Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: SEIZURE

Facility

$15,200.24

Service Code	APR-DRG 0534
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: SEIZURE

Facility

$3,767.58

Service Code	APR-DRG 0531
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: 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

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$17,538.74

Service Code	APR-DRG 7204
Min. Negotiated Rate	$17,538.74
Max. Negotiated Rate	$17,538.74
Rate for Payer: Aetna CHP/Medicaid	$17,538.74
Rate for Payer: Humana OH Medicaid	$17,538.74

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$4,287.25

Service Code	APR-DRG 7201
Min. Negotiated Rate	$4,287.25
Max. Negotiated Rate	$4,287.25
Rate for Payer: Aetna CHP/Medicaid	$4,287.25
Rate for Payer: Humana OH Medicaid	$4,287.25

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$5,976.16

Service Code	APR-DRG 7202
Min. Negotiated Rate	$5,976.16
Max. Negotiated Rate	$5,976.16
Rate for Payer: Aetna CHP/Medicaid	$5,976.16
Rate for Payer: Humana OH Medicaid	$5,976.16

APR-DRG 42.00: SEPTICEMIA AND DISSEMINATED INFECTIONS

Facility

$9,483.91

Service Code	APR-DRG 7203
Min. Negotiated Rate	$9,483.91
Max. Negotiated Rate	$9,483.91
Rate for Payer: Aetna CHP/Medicaid	$9,483.91
Rate for Payer: Humana OH Medicaid	$9,483.91

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$17,084.03

Service Code	APR-DRG 3223
Min. Negotiated Rate	$17,084.03
Max. Negotiated Rate	$17,084.03
Rate for Payer: Aetna CHP/Medicaid	$17,084.03
Rate for Payer: Humana OH Medicaid	$17,084.03

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$10,328.37

Service Code	APR-DRG 3221
Min. Negotiated Rate	$10,328.37
Max. Negotiated Rate	$10,328.37
Rate for Payer: Aetna CHP/Medicaid	$10,328.37
Rate for Payer: Humana OH Medicaid	$10,328.37

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$21,890.95

Service Code	APR-DRG 3224
Min. Negotiated Rate	$21,890.95
Max. Negotiated Rate	$21,890.95
Rate for Payer: Aetna CHP/Medicaid	$21,890.95
Rate for Payer: Humana OH Medicaid	$21,890.95

APR-DRG 42.00: SHOULDER AND ELBOW JOINT REPLACEMENT

Facility

$12,536.95

Service Code	APR-DRG 3222
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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$16,174.62

Service Code	APR-DRG 3153
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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$11,952.33

Service Code	APR-DRG 3152
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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$8,184.75

Service Code	APR-DRG 3151
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: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT

Facility

$25,268.78

Service Code	APR-DRG 3154
Min. Negotiated Rate	$25,268.78
Max. Negotiated Rate	$25,268.78
Rate for Payer: Aetna CHP/Medicaid	$25,268.78
Rate for Payer: Humana OH Medicaid	$25,268.78

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$5,456.50

Service Code	APR-DRG 6622
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: SICKLE CELL ANEMIA CRISIS

Facility

$3,962.46

Service Code	APR-DRG 6621
Min. Negotiated Rate	$3,962.46
Max. Negotiated Rate	$3,962.46
Rate for Payer: Aetna CHP/Medicaid	$3,962.46
Rate for Payer: Humana OH Medicaid	$3,962.46

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$15,784.87

Service Code	APR-DRG 6624
Min. Negotiated Rate	$15,784.87
Max. Negotiated Rate	$15,784.87
Rate for Payer: Aetna CHP/Medicaid	$15,784.87
Rate for Payer: Humana OH Medicaid	$15,784.87

APR-DRG 42.00: SICKLE CELL ANEMIA CRISIS

Facility

$8,704.41

Service Code	APR-DRG 6623
Min. Negotiated Rate	$8,704.41
Max. Negotiated Rate	$8,704.41
Rate for Payer: Aetna CHP/Medicaid	$8,704.41
Rate for Payer: Humana OH Medicaid	$8,704.41

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$4,547.08

Service Code	APR-DRG 8612
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: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$6,625.75

Service Code	APR-DRG 8613
Min. Negotiated Rate	$6,625.75
Max. Negotiated Rate	$6,625.75
Rate for Payer: Aetna CHP/Medicaid	$6,625.75
Rate for Payer: Humana OH Medicaid	$6,625.75

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$3,442.79

Service Code	APR-DRG 8611
Min. Negotiated Rate	$3,442.79
Max. Negotiated Rate	$3,442.79
Rate for Payer: Aetna CHP/Medicaid	$3,442.79
Rate for Payer: Humana OH Medicaid	$3,442.79

APR-DRG 42.00: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$10,848.04

Service Code	APR-DRG 8614
Min. Negotiated Rate	$10,848.04
Max. Negotiated Rate	$10,848.04
Rate for Payer: Aetna CHP/Medicaid	$10,848.04
Rate for Payer: Humana OH Medicaid	$10,848.04

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$27,022.65

Service Code	APR-DRG 3003
Min. Negotiated Rate	$27,022.65
Max. Negotiated Rate	$27,022.65
Rate for Payer: Aetna CHP/Medicaid	$27,022.65
Rate for Payer: Humana OH Medicaid	$27,022.65

APR-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

Facility

$38,650.19

Service Code	APR-DRG 3004
Min. Negotiated Rate	$38,650.19
Max. Negotiated Rate	$38,650.19
Rate for Payer: Aetna CHP/Medicaid	$38,650.19
Rate for Payer: Humana OH Medicaid	$38,650.19

Know your out-of-pocket cost for care.

All Charges