Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

EAPG 84: CARDIAC CATHETERIZATION PROCEDURES

Facility

$1,705.06

Service Code	EAPG 00084
Min. Negotiated Rate	$1,705.06
Max. Negotiated Rate	$1,705.06
Rate for Payer: Aetna CHP/Medicaid	$1,705.06
Rate for Payer: Humana OH Medicaid	$1,705.06

EAPG 850: ALLERGIC REACTIONS

Facility

$122.49

Service Code	EAPG 00850
Min. Negotiated Rate	$122.49
Max. Negotiated Rate	$122.49
Rate for Payer: Aetna CHP/Medicaid	$122.49
Rate for Payer: Humana OH Medicaid	$122.49

EAPG 851: POISONING OR TOXIC EFFECTS OF MEDICINAL AGENTS

Facility

$168.93

Service Code	EAPG 00851
Min. Negotiated Rate	$168.93
Max. Negotiated Rate	$168.93
Rate for Payer: Aetna CHP/Medicaid	$168.93
Rate for Payer: Humana OH Medicaid	$168.93

EAPG 852: OTHER COMPLICATIONS OF TREATMENT

Facility

$79.35

Service Code	EAPG 00852
Min. Negotiated Rate	$79.35
Max. Negotiated Rate	$79.35
Rate for Payer: Aetna CHP/Medicaid	$79.35
Rate for Payer: Humana OH Medicaid	$79.35

EAPG 853: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$126.64

Service Code	EAPG 00853
Min. Negotiated Rate	$126.64
Max. Negotiated Rate	$126.64
Rate for Payer: Aetna CHP/Medicaid	$126.64
Rate for Payer: Humana OH Medicaid	$126.64

EAPG 854: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$127.70

Service Code	EAPG 00854
Min. Negotiated Rate	$127.70
Max. Negotiated Rate	$127.70
Rate for Payer: Aetna CHP/Medicaid	$127.70
Rate for Payer: Humana OH Medicaid	$127.70

EAPG 85: LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

Facility

$7,384.25

Service Code	EAPG 00085
Min. Negotiated Rate	$7,384.25
Max. Negotiated Rate	$7,384.25
Rate for Payer: Aetna CHP/Medicaid	$7,384.25
Rate for Payer: Humana OH Medicaid	$7,384.25

EAPG 860: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS

Facility

$71.82

Service Code	EAPG 00860
Min. Negotiated Rate	$71.82
Max. Negotiated Rate	$71.82
Rate for Payer: Aetna CHP/Medicaid	$71.82
Rate for Payer: Humana OH Medicaid	$71.82

EAPG 861: PARTIAL THICKNESS BURNS

Facility

$83.14

Service Code	EAPG 00861
Min. Negotiated Rate	$83.14
Max. Negotiated Rate	$83.14
Rate for Payer: Aetna CHP/Medicaid	$83.14
Rate for Payer: Humana OH Medicaid	$83.14

EAPG 867: ENCOUNTERS FOR CONTACT WITH HEALTH SERVICES

Facility

$57.44

Service Code	EAPG 00867
Min. Negotiated Rate	$57.44
Max. Negotiated Rate	$57.44
Rate for Payer: Aetna CHP/Medicaid	$57.44
Rate for Payer: Humana OH Medicaid	$57.44

EAPG 869: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE INJURIES

Facility

$66.90

Service Code	EAPG 00869
Min. Negotiated Rate	$66.90
Max. Negotiated Rate	$66.90
Rate for Payer: Aetna CHP/Medicaid	$66.90
Rate for Payer: Humana OH Medicaid	$66.90

EAPG 86: PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT

Facility

$5,518.08

Service Code	EAPG 00086
Min. Negotiated Rate	$5,518.08
Max. Negotiated Rate	$5,518.08
Rate for Payer: Aetna CHP/Medicaid	$5,518.08
Rate for Payer: Humana OH Medicaid	$5,518.08

