Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

EAPG 808: VIRAL ILLNESS

Facility

$97.52

Service Code	EAPG 00808
Min. Negotiated Rate	$97.52
Max. Negotiated Rate	$97.52
Rate for Payer: Aetna CHP/Medicaid	$97.52
Rate for Payer: Humana OH Medicaid	$97.52

EAPG 809: OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$112.60

Service Code	EAPG 00809
Min. Negotiated Rate	$112.60
Max. Negotiated Rate	$112.60
Rate for Payer: Aetna CHP/Medicaid	$112.60
Rate for Payer: Humana OH Medicaid	$112.60

EAPG 80: EXERCISE TOLERANCE TESTS

Facility

$95.02

Service Code	EAPG 00080
Min. Negotiated Rate	$95.02
Max. Negotiated Rate	$95.02
Rate for Payer: Aetna CHP/Medicaid	$95.02
Rate for Payer: Humana OH Medicaid	$95.02

EAPG 810: H. PYLORI INFECTION

Facility

$62.38

Service Code	EAPG 00810
Min. Negotiated Rate	$62.38
Max. Negotiated Rate	$62.38
Rate for Payer: Aetna CHP/Medicaid	$62.38
Rate for Payer: Humana OH Medicaid	$62.38

EAPG 812: VIRAL MENINGITIS

Facility

$90.16

Service Code	EAPG 00812
Min. Negotiated Rate	$90.16
Max. Negotiated Rate	$90.16
Rate for Payer: Aetna CHP/Medicaid	$90.16
Rate for Payer: Humana OH Medicaid	$90.16

EAPG 81: ECHOCARDIOGRAPHY

Facility

$309.32

Service Code	EAPG 00081
Min. Negotiated Rate	$309.32
Max. Negotiated Rate	$309.32
Rate for Payer: Aetna CHP/Medicaid	$309.32
Rate for Payer: Humana OH Medicaid	$309.32

EAPG 820: SCHIZOPHRENIA

Facility

$156.84

Service Code	EAPG 00820
Min. Negotiated Rate	$156.84
Max. Negotiated Rate	$156.84
Rate for Payer: Aetna CHP/Medicaid	$156.84
Rate for Payer: Humana OH Medicaid	$156.84

EAPG 821: MAJOR DEPRESSIVE DIAGNOSES AND OTHER OR UNSPECIFIED PSYCHOSES

Facility

$118.08

Service Code	EAPG 00821
Min. Negotiated Rate	$118.08
Max. Negotiated Rate	$118.08
Rate for Payer: Aetna CHP/Medicaid	$118.08
Rate for Payer: Humana OH Medicaid	$118.08

EAPG 822: PERSONALITY AND IMPULSE CONTROL DIAGNOSES

Facility

$155.94

Service Code	EAPG 00822
Min. Negotiated Rate	$155.94
Max. Negotiated Rate	$155.94
Rate for Payer: Aetna CHP/Medicaid	$155.94
Rate for Payer: Humana OH Medicaid	$155.94

EAPG 823: BIPOLAR DISORDERS

Facility

$117.17

Service Code	EAPG 00823
Min. Negotiated Rate	$117.17
Max. Negotiated Rate	$117.17
Rate for Payer: Aetna CHP/Medicaid	$117.17
Rate for Payer: Humana OH Medicaid	$117.17

EAPG 824: DEPRESSION EXCEPT MAJOR DEPRESSIVE DIAGNOSES

Facility

$92.10

Service Code	EAPG 00824
Min. Negotiated Rate	$92.10
Max. Negotiated Rate	$92.10
Rate for Payer: Aetna CHP/Medicaid	$92.10
Rate for Payer: Humana OH Medicaid	$92.10

EAPG 825: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES

Facility

$95.96

Service Code	EAPG 00825
Min. Negotiated Rate	$95.96
Max. Negotiated Rate	$95.96
Rate for Payer: Aetna CHP/Medicaid	$95.96
Rate for Payer: Humana OH Medicaid	$95.96

EAPG 826: ACUTE ANXIETY AND DELIRIUM STATES

Facility

$131.14

Service Code	EAPG 00826
Min. Negotiated Rate	$131.14
Max. Negotiated Rate	$131.14
Rate for Payer: Aetna CHP/Medicaid	$131.14
Rate for Payer: Humana OH Medicaid	$131.14

