Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$5,196.66

Service Code	APR-DRG 1332
Min. Negotiated Rate	$5,196.66
Max. Negotiated Rate	$5,196.66
Rate for Payer: Aetna CHP/Medicaid	$5,196.66
Rate for Payer: Humana OH Medicaid	$5,196.66

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$3,897.50

Service Code	APR-DRG 1331
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: RESPIRATORY FAILURE

Facility

$12,536.95

Service Code	APR-DRG 1334
Min. Negotiated Rate	$12,536.95
Max. Negotiated Rate	$12,536.95
Rate for Payer: Aetna CHP/Medicaid	$12,536.95
Rate for Payer: Humana OH Medicaid	$12,536.95

APR-DRG 42.00: RESPIRATORY FAILURE

Facility

$7,665.08

Service Code	APR-DRG 1333
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: RESPIRATORY MALIGNANCY

Facility

$13,446.37

Service Code	APR-DRG 1364
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: RESPIRATORY MALIGNANCY

Facility

$5,261.62

Service Code	APR-DRG 1361
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: RESPIRATORY MALIGNANCY

Facility

$6,300.96

Service Code	APR-DRG 1362
Min. Negotiated Rate	$6,300.96
Max. Negotiated Rate	$6,300.96
Rate for Payer: Aetna CHP/Medicaid	$6,300.96
Rate for Payer: Humana OH Medicaid	$6,300.96

APR-DRG 42.00: RESPIRATORY MALIGNANCY

Facility

$8,769.37

Service Code	APR-DRG 1363
Min. Negotiated Rate	$8,769.37
Max. Negotiated Rate	$8,769.37
Rate for Payer: Aetna CHP/Medicaid	$8,769.37
Rate for Payer: Humana OH Medicaid	$8,769.37

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

Facility

$7,535.16

Service Code	APR-DRG 1443
Min. Negotiated Rate	$7,535.16
Max. Negotiated Rate	$7,535.16
Rate for Payer: Aetna CHP/Medicaid	$7,535.16
Rate for Payer: Humana OH Medicaid	$7,535.16

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

Facility

$3,767.58

Service Code	APR-DRG 1441
Min. Negotiated Rate	$3,767.58
Max. Negotiated Rate	$3,767.58
Rate for Payer: Aetna CHP/Medicaid	$3,767.58
Rate for Payer: Humana OH Medicaid	$3,767.58

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

Facility

$5,326.58

Service Code	APR-DRG 1442
Min. Negotiated Rate	$5,326.58
Max. Negotiated Rate	$5,326.58
Rate for Payer: Aetna CHP/Medicaid	$5,326.58
Rate for Payer: Humana OH Medicaid	$5,326.58

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

Facility

$12,017.29

Service Code	APR-DRG 1444
Min. Negotiated Rate	$12,017.29
Max. Negotiated Rate	$12,017.29
Rate for Payer: Aetna CHP/Medicaid	$12,017.29
Rate for Payer: Humana OH Medicaid	$12,017.29

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$21,955.91

Service Code	APR-DRG 1302
Min. Negotiated Rate	$21,955.91
Max. Negotiated Rate	$21,955.91
Rate for Payer: Aetna CHP/Medicaid	$21,955.91
Rate for Payer: Humana OH Medicaid	$21,955.91

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$35,532.19

Service Code	APR-DRG 1304
Min. Negotiated Rate	$35,532.19
Max. Negotiated Rate	$35,532.19
Rate for Payer: Aetna CHP/Medicaid	$35,532.19
Rate for Payer: Humana OH Medicaid	$35,532.19

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$18,188.32

Service Code	APR-DRG 1301
Min. Negotiated Rate	$18,188.32
Max. Negotiated Rate	$18,188.32
Rate for Payer: Aetna CHP/Medicaid	$18,188.32
Rate for Payer: Humana OH Medicaid	$18,188.32

APR-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS

Facility

$26,827.78

Service Code	APR-DRG 1303
Min. Negotiated Rate	$26,827.78
Max. Negotiated Rate	$26,827.78
Rate for Payer: Aetna CHP/Medicaid	$26,827.78
Rate for Payer: Humana OH Medicaid	$26,827.78

APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS

Facility

$5,261.62

Service Code	APR-DRG 7612
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: SCHIZOAFFECTIVE DISORDERS

Facility

$16,694.28

Service Code	APR-DRG 7614
Min. Negotiated Rate	$16,694.28
Max. Negotiated Rate	$16,694.28
Rate for Payer: Aetna CHP/Medicaid	$16,694.28
Rate for Payer: Humana OH Medicaid	$16,694.28

APR-DRG 42.00: SCHIZOAFFECTIVE DISORDERS

Facility

$9,678.79

Service Code	APR-DRG 7613
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: SCHIZOAFFECTIVE DISORDERS

Facility

$5,001.79

Service Code	APR-DRG 7611
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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$15,525.03

Service Code	APR-DRG 7504
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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$8,054.83

Service Code	APR-DRG 7503
Min. Negotiated Rate	$8,054.83
Max. Negotiated Rate	$8,054.83
Rate for Payer: Aetna CHP/Medicaid	$8,054.83
Rate for Payer: Humana OH Medicaid	$8,054.83

APR-DRG 42.00: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$3,897.50

Service Code	APR-DRG 7501
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: SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS

Facility

$5,326.58

Service Code	APR-DRG 7502
Min. Negotiated Rate	$5,326.58
Max. Negotiated Rate	$5,326.58
Rate for Payer: Aetna CHP/Medicaid	$5,326.58
Rate for Payer: Humana OH Medicaid	$5,326.58

APR-DRG 42.00: SEIZURE

Facility

$5,066.75

Service Code	APR-DRG 0532
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

Know your out-of-pocket cost for care.

All Charges