Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

EAPG 601: CARDIAC ARRHYTHMIA AND CONDUCTION DIAGNOSES

Facility

$124.95

Service Code	EAPG 00601
Min. Negotiated Rate	$124.95
Max. Negotiated Rate	$124.95
Rate for Payer: Aetna CHP/Medicaid	$124.95
Rate for Payer: Humana OH Medicaid	$124.95

EAPG 602: ATRIAL FIBRILLATION

Facility

$49.48

Service Code	EAPG 00602
Min. Negotiated Rate	$49.48
Max. Negotiated Rate	$49.48
Rate for Payer: Aetna CHP/Medicaid	$49.48
Rate for Payer: Humana OH Medicaid	$49.48

EAPG 604: CHEST PAIN

Facility

$283.16

Service Code	EAPG 00604
Min. Negotiated Rate	$283.16
Max. Negotiated Rate	$283.16
Rate for Payer: Aetna CHP/Medicaid	$283.16
Rate for Payer: Humana OH Medicaid	$283.16

EAPG 605: SYNCOPE AND COLLAPSE

Facility

$169.09

Service Code	EAPG 00605
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$169.09
Rate for Payer: Aetna CHP/Medicaid	$169.09
Rate for Payer: Humana OH Medicaid	$169.09

EAPG 607: CARDIOMYOPATHY DIAGNOSES

Facility

$65.56

Service Code	EAPG 00607
Min. Negotiated Rate	$65.56
Max. Negotiated Rate	$65.56
Rate for Payer: Aetna CHP/Medicaid	$65.56
Rate for Payer: Humana OH Medicaid	$65.56

EAPG 608: ACUTE AND SUBACUTE ENDOCARDITIS

Facility

$70.04

Service Code	EAPG 00608
Min. Negotiated Rate	$70.04
Max. Negotiated Rate	$70.04
Rate for Payer: Aetna CHP/Medicaid	$70.04
Rate for Payer: Humana OH Medicaid	$70.04

EAPG 60: PULMONARY FUNCTION TESTS

Facility

$112.02

Service Code	EAPG 00060
Min. Negotiated Rate	$112.02
Max. Negotiated Rate	$112.02
Rate for Payer: Aetna CHP/Medicaid	$112.02
Rate for Payer: Humana OH Medicaid	$112.02

EAPG 610: CONTUSIONS TO EXTERNAL ORGANS OTHER THAN HEAD TRAUMA

Facility

$144.29

Service Code	EAPG 00610
Min. Negotiated Rate	$144.29
Max. Negotiated Rate	$144.29
Rate for Payer: Aetna CHP/Medicaid	$144.29
Rate for Payer: Humana OH Medicaid	$144.29

EAPG 616: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$77.44

Service Code	EAPG 00616
Min. Negotiated Rate	$77.44
Max. Negotiated Rate	$77.44
Rate for Payer: Aetna CHP/Medicaid	$77.44
Rate for Payer: Humana OH Medicaid	$77.44

EAPG 617: GASTROINTESTINAL HEMORRHAGE AND RELATED POSTPROCEDURAL HEMORRHAGE DIAGNOSES

Facility

$126.53

Service Code	EAPG 00617
Min. Negotiated Rate	$126.53
Max. Negotiated Rate	$126.53
Rate for Payer: Aetna CHP/Medicaid	$126.53
Rate for Payer: Humana OH Medicaid	$126.53

EAPG 618: INTESTINAL OBSTRUCTION DIAGNOSES

Facility

$154.31

Service Code	EAPG 00618
Min. Negotiated Rate	$154.31
Max. Negotiated Rate	$154.31
Rate for Payer: Aetna CHP/Medicaid	$154.31
Rate for Payer: Humana OH Medicaid	$154.31

EAPG 619: GASTROINTESTINAL AND PERITONEAL INFECTION DIAGNOSES

Facility

$75.51

Service Code	EAPG 00619
Min. Negotiated Rate	$75.51
Max. Negotiated Rate	$75.51
Rate for Payer: Aetna CHP/Medicaid	$75.51
Rate for Payer: Humana OH Medicaid	$75.51

