Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$16,044.70

Service Code	APR-DRG 5424
Min. Negotiated Rate	$16,044.70
Max. Negotiated Rate	$16,044.70
Rate for Payer: Aetna CHP/Medicaid	$16,044.70
Rate for Payer: Humana OH Medicaid	$16,044.70

APR-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$3,118.00

Service Code	APR-DRG 5422
Min. Negotiated Rate	$3,118.00
Max. Negotiated Rate	$3,118.00
Rate for Payer: Aetna CHP/Medicaid	$3,118.00
Rate for Payer: Humana OH Medicaid	$3,118.00

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$4,157.33

Service Code	APR-DRG 5412
Min. Negotiated Rate	$4,157.33
Max. Negotiated Rate	$4,157.33
Rate for Payer: Aetna CHP/Medicaid	$4,157.33
Rate for Payer: Humana OH Medicaid	$4,157.33

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$6,106.08

Service Code	APR-DRG 5413
Min. Negotiated Rate	$6,106.08
Max. Negotiated Rate	$6,106.08
Rate for Payer: Aetna CHP/Medicaid	$6,106.08
Rate for Payer: Humana OH Medicaid	$6,106.08

APR-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$3,702.62

Service Code	APR-DRG 5411
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: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C

Facility

$12,536.95

Service Code	APR-DRG 5414
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: VENTRICULAR SHUNT PROCEDURES

Facility

$9,354.00

Service Code	APR-DRG 0221
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: VENTRICULAR SHUNT PROCEDURES

Facility

$31,244.94

Service Code	APR-DRG 0224
Min. Negotiated Rate	$31,244.94
Max. Negotiated Rate	$31,244.94
Rate for Payer: Aetna CHP/Medicaid	$31,244.94
Rate for Payer: Humana OH Medicaid	$31,244.94

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$11,757.45

Service Code	APR-DRG 0222
Min. Negotiated Rate	$11,757.45
Max. Negotiated Rate	$11,757.45
Rate for Payer: Aetna CHP/Medicaid	$11,757.45
Rate for Payer: Humana OH Medicaid	$11,757.45

APR-DRG 42.00: VENTRICULAR SHUNT PROCEDURES

Facility

$17,278.91

Service Code	APR-DRG 0223
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: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$11,432.66

Service Code	APR-DRG 3102
Min. Negotiated Rate	$11,432.66
Max. Negotiated Rate	$11,432.66
Rate for Payer: Aetna CHP/Medicaid	$11,432.66
Rate for Payer: Humana OH Medicaid	$11,432.66

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$8,314.66

Service Code	APR-DRG 3101
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: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$16,434.45

Service Code	APR-DRG 3103
Min. Negotiated Rate	$16,434.45
Max. Negotiated Rate	$16,434.45
Rate for Payer: Aetna CHP/Medicaid	$16,434.45
Rate for Payer: Humana OH Medicaid	$16,434.45

APR-DRG 42.00: VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$23,969.61

Service Code	APR-DRG 3104
Min. Negotiated Rate	$23,969.61
Max. Negotiated Rate	$23,969.61
Rate for Payer: Aetna CHP/Medicaid	$23,969.61
Rate for Payer: Humana OH Medicaid	$23,969.61

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$4,871.87

Service Code	APR-DRG 1112
Min. Negotiated Rate	$4,871.87
Max. Negotiated Rate	$4,871.87
Rate for Payer: Aetna CHP/Medicaid	$4,871.87
Rate for Payer: Humana OH Medicaid	$4,871.87

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$4,352.21

Service Code	APR-DRG 1111
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: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$11,042.91

Service Code	APR-DRG 1114
Min. Negotiated Rate	$11,042.91
Max. Negotiated Rate	$11,042.91
Rate for Payer: Aetna CHP/Medicaid	$11,042.91
Rate for Payer: Humana OH Medicaid	$11,042.91

APR-DRG 42.00: VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$6,365.91

Service Code	APR-DRG 1113
Min. Negotiated Rate	$6,365.91
Max. Negotiated Rate	$6,365.91
Rate for Payer: Aetna CHP/Medicaid	$6,365.91
Rate for Payer: Humana OH Medicaid	$6,365.91

APR-DRG 42.00: VIRAL ILLNESS

Facility

$4,092.37

Service Code	APR-DRG 7232
Min. Negotiated Rate	$4,092.37
Max. Negotiated Rate	$4,092.37
Rate for Payer: Aetna CHP/Medicaid	$4,092.37
Rate for Payer: Humana OH Medicaid	$4,092.37

APR-DRG 42.00: VIRAL ILLNESS

Facility

$2,858.17

Service Code	APR-DRG 7231
Min. Negotiated Rate	$2,858.17
Max. Negotiated Rate	$2,858.17
Rate for Payer: Aetna CHP/Medicaid	$2,858.17
Rate for Payer: Humana OH Medicaid	$2,858.17

APR-DRG 42.00: VIRAL ILLNESS

Facility

$12,991.66

Service Code	APR-DRG 7234
Min. Negotiated Rate	$12,991.66
Max. Negotiated Rate	$12,991.66
Rate for Payer: Aetna CHP/Medicaid	$12,991.66
Rate for Payer: Humana OH Medicaid	$12,991.66

APR-DRG 42.00: VIRAL ILLNESS

Facility

$6,755.66

Service Code	APR-DRG 7233
Min. Negotiated Rate	$6,755.66
Max. Negotiated Rate	$6,755.66
Rate for Payer: Aetna CHP/Medicaid	$6,755.66
Rate for Payer: Humana OH Medicaid	$6,755.66

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$4,222.29

Service Code	APR-DRG 0511
Min. Negotiated Rate	$4,222.29
Max. Negotiated Rate	$4,222.29
Rate for Payer: Aetna CHP/Medicaid	$4,222.29
Rate for Payer: Humana OH Medicaid	$4,222.29

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$8,964.25

Service Code	APR-DRG 0513
Min. Negotiated Rate	$8,964.25
Max. Negotiated Rate	$8,964.25
Rate for Payer: Aetna CHP/Medicaid	$8,964.25
Rate for Payer: Humana OH Medicaid	$8,964.25

APR-DRG 42.00: VIRAL MENINGITIS

Facility

$5,716.33

Service Code	APR-DRG 0512
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

Know your out-of-pocket cost for care.

All Charges