EAPG 870: REHABILITATION

Facility

$69.98

Service Code	EAPG 00870
Min. Negotiated Rate	$69.98
Max. Negotiated Rate	$69.98
Rate for Payer: Aetna CHP/Medicaid	$69.98
Rate for Payer: Humana OH Medicaid	$69.98

EAPG 871: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$86.58

Service Code	EAPG 00871
Min. Negotiated Rate	$86.58
Max. Negotiated Rate	$86.58
Rate for Payer: Aetna CHP/Medicaid	$86.58
Rate for Payer: Humana OH Medicaid	$86.58

EAPG 872: OTHER AFTERCARE AND CONVALESCENCE

Facility

$48.60

Service Code	EAPG 00872
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Aetna CHP/Medicaid	$48.60
Rate for Payer: Humana OH Medicaid	$48.60

EAPG 873: NEONATAL AFTERCARE

Facility

$56.62

Service Code	EAPG 00873
Min. Negotiated Rate	$56.62
Max. Negotiated Rate	$56.62
Rate for Payer: Aetna CHP/Medicaid	$56.62
Rate for Payer: Humana OH Medicaid	$56.62

EAPG 874: AFTERCARE FOR JOINT REPLACEMENT

Facility

$59.88

Service Code	EAPG 00874
Min. Negotiated Rate	$59.88
Max. Negotiated Rate	$59.88
Rate for Payer: Aetna CHP/Medicaid	$59.88
Rate for Payer: Humana OH Medicaid	$59.88

EAPG 875: CONTRACEPTIVE MANAGEMENT

Facility

$82.92

Service Code	EAPG 00875
Min. Negotiated Rate	$82.92
Max. Negotiated Rate	$82.92
Rate for Payer: Aetna CHP/Medicaid	$82.92
Rate for Payer: Humana OH Medicaid	$82.92

EAPG 876: ADULT PREVENTIVE MEDICINE

Facility

$77.54

Service Code	EAPG 00876
Min. Negotiated Rate	$77.54
Max. Negotiated Rate	$77.54
Rate for Payer: Aetna CHP/Medicaid	$77.54
Rate for Payer: Humana OH Medicaid	$77.54

EAPG 877: CHILD PREVENTIVE MEDICINE

Facility

$55.00

Service Code	EAPG 00877
Min. Negotiated Rate	$55.00
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna CHP/Medicaid	$55.00
Rate for Payer: Humana OH Medicaid	$55.00

EAPG 878: GYNECOLOGIC PREVENTIVE MEDICINE

Facility

$86.79

Service Code	EAPG 00878
Min. Negotiated Rate	$86.79
Max. Negotiated Rate	$86.79
Rate for Payer: Aetna CHP/Medicaid	$86.79
Rate for Payer: Humana OH Medicaid	$86.79

EAPG 879: PREVENTIVE OR SCREENING ENCOUNTER

Facility

$82.61

Service Code	EAPG 00879
Min. Negotiated Rate	$82.61
Max. Negotiated Rate	$82.61
Rate for Payer: Aetna CHP/Medicaid	$82.61
Rate for Payer: Humana OH Medicaid	$82.61

EAPG 87: REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES

Facility

$2,632.23

Service Code	EAPG 00087
Min. Negotiated Rate	$2,632.23
Max. Negotiated Rate	$2,632.23
Rate for Payer: Aetna CHP/Medicaid	$2,632.23
Rate for Payer: Humana OH Medicaid	$2,632.23

EAPG 880: HIV INFECTION

Facility

$176.32

Service Code	EAPG 00880
Min. Negotiated Rate	$176.32
Max. Negotiated Rate	$176.32
Rate for Payer: Aetna CHP/Medicaid	$176.32
Rate for Payer: Humana OH Medicaid	$176.32

EAPG 881: AIDS

Facility

$140.31

Service Code	EAPG 00881
Min. Negotiated Rate	$140.31
Max. Negotiated Rate	$140.31
Rate for Payer: Aetna CHP/Medicaid	$140.31
Rate for Payer: Humana OH Medicaid	$140.31

Know your out-of-pocket cost for care.

All Charges