EAPG 827: ORGANIC BEHAVIORAL HEALTH DISTURBANCES

Facility

$63.68

Service Code	EAPG 00827
Min. Negotiated Rate	$63.68
Max. Negotiated Rate	$63.68
Rate for Payer: Aetna CHP/Medicaid	$63.68
Rate for Payer: Humana OH Medicaid	$63.68

EAPG 828: INTELLECTUAL DISABILITY

Facility

$71.39

Service Code	EAPG 00828
Min. Negotiated Rate	$71.39
Max. Negotiated Rate	$71.39
Rate for Payer: Aetna CHP/Medicaid	$71.39
Rate for Payer: Humana OH Medicaid	$71.39

EAPG 829: CHILDHOOD BEHAVIORAL DIAGNOSES

Facility

$44.41

Service Code	EAPG 00829
Min. Negotiated Rate	$44.41
Max. Negotiated Rate	$44.41
Rate for Payer: Aetna CHP/Medicaid	$44.41
Rate for Payer: Humana OH Medicaid	$44.41

EAPG 82: COMPREHENSIVE CARDIAC ELECTROPHYSIOLOGIC PROCEDURES WITH ABLATION

Facility

$10,611.48

Service Code	EAPG 00082
Min. Negotiated Rate	$10,611.48
Max. Negotiated Rate	$10,611.48
Rate for Payer: Aetna CHP/Medicaid	$10,611.48
Rate for Payer: Humana OH Medicaid	$10,611.48

EAPG 830: EATING DISORDERS

Facility

$68.01

Service Code	EAPG 00830
Min. Negotiated Rate	$68.01
Max. Negotiated Rate	$68.01
Rate for Payer: Aetna CHP/Medicaid	$68.01
Rate for Payer: Humana OH Medicaid	$68.01

EAPG 831: OTHER BEHAVIORAL HEALTH DIAGNOSES

Facility

$75.34

Service Code	EAPG 00831
Min. Negotiated Rate	$75.34
Max. Negotiated Rate	$75.34
Rate for Payer: Aetna CHP/Medicaid	$75.34
Rate for Payer: Humana OH Medicaid	$75.34

EAPG 832: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE

Facility

$329.06

Service Code	EAPG 00832
Min. Negotiated Rate	$329.06
Max. Negotiated Rate	$329.06
Rate for Payer: Aetna CHP/Medicaid	$329.06
Rate for Payer: Humana OH Medicaid	$329.06

EAPG 83: LEVEL II CENTRAL VENOUS ACCESS PROCEDURES

Facility

$1,421.96

Service Code	EAPG 00083
Min. Negotiated Rate	$1,421.96
Max. Negotiated Rate	$1,421.96
Rate for Payer: Aetna CHP/Medicaid	$1,421.96
Rate for Payer: Humana OH Medicaid	$1,421.96

EAPG 840: OPIOID ABUSE AND DEPENDENCE

Facility

$78.07

Service Code	EAPG 00840
Min. Negotiated Rate	$78.07
Max. Negotiated Rate	$78.07
Rate for Payer: Aetna CHP/Medicaid	$78.07
Rate for Payer: Humana OH Medicaid	$78.07

EAPG 841: COCAINE ABUSE AND DEPENDENCE

Facility

$214.59

Service Code	EAPG 00841
Min. Negotiated Rate	$214.59
Max. Negotiated Rate	$214.59
Rate for Payer: Aetna CHP/Medicaid	$214.59
Rate for Payer: Humana OH Medicaid	$214.59

EAPG 842: ALCOHOL ABUSE AND DEPENDENCE

Facility

$191.31

Service Code	EAPG 00842
Min. Negotiated Rate	$191.31
Max. Negotiated Rate	$191.31
Rate for Payer: Aetna CHP/Medicaid	$191.31
Rate for Payer: Humana OH Medicaid	$191.31

EAPG 843: OTHER DRUG ABUSE AND DEPENDENCE

Facility

$170.33

Service Code	EAPG 00843
Min. Negotiated Rate	$170.33
Max. Negotiated Rate	$170.33
Rate for Payer: Aetna CHP/Medicaid	$170.33
Rate for Payer: Humana OH Medicaid	$170.33

Know your out-of-pocket cost for care.

All Charges