
Rate for Payer: Aetna CHP/Medicaid	$9,548.87
Rate for Payer: Humana OH Medicaid	$9,548.87

APR-DRG 42.00: REHABILITATION

Facility

$15,654.95

Service Code	APR-DRG 8604
Min. Negotiated Rate	$15,654.95
Max. Negotiated Rate	$15,654.95
Rate for Payer: Aetna CHP/Medicaid	$15,654.95
Rate for Payer: Humana OH Medicaid	$15,654.95

APR-DRG 42.00: REHABILITATION

Facility

$7,340.29

Service Code	APR-DRG 8601
Min. Negotiated Rate	$7,340.29
Max. Negotiated Rate	$7,340.29
Rate for Payer: Aetna CHP/Medicaid	$7,340.29
Rate for Payer: Humana OH Medicaid	$7,340.29

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$11,497.62

Service Code	APR-DRG 4442
Min. Negotiated Rate	$11,497.62
Max. Negotiated Rate	$11,497.62
Rate for Payer: Aetna CHP/Medicaid	$11,497.62
Rate for Payer: Humana OH Medicaid	$11,497.62

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$16,304.53

Service Code	APR-DRG 4443
Min. Negotiated Rate	$16,304.53
Max. Negotiated Rate	$16,304.53
Rate for Payer: Aetna CHP/Medicaid	$16,304.53
Rate for Payer: Humana OH Medicaid	$16,304.53

APR-DRG 42.00: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$8,314.66

Service Code	APR-DRG 4441
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: RENAL DIALYSIS ACCESS DEVICE PROCEDURES

Facility

$26,048.28

Service Code	APR-DRG 4444
Min. Negotiated Rate	$26,048.28
Max. Negotiated Rate	$26,048.28
Rate for Payer: Aetna CHP/Medicaid	$26,048.28
Rate for Payer: Humana OH Medicaid	$26,048.28

Know your out-of-pocket cost for care.

All Charges