Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$15,784.87

Service Code	APR-DRG 8164
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: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$8,249.70

Service Code	APR-DRG 8163
Min. Negotiated Rate	$8,249.70
Max. Negotiated Rate	$8,249.70
Rate for Payer: Aetna CHP/Medicaid	$8,249.70
Rate for Payer: Humana OH Medicaid	$8,249.70

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$3,182.96

Service Code	APR-DRG 8161
Min. Negotiated Rate	$3,182.96
Max. Negotiated Rate	$3,182.96
Rate for Payer: Aetna CHP/Medicaid	$3,182.96
Rate for Payer: Humana OH Medicaid	$3,182.96

APR-DRG 42.00: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$4,352.21

Service Code	APR-DRG 8162
Min. Negotiated Rate	$4,352.21
Max. Negotiated Rate	$4,352.21
Rate for Payer: Aetna CHP/Medicaid	$4,352.21
Rate for Payer: Humana OH Medicaid	$4,352.21

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$115,495.86

Service Code	APR-DRG 0044
Min. Negotiated Rate	$115,495.86
Max. Negotiated Rate	$115,495.86
Rate for Payer: Aetna CHP/Medicaid	$115,495.86
Rate for Payer: Humana OH Medicaid	$115,495.86

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$50,862.35

Service Code	APR-DRG 0042
Min. Negotiated Rate	$50,862.35
Max. Negotiated Rate	$50,862.35
Rate for Payer: Aetna CHP/Medicaid	$50,862.35
Rate for Payer: Humana OH Medicaid	$50,862.35

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$35,207.40

Service Code	APR-DRG 0041
Min. Negotiated Rate	$35,207.40
Max. Negotiated Rate	$35,207.40
Rate for Payer: Aetna CHP/Medicaid	$35,207.40
Rate for Payer: Humana OH Medicaid	$35,207.40

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE

Facility

$79,638.88

Service Code	APR-DRG 0043
Min. Negotiated Rate	$79,638.88
Max. Negotiated Rate	$79,638.88
Rate for Payer: Aetna CHP/Medicaid	$79,638.88
Rate for Payer: Humana OH Medicaid	$79,638.88

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$58,397.51

Service Code	APR-DRG 0053
Min. Negotiated Rate	$58,397.51
Max. Negotiated Rate	$58,397.51
Rate for Payer: Aetna CHP/Medicaid	$58,397.51
Rate for Payer: Humana OH Medicaid	$58,397.51

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$20,461.86

Service Code	APR-DRG 0051
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: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$80,418.38

Service Code	APR-DRG 0054
Min. Negotiated Rate	$80,418.38
Max. Negotiated Rate	$80,418.38
Rate for Payer: Aetna CHP/Medicaid	$80,418.38
Rate for Payer: Humana OH Medicaid	$80,418.38

APR-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE

Facility

$38,910.02

Service Code	APR-DRG 0052
Min. Negotiated Rate	$38,910.02
Max. Negotiated Rate	$38,910.02
Rate for Payer: Aetna CHP/Medicaid	$38,910.02
Rate for Payer: Humana OH Medicaid	$38,910.02

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$4,806.91

Service Code	APR-DRG 0471
Min. Negotiated Rate	$4,806.91
Max. Negotiated Rate	$4,806.91
Rate for Payer: Aetna CHP/Medicaid	$4,806.91
Rate for Payer: Humana OH Medicaid	$4,806.91

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$6,885.58

Service Code	APR-DRG 0473
Min. Negotiated Rate	$6,885.58
Max. Negotiated Rate	$6,885.58
Rate for Payer: Aetna CHP/Medicaid	$6,885.58
Rate for Payer: Humana OH Medicaid	$6,885.58

APR-DRG 42.00: TRANSIENT ISCHEMIA

Facility

$5,521.46

Service Code	APR-DRG 0472
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: TRANSIENT ISCHEMIA

Facility

$11,172.83

Service Code	APR-DRG 0474
Min. Negotiated Rate	$11,172.83
Max. Negotiated Rate	$11,172.83
Rate for Payer: Aetna CHP/Medicaid	$11,172.83
Rate for Payer: Humana OH Medicaid	$11,172.83

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$7,665.08

Service Code	APR-DRG 4822
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: TRANSURETHRAL PROSTATECTOMY

Facility

$17,019.07

Service Code	APR-DRG 4824
Min. Negotiated Rate	$17,019.07
Max. Negotiated Rate	$17,019.07
Rate for Payer: Aetna CHP/Medicaid	$17,019.07
Rate for Payer: Humana OH Medicaid	$17,019.07

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$5,391.54

Service Code	APR-DRG 4821
Min. Negotiated Rate	$5,391.54
Max. Negotiated Rate	$5,391.54
Rate for Payer: Aetna CHP/Medicaid	$5,391.54
Rate for Payer: Humana OH Medicaid	$5,391.54

APR-DRG 42.00: TRANSURETHRAL PROSTATECTOMY

Facility

$12,407.04

Service Code	APR-DRG 4823
Min. Negotiated Rate	$12,407.04
Max. Negotiated Rate	$12,407.04
Rate for Payer: Aetna CHP/Medicaid	$12,407.04
Rate for Payer: Humana OH Medicaid	$12,407.04

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$12,082.24

Service Code	APR-DRG 4463
Min. Negotiated Rate	$12,082.24
Max. Negotiated Rate	$12,082.24
Rate for Payer: Aetna CHP/Medicaid	$12,082.24
Rate for Payer: Humana OH Medicaid	$12,082.24

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$8,054.83

Service Code	APR-DRG 4462
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: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$19,292.62

Service Code	APR-DRG 4464
Min. Negotiated Rate	$19,292.62
Max. Negotiated Rate	$19,292.62
Rate for Payer: Aetna CHP/Medicaid	$19,292.62
Rate for Payer: Humana OH Medicaid	$19,292.62

APR-DRG 42.00: URETHRAL AND TRANSURETHRAL PROCEDURES

Facility

$6,171.04

Service Code	APR-DRG 4461
Min. Negotiated Rate	$6,171.04
Max. Negotiated Rate	$6,171.04
Rate for Payer: Aetna CHP/Medicaid	$6,171.04
Rate for Payer: Humana OH Medicaid	$6,171.04

APR-DRG 42.00: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$7,470.20

Service Code	APR-DRG 4653
Min. Negotiated Rate	$7,470.20
Max. Negotiated Rate	$7,470.20
Rate for Payer: Aetna CHP/Medicaid	$7,470.20
Rate for Payer: Humana OH Medicaid	$7,470.20

Know your out-of-pocket cost for care.

All Charges