EAPG 620: DIGESTIVE MALIGNANCY

Facility

$64.25

Service Code	EAPG 00620
Min. Negotiated Rate	$64.25
Max. Negotiated Rate	$64.25
Rate for Payer: Aetna CHP/Medicaid	$64.25
Rate for Payer: Humana OH Medicaid	$64.25

EAPG 621: PEPTIC ULCER AND GASTRITIS

Facility

$160.93

Service Code	EAPG 00621
Min. Negotiated Rate	$160.93
Max. Negotiated Rate	$160.93
Rate for Payer: Aetna CHP/Medicaid	$160.93
Rate for Payer: Humana OH Medicaid	$160.93

EAPG 623: ESOPHAGITIS AND OTHER ESOPHAGEAL DIAGNOSES

Facility

$71.83

Service Code	EAPG 00623
Min. Negotiated Rate	$71.83
Max. Negotiated Rate	$71.83
Rate for Payer: Aetna CHP/Medicaid	$71.83
Rate for Payer: Humana OH Medicaid	$71.83

EAPG 624: OTHER GASTROINTESTINAL SYSTEM DIAGNOSES

Facility

$89.62

Service Code	EAPG 00624
Min. Negotiated Rate	$89.62
Max. Negotiated Rate	$89.62
Rate for Payer: Aetna CHP/Medicaid	$89.62
Rate for Payer: Humana OH Medicaid	$89.62

EAPG 626: INFLAMMATORY BOWEL DISEASE

Facility

$81.70

Service Code	EAPG 00626
Min. Negotiated Rate	$81.70
Max. Negotiated Rate	$81.70
Rate for Payer: Aetna CHP/Medicaid	$81.70
Rate for Payer: Humana OH Medicaid	$81.70

EAPG 627: NON-BACTERIAL GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$107.72

Service Code	EAPG 00627
Min. Negotiated Rate	$107.72
Max. Negotiated Rate	$107.72
Rate for Payer: Aetna CHP/Medicaid	$107.72
Rate for Payer: Humana OH Medicaid	$107.72

EAPG 628: ABDOMINAL PAIN

Facility

$160.84

Service Code	EAPG 00628
Min. Negotiated Rate	$160.84
Max. Negotiated Rate	$160.84
Rate for Payer: Aetna CHP/Medicaid	$160.84
Rate for Payer: Humana OH Medicaid	$160.84

EAPG 629: MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE

Facility

$139.54

Service Code	EAPG 00629
Min. Negotiated Rate	$139.54
Max. Negotiated Rate	$139.54
Rate for Payer: Aetna CHP/Medicaid	$139.54
Rate for Payer: Humana OH Medicaid	$139.54

EAPG 62: LEVEL I ENDOSCOPY OF THE UPPER AIRWAY

Facility

$233.63

Service Code	EAPG 00062
Min. Negotiated Rate	$233.63
Max. Negotiated Rate	$233.63
Rate for Payer: Aetna CHP/Medicaid	$233.63
Rate for Payer: Humana OH Medicaid	$233.63

EAPG 630: CONSTIPATION

Facility

$113.33

Service Code	EAPG 00630
Min. Negotiated Rate	$113.33
Max. Negotiated Rate	$113.33
Rate for Payer: Aetna CHP/Medicaid	$113.33
Rate for Payer: Humana OH Medicaid	$113.33

EAPG 631: HERNIA

Facility

$64.42

Service Code	EAPG 00631
Min. Negotiated Rate	$64.42
Max. Negotiated Rate	$64.42
Rate for Payer: Aetna CHP/Medicaid	$64.42
Rate for Payer: Humana OH Medicaid	$64.42

EAPG 632: IRRITABLE BOWEL SYNDROME

Facility

$55.42

Service Code	EAPG 00632
Min. Negotiated Rate	$55.42
Max. Negotiated Rate	$55.42
Rate for Payer: Aetna CHP/Medicaid	$55.42
Rate for Payer: Humana OH Medicaid	$55.42

EAPG 633: ALCOHOLIC LIVER DISEASE

Facility

$94.76

Service Code	EAPG 00633
Min. Negotiated Rate	$94.76
Max. Negotiated Rate	$94.76
Rate for Payer: Aetna CHP/Medicaid	$94.76
Rate for Payer: Humana OH Medicaid	$94.76

Know your out-of-pocket cost for care.

All